Dr. K. Srinivasan

You can use a patch called as fentanyl patch which acts for 3 days. This is an opoid pain reliever and is not harming the kidney like other pain meds in long term.

dear shashank, Hashimotos Thyroiditis and subsequent Hypothyroidism is a common endocrine disorder . This is an auto immune condition. This means that your body's immune system attacks your own thyroid cells and might eventually destroy the cells. There are many causes which can precipitate this attack like a viral attack, trauma, post partum period, +ve family history, selenium deficiency etc. The treatment of hypothyroidism is thyroid hormone replacement The treatment of Hashimoto's disease without hypothyroidism is only symptomatic. Once your TSH goes above 5 miu/ ml we need to start on treatment please revert back with your thyroid profile

Once you conceive you can stop glycomet and till than exercise regularly till you have sweating and at any point of time you have giddines than get your sugar checked at that time and concentrate on weight reduction and continuation of glycomet depends on how much insulin resistance you have and how much obese you are.

basant kusumakar ras 125 mg twice a day gudmar avleh 10 gm twice a day relief in 3-4 days and for complete cure take it for 60 days only avoid spicy and oily food.

Mr. Lybrate-user, in persons with diabetes fruits to be avoided are - mangoes, bananas, chikkoos & grapes. Fruits like papaya, guava, apple, orange, sweet lime, pomegranate, water melon, other melons & pear can be eaten. Only about 100 g a day, that too with excellent sugar control. Thanks for the question.

Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body.
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

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There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.

Since it is high, it is recommended that he visit a doctor for proper evaluation (physical examination is also important) and some more tests so that one can assess his sugar levels. Let the doctor guide you with the treatment. With proper knowledge, it is easier to manage diabetes. Please read as much about Diabetes and know what are the basic precautions that can be taken. Lifestyle changes should be taken seriously. Adapt the healthy habits with patience and practice them with consistency to stay normal and enjoy life. He can also learn Yoga which is holistic way of living. Please note that regular follow up with the doctor even if there are no complaints will ensure good sugar control.

hello ,take flax seeds early morning empty stomach for control diabetic.do walk daily.take high fiber diet.take plenty of fluids.don't skip your breakfast and meals.take one fruit daily.