Dr. Sumanbabu

This need to be evaluated. It appears you had some boil which has probably led to localised cellulitis. And cellulitis is basically infection which requires antibiotics. So show a physician for this.

You need to control your sugar preferably with insulin and need antibiotic and antifungal. Your quality of life shall improve with insulin definitely.

Your wife's tsh is 2.3 is normal in range. So need reduced dosage of medicines. Take tab. Thyrox 12.5 mcg before meal in morning. Also cap. Hormones balance twice a day before meal for 100 days. Hypothyroidism can control with diet and medicines. Pl. Eat iodized rich foods i. E. Sea foods/ salt water fish/sushi/ nori rolls/celtic sea salt. Selenium rish foods i. E. Meat /chicken/ salmon/ whole unrefined grains/ brazil nuts / dairy products / garlic / onion / avoid foods i. E. Turnip/ kale/ cassava/ peanuts/ cauliflower/ rutabagas/ coffee/ spinach / soyabean products/ foods with gluten/ mustard green/ mustard / and take medicines with consult endocrinologist on time to time.

You can take 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. 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 oily foods,junk foods, go for walk. Tests every 3 to 6 months.

You can take advise of endocrinologist. Only hypothyroidism per se is not responsible for your sub fertility.

Yes, you must follow diabetic diet and exercise daily for at least 30 minutes. Repeat your fasting and pp blood sugar levels and lipid profile after 3 months and let me know the results.

Mr. lybrate-user Singh, Thanks for the query. I have gone through the details posted. However, there is no mention of actual values like fasting, Pp blood glucose levels, HbA1c%, T3, T4 and TSH levels, no details of medicines being taken with dosage, dietary pattern and extent of daily exercise being done. My suggestion is please come in a private conversation with all the above mentioned details, plus BP reading, current TSH level and lipid profile, then I will be able to assess properly and advise you appropriately including any new medication if needed. In this communication we are supposed to give only general guidelines. Even to suggest any of those your information is very general. Therefore, I await the specifics and then will be able to help. Thanks.

You are definitely diabetic and it may not any symptoms initially. You need treatment .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. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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 diabetes, hypertension (high BP) and many long-term illness 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. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.

Mr. Lybrate-user, hashimoto's thyroiditis (ht), is an autoimmune disease, where our own immune cells produce antibodies against thyroid secreting cells destroying the the hormone secreting cells leading to hypothyroidism. There are antibodies seen against thyroid peroxidase enzyme. (anti tpo abs). Plus there is infiltration of lymphocytes in thyroid cells, making the gland firm and globulated. One of the causes for ht is supposed to be excess iodine intake due to iodinated salt. Treatment is to supplement thyroxine hormone regularly. This is the main cause of thyroid deficiency in usa. Iodine has no role in the treatment of ht.

Lybrate-user, for treatment of diabetes best is insulin as the disease occurs due to either its deficiency or resistance to its action. However, choice of treatment depends on individual patients need and type of diabetes. T1 dm can only be treated by insulin injections there is no other treatment. T2 dm can be treated by either oral anti diabetes drugs alone or along with insulin. This will depend upon severity and response of the patient. Along with drug treatment regular exercise and diet control are equally important.

Diet high in protein (20% of kcals) for the health of diabetics because it supplies the essential amino acids needed for tissue repair. Pulsese are rich in protein and fibre. Take lukewarm water with half spoon methidana powder in the morning. Complex carbohydrates and fibre should be included in diet. You should avoid fasting and feasting. Junk food should be avoided. Timely and balanced diet is as important as regular medicine intake to control diabetes. Use sufficient amount of ginger, onion, garlic, coriander, lemon, greenchilli, black paper, fenugreek seeds, cinnamon, bay leaves in food items. Except fruit juice you should eat complete fruit because it contain fibers which is good for a diabetes patient.

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

I think you need to take fasting and pp readings on three different days with a gap of 3 days each for a clear meaningful data.

Dear, Thanks for sending across your query. I will suggest you to check your fasting n PP and HbA1C on routine basis first. Your Haemoglobin level is slight less than normal, for that take sprouts, roasted black chana, fruits like aloo bukhara, kiwi and jamun, whole grain cereals, green leafy veggies, whole pulses in your diet. Do your workout daily. For more queries you can visit our private questions. Thanks.

Hi, normal range of tsh is said to be 0.6 to 6 milli units /ml. However, in pregnancy it is advised that tsh levels should be maintained between! st trimester 0.1 - 2.5 milli units. 2nd trimester 0.2 -3 and 3rd trimester 0.3 - 3 milli units. If tsh levels anytime during pregnancy go over 2.5 milli units/ml, t4 levels should be checked to see if hypothyroidism is subclinical or overt. If t4 level is low, diagnosis is overt hypothyroidism which can impair infant's neurocognitive development. There are also risks of premature birth, low birth weight and miscarriage. So in the first trimester you should maintain tsh level closer to 2 milli units. So proportionate increase in thyroxine is needed.

If your tsh is increased are having hypothyroidism you need to focus on symptoms as well weightgain n fatiguness is more common symtoms you need to go to endocrinologist for proper checkup n medicinal intake thyroxine is v v imp here.

I am a registered dietitian and doctor who will help you in losing your weight. Let me know your food intake details. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to weight loss on some diets can be dramatic in the short term, but there's more of a chance of rebound weight gain. Set yourself a realistic target and aim to lose between (0.5-1.0kg) a week I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. Don't fall for self dieting or fad diets availiable online they have harmful effects in the long run, if you lose a lot of weight very quickly, you may not lose as much fat as you would with a more modest rate of weight loss. Instead, you might lose water weight or even lean muscle tissue, since it's hard to burn that many fat calories in a short period. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight loss, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.

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, a handful of walnut daily (akhrot) 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, you should go for brisk walk in the morning and evening. Do regular exercise atleast 15 minutes. Take lukewarm water with lemon in the morning. Include more fruits, sprouts and vegetables in your diet. Drink more water in a day. Take salad before meals. Don't take rice at night. Avoid junk food and oily food. Avoid soya products and spinch, capsicum, cabbage. Take small and frequent meals.