Dr. Hema

Yes there is a tendency and you look for increased thirst, appetite and urination and every three months you check your rbs and hba1c.

Do every 3 months hba1c. We have best ayurvedic medicine. Don't rely only on ayurvedic medicine only. If you have more weight (bmi more than 25) go for weight reduction also. And start metformin 500 mg once a day. If you are slim then ( bmi less than 20) take only glimipiride 1 mg once a day.

Cut down food intake by 25%, Go for regular walking at least 1hour/day, Try to reduce weight by 5 kgs in 3 months.

lybrate-user, TSH 1.43 mU/L, is a good level. It means hypothyroidism is well controlled. You please continue the same dose. Check TSH level once in 8 weeks, if level goes further down, then may cut the dose by about 12.5 mcg. Thanks.

Mr. Lybrate-user, it is good to know that you are very active. However, are you aware that your bmi is 26.56 kg/m2, which shows being over weight. Plus at your age ideal body weight should be 54 kgs, which means there is an excess of 14 kgs. So reduction of a few kgs will help in bringing sugar levels lower. Plus your diet should be giving calories based on 54 kgs and actual workout that is done plus blood sugar levels. So it is possible that either the drugs may to be added or dietary control has to be more strict. So please look at it. With regards.

For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Medicine will depend upon your blood sugar reports.

Triglycerige can be taken care by adopting a healthy lifestyle i.e. avoiding simple sugars in all form, and avoiding oil. Omega3 fatty acid are also helpful in reducing triglycerides.

Food Item Amount Protein(g) Calories (kcal)
EARLY MORNING
Fenugreek seeds with 1 cup of water – – –
Tea (without sugar) 1 cup 4 35
Marie Biscuits 2 1 56
Breakfast
Stuffed methi/palak /lauki paratha 2 small 7 200
Curd 50 gm (1 cup) 3 30
OR
Egg white / Paneer Bhurji 1 medium bowl 6 130
Plain roti (no oil ) 2 small 3 150
OR
Vegetable poha/upama/oats/daliya 1 soup bowl 4.5 230
MID MORNING
Apple /guava/orange 1 – 40
LUNCH
Salad (10 mins before lunch) 1 Medium bowl 1 30
Capsicum + gobhi veg 1 medium bowl 1 85
Dal 1 soup bowl 6 130
Phulka (no ghee) 2 6 175
EVENING
Milk / green tea / herbal tea / lemon water 1 cup 2 35
Roasted chana + Muri 1 cup 5 85
DINNER
Salad (10 mins before dinner)
Phulka (no ghee 2 4.5 150
Lauki veg 1 cup 2 85
Curd 1 cup 3 30
LATE NIGHT
Skim Milk (no sugar) 1 glass 4 120
Total – 49.5 1286

Mr. lybrate-user, Gestational diabetes is a condition that occurs when a lady is pregnant and high blood glucose is detected during weeks of pregnancy. This is not seen in males. It is possible you may be having diabetes itself or a prediabetic condition. If blood glucose levels are mentioned then I may be able to say what is the situation. As regards acne, some times that problem does continue for quite some time. Thanks.

Hi for reduced cholesterol you should take meal on time 2. Take heavy breakfast, then lunch at every day fix time, eat something light food at at evening and then have dinner at 8.00pm and sleep after 2-3 hr of dinner 3. Avoid junk food, bakery product, spicy, late night dinner and sleep 4. Do exercise at morning at least 45 min every day till you sweat 5. Take following remedies a] triphala kadha at night 30 ml b]arogya vardhini vati 1 tab before lunch and dinner.

Even doctors are ignorant of genital tb causing infertility

Having the highest number of population aff ected by tuberculosis, india also has the highest incidence of genital tuberculosis. The number of indian women suffering from the condition is particularly high.

Nagpur: having the highest number of population affected by tuberculosis, india also has the highest incidence of genital tuberculosis. The number of indian women suffering from the condition is particularly high. It is among the most common causes of infertility, yet not many doctors consider the possibility of genital tuberculosis while treating infertility.

