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Hello doctor I have diabetes and I fell bad and I don't know what I do please help in this situation and say what I eat and what I don't eat and what's tablet I give to medical please help me.
Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal? Or I should check up? Any advice.
I am 30 years old male having hypothyroidism since last 10 years. I was 50 kgs before that and height 5" 11. My weight increased after detection of the problem and was constant at 80 ks for several years. But since last 6 months my weight had increased to 90. What should I do. My t3, t4, and tsh are normal. But since my weight has increased, I have increased my dose of eltroxine to 100mg from previous 50 mg. What should I do to reduce my weight and advice me for managing my medication.
I am a male of 55 years of age and suffering from diabetes for the last 5 years. I am taking k glim 1 m forte morning and evening and my sugar level is around 180-200 after breakfast. For the last 2 months I am feeling a burning sensation (or as if someone is breaking my nerves) on the outer side of right knee joint. And now the same problem is occurring on outer side of left knee joint. I just want to ask whether I am going through the stage of nerve damage. What is the treatment and precautions. Please help.
My fasting sugar 132 ppbs 204 please av sugar 177 hbc 7. 8 please please taking carbophase sr 1 gm after dinner please diabetic since 7 yrs please suggest me for better control
Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.
Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.
So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.
So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.
In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.
The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.
You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.
In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.
If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.