Diabetes Educator

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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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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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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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I was diagonized with Diabetes. My details then was Wt 114 kg, FBS 195 and HB1AC 8.5. Its been 2 months now and i have controlled diet and walked frequently. My details after 60 days are Wt 104Kg FBS 89 and PP 101. I was on Ismet 500, Piopar 15, Rosimet and Mitovit for last 2 months. My doc says progress is good. I want to know, can i ever stop medication and control sugar? Shall i be on medicines for ever?

diabetes is progressive disease. when diabetes appears 1st time almost 50-60% of pancreatic beta cells are lost. with diet and exercise you can control sugars. as the time progresses beta cells keep on decreasing. your progress is pretty good. metformin & pioglitazone increases insulin sensitivity and sitagliptin delays gastric emptying,promotes beta cells , glucose dependent insulin secretion and helps in weight loss. you might require to take medicines for life long but you can limit medicines ...

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Hi. I already asked a question before. I got reply for that and got expired. So i mentioned below my before question and reply:- Hi. i feel my nerves are weak. i'm 25 yrs old. My hands shake when i do some activities like when i take a tea cup my hands shake. When i'm drinking it slowly my hands shake. I feel very shy and afraid infront of everyone. I cant hold the pen and write normally as others do. I hold my pen very tight with my fingers and write. Then when i go in a bike, when i go in some speed i'm ok. When i go in a dead slow my hands shake. I feel more nervous when i stand in front of everyone. I also feel mild nerves pains in my legs and hands all the time. I'm about to marry in a year or two. I dont know why i get this. Is this occur due to i masturbate often? Is it curable? Can i get my nerves strong and hands without shaking? I'm not able to tell this to my parents. I'm very much afraid of this sir. Pls help me.. Reply for this:- Hi, First of all would like to clarify that it is not due to masturbation , it depends upon the cause whether it is curable or not. Do you feel any kind of numbness or any kind paresthesia in your hands or legs. Since how long are you having this problem and also describe in detail whether you are facing any other symptom or not and whether it was all of a sudden or the symptoms you are facing devloped gradually. Any problem in urine or dafecation ? Any history of trauma and is this pain bilateral or unilateral ? Any history of hypertension and diabetes ? You can get serum electrolyte level and vitamin d3 levels chceked in blood right now and also give me the awnser to above queries i asked you and then will let you know whether any other investigation is required or not. Would recomend you to have plenty of water and high protein diet and also one tablet of neurokind plus daily. My reply:- Yes i feel kind of parasthesia in my hands and legs. Actually i want to share a thing. I had laser surgery for my eyes before 2 years. That time doctor said my nerves are somewhat weak. May be its a family gene problem which could've occured for any others in your family. Anyway its not a problem for this surgery and they done it. I too okay with my eyes. As doctor said generally i feel nervous often. But last 6 months i feel kind of tickling or tingling in my hands and legs. I feel some like burning in my leg limbs. Others say all this occurs due to over masturbation. Help me..

Hi, Yes that much is ok no problems. ...

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I am suffering from type 2 diabetes and obesity . My weight is 110 kg and I am 30 yrs old . The random sugar level is in between ********** on avg . Fasting is always normal and even PP shows normal level within 105 to 134 on average . My insulin fasting test was normal but my insulin pp was 200 . I was prescribed Glycomet 500 sr , which I took for 2 months and stopped . I started exercising and got tested the Insulin PP was 130 and I continued my workouts .but te weight is not reducing its stuck at 110 kgs and I am feeling pains in my legs on daily basis . Will get tested tomorrow for Hba1c test and Insulin PP test , I will attach the report tomorrow , if needed . