Dr. Harish S G

Mr. Lybrate-user kumar, at tsh level 5.3 mu/l, it is in the sub - clinical state. Treatment is usually advised when tsh crosses 10 mu/l. However, occasionally, even in sub-clinical hypothyroidism treatment is initiated if t4 level is low and there are severe sympts attributable o hypothyroidism. Presently you do not need any treatment. Thanks.

Type 1 diabetes is insulin dependent but in type 2 diabetes which is generally due to genetic predisposition and our unhealthy lifestyle so if you follow good diet with proper exercise you can bring your blood sugar level under control and together with it a correct constitutional treatment will help you.

There is no radical cure for diabetes, but we can prevent complications , changing life style and eating some good nutrition. If you can let me know his details like his weight, blood pressure, his fasting sugar and cholesterol. I can advice so that he is more healthier.

Mr. Lybrate-user, hypothyroidism produces a number of symptoms like early fatigue, tiredness, weight gain, dry skin, dry hair and hair fall, muscle and joint pain, irregular periods, excess flow, occasionally giddiness and nausea may be there. Ideally when on treatment tsh level should be between 3 to 4 milli units/l, to relieve all symptoms. So it appears her current dose of thyroxine is inadequate, needs to be increased. Plus patients weight is much high, almost having grade 1 obesity with a bmi of 29.16 kgs/m2 (normal <23 kgs). With high tsh level efforts to reduce weight also do not become successful. Thanks.

U cannot stop medicine and start taking it. Just add it to your routine and check if it benefits you.

Hi, the chances of conception naturally are very less in such a problem. You should immediately consult an ivf specialist because your amh value is also less which means that the ovarian reserve is low.

The symptoms observed in hypothyroidism (thyroid deficiency) include severe fatigue, loss of energy, weight gain, difficulty in loosing weight, depression and depressed mood, joint pains, muscle pain, headaches, dry skin & brittle nails, irregular periods, pre menstrual syndrome symptoms, breast milk formation, calcium metabolism difficulties, difficulty in tolerating cold temperature, constipation, diminished sex drive (erectile dysfunction in men), puffiness of face & extremities, hoarseness, bruising and clotting difficulties, persistent cold sores, boils, memory loss, fuzzy thinking, difficulty in following conversation or train of thoughts, slowness & slurred speach. Best way to to know if one has developed hypothyroidism is to get thyroid assay done, particularly tsh levels.

Diamicron is good drug and can be used with metformin and your HbA1C is good ( in a diabetic less than 7 is acceptable It is not easy to get less than 6 unless you start insulin also ) and as the FBS is high you can ass metformin also and do more exercises and monitor regularly

For a normal weight reducing diet, the quality of food is reduced as per the reduced calorie restrictions. Emphasis is given or more roughage and liquids. The following items are deleted:- a) butter, ghee and coconuts chutney. B) fried food items. C) egg yolk. D) nutrition. E) high calorie fruits like banana. This diet provides about 1000-1200 calories and 40-45gm of protein.

Uncontrolled hypothyroidism can affect conception and pregnancy. Your tsh levels are under control you can try for pregnancy and keep the tsh level between 2.5 to 3 for healthy baby.

A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.

There are many benefits claimed by certain people about drinking water by copper cup. But scientifically what is the exact benefit is unclear. Plus in diabetes there is no proof of any specific benefit.

Avoid protein in diet . PYrazinamide induced hyperuricemia. You need to start taking febuxostat. Kindly see your physician .

Mr. Lybrate-user, to reduce uric acid, you will have to restrict high purine containing foods like: organ meats, red meat, certain fishes such as sardines, scallops, shell fish, salmon, herrings, haddock, trout, anchovies, mussels, mushrooms. Plus no sweetened aerated drinks, alcohol and high fat milk products. You can take low fat milk products, egg whites, plenty of fruits and vegetables. There are specific drugs used to reduce uric acid called as uricosuric agents which increase the excretion, those can be used.

Dear , your sugars are slightly higher than the recommended levels. You can try improving your diet & exercise regimens as you are already on maximum doses of your medications. There is one new tablet invokana 100 mg which is available now. It is expensive. Approx 40- 45 rs per tablet. You can try taking it once a day after breakfast & see. This will be in addition to the other tablets you are already taking. If this is fine with you then probably your sugars might come down. Or else you need to start insulin.

First his sugar level must be controlled by insulin. If not other conditions will not controlled. If infection is causing fever a suitable antibiotic can be given. Get his blood urea and creatinine checked.

Hello, Homoeopathy has the best answer for your query.you can lose weight with the help of homoeopathic medicines, without any side effects. This involves correction your metabolism. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the evening daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits.

Mr. Lybrate-user hussain, treatment for diabetes depends on severity of blood sugar level & type of diabetes. Similarly treatment for high bp is also decided on the basis of severity and presence of other conditions. So to decide on treament one needs to know fasting, pp sugar levels, hba1c%. Plus dietary pattern and extent of exercise done daily. You can eat all green leafy vegetables, & salads like palak, methi, tomato, cabbage, cauliflower, cucumber, capsicum etc.

Without other medicines diabetes cannot be controlled with Fenfuro .Diabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient should be under proper guidance for regular follow up and advice. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose ? SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & lifestyle.

Keep your bp & sugar under control. There is no harm in doing night duty if it is requirement of your job.