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Diabetes hb1ac7. 6, fp 157, pp 280, suggest medicine presently glycomet 0.5 gp 1-0-1. Diat under control, exercise normal.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad  •  51yrs exp
Diabetes hb1ac7. 6, fp 157, pp 280, suggest medicine presently glycomet 0.5 gp 1-0-1. Diat under control, exercise no...
Mr. lybrate-user, thanks for the query. I have seen your query. At 58 years your hba1c% is definitely higher as at this age it should be < 6.5%. Generally fasting glucose in a well controlled person is < 100 mg & pp 150 to 160 mg. Therefore, looking at your details there is a need to upgrade the therapy. Plus there is a need to look at your dietary pattern, extent of daily exercise and lipid profile. It is also necessary to know serum creatinine and urea. So my suggestion is please come back with all the above information preferably in a private conversation, where I will be able to give specific guidelines and also prescribe necessary medications. Another important aspect looking at your weight and height with a bmi (body mass index) of 28 kg/sq meter (normal <23 kg/sq meter), you are almost in grade one obesity with an excess of over 13 kgs. This contributes a great deal for high glucose. Further statements like "diet under control & exercise normal" do not give any information at all. Because your caloric intake has to be according to your ideal body weight (61 kg). So please come back with all the information as suggested. I await your response. Thanks.
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Can I postpone my period for 2 days only is there any tablet I can take please suggest my date is 29nth may.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai  •  50yrs exp
Can I postpone my period for 2 days only is there any tablet I can take please suggest my date is 29nth may.
U r too close to expected period so chances of failure of treatment is little higher. There are many hormonal drugs for same, but any medicine can be prescribed by the only doctor who has examined you or can examine you so go to such medical practitioner.
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I stopped trika ).5 mg for two days, I didn't get sleep and was back to taking it daily, I got bad thoughts and bad dreams and couldn't get proper sleep. I think i'm addicted to it. It was hallucinating effect while sleep eluded.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore  •  51yrs exp
I stopped trika ).5 mg for two days, I didn't get sleep and was back to taking it daily, I got bad thoughts and bad d...
Your medication seems to be fine but by going off of the medication on your own you may have disrupted the progress or its stabilizing effect. If you give yourself time, it may return to normal effectiveness. Even so I suggest that you do some counseling too. Anxiety can be cured even earlier, if you cooperate with the doctor. It is not based on the time but the prescriptions, the simultaneous therapy, the implementation of all the recommendations and your support system while dealing with the condition. Sometimes, patients falsely discontinue the treatment as soon as they feel well. This is not how it works. You need to consistently feel well, which means that it has to be over a significant time and under the guidance of the doctor to finally declare that you are out of anxiety. Of course you will be the best judge, but like I said it must be consistently stable. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Sometimes, fear may have originated in childhood and your body, more than you brain, remembers the emotion and will react with heightened fear even for the slightest provocation or stimulus. Sometimes, you may not even need a stimulus! these matters can ideally be resolved in therapy only, and exclusively. Accordingly, you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: the former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality development course too. Anything that develops you personally will be of great assistance in building resilience.
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I have acne blackheads currently I am using acmed facewash and deriva cms gel. Can I us vitamin c in the morning plum vitamin c serum .i have pigmentation also because dervia cms is retinoid will it affect.

MD, MBBS
Dermatologist, Chennai  •  23yrs exp
I have acne blackheads currently I am using acmed facewash and deriva cms gel. Can I us vitamin c in the morning plum...
treatment depends on the grade...Acne or pimples... Due to hormonal changes..Oily skin causes it...Common in adolescent age...May occur in adults also.. Food like Oily foods, ice cream, chocolate and sweets increase it.. Treatment depends on the grade of pimples or acne..So, please send photos by direct online consultation as it's a must to see which grade of pimples or acne for accurate diagnosis and treatment.
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I took a corticosteroid injection in my right shoulder today morning bcos of some soreness while doing workout, after which I have a slight pain on my shoulder while I lift my arm, I neglected it and did some moderate weight lift ing in the evening. Now i'm feeling sever pain on my shoulder while I lift up my arm. What should I do now?

BPTh/BPT
Physiotherapist, Etawah  •  1yr exp
I took a corticosteroid injection in my right shoulder today morning bcos of some soreness while doing workout, after...
Keeping skin moisturized shrinks the veins. Hand exercises that encourage blood flow make the veins less prominent, as well. One exercise to try is wrist stretches. First start by putting your palms together and raising your elbows out to the side.
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Hi my daughter who is 6 years old is facing hair fall issues. I see more than 50 counts of hair fall daily. Is it normal for kids or is it something that I should worry about. What is normal hair fall in kids. Please help me with this.

Advanced Aesthetics
Ayurvedic Doctor, Gulbarga  •  13yrs exp
Hi my daughter who is 6 years old is facing hair fall issues. I see more than 50 counts of hair fall daily. Is it nor...
Apply externally bhringaraj oil regularly and hair wash with denz and dark shampoo weekly 2 times a day.
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I want to do whitening on my inner thighs. please let me know the procedure cost n whom should I consult.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE), CCIGC ( GERIATRIC CARE )
General Physician, Sri Ganganagar  •  41yrs exp
I want to do whitening on my inner thighs. please let me know the procedure cost n whom should I consult.
Home remedies may help lighten dark skin on your thighs. Coconut oil and lemon juice. Lemons are packed with vitamin c, which may help treat hyperpigmentation. Sugar scrub. Sugar can help exfoliate the skin. Oatmeal yogurt scrub. Baking soda and water paste. Aloe vera. Potato rub. For doctor opinion consult skin specialist.
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Hi doctor, I am facing hyperpigmentation / melasma / freckles on my face. I have been using home remedies and some specialized creams to remove it. It has become light also, what is the right way to get rid of this. Can I go for any laser therapy or should I use any cream. Ab.

BHMS
Homeopathy Doctor, Noida  •  26yrs exp
Hi doctor, I am facing hyperpigmentation / melasma / freckles on my face. I have been using home remedies and some sp...
Apply aloe vera juice/gel from its leaf (fresh), not from readymade gels available in market. Remove skin of an aloe vera leaf. Take /scoop out gel. Apply this gel to your face skin. Wash with plain water after an hour.
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Why do I start to sneeze after applying coconut oil to hair. I do not get any allergic symptoms such as coughing or swelling. Please answer.

MBBS, DPH
General Physician, Ernakulam  •  47yrs exp
Why do I start to sneeze after applying coconut oil to hair. I do not get any allergic symptoms such as coughing or s...
Sneezing also is an allergic symptom --so ,if you are getting sneezing after applying coconut oil on hair --kindly, stop that practice for few days ---then, if you get relief from sneezing-- continue without that practice and thus save yourself from this allergen ---ok.
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