Dr. Shivaprasad C

If it occurs after meals then may be due heart burn keep BP and sugar under control if all are good then it is most likely due to anxiety pl consult your physician.

Exercise regularly and on alternate days and eat nutritious food and you can visit us once in three years

The reason for advising that is, banana contains high concentration of sugar, gets rapidly converted to glucose and raises blood glucose fairly rapidly. Eating a small banana once a while is ok. But regular consumption is not advised. Fruits like mango, banana, grapes and chikkoo as those are too sweet, hence better to be avoided. Other fruits like papaya, pomegranate, pear, guava, apple, water melon, orange, sweet lime and other melons are allowed. But only about 100 g a day should be taken with good control of blood glucose.

Dear lybrate-user, I understand your concern for your mother's health. First of all I'm not suggesting insulin for your mother but please understand that insulin isn't our enemy! It is the most time tested medical molecule in market for last hundred years and it has save millions of people from premature deaths due to diabetes. Having said that a doctor can help you by titrating all existing oral drugs as well as adding new molecules in treatment can help your mom achieve better blood sugar levels without insulin. Regards.

Maintain sugar level in blood by medicines and do light exercises and morning walk. Avoid sweets in diet and crowd, dust and taken balanced diet, taken daily protein included in diet taken vitamins in foods &fruits.

Hi Following proper Diet and exercise everyday will help you in controlling your diabetes. To get the prescription you need to consult in private with your HbA1C report as we are not advised to prescribe in an open chat.

Rhus tox 30 take 1 drop 3 times x 7 day take above is homeopathic medicine and available in homeopathic store also safe to take and no side effects for future management contact me cont along with you med.

Getting worried is not the solution to any problems. Your lab results are not in normal range. Once you will start taking medicines properly with proper diet and exercise, you will be fine.

1. Do regular aerobic exercise like brisk walking/jogging/running/cycling/swimming for 1 hour daily 2. Reduce weight 3control diet 4. Avoid sweets, sugar, oily, fatty, excess calorie/cholesterol, saturated fat and carbohydrate rich diet. Take green leafy vegetables/fruits/salads. Drink plenty of water. Avoid junk food, bakery items like pizza/burger/cookies, soft drink, etc 5. Do yoga, pranayama, deep breathing exercise.

Dear lybrate-user, low sugar or hypoglycemia is defined as blood sugar less than 72 mg% it is mainly diagnosed based on symptoms of low sugar. Brain use glucose only as it's food so when sugar goes low brain definitely feels hurt! palpitation, shakiness of hands, sweating and giddiness or sleepiness followed by coma or unconsciousness is a sequence of symptoms seen with progressive low sugar. We routinely never ask for serum insulin levels to diagnose hypoglycemia. Hope this helps you.

Mr. Lybrate-user, tenelegliptin is a good drug, can be taken instead of the other drugs that you have mentioned. Thanks.

Eat in hyperthyroidism: avoid salty foods, sea foods, whole milk, red meat, take vit-b12, vit-c, vit-d foods, barccoli, soya products, cauliflower, kale, fresh fruits and veg. Omega-3 fatty acid foods, For E. D. Take natural drop ginseng 10 drops with in 1 glass of water. Do ‘ KEGEL’ exercise daily. It is very effective for muscle of penis. Eat Green veg. Plenty of water. Fruits, Juice, dry fruits. Take hormones therapy. Avoid stress, alcohol, more smoking. Increase will-power.

Dear Lybrate User, *Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) *Reduce weight if overweight *Control diet *avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta *avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, *include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. *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 *avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. *avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. *avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink *Adhere to a strict diabetic diet by consulting dietitian *Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly

It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch. most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not erectile dysfunction, which is a concern only if satisfactory sexual performance has been impossible on a persistent number of occasions for some time. Broadly, two forms of erectile dysfunction can affect men's sex lives - the main cause is either medical or psychosocial. Here, psychosocial means psychological effects - including the effects of social relationships - on sexual performance. Of course, medical conditions can also affect psychological well being, and while the main cause of sexual impotence will be medical or psychological, there can be overlap between the two. Erectile dysfunction used to be known more widely as impotence' before the causes became better understood and successful treatments came into use. Impotence is a term that is still in use, however.

Dear lybrate-user, Your father in law is suffering from Diabetic neuropathy which means that his nerve cells are affected by high sugar and it starts burning, tingling. The treatment is to control sugar very well, stop smoking, avoiding alcohol and taking appropriate treatment from your doctor. Good medicines are available to control these symptoms but may take 6 weeks to 4 months time Regards, Dr. sachdev.

