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Diabetes Health Feed

I am 35 years old female my weight is 92 kgs. I am pre diabetic since 2 years. I start feeling hungry within an hour or before after having any meal though I eat in portion control. What to eat in between meals for hunger pangs. Currently I am having sri sri tattva karela jamun juice to control blood sugar level. Recently I did a blood test to check my sugar level. Pls advice. Fasting plasma glucose - 100.8 hba1c - 6.5 % estimated avg glucose - 140.

Dr.Karuna Chawla 96% (117184ratings)
BHMS
Homeopathy Doctor, Noida
I am 35 years old female my weight is 92 kgs. I am pre diabetic since 2 years. I start feeling hungry within an hour ...
Do check your thyroid profile. Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. Https://www.youtube.com/watch? V=wmhmazurgvsandfeature=youtu. Be for more details, you can consult me.
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Can pre-diabetes really be reversed to normal? If yes, how. I have recently tested 112 mg/dl in fasting glucose. I am looking for allopathic answer.

Dr.Rushali Angchekar 97% (84488ratings)
BHMS
Homeopathy Doctor, Sindhudurg
Can pre-diabetes really be reversed to normal? If yes, how. I have recently tested 112 mg/dl in fasting glucose. I am...
Have fatty fish like salmon, sardines, herring, anchovies and mackerel . Cinnamon, fresh fruits, leafy green vegetables, chia seeds, eggs,low-fat dairy products, whole grains, turmeric ,cashews, hazelnuts, pecans, pistachios,walnuts, broccoli, apple cider vinegar, eat fish, poultry, and lean meat instead of fatty red meat or processed meat. Flaxseed, garlic ,strawberries avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats. White bread, pasta and rice. Fruit-flavored yogurt sweetened breakfast cereals flavored coffee drinks honey, agave nectar and maple syrup. Dried fruit.
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My fasting glucose is 135 and pp is 167. Hitherto I am taking glycomet sr 500 mg in the morning and in the night .my doctor has asked me to take teneligliptin 20 mg plus metforminhcl in the night and asked me to stop the glycomet 500 mg sr in the night to contain fasting levels. Can I take? I am diagnosed with t wave inversion in the year 1977. No problem with that so far in all these years. I have hypothyroidism also. Can I continue these medicines for a long time as far as fasting glucose is lowered? Or do I have to stop teneligliptin after fasting level comes down?

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My fasting glucose is 135 and pp is 167. Hitherto I am taking glycomet sr 500 mg in the morning and in the night .my ...
Hello, thanks for the query. The glucose levels mentioned (both fasting & pp) are quite fine, considering your age. It would have been better if you had mentioned current or latest hba1c%, that would have clarified it better. As regards changes suggested by your doctor of adding tenelegliptin and metformin for better control, I really do not see any requirement. Your fasting glucose can be reduced by even a slight alteration of your night time food intake and increasing the level of physical activity. Since you have mentioned (t- wave inversion) some cardiac issue earlier, then it is better to avoid tenelegliptin. By altering the food intake, increasing physical activity you can bring down your glucose levels as those are already quite good. Please inform your serum creatinine and urea levels to know kidneys are functioning. If you have any qiestions please do come back. Thanks.
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Hi, my fasting is 140 and pp 190. I am taking dynaglipt m before lunch and cyblexm80 before dinner my hba1c is 8.7 serum creatinine is. 75 my doctor prescribed oxra10 and gemer 1 twice and sitagliptin. Instead above please suggest should I change my medicine according. My weight is 75 kg.

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hi, my fasting is 140 and pp 190. I am taking dynaglipt m before lunch and cyblexm80 before dinner my hba1c is 8.7 se...
Mr. lybrate-user, thanks for the query. I have seen the details mentioned. From the hba1c% it is clear that there is no proper control of blood glucose. Ideally at your age fbg should be < 100 mg or closer to it. Pp should be 150 to 160 mg & hba1c% < 6.5%. Therefore it is clear that there is a need to upgrade the treatment, which means we need to look at your diet, extent of daily exercise, weight & height. Information regarding these aspects is not there, so it is difficult to comment. In the treatment of diabetes diet, exercise and weight control ply a nuch more important role than the drugs. So there is a need to look at those aspects along with change in treatment (drugs) if necessary. Thanks.
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My wife is diabetic and hypertensive. In february/2021, the doctor prescribed rozavel 10 mg. Lipid profile at that time was: total cholesterol 92 mg/dl, triglycerides 94, ldl 34.2.now the lipid profile is: 92, 106, 27.8 respectively. Should she continue the rozavel 10?

