Dr. Naveen Gupta

if you have only sle, then there is no restriction on sugar intake. But some times because of steroid therapy there is possibility of increase in the blood sugar or diabetes may have set in. So check your blood sugar if it is normal then there is no reason to worry. There are a number of substitutes for sugar like sucralose, this is good one. It can be used even in making various preparations.

Dear lybrate user, *include whole grains in the diet, such as wheat bread/pasta and brown rice. *cheese and yogurt prepared with skimmed (nonfat) milk may be taken. *use garlic, onion, bitter gourd, spinach, raw banana, and black plum. *make a flour mixture of 1 part barley, 1 part black chickpeas, and 4 parts whole-wheat flour and use this to form pancakes and bread. *start doing some light exercise, such as brisk walking. Build up to a brisk walk of 30-40 minutes in the morning and again in the evening. *avoid sleeping in the daytime *take 1 teaspoon of indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day.

Dear Lybrate user The common cause of muscle twitching include the following:  Twitching can occur after physical activity because lactic acid accumulates in the muscles used during exercise. It most often affects the arms, legs, and back. Muscle twitches caused by stress and anxiety are often called “nervous ticks. If the twitching during sleep occurs due to medication or taking alcohol, simply changing your bedtime routine can help.  Practicing yoga and meditation helps combat stress-related twitching. In order to avoid twitching from dehydration, ensure to limit consumption of coffee, soda, and beer. If the cause is a vitamin deficiency, vitamin supplements to replenish the supply of minerals and vitamins can alleviate symptoms.  Consult a doctor before taking vitamin supplements to identify the deficiency.  A good sleep at night can recharge the body for the next day. Keep yourself warm when you sleep. Call back for more details.

Your technique may need modification. Pinch the skin, introduce the needle perpendicularly, not at an angle. After you have injected the insulin, count to 10 to allow some time. Then remove the needle and do nothing to the injection site. You can always use pen device to ensure consisted delivery of insulin with negligible discomfort.

Excessive sweating 1. Anxiety, nervousness 2 obesity, diabetes, thyroid problem, tuberculosis, gout, head injury 3. Alcoholism or due to effect of some anti hypertensive and psychiatric drugs (pregnancy, menopause) 4. Investigate yourself to rule out these diseases 5. Avoid anxiety, nervousness, tea/coffee, alcohol, spicy food, chocolate etc 6. Try some anti antiperspirant lotion or roll on. 7. Consult skin specialist for advice.

Mr. Lybrate-user, 8.29 mg is high concentration, upper limit being 7 mg. So it is possible that uric acid could be the cause for pain. To reduce uric acid intake of purine containing foods should be reduced. Foods like red meat, organ meat, certain fishes and sea foods like herring, haddock, trout, sardines, salmon, scallops, mushrooms, mussels etc. Avoid sweetened aerated drinks, alcohol and high milk products. Skin less chicken, eggs, other milk products (low fat) and a variety of vegetables are good. Plus if need be then drugs helping reduction of uric acid level in blood may be taken. Thanks.

Your blood sugar reports are normal. Continue this medicine, glycomet (metmormin) is safe up to 2000-2500 mg per day. When you are hungary, you can take salad. Take care.

taking a planned diet that provides necessary calories is not going to give any weakness. To correct low hemoglobin level, there are iron and vitamin combinations available. Looking at your bmi (22.79 kg/m2), is fairly normal. I suggest, start some specific abdominal exercises which help in tightening abdominal muscle and also may help fat reduction. Plus your tsh levels should be between 3 to 4 mi u/ml then only all other efforts will be helpful.

Mr. Lybrate-user, if your blood sugar level is fasting 138 mg/100 ml and pp 192 mg/100ml, it can not be called as fully developed diabetes. The reason is to diagnose diabetes the criteria are fbs >126 mg, pp >200mg and hba1c%>6.5. Your fasting meets the criteria but pp is in the region of pre diabetes or impaired glucose tolerance (igt). To confirm you may get a hba1c% test and glucose tolerance test (gtt) done. Those results will be able to give a clear answer.

