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Dr. Sathanu Lokare

Cardiologist, Mumbai

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Dr. Sathanu Lokare Cardiologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sathanu Lokare
Dr. Sathanu Lokare is a popular Cardiologist in Borivali West, Mumbai. He is currently practising at Dr Lokare Vishwanath Cllinic in Borivali West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sathanu Lokare on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 25 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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A-001, Natakwala Lane, New Swapnalok Co-Op Housing Society, Off S V Road, Borivali West. Landmark: Next to Collector Office, MumbaiMumbai Get Directions
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I am a 62 year old person, at present my weight is 75 kg as per my opinion its more than required 2ndly my B P is always high as 90 to 98 low side 165 to 200 up side.

PG Diploma In Clinical Cosmetology (PGDCC), MBBS
Cardiologist
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I am a 62 year old person, at present my weight is 75 kg as per my opinion its more than required 2ndly my B P is alw...
Hello. Your expected body weight depends on your height. If you are a known hypertensive, you need to take your bp medications regularly if not regular. And if regular, then need to revise your prescription. Along with thi you need to follow dash diet i. E. Foods low in saturated and trans fats, rich in potassium, magnesium, calcium, fiber, protein and less of salt (1500 mg/day. And regular exercise. For 40-45 mins.

I have in my body small cholesterol present how reduce the cholesterol Help me sir and my skin near hand there no was no pain.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I have in my body small cholesterol present how reduce the cholesterol
Help me sir and my skin near hand there no was...
Homoeopathic medicine--------------- cholestrinum 3x (dr reckeweg) chew 4 tab 2 times daily for 2 months and again go for blood lipid profile and discuss the reportss with me------------ avoid fatty diet, alcohol and milk products---------

I am 40 years old having a latest report having creatinine 0.7 and cholesterol HDL 75 please suggest cause and treatment.

MBBS
General Physician
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I am 40 years old having a latest report having creatinine 0.7 and cholesterol HDL 75 please suggest cause and treatm...
reduce your oily, fried food, fast food, eat green vegetables and fruits, it will help, otherwise you have to take medicine, 1 hr morning walk daily. thanks

I had a heart attack two years back and have two stents on. Of late I have become very moody and depressed. I am a retired person, 66 years of age and have no useful work to do. Kindly offer your advice and medicine if any. Thanks and best regards.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I had a heart attack two years back and have two stents on.
Of late I have become very moody and depressed.
I am a re...
Hello lybrate user the reason of your mood fluctuations is you know that you don't have any work to do right now. I will suggest you that instead of taking medicines and become dependent on medicine you should try to do some work. If not possible make yourself busy in some activity's like reading books or do anything which you wanted to do but because of your job it left behind. Engage yourself with your Hobbies. Or also you can join some adult club there you will find lots thing to do.

While getting from bed in morning my right side chest is paining? May I know the reason.

cc USG, MBBS
General Physician
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While getting from bed in morning my right side chest is paining? May I know the reason.
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management

Hi I feel dizziness always and I checked BP it is fine. I can not able to sleep properly. Could you please advise.

B.H.M.S,
Homeopath
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Hi I feel dizziness always and I checked BP it is fine. I can not able to sleep properly. Could you please advise.
Hello you are suggested to following homoeopathic medicine as per direction. 1. Nux vomica 1m one drop daily at bed time in night. For one week. 2. Kali phos 6x 4 tab. 3 times in a day with worm water. For 21 days. Take a glass of milk daily at bed time in night. 3. Take seasonal and green, fresh fruits daily. Reort after that.

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
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Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions
Dengue Vaxia

I have a chest pain from past 2 years? I don't know what shot of pain it is. Weather it is gastric r something else? Wht should I do?

MBBS
General Physician
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I have a chest pain from past 2 years? I don't know what shot of pain it is. Weather it is gastric r something else? ...
For pain take tablet paracetamol 650 mg with rantac and Get your vital parameters of the body checked from a nearby doctor and revert back with findings

I had a heart attack 8 months back, was diagnosed as ant wall mi, coronary angiography done was advised bypass surgery I am diabetic as well, latest rbs 270, hb a1c being 7. 8 I just do not want any surgery on me, can I go on without surgery, what medicines can take care of my blocks in lad and control my diabetes and improve my situation on long term basis

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I will advise you to start homoeopathic treatment alongwith diabonil drops (sbl) 20 drops in 20 ml fresh water 3 times a day 20 minutes before meals vincetoxicum (adel) 20 dropss in 1 glass fressh water morning empty stomach tonicard (sbl) 20 drops twice daily in 20 ml fresh water eat little every 2 hrly instead of full meals report after 2 months.

I am suffering ftom cholesterol. Trygliricic is very high. It is around 234. please tell what to do?

MS - General Surgery
Cardiologist
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I am suffering ftom cholesterol. Trygliricic is very high. It is around 234. please tell what to do?
Avoid starch intake like sweets, potato, rice, root vegetables and other food items which increase your triglycerides level and then check your lipid.

My blood pressure is usually very low. How to deal with it in daily routine?

MBBS
Cardiologist
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Low bp nothing to worry. Physical exercise. With salt lemon water 2 glasses daily will keep your bp alright.

I am 40 years old, having diabetes for last 8 years and I got to know today tht m having blockage in my heart. My doctor suggest me for having angiography. Does there any other solution except angiography. And what precautions I should take to come over with this heart blockage. And also tht how much did angiography costs to me in india.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 40 years old, having diabetes for last 8 years and I got to know today tht m having blockage in my heart. My doc...
Total panchakarma is the best for your problems. Ie. Vaman, virechan, nasya, raktamokshan & mustadiyapanbasti. Angiography costs up to rs. 15000/- to 25000.

I have pain in my right side chest and sometimes it pains in the middle of my chest. What should I do to get rid of this?

MBBS
General Physician
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I have pain in my right side chest and sometimes it pains in the middle of my chest. What should I do to get rid of t...
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain, hyper acidity or muscle pull 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5. Take bland diet, avoid spicy, oily, fatty and junk food 6..Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain.7. Drink plenty of water and take rest.8.if you have recurrent attack of chest pain take ECG and consult cardiologist 9. consult me for further advice

I have thyroid from last 3 years by reports and my doctor prescribed thyronorm 50 msg 1 pil daily. That time my weight was 64 kg and now 84 kg. I feel little laziness and tired kind feeling don't have other issues. As per routine check up last week I went to my doctor he checked my Blood pressure that was 106/70. Then Doctor prescribed me medicine as below Thyronorm 50 msg 1 pil daily (100) Lupineme (lupin) 1 tab daily (100) Nano d3 syrup 1 after 20 days Aldactone 25 mg, 1 pil alternate days FDSON 12 1 pil daily alternate days In this treatment is there need of above medicine please help me. Thank you.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I have thyroid from last 3 years by reports and my doctor prescribed thyronorm 50 msg 1 pil daily. That time my weigh...
Hi when one is on treatment for hypothyroidism, to achieve good control tsh levels should be around 3 to 4 milli units /l. If that is achieved then most symptoms are in control and weight reduction is also possible. As regards the other tablets particularly lpuineme, fdson they are really not essential, given as vitamin supplement. D3 is some times needed. But most important for you is to achieve strict control of hypothyroidism. Thanks.

I am 38 yrs old male, recently my triglyceride has come high (477) rest of the blood test ok though liver is found fatty gr ii. Can I reduce it using exercise, diet and omega supplements?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 38 yrs old male, recently my triglyceride has come high (477) rest of the blood test ok though liver is found fa...
Hello dear High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .

I hav severe pain on my right side of chest and same bak side pain also. And heaviness of chest in my right side. Wat was da cause for this? And vat treatment I should tak for this.

BHMS
Homeopath
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I hav severe pain on my right side of chest and same bak side pain also. And heaviness of chest in my right side. Wat...
It may be due acidity and gas problem. Use can try some home treatment for that:- apple cider vinegar though acidic in nature, apple cider vinegar has an alkalizing effect. Thus, it helps treat stomach acidity. Simply mix one or two teaspoons of raw, unfiltered apple cider vinegar in a cup of water. Drink it once or twice a day. You can also drink it before meals cumin seeds can also be used to treat acidity as cumin works as a great acid neutralizer. Also, it aids in digestion and relieves stomach pain. Slightly crush some roasted cumin seeds and stir it into a glass of water. Drink it after every meal. You can also boil one teaspoon of cumin seeds in a cup of water, strain it and then drink the water after your meal. Another option is to mix one teaspoon each of coriander seed powder, cumin seed powder, fennel seed powder and some sugar in one-half cup of water. Drink it on an empty stomach basil leaves the soothing and carminative properties of basil leaves can give you instant relief from acidity, gas and nausea. If further problem will continue then need to consult doctor.

Mere dost Jo police department mai karyarat hai unko bp problem hai or sciatica hai please help him.

BHMS
Homeopath
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Mere dost Jo police department mai karyarat hai unko bp problem hai or sciatica hai please help him.
Hi, Take Rauvolfia 1x, 2 tabs daily morning empty stomach. 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. **please mention more symptoms of sciatica pain.***

Hi i am Recovering after bypass surgery- a consolidated pain in the chest left and right - can walk 10 km. Perday- have done shootings also - no problems. Why this pain? any remedy? please reply

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Homoeopathic treatment cactus glandifolus 30 (dr. Reckeweg) 5 drops in 1 spoon fresh water 3 times daily. Report after 15 days.

Hi I have sr. Cholesterol -244.44 ldl cholesterol - 171.57 cholesterol / hdl - 5.07 please suggests food.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hi I have sr. Cholesterol -244.44
ldl cholesterol - 171.57
cholesterol / hdl - 5.07
please suggests food.
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily.

I am 49 yr old male dm2 + htn since 10 yrs. Pressure normal 130/ 80 with medication repace 25mg + stamlo (amlodipine) 2.5mg and blood glucose control pp 120 with zoryl 1mg at the time of break fast but fasting readings vary between 6.5 - 7.5. I take metformin extended release 1000mg after supper. But the fasting readings never fall below 6.5. I am sports enthusiast and play badminton thrice a week at expert level. With exercise in the evening the reading tend to rise as my intake goes up. Please advise me any long acting glucose control medicine for 24 hrs control well within 5.8. My hb1ac has always been well below 7.0 mostly remains 6.5. If hb1ac readings are well with in the range can ignore the fasting readings or is it equally important to maintain the fasting reading below 5.8 to prevent cardiac issues later. I also take cholesterol lowering drug fibator - half tab to maintain my ldl well below 80. Should you need any further details please write to me. Last but not the least use of sulfonylurea antidiabetic drug in the morning some cause hypo close to lunch time. I am worried of the side effects of this drug in long term. Kindly advise me alternate if any to this. My staple food is rice with daal, curry and curds. Pure veg

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Looking at your details it appears your diabetes is in check. Slight high fasting is no problem. Nowadays hba1c level is looked at as guideline to assess control. You need not change anything. If pp levels go up can add voglibose 0.3 mg three times with each meal. Otherwise you are doing well. While playing if you feel levels are low always carry candy or gluco tabs.
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