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I am 65 years old. I am a diabetic type 2 with high blood pressure since last 20 years. I take glycomet gp2 forte one in morning and glycomet gp 1 forte in night. I take tazlok am tablet once in a day. Fasting sugar is 114 and pp is 176. I am also sufferin from joint pain with arthiritis since last 10-15 years. Doctors only prescribe pain killers with different names. When I take pain killer tablet get some relief but when left pain killer again pain starts in joints specially in back and upper part of abdomen. I consulted cardiologist. Doctor says it is due to arthiritis. Please advice me to what medicine I should take so that I may get relief from pain
I am 58 yrs old male. I have suffering from uric acid 8 What medicine can I take to reduce the uric acid level and also tell the diet.
I' m a diabetic woman. I gain diabetes during pregnancy. My fasting sugar does not controlled I eat glycomet 500 Sr twice a day. My random sugar is ok. What can I do to control my fasting sugar?
Hello. I’m Dr Rajiva Gupta. I’m a senior consultant in internal medicine at Ashok Vihar and Fortis Hospital, Shalimar Park. My special areas of interest are diabetes and care of the elderly.
Now talking about care for the elderly, the branch of medicine that deals with the care of the elders is called Geriatrics anthology. The elderly patients present peculiar problems. They present not just discreet conditions, but with discreet syndromes. A syndrome is a constellation of symptoms and signs. In common, they are called the geriatric syndromes. The common geriatric syndromes are false, impaired cognition, deficiencies in a hearing, difficulty in vision, delirium. These syndromes are important because we have to investigate several different causes. For example, if the patient falls, it is not necessary that he may be having weakness in his legs. It is highly possible that the patient will be suffering from an acute infection or from some electrolyte imbalance or from CVA or cardiovascular problem. The patient is having disorientation, he is not oriented, he may have necessarily, he may be having, that he is having infection of the brain, he could as well be having electrolyte imbalance or any infection or a cardio-vascular problem. It means that the syndromes present, similar syndromes present with different types of illness in the elderly. The reason is that the physiological reserves of the elderly are just on the borderline and any acute insult that results in these syndromes. The approach to geriatric patients is slightly different from the way we approach people of other age.
So there are two components, one is the Curative component and another is comfort, or the palliative. That depends much on the functional ability of the patient. So if you have got an elderly person, above 80 years, he does regular exercise, enjoys his life, goes out for walks, the treatment of any condition in such a patient would be on the lines the management is done for a younger or a middle aged patient. Whereas, on the other end, if the patient is 70 years or 75 years, and he suffers from a problem, he is immobile, confined to bed, he is not able to take care of his own daily needs. For such patient, the aim would be to have a comfort care. So, the treatment of the elderly has to be individualized and surprisingly, there are not many guidelines which are available for treatment of elderly in different, for different medical conditions. SO the treatment for each individual has to be individualized, considering his individual circumstances. For example, if we take a very common problem like sugar, and we call that, there is a parameter called the Glycosylated hemoglobin, so we say that glycosylated hemoglobin for a normal should be less than 7% or less than 6.5 %. Bit for the elderly, because they may be having other illnesses, they may be having kidney disease or may be living alone in the house, they may not be able to take care, so in such patients, we will not go in for a very strict control, we’ll go in for a modest control, where the range may be say, around 8 or 8.5.
As physicians, we need to be aware that the number of elderly people is increasing, we need to be aware about their special needs, we have to give time once they come to our clinic and we have to define their problems and treat them accordingly.
I will be most willing and happy to answer to any questions, which can be approached through the lybrate website or they can seek consultation by telephone or physical consultation.
Hello Sir/madam I am suffering from diabetes since 9 years, I take insulin from the beginning. I just married last month My questions is -agar mere baby hota hai, to kya uska v diabetes ho sakta hai? Please tell me how much chances?
I have problems in my legs knee joints in blood investigations say uric acid level is more 9.10 its paining lot give any solutions or suggestions.
What is the symptoms of sugar. B'coz I am feeling giddiness vomiting from last few months. please help me out.
I am a 24 yr old woman and I have hypothyroidism from 5th class and it is hereditary, my grandfather my dad and dad's brother have it. My grandfather also has vitiligo but not very prominent and my dad has it all over his body. Are there any chances that I can get it?
Is the person suffering from Hypothyroid or Hyperthyroidism at high risk of developing diabetes please clarify?
Diabetes is a metabolic disorder which is characterized by high blood sugar levels in the body. This occurs when the glucose in the body is not converted into energy due to the impaired functioning of insulin in the body. Insulin is a hormone in the body produced by the pancreas which processes sugar in the body. Impaired functioning of the insulin leads to a rise in blood sugar levels, thus leading to diabetes.
The symptoms of diabetes differ from person to person, depending on how high one’s blood sugar levels are. Diabetes exhibits various symptoms such as frequent urges to urinate, extreme hunger, rapid weight loss and irritability. Fatigue, blurred-vision and increased thirst are some other common symptoms as well. Diabetes also slows down the healing process of any sore or injury in the body.
The cause of diabetes is linked to improper functioning of insulin. There are four types of diabetes and each comes with its own set of causes:
Type 1 Diabetes-
In Type 1 diabetes, the immune system of the body starts to attack the healthy pancreatic cells which produce insulin. This reduces the insulin production in the body, causing a rise in the blood sugar levels.
Type 2 Diabetes and Pre-diabetes-
The causes for Pre-diabetes and Type 2 diabetes are very similar. In both the cases, the body starts becoming resistant to insulin, and the normal production of insulin cannot make up for this. This leads to accumulation of sugar in the blood, leading to diabetes.
During pregnancy, a woman’s body produces hormones which play a major role in sustaining the pregnancy to a full term. However, these hormones tend to affect the functioning of insulin, leading to a rise in blood sugar.
Ayurvedic Treatment For Balancing Blood Sugar Level-
Ayurvedic treatments to regulate blood sugar aim to get your blood sugar levels under control and improve your overall health. As they are made from natural ingredients, these remedies do not have any side-effects unlike conventional treatments. The Ayurvedic remedies are:
Diet: Maintaining a healthy diet is very important to get blood sugar under control. Avoid eating simple sugars as they spike blood sugar levels; instead of opting for fiber and complex carbohydrates such as whole grains and vegetables.
Exercise: Regular exercise helps in keeping blood sugar in check, as it burns calories. You can opt for cardiovascular or weight training to burn calories and keep your metabolic rate elevated. A high metabolic rate means good amount of calories burned by the body at rest.
- Herbs: There are certain herbs that you can consume (in different forms) to control diabetes. Herbs such as ‘neem’ and ‘fenugreek’ (methi) seeds, if incorporated in the daily diet in prescribed dosages, can be beneficial in getting your blood sugar in check. Turmeric is another herb which has anti-inflammatory properties that can treat this condition by reducing body resistance to insulin and increasing insulin production by the pancreas. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.