Hello, thanks for the query.
I have seen the details. Your fasting & pp glucose levels are too high. In fact you need a much stronger correction. More drugs are needed. What is the hba1c%? Ideally in a well controlled person fasting should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% <6.8% (not mentioned). Therefore, your doctor has suggested the newer tratment. Metformin dosage is up to 2500 mg per day. Looking at your age (53 years), there is a greater need for achieving a much stricted glucose control, to prevent or postpone the long term severe complications associated with diabetes. If you have any questions please do come back. Another aspect, there is no mention of your weight, height, extent of daily exercise or diet pattern. All these are very vital to understand the correct situation. Thanks.
Fungal infection nowadays fungus infection is resistant to most of the creams and drugs due to injudicial use of these creams along with steroid combinations says Dr. Suruchi puri with a rich experience of 17 years in treating such problems. We would like you to go for proper course of treatment. U may need a treatment according to your concern. Meanwhile get your blood sugar examined and mention your other medical problems if applicable. There is a proper diagnosis needed and sometimes to alter fungal growth we may need the tablets, creams and powders for long term course. You can also visit our website www.drsuruchipurimakeovers.com
b-1/37 1st floor janak puri, adjacent to pnb housing finance bank limited and opp to pitanjali megastore new delhi 9868 080340 respite is only when you get proper dosage for needed time and needs proper medication and follow up. Meanwhile you use antifungal dusting powder and donât use any steroids or steroid based creams as it may make the infection resistant to further treatment. Not many options are there in medical field are there for such cases. Please do meet the dermatologist at the earliest.
Your excessive weight is the reason of most of your problems.
Instead of increasing your no.of medicines try to reduce weight and if can do it your medicines will be reduced and some may even be stopped.
Nightfall is commonly also known as wet dreams. The problem of nightfall is very common among men's in the mid age or adolescent age. The problem of wet dreams is characterized by the unknowingly and involuntarily ejaculation while asleep. Do not be tensed about this issue. It is normal at your age. It is not an illness but a natural phenomenon by which old sperms come out and make space for new sperms.
New sperms are produced continuously in our body by pushing away the older ones.
Frequent masturbation, watching pornography or such pictures, discussing sex or adult talks makes a person victim of the nightfall. Also, certain medicines or drugs such as sedatives, tranquilizers, and high bp medicines can lead to nocturnal emission. Apart from this the mental state of mind (stress, depression, anxiety etc.) and also no or less physical activity (obesity, long sitting hours, inactivity) of a person accounts for wet dreams. Treatment 1. The best way to stop this is, masturbation. Masturbation is also natural don’t think it as otherwise. 2. A proper diet can ensure strength that you might have lost due to nightfall. 3. Practicing yoga and meditation regularly before going to sleep can also help in getting rid of the emissions. Other ways to treat nightfall is using natural or homemade remedies. There are no side effects for such treatment methods. Yogurt - should have at least 2-3 bowls of yogurt a day. Avoid watching porn - too much of porn arouses you sexually. So it is advised not to watch porn. Bathing - it is advice to take bath before you go to bed. It helps you have a sound sleep. A sound sleep is very important for avoiding nightfall. Here are few myths about nightfall that every man should know: 1. Nightfall in men is wrong and abnormal: there is nothing wrong or abnormal about nightfall; it is a normal part of growing up and becomes rarer as a male grows up. Rare nightfall in men is not harmful and one need not feel guilty. Nightfall is just spontaneous tendency to empty the reservoir of sperms in adolescents. 2. Nightfall in men is a sign of illness: this is a myth that most people have; however it is a natural process that occurs in most men unless it occurs very frequently. Nightfall with high frequency can affect the sexual and mental health of the male
3. Nightfall can make you weak: one of the favorite myths about nightfall; actually nightfall occur when there is absence of sex or masturbation to release the sperms and it is a natural way to remove the excess sperms from the testicular sac. However having excessive and frequent nightfall can decrease the immunity of the person. Nightfall in men can lead to reduced sperm count: this applies to only increased and frequent nightfall in men; it is a popular feared myth and nightfall does not reduce sperm count. It is a natural body mechanism to throw out the overflowing content from testicular sac and induce the regular formation of healthy sperms. 4. Nightfall reduces male organ size: one of the popular myths about nightfall; nightfall does not shrink the male organ. The truth is that there is nothing that can increase or decrease the size of the male organ; also sexual health does not depend on the size of the male organ.
a combination of factors may contribute to the development of patellar tendinitis, including:
Running and jumping are most commonly associated with patellar tendinitis. Sudden increases in how hard or how often you engage in the activity also add stress to the tendon, as can changing your running shoes.
