Dr. S.Ranjith Pratap

Mr Surendra, You are on the right treatment, Hypothyroidism can only be controlled by thyroxine treatment. What are the latest or current TSH levels? Are your symptoms in control? If not then there may be a need to increase the dosage of thyroxine tablets. I am sure you are aware that this is a life long therapy.

lybrate-user, I have gone through the query and understand your concern. However, the claims made by some of the so called therapies that by taking those diabetes can be cured is is not true. This is a condition due either deficiency of insulin or due to resistance to the action of insulin. So only option or treatment is to either provide insulin, or increase its secretion or reduce the resistance to its action. Based on these premises modern treatment treats diabetes effectively. According to me the treatment mentioned has no possibility of reducing blood glucose leave alone curing it. Thanks.

You need to treat your thyroid. Homeopathy helps to cure it. Avoid cabbage soyabeans broccoli. Brisk walk 45 min or aerobics would be good.

Holistic approach In Management of Diabetes are as follows Self-management education Nutrition Physical activity Smoking cessation Psychosocial care Therapeutic targets There are many class of Antidiabetic medicines are available Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT consult Diabetologist for further management

Hello, It is difficult give the dosage based on the information given. If you are on Glargine 40 units at night, then oral antidiabetes drugs plus another combination like Wosulin 30/70 (it is 30 /70 not 30/50), it is a bit odd. Because you are already on a long acting compound. So ideally there should be a short acting one to check post breakfast and post lunch surge. Another aspect the mentioned glucose levels are not too high, therefore Glargine and oral drugs should be enough to give a better control Ideally fasting target should be closer to 100 mg & PP 150 to 160 mg. Plus HbA1c% <6.8. Thanks.

Life style modification and walk for 150 minutes a week or other mild exercise will be of great help.

Hello, the thyroid hormone levels mentioned show, everything is normal. There is no problem based on these results. Thanks.

Hello high sugar level may damage eye. Diabetes cause diabetic retinopathy. It damages retina which is very important part of eye. Kindly consult local ophthalmologist and get retina examined.

You are normal. Do not worry. If you have any specific problem please mention that. If need be then get an Insulin assay done to see if you have excess Insulin. Otherwise, to me there is absolutely no issue. Thanks.

Any rice can be taken. Brown rice is considered good due to its natural state ( un-polished ). It can be taken everyday. Only avoid processed and packaged food items. It is important to understand the concept of a balanced diet and have wholesome food and seasonal vegetables and fruits. It is based on the calorie count of each food item and the total calorie requirement for each individual. A dietician can help you in this regard ( after taking into consideration the activity level and health status ). If you are fit and healthy then badminton can be a great exercise. Please go for regular health check up and follow up properly.

You can control your blood sugar levels in normal acceptable range with diet control, regular exercise and medicines you will be able to lead almost normal life. Take help of local physician.

You should take very small quantities of carbohydrates and more proteins in your diet no sugar in any form eat more fresh vegetables and fruits salads and soups cut down on excessive consumption of tea and coffee no areated and alcohol drinks and take a handful of nuts everyday plus it is very important to exercise for atleast one hour in a day in the form of brisk walking or some other exercises.

Hypothyroidism is not at all dangerous and can easily be controlled. If thyroid harmone levels are maintained you should not have any problems.

She should take her medicine regularly empty stomach and check tsh every three monthly initially to adjust doses.

Hi, Type-2 Diabetes is a lifestyle related problem, so making a few lifestyle changes can lower the chances of developing type 2 diabetes. -Excess weight is the single most important cause of type 2 diabetes, so control or reduce your weight if you are overweight! -Avoid sedentary lifestyle and start get moving. Brisk walking for a half hour every day reduces the risk of developing type 2 diabetes. -Modify your diet: *Choose whole grains and whole grain products over highly processed carbohydrates. The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. *Avoid sugary beverages which have a high glycemic load, and drinking more of this sugary stuff is associated with increased risk of diabetes. *Choose good fats instead of bad fats. Good fats found in liquid vegetable oils, nuts, and seeds. Trans fats or bad fats are found in many margarines, packaged baked goods, fried foods, fast or junk foods. *Limit intake of red meat and processed meats. Nuts, seeds, beans, tofu, or poultry are much more healthful protein choices. -Quit smoking. -Moderate alcohol consumption decreases the risk of type 2 diabetes. -Avoid taking unnecessary stress or tension! And keep an optimistic attitude in life! Medication: Take homoeopathic SBL’s Diaboherb medicine/ 3 times a day daily. Home Remedies: Dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of Indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day.

The best treatment of gout consists of restoring the balance of vata (air element) and detoxifying the blood. High protein diet should be avoided in cases of increased uric acid. Take maha rasnadi kwath 2-2 tsf twice a day. Take maha yograj guggul 1-1 twice a day. Kaishor guggulguggul and chandraprabha vati 1-1 twice a day. Avoid junk food. Fermented food. Spicy food. Tea. Coffee. Do pranayama early morning. Avoid alcohol consumption.

Hello, Your fasting sugar is higher than desired level, have you done HbA1c level in last 3 months if not so please do this report and revert back, as you need some modification and adjustment of the dosage depending on the report Thanks

tsh is 8.15 means you have hypothyroidism. take tab. thyronorm 100 mcg before meal in morning. and Take diet in hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and control weight also. welcome.

Mr. Lybrate-user, hashimoto's disease (ht), is an autoimmune disease where there are antibodies prepared against thyroxine secreting cells, this leads to deficiency of thyroxine hormone and hypothyroidism. There is lymphocytic infiltration of thyroid gland, it becomes firm and lobulated. There are anti bodies against thyroid peroxidase enzyme (anti tpo ab). One of the causes for ht is said to be excess iodine intake through iodinated salt. Most of the patients with ht are likely to have other autoimmune diseases like t1 dm, rheumatoid arthritis etc. Treatment is with thyroxine tablets, iodine has no role in this disease.

You can definitely take badam, walnuts and figs (anjeer) but in moderate quantity. Like 5 - 8 badams, about 25 g of walnuts and 2- 3 pieces of dry anjeer. But what is most important is to have a very good control of sugar levels. If you inform me the fasting, pp sugar levels, hba1c and weight, height and level of exercise daily plus medication being taken I can guide better.