Chronic diabetes

Questions
Doctors

My husband was recently diagnosed with a thoracic aortic dilation of 4.2 during a preop echocardiogram. Cat scan was also done. No evidence of dissection. He is having bilateral knee replacement on January 17. His cardiologist has cleared him for surgery for both knees. Should we be getting a second opinion. I should mention he is 67 years old, no evidence of heart blockages, no diabetes.

surely get the second opinion from other cardiologist ...

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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CT SCAN REPORT: Bilateral Panacina and Para septal bullous emphysema. Mild basal subpleural intertitial thickening with few small reative mediastinal nodes suggesting chronic interstitial pneumonia.

Hi, The report of ct-scan does not suggest that he is serious,although he can be serious with the same report and he might be he might be doing well with the same report and there are multiple things i(doctor) have to see before i can comment over some one's life.Overall emphysema is a long term illness and would not reverse but i have seen patients with emphysema live a very long life with drugs which they require for their respiratory disease.You just have to take care about his respiratory ...

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how sucessfull is stem cell therapy in diabetes

Hi, The treatment is mostly succesful in type 2 diabetes which you are suffering from(usually reserved for people in whom the sugar is not controlled by drugs and disease is chronic - you did not tell me anything about this point whether you are controlled on medicines or not.),but it will have to be confirmed by tests that you don't have any auto antibodies which means antibodies against your own cells. But the treatment is still not advocated commonly. ...

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Given my medical history of Hypertension, anemia, and borderline diabetes, is it good to have a tbsp of sharkeferol tonic every night?

Hi, Unless you have micronutient deficiencies only then you can take them daily otherwise you should avoid to take them daily. For anemeia you take iron in syrup or tablet form. ...

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my stool test showed a few amount of pus cell present and mucous is also contained in it, i have chronic diarrhoea for last 5 months

Hi, If you have chronic diaroohea then it is important to get it further tested like to get done and endoscopy to know about the cause of chronic diarrhoea as if it is not controlled then it is quite possible that your psoriasis flares up. You can also get tests like stool culture and blood tests like cbc and esr done. ...

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Hi, I am Satish Aggarwal (58 years old). I have been suffering from Diabetes since last 5 years. I was taking Tribet-2 (Abbott) till last month (one tablet in morning and one in evening). My sugar levels were around 170 (in random) while taking it. Last month I read in newspapers about side effect of Tribet-2 and my doctor advised me to switch to Diamicron XR MEX 500 (2 tablets in morning). While taking it my sugar levels have been around 240 (in random). Now I have just heard that there is some clarification from Tribet-2 that it is safe. My doctor has asked me to move back to Tribet-2. My query is that is Tribet-2 really safe ? and should I move back to it again ? Thanks, Satish

Hi, Yes this is true that tribet 2 is back in market, but they have allowed it with safety precautions written on the pack like its prone to cause bladder cancer. If you have repeated history of seasonal allergies or difficulty in breathing or you are working in place which deals with chemicals,then i would recommend you to avoid the drug. If you have any problems in urine like frequency or urgency or pain in urine report to your doctor immediately. ...

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Hi doctor i am suffering from back pain for past few years and this has become a chronic issue for me.i am a software engineer and spend lot of time infron of computer.My sitting posture is correct and i dont think that should lead to this pain.Can you tell me what test i need to get done to know the exact issue for this. Is there a chance for surgery since i have been taking pain killers for quite some time but with no luck.

Looking to your age and history more likely to be postural still. Pl get up from chair for 5 minutes after sitting for an hour. There is a long list of investigation, but better to consult ortho surgeon prior to such investigation. ...

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