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.

As a doctor, I cannot recommend a specific diabetes medicine without knowing your medical history, kidney function, and HbA1c (average blood sugar) levels. However, there are newer oral medicines available for Type 2 diabetes that help lower blood sugar, improve insulin function, remove excess sugar through urine, and may also help with weight loss. The right medicine depends on your sugar levels, weight, kidney health, heart condition, and other medical problems. Please consult your physician or diabetologist to choose the safest and most suitable treatment for you.

Metform 500 Tablet (Metformin) is highly effective as a first-line treatment for type 2 diabetes. It helps lower blood sugar by improving how your body uses insulin. Initially, it can manage blood sugar alone alongside diet and exercise, but as diabetes progresses, your doctor may add other medicines. Regarding alcohol, moderate consumption is generally okay but risky. Metformin combined with alcohol increases the risk of dangerously low blood sugar (hypoglycemia) and a rare, serious condition called lactic acidosis. If you choose to drink, limit it to one standard drink per day (for women) or two (for men), and always consume it with food. Consult your doctor first.

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.

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.

Managing Type 2 diabetes requires a personalized treatment plan. Metformin is typically the first-line oral medication prescribed to help lower blood sugar. Depending on your health profile, your doctor might also consider SGLT2 inhibitors (like empagliflozin) or GLP-1 receptor agonists (like semaglutide), which offer cardiovascular and kidney protection, or insulin if needed. Because diabetes medications must be tailored to your specific lab results (like HbA1c and kidney function) and medical history, you must not self-medicate. Please consult your primary care doctor or an endocrinologist to safely get the correct prescription, alongside guidance on diet and exercise.