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My wife is diabetic and hypertensive. In february/2021, the doctor prescribed rozavel 10 mg. Lipid profile at that ti...
Hello, thanks for the query. I have seen the details mentioned. She did not have very high cholesterol and ldl cholesterol when treatment was begun and the even the latest values are very pretty low. However, there is no mention of hdl the good cholesterol. Since she has diabetes and hypertension, it is essential to know how the blood glucose is controlled as well as how the bp is. Another important aspect have you checked her thyroid profile? Because she appears to have excess weight with a bmi (body mass index) of 29.3 kg/sq meter (normal < 23 kg/sq meter). She has an excess of almost 25 kg. Her ideal body weight should be around 25 kgs. As regards stopping the treatment with the statin, unless all other details are known it is not possible to give an opinion. However only looking at lipids I don't think there is a need for any statin. If you have any questions please do come back. Thanks.
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Should the patient come empty stomach for the sugar test or not I have booked an appointment for tomorrow 11 am.

Dr.Prakhar Singh 97% (8824ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Should the patient come empty stomach for the sugar test or not I have booked an appointment for tomorrow 11 am.
I am sorry to hear about your concern but will be happy to assist you. Random (non-fasting) blood glucose tests don't require you to not eat or drink before the test. Your doctor may have you take several random measurements throughout the day to see how your glucose levels change. Blood glucose levels that vary throughout the day could indicate a problem. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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My son hardik suffering from diabetic i'm giving two units lantus. He is suffered from hungry. He need food every five minutes if I am not given food he is crying continuously. Lft, kft, tft, cbc, all reports are normal.

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My son hardik suffering from diabetic
i'm giving two units lantus. He is suffered from hungry. He need food every fiv...
Hello, thanks for the query. I have seen the details mentioned. It is very tough to manage t1 diabetes particularly in young kids. My suggestion is please visit good medical college hospital either at rotak or pgi chandigadh and consult t1 diabetes exper doctor. That should help in managing the situation. Ye bimari bacchome manage karana kafi mushkil hot hai. Isliye aap upar bataye huye institute ko jake is bimari ke tadnya ko miliye. Thanks.
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I am type 2 diabetic patient since 28 years with high bp and coronary heart disease (standing in 2008 and 2014). For dm taking novomix penfill 30/70 insulin three times and tablets (glister 4, morning and evening, tenpla in afternoon and ramo-100 morning and evening). Cost of novomix penfill is very high and increasing every 6 months. My family physician advised alternate insulin i.e. Wosulin 30/70 manufactured by wockhardt locally. The content of both is same except novomix is synthetic and wosulin is human. With novomix penfill and tablets my sugar levels are average 130 fasting and post lunch 175. By switching over to wosulin (cost benefit which is one third of novomix) is there any side effect? Will my sugar level will controlled? Will there weight gain. Attaching medical history. Taking novomix since last six years.

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am type 2 diabetic patient since 28 years with high bp and coronary heart disease (standing in 2008 and 2014). For ...
Hello, thanks for the query. I have gone through the details given. In fact you are too many drugs to treat diabetes. Since you are on 30/70 insulin (any one is similar) you can actually achieve better control by monitoring the insulin dosage and fasting and pp glucose levels. Taking so many oral anti-diabetes drugs may not be needed. As regards your question both the brands work in the same manner. Both contain human insulin only but compounds are different. So there is no need to worry. Thanks.
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I am 72 diabetic for last last 10 years 130 fasting and 160 pp after taking 1 glycheck m fort in the morning and one galvus met 50/500 but regularly taking alcohol for one month it has gone up fasting 180 and pp 210. Now I have stopped alcohol and controlled diet but it is not coming down. Please advise the medication to bring down bs level.

Dr.Prabhakar Laxman Jathar 94% (19888ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am 72 diabetic for last last 10 years 130 fasting and 160 pp after taking 1 glycheck m fort in the morning and one ...
Mr. lybrate-user, thanks for the query. I have seen the details mentioned. From that it is clear that blood glucose control has gone hay wire. It is good to know that you have stopped taking alcohol. However, once glucose levels have gone bad it takes lot of effort which includes giving a closer look at the diet, extent of daily physical activity and medications being used. So my suggestion is please come back with following: current fasting & pp, hba1c%, serum creatinine, urea, cbc, lipid profile, bp readings, dietary pattern and extent of daily exercise. It is better if you come in a private conversation, where I will be able to give specific advise and also prescribe necessary medications. In this communication we are supposed to give only general guidelines no drugs can be prescribed. If you are not keen on online consultation then please do contact your local specialist and get the necessary changes done. Ideally fbg should be < 100 mg or closer to it. Pp 150 to 170 mg & hba1% <7%. Thanks.
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I am 53 years old and obese… known diabetic and on metformin and now I checked 140/90….what medication I should start in the beginning….can I take t. Fimsartan 30 mg or t. telmisartan 40 mg?

Dr.Karuna Chawla 96% (117184ratings)
BHMS
Homeopathy Doctor, Noida
I am 53 years old and obese… known diabetic and on metformin and now I checked 140/90….what medication I should s...
It’s not very high. U can control it with lifestyle changes which will help in diabetes also. Moreover keep an eye on bp, you should not start medicine with one reading. If it’s constantly high, then go ahead with medication. Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. Https://www.youtube.com/watch? V=wmhmazurgvsandfeature=youtu. Be for this homeopathy offers good results. Consult online.
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