Dr. Sumanbabu

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,h 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

Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead. DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour

Hello, tamoxifen eventhough well tolerated, can cause many side effects. One of those is difficulty in getting sleep. So it is possible that her sleep disturbance is due that drug. One way to over come this is to exercise regularly for about an hour, brisk walking can be a good option. Because of regular exercise body will need better rest and sleep may be induced faster. She should also learn ways to relax through positive suggestions which can also help in inducing sleep. Soothing music like classical (hindustani) santur or basuri can also help. Thanks.

Ask your local doctor. He may advise you to reduce the dosages. But I feel you BP has not come down enough to warrant a reduction in dosages. If you can reduce your weight to about 59 kgs that may be the time you can think of reducing medication. But do so only after your Doctor agrees to it.

YMPTOMS OF DIABETES: Individuals can experience different signs and symptoms of diabetes, and sometimes there may be no signs. Some of the signs commonly experienced include: Frequent urination,Excessive thirst Increased hunger-even though you are eating Weight loss - even though you are eating more Tiredness/ Extreme fatigue/Lack of interest and concentration A tingling sensation or numbness or persistent pain in the hands or feet Blurred vision Frequent infections/Slow-healing wounds Vomiting and stomach pain

You should visit your doctor as soon as possible, he will advise you about the dose, please don't do self medication.

If you are starting for first time then start with 50 microgram a day if already taking then increase the doses by 50 microgram a day.

Rapid Slim contains the naturally occurring ingredient, hydroxycitcric acid, which boosts weight loss by blocking excess body fat production while increasing resting metabolism by more than 130%. This combination makes the body go from a fat-gain to fat-loss state while resting. Rapid Slim with apple cider vinegar has been clinically proven to: Increase Resting Metabolism More Than 130% Flush Out Harmful Toxins Boosts Energy Levels and Increase Mood Block Excess Fat Production CONSULT NEAREST HOMEOPATHIC DOCTOR OR ELSE USE PHYTOLUCCABERRY TABS AND FUCUS VERSICOLIS MOTHER TINCTURE WHICH ARE BELONGING TO HOMEOPATHY.

HI, Take Syzigium jambolanum 1X(Dr Wilmar Shawbe,german) 2 tabs to be taken thrice a day for 30 days Reduce intake of rice,spicy food,fried food.Take short meals .Take regular walk and exercise Revert back for further treatment

If TSH is 8.10 mU/L and there is significant weight gain, then it is better to start treatment with thyroxine tablets. It is necessary to bring down TSH value to 3 to 4 mU/L, then only all the symptoms are in check. Plus efforts to control weight will also be fruitful only when TSH is as mentioned above. Thanks.