Dr. Sanjiv Shah

Yes it is possible. You need to consult an endocrinologist who will bring your blood sugars to optimal levels pre-conception with regular monitoring daily blood sugar levels and also HbA1c.

Dear lybrate user, you can try consulting a dentist who hs done masters in oral medicine and radiology or in oral pathology. With aging tongue muscles tend to become weak n also mouth gets dry making them difficult to speak properly or swallow. Moistness of mouth also plays a role in speech. Wen a person loses mutiple teeth, the space available for tongue increases n tongue seems to noticably increase in size in older patients. This again causes difficulty in speech. With aging, weak muscle n nerves coupled with slight increased side tongue n absence of muliplt teeth or complete absence of teeth may cause incomplete control over tongue. Taste buds greatly reduce in number with aging causing bald tongue. Nutritional deficiency esp iron deficiency can cause bald tongue n inflamation easily.

Mr. lybrate-user, Thanks for the query. To check thyroid functions there is no specific time required. Also there is no need to go fasting. But it si better to get it checked before 10 am. Thanks.

Mr Satish, I am sure you must be already on treatment for both these conditions. If treatment is appropriate then blood sugar should be : Fasting closer to 100 mg and PP between 150 to 160 mg and HbA1c% <7. Similarly BP should be 130/80 mm of Hg or lower. Apart from drugs, you should exercise daily for 1 hour plus, take a restricted diet avoiding sweets, sugar and jaggery. Plus avoid junk foods, deep fried foods and pastries. consume more of green leafy vegetabbles and fruits. Also restrict salt intake to about 2.5 g a day.

Normal sgpt level ranges from 7 to 56 units. High levels of sgpt in the blood may indicate liver problems and damage, but they may also be elevated due to strenuous activity. Please do the following 1. Stop drinking alcohol 2. Reduce salt intake 3. Eat fresh friuts and vegetables 4. Exercise daily 5. Quit smoking 6. Stop taking medicataion not prescribed by doctor 7. Get few more blood test and consult doctor for proper treatment of what is causing these condition. High triglycerides can also be manged by changing your life style by the above advise and losing weight, if not reduced consult to get treatment for high triglyceride level. Take care.

Hello You need not worry. You need to take precautions as you have family history. Low sugar levels can be due to improper meal timing. Take 3 main meals and 2 side meals. Don't skip breakfast. Sleep for 7-9 hours per night. Exercise regularly. Avoid fried foods, sweets, carbonated drinks and processed foods. Include whole grains, sprouts, seasonal fruits and vegetables. Avoid mango, cheeku, banana, arbi and zimikand. Take flaxseed powder 1 tsp with lukewarm water on empty stomach. Take green tea 3-4 cups a day. Drink plenty of water. Thank you

1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, 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, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, 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 sugar 3 monthly and hba1c six monthly

Possibility is that her sugar's are grossly out of control so she is feeling weak or may be medicines are not suitable to her. Get her all investigations like cbc-esr/bsf/bspp/urine r/lipid profile/sgot/sgpt/s. Alkline phosphtase/hba1c.

Thanks for the query. I have gone through the details given. Your overall information is very general. There is no mention of actual readings of any of the parameters, like blood glucose (fasting, PP & HbA1c%), BP readings and pulse rate. Without those details it is difficult to comment. If she has any symptoms related heart other than irregular beats, better to get an ECG as well as an echo cardiogram done. You have mentioned diabetes is in control, but no details are there. It essential to maintain FBG<100 mg. PP 160 to 170 mg & HbA1c%<7. Thanks.

Your husband is a Diabetic. He can control his blood sugars with walking and exercise and a good diet control. He should avoid sweets, sugar in tea and coffee and fried food. His BP would get under control mostly with diabetic control. Please review in 2 weeks with a FBS, PP BS.