Dr. Benny Negalur

Hello Sir, It is very likely that you do have Diabetes. But, just based on one blood test report, a doctor should not diagnose Diabetes. Physical stress or mental stress can cause raised blood glucose levels. I would advise you to get your Fasting blood glcuose, your 2 hour post breakfast blood glucose and HbA1C levels checked after you recover from your cold. If these results are elevated, then you are having diabetes. I hope this answer has been helpful to you Kind regards.

lybrate-userji, Thanks for the query. Uncontrolled hypothyroidism does affect fertility and menstrual cycle. Since there is no mention about the T4 & TSH levels, there is no way to comment. It is essential to maintain TSH <3 mU/L for conception and there are trimester specific values which need to be maintained through out the gestation. Thanks.

Hello, Thanks for the query. The results are not showing anything alarming. Her thyroid results are within normal limits. Only TSH 7.27 mU/L is slightly high, in the subclinical state. But later level is fine. What is her blood glucose level both fasting and PP. It is important to check that plus BP and lipids. What is the age, weight and height? Thanks.

The classic symptoms of type 1 diabetes are as follows:
Polyuria
Polydipsia
Polyphagia
Unexplained weight loss
Other symptoms may include fatigue, nausea, and blurred vision.
The onset of symptomatic disease may be sudden. It is not unusual for patients with type 1 diabetes to present with diabetic ketoacidosis (DKA).



Diagnostic criteria by the American Diabetes Association (ADA) include the following:
A fasting plasma glucose (FPG) level ≥126 mg/dL (7.0 mmol/L), or
A 2-hour plasma glucose level ≥200 mg/dL (11.1 mmol/L) during a 75-g oral glucose tolerance test (OGTT), or
A random plasma glucose ≥200 mg/dL (11.1 mmol/L) in a patient with classic symptoms of hyperglycemia or hyperglycemic crisis

No details of Blood sugar levels and actual medications. Although the medicines or Insulin in appropriate dose works to keep blood sugar levels at normal level. Food intake may increase the sugar levels after 1/2 to 1 hour. If this is normal and upto 140-160 mg for sometime can be ignored. But in case it is higher you should consult your physician to modify the medication, its dosage and quantity of food. Average Blood Sugar level and HbA1c test readings will be helpful in furthe approach.

Agar confirmed diabetes hai, to jo dava jaruri hai wo leni padati hai. Bina modern medicine (oral or insulin injection) diabetes control may nahi ayega. Usake saath regular exercise aur restricted diet lena bhi jaruri hai.

All vegetables are a good source of nutrients. You can eat plenty of vegetables as they are low in calories. Avoid fruits which are very sweet in taste (also fruit juices). Your total calories depends on your work and activity level. Having unpolished pulses and multigrains is a better option. Avoid refined foods in your daily diet. Drink enough water to maintain hydration. In order to revive health only eating right is not enough, you should exercise daily if possible. Keeping stress away is equally important. Taking your medicines on time and checking your blood sugar levels regularly is the right approach.

lybrate-user, Thanks for the query. For hypothyroidism only appropriate medication is taking adequate dose of Levothyroxine. There is NO OTHER MEDICINE. On treatment TSH should be maintained around 3 to 4 mU/L, to be free from all the symptoms of hypothyroidism. Thanks.

Lybrate-user, Thanks for the query. Madam I need to know following details before I can comment: Thyroid Hormone Levels (T3, T4 & TSH), fasting and PP glucose values, HbA1c%, plus do you do regular exercise, present diet pattern & BP values. Your lipid values are slightly high particularly total cholesterol and TGL. Feeling sleepy and weak may be due to uncontrolled diabetes and uncontrolled hypothyroidism. Thanks.

Your blood sugar is very high. Start medicine immediately after consulting physician/diabetologist follow the advice given below 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 6. Consult diabetologist for advice and treatment.