Dr. Sanjay B.S

Mr. Lybrate-user, do you have t1 diabetes? or is it t2? the reason I want to know is treatment differs. You must be on appropriate treatment to control blood sugar effectively. It is essential to maintain fasting closer to 100 mg, pp 150 to 160 mg and hba1c% <6.8. So along with drugs, one has to adapt a modified lifestyle. It means eat a healthy diet, avoid sweets completely, avoid deep fried foods, junk foods, pastries, sweetened aerated drinks, fructose corn syrup containing products, high fat milk products and highly processed food products. Diet should give exact calories based on your ideal body weight (80 ks). Your bmi is 29.93 kgs/m2 (normal bmi <23 kgs/m2) which closer to grade 1 obesity. So it is essential for you to work on reducing the weight by at least 5 to 8 kgs in next 6 months. That itself will give a considerable relief. Refrain from alcohol and smoking as both are harmful. It is better if you join a gym and do workouts under instruction. Thanks for the question.

Following are the tips to prevent onset/or control diabetes

1-losing extra weight:-is the most significant thing which can make a big difference to your health. It helps lower your blood pressure and cholesterol too. Waist of more than 80 cm in women & 90 cm in man are at risk
2- constant and regular food timings:- it will improve your metabolic activity and helps reducing your weight.
3- split your meals and eating in moderate amount:-splitting your meals into 3-4 times per day (including snacks) and eating in fair amount, improves your metabolic rate as the food you take is not concentrated at one time.
4- no long gaps and skipping of meals:-never miss out breakfast.
5- no overeating:-never eat in a bulk on one time remember to eat your food slowly, chew well.
6- proper exercise and work outs:-exercise is a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. Atleast five times a week is the best. You can also try cycling, swimming, dancing. Timings for exercise should be fixed and regular. Do not eat right away after a workout.
7-constant and regular timings for medication
8-avoid fried foods, meat, fats and sweets.
9- take high-fibre and complex carbohydrates:-like oats. Add whole grain foods in your diet. Avoid white bread, pasta, pizza, candies, and snacks. Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet.

Your doctor may have prescribed Mi beta sr as your pulse rate would have been high and you may be having palpitation that is aware of the heartbeat PLEASE DO TSH on regular basis to keep track of your hyperthyroidism at hyperthyroidism is known to replase.

There are so many other medicines which can be used.But you should take treatment from your regular physician. As one has to watch for side effects and hypogycaemia

Hi, The precautions to be followed are as follows: - Avoid all whites like rice, sugar, maida,etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Get your sugar levels checked once in a year. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels . - Avoid over-weight.

lybrate-user, Thanks for the query. Treatment for hypothyroidism is for lifetime. The recommended dose needs to be taken on empty stomach as it's absorption is affected if taken after some thing. Plus after taking the tablet nothing should be taken for at least 1 to 1 and half hour. Thanks.

A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.

First take proper medications, achieve good sugar control. Then avoid sweets, deep fried foods, fruits like mango, chikkoos and grapes.

You have to persist with a low carbohydrate and low fat high protein diet. Stop all cereals, sugar, bakery products and desserts. Take the white of 2 boiled eggs and lots of fruits and green vegetables and salads. Go for an hour long walk every day. If you don't loose weight soon you will develop high BP. For more details read the health tips I have written on this website OR send me a personal question.

If you are a diabetic then it is very important for you to do some regular physical exercise so the tone of your muscles remains good. Well toned muscles will prevent joint pain. This is a common cause, but in diabetics vit d3 deficiency is common, it reflects in form of such aches and pains. Please get your vitamins d3 checked, if it is low, take proper supplements by consulting a near by doctor.