Conversation: The conversation between human and AI assistant.
[|Human|] My FBS (Glucose, Serum) is 124; Glucose Post-Prandial Plasma is 192; and HbA1c (H.P.L.C technology) is 6.8%. Am I diabetic ? Should I take medication or can it be controlled by diet/lifestyle changes ? Thank you for your kind attention - A. Sen Gupta, Bangalore, India.
[|AI|]  Hello Sir, Thank you for your query. I understand your concerns. Based on the reports, you do have diabetes. For good glucose control your HBA1C should be less than 6.5%, your fasting blood glucose should be less than 110 mg/do and your 2 post meal glucose should be less than 160-170 mg /DL (provided you are fit and fine and do not have any other debilitating illnesses). I am not sure of your age. As your sugar levels are borderline you could try 3 month trial of diet and exercise alone to control your glucose levels. After 3 months measure the blood tests again. If they have reduced then you can continue the same healthy lifestyle changes and keep checking your blood glucose levels every 3 months. If your blood glucose levels have not changed or have worsened after the 3-month trial of diet and exercise then you need to start medication along with your lifestyle changes. Healthy lifestyle tips:1) Exercise-moderate exercise like brisk walking, cycling, swimming etc. - for at least 45-60 min every day or at least 5 out of 7 days in a week.2) Diet: Avoid sugary food items and sweets, cookies, chocolates etc. take plenty of vegetables (restrict potatoes). Take whole grains products like wheat bread, oats, millets, brown rice etc. Avoid refined /plain flour items. You can take 2-3 servings of fruit(avoid mango, jack fruit, custard apple, chick). Take adequate protein (eggs, pulses, non veg- but restrict mutton). Can take 5-7 nuts like almonds, cashew nuts etc. Restrict saturated fats like butter, cheese, paneer etc. 3) Reduce weight if you are overweight. I wish you well. I hope this answer has been helpful to you. Regards Chat Doctor.