Dr. G M Prasad

Mr you need to take oral anti diabetic drugs. To start with take tablet k -glim-m1once a day before break fast and later check sugar level after ten days. Simultaneously you have to exercise daily for more than 1 h and avoid direct sweets, deep fried foods and fruits like mango, banana, chikkoos & grapes. Also get your hba1c and lipid profile done and inform me.

Till now, there is no known deleterious effect of long term intake of sitagliptin. Metformin has been used for decades by billions of people without any long term deleterious effects. These are the two medicines in your tablet.

Hi with dose of thyroxine 75 mcg is your tsh normal? if so then continue the same. Back ache is usually due to no specific exercise to those muscles plus improper postures. You may start a schedule of exercises for abdomen and lower back. Also start on tablet veba plus daily one for about 3 - 4 months.

Hi lybrate-user Under GA you will completely loose consciousness. Under IV sedation your pain sensation is reduced by 50-70% based on the medications given. IUI is a fairly painless procedure. 85% of the women don't require any sedation. So not to worry.

Mr Nadir, Blood sugar control or diabetes control, needs specific drugs plus dietary restriction and regular exercise. The drugs will depend on type of diabetes and blood sugar levels. In case of T1 diabetes only Insulin injections are to be taken and for T2 DM either oral or Insulin injections or both may be needed. If you want any specific advice, please come in a private conversation with details like fasting and PP sugar levels, HbA1c%, present drugs with dosage, dietary pattern and extent of daily physical activity.

Hi , you are doing well. Yes you can have smoothies without sugar and consider portion size, 1 cup is enough and if you want me to help you to customize your diet plan then consult in private . Take care

Hello, Dosage of thyroxine should not be frequently changed on your own. Since you have not mentioned TSH level, it is difficult to comment. When on treatment TSH should be between 3 to 4 mU/L, then only all the symptoms are in check. BP 140/90 mm Hg is high for your age. If it remains at the same level then you need to take treatment for that. Plus reduce salt intake. Thanks.

it is control by medicines and life style, diet. take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight.

Hello, Thanks for the query. If Safi has a syrupy base, then it will contain a good amount of sugar. So better to be careful with it. As regards its benefits I have really no idea. Basically according to modern science human blood is always pure form. If blood gets toxins then that would result in multiple complications and various diseases. This concept of blood purification is typically a traditional medical practice one. So I will not be able to comment on it. According to me our blood can contain any toxins or say "it becomes impure" Thanks.

If your diabetic on drugs lead a discipline life. Do not be tempted to take alcohol in any form. This in no way is going to help you aldo noe 1. Beer and sweet wine contain carbohydrates and may raise blood sugar. 2. Alcoholic drinks often have a lot of empty calories, making it more difficult to lose excess weight. 3/alcohol can interfere with the positive effects of oral diabetes medicines or insulin. 4. May increase triglyceride levels. 5. May increase blood pressure. So no alcohol in any form good luck.

Hi lybrate-user there are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity.

Hello Mr. Lybrate-user it's not that diabetics get more of irritati in ears. Certain conditions take time to heal in diabetics if uncontrolled. Nothing to worry you can use few drops of oil into the ears when lot of itching in ears. But avoid using ear buds usage. Take care.

It is safe. The new medicine does not cause low sugar levels but it potentiates the effect of the other medicine. Hence, you should be careful to avoid low sugar levels.

Normal values are fasting 70 to 110 and after food 2 hours 70 to 140 mg/dl. But mind it these are statistical and decided by governments and studies show that even below these levels a person may suffer changes like retinopathy. Glucometer test is enough.

Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.

Control your sugar and get thyroid and haemoglobin done. You will be fine once sugar coma under control

all sugar containing foods are unhealthy for him. you need to give routine foods like Indian veg meals. portions of vegetable must be large. you need to cut potatoes and sweet fruits like mangoes, banana, custard apple, grapes etc. aple, strawberry , ajmun etc are better fruits. healthy life style like walking for 5 km per day is must.

Dear lybrate-user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.

Consult once again with another endocrinologist when in doubt. Even slight increase in tsh levels calls for help. If you don't have symptoms and only blood tests indicate the problem, may be the reason for your doctor's hesitation to start you on unnecessary meds. However, even if you don't have any symptoms, these levels are elevated remarkably. It indicates that the brain is working overtime to push the thyroid gland to function at its normal pace. Imagine the thyroid gland to be a child who has to study and score marks. A hypothyroid gland means the child who is slow and lazy and hence his marks are less. Now imagine the tsh to be the mother who pushes the child and constantly urges him to study, just like tsh would stimulate and urge the thyroid cells to work harder and secrete the desired levels of hormones. The disorder is confirmed when despite how much ever the tsh is high (ie. How much ever the mother pushes and stays awake), the thyroid gland is unable to do anymore and still functioning subnormally (meaning that the child couldn't be any more pushed to secure the marks). What you need to do is understood why child has started becoming dull in his performance only then can you solve this problem completely. This is exactly what homeopathic method thyroid treatment does. If meds are aimed at correcting the thyroid deficiency than merely supplementing, the problem can be fixed from the base. Give it a thought!

Yes, this is the symptom of diabetes. Do regular exercise and maintain a proper body weight. Along with this follow balanced diet. Eat lots of fibrous fruits, vegetables. Drink lots of water specially before meals. Avoid sugar, sweetened juice, soft drinks, fast foods, junk foods. Take small amount of foods. Take stress free rest. Take nutritional supplement in this regard.