Tight leg muscles. Tight thigh muscles (quadriceps) and hamstrings, which run up the back of your thighs, can increase strain on your patellar tendon.
If some muscles in your legs are much stronger than others, the stronger muscles could pull harder on your patellar tendon. This uneven pull could cause tendinitis.
Some illnesses disrupt blood flow to the knee, which weakens the tendon. Examples include kidney failure, autoimmune diseases such as lupus or rheumatoid arthritis and metabolic diseases such as diabetes.
if you try to work through your pain, ignoring your body's warning signs, you could cause increasingly larger tears in the patellar tendon. Knee pain and reduced function can persist if you don't tend to the problem, and you may progress to the more serious patellar tendinopathy.
to reduce your risk of developing patellar tendinitis, take these steps:
don't play through pain. As soon as you notice exercise-related knee pain, ice the area and rest. Until your knee is pain-free, avoid activities that put stress on your patellar tendon.
Strengthen your muscles. Strong thigh muscles are better able to handle the stresses that can cause patellar tendinitis. Eccentric exercises, which involve lowering your leg very slowly after extending your knee, are particularly helpful.
Improve your technique. To be sure you're using your body correctly, consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment.
a variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, including:
stretching exercises. Regular, steady stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit. Don't bounce during your stretch.
Strengthening exercises. Weak thigh muscles contribute to the strain on your patellar tendon. Exercises that involve lowering your leg very slowly after extending it can be particularly helpful, as can exercises that strengthen all of the leg muscles in combination, such as a leg press.
Patellar tendon strap. A strap that applies pressure to your patellar tendon can help to distribute force away from the tendon and direct it through the strap instead. This may help relieve pain.
Iontophoresis. This therapy involves spreading a corticosteroid medicine on your skin and then using a device that delivers a low electrical charge to push the medication through your skin.
Platelet-rich plasma injection. This type of injection has been tried in some people with chronic patellar tendon problems. Studies are ongoing. It is hoped the injections might promote new tissue formation and help heal tendon damage.
Homoeopathy is wonderful in treating such chronic, repetitive complaints. It builds up immunity and restores health of an individual.
For medicine consult online in private with detailed account of your complaints and reports. Erectile dysfunction (ed) is commonly called impotence. It’s a condition in which a man can’t achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido
exercise regularly. Really. Make it a priority to get outside or go to the gym and walk, run, swim, bike, or do strength training at least 4 times a week. According to a study conducted by harvard, walking 30 minutes a day caused a 41% drop in risk for ed. Getting regular exercise aids circulation, getting your blood pumping through your entire body. When it's time to sustain an erection, better circulation is key
keep your weight down. Larger waistlines are associated with higher rates of ed. Putting in the work to slim down can lead to huge improvements in the bedroom. Make sure you're eating a healthy diet loaded with plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Quit smoking. Smoking can make ed worse, since it interferes with your circulatory system and is linked to diseases that cause ed. If you're having trouble sustaining an erection, now might be the time to give up the cigarettes for good. Avoid alcohol. Alcohol is another substance that has a huge impact on erections. After a few drinks, many men of all ages find it much more difficult to stay hard. Exercise your pelvic floor. The pelvic floor helps the penis stay hard during erections by pressing on a vein that keeps blood from leaving until the erection is over. Men who exercise their pelvic floor have better results than those who rely solely on lifestyle changes to correct erectile dysfunction
remove stressors from your life. Anxiety is one of the biggest culprits when it comes to ed. If you can find a way to destress, you'll be more likely to maintain erections. Think about the biggest sources of stress in your life right now. What can you do to give yourself a break?
Practice mindfulness. Do you find yourself getting distracted by worries instead of living in the moment during sex? Mindfulness is the act of being completely in the present, both physically and mentally. Clear your mind and focus on the sensations your body is feeling during sex
communicate with your partner. Do you feel comfortable and accepted when it comes to your sexual performance? If you're worried about meeting your partner's too-high expectations or living up to some kind of standard, it will be harder to maintain an erection - it's called performance anxiety. If you think your partner's judgement might be hindering your ability to have satisfying sex, you need to communicate your needs and find ways to make your sexual environment more inviting. Learn more about sex. If you have deep-rooted anxieties or guilt related to sex, these negative emotions might be causing your ed. Learning more about sex can be a good way to feel more comfortable with your body and better understand your needs in bed. Read up on sex techniques or take a sex positive workshop as a way to open your mind to new possibilities and increase your comfort level. For medication consult online in private.