According to some estimates, around 40% indians are infected with tb bacteria. Most of these are latent cases, wherein the sufferer doesn't show symptoms of the disease but can still spread the disease. Genital tb is found to affect around 1% women in india. Ways to manage the condition were discussed during the conference masterclass infertility organized in the city recently.

"the percentage of infertility in the country increases due to genital tb. Among those seeking treatment for infertility, 10-19% of females are affected by it. However, since the condition doesn't have any noticeable symptoms it remains undetected in most patients and infertility caused by it gets categorized as something else" said senior gynaecologist from the city Dr. Sushma deshmukh. She added that the lack of symptoms means that doctors often don't address genital tb as a reason causing infertility.

"the biggest problem is that very few bacteria can cause the disease. This low number makes most tests made to diagnose the disease unsuccessful. This is why it is recommended that bacteria culture, a molecular biology test for ccr and histopathology on the lining of the uterus must be done together" said bangalore-based gynaecologist Dr. Reeta biliangadi. The positive outcome of all these tests, along with observation of clinical signs indicates that the patient is suffering from genital tb.

Among the warning signs of the condition that doctors and the patients must look for include menstrual problems, constant pain in lower abdomen and white discharge" the condition generally flares up during menstruation in the adolescent age. If detected at this time, the damage to the reproductive organs like uterus and fallopian tubes can be minimized. If not, the damage can worsen with time, making it practically impossible for the woman to conceive naturally" said Dr. Biliangadi.

As the fallopian tubes get affected in all cases of the disease, chances of natural conception among the patients are less than 20%, added Dr. Deshmukh.

"despite the availability of tests to detect genital tb, less than 40% patients with it get the chance to go through the tests" she said.


Affect on reproductive health of patient

It starts by affecting the process of releasing the egg into the uterus, which also leads to menstruation

It destroys endometrium or the lining of the uterus where eggs get implanted. This makes natural conception difficult

Leads to obstruction of fallopian tubes, or gradual destruction of the tubes

Increases the possibility of diseases like fibroids.

Hi, normal range of tsh is said to be 0.6 to 6 milli units /ml. However, in pregnancy it is advised that tsh levels should be maintained between! st trimester 0.1 - 2.5 milli units. 2nd trimester 0.2 -3 and 3rd trimester 0.3 - 3 milli units. If tsh levels anytime during pregnancy go over 2.5 milli units/ml, t4 levels should be checked to see if hypothyroidism is subclinical or overt. If t4 level is low, diagnosis is overt hypothyroidism which can impair infant's neurocognitive development. There are also risks of premature birth, low birth weight and miscarriage. So in the first trimester you should maintain tsh level closer to 2 milli units. So proportionate increase in thyroxine is needed.

Have plenty of fluid There is no need to worry dear but be sure not to take medicine without looking into and onto it. Regards.

You can consume it in any form ( use the traditional ways of cooking ). But eat in moderation depending on your need ( calories require ). If it is made with sugar in it then you may take a few spoons only. Keep your blood sugar under check by following a healthy lifestyle.

Hi all your should be accompanied with some fiber foods, and you need to avoid refined foods, have more complex carbohydrates. Like sprouts, daliya, salads kindly consult privately for a detailed diet plan thanks.

Hello, your dad should maintain all sort of anti-dietetic, norms to control sugar level as rise in sugar will retain any sort of disease. Give him homoeo medicne: @ bryonia alb 30-5 drops, thrice, orally. @ kali bichrome 30-5 drops, thrice, orally. Avoid, caffiene, nicotine, cold intake, exposure to cold, junk food. Report, wkly, please. Tk care.

You have to measure sugar levels through a glucometer 1) Fasting 2) Before lunch 3) Before dinner And give a two day record to us and also let us know what medication are you taking

lybrate-user, Thanks for the query. Hypothyroidism is a a condition that has to be treated for the lifetime. You should not stop treatment on your own because of normal or low TSH level. Dosage of Thyroxine needs to be adjusted. Since you have stopped the treatment on your own, it is possible that TSH level might have gone up resulting in to increased hypothyroidism. Thanks.

Diabetes complete cure is not there but it can be controlled n prevented. You will have to write to me his details.