Management of diabetic pregnancy

Questions
Doctors

My mother is 75 yrs old and she regularly complains of pain in her joints for the the last 3-4 years.she has normal blood pressure and is not diabetic.kindly advise any blood tests and medications for her ?

Dear patient Your mother is suffering from post - menopausal senile osteoporosis. her bones have become weak due to deficiency of calcium and vitamin D. this usually occurs in old age and after menopause.get the following investigations done: dexa bone scan , vitamin D level , blood calcium , complete haemogram and blood urea.Consult a orthopaedic surgeon who will advise you medications according to your test reports. ...

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Hello doctor! I am Mrs xyz in my second month of pregnancy.I am weighing 95 kg .My obstetrician has advised me against further weight gain in this pregnancy and has also told me that obesity affects pregnancy adversely.what should I do since I am 33 years of age and have conceived with great difficuly?

Dear Mrs xyz Firstly you need to tell me whether you have conceived on your own or after taking medications( asissted conception) Secondly,you need to tell me how much weight you have gained in the last 2 month. Your obstetrician has rightly advised you against gaining too much of weight in this pregnancy.It is not advised that you lose weight in this pregnancy or follow any such diet which leads to weight loss. Obesity leads to chances of early miscarriage,preterm labour,baby growing too big o ...

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Hi , My dad is 68 years old.He is diabetic and suffering from blood pessure. Also he has Sleep apnea issues..Offlate he is sleeping excessively, speaks while sleeping and also speaks assuming that a person is nearby (while the person is nt in the vicinity)..What can be the reason for the same?..A friend of mine asked me to check sodium levels..If that has to be tested , should that be done before fasting...

Hi, You told me that your father is having hallucinations(he sees what is not there actually),these are commonly seen due to hyperosmolar, hyperglycemic , nonketotic syndromes. The cause of hallucination is usually rapid rise in blood sugar.(the cause might be some exisiting infection in body). I have never heard of hallucination due to electrolyte imbalance,however you may get it checked as(electrolyte imbalance) definitely can cause confusion. Rest if he has very high blood sugar, dehydrat ...

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Hi, I stared the HCG diet 10 days ago using the drops. I also am trying to have a baby so I had sex three times during the week of ovulation. Last period was on January 8. I have had pregnancy symptoms, five positive pregnancy tests, no period. I did have some spotting but it was brown which makes me think that I am pregnant. I am not sure if it is the HCG drops causing a false positive test. Last night I put some of the drops on a pregnancy test and it was a faint positive. My dr. recommended a blood test and then another 48 hours later. I have poor insurance coverage as I am a business owner, and I don't want to spend the money on the blood tests this early. I usually have a 28-31 day cycle. I am thinking of just waiting a couple of weeks, I live a healthy lifestyle. Advice, sorry to ramble on. Jaclyn

Hi Jaclyn!! your issues as to whether the test for pregnancy is actually positive or not are actually confirmed by the serum beta hcg which if doubles in 48 hours means a viable and growing pregnancy. please get the blood tests for the pregnancy done as told. Also ,i hope you had rhogam after in your 1st pregnancy and after the miscarriage. Also your previous pregnancy with history of incompetent os means that this condition is likely to happen again so go in for prophylactic encirclage of the ...

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my husband has cellulitis that has reoccurred on his face, he was given strong antibiotics and now after about 2 months its back, NoW he has developed diabetic symptoms he also has swollen ankles, and sometimes hands, I dont know if the two are related, and his face is now numb, I dont know where to take him for treatment, because he also has a bad tooth that might have caused it. where do i go? ER? PCP? Dentist? HElp!!

Dear Patient, Please immediately check for diabetes, routine Blood and Urine at the start. This is to rule out Diabetes. Press your thumb on the swelling part at the ankles for a while and observe if the tissues regain their original shape immediately or return after sometime which indicates retention of water in the body. Please get a medical detailed profile for a proper diagnoses. This appears to be a systemic condition rather than dental who will take care of a bad tooth later ...

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my insulin fasting is 45.5,m i DIABETIC?WHT TO DO?

Hi, Your tests are on higher side,and you should be started with drugs for reducing cholesterol and triglycerides. Even your cholesterol/hdl ratio is very bad so you will have to be started with drugs for reducing all this. But first diet and lifestyle changes have to be made. Your tsh is also raised mildly and you might also be started with drugs for that too. Diet and lifestyle changes include: 1) Reduce your calorie intake 2) Limiting the amount of carbohydrate and unhealthy fat that you ...

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I need to abort my 3 to 4 weeks old pregnancy. I have tested my urine wait the pregnancy test tube (HCG test tube). It gave me a positive pregnancy result. Now i wish to abort it at home. I do not wish to go to the hospital and am not economically well too. hence please guide me with the quick abortion in a simple way.

Hi!! Pregnancy cannot be less tahn 4 weeks as it is always counted from the day of the last menstrual period,so your pregnancy should be calculated accordingly.Also,termination of pregnancy ,is not such a simple procedure, so kindly consult a gynaecologist,get an ultrasound done for early pregnancy to calculate the exact size of the pregnancy,blood group and haemoglobin done. Taking over the counter medications cause more harm and may even be life threatening,so kindly refrain without proper pre ...

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i had my last periods on 20th jan 2013 ,which went on for 5 days.After that till april15th 2013 i did not get my periods , so i consulted a gynaecologist , who did a pregnancy test ,which turned out to be negative. SO she prescribed me Cycloreg for 5 days , 3 times a day. i took all the tablets till 19th APril 2013, and still i did not get periods till 29th april.SO i again consulted my doctor ,n this time pregnancy test was positive . My Antenatal ultrasound shows i am 4-5 weeks pregnant now my question is - what are the effects of cycloreg on the baby.SHould i terminate or continue with pregnancy??

Hi!! As you have said,on a scale of 1 to 10,chances that fetus is affected are 1 out of 10. Also, it is quite likely that the fetus is not affected at all. Whether the chances are that that this is curable or not depends upon the extent of the problem. ...

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I would appreciate your advice on taking biotin 2500mcg, 3000 mcg or 5000 mcg, i am a diabetic.

Hi, Biotin is a vitamin complex and is useful for many purposes, mainy for hair fall purposes and loss of hair color and to maintain the texture of skin,however debatable but still is prescribed by most doctors. It can also be prescribed to diabetics for better control of sugar. Why has it been prescribed to you ? Now its usual requirement is not more than 500 mcg and if given at higher dosage is mostly removed through the body through urine unless there is any deficency of botin. Do you face a ...

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I am a diabetic and about 5 years ago I borke my ankle and had medal screws put in my bones because I broke the ankle so bad. I am feeling like the medal has slipped in my foot because of the neurophathy I can not feel the pain Is there any way this could heal without surgery again.

Diabetic patients have diabetic neuropathy which can be very disabling and chronic and there is no cure as such. i need more work up and clinical details to guide you including Xrays and details of surgery and whether frature has healed or not. I personally treat these patients with ESWT/RSWT with good results so far. drugs donot help. pl refer my webiste www.**url** and see case reports peripheral neuropathy. ...

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