Dr. G.C. Jawa

Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.

Tell me her recent Blood sugar level How any unit and type of insulin she is taking Get her HBA1C test done and review with report Does she has Any sensation problem also in legs? Leg pain may be due to blood sugar or may be due to other cause like calcium and vitamin def/B12/ protein def etc we need to do her complete evaluation Consult Diabetologist for further management

Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.

You might be having an early manifestation of neuropathy. Better get an s. Hba1c and consult a diabetologist.

Upto 6 it's normal-on diabetic Above 6-8 - diabetic- but in good condition 8-10-bad control. Seek expert advice.

Dear lybrate-user, The Blood sugar levels of your wife seemed to have increased quite fast, she needs to control her diet first and foremost. She needs to stop eating sugar, swets, honey or gud in any form also should stop fruits for the time being, she needs to do exercises atleast for 2 hrs in a day. One hour in the morning and one hour in the evening. The exercises should include a walk of around 5 KM. She should also reduce rice, potato and bread from her diet. Please consult me privately for prescribing medicines.

Mr. lybrate-user, Hypothyroidism is a deficiency disorder, where thyroid gland produces less or nil thyroxine. Thyroxine is an essential hormone required for day to day functioning and development of brain, plus involved in a variety of vital metabolic reactions in the body hence required every moment in the body. Therefore, it has to be supplemented every day for the lifetime. So treatment will be for whole life. Thanks.

Brisk walking for 45 minutes daily frequent small meals. For medicine prescription you need to provide detail information.

take medicines regularly 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.

Gastric upset (probably hyperacidity or mild gastritis) following earlier treatment, should be settling down in a few days. The unease can be corrected by taking small meals more frequently. Plus avoiding remaining hungry or on empty stomach for long time. Avoiding excess tea or coffee also alcohol and aerated sweetened drinks like colas. Keep away from bakery items and pastries. It is better to exercise daily for over 1 hour, even brisk walk itself is fine, certain yogasanas also help. If symptoms are persistent, then it is better to consult your doctor or come back here. Using PPI to reduce excess acid is beneficial. Thanks.