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I am a diabetic taking Glyciphage-500 mg. yesterday I undergone lipid and HbA1c tests. The levels are as follows. 1) HbA1c-6.00% 2) S. Cholesterol -201 mgs/dl 3) S. Triglycerides-140 mgs/dl 4) HDL-36 mgs/dl 5) LDL-137 mgs/dl 6) VLDL-28 mgs/dl shall I start medicines for Cholesterol or any tips to control these levels. Since last two year these levels are maintained. Regards
Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.
- Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
- Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.
Some of the common foot problems encountered in diabetics are listed below:
- Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
- Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
- Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own. Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.
- The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
- Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
- Regular feet care to check for blisters, ulcers, wounds, etc.
- Check toenails for overall health
- Preferably wear closed toe shoes
- Wear stockings or socks and shoes that fit well
- Moisturise the skin well to avoid drying
- Avoid exposing feet to extreme weather
- Quit smoking
- Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise
If you wish to discuss about any specific problem, you can consult a doctor.
Hello I am 29 years old I got married on 14 Jan 2017. I got my thyroid levels checked two weeks ago it's was tah 8.59 while t3 t4 were normal after two weeks I repeat it again now it is 7.43 while t3 t4 are normal .symptoms are hair loss ,irregular periods ,tiredness. Four months back I was diagnosed with left ovarian cyst .kindly suggest something.
I am hypothyroid and presently using thyronorm 100 mcg. My tsh levels are fluctuating and having high cholesterol. I tried lifestyle modifications but still not able to control and using rosuvastatin 10 mg. Please suggest natural ways to loose cholesterol.
I am 45 year old diabetic male. My diabetes levels are 130 fasting and 134 pp. Hba1c is 6.5. BP is normal. I am taking gemer2 before breakfast and dinner. Janumet 50 500 after breakfast and dinner. I have lost fat all over body specially around shoulder and biceps. Pl suggest diet and exercise to gain muscle mass. I take non veg food, do not smoke, drink.
Sirji, I have thyroid (TSH) 8.28 plU/mL my age is 23yrs, height is 5ft 6 inches & weight is 55kg, kindly tell me what is the reason of this problem, why I have thyroid & I have hairfall & neck pain please tell solution.
My father in law having sugar from last 10 year sugar level is 220 is morning after breakfast it will be 250 level what I can do.
My sugar fasting 92 creatine level 1.17 hba1c 6.1% micro albumin 1.9 I take janumet50/1000 take 2 times & atrova 10 one time is it ok.
Small pimples on face and back irregular periods 5to6 months gap thyroid ultra sound test says all is fine sexually active pregnancy test negative.
Resp Sir, Me suffering from sugar remain higher side approx 300-550. Is its treatment in homeopathy possible. My ankles inner side and near ankles backside just above the heels remain stressful, problem in waking pain is much. Some test done as:- Age -40 yrs Creatinine. -0.8, SGOT-21.4, SGPT-27.3, S Cholesterol -197, S Triglycerides -215, HDL chole-45, LDL chole -109, VLDL chole -43, uric acid -4.8, s cholesterol/hdlc ratio 4.38, how s triglycerides can come down .pl s ggest.
If you’ve been facing problems in conceiving, it may be time to get yourself checked as it’s possible that you may be suffering from certain fertility issues or need professional guidance. A series of tests usually determine the root cause of the problem. These tests can include a physical examination, analysis of semen and blood tests, amongst others. There are certain factors that you and your partner must keep in mind when deciding upon the best time to opt for these tests and get started on an infertility treatment programme.
If you’re a female, it’s time to get yourself examined when:
1. You haven’t been able to conceive for over a year despite trying (when you are under 35)
2. You haven’t been able to conceive after trying for 6 months (above the age of 35)
3. You’ve had 1 or more miscarriages
4. You’ve been ovulating irregularly and your previous drug treatment has failed to correct the problem
5. You suffer from damaged or blocked fallopian tubes and endometriosis (a condition where tissues that cover your uterus also develop outside of the womb, causing pain and bleeding)
6. You have a history of genital infections
If you’re a male, you should consider an infertility treatment if you experience the following:
1. Facing difficulty in sperm ejaculation
2. Suffering from a low sperm count including poor sperm movement or structure (sperm’s shape and size)
3. Having an undescended testicle (a genital abnormality that occurs when the testicle fails to move into its normal position in the scrotum during the first 3 months of your life)
Apart from the above mentioned points, another important factor that you and your partner must decide upon is whether or not you intend to use assisted reproductive procedures, such as ICSI (IntraCytoplasmic Semen Insertion) or in vitro fertilization (IVF) to help in conceiving. While the former sees fertilisation occurring naturally after the eggs and sperm get placed inside one of the two fallopian tubes, the latter deals with the transference of the embryo created in the laboratory into the uterus.
Even though the thought of infertility can be disappointing for you and your partner, early and timely intervention can help in easing up the process of conception and remove obstacles that might hinder your chances of having a baby.