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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Good afternoon! I have been diagnosed with unilocular right ovarian cyst measuring 4.8 cm×4.0 cm. Symptoms associated are lower abdominal pain, lower back pain at right side and at the end of the backbone, right pelvis numbness which comes and goes, nausea, indigestion, fully feeling stomach, constipation. Is the size of the cyst big or medium? Is it need surgical removal? I have pcod too. I have dysmenorrhea and menorrhagia since my menarche. Please tell me the details? Thank you!
Hlo mam, mujhe pcod problem hai Maine bhut treatment karvaya hai par theek nhi hui. Mera weight bhi gain ho rha hai. Please koi acha as treatment btaye.
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you like my article please share it with your friends and family.
Awareness is prevention!
Folic acid is the synthetic form of the vitamin B9 and more commonly known as folate. For a pregnant woman, it is extremely important to consume folic acid in adequate quantities. It has the ability to prevent any birth defect, related to brain and spinal cord. It essentially protects the neural tube, which shapes into the spine and the brain. Since neural tube defects can occur in the first few weeks of pregnancy, it is essential that a woman starts consuming folic acid right before she endeavors to conceive.
What are the benefits?
Many researchers are of the view that folic acid is a key component for safeguarding the baby from certain diseases such as cleft palate, certain heart defects and cleft lip. Apart from this, folic acid mitigates the risk of pre-eclampsia in a pregnant lady. Pre-eclampsia is a disorder related to blood pressure and affects close to 5%of all pregnant women. Folic acid also helps a would-be mother from a type of anemia. It is responsible for giving birth to DNA and increasing cell growth of the baby.
Consumption amount of folic acid:
In order to save the baby from any neural defect, it is essential that a pregnant woman consumes at least 400 micrograms of folic acid on a daily basis. Since many women conceive without planning, it is therefore suggested by experts that all women entering the childbearing age should consume folic acid. Some groups such as the National Institute of Health, US suggest that folic acid consumption for a pregnant woman should be 600 micrograms per day. If you are taking any supplements, check the label to see the folic acid quantity present in it. If a woman is consuming prenatal vitamin as prescribed by a doctor, she should not consume any folic acid from outside, since it already has a folic acid content of around 800-1000 microgram. To abstain from any side effects, it is strongly advised not to consume more than 1000 micrograms of folic acid per day..
When is extra folic acid needed?
- If you are carrying twins
- If your previous pregnancy involves a neural tube defect
- If you have a genetic condition called methylenetetrahydrofolate reductase
- If you are suffering from diabetes or consuming any anti-seizure medications
What are the sources of folic acid?
- Certain grain products such as pasta, cereals, rice and bread
- Certain food supplements available in the market
- Naturally occurring vegetables such as spinach, turnip greens, avocado, broccoli, and Brussels sprouts
- Citrus food or the juice extracted from them without adding any sugar component to it
- Certain nuts and peas
If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.