Dr. Harmandeep K Gill

Mr. lybrate-user, If blood glucose is not well controlled then it is possible that patient may be loosing weight. So please ensure that blood glucose levels are well controlled. Ideally FBS should be closer to 100 mg, PP 150 to 160 mg & HbA1c% <7. If this is done weight loss can be controlled. So treatment has to be be properly done. Thanks.

Mr Rupesh, If your blood sugars are well controlled then there is a possibility of being able to build the muscles. Your diet should include some more proteins along with other things. So llok for some specific protein supplements with less of or nil carbs.

lybrate-user, Thanks for the query. In case of benign cyst it is better to do a ultrasonography and assess the cyst. If needed it is better to do FNAC (fine needle aspiration cytology) to rule out any serious problem. Benign cysts some times resolve on their own. But if there is sudden increase in size then needs to be properly assessed. It is usually not a serious condition. But observation is necessary. Thanks.

Your Hypothyroidism is being controlled by Extroxin medicine, hence the weight gain can't be attributed to thyroid problem. Even if thyroid effects it has only about 3-5 percent effect. You need a complete lifestyle and diet counselling. Please consult any dietician in your city and take help to resolve your weight / lifestyle problem. I am writing some general tips which you can follow for better health and lesser weight. >> Add more Fruits /Salads/Proteins to your diet. Double your water intake. One glass every hour..>> Cut down Sweets/Biscuits/ Colas/Juices from your diet..>> Cut down Puris/Parathas/Pizzas/Burgers/Fried Rice..>> Eat slowly and mindfully. Reduce portion size..>> Exercise daily - 'Intense' Cardio for 40-60 mins. This will keep you toned and trim..>> Reduce outside food. Only once a week its permitted..>> Love yourself and respect your body.

In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.

At blood sugar of 120 you need not do anything except diet and exercise. Is it acute or chronic pancreatitis.

Hi for reduced cholesterol you should take meal on time 2. Take heavy breakfast, then lunch at every day fix time, eat something light food at at evening and then have dinner at 8.00pm and sleep after 2-3 hr of dinner 3. Avoid junk food, bakery product, spicy, late night dinner and sleep 4. Do exercise at morning at least 45 min every day till you sweat 5. Take following remedies a] triphala kadha at night 30 ml b]arogya vardhini vati 1 tab before lunch and dinner.

Mr. lybrate-user, Thanks for the query. In a person with diabetes, particularly if blood glucose is not well controlled, a considerable amount gets filtered in to urine. Hence, due to osmosis more water is drawn in to bladder, increasing the urge to pass urine at midnight or some times more than 2 to 3 occasions. Only remedy for this is to achieve a strict blood glucose control, so that there is no extra glucose secreted in urine. You should maintain FBG < 100 mg, PP 150 to 170 mg & HbA1c% <6.8. Thanks.

Lybrate-user, Thanks for the query. The blood glucose levels mentioned are suggestive of pre-diabetes. A person in this state can prevent becoming diabetic or postpone it by adapting a modified lifestyle. This means to have a healthy balanced diet, avoid sweets, deep fried foods, junk foods, pastries, bakery items, foods made from maida and colas. Also refrain from alcohol and smoking. Plus exercise regularly for at least 1 hour or more. Maintain near normal weight. Increase the intake of green leafy vegetables, salads and fruits. Preferably use whole grain flour for chapati and roti. Thanks.

Dear Sir, Both your TSH and HBA1C are in Normal range, though you are very near borderline for Pre-diabetes (HbA1C between 5.7 % to 6.4% is prediabetes). I am not sure why you have been started on Thyronorm either. Was you TSH greater than 5 before? You can stop the Glycomet, but you need to decrease weight. Your BMI which is ration of weight/height square is 27.1. Your ideal BMI should be around 23. So you need to lose approximately 19 kgs. F you stop Glycomet and you do not lose weight within a couple of years you may well be in PreDiabetic range or with Overt diabetes. So my advise is stop Glycomet, eat a healthy balanced diet with plenty of vegetables/ both in salad form or a Sabji which is cooked in less oil. At least half your plate should be of vegetables. 1/4 plate should be of carbohydrate- like rice/roti/chapati/phulka etc. Include plenty of whole grain foods like millets etc. 80% of remaining 1/4 plate should be of protein-pulses-dals, eggs, non veg etc. 20% should be fats/oil. Eat 2 fruits /day. Drink semi skimmed milk 1glass/day. Take curd/buttermilk from semi skimmed milk. Can take one handful of nuts/day. Avoid high calorie food like sweets or junk food. Most important is to exercise -at least 45 min of moderate exercise per day- like cycling, brisk walking, jogging, swimming etc. Aim to lose 2 kgs weight per month. Hope this has helped you. I wish you best of luck Thank you.