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Question: Advice to control Diabetes
Brief Answer:
Please share with us your medical details
Detailed Answer:
Hi,
Welcome to HCM. Please share with us your medical details.
How long you are having diabetes?
Medications tried? Current dose of diabetrol?
Your blood tests - fasting and after food plasma glucose, HbA1c ( 3 months average blood glucose), liver kidney functions and lipid profile? please upload the test reports if possible.
Your family history of diabetes?
Do you have any complications?
Control of diabetes depends on all the above factors.
The basic things needed for control of diabetes are
1. Diet - frequent small quantities of low sugar, low calorie, high fibre diet
2. Regular exercises- at least 30 minutes of aerobic exercises per day
3 Medications - oral medicines and insulins
The target for control of diabetes are:
fasting sugar less than 130 mg/dl
after food less than 180 mg/dl
HbA1c less than 7%
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Please share with us your medical details
Detailed Answer:
Hi,
Welcome to HCM. Please share with us your medical details.
How long you are having diabetes?
Medications tried? Current dose of diabetrol?
Your blood tests - fasting and after food plasma glucose, HbA1c ( 3 months average blood glucose), liver kidney functions and lipid profile? please upload the test reports if possible.
Your family history of diabetes?
Do you have any complications?
Control of diabetes depends on all the above factors.
The basic things needed for control of diabetes are
1. Diet - frequent small quantities of low sugar, low calorie, high fibre diet
2. Regular exercises- at least 30 minutes of aerobic exercises per day
3 Medications - oral medicines and insulins
The target for control of diabetes are:
fasting sugar less than 130 mg/dl
after food less than 180 mg/dl
HbA1c less than 7%
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
How long you are having diabetes? 1 1/2 years
Medications tried? Current dose of diabetrol?- MIGNAR + DIABETROL SR 500 , THEN GLUCOBAY + DIABETROL SR 500 , CURRENTLY - DIABETROL SR 500 once before dinner
Your blood tests - fasting and after food plasma glucose, HbA1c ( 3 months average blood glucose), liver kidney functions and lipid profile? please upload the test reports if possible.- currently not available, have not tested from last 9 months
Your family history of diabetes? mother & grand mother (Moms mother)
Do you have any complications?- tiredness & restlessness, sometime feel very low esteem/lack of desire to do anything .
1. Diet - frequent small quantities of low sugar, low calorie, high fibre diet
Ans: Break fast -7 am(coffee with sugar free+ glass of ragi malt regularly , sometimes Idly/ multigrain Dosa/Upma/maggi/Ots/apple) , south meal -1 to 1.30 pm, 6.30 coffee , dinner between 10 to 10.30 (mostly ragi (Ragi Balls & brown rice + vegetable)
2. Regular exercises- at least 30 minutes of aerobic exercises per day
Ans: 10 mins walk morning & evening
3 Medications - oral medicines and insulins
Ans : Oral- Diabetrol SR 500
fasting sugar less than 130 mg/dl : currently 121 to 130
after food less than 180 mg/dl - 170 t0 190
HbA1c less than 7% - Have not checked
Query : I have started to have Hair falls from the Time I have started medication -is it related any side effects
2. my hands looks like wrinkled or soaked when it comes in contact with water , taking bath or general household work anything
3. I always feel tired & dull - how to overcome it
4. is it ok to have white rice once a day
5. I have dry caught in cold season - will it have any adverse affect as I am diabetic
6. I face acidity problems a lot - will it have any adverse affect as I am diabetic
Medications tried? Current dose of diabetrol?- MIGNAR + DIABETROL SR 500 , THEN GLUCOBAY + DIABETROL SR 500 , CURRENTLY - DIABETROL SR 500 once before dinner
Your blood tests - fasting and after food plasma glucose, HbA1c ( 3 months average blood glucose), liver kidney functions and lipid profile? please upload the test reports if possible.- currently not available, have not tested from last 9 months
Your family history of diabetes? mother & grand mother (Moms mother)
Do you have any complications?- tiredness & restlessness, sometime feel very low esteem/lack of desire to do anything .
