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I am 45 year old female I have thyroid. And having thyronorm 37. 5 since years. But i am feeling very weak. Bones pain badly, loss of memory. Depression. Anxiety, weight gain. Please advice me some thing for best of health
Hi. I am suresh. 25 years old. I am suffering from hypothyroid. I am using thyroxine tablets. Recently throat infection came. Please support me.
I'm 38 yrs of age. I am suffering from uric acid l go for run in the morning and gym in the evening could you pls tell me about diet and one thing I eat oats (broken wheat) and oats should I eat or not.
If iam on insulin for high diabetic. Upto when I have to continue this. Can I have to take injection daily. Or is it possible that after controlling sugar level by insulin, I start taking oral medicine.
I am having pain in right lower abdomen, I have done health checkup from repudiated hospital in Mumbai including sonography nothing was detected, however Uric acid was somewhat high, Hence Family Physician prescribed Feburic40 for 3 month subsequent to the course the Uric Acid level was normalized. Still the Pain in Right Lower abdomen continues. Urine normal, Stool Normal.
What is best treatment to control diabetes type 2. I am patient from 7 years. What is best remedy to control or cure this. Fasting levels are 120 to 280 and are fluctuating continuous. Regds Mithlesh SHarma.
I am 37 years married male. I have infertility problem please how to cure my decease adn get children.
Do I continue giving insulin to my 85 year old mother even though the sugar has now come down from 350 to 200.
What should be the post operative diet of an old age male suffering form diabetes and high blood pressure? Please help me.
My son who is 27 years old suffering from high uric acid which he get severe joint pain on his hand and legs loves to eat hot and spicy food with lots of garlic ginger and chillies would you recommend what type of diet he should have ?
India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 percent of cases are lifestyle-induced.
Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack.
A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase in cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.
Health promotion strategies
Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [INTERNATIONAL] Diabetes Prevention Program (DPP) shows that small reductions in weight by the moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 percent among those with prediabetes.
In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.
Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high-fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.
Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus, India has a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.
Early diagnosis and prevention is the key to controlling the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.
I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?
My father is 67 years . He is having sugar. He is suffering from tooth cavities, can he extract the tooth ? We are scared because of sugar. Pls advise.
My dad has got harpies disease today .its look very reddish n scary too. He is diabetic too. We have shown to our family doc .he has given anti injection n said it will be covered in 2-3 days. Kindly suggest shd we go skin specialities or is it normal disease.
I am 28 years old female. My hair fall is increasing since one year. My scalp remains oily after washing (using dove shampoo) and scalp itching also. On the day of oiling and washing hair fall becomes 80-90. Normally it is 40-50. I am also suffering from thyroid (value-6 .)please tell me the correct advice.
My mother suffering from diabetes last 15 years and she is going to weak day by day kindly suggest a good nutrition food or supplement for her. Thanks.
Hello sir Iam taking CARBIMZOLE TABLETS IP (Neo-Mercazole 10) tablet last one year. Above mention drugs suggested to my family doctor. please Tell me its hypo or hyper thyroid. Its fully recoverable or not. What is the problem create thyroid in marriage life. It is depend or not.
I feel thirsty all the time and go for urinal frequently. I am just 30 years old, it is possible that I could be a patient of Diabetes.
With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy.
What is CGMS:
Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis.
Whom is it for?
If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes.
Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows.
Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team.
If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels. If you wish to discuss about any specific problem, you can consult a Cardiologist.