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I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?
I am 28 years old married woman. Recently according to the reports I am having pcod & thyroid problem. And also I am having severe hair fall! what should I do? please help.
Me and my gf had sex unprotected and due to that she had taken ipill. After that we again had sex but after 5- 8 day and she again had taken ipill so she had take it twice a month. Then she started having her periods which was unusual as she had already had her period for that month and also having itching during the periods and now she had started having pain in her thigh and a little swelling and she smoke also. I am really worried so please help me.
I am taking taking olkem20h tablet for no since from 2014 n my by recently recorded is 130/80 I want to ask is it compulsory now also to take tablet or I can leave?
I have nose allergy from two years I have went to many doctors . Doctors treatment has cured but it not cured completely only up to the doctors medicine.
Dr. I am suffering from fistula I have seen and feel this last 15 - 20 days this is about 1 inch i have too pain and irritation so please prescribe me some medicine.
I am 45 year female and recently had a surgery called lambar spine l4-l5 before 2 month but I cannot feel any change and I cannot walk properly, cannot sleep properly. Will the blood circulation gets proper in my legs? when will it cure? wat abt my diet and excercises.
Hi I am suffering from heavy headache and give me some advice from this problem and if you can give me the best medicine for this problem please Thanking you.
I am 65 years old plus. I have been suffering from cold fingers hand, cold feet, no tolerance to cold. The problem is on the increase since last 6 years. There have been weight loos of 3 to 4 kegs over last 5 yrs. Now I weigh 63 kegs, height is 170 cm. The sugar levels are also changing, in last 5 years the fasting level has not changed much remains within 93 to 115. The PP levels have changed from 125 now to 178. The HbA1C has gradually increased from 6.3 to now 6.6. Till now I have not been put on any medicine for sugar levels. The Cholesterol is 232, TGL is at105. SGOT, SGPT, VDL, BUN are with in range. The T3 is 0.869, T4 is 4.68, TSH is 2.69. Over last 6 years the face skin has become wrinkled, the peripheral blood flow has become impaired, during winters fingers tend to become blue when exposed. I have been prescribed B12, Antioxidant, D3, Calcium, and for last 1 year Diacerein, Glucosamine for Knee problem OA has been prescribed and I am taking regularly. I would be looking forward for your advice to overcome my problem at your earliest. Thanks and regards.
Erythroblastosis fetalis is also known as haemolytic anaemia in the newborn. This occurs due to blood incompatibility in the mother and foetus. Due to this incompatibility, the antibodies present in the mother’s blood, will pass through the placental barrier and attack the blood cells of the foetus. This will lead to the destruction of the red blood cells of the foetus and it is likely to cause anaemia in the foetus. This condition varies from mild to very serious. In its moderate or severe stage, the erythroblasts or immature red blood cells are formed in the blood of the foetus and this disease is called erythroblastosis fetalis.
Why does it happen?
The two main causes of erythroblastosis fetalis are Rh incompatibility and ABO incompatibility.
- Rh Incompatibility: When the mother is Rh –ve and the father is Rh +ve, there is a good chance for the baby to be Rh +ve. The antigens present in the blood of the Rh +ve baby will behave like a foreign agent and the mother will produce antibodies against it. If it is the first pregnancy, then the child may not be at risk, however, if the second child ends up being of +ve blood group again, then the antibodies present in the mother’s blood will attack the baby and may result in a spontaneous abortion.
- ABO Incompatibility: This usually occurs when the mother’s blood group A, B, O does not match the baby’s. This causes fewer complications in comparison to Rh incompatibility, but it may be severe if the child has a very rare blood group.
How to avoid it?
It is a highly preventive condition. Firstly, you have not tested your blood group; it is advised to get it tested along with the blood group of the father. If you already know your blood group, then you must mention it to your doctor. If the father has negative blood group, then there will be no problem. However if the father is Rh positive, then it is advised to get routine tests done by the doctor.
The other preventive measure to take is a treatment called RhoGAM or the Rh immunoglobulin. It reduces the reaction of the mother to the baby’s blood cells. This shot is administered around the 28th week of the pregnancy. It is also administered 72 hours after the birth of the baby with the positive blood group.
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