Dr. Thrivikram. S

Mr. lybrate-user, It is difficult to understand what exactly is the problem with your feet. Are you talking about problem related to diabetic neuropathy or pain due to conditions like plantar fasciaitis? Creams are hardly beneficial in such problems. Strict blood glucose control is a primary need. Plus regarding the body weight at your age ideal body weight has to be about 72 kgs. This can be gained by strict glucose control and then taking additional proteins and doing regular exercise. Thanks.

First follow strict diet including timely food intact with recommended quantity and quality. Along with present medications he may need to take some days insulin mixtard30/70 twice daily according to blood sugars, which is to be checked before breakfast and after breakfast and also before dinner and 2 hours after dinner, accordingly you can increase or decrease the dosage of insulin till to get near normal ranges. This way of follow up may improve, along with possible physical activity and meditations. All the best for speedy recovery.

Mr. lybrate-user, Thanks for the query. First and foremost is to achieve a strict blood glucose control with FBG <100 mg, PP 150 to 160 mg & HbA1c% <6.8. When that is achieved, with proper diet and exercise you can build a good physique, plus remain quite fit. That will help in postponing the long term complications of diabetes or prevent them. As regards the diet chart or diet required has to be based on your weigh (ideal weight), present dietary habits and the need for either weight reduction or blood glucose control. Hence I need to know all the details before I can decide on a diet chart for you. It is better if you come in a private conversation with all the above details, then I will be able to give every requirement in detail. Thanks.

If you're under treatment of any specialist please consult him other wise you may call us with your details.

A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips blog on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.

there is three main steps to control blood sugar. 1 medicines 2 diet 3 yoga. in your case you have to start doing yoga and follow diabetic diet. diet and yoga play major role to control blood sugar level.there are some specific asana to control diabetes.more detail consult me privately.

Hello, you can take upma, poha, sprouts, oats with skim milk, fruit salad ,raw fruits like Apple, Orange, papaya, pomegranates, guava, pears. Avoid these fruits like custard Apple, banana, mango, grapes. You can intake limited value of rice and potatoe (only twice a week).

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. Kindly mention his fasting blood sugar levels too and revert.

IGA nephropathy also known as Burger's nephropthy is caused by immunoglobin A induced glomerulonephritis. Diabetic patients are prone to diabetic Nephropathy. Kidney biopsy is needed for exact diagnosis of the cause and type of nephropathy. Hence please get it done and follow advise of Nephrologist.

Mr Bisma, For a person with diabetes a balanced diet is to be given, which should provide exact calories based on his ideal body weight (IBW), blood sugar levels and extent of physical activity. He should avoid sweets, direct sugar and jaggery, deep fried foods, junk foods and pastries. Also should refrain from alcohol and smoking.