Hello,
Thank you for your query at DoctorSpring.com
Your dad is not very old. But its the Diabetes and associated heart problem (Pulmonary edema), and poor exercise tolerance is affecting his quality of life.
He needs to regularly test his blood sugars and maintain a satisfactory control, which need not be very tight (Fasting 100-130, Post meal <180mg/dl, HbA1c 7-7.5%) should be acceptable. He should eat small meals every 4-6hrs to reduce chances of hypoglycemia. He needs to walk under supervision to avoid falls.
periodic check ups for kidneys, eyes heart are needed to monitor for complications.
BP needs to be controlled.
Hemoglobin needs to be checked and maintained around 12-14g/dl.
He needs to take supplements for Vit B12 and Vit D.
With all these measures, he is likely to feel better and live a good quality of life.
Feel free to discuss further,
Regards.
Patient replied :
Thank you for your prompt reply, Dr J Muthukrishnan.
I have one follow up question which consists of 2 parts:
- Would getting him a treadmill or stationary-bike for exercising at home, help him strengthen his heart and over a period of time improve his quality of life ?
- Can you suggest a good electronic BP monitoring device we can purchase for use at home ?
Yes, exercising will help definitely. It will increase the blood supply to all the organs, ensuring they are healthy.
You can buy OMRON BP machine, it is a good electronic BP monitoring device.
Feel free to discuss further,
Regards.