Dr. Shivaprasad C

Symptoms of hypothyroidism are- 1] irritable mood 2] desire to lie down all the time 3] roughness of hair and skin and hair falling' 4] heavy menses in females 5] pitting edema 6] cold intolerance.

Diabetes affects all organs from foot to hair. You need to keep a strict control by self monitoring blood glucose (smbg) by glucometer and keep a record to titrate the dose. Diet has to be designed for your calorie needs depending on your age and physical activity. Check your hba1c and send me reports. Now you start with glycomet sr tablets 1-0-1 and check fbs, 2hr ppbs and hba1c after a week and send your reports to me. A diabetic need a constant regular support of a doctor which I can provise you if you remain in personal touch by asking privately.

Avoid non veg diet, alcohol, pulses, peas cauliflower, mush room etc. consult physician for medication and detail examination.

No at all possible but you can control by 1. Brisk walking 30-60 min/day 2. Maximum salad minimum roti mixed chapati no fat on roti 3. Small frequent meal 4. Fruits leaving 5 (banana mango grapes chikoo leechi) no fruit juice and aurvedic medicine cap. Diacea 30 min before each meal.

DIABETIC DIET ADVICE: ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS : Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour Learn how to live with diabetes: It is common to feel overwhelmed, sad, or angry when you are living with diabetes. You may know the steps you should take to stay healthy, but have trouble sticking with your plan over time. Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favourite music. Eat well: stick to a diabetes meal plan .chose foods that are lower in calories, saturated fat, trans fat, sugar, and salt.Eat foods with more fibre, such as whole grain cereals, crackers, rice, or pasta. Set a goal to be more active most days of the week. Start slow by taking 10 minute walks, 3 times a day.Twice a week, work to increase your muscle strength. Use stretch bands, do yoga, heavy gardening (digging and planting with tools), or try push-ups. Check your feet every day for cuts, blisters, red spots, and swelling. Brush your teeth and floss every day to keep your mouth, teeth, and gums healthy. Stop smoking. Ask for help to quit. Keep track of your blood sugar. Check your blood pressure if your doctor advises and keep a record of it. At each visit, be sure you have a: blood pressure check,foot check,weight check Two times each year, have an: HbA1C test. It may be checked more often if it is over 7. Once each year, be sure you have a: cholesterol test,complete foot exam,dental exam to check teeth and gums,dilated eye exam to check for eye problems,urine and a blood test to check for kidney problems

Mr. lybrate-user, Thanks for the query. HbA1c% is the value of glucose attached to hemoglobin molecule. It has no relation to one's fasting glucose. It shows the overall glucose control over last 3 to 4 months. In a well controlled diabetes it usually <6.8%, or even lower. Thanks.

Thyroid ki dikkat to waise apne aap theek ho jaati hai agar thyroid thoda sa hi affect hua ho. Lekin ilaaj zaruri hai kyunki phir bacche ko janm lene main khatra hota hai. Iska ilaaj apko delivery ke baad bhi karana hoga.

We need to control sugar levels with medication exercise and following a diabetic diet and for oral medication we have to examine you for further guidance

First of all avoid sitting hour. Avoid extra sugar, like cock, cold drink, shake, juice. Avoid extra fat puri, paratha, cake, pastry, chips. Do work out daily.