Dr. Syeeda Ahmed

You have to monitor your blood sugar and take medicine after consulting doctor. Go for regular walk , control your diet, avoid sweet and excess carbohydrate diet.Take one multivitamin tab daily

Mr. Lybrate-user, our advise is to refrain from alcohol, as it gives empty calories, affects gastric mucosa badly, reduces hypoglycemic awareness and damages liver. Alcohol even in small quantity is not recommended. Cheese spread may be taken occasionally, provided blood sugar is very well controlled.

Follow the doctor’s advice properly Eat plenty of vegetables Have sufficient fibres in your diet e.g. salads Cut down on sugar/ sweets Cut down on salty processed foods Cut down on energy dense, processed food - such as crisps, cakes, biscuits and pastries Make at least an hour rigorous physical activity part of your daily life i.e. jogging/ brisk walking/ running/ gym/ else you like Yoga/ meditation will help you in reducing stress level If you are non-vegies Eat fish regularly Cut down on processed meat but no problem with fresh (unprocessed) meat/ chicken If you are alcoholic/ smoker Cut down on alcohol/ smoking Check your Blood Pressure/ Cholesterol level (Lipid Profile)/ Renal Function Tests regularly. Take medicines regular to keep controlled your blood sugar as advised by your doctor. Remember, not only medicines, all the advices of doctor are precious and very useful.

Hello, Alcohol per say, does not precipitate diabetes. But if a person with diabetes indulges in alcohol intake on regular basis in a fair amount daily or on most days of a week, it does have bad effects on glucose control. Alcohol in large quantity damages gastrointestinal mucous lining, affecting absorption of digested food and nutrients. Can cause gastritis, affect appetite, cause malnutrition, damages liver functions, gives empty calories, no energy. Patient may not able to recognise about low glucose episodes (hypoglycemia unawareness). Thanks.

As your PP is high. If you are not taking any medications then its the time to start medications. Better to start with oral hypoglycemic agents. (OHA). These body pain and tiredness may be due to diabetes. Can start with METFORMIN 500mg once a day in between breakfast and see the result after 2 weeks. If it is improved then continue. There are side effects also. If you feel gastric trouble then consult again.

Dear lybrate user, you should maintain edequate levels of glucose in blood, following all sorts of anti diabetic norms. Go for morning walk. Go for meditation for 30 mnts. Take, plenty of water. Your diet b according to required calorie value i. E from 1200-1600 calories. Homoeo medicine. @ syz. Jumbo q-10 drops, thrice before meals. @ five phos 6x -4 tabs, thrice, a day. Take, care.

With so much of TSH variation, I suspect Autoimmune thyroiditis. Thyroid issues along with other metabolic issues, if not properly managed can lead to subfertility/infertility/miscarriage/pregnancy induced diabetes and can even affect the development of the foetus. Treatment for you would not only involve optimization of thyroids but also other related hormones. I follow a very elaborate protocol for this and work closely with the local infertility specialist/center to optimize outcome.

Thanks for the query. I have gone through the details given. You have mentioned only fasting glucose levels of different days, that does not give any idea whether the condition is in control or not. There are other two equally important parameters like after food glucose level & HbA1c%. Fasting may be low, but after food levels can be high. HbA1c% shows how good the control has been over previous 3 to 4 months. Another aspect blood glucose levels are always variable, as those depend on that particular days food intake (in case of PP) and for fasting based on previous night's intake. Shaking of hands may not be directly related to diabetes. It may be age related. Thanks.

Mr. lybrate-user, Increasing he dose does not affect kidneys. But if blood glucose is not well controlled then high glucose in blood does affect kidney function. So it is essential to maintain near normal glucose level. Thanks.