Very pertinent question. Please tell and educate your friends about gout and food. 1) please do not take any uricosuric medicines for gout during acute inflammatory stage. These medicines itself may flare up gout. Only nsaids to reduce inflammation. 2) diets and dos nad donts: although there are no foods that do not contain uric acid itself, people who are concerned with reducing the level of uric acid in their body should know which foods contain high levels of purine. A) take plenty of oral fluid at least 3 - 4 liters per day. It helps to wash away uric acid from your systems through kidney and prevents to form crystals and precipitate in synovial cavities of the joints. Urinary alkalinisation (making urine alkaline) - promotes uric acid solubility. B) avoid all animal proteins (particularly red meat) and stop taking any animal organs like liver, kidneys etc. Occasional (avoiding is good) small fishes and small amount of chicken is allowed. C) avoid all vegetable seed particularly - spinach, tomato, brinjal, pulses etc. Strain or separate it out before cooking. Though beans are also contains purine but less. Beans in moderate quantity and soybeans do not harm that much. D) avoid bread - many bread products have yeast, a main ingredient that has excessive quantities of purine. Yeast creates a hostile environment in the body by disrupting its acidity. You could develop kidney stones and bladder problems. Chapati is best alternative. E) avoid asparagus and mushrooms - because of high uric acid content. F) avoid high oxalate containing food - that facilitates formation of kidney stone in presence of uric acid. G) a higher level of consumption of dairy products is associated with a decreased risk. H) moderate intake of purine-rich vegetables or protein is not associated with an increased risk of gout. Remember - a raised blood urate (hyperuricaemia) with no symptoms does not mean a patient will inevitably develop gout. A medicine thiazide diuretic raises uric acid level, may not produce gout. If gout develops however then it is prudent to stop thiazide. Raised uric acid is associated with other factors such as hypertension, dehydration, hyperlipidaemia there is also a theoretical risk of hyperuricaemia with low carbohydrate diets, due to higher protein content. Hope this shall be helpful. Please let me know whether it has enriched you.

you can take ..tab. thyronorm 100 mcg 1bbf. cap.pantop dsr bbf. you can not try for baby till normal level of tsh. Many common foods and supplements contain compounds that interfere with thyroid functions. In general, it’s best to avoid the following foods and supplements: Soy: Studies suggest that phytoestrogens in soybeans and soy-rich foods may inhibit the activity of an enzyme that makes the thyroid hormones. One study found that women who consumed soy supplements were three times more likely to develop hypothyroidism. Iodine-rich foods: Some forms of hypothyroidism are caused by a lack of sufficient iodine. In such cases, using iodized salt or iodine-enriched foods can be beneficial. But eating too much iodine can have the opposite effect and suppress thyroid gland activity. Check with your doctor before taking supplements. Iron and calcium supplements: Taking iron or calcium supplements can also change the effectiveness of many thyroid medications. High-fiber foods: Although a high-fiber diet is usually recommended, too much fiber may interfere with the absorption of thyroid medicines. Certain vegetables: Cruciferous vegetables that are rich in fiber like broccoli, cabbage, spinach, kale, and Brussels sprouts can inhibit thyroid drug absorption. Reducing the amounts of such produce in your diet may help. Caffeine, tobacco, and alcohol can also influence the effectiveness of thyroid medicine. Ask your doctor for tips on how to regulate or reduce your consumption. The thyroid is a small gland at the base of the throat that makes hormones to regulate growth and metabolism. These hormones influence a variety of organs, so they can affect body temperature, weight, cardiovascular health, and fertility. Hypothyroidism occurs when the thyroid gland produces too little of these hormones. If your thyroid hormone levels are too low, you may experience symptoms like fatigue, digestive problems, sensitivity to cold temperatures, and menstrual irregularities. Although there may be no cure for hypothyroidism, the condition can be managed with medication. If left untreated, hypothyroidism can lead to many complications, such as heart problems, nerve damage, and infertility.

conception can be difficult at this value of tsh and even if you do it is not good for the fetus. you can increase the dose to 75mcg and get it repeated after 1month. testing before 1 month does not give the required change that is expected.

lybrate-user, If you are having hypothyroid then it is essential to control it effectively with TSH maintained between 3 to 4 mU/L. If not then efforts to reduce weight will not succeed. So first check the TSH level. You have grade 3 obesity, with 41.79 kgs/M2 BMI. This is a very tough situation. Your ideal body weight should be 60 kgs. So your diet should be based on that weight. Plus you will have to do a considerable amount of exercise daily. Dietary restrictions have to be very strictly adhered to. Caloric intake has to drop down to around 100 to 1200 calories per day. This can be very tough to sustain. Thanks.

Mr. lybrate-user, Presence of pus cells signifies urinary tract infection. That needs to be treated with a course of appropriate antibiotic. Potassium is moderately high, needs to be reduced. We have to look at total treatment being taken and the diet. Plus it is important to control blood glucose level effectively, with fasting around 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Thanks.