Dr. Samrat Shah

Manishaji, By saying "thyroid problem" are referring to hypothyroidism or hyperthyroidism? Are you on thyroxine tablets? Is your weight constant or increasing over last few months? What is current thyroid assay result? Please provide answers to these queries. Plus is the swelling related to thyroid gland that is it on the gland? Please inform. Then I will be able to provide some guidance.

Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. There are many exercises you can do even in this position. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.

Dear your wife's t3 and t4 are in the upper limit range of normal. Tsh is absolutely normal. During pregnancy the tsh levels tarhet is below 2.0 in first trimester. Which is 1.22 in your case and is completely normal. Don't worry about t3 or t4 values. The overall picture is absolutely normal and you have to do nothing for its treatment.

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. 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. Tests every 3 to 6 months.

I do not know why patients believe that you get addicted to sugar medicines. The sugar medicines are absolutely essential to keep you healthy and prevent long term complications. Let me ask you this - if someone is hungry and eats food, is that an addiction?

No need of two eggs daily. You can eat egg white as much for good protein. One egg (whole) per week is good enough. You keep in touch with me privately as your personal doctor and I can advise you on all health matters.

Hi If the doctors have suggested removal of the finger as it is black, it is probably a gangrene that has been diagnosed. This means that finger is decayed and has no life in it due to lack of blood supply and infection. If not removed on time the problem can spread to the other fingers and the entire limb as well.

You should do ecg for that to rule out arrhythmia at that time. N to regular dm n control it take ayurvedic herbs from us.

All recent breathlessness in a person more than 50 years should be investigated to r/o any cardiac cause.

Start with Physiotherapy treatment and learn spinal exercise. Take Calcium and multivitamin for 2 month. Don't sit on floor. Don't lift heavy things

Yes, ayurveda may reduce your problem in short term basis but if you go through a proper characterized homoeopathic treatment then you may get cure from your problem.

Mr. Lybrate-user nath, it appears that present anti - diabetes treatment is not adequate. There needs to be an additional drug or total change of therapy. Plus you also have grade 1 obesity with 30.67 kgs/m2 bmi, which also contributes to high blood glucose. Any operative procedure is under taken only when blood glucose is below 200 mg/100 ml. You have not mentioned bp reading. Are you doing regular exercise like walking for at least 1 hour a day and some muscle strengthening activity daily? in addition to tablets diet control and exercise are very important for getting better control of blood glucose. Thanks.

please mention your recent bsl reports and consult further for detailed assessment and treatment.. Dr surbhi agrawal consultant physician and diabetologist and wellness expert

While diabetic neuropathy cannot be cured, there are treatments available to help manage some of the symptoms. Another treatment goal is keeping blood glucose levels under good control through a combination of diet and medication so that the neuropathy does not worsen. Keeping blood glucose levels under control has been shown to improve symptoms and prevent worsening of the pain. The pain of diabetic neuropathy can sometimes be managed with certain medications. Certain prescription antidepressants and antiseizure medications have been shown to be effective in relieving pain that originates in the nerves. Ask me privately.

Try to reduce your weight. Do exercise daily. Avoid high carb diet. You need medicines also for the management of your disease.

Hello, If you sugar level is below 150 then continue with the same medication. You should take a sugar free diet and do a morning walk for 1 hour.

Mr p k mishra, istamet is a good combination in treating t2 diabetes, provided it is bringing your sugar levels to desired values. The combination is as safe as any other oral anti diabetic drug. And about being perfect, well there is no drug which is perfect except probably insulin injections. If your disease is well controlled and hba1c % is around 6.5% then you should continue the same. Along with this exercise and restricted diet are equally important and not to be over looked.

To support thyroid health you should: eliminate processed and simple carbohydrates avoid foods high in sugar enhance thyroid efficiency with supplements like: omega 3, b complex and for weight loss- fiber+ ch balance.

Well for fully fit and healthy person eating more sweets may not cause any problem. But with family history of diabetes and if one is iver weight and physically inactive excess sugar and too much of sweets can be a problem and may hasten diabetes.

Change the place each time. You can take insulin injection on abdomen, outer aspect of thighs and wallet area of buttocks.