Dr. G.C. Jawa

Mr Maruti, To control diabetes mellitus and high BP one is you need to take appropriate medication, plus balanced and restricted diet that provides exact calories based on ideal body weight, sugar levels and extent of daily exercise. Plus exercise daily for at least 1 hour. For controlling BP you have to reduce salt intake and deep fried foods. If you are looking for specific guide lines then please come in a private conversation with details like fasting and PP sugar levels, HbA1c%, BP reading, dietary pattern and amount of exercise done daily. There I will be able to give specific suggestions.

Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned what medications he is taking and what is his present blood sugar level and if sugar is under control then nothing to be worried at all so please check his fasting blood sugar now and send report. Do follow lifestyle modifications like this- 1) Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. 2) Get more physical activity. Aim for 30 minutes of moderate physical activity a day. Take a brisk daily walk. If you can't fit in a long workout, break it up into smaller sessions spread throughout the day. 3) Lose excess weights. If you're overweight, losing even 7 percent of your body weight can reduce the risk of diabetes. To keep your weight in a healthy range, focus on permanent changes to your eating and exercise habits. Hope that helps.

Dear lybrate user homoeopathic medicines are curative for your condition ,hormonal supplements cant cure and may lead to side effects too

You have to mention your weight and get the thyroid in good control and eat high calorie diet and take care not to be obese

It is quite simple. Take your thyroid medicine immediately upon awakening and don't take anything orally for at least half an hour after this. So if you are working night shift and wake up at 4 pm, then you should take Eltroxin at 4 pm. If your shift changes then you need to change the timing of thyroid meds accordingly. In case your shifts change frequently then I am afraid your body will have to bear the brunt of this stress. You will have to make a major effort to maintain your health.

There is nothing to going to happen unless & until there is ulcer in mouth & opposite partner is suffering fromHIV

Diabetes diet for Indians should have the ratio of 60:20:20 for carbs, fats and proteins. "Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively." He adds that a diabetes diet should "have at least two seasonal fruits and three vegetables in a diet plan." Though dry fruits may seem like a healthy snack, it is not a good option for diabetics, as the fructose can spike your sugar level. Go for fresh fruits rather than dry fruits for diabetes control (but there are some restrictions... we'll come to it). But you can still opt for nuts as a healthy snack. Recipe for diabetes diet for Indians: - One teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes. - Drink tomato juice with salt and pepper every morning on an empty stomach. - Intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes. Whole grains, oats, channa atta, millets and other high fibre foods should be included in the meals. If one feels like consuming pasta or noodles, it should always be accompanied with vegetable/sprouts. Milk is the right combination of carbohydrates and proteins and helps control blood sugar levels. Two servings of milk in a daily diet is a good option. High fibre vegetables such as peas, beans, broccoli and spinach /leafy vegetables should be included in one's diet. Also, pulses with husk and sprouts are a healthy option and should be part of the diet. Pulses are important in the diet as their effect on blood glucose is less than that of most other carbohydrate containing foods. Vegetables rich in fibre help lowering down the blood sugar levels and thus are healthy. Good fats such as Omega-3 and monounsaturated fats (MUFA) should be consumed as they are good for the body. Natural sources for these are canola oil, flax seed oil, fatty fish and nuts. These are also low in cholesterol and are trans fat free. Fruits high in fibre such as papaya, apple, orange, pear and guava should be consumed. Mangoes, bananas, and grapes contain high sugar; therefore these fruits should be consumed lesser than the others. Small frequent meals: A large meal gives rise to higher blood sugar in one's body, therefore it is essential to take small frequent meals to prevent both higher and very low blood sugar values and keep them constant. Small in between snacks can be dhokla, fruit, high fibre cookies, butter milk, yogurt, upma/poha with vegetables etc. A person with diabetes should follow a diet which is low in carbohydrates, high in fibre and contains adequate amounts of proteins, vitamins and minerals; and avoid fatty foods and sweets. He/she should also take frequent small meals (5 meals pattern). What not to do: Artificial sweeteners can be used in cakes and sweets for diabetic people (in moderation). Have lots of fluid. Limit intake of alcohol. Should you have non-veg? In non-vegetarian diet, seafood and chicken can be taken rather than red meat as red meat contains higher amount of saturated fats. Also, patients with high cholesterol should avoid egg yolk and red meat. The diabetes diet for Indians includes carbohydrates, proteins and fats. As always, a balanced and planned diet can build and improve personal health. A controlled diabetes diet may seem like a drag and bore, but a good cook can add life to a diet. Time to call up mom and experiment with diabetes diets!

Hello, professor, first thing is try reduce weight by at least 5 to 8%. Your ideal body weight should be (177.5 - 100 = 77.5 x 0.9= about 70 ks). Reduction in weight itself will correct raised blood glucose level. So please exercise daily (brisk walking for 1 hour a day), take restricted diet, giving calories based on ideal body weight, extent of daily exercise. If you are not on treatment for diabetes then with the levels shown it looks like a pre - diabetes situation, which can be brought under control by adapting above mentioned methods. Thanks.

Two type hypothyroidism which causes weight gain with lethargy and hyperthyroidism which causes weight loss and heat intolerance.