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Platifirst 10mg Injection Health Feed

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I am type 1 diabetic for 15 years, on novo mixtard 30/70 twice a day until last month. For last two years, my hba1c is disturbed. Recently after making a regular note of the my blood glucose levels throughout the day, for two months now, my doctor switched me to novomix 30/70. Even after that, the blood glucose levels, specially after lunch, arnd 7 pm, were elevated. Please note that I took insulin at breakfast and dinner time. Then I started taking it three times a day, before each meal. Now the blood glucose levels are better after lunch, but very sporadic in the morning over the last one week. I am also having problems in controlling hypoglycemic episodes. I have had many instances, when, fot example, if my fasting blood glucose level came out to be 60, and I took 5-10 gms of glucose, it shot upto 250. I am shocked because the ada advises 15 gms of glucose in an hypoglyic event. I have observed this in general, that whatever I eat (i eat mainly low glcyemic foods), my body's glucose senstivity is so high, that my blood glucose levels shoot up enormously. I am also suffering from hypothroidism for three years now. Recently, my urine microalbuminuria levels came out to be 180 microgram/mg of creatinine (two readings, spaced out over a month). In addition to insulin, I am also taking thyronorm 75 mg soon after I wake up, glycomet 500mg before each meal, voglibose 0.2 mg after breakfst and lunch, nervz-b after brkfst, telmisartan 20 mg after breakfast and storvas 10 mg at night. Please suggest what can I do to have a tighter blood glucise control, advise if I need to make dietary changes, chanes in insulin type or any other medications.

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MBBS, DGO (cal)

General Physician•
The problem may lie in any of the three
i) the dose and type of insulin is not properly tuned or working and it is not cared by your consultant.
Ii) your diet is not properly planned and some how not matching your need or
iii) your lab is giving wrong reports. For first two you can discuss your diabetologist he is suppose to give you a logical answer acceptable to a knowledgeable person like you. You are quite an educated person and aware of your disease. Your awareness about diabe...more
Asked for male, 26 years old from Thrissur
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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
I presume it was treated with concurrent chemoradiation.
The cisplatin drug which is used for the chemotherapy is usually responsible for the hearing loss, which is usually temporary, but may be permanent in a few patients. Better to see your medical oncologist and a good ENT surgeon for the same.
Feel free to contact me directly if you want to discuss this further.
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DNB (Medicine), MBBS

General Physician•Delhi
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Hi, basically novo mix is a newer insulin analogue with a mix of 30% short acting and 70% long acting insulin. On the other hand human mixyard is a conventional insulin. The difference is in their properties and effectivity.
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MBBS, MS - Obstetrics and Gynaecology, F...read more

Gynaecologist•Kolkata
Hello,
Treatment options in recurrent cervical cancer is very limited.
The management mainly depends on the primary treatment received and the site and extent of recurrence.
In your case as the patient had already received chemoradiation, so in case of recurrence the only viable option remains is of carboplatin or cisplatin based chemotherapy. Despite treatment, the prognosis is guarded.
176 people found this helpful
Asked for female, 25 years old from Jamshedpur
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Asked for Male, 45 years old from Noida
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Kindly advise My father was diagnosed with small cell lung carcinoma in July 2017. It was in stage 3 b. He started treatment in Delhi State Cancer Institute as he preferred close to home. Chemotherapy was advised weekly. Initially he was able to keep up with weekly schedule but later the blood counts (platelets and wbc) used to be less. So he was given injections of GC and intrabolin. And had Prednisolone once a day. Then the gap of chemo increased to two to three weeks. November pet scan report showed disease under control. But in March he wasn't able to take a single chemotherapy. pet scan done in April showed disease under progression. Currently he is under pain around the pelvic area and back. Sugar is fluctuating. Kindly have a look at the reports and advise if anything can be done to increase the life span. Radiation is planned. Can radiation be given around liver and lung area along with pelvic area? Zolotronic acids drip is planned but we don't have dental clearance. Any Chemotherapy meds are advisable?

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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
Small cell cancer is an aggressive cancer. The chance of cure is there only if the disease is localised to the lung. Usually prophylactic cranial radiotherapy with concurrent chemoradiation to lung is given if it is a localised disease, with surgery reserved for very early disease.
For advanced disease chemotherapy usually cisplatin + Etoposide is given, which usually delays disease progression. If excellent response, then we could radiation to chest and prophylactic to cranium
If the di...more
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Asked for male, 36 years old from Chennai
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MB BS, MD - Psychiatry, MBA - Healthcare...read more

Psychiatrist•Davanagere
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There is usually very few to no side effects as in withdrawal symptoms from going off of clonazepam due to many reason. I hope you do not have any anxiety about thinking about it now. If it continues to haunt you, you are certainly welcome to consult us online.
Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate...more
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Asked for male, 31 years old from Mumbai
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A family member is under treatment for schizoaffective disorder since 10 yrs. Lithium carbazepine risperidone clonazepam apripazole n ativan lorazepam for wen trouble sleeping. She has developed slowness of movement almost walks like penguin n feels rigidness tightness in hips n thigh thus trouble sitting n walking. Her psychiatrist told to do tests serum lithium n carbamazepine were under normal levels Vit b12 normal Only calcium slight lower than normal n vit d3 low Ortho consultation raised query abt extrapyramidal side effects of antipsychotic medication but psychiatrist refuted it. Ortho den gave gabapentin n mecobalamin n ca+vit d improved her walking n stiffness to an extent. I wanted to ask what is the reason for her walking problem n why did she get relief from gabapentin. We were asked to follow up after 15 days. If still stiffness n walking prob to refer neuro physician coz ortho cause was ruled out. I would like to know whats going on with her cause our docs didnt clearly explain d situation? N I cant afford to change docs.

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MBBS, MD Psychiatry, DPM Psychological M...read more

Psychiatrist•Kolkata
Hi lybrate-user, I would like to say that the symptoms of slowness of movement what you have mentioned in a patient who is on Rispeidone and aripiprazole is most probably EPS (extra pyramidal Side effects) unless proved otherwise. There may be underlying or Co morbid Parkinsons disease. But in this position its difficult to diagnose as the Pt is on antipsychotic. Gabapentin has no role in decreasing antipsychotic induced slowness in movements. But its often used as a treatment of Akathesia which...more
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