Dr. Ramzan Begum

Since it is replacement therapy and need to take daily for whole life. Once thyroid is controlled then once or twice a year testing is sufficient.

A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.

If your blood sugar levels are consistently around 85 -90 mg/100 ml, then there is no need to take any medication. But I would advise you to keep checking sugar level at once every 3 months.

Dear lybrate-user, insulin deficiency and insulin ineffectiveness leads to deposition of fats in liver and hence you see sonography reports showing fatty liver in thin diabetics too. On top of this if you consume alcohol it's like adding salt to injury. Please avoid it as much as possible. Lantus is good but needs dose adjustment. You'll be surely healthy for lifetime if you follow healthy habits.

First see that you are regular with medication and was taking it empty stomach keeping 45 minutes gap between thyroxine and breakfast. If everything was correct even then Tsh increased on thyroxine 25 ug, then increase dose to 50 ug daily especially if married and planning pregnancy.

Diabetes have got a important effect on oral health. Take care of your oral health.

Mr. Lybrate-user, with 116 kg weight you have a grade 3 obesity, that is the major problem. It is possible that uncontrolled hypothyroidism may have been the reason for triggering and increasing obesity. But now your primary objective is tackle obesity. For that hypothyroidims has to be strictly controlled with tsh levels should be maintained between 3 to 4 milli units / l. Then there has to be strict dietary control to be observed and regular exercise regimen. You should aim at cutting about 8 to 10 % of present weight. It is possible, only if you are prepared mentally. Thanks.

The thyroid gland is a small gland that sits in front of the windpipe and that works with pituitary gland to know how much hormone needs to be secreted to keep you healthy. The thyroid gland takes iodine, found in many foods and iodized salt, and converts it to thyroid hormones. [1] There are two conditions that can affect the thyroid gland. One is hypothyroidism, which is when you have an underactive thyroid.[2] The second condition is hyperthyroidism, which is when you have an overactive thyroid and produce too much thyroid hormone.[3] Having a healthy thyroid is important, and treating conditions of the thyroid is important for it to return to being healthy. There are lifestyle changes and medications you can use to get and keep a healthy thyroid. 1 Eat the right vegetables and fruits. Eating fresh vegetables and fruits will help you maintain thyroid and overall health. You should also eat vegetables and fruits high in antioxidants, such bell pepper, cherries, tomatoes, blueberries, and squash.

In practical experience the glucometer results are always higher than lab report and the manufacturers of the meter say upto 20 % is admissible. It can be used for screening only and the labs also show different results. HbA1C 5 is very good.

Hello Type 1 DM is due to absolute insulin deficiency. So for them Insulin is the only thing which is required and oral medication which are available are contraindicated I am sorry to tell you that it needs to be controlled with regular insulijn doasge and regualr checkups but unfortunately it cannot be treated permanently Thanks Dr Joozer Rangwala

Hi, diabetes is a disease to b managed rather, than to b cured, completely. * go, for a brisk walk in d morning to restore blood circulation to nourish the cells & tissues. Tk, plenty of water to eliminate toxins, regulate metabolism. Go, for meditation, yoga to reduce your stress, anxiety to nourish the whole body including your pancreas to monitor, beta cells to maintain your sugar level. Go, for either of cycling, swimming, gardening, dancing, playing badminton. Maintain 1200-1600 calories, through dietary regulation. * tk, 4 marie, biscuits with a cup of tea, morning at 7.00 am. * 3 sliced bread with one cup of milk at 9.00 am. * tk, 4 nos of marie biscuits with one cup of tea at 4.00 pm. * 3 breads, small bowl of pulses, green vegetable, curds small bowl in dinner at 9.00. * finally, one cup of milk at bed time. * ensure, sound sleep for 7 hrs. In d night. * avoid, direct sweets, junk food, caffeine, smoking, dust, smoke, spicy, fried -intake. Beverage, alcohol. *. Stay fit & fine.

Diabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose ? SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner.

If you don't have control on diet get ready to face the complications of DM. Management of Diabetes: TEN COMMANDMENTS 1. Once declared diabetic management of the case depends on the mutual coordination of treating doctor and the patient. 2. Regular timely medicines 3. Diet planning with the dietician 4. Monthly visit to doctor & FBS, PPBS, & Average glucose estimations to know the prognosis 5. Brisk morning walk for 45mts for 6days/week 6. Avoid rice one time (if possible replace with low carbohydrate diet) 7. Stop all sweets 8. If you are an alcoholic stop it 9. Monitor ideal wt 10.Know how to respond to possible hypoglycaemia attack

Mr. Lybrate-user, if a person is not having diabetes, then consuming a good quantity fruits is welcome. There is no restriction. All fruits are good. But for a person with diabetes fruits like mango, banana, chikkoo and grapes are not good as they are too sweet. Other fruits like papaya, pomegranate, apple, pear, guava, orange, sweet lime and water melon are permitted. However, a daily intake of about 100 g is recommended that too with good blood sugar control. Excess fruits in diabetes are not advisable. Thanks for the question.

Nthng to wory you dnt hve any prblm only you hve to avoid stress by dng meditation n yoga thtsvit no nd to go for thyroid medication.

Uncontrolled blood sugar can result in vaginal infections and urinary tract infection. Hypothyroidism at this age is not going to cause anything gynecological problems. Follow up regularly with your physician for diabetes and hypothyroidism. No need to have routine visits with gynaecologist.

Please Tell him Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads vegetables juices and soups more, regularly Avoid white sugars only Send me blood sugar levels readings so that I can guide you precisely for medicine also.

Tsh level of 10 to 20 milli units/l is to high shows that hypothyroidism is not in control at all. To achieve good control in hypothyroidism tsh should be between 3 to 4 milli units/l. At that level all the symptoms are well controlled. Menstrual period irregularity is very typical of uncontrolled hypothyroidism. Even for conception to occur, tsh levels have to be as low as 0.1 to 2 milli units/l and later during the pregnancy too levels have to be: 1st trimester 0.1 to 2 milli units/l, 2nd trimester 0.3 to 3 milli units and 3rd 0.3 3.3 milli units/l. This means dosage of thyroxine has to be adjusted appropriately. Thanks.

Dear Madam, Your TSH is mildly increased, I don't think you got your T3 and T4 levels checked. When TSH is raised and T3 and T4 are normal then that condition is called Subclinical Hypothyroidism. Here a patient may not have any symptoms. When TSH is raised and T3 and T4 are low, then it called Overt Hypothyroidism, here patient may have symptoms like period problems, dry skin, hair loss, weight gain, low mood etc. So without knowing T3 and T4 levels it is difficult to categorise if you have Subclinical or Overt Hypothyroidism. Period problems can be of different reasons too-may be due to other hormonal imbalance. Did your gynaecologist check your FSH, LH, Estrogen, Progesterone etc? Either way whether Subclinical or overt Hypothyroidism, the treatment is the same. You will on thyroxine replacement therapy. You need to take this most probably for lifelong. Once your TSH levels come to normal range, the dose of tablet can be reduced. But do not stop the tablet without informing your doctor, it is very important for young girls to have their TSH in normal range before becoming pregnant. Even though your TSH is in normal range if you stop the tablet, in a few month the TSH will start to raise again. So it is better to be on the least possible dose. Hope this helps you Thank you.