Dr. Sandeep Muley

Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.

Diabetics are more prone to gum diseases if oral hygiene is not properly taken care of. The swelling you are talking about is the manifestation of the gum disease. So its better that you visit a dentist for cleaning of your teeth & then the dentist can assess the exact condition of your teeth & can provide the appropriate treatment. But make it a point to brush your teeth & use a mouthwash twice daily & get your teeth cleaned once in 6 months.

looking all the details provided, you have absolutely no problem with your blood sugar. All the values are normal. No need to consult any one. Continue to live a healthy life. If you are walking daily please continue the same and live happily.

Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to pain & swelling of those affected joints & this condition is clinically known as gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.

Start with Homeopathic medicine:-- Syzygium Q 100 ml mother tincture 10 drops in half cup water and drink. Repeay 3 times daily x 30 days Take medicine as advised.

Hi. Injection for thyroid are not available in market. Pl. Continue with tablet. Hypothyroidism can control with diet and medicines. Pl. Eat iodized rich foods i. E. Sea foods/ salt water fish/sushi/ nori rolls/celtic sea salt. Selenium rish foods i. E. Meat /chicken/ salmon/ whole unrefined grains/ brazil nuts / dairy products / garlic / onion / avoid foods i. E. Turnip/ kale/ cassava/ peanuts/ cauliflower/ rutabagas/ coffee/ spinach / soyabean products/ foods with gluten/ mustard green/ mustard / and take medicines with consult endocrinologist on time to time.

lybrate-user, Thanks for the query. Yes your BMI is 20.33 kgs/M2, which is on the lower side. However, considering the age (60 years) your ideal body weight can be (155 - 100 = 55 X 0,9 =49.5 kgs). So looking at that equation the present weight is just about right. However, if you want to to increase, then following things are to be done: Achieve a strict blood glucose control with FBG < 100 mg, Pp 160 to 170 mg & HbA1c% <7. Then look at your dietary protein intake and extent of daily exercise, based on that caloric intake has to be adjusted. Plus it is necessary to do some regular strength building exercise also. Plus increase the intake green leafy vegetables, salads, and permitted fruits. Avoid junk foods, pastries, bakery items and foods made of maida. Add eggs to the daily diet (2 a day). Thanks.

if diabetes is well controlled all the symptoms like feeling more hungry or irritated can be reduced. A well controlled patient of diabetes should have fasting sugar closer to 100 mg, pp 150 to 160 mg/100 ml and hba1c% <7. If his diabetes is in control (with sugar as above), then all symptoms will be in check. Apart from appropriate drugs he should take a balanced but restricted diet and exercise daily for at least 1 hour. With best regards.

Diabetics and exercise.
Do exercise 1-3 hours after meal when blood sugar level are on higher side and less chances of hypoglycaemia.
Avoid exercise if blood sugar more than 250 mg
If over weight and diabetics,then consult doctor first before taking any fitness regimen/go far stress test.
Carry sugar tab.With you.
Carry a card showing you are diabetic and what medicine and your contact add.
You are more likely to have hypoglycaemia if on insulin

Hello, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, hypo thyroidism, etc. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to ease your problem. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion. * tk, apple, carrots, cheese, milk, banana, papaya, spinach, almonds, walnuts to improve your haemoglobin to release your flow. * tk, homoeo medicne, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 20-6 pills, thrice a day, orally. @ sepia200-6 pills, thrice a day" @ thyroidinum 30-6 polls, thrice, orally. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion. Tk, care.

Papa k age, weight, BP, blood sugar (fasting level), bhuk or allergy k bare me jankari milne par hi koi thik diagnosis bataa ja sakta he.

Hypothyroid patients generally suffer from calcium vit d3 deficiency. Pls check levels n consult me i'll suggest medication. Follow balanced diet as your known hypothyroid.

In your case, your fasting levels are below 6.1 mmol/l (110mg%). Only your pp levels are increased. You have not mentioned the exact value. Diabetes to be diagnosed only if you have some clinical symptoms of diabetes (like incresed thirst, increased urination etc), along with fasting glucose values more than 126 mg%, pp values more than 200 mg%, and/or hbaic test > 6.5%. So, based on the above criteria you currently do not have diabetes. However, since you have a strong family history of diabetes, it is likely, that you may develop diabetes later on. You need to get your tested at regular intervals and be observant for any clinical symptoms also.

You can add alpha glucosidase inhibitor to control PP after consulting your doctor. You can also switch to basal plus tnsulin therapy consulting your physician/ diabetologist/ endocrinologist by adding short acting insulin before largest meal. Yes you can switch to wockhardt or lupin brand for economic reason otherwise they are not superior what you are already taking.

Take dinner early say by 8pm. Go for slow walk after dinner.Give a gap of 2 hrs between dinner and sleeping.Take light dinner.

lybrate-user, If your HbA1c% is 10, that means your diabetes is uncontrolled. Change in HbA1c% occurs after 3 to 4 months of proper treatment with adequate amount of drugs being taken regularly plus exercising daily and taking restricted diet every day as prescribed by the doctor. You are not supposed to eat any sweet dishes. At the most a small piece may be taken. To say diabetes is in good control, fasting glucose should be closer to 100 mg, PP 150 to 160 mg & HbA1c&<6.8. Thanks.

Mr. Lybrate-user, for hyperglycemia control only remedy is taking appropriate medication, there is no other option. Without taking oral anti diabetic drugs or insulin injections it not possible to control raised blood sugar. In addition you have grade 1 obesity, which also contributes to increasing blood sugar. Weight reduction, restricted diet and exercise with anti diabetes drugs is the way to go about.

Mr. Lybrate-user kumar, the present treatment looks quite good. Fasting and pp levels are a bit high, but those can be managed by following a more strict diet and exercise schedule. I feel there is no further need to add any drugs. Her bmi is 27.55 kg/ m2, which shows she is overweight. Her ideal body weight should be 59 kgs. So all her food intake (calories) should be calculated considering that weight and extent of daily physical exercise and blood sugar levels. Even if she reduces 5 to 7 kgs, sugar level and bp will improve. So please look at that aspect rather than just adding one more drug. With regards.

Keep a healthy lifestyle, exercise or walks, whatever suits you, proper home made food, fruits, no alcohol or smoking, that will be enough.

Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. Drink plenty of water. For dry mouth, consider chewing sugar-free gum or sucking on sugar-free candies to help stimulate salivary flow. There also are artificial saliva’s on the market that may help to induce salivation. Sialogogues (Pilocarpine 30 mg/day. Contraindications - include many lung conditions, such as asthma, cardiac problems, epilepsy and Parkinson's disease). Advance procedures can be done with laser.