Since you have both diabetes and a history of heart problems, it is important to manage both carefully. Follow a balanced diet low in sugar and unhealthy fats, take your prescribed medications regularly, monitor your blood sugar, and exercise safely. Regular check-ups with your doctor for heart and kidney health are essential, and avoid smoking or alcohol to reduce complications.

Type 2 diabetes can often be prevented or delayed through healthy lifestyle choices. Key strategies include maintaining a healthy weight, engaging in regular physical activity, eating a balanced diet rich in vegetables, fruits, whole grains, and lean proteins, and avoiding smoking. For people with prediabetes, lifestyle changes are especially effective in lowering the risk of progression to diabetes. The exact plan may vary depending on age, health status, and individual risk factors, so medical guidance is essential.

Type 2 diabetes develops when the body’s cells stop responding appropriately to insulin (insulin resistance) and the pancreas cannot make enough insulin to keep blood sugar under control. Over time, this causes blood sugar levels to rise. Risk factors include being overweight, lack of physical activity, family history, older age, and specific ethnic backgrounds.

Early symptoms of diabetes can include frequent urination, increased thirst, increased hunger, unexplained weight loss, fatigue, blurred vision, and slow wound healing. These symptoms usually persist rather than occur occasionally. Type 2 diabetes may remain silent for a long time and is often picked up during routine blood tests rather than through symptoms alone.

A fasting sugar of 130 while taking Metformin 500 OD-BD is slightly high. You should consult your doctor to review your dose and consider additional steps, such as following a balanced diet, engaging in regular exercise, managing your weight, and routine blood sugar monitoring, to improve control.

Metformin is a commonly prescribed first-line medication for type 2 diabetes. However, if you are experiencing stomach bloating or other side effects, it is important to discuss this with your doctor. They may suggest adjusting the dosage or trying a different antidiabetic medication (such as DPP-4 inhibitors, SGLT2 inhibitors, or sulfonylureas) that may be more suitable for you while effectively managing your diabetes.