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Ritesh Shah: I feel very tired especially in the evenings. I am 48-year-old male and diabetic. My fasting blood sugars tend to fluctuate between 200 and 220 in the mornings. This, despite me being on a high dose of Metformin. I am unable to exercise due to being overweight. Please advice.

Dr Pankaj Goel

Fatigue can be a common symptom of diabetes, particularly when blood sugar levels are not well-controlled. Fluctuating blood sugar levels can also contribute to feelings of tiredness, especially in the afternoons and evenings.

Firstly, speak to your doctor about adjusting your medication dosage or exploring alternative treatments. A combination of lifestyle changes and medication may be necessary to manage your blood sugar levels effectively.

Secondly, make dietary changes to help manage your blood sugar levels. This may include reducing your intake of refined carbohydrates and sugary foods, and increasing your consumption of fiber-rich foods like vegetables, fruits, and whole grains.

Thirdly, aim to engage in regular physical activity, even if it's just light exercise like walking. This can help improve blood sugar control, reduce fatigue, and promote overall health. Speak to your doctor about an appropriate exercise plan given your current condition.

Also, ensure you are getting enough restful sleep each night. Establish a regular sleep schedule, limit caffeine intake in the evenings, and create a calming environment in your bedroom to help promote restful sleep.

Seek support from a diabetes educator, dietitian, or mental health professional as needed to help you manage your condition and reduce stress levels.

Remember to monitor your blood sugar levels regularly, take your medication as prescribed, and stay in communication with your healthcare team to ensure the best possible management of your diabetes.

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