Dr. Upendra Mishra

Mr. lybrate-user, Thanks for the query. It is very difficult rather impossible to predict life expectancy of any body, including a totally healthy person. It is generally said with diagnosis of diabetes about 10 years of life are reduced. But if one takes excellent care and maintains near normal blood glucose levels then one might expect almost normal life expectancy. However, with diabetes is good control also some of the organs do get damaged, which is not noticeable. So no one can predict. Thanks.

Usually there isno cure for hypothyroid but can be controlled with thyroid hormone supplement taken indefinitely monotoring TSH.

lybrate-user, When a patient is on regular treatment with adequate dose of thyroxine, to achieve good control TSH should be maintained between 3 o mU/L. Then only all the symptoms are in check. But treatment has to continue for lifetime. There is no cure. Thanks.

Hello, Thanks for the query. Since there is no mention of actual TSH level, it is difficult to comment. Because what you consider "normal' is not clear. Ideally TSH should be maintained around 3 to 4 mU/L for being free from all the symptoms of hypothyroidism. Thanks.

Hi sir. I suggest you to get HbA1c level of the blood There after we will suggest you some medicine.

Lybrate-user you did not mention the level of sugar and other parameters but any way you can try merc sol 30 3 times a day for a week.

Hi  First: medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months You can share your reports on Lybrate. I can help you better Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest

IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

Mr Ankur, A person with diabetes mellitus should follow a modified life style - like 1) Exercise regularly for 1 hour, brisk walking is ideal, 2) Avoid sweets, deep fried foods, junk foods, aerated sugary drinks, pastries and alcohol and smoking. 3) Take small meals at a time and have 4 to 5 times in a day, (toatl quantity should not be increased) 4) Consume more green leafy vegetables and salads and permitted fruits (100 g 'day)

Mr. Lybrate-user, before I can talk about your diet and daily work out, it appears your blood sugar is totally out of control. If that is not controlled then diet and exercise are not going to help. First is drug treatment has to be improved, so tha fasting is around 100 mg, pp 150 to 160 mg and hba1c% <7. Then only rest of the things to be looked at. So please see that your sugar levels are brought under control. Otherwise you are inviting long term complications of diabetes.