Dr. Ramesh R K

I am giving you brief idea about high uric acid diet - drink plenty of fluid esp water take low fat dairy product consume complex carbohydrate reduce saturated fat consumption avoid fish/ meat/ poultry avoid eatable sweetened avoid alcohol further treatment and medicine can be suggested after seeing your latest uric acid report.

Insulin can rarely leads to swelling known as insulin edema. Consult your doctor if you are experiencing such side effects.

Vaman treatment in Ayurveda can really help you the most in both of this situation have lukewarm water always boiled with jeera or methi. Use methi seeds jamun seeds alma. Mix n eat amla n haldi. Avoid fried junk food. Do yoga exercise n walk 2-3 km daily.

Your hba1c levels should ideally be less than 7 but since you have diabetes for 20 yrs even bringing it down to 8 would also be of help. You should be started on sulfonylureas like glimepiride. Diabetic neuropathy is difficult to treat if pregabalin is not effective then you may ask your physician to swith to either gabpentin or amytritiline. But do remember that it may take more than 4 to 6 weeks to start showing its effect.

You have to mention your weight and get the thyroid in good control and eat high calorie diet and take care not to be obese

Dear lybrate-uservery good question. You See uric acid is a by product or breaking doennof certain molecules in the body. Especially it is acomponent of break down of cells. Normally our body is a perfect machine which is efficiently able to throw out this uric acid. Uric acid can increase if there is excessive intake of products that produce it like alcohol, spinach, red meat etc. Or if the enzymes that are used to process it are deficient. Or if the kidneys are not working, as uric acid is excreted through kidneys. Acute hyperuricemia can cause severe pain and swelling in a single joint. Most commonly it affects the great toe. Avoiding alcohol, red meat; drinking plenty of water are some of the ways to avoid it. Regards.

Thyroid gland affects nearly every organ in the body. Many nutritional factors play a role in optimizing thyroid function. However, both nutrient deficiencies and excesses can trigger or exacerbate symptoms. Working in collaboration with a both a physician and a registered dietitian is essential to determine nutritional status for optimal thyroid health. Improper thyroid function causes undesired weight changes, significant cardiovascular risks, and symptoms such as fatigue, mood changes, and gastrointestinal upset, which can hinder the development of healthful behaviors. I focus on setting realistic goals for healthy changes and regular exercise when counseling clients. There many potential nutrient deficiencies and interactions with medications and supplements. Hence diligent care is to be taken while designing a holistic treatment plan. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.

Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. You can have apple/pear/ papaya/guava/ jamun/ mausami.

To control your diabetes the first thing is your willpower you have to fight against it and if you will be serious in it you will definitely win now what you have to do you have to take half tablespoon fenugreek seeds and put it in 75 ml water at night before sleeping now in morning after being fresh drink this water and chew down the fenugreek seeds empty stomach do this regularly for 3 months without fail, if you are not regular then you will not get any benefit for example you consume this for 60 days and then forget to take for 2 days then your improvement will come to zero. Avoid sugar in any form because sugar is polysaccharide and you must b aware polysaccharide sugar is harmful for health you have to eat monosaccharides sugar in the form of glucose sucrose and fructose and that is easily available in natural fresh juices nd fruits and desi jaggery desi mishri nd khand. Continue your habit of walking you should target at least 90 minutes walk everyday.

100-126 Level indicates PRE-DIABETES stage. It means that if you can control now. You can reverse your sugar levels and be healthy. BUT if you don't control now. You could slip into diabetes stage. So take care now! >> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits with low/medium GI index like apple, guava, mosambi, orange..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal.

You should ask your doctor to add beta blocker drug as your antihypertensive if he consider it as good for you. It will control your heart rate.

Your tsh is not that much raised that you immediately require thyroxine. I think you should wait. I recommend you to go for kapalbhati pranayam daily for 15 minutes. To start with do for 3-5 minutes and slowly increase up to 15 minutes in 15-20 days. Please take guidance of a yoga professional in the start. The procedure for doing this is to sit in a comfortable crossed leg posture, sukhasana (using padmasana or vajrasana is the best) and keep your back straight. Rest your hands on the knees using gyana mudra or chin mudra. O inhale deeply through your nose, this will expand your abdomen. O exhale using a great force so that your abdominal muscles contract to the maximum o these exhalations are similar to your breath outs, but they should be forceful o make sure while exhaling, the air should be pushed out of your lungs by contracting the diaphragm o after exhalation again do inhalation, but this time without any effort. To do this just relax your lungs, they will automatically expand and fill with air o one cycle of kapalabhati pranayama include one deep inhalation, then forceful exhalation and an effortless inhalation. O a learner can practice up to three rounds, each with 15 exhalations. Small breaks between each round are allowed.

yes but if you are not diabetic then nothing to worry about. it is always better to consume fresh fruit instead of juice as it lacks fiber.

At the moment there is no cure. If you can afford put her on insulin pump. At least she will be relieved of pricks and diabetes will be controlled more effectively. In future there is hope on stem cell therapy, results uptill now are encouraging.

Kindly get an evaluation done by a DM Endocrinology person at the earliest. Low TSH can be due to either the gland that is function more which appears to be more likely in your mothers case. However, low TSH can also be due to leakage of thyroid hormones from the gland which is caused due to thyroiditis that is self limiting condition. Since both these conditions have different treatment it is always better to find the cause for low TSH before starting thyroid medicine. This is done by performing a Nuclear scan under supervision of an Endocrinologist. If nuclear scan shows that both the lobes of thyroid are functioning more then thyrocab treatment as has been given can be started and repeat blood tests be done after 6 weeks. Hope this helps.

lybrate-user, TSH value of 10.55 shows you have overt hypothyroidism and it needs to be treated right away with appropriate dose of thyroxine. There is no other option. Plus you wil have to exercise regularly so that normal weight is maintained. Thanks.

Mr. lybrate-user, All fruits contain fructose. But in persons with diabetes usually following fruits are to be avoided like banana, mango, grapes & Chikkoo. The reason the quantity of sugar is much higher. Other fruits are good enough. But in a person with diabete, fruit intake is permitted only when the blood glucose control is really very good. Fruits mentioned by you particularly grapes and banana are to be avoided. But occasionally a small quantity can be taken. Thanks.

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.

Please see that four tablets may be too much, and vicks action 500 is not safe, simply do salt water gurgle instead of vicks action 500.