Diabetes Not in Control

Question

Age 55,Wt 103kg,hb1ac 8.5,diabetes is not control always tiredness, dry mouth, burning feet, current medicines are lantus solostar 15 units at evening, Glimepiride 4mm BB, empagliflozin/metformin 850/12.5mg 1+1 after meals, uric acid and cholesterol is in control.

Dr. Harsha Joy · Accepted Answer

Hello Tariq, It sounds like you're dealing with several challenges related to diabetes, including fatigue, dry mouth, and burning feet. In Ayurveda, these symptoms are often linked to imbalances in the Pitta and Vata doshas, affecting the digestive and nervous systems. To help manage your diabetes more effectively, Ayurveda focuses on strengthening the digestive fire (Agni) and balancing blood sugar levels. Herbs like Guduchi, Bitter Gourd, and Fenugreek can help regulate glucose levels, while Ashwagandha can support energy and stress management. Along with a proper diet that emphasizes whole, natural foods and limits refined sugars, incorporating gentle exercises such as walking or yoga can also support overall well-being. Have you had any recent tests to assess kidney function, as long-term diabetes can affect kidney health? How is your diet, stress, and sleep quality, as these factors can play a significant role in managing blood sugar levels?

Dr. Narendrakumar V Mishra · Answer

Avoid sugar, wheat, Rice, potatoes and packed food. 
Regular exercise. 
Tab.Mamejava ghanvati
2-0-2

Dr. M.Sushma · Answer

Tariq Mahmood, your diabetes is uncontrolled (HbA1c,so along with allopathic medicine start on
1.Tab.madhunashini vati 1 tab twice daily 1 hour before food
2.Tab .giloy ghan vati 1 tab twice daily after food
1/4 tsp soak methi overnight and chew it on an empty stomach 
	•1 pinch cinnamon (dalchini) powder
	•	5-6 leaves of curry patta (curry leaves)
	•	½ tsp turmeric (haldi) powder
	•	1 glass water – Boil & drink once daily
👉 Improves insulin sensitivity & reduces burning feet.

Foot Massage for Burning Sensation
	•	Massage feet with castor oil + camphor before sleeping
	•	Soak feet in warm water with rock salt for 10 minutes 
Foods to Eat
	•	High-fiber vegetables – Lauki, tori, karela, methi
	•	Protein-rich food – Moong dal, paneer, curd, soaked almonds
	•	Healthy fats – 1 tsp ghee daily (helps nerves)
	•	Buttermilk with cinnamon – Improves digestion & sugar control

Avoid These Foods
	•	Rice, potatoes, white bread, biscuits
	•	Sweets, soft drinks, fruit juices
	•	Excess tea & coffee

⸻

3. Lifestyle Tips for Sugar Control

15-minute walk after every meal – Lowers post-meal sugar levels
Early dinner (before 7:30 PM) – Improves insulin response
7-8 hours sleep – Poor sleep raises sugar levels

⸻

4. If Sugar Still Not Controlled
	•	Check Vitamin B12 levels (Deficiency can worsen burning feet)
	•	Consider CGM (Continuous Glucose Monitoring) – Helps track sugar fluctuations

With strict diet & Ayurvedic support, your HbA1c can reduce to 6.5-7 within 3 months. Let me know if you need a detailed meal plan!

Dr Sujal Patil · Answer

Hello Mr Tariq,
Your uncontrolled diabetes (HbA1c 8.5%) and symptoms like tiredness, dry mouth, and burning feet indicate poor blood sugar management and possible diabetic neuropathy. Ayurveda views diabetes as Madhumeha, caused by a Kapha imbalance with weak digestion and metabolic dysfunction. Along with your current medications, Ayurvedic management can support better sugar control and reduce complications.

Diet
Eat light, warm, and freshly prepared meals.
Prefer whole grains like millets (ragi, jowar, bajra) over refined grains.
Include bitter vegetables like karela (bitter gourd) and methi (fenugreek).
Avoid sugar, excess salt, fried foods, and processed snacks.
Drink warm water with a pinch of turmeric or cinnamon for better insulin sensitivity.
Lifestyle
Walk for 30-45 minutes daily and practice yoga, especially asanas like Pavanamuktasana and Ardha Matsyendrasana.
Practice Pranayama like Anulom Vilom and Bhramari to reduce stress and improve circulation.
Ensure 7-8 hours of sound sleep.

Medication- 
Tab Guluchyadi Kashayam 1-1-1 after food.
Tab Varanadi Kashayam 1-0-1 before food . 
Syp Yesaka 10 ml twice before an hour of eating with 10 ml water. 
Monitor glucose levels and check HBA1c in 45 days.

Additional Tips
For burning feet, apply  ksheerbala oil or ghee to soothe nerves.
Stay hydrated and avoid excessive caffeine.
Regularly monitor blood sugar levels and follow up with your doctor.
A personalized Ayurvedic treatment plan after detailed analysis. can further help in reducing your symptoms and improving overall well-being.

Diabetes Not in Control - #19852

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