Dr. Samrat Shah

You need to consult a physician for your diabetes problem. As far as your child is concerned your diabetes will not affect your child with your breast milk. Need not worry!

This level of sugar needs medical management along with diabetic diet and exercise. Please consult further for detailed management.

1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.

Please use -- natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation. Also take a dose of acid phos 1m/single dose and revert after 2 weeks. Stop taking agnus castus and damiaplant if this is not helping you.

Dear lybrate user with the information provided it appears that you are having gastritis. The first and foremost treatment of which is life style modification like regular exercise, diet modification as advised and liberal fluid intake. Try having small frequent meals, avoid tea/coffee/carbonated drinks, avoid chilli, stop smoking and consuming alcohol if you do. Hope this solves your query. Try with these life style measures first. Regarding your thyroid issues it is advisable if you can keep a check on regular intervals.

Yes thyroid disorders is one of the major cause for infertility and u need to get it corrected first before u can think of planning pregnancy.. Yes it's treatable with simple thyroxine tablets

Basically, u need to cut down your total proteins from the diet. That is nonveg,pulses, groundnuts and dairy products.drink sufficient water

No way go ahead, only control of hypothyroid and understanding about sexuality and child birth is necessary, to avoid difficulties.

Control your hypothyroid by taking medicine as advised by your doctor. Take lots of fluid, fruits and walking is good.

Lybrate-user, your concern about developing t2 dm is quite right. Because this is a disease which does show familial trait. If both parents have diabetes then 75 % chance of children getting it. (3 out of 4 children may get). However, one thing good about t2dm is that it is a preventable disease. So if you do following things: 1) maintain normal weight, (height in cms - 100 = kgs), by regular exercise for more than 1 hour a day. 2) take a balanced diet that provides exact amount of calories needed based on ideal body weight and extent of daily exercise. 3) avoid excess sweets, deep fried foods, junk foods and pastries. Also avoid sweetened aerated drinks and fructose corn syrup containing products, high fat cheese, ghee and butter. 4) refrain from alcohol and smoking. 5) consume good deal of green leafy vegetables and salads and fruits. Also take a good deal of fiber containing foods mainly whole grain foods. If you stick these things then you can delay the onset of t2 dm or be free from it. All the best.

Diet containing more protein, less fats and adequate carbs should be ideal for weight loss. Basically one has to reduce present intake by at least 20 percent plus and increase the workout to burn accumulated calories at your height ideal body weight should be 67 kgs, and for indians upper limit of bmi is 23kg/m2, whereas your bmi is 36.6 kgs. It way beyond limits. Few of the reasons for developing t2 dm are overweight, inactivity, excess diet, apple shaped body etc. So for you it is better to join a good gym and work under a competent instructor.

Hi There are some factors which can cause diabetes in a person. Some are modifiable like obesity, smoking, alcohol, sedentary lifestyle. Some factors cannot be modified like your age, sex and genetics (which is your family history of diabetes). So work at preventing obesity, avoid alcohol and smoking, eat a healthy diet, exercise regularly. Apart from walking do AB exercises like push ups to lose your tummy fat. Diet would basically be high protein, low fat and low carbohydrate diet. Eat lots of salads. Check your HbA1C test once in a year to Screen for diabetes so that it can be treated at an early stage.

Mr dosage of thyrofit (100 mcg) being taken by your wife appears to be ok, because her tsh level is still very high. She should test the levels every 8 weeks and adjust the dosage accordingly. Your dose of thyrofit (25 mcg) also looks ok, but get the thyroid functions done every 2 - 3 months and adjust the dose either up wards or downwards.

You need to avoid pickles papads for life time and eat only freshly prepared home made food and eat vitamin c and e rich food and exercise regularly.

Pls let me know about your diet, coz voglibose will be better alternative. Kindly consult privately for personalised management. Dr surbhi agrawal Consultant physician and diabetologist

Lybrate-user gadge, this is a very general query. For me to guide anyone about diabetes -- more details about the person's height, weight, bp, lipids, dietary and lifestyle habits, other blood tests, etc are required. Stick to plant based whole foods -- such as vegetables, whole grains, lentils and beans and grams and fruits. And increase the level of physical activity -- say at least 30 to 45 minutes of moderate activity per day for at least 4 to 5 days a week is what is good for him. Cut down on fats and oils, fried foods, processed foods, restaurant foods, sweets, sugared beverages. Best wishes,

Hello, please get a tsh level done and possibly you are still uncontrolled and might require thyroxine supplementation.

Hye. Thankyou for the query. Unless you have a medical condition that calls for a restriction, there is no reason why you should stop eating chapati. Water intake does not depend on your blood group. Water intake depends on many factors like activity level, season, food intake, disease condition if any etc. Best way to ensure good intake of water is to sip on water through the day. You can be assured that you are taking enough water when the urine you pass is colourless (unless you are taking any medication or had fruits like beetroot). Also do not wait to be dehydrated and severely thirsty to have water. Ideally at least try to have at 2-3 liters of water per day (as long as you don't have any medical condition that needs restriction). Stop alcohol and smoking. Avoid skipping meals. Do not eat excessive amounts of non vegetarian foods. Since you work night shifts and have high uric acid levels, it will help to go for a personalised diet consultation.

first of all change your tablet and to have gamer PL2 one morning and one evening before breakfast before lunch or dinner and this will better control in your blood sugar level and then there is a major role of diet o....avoid high carbohydrate foods like cake pastry Puri paratha pizza burger banana mango Chiku full cream milk butter cheese and to have small frequent meal in every 2 hour thank you

Hello, if you are not hypertensive and not on any medication for blood pressure then you should drink plenty of liquids and cut down your fat, salt and sugar intake. Go for a morning walk daily at least for 30 minutes. Take a sound sleep and try to avoid anger. Revert after 15 days with feedback.