1. Diet - frequent small quantities of low sugar, low calorie, high fibre diet
Ans: Break fast -7 am(coffee with sugar free+ glass of ragi malt regularly , sometimes Idly/ multigrain Dosa/Upma/maggi/Ots/apple) , south meal -1 to 1.30 pm, 6.30 coffee , dinner between 10 to 10.30 (mostly ragi (Ragi Balls & brown rice + vegetable)
2. Regular exercises- at least 30 minutes of aerobic exercises per day
Ans: 10 mins walk morning & evening
3 Medications - oral medicines and insulins
Ans : Oral- Diabetrol SR 500
fasting sugar less than 130 mg/dl : currently 121 to 130
after food less than 180 mg/dl - 170 t0 190
HbA1c less than 7% - Have not checked
Query : I have started to have Hair falls from the Time I have started medication -is it related any side effects
2. my hands looks like wrinkled or soaked when it comes in contact with water , taking bath or general household work anything
3. I always feel tired & dull - how to overcome it
4. is it ok to have white rice once a day
5. I have dry caught in cold season - will it have any adverse affect as I am diabetic
6. I face acidity problems a lot - will it have any adverse affect as I am diabetic
Brief Answer:
Not much symptoms in early stages of diabetes.
Detailed Answer:
Hi,
Thanks for providing the details.
The most important thing to understand in diabetes is, this is a disease without much symptoms in the early stages. The symptoms of diabetes are due to complications of diabetes. Once complications sets in treatment will be troublesome.
So regular blood tests and screening of complications are important. Minimum tests needed are HbA1c 3-4 times a year, fasting and after food glucose at least monthly, kidney and liver functions annually.
So please consult a physician and have your blood tests done. He will also check you for other diabetes complications like eye disease and nerve disease.
Regarding your questions
1. Hair loss in diabetes can be due to vitamin deficiencies or hypothyroidism. It is unlikely due to the side effects of drugs
2. Wrinkling on contact with water is unrelated to diabetes
3. Tiredness in diabetes can be due to uncontrolled sugars or vitamin deficiencies. Have regular diet, increase vegetable content, drink plenty of water. Avoid fasting and feasting. Again do a thyroid function tests also.
4. No diet is prohibited in diabetes. You can take small quantities of calorie is high. Brown rice (par boiled) is always better than white rice as it contain more fibres
5. Dry cough may be due to allergy or asthma. Any infection can worsen your diabetes. Drugs like steroids also will worsen diabetes
6. Acidity may be due to the medications ( Metformin) that you take for diabetes.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Not much symptoms in early stages of diabetes.
Detailed Answer:
Hi,
Thanks for providing the details.
The most important thing to understand in diabetes is, this is a disease without much symptoms in the early stages. The symptoms of diabetes are due to complications of diabetes. Once complications sets in treatment will be troublesome.
So regular blood tests and screening of complications are important. Minimum tests needed are HbA1c 3-4 times a year, fasting and after food glucose at least monthly, kidney and liver functions annually.
So please consult a physician and have your blood tests done. He will also check you for other diabetes complications like eye disease and nerve disease.
Regarding your questions
1. Hair loss in diabetes can be due to vitamin deficiencies or hypothyroidism. It is unlikely due to the side effects of drugs
2. Wrinkling on contact with water is unrelated to diabetes
3. Tiredness in diabetes can be due to uncontrolled sugars or vitamin deficiencies. Have regular diet, increase vegetable content, drink plenty of water. Avoid fasting and feasting. Again do a thyroid function tests also.
4. No diet is prohibited in diabetes. You can take small quantities of calorie is high. Brown rice (par boiled) is always better than white rice as it contain more fibres
5. Dry cough may be due to allergy or asthma. Any infection can worsen your diabetes. Drugs like steroids also will worsen diabetes
6. Acidity may be due to the medications ( Metformin) that you take for diabetes.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Thank you Doctor your advice ,
Brief Answer:
Wishing you good health
Detailed Answer:
Hi,
Great to hear that the health tips were useful
Wishing you good health.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Wishing you good health
Detailed Answer:
Hi,
Great to hear that the health tips were useful
Wishing you good health.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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