Dr. Sudhindra

Your blood sugar and cholesterol level is in the upper limit of normal. Regular exercise, diet control, weight reduction, avoiding oily and fatty food, restricting carbohydrate and sweets can bring down the sugar and cholesterol level. Repeat the test after some time. If not under control medicine has to be started.

It is better to avoid tamarind in the food rather to add lime or mango. And also avoid eating fried foods. Take more anti oxidants in your food like fresh vegetables, boiled vegetables, boiled meat, water content vegetables which reduces the toxins from the body.

Diabetes is mother of all diseases. Change your life style, do not eat high glycemic food.

Hello Mr. Lybrate-user, first of all I would like to tell you don't be disappointed, there are so many people who are living with diabetes life long but it is under controlled with the help of medicine & diet planning. Had you done your hba1c? it should be in the range of 6-6.5% for good control of diabetes. There are some dietary changes that will help you. Take small & frequent meal. Take more & more green leafy vegetables. Avoid simple sugar & simple carbs in your diet. Avoid table salt in meal. Do not take chips, papad, pickel or any other salty products. Avoid oily/ fried / outside food. Take whole wheat products or fiber rich diet like daliya/ oats/ multigrain flour etc. Do regular walk/ exercise/ swimming/ jogging whatever you like atleast for 30 minutes. Take a consultation with the dietician. One most important thing regarding your kidney & liver, discuss with your treating doctor for lft (liver function test) & kft (kidney function test) test. I think you should go through complete annual/ half yearly health check-up.

Answer is yes to all 3 questions but use in moderation. Skip sugary soft drinks which have lots of caffeine in them eg pepsi and coke's as they weaken bones. One can have sherbet and roofafza and thandai and aam panna type of sugary drinks in moderation.

You are definitely diabetic and it may not any symptoms initially. You need treatment .Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness 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 with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.

A person becoming "hyper and angry" has no direct relationship to either high blood pressure or thyroid related disease. It is just the nature of the person. Only thing one has to do is make him/her learn to relax and avoid reacting immediately. If she is on treatment for hypothyroidism then TSH should be maintained between 3 to 4 mU/L, then only all the symptoms are in check. Similarly BP should be maintained 120 -130 / 70 - 80 mm Hg. Since no current readings have been mentioned, the above levels are suggested. Thanks.

Dear lybrateuser, - You can try treadmill to reduce sugar as it can also help in reducing weight which contributes to a fall in sugar levels.

We need to control sugar levels with medication exercise and following a diabetic diet and apply corn cap for a week

The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels. So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. Hba1c. 2. Sugar - fasting and pp. 3. Urine - routine and microscopy. 4. Urine microalbumin. 5. Urea and creatinine. Follow up with me and I will set up a wonderful treatment plan for you to control sugar levels.

In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.

Frequent urination may be due to many reason like Physiological( normal) due to excess tea/ coffee or may Psychogenic Or may be due to Urinary infection Consult Privately for further management

Thank you for the query. It would have been helpful if you would have mentioned your Fasting blood sugar, 2 hrs post prandial sugar and HbA1c level. 1. If your HbA1c level is less than 7.5%, it would imply a fair control on blood sugar. Dietary regimen (avoidance of refined carbohydrate-pasta, white bread, noodles, burgers etc and carbonated beverages) and exercise (30 min per day for 5 days a week) may be helpful. Sometimes, a low dose of the medicine metformin may be added, which may be beneficial. 2. If the HbA1c level is more than 7.5% one or more oral medications are used in addition to diet and exercise. The medications are given as per the patient's tolerance. 3. If HbA1c is more than 9% it is advisable to go for Insulin. However, if someone is completely non-compliant or averse to Insulin a combination of 2 or more drugs may be used with caution. 4. Since you are diabetic for 4 years it is advisable to get the following tests done if not done already Urine for spot ACR- to check the renal status Eye check up - to rule out diabetic retinopathy. 5. Foot care is very important and even a minor injury must be taken care of. 6. Always remember whatever dietary intake you are having, your calorie intake must be less or equal to our calorie expenditure. It is advisable to get a diet chart done, as per your body weight and activity level. 7. You can take a course of vitamin B complex for nerve protection. Please consult a physician for further advise. Regards.

U have developed complications of diabetes, kidneys and eye/retina affected. Be careful, have your fbs, ppbs, hba1c controlled. As it requires individual management

Fasting and post meal blood glucose values seems quite high. Get your HbA1c test done. It is approx average of last 3 months blood sugar level and more reliable. You need to start medication. Please consult any diabetologist with reports.

Mr. Lybrate-user, your diabetes is totally uncontrolled, which really bad. As it can lead to a series of lonterm complications in relation with eye (retinopathy), kidney (nephropathy), peripheral neuropathy, problems with blood supply to lower limbs and coronary artery disease. You need to make special effort to bring sugar levels rapidly under control. You may need to shift to insulin injections right away, because looking at blood sugar levels it appears your beta cell reserve is almost nil. So taking oral drugs is not going to give any more benefit. Plus usual treatment guideline says when hba1c% goes beyond 8 to 9 % it essential to use insulin injections. By not doing so you are inviting serious complications.

You must be suffering from hypothyroidism and not hyperthyroidism. This disease is due to underfunctioning of your thyroid gland and is mostly irreversible, I am sorry, but in that case, you may have to continue with your treatment for life. Diabetes is also a progressive disease causing underfunctioning of your pancreas and requires similar treatment either through oral medicines and in later stages, insulin also may be required.

Dear People say lot of things. Your weight ,height to your age is reasonable. Have your weight recorded monthly, if you lose 3 to 5kgs / month then it is a serious indication and you should go for a Master Health check up in a good reputed hospital. use medicines for diabetes timely and get the following tests periodically. 1.FBS 2.PPBS 3.HbA1C (AVERAGE GLUCOSE)

The best way to take is with meals. That is take tablet I between meals, voglibose works better during meals.

Mr. Lybrate-user, with 10.8 hba1c%, your diabetes is totally uncontrolled. It is clear that current treatment is not enough, it has to be upgraded. In fact with such high hba1c% you have to be shifted on to insulin injections. Unless rapid control is achieved, you are likely to invite all the long term complications. Thanks.