Dr. G M Prasad

Are you taking any other treatments? like insulin, or allopthic medicine, are your fathers sugar is controlled? if sugar level not controlled please do anything for sugar control, diet restrictions must follow, for fungal infections wash with triphala +neem decoction. And apply jatyadi oil. You also takes panchnimbadi churna 3gm twice daily.

Mr. Lybrate-user, symptoms of hypothyroidism (i am sure you mean hypothyroidism by saying" thyroid"). The symptoms are: weight gain, slow heart rate, sluggishness, early fatigue, tired feeling, swelling of face & lower limbs, intolerance to cold, dry skin, dry hair, hair fall, difficulty in speech, inability to concentrate, anxiety, depression, in females irregularity of menstruation, inability to conceive & miscarriage the symptoms mentioned by you are usually not related to hypothyroidism.

Lybrate-user, it would have been better if you had mentioned current fasting, pp levels & hba1c%, drugs being taken with dosage, dietary pattern and extent of daily exercise being done. Burning sensation does occur due to perioheral neuropathy, which is a common complication of diabetes. Strict blood glucose control and use of certain drugs can control the symptoms. Regular exercise and restricted diet is also equally important in controlling diabetes. Plus you have grade 1 obesity with a bmi of 32.14 kgs/m2, which is very high and also contribute to symptoms. Your ideal body weight should be 67.5 kgs. Thanks.

Get Hbanc done which shows 3 month average sugar level on which your treatment will be decided. With fasting and pp reports you need life style modification like reduce weight and avoid sugars. Incraese physical activity.

At the time of hypoglycemic symptoms measure your sugar levels by a glucometer and we can decrease the dosages and also get your blood checked for HbA1c

Mr. lybrate-user, Thanks for the query. If you have already developed diabetes, then unfortunately it can not be reversed but can certainly be very well controlled and you can live an absolutely normal life. So do not get disappointed. It needs a bit of disciplined lifestyle to be followed. Which means taking restricted diet, that gives exact amount of calories based on your actual body weight, extent of daily exercise and blood glucose levels. Plus taking appropriate medications. If there is change needed in the present treatment that should be done. So if you are interested please come with following details in a private conversation: present fasting, PP blood glucose levels, HbA1c%, dietary pattern, medications with dosage and extent of daily exercise, then I will be able to guide specifically. Thanks.

Ha, jarur kara sakti hai. Eske liye koi local pathology center ya phir corporate pathology lab jaise thyrocare/srl/lal path etc ke authorized collection center se contact kar sakti hai. Safe hai.

Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.

Olmisartan is not meant for the prevention or control of diabetes. It is used to control high bp and in certain kidney and heart problems.

Selenium deficiency in Hashimoto's Disease(Most Common reason for Hypothyroidism/ underactive Thyroid)
A dosage of 200 mcg per day has been found to reduce thyroid antibodies in clinical trials, Selenium cut the antibodies in half within three months....Curious about the science behind it? Read on

Selenium

Selenium plays a very important role in Thyroid function:

1.Helps to convert the inactive T4 to the biologically active T3
2.Protecting Thyroid cells from oxidative damage .

Selenium deficiency, causes more antibodies to produce resulting in the failure to recognize self from non-self. This is how autoimmunity develops. Thus, selenium deficiency has also been recognized as a risk factor for Hashimoto’s.

Selenium deficiency may also occur in abdominal disease such as celiac disease and other inflammatory bowel disorders due to the malabsorption from damage to the small intestine and Crohn’s disease or surgical removal of the stomach.

Studies have proposed that supplemental selenium could alleviate toxic effect of excessive iodine intake on the thyroid.

Selenium intake protects against Thyroid Autoimmunity by acting as an Antioxidant, and preventing autoimmunity. Furthermore, ultrasounds of the thyroid following selenium supplementation showed reduced lesions in the thyroid gland.

While the RDA of selenium is 200 mcg daily, for TPO antibody reduction,.

Dr.Tanvi recommends taking the pure encapsulations brand of selenium on an empty stomach with vitamin E, which works in synergy with selenium, to ensure proper absorption. (Please note, many Vitamin E brands are made from soy oil, which can be detrimental to thyroid health, so use the one which is derived from sunflower oil ).
While it may be tempting to increase selenium intake by increasing consumption of selenium-rich foods such as Brazil nuts, it is important to realize that over consumption can lead selenium toxicity. Symptoms include GI disturbances, hair loss, changes in hair and nails, peripheral neuropathy, fatigue, irritability, garlic-smelling breath, and a jaundice-like yellow tint to the skin.

Her thyroid gland is affected. She need to do yoga, doing pranayam may help her. You should also go for homoeopathic treatment along with other medicines. Thank you.

hi regular excercise of 30 mins per day eat sugar food increase fiber diet most imortant 1glass of warm water add turmeric of 1table spoon every morning empty stomach will control sugar

TB is completly curable with proper treatment. In your case DM should be well controlled.If she is having TB for 5years,then a difficult case due mismanagement.

Hi take rest take hot water bath twice a day sleep on a hard mattress do reply fir detailed treatment plan.

What is your diabetes status? you r drinking too much alcohol only 30 to 60 ml /day is ok. Both alcohol and long time diabetes cause difficulty in erection. Being bp patient you need special precaution while using viagra type drugs. Your wife may b having dryness vagina/post menopause problem. Requiring treatment.

Adopt a active life (walk atleast 30 min everyday) decrease ghee paneer and non veg in diet include frsh fruit vegs and nuts.

Mr. Lybrate-user, a diabetic person should avoid following foods: sweets, sweetened aerated drinks, deep fried foods, junk foods, pastries, high fat milk products, fructose syrup containing products, highly processed foods. Should consume more of green leafy vegetables, salads and permitted fruits (100 g a day).

Hi, I would recommend you to take 2 litres of water /day to bring down your uric acid level. For your knee pain is concerned, I would recommend you to visit nearby physiotherapy centre to take pain relieving modalities, and once your pain subsides start doing strengthening exercises. Its better to continue exercises regularly through out your life for being healthy. If you are obese, try to reduce weight gradually. Dont try to go for any supplements to reduce weight. Check your uric acid level and creatine levels next month to avoid complications of kidney. Regards rekha srinath

You should follow this diet chart to control & treat the diabetes. * in morning, drink 1-2 glass of luke warm water empty stomach & walk for 15 minutes to detoxy the body. In breakfast, take 2 chapatis of gram flour (besan) with a bowl of cooked vegetables (green leafy vegetables only) * in lunch take 2 chapattis of wheat flour with a bowl of cereals (dal) with a bowl of curd. * in evening, take a bowl of salads or a fruit like apple / orange / pear/ melon. * in night, take a bowl of boiled soyabeans with raw vegetables like tomatos/ cucumber/ onion. After dinner avoid taking milk & walk for atleast 15 minutes after dinner. * avoid food items like rice, potatos, banana, chiku, sweets, candy& chocolate.

Hello lybrate user as from your diet its seems you take lots of fruits n healthy diet so its good your diabetic range is near by but this is not time for any medication what your weight Go for walk atleast 30mins daily and if you get any symptoms get an HBA1C done which tells us long term sugar control