What about your father about diabetes. Diabetes one way has a tendency of running in families among many other causes. We as indians probably by genes have the tendency - the remedy is not in our hands. But most commonly the common form of diabetes ie. Type 2 occurs more commonly due to what is known as insulin resistance this is based on sedentery life style, lack of exercise, junk food, over eating of sweets, obesity and stress. Hence you must know what is healthy life style and adopt it on daily basis. - about diet, exercise, rest relaxation etc. You must check your blood fasting and 1 and 1/2 hours after meals once in 6 months or an year. By any chance your blood sugar level in morning after 8 hours of fasting previous night is between 100 - 125 mg% you may be in impaired fasting glucose. Pp sugar ie. 2 hours after 75 grams of glucose after 8 hours of overnight fasting is 140 mg% to 199mg%, you are in impaired glucose tolerance. Both are prediabetic states. When you have a chance to prevent diabetes or atleast postpone it. For which you have to have ideal body weight, at least 30 minutes of exercise and proper diet control ie no uncontrolled free sugars, junk food, heavy intake oils etc. More of leafy vegetables regular annual check up of hba1c should remain at 6.5. Any parameter going up heralds actual diabetes.

HI, You can take one course of 5 injections of inj. Nervup IM weely twice which will relieve the foot pain. Diabetics can take this injection once in 6 months.

Only after completing Yamini LS she will get withdrawal bleeding after few days of stopping the tablet.Please wait and see.If not getting periods for two weeks after stopping the medicine consult your doctor again

Your blood sugar seems to be under control. Follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment

Mr. Vijayendra, if one is diabetic, then honey is not advisable. Again it depends on the quantity that one is talking about. Honey contains mainly fructose, which gets rapidly converted to triglycerides and can put a load on liver. Honey also has glucose (50% glucose, 50 % fructose like sucrose), so it also increases blood sugar rapidly. It may be taken in small quantity only when your blood sugar is in very good control. But in my sincere opinion, I would avoid it. Thanks for the question.

If it is not abrupt change, it is aging and you have to accept little bit. You can use ahaglow facewash. Regarding thyroid, what's your current tsh level?

Mr. Lybrate-user, your bp systolic is with in normal range, but diastolic should come down to 80 mm hg. You should continue the same medication, plus restrict salt intake and exercise regularly also learn to relax or meditate as that will help in controlling bp. Your lipids (cholesterol 210 is normal, tgl 190 mg is marginally high), can be controlled by avoiding high fat diet and regular exercise. There is no need for any medication. Blood glucose fasting 122 mg / 100 ml is in a pre-diabetic state. So you need to take precautions so that it does not progress towards diabetes. For that adapt a healthy modified lifestyle, which includes regular exercising for 1 hour or more, maintaining normal weight, avoiding junk foods, pastries and bakery items, sweetened aerated drinks, fructose corn syrup containing foods and high fat milk products. Plus stay away from alcohol and smoking. Thanks.

cucumber is very good for control of Diabetes and hypertension. For pimples over face you can rub it on face

Home Remedy- Drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months... Treatment- 1-take pranacharya diabeto and shilajeet capsule twice a day with water.... 2-Take vasant kusumakar ras twice a day... Diet-avoid sweets....Take small quantity meals at more frequent intervals...do pranayama early morning....avoid alcohol consumption...

Hi I suggest you continue to check your blood sugars frequently with exercise and diet. Your 3 months average blood sugar will tell me how your blood sugars have been in the last 3 months. Less than 7% suggests dose reduction. But if it is around 6.5% and less than that and remains that way persistently with exercise and diet alone then we can stop the medicine. In this case You are probably into something called honeymoon phase of diabetes where in your blood sugars will be normal without medications but keep a watch as slowly they'll creep back.

Your blood sugar values are well within control limits according to american diabetes association good control means fasting sugar 70-130 mg/dl ppbs 70-180 mg/dl hba1c < 7 bp < 140/80 ldl-c < 100 check whether your blood pressure and ldl-cholesterol if all parameters are controlled then you need fundiscopiy- examination of your retina (inner membrane of eye) by an expeperienced ophthalmologist. Retinopathy if detected can be controlled/ treated by laaer therapy etc. And your vision will improve. All the best regards