Dr. Ramesh R K

It is slightly high. In a normal person it should be less than 140 mg/dl. Do both fasting and PP blood sugar and consult doctor for advice. go for regular exercise, reduce weight if overweight, control diet. Consult for further advice

1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.

Well this is a common occurrence in patients with thyroid. Regular eye checkup is mandatory. Also one has to understand that smoking in particularly can worsen the eye problems. Also keep your thyroid levels under check.

Dear user avoid fried foods sweets, pkgd foods, colas, juices, ice creams use skim milk n its products if non vegetarian den stick to chicken n fish, avoid red meats use of whole grains n pulses will help you in keeping sugar levels in control root veggies like aloo should be taken in moderation minimize use of fat, use refined oil go for exercise or walk daily try various types of veggies in salad form. Fasting n feasting should be avoided

If your fasting sugar level is 120 mg/dl, your Diabetes is fully under control. Continue medicine as advised. Monitor your Blood sugar,HbA1c three monthly and if the level is high consult Diabetologist for advice

HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

You need to have diet plan based on your BMI & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, Weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. To burn off fat. Some tips 1) Drink three or four cups of water whenever you feel hungry and just before eating food 2) Take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 KMs and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests. A DIET CHART TimingFoods To EatCalories Early MorningLukewarm Water with Lemon 1 glass0 Tea without Sugar + 2 Biscuits90 Breakfast2 Rotis + 1/2 cup Paneer Curry330 ORBrown Bread Upma 1 plate + Milk 1 cup300 Mid-Morning1 Banana/1/2 cup Melon/20 Grapes50 LunchBrown Rice 1 cup (195 gm) + Mixed Vegetables 1/2 cup + Salad 1 bowl + Raita 1 small bowl345 EveningButter Milk 1 cup35 Dinner2 Rotis + Vegetable Soup 1 bowl + Salad 1 bowl370 Total1220/1190 Cal To lose weight, you must burn more calories than you consume. One pound equals 3,500 calories. If you cut 500 a day from your diet, you'll lose a pound a week. People who lose weight slowly, about 1 to 2 pounds per week, are more successful at keeping the weight off. You'll also burn additional calories if you increase your physical activity. You weight-loss plan should do all of the following: •Emphasize fruits, vegetables, whole grains, and fat-free or low-fat dairy products. •Include lean meats, poultry, fish, beans, eggs, and nuts. •Contain foods low in saturated fats, avoid trans fats, and limit cholesterol and salt (sodium). •Avoid refined sugars and processed foods. Some tips to help you lose weight: •Keep a food diary. Writing down everything you eat is critical! Noting how you feel when you eat will help you identify emotional triggers that may cause you to overeat. Emotional eaters tend to overeat. •Eat when you're truly hungry rather than when you're tired, anxious or stressed. •Eat slowly. If you eat too fast, you eat more than you need to satisfy your hunger. Your brain needs time to catch up with your stomach. •Plan your meals ahead of time so you make healthy choices. When dining out, check the menu online and decide what you will order before you sit down. Ask for dressings on the side. Opt for foods that are baked, broiled or steamed versus fried or swimming in creamy sauces. Avoid chips and bread baskets—they add unnecessary calories. •Stay hydrated. People often mistake thirst for hunger. •Eat breakfast. If you skip this meal, you'll be starving by lunchtime. You'll have more difficulty making healthy choices throughout the day. •Find resources to help you keep track of your food choices and nutritional values, and that can offer additional support when you need it.

Tips for increased uric acid levels and gout • Watch your weight. Try to lose weight slowly. • Eat fresh fruit, vegetables, whole wheat products and some pulses (high in purine) every day. • Enjoy low-fat milk and dairy products daily. • Keep an eye on the purine content of food. Avoid offal, shellfish and crustaceans and tinned fish such as sardines in oil. • Eat no more than 100g of meat, sausages, fish and poultry a day. • Drink alcohol only occasionally, as it affects the elimination of uric acid. • Eat low-fat food. The consumption of high-fat foods encourages weight gain. • Drink at least two litres of low-calorie fluids a day. Recommended fluids are water, tea and fruit juice. Please consult a qualified dietician for more details regarding your diet plan. They will be able to clarify any questions you have and healthily and effectively reduce your values Homoeopathic medicine URTICA URENS Q ( Dr Reckeweg) Drink 15 drops in 20 ml fresh water 3 times daily for 2 months and consult me thereafter with latest blood reports regarding URIC ACID.

Thyroid hormone is the medicine to be taken for hypothyroidism and dose is monitored by TSH level. With TSH o0f 6.47 you need increase dose of thyroid hormone under vsupervision of your doctor.

Mr. Lybrate-user, if you have confirmed diabetes then it is essential to start appropriate treatment with suitable drugs. Plus take a balanced but restricted diet, that gives exact calories based on ideal body weight, blood sugar levels and extent of daily exercise. As regards eating following points should be kept in mind: avoid sweets completely, avoid deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat milk products and highly processed food products. Exercise daily for at least 1 hour, that will increase your fitness and give better sugar control. When in good control fasting sugar should be around 100 mg and pp 150 to 160 mg and hba1c% <7. If you achieve this you will definitely feel healthy and fit. With regards.