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My mother is a patient of thyroid. Last one year he is taking thyrox 75. N the last report saying there is a low tsh 3rd gen. please help what to do? t3 n t4 is normal. Problem is in tsh 3rd gen.
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Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin, diet exercise, or some combination of these ,you can cut your risk of complication by anywhere from one third to three quarters. If you’re diagnosed before you develop complications’ it’s possible
To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and is now remarkably convenient and relatively pain-free.
Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.
Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.
Do you Have Diabetes?
Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.
According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.
Figure your risk factors.
The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes. Among the most important factors to evaluate are:
If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).
The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.
Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.
Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.
Keep a sharp eye for symptoms
While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:
- Excessive thirst
- Increased appetite
- Frequent urination
- Blurred vision
- Frequent infections
- Tingling in your hands and feet
- Sexual dysfunction
Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.
What you can expect
When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.
Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.
Where Do you Stand?
Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.
One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:
- If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.
- If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.
- Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.
- When fasting blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.
FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT
Prediabetes - 110-125 - Diet Exercise
Diabetes - 126-140 - Diet Exercise
Diabetes - 150-200 - Diet Exercise Drugs occasional insulin
Diabetes - 200+ - Diet Exercise Drugs or 24-hour insulin coverage
Hi I am 53 years, male, weight 40 kg, height 5 ft 9 inch. Diabetic detected in 1997. Last 15 years under medication, diabetic diet, exercise. Carbophage sr 1000 (night); glucobay m50 (after lunch) are taking daily. A skin problem is observed for last 10 months, toady skin. Urea 10 is applying. Present blood report; sugar (fasting) 115sugar (pp) (without taking medicine) - 232hba1c - 6. 75hb - 13. 3present symptoms: dizziness, weakness, mental unrest, sexually inert.
Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking 1 actos 30mg. Still my fasting sugar level is 220. I am not using any sugar food and rice. Kindly advice. My hba1c is 12.
Diabetes is very restrictive - living with the disease however does not imply that you stop enjoying. By bringing about certain changes in your lifestyle, you can still live your life to the fullest. For better management of your disease, these are some of the changes that you can make to improve your blood sugar levels and keep your condition under control.
1. Stay fit with physical activity
The first lifestyle change you can make is to increase your level of physical activity. This can help you in burning extra calories, thereby keeping your blood sugar levels in check. Spending 30 minutes a day exercising is ideal.
If you’re not fond of exercising or don’t have the time for it, even performing simple activities like walking, vacuuming or doing your laundry can help to lower glucose levels while burning calories.
2. Maintain a healthy BMI
Likewise, try to lose those extra kilos that may be weighing you down and increasing your sugar levels. You don’t have to lose all the weight in one go, you can do so little by little. To lose weight gradually and consequently achieve a healthy BMI, you must have more of fruit and vegetables and less of sugary items and processed food along with exercising regularly.
3. Make the right food choices
When it comes to food, you should consume whole grain foods instead of refined carbohydrate alternatives. Make every meal a balanced one with starches, fats and proteins included in the right amount. Furthermore, avoid beverages that come with high sucrose or fructose content, as they don’t offer much in terms of nutrition, and instead just add to your calorie count. Some of the foods you can include in your diet are bitter gourd, cinnamon, green tea, amla, jamun etc.
4. Have a fixed quantity of food
Apart from knowing the right foods to eat and the balance that you need to maintain between the different types, it is also important to know about portion sizes and carbohydrate count. This is because among the different food classes, it’s chiefly carbohydrates that influence your blood glucose levels. So, you need to keep track of the amount of carbohydrates that you’ve consumed in order to arrive at the right insulin dosage.
In addition to keeping count of your carbohydrate consumption, understanding the right portion sizes for the different types of food is also extremely vital for better management of your ailment. Measuring cups and spoons should be employed to arrive at the right quantities of food.
5. Eat your meals at fixed timings
As a diabetic, you should not go longer than 5 hours without eating as it can cause your blood sugar levels to fall dramatically, making you feel weak and faint. Instead you should have your meals at fixed hours, spacing them out at regular intervals. This will ensure your blood sugar levels are always at an optimum point.
6. Control your stress
Stress is a risk factor for Type 2 diabetes. When you’re under stress, your body produces stress hormones (cortisol) that can cause your blood sugar levels (and even blood pressure)to rise. So, preventing or controlling stress becomes necessary to keep your diabetes under control.
Let not your diabetes get in the way of enjoying life! If you wish to discuss about any specific problem, you can consult an Endocrinologist.
Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.
Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.
Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.
Here are some steps you should follow to control hyperglycemia:
- Keep away from the practices, which lead to hyperglycemia: The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.
- Discuss problems with the patient: Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.
- Use glucagon: Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.
Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately.
What are the serious side effects of Diabetes in our body. Why insulin Secretion by pancreas decreases over Long period of age. Why it cannot produce Sufficient insulin. When insulin deficiency Becomes fatal.
Dear doctors. Can a pridibatic person drink a cup of red wine once a week. Is glucerna. Shake good for pridibatic person. please suggest coz I want to gain about 15 pounds more that I lost recently after getting diagnosed as pridibatic. please suggest. Thanx.
Hello Doctor, I am a diabetic. I am 44 years old man and height is 5' 6" Just want to know what weight should I maintain in this situation.
How to control border line diabetes, below 100 prefered, it is 116 2. Cholosterol, prefered level below 200, it is 220 3. Liver and kidney good and healthy what is the home medicine can be taken every day for above.
In my complete blood test following deficiency or efficiency was observed. Apolipoprotien - a1 - 92 mg/dl hscrp 5.54 mg/l homocysteine. - 38.8 umol/l uric acid 7.5 mg/dl chloride 106.6 mmol/l hdl cholestrol direct 28 mg/dl tc/hdl cholestrol ratio 5.5 sgot 83.2 u/i sgpt 134.6 u/i ggt 80.4 u/i serum globulin 2.4 gm/dl tsh 6.87 vit d 6.79 ng/ml monocytes absolute. 18 basophils absolute. 01 mchc 30.5 rdw sd 47.9 rdw cv 14.1 my doc told me stay away from protien and fat. Please help me. I am not able to stay away from fat. I can manage to stay away from protein and milk products. Please explain me what is going on in my body and if any medicine I should take. I am taking thyroxin 50 mg. Thanks.
I am a diabetic person can I take coffee prepared by gree coffee beans once in a day. I understand coffee is not good for diabetic persons.
Polycystic Ovarian Syndrome also known as Polycystic Ovarian Disease manifests in multiple cysts covering the ovaries, filled with immature follicles (eggs) accompanied by hormonal abnormalities and irregularities in ovulation and menstruation.
While PCOS falls into a group of conditions which don’t have a cure as such, there are natural ways to manage this condition so you don’t experience any symptoms and can get pregnant if you choose to.
What to do?
1. Avoid coffee, alcohol, soft drinks, sugar and juices containing sugar, refined
carbs (white bread, biscuits, chocolate, lollies etc…).
2. Eat small protein rich meals every 3 hours to balance your blood sugar.
3. Exercise regularly – cardio and weights (the more muscles you have the
more fat you’ll burn).
4. Add cinnamon to your cooking. It has been found to improve insulin
sensitivity in women with PCOS.
5. Excess androgen production has been shown to favorably react to intake of
licorice so include some fresh licorice from an organic store.
6. Reduce stress with yoga, mediation, breathing exercises, 8 hours of sleep,
regular exercise, lavender, lemon balm and chamomile tea.
7. Take a good quality multivitamin and fish oil (make sure it’s been tested for
mercury and stabilized with vitamin E).
8. Eat more: adzuki beans, basil, cayenne, chestnut, chives, eggplant, garlic,
ginger, kohlrabi, leek, nutmeg, pepper, rice, rosemary, spearmint and