I am 45 years old diabetic patient. Diagnosed with vitamin d deficiency less then 3 and high uric acid of 7.8. My sugar hba1c is 6.7. Lipid profile a little high. What treatment has to be done. I have severe ankle pain due to which I am not able to exercise. My weight is 82 and height is 5.2. I will hypothyroid too. Take 100 mg thyronorm. I take glyciphage 1000 mg januvia 50 rosovatsin 10 mg and lozar 25 mg.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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lybrate-user, You have a BMI of 33.06 kgs/M2, suggesting grade 1 obesity. This itself can be a main cause for increased lipids. High uric acid also needs to be corrected to help reduce ankle pain. Further, if hypothyroidism is not in control (TSH between 3 to 4 mU/L), then efforts to reduce weight do not succeed. Your HbA1c% shows a good blood glucose control. But if you reduce weight dyslipidemia and diabetes control will be much better and even joint pain will be reduced. For reducing uric acid avoid sea foods like certain fishes, mushrooms, mussels and red meat, sweetened aerated drinks, alcohol. Eggs and dairy products are good. If you have any specific questions please do come back. Thanks. 

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