Dr. S D Prasad

Mr. Lybrate-user, your fasting sugar 139 mg, shows presence of diabetes, but pp 157 mg is in the pre- diabetes state. So it is not clear whether you have diabetes. Please get hba1c% checked. The criteria for diagnosing diabetes are: fasting equal to or above 126 mg / 100 ml, pp equal to or above 200 mg/ 100 ml & hba1c% >6.5. You should avoid sweets, deep fried foods, junk foods, pastries, other bakery items, sweetened aerated drinks, fructose corn syrup containing products and highly processed foods. Exercise regularly so that weight is maintained near normal. Plus avoid alcohol and smoking. Basically it means you have to adapt a modified lifestyle. Thanks.

You have not mentioned whether you are controlled or not.If you are controlled ,reduce the dose of diamicrron xr n make jaumet xr twice a day.

You have not mentioned your age. I need following investigations lipid profile lft glycosylated hb urine routine.

Fasting should be <95 and pp is ok (<120). Please change drug only after consulting doctor. After pregnancy, there is good chance that you will not insulin. Even nowadays, we often continue isomet during pregnancy.

I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet. Get more physical activity by prescription from a registered dietitian maintain a healthy body weight eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.

Mr. Lybrate-user, if diabetes is well controlled with fasting glucose around 100 mg, pp 150 to 160 mg / 100 ml & hba1c%<6.8, then energy levels will remain high. If the disease is not well controlled then extra glucose is lost from urine leading to tired feeling and low energy. As regards hair fall, good nutrition is one of the primary needs. Plus it is better to check her tsh levels to see if she has hypothyroidism. Because that is one of the main causes for hair fall to occur. Apart from controlling diabetes with drugs she should exercise daily for at least 1 hour and reduce her weight to about 66 kgs. This will further help in remaining active and energetic.

For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended.

Hi , Along with medication ,try dietary , exercise option as well. 1. Consume a low-calorie diet (often less than 1,400-1,800 calories a day). Most people cannot adhere to this kind of low-calorie diet. 2. Consume a Mediterranean diet, with lots of fresh fruits and vegetables, fish and beans as protein sources, and omega-3 and monounsaturated fats (olive oil), while avoiding saturated fats, refined carbohydrates, cholesterol-laden foods, excess omega-6 fats, and most animal products. An increasing percentage of health-conscious Americans are adopting this kind of diet 3. Avoid sugary fruit juices (almost all fruit juices contain too many sugars) and beverages spiked with fructose,80-84 sucrose,85-89 and/or high-fructose corn syrup.Consume a low-glycemic index and low-glycemic load diet. Brisk walks for 20-30 mins at lest 5 times a week

Dear lybrateuser, -You can take an egg daily in your diet , if your cholesterol is within normal limits & you are exercising regularly -few guidelines for your diet, for good control of sugar combine a carbohydrate with a protein,like egg with whole wheat bread, milk with cereals & fruits or dryfruits, yogurt with fruit, have more of fibre as in fruits, vegetables, whole grains-whole wheat bread, brown rice, jowar bajra, corn, have low fat dairy, more of curds, butter milk, have nuts for snacks, use olive oil, canola oil for heart healthy fats -avoid fried, processed & junk foods, also pickles, papads& namkins -eat your meals on time, whatever you eat limit the portion, your typical plate should consist of half fruits & vegetables,one fourth whole grains & rest dairy products -avoid banana, mangoes, chikoo, have more of citrus fruits -restrict salt ,avoid sugar, use honey or jiggery or herbs for flavor. -

Yes, you are most probably suffering from an uti - urinary tract infection. Get it treated properly.

If you (age -20) are fully fit than once in five years and if any disease has been diagnosed than once in a year or follow up as per the protocol

I do not know if this is with or without treatment. Exercise regularly. Avoid sugars. Avoid oily food. Consume fiber rich food. If it still high then you need medical management.

It is a case of kafa avrit Vata according to ayurveda. I advise you to take tablet kafa kuthar rasa one tablet three times daily for three months. U can msg me on my consult for more discussion.

Lybrate-user, tsh level of 5.15 milli units / ml, is with in the normal range. There is no reason to worry about this with this tsh level. You may avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Plus consume more of green leafy vegetables, salads and fruits. Use whole grain flour for making chapati and roti. Plus exercise daily to avoid weight increase.

Hi, I would recommend to avoid alcohol completely. But if you insist, it can be taken once in 15 days just 1 or 2 pegs only. Regards,

If it is in the normal range, you should continue at the same dose until advised by your treating physician. Some patients of thyroid cancer require tsh to be suppressed below normal levels, otherwise levels should be maintained in the normal range.

Diabetic neuropathy is known complication and to prevent Nervijen D. Daily requirement of vitd3 is 2000 units. So on right track. Monitor blood glucose and routine diabetic profile as advocated. Consult for guidelines. God bless you.

Thx for the query. This is due to diabetic neuropathy. Treatment includes keeping blood sugar levels in the normal range. Proper diet control. Have diabetic diet. Take tan mecobal-od daily for neuropathy. Get your vit b12, vit d, sr tsh and iron profile done. Monitor your sugar level by hb1ac every three monthly. Hope this helps you.

For weight gain proper nutrition is a must. 1) you can start including more milk, cow ghee, fruits & vegetables in your diet. 2) stop eating junk & processed food. 3) make a habit of consuming one well ripen banana with a cup of warm milk with a tsp of ghee. 4) eat soaked dry grapes or dates soaked in warm milk over night. 5) boost up your apettite by working out daily for atleast 30 mins. 6) massaging whole body with vata balancing herbal oil (ksheerabala oil) is very beneficial 7) reducing stress level, sleeping comfortably for long hours and afternoon naps are very essential to increase body mass.

Hi, Follow the guidelines of diabetic diet to keep you in good health. Take small frequent meals. Include a portion of salad in 3 major meal. Drink plenty of water. Include multigrain atta. Avoid sweets, deeply fried items n junk food. Do not fast n do not feast. Regards, Uma.