Dr. Tushar Bandkar

Hba1c of 2% - she had any hemorrhagic episode? she is k/c/o hyperthyroidism and on Neomercazole. Tsh looks ok. She might be getting hypoglycemic episodes. Is there any associated weight loss?

You might be suffering from overt hypothyroidism which requires thyroxine suppliment. Get your Free T3 Free T4 and anti TPO antibodies test and consult any diabetologist or endocrinologist for starting Levothyroxine dose. TSH takes around 6 to 8 weeks to reflect its change after starting thyroxine suppliment.

1. You are young, take this as a challenge, to reverse/control the spate of lifestyle diseases. 2. Medicines can help control, but you should take active steps to change your food habits and lifestyle. 3. Switch to natural and healthy foods. 4. Exercise daily for an hour. 5. Delink from people who tend to overeat /overfeed. 6. Make your own health as topmost priority in your life right now. 7. Its urgent and its important.

hypothyroidism if well controlled with thyroxine tablets, will have no bad effect on pregnancy. So if your tsh levels have come back to normal with treatment then you can think of conceiving. Pregnancy should be normal.

Diabetic diet. Avoid sweet and sweet product. regular exercise for 40 min, like walking. consult diabetologist for detail medication.

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

Mr. lybrate-user, Thanks for the query. It is necessary to take the medicine on the day the test is being done, because that will give an idea about the glucose control that is being achieved. Thanks.

Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also. Take treatment for hypothyroidism :- tab. THYROXINE is used in hypothyroidism. And dose are according to level of thyroid for life time. Do Tests thyroid profile every 3 to 6 months. And consult doctor regular on time.

Hello, thanks for the query. In T2 DM, intake sugar (sucrose) is not advisable, as it ineases blood glucose. Most fruits contain Fructose, which is not converted to glucose directly. Plus fruits offer fiber, vitamins & antioxidants also. First and foremost is to achieve a strict glucose control with fasting < 100 mg, PP around 150 to 170 mg/100 ml & HbA1c % < 6.8%. One can consume 1 to 2 medium sized fruits a day. Fruits like mango, grapes, banana & chikkoo are to be consumed in small quantity. Thanks.

for E.D. you can take tab. paroxitine cr 25 mg at night. 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 for life time. 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. Do Tests every 3 to 6 months. And consult doctor on time.