Dr. Sangeeta Avivazhagan

Mr. Lybrate-user, the blood sugar levels mentioned by you look quite ok. It also important to look at hba1c%, if that is<7%, then one can say diabetes is in good control. If you maintai sugar levels at the present level then it will in preventing or postponing the long term complications of diabetes. You have also not mentioned about the drugs being taken and their dosage. As regards the hypertension, it is not in control, which is clear with the readings which you have mentioned. To give any suggestion I need to know your current treatment with dosage. Another important aspect is that you have a bmi of 27.57 kg/m2, which means over weight, it also is a major contributor for high bp and sugar levels. If you are looking for any specific guidance, it will be better if you come with details like present fasting and pp levels, hba1c%, bp readings and drugs with dosage and diet and exercise pattern. Then I will be able to guide.

It seems your Diabetes is not under control and you are having complications of Diabetes like micro albuminuria which can lead to Diabetic nephropathy. You have to take additional Insulin . Consult Diabetologist for advice and treatment

Take phytolacca berry (schwabe) for at least 3 mths increase your physical activity like daily exercise eat light food, avoid fried, high calorie food. Maintain good water intake.

You are in good state of health. Pre-diabetic starts from 6.0 to 6.5.Above 6.5 its considered diabetic. No need to worry. No need to take any medicine. You are okay. But please get your Fasting Sugar and PP test done so that your blood sugar issue can be accurately resolved.

HbA1c% 7 means confirmed diabetes. If a person has confirmed diabetes, then proper treatment with anti-diabetic drugs is a must. Diabetes is a preventable disease, but only in pre-diabetes stage. Once it develops, then treatment with appropriate drugs plus diet control and exercise are required. There absolutely no other option. Dry fruits can be eaten but not date and resins. 5 to 8 almonds a day a few pieces of walnuts can be taken. At the most a single date may be taken and about a few resins, that too with excellent blood glucose control. 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 should take the following Homoeopathic medications:- 1)Homeopathic URANIUM NIT 3X TABLETS (R.S. BHARGAVA company). Take one tablet thrice daily, in empty stomach 2) 30 drops of Homeopathic Mother Tincture GYMNEMA SYLVESTRA Q, 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

Lybrate-user, the condition being described looks like he had an attack of hypoglycemia. Did you check his blood glucose level then? if blood glucose level goes below 70 mg or lower like <60 mg or even lower, patient may get such attacks. It is important to achieve a strict blood glucose control, but equally important thing is not to allow episodes of hypoglycemia. Severe hypoglycemia can be very dangerous, particularly in elderly persons. If you have a glucometer at home, it is better to check glucose level. If it is low, then it is essential to give glucotabs 2 or 3 tabs cor candy, sugar ar some sweet etc can help. Thanks.

Hello mam, if you have diabetic in pregnancy time that time you will concern the general medicine Dr. and and change yiur diet pattern and do some walk. Take plenty of water .avoid sugars, sweet, potatoes ,rice, pumpkin, glucose.

Hi, there are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity.

Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.

Mr chandrashekhara, tsh level 7.88 milli units/ml is abnormal, it should be below 4.2. Higher tsh level means thyroid gland is not functioning properly and there is a deficiency of the hormone thyroxine. Only treatment is to take thyroxine tablets in adequate dosage for life time. Certain dietary precautions should be taken like avoid soya containing foods, cabbage, cauliflower, broccoli, mustard and coffee. Consume good quantity of green vegetables (other than mentioned), use onion, garlic, fruits and whole grain flour for breads.

Hello if diabetes is not in proper control, it affects almost every system of the body particularly retina, kidneys, nerves and heart. Alcohol in excess adds to the problems. It gives extra calories without any benefits. Damages liver in turn glucose and fat metabolism. It masks hypoglycemia symptoms causing serious difficulty. Can affect your overall fitness. In long-term liver damage along with chronic complications of diabetes will be very bad.

Mr. Lybrate-user, normal blood fasting glucose level is in the range of 70 to 110 mg/100 ml. If a person is non diabetic then there hardly any situation where hypoglycemia occurs. Hence, the levels mentioned by you are absolutely normal. Nothing to worry.

at your age and with the current b.sugar levels,i dont feel insulin is the absolute necessity..fasting around 140-150 and pp around 180-200 is good enough..do regular exercises ..and dietery restriction of sweet foods...it will be enough

After hysterectomy one can have sex but take care of hygiene secondly, if your husband is diabetic he may have erection issues, if that is the case he should be treated accordingly.

Your medicine appear to be under dosed as per your sugar level. With the proper medicine, regular exercise and diet modification we can rasily control your sugar levels. Revert with your last hba1c aling with other recent reports for better insight into your problem.

don't skip your breakfast .take small and frequent meals at regular intervals. take plenty of fiber and water.do exercise or walk daily.

Her sugar is a bit low. Its good that she is active. Let her be that way. You can test for her vit. D and vit. B12 levels as these can cause weakness and pains. Also check her haemoglobin levels. Her medicines for diabetes will have to be lowered.

Common causes of infertility in Women

Fertility in women can be affected because of various external or internal reasons. It is good to understand the problems since this fast becoming a very common problem.

The causing factors usually include -

1. Ovulation problems - One reason for female infertility is when eggs don't mature in the ovaries. This is known as ovulation problems. Possible symptoms of this are absent or irregular periods and the possible solution is keeping a check on body weight, taking fertility drugs and/or having IVF.

2. Uterus problem - There are tissues, known as endometrial tissues which form the lining of the uterus. When they grow outside the uterus, it is called endometriosis and can be a reason for infertility. While some women have no symptoms of this, some have painful periods. Fertility drugs, ivf and surgery to remove the tissue are its possible solutions.

3. Pcos - Pcos or Polycystic Ovarian Syndrome is of late one of the most common reasons of female infertility. It is characterised by unpredictable ovarian patterns and hormonal imbalances. Possible symptoms are acne, obesity, irregular periods, and excessive hair growth. Weight loss, changes in lifestyle, injected fertility drugs, ivf and ovarian drilling are its possible solutions.

4. Damaged fallopian tubes - Some women have blocked or damaged fallopian tubes which prevent the sperm from getting to the egg. This situation leads to stds and pelvic inflammatory diseases. There are no symptoms as such and the methods of solution are surgery to open the tubes and if that is not possible, to remove the tubes and try ivf.

5. Unidentified reasons - There are many unexplained fertility problems where none of the above mentioned problems exist. In such situations, fertility drugs - with or without artificial insemination or ivf are advised.

If you would like to consult with me privately, please click on consult.


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SIR GO FOR her all hormonal test and usg pelvis also to confirm for conceive . You can give 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. 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. Tests every 3 to 6 months.i.e. t3,t4,tsh, also do vit.D. and vit. B., s.calcium.