Dr. Ramesh R K

according to dr.lal path lab..tsh-5.96.. you can take tab. thyroxin 75mg bbf. do morning walk.eat iodine diet.green veg.

Mr. lybrate-user, Thanks for the query. The levels mentioned are in the pre-diabetic range. Following are the criteria to diagnose: 1) Normal: Fasting:70 mg to 100 mg, PP <140 mg & HbA1c% <5.7. 2) Pre-diabetes: FBG:101 to 125 mg, PP 141 to 199 mg & HbA1c% 5.7 to 6.4. 3) Diabetes: FBG:126 mg and above, PP: 200 mg and above, HbA1c% 6.5 and above. Since you are in pre-diabetic state, it is possible to either postpone developing diabetes or prevent it, by adapting a modified lifestyle. Following precautions are needed: 1) Maintain near normal weight and BMI (<23 kgs/M2 (. Exercise regularly for at least 1 hour. 2) Avoid sweets, deep fried foods, pastries, bakery items, junk foods, foods made of maida, colas, alcohol and smoking. 3) Consume more of green leafy vegetables, salads and fruits. 4) Use whole grain flour for roti and chapati. Check your blood glucose periodically (once in 6 moths) Thanks.

Avoid sugar jaggery honey sweets sweet fruits like banana mangoes grapes cheekoo etc. Use flour of whole cereals instead of refined one (maida). Tale small frequent meals instead of large ones. Use more vegetables and salad. Avoid fruit juices and aerated drinks.

Type 1 diabetes is due to absolute deficiency of insulin in the body and can be treated by insulin only. Type 2 diabetes is due to resistance to the action of insulin, hence you will find normal level of insulin in your blood and some times even more than normal still it is not able to metabolise your sugar causing high blood sugar. Because of this it can be treated by oral medicines which act by reducing resistance to insulin action and by certain other mechanisms also. You can choose any type of therapy which suits you to treat diabetes.

High level of uric acid in the blood is gout & Gout is a kind of arthritis. Dietary measures to overcome gout: high intake of vitamin C -1500mg/day extra fluid can help flush uric acid crystal out. Cherry juice help you alleviate pain & inflammation omega 3- fish like salmon,or fatty acids in flax seeds or nuts help reduce inflammation follow a diet low in fat,low in protein & high in carbohydrate foods which can consumed moderately: beans,mushrooms,cauliflower,cabbage,banana,grapes foods to be consumed occasionally : roots & tubers,country beans,custard apple,chicko exercise is a must,and losing 20 kg in 2-3 months is very unhealthy. Slow and steady can help you lose weight

Mr. Lybrate-user, if you have been told that diabetes is present, then treatment has to be taken daily and for lifetime. If you stop taking the drugs then sugar level is bound to go up. Along with taking appropriate drugs you will have to take a restricted diet that gives exact calories based on ideal body weight, extent of daily exercise and blood glucose levels. Plus do daily 1 hour of exercise, brisk walking is good enough.

creatinine may cause renal diease..patient may go under dialysis.. A serum creatinine test — which measures the level of creatinine in your blood — can indicate whether your kidneys are working properly. ...

Please continue with YOUR DIET AND EXERCISES AND ALSO TAKE CARE OF THE FOLLOWING Working closely with your doctor, you can manage your diabetes by focusing on six key changes in your daily life. 1. Eat healthy. This is crucial when you have diabetes, because what you eat affects your blood sugar. No foods are strictly off-limits. Focus on eating only as much as your body needs. Get plenty of vegetables, fruits, and whole grains. Choose nonfat dairy and lean meats. Limit foods that are high in sugar and fat. Remember that carbohydrates turn into sugar, so watch your carb intake. Try to keep it about the same from meal to meal. This is even more important if you take insulin or drugs to control your bloodsugars. 2. Exercise. If you're not active now, it’s time to start. You don't have to join a gym and do cross-training. Just walk, ride a bike, or play active video games. Your goal should be 30 minutes of activity that makes you sweat and breathe a little harder most days of the week. An active lifestyle helps you control your diabetes by bringing down your blood sugar. It also lowers your chances of getting heart disease. Plus, it can help you lose extra pounds and ease stress. 3. Get checkups. See your doctor at least twice a year. Diabetes raises your odds of heart disease. So learn your numbers: cholesterol, blood pressure, and A1c (average blood sugar over 3 months). Get a full eye examevery year. Visit a foot doctor to check for problems like foot ulcers and nerve damage. 4. Manage stress. When you're stressed, your blood sugar levels go up. And when you're anxious, you may not manage your diabetes well. You may forget to exercise, eat right, or take your medicines. Find ways to relieve stress -- through deep breathing, yoga, or hobbies that relax you. 5. Stop smoking. Diabetes makes you more likely to have health problems like heart disease, eye disease, stroke, kidney disease, blood vessel disease, nerve damage, and foot problems. If you smoke, your chance of getting these problems is even higher. Smoking also can make it harder to exercise. Talk with your doctor about ways to quit. 6. Watch your alcohol. It may be easier to control your blood sugar if you don’t get too much beer, wine, and liquor. So if you choose to drink, don't overdo it. The American Diabetes Association says that women who drink alcohol should have no more than one drink a day and men should have no more than two. Alcohol can make your blood sugar go too high or too low. Check your blood sugar before you drink, and take steps to avoid low blood sugars. If you use insulin or take drugs for your diabetes, eat when you're drinking. Some drinks -- like wine coolers -- may be higher in carbs, so take this into account when you count carbs.

Thyroxine does not interfere with being pregnant. Only caution is - thyroid profile should be within normal range during pregnancy to avoid fatal and maternal consequences. So more frequent testing and thyroxine titration required.