Dr. S.ranjith Pratap

Mr. Lybrate-user, according to your information he is on 100 mcg of thyroxine and now the tsh value is 129.4 is that correct? what are the symptoms he has related to hypothyroidism? because with such high tsh he may be having a lot discomfort. If the results (values) are correct, then there has to be a substantial increase in the dose.

Hi please try to reduce weight if you are overweight & slightly cut down on non veg n high protein diet.

You may have thyroid antibodies or have to continue medicine for life long .Need to increase dose to 100 and see

what is your hb1ac level ,you can start DPP4 inhibitors ,please come to private section for more details

You have a high chance if getting diabetes since you hv a family history. Keep a healthy lifestyle. Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. It can't be cured completely but you can keep it controlled by taking these precautions.

Go for regular walk. Avoid taking oily food, ghee butter, red meat, sweets. You can take homoeopathic medicine crategus q- 7 drops three times daily in little water for 1 week. Revert back after 1 week with feedback.

Hi Ajay, Avoid sea fish,animal protein,spinach,cauliflower, legumes except mong dal etc. Water 3L/day.

Mr. lybrate-user, Thanks for the query. Your blood glucose level is absolutely normal. There is no diabetes. Thanks.

Your blood sugar is still high. Follow the advice given below 1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.

Hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.

it will be better if you see a dematologist to rule out other cause of hair fall, take healthy diet rich in vitamin E

You reports are OK and you need not worry about yourself but to be on safer side you can take sweets in little amount.

Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

FEMALE ARE TEND BE LESS CAUTIOUS IN TERMS OF FITNESS. MAKE HER TO ATTAIN GOOD FITNESS LEVEL. CHANGE LIFE STYLE ,DIET AND DO WORK OUT . MAY TAKE HERBAL MEDICATIONS HER CONDITION WOULD IMPROVE A GREAT DEAL. WISH YOU GOOD HEALTH.

You may be able to control gestational diabetes by eating well and exercising regularly. This means you won't need to take medication. Sugar (glucose) is one of your body's main sources of energy. Your body uses a hormone called insulin to control the amount of sugar in your blood and to turn it into fuel. But pregnancy hormones reduce the effect of insulin, so your body has to make more to be able to use any sugar in your blood. If you have gestational diabetes, your body isn't producing enough insulin. As a result, your blood sugar levels can get very high and that can lead to problems for your baby. It's possible to keep your blood sugar levels under control by changing what you eat and combining your new healthy diet with regular exercise. In fact, up to 90 per cent of women with gestational diabetes control it this way. DIET There are two types of carbohydrate that give you energy when you eat them. They are: complex carbohydrates, or starch simple carbohydrates, or sugars Sometimes, complex carbohydrates are described as good carbs, and simple carbohydrates as bad. But this doesn't give the whole picture. Simple carbohydrates include added sugars, such as table sugar and honey, as well as natural sugars, found in fruit and milk. Eating plenty of fruit and some dairy products is a healthy thing to do. So when people call simple sugars bad carbs, they are talking about added sugars. If you have gestational diabetes and you have too many foods and drinks high in added sugars, it can upset your blood glucose control. It's not healthy for people without diabetes, either. At least half the energy in our diets should come from carbohydrate, mostly as starchy carbohydrates. Starchy carbohydrates are: bread rice pasta grains potatoes Try to have wholegrain varieties where possible. They provide extra fibre, which is important for your digestion. If you have gestational diabetes, the types of food and drink you'll be advised to have are no different from the type of healthy diet everyone should have. Your food should be high in complex carbohydrates and low in saturated fat. You should not have added sugars, although you won't have to cut them out completely. It's best if you eat fruit, milk and yoghurts as part of a mixed meal. Your body will then absorb the simple sugars in the juice or dairy food more slowly. That's because the sugars are mixed with other food elements, such as fibre and protein. AND USE LOW GLYCEMIC INDEX FOODS LIKE pasta made with durum wheat flour apples, oranges, pears, peaches beans and lentils sweetcorn porridge Eat plenty of high-fibre foods. These foods tend to have a low GI. This may help to keep your blood sugar levels from going too high after meals. High-fibre foods include: fresh fruit and vegetables wholegrain breads and cereals dried peas, beans and pulses.

Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form. Types of kidney stones Knowing the type of kidney stone helps determine the cause and may give clues on how to reduce your risk of getting more kidney stones. Types of kidney stones include: Calcium stones. Most kidney stones are calcium stones, usually in the form of calcium oxalate. Oxalate is a naturally occurring substance found in food. Some fruits and vegetables, as well as nuts and chocolate, have high oxalate levels. Your liver also produces oxalate. Dietary factors, high doses of vitamin D, intestinal bypass surgery and several metabolic disorders can increase the concentration of calcium or oxalate in urine. Calcium stones may also occur in the form of calcium phosphate. Struvite stones. Struvite stones form in response to an infection, such as a urinary tract infection. These stones can grow quickly and become quite large, sometimes with few symptoms or little warning. Uric acid stones. Uric acid stones can form in people who don't drink enough fluids or who lose too much fluid, those who eat a high-protein diet, and those who have gout. Certain genetic factors also may increase your risk of uric acid stones. Cystine stones. These stones form in people with a hereditary disorder that causes the kidneys to excrete too much of certain amino acids (cystinuria). Other stones. Other, rarer types of kidney stones also can occur.

Mr Amit, To reduce uric acid level avoid organ meat, certain fishes like anchovies, herring, sardines, mussles, scallops, touts etc. and alcohol. Avoid vegetables like cauliflower, spinach, asparagus, mushroom and peas. You can consume been and lentils. Use milk and milk products. Avoid saturated fats and exercise so that weight is maintained.

Hye. Thankyou for the query. Unless you have a medical condition that calls for a restriction, there is no reason why you should stop eating chapati. Water intake does not depend on your blood group. Water intake depends on many factors like activity level, season, food intake, disease condition if any etc. Best way to ensure good intake of water is to sip on water through the day. You can be assured that you are taking enough water when the urine you pass is colourless (unless you are taking any medication or had fruits like beetroot). Also do not wait to be dehydrated and severely thirsty to have water. Ideally at least try to have at 2-3 liters of water per day (as long as you don't have any medical condition that needs restriction). Stop alcohol and smoking. Avoid skipping meals. Do not eat excessive amounts of non vegetarian foods. Since you work night shifts and have high uric acid levels, it will help to go for a personalised diet consultation.

If the creatinine rise is due to diabetic kidney disease it is not completely reversible. She will need to alter her diabetic medicines though.

I would not agree with such short term solutions. Diabetes is a lifelong condition and it requires dietary changes that you can follow lifelong rather than just to control the sugar level temporarily. A balanced diet needs to be followed even if you are diabetic so omitting carbohydrates completely is not an answer. I suggest you get your blood workup done: fbs, plbs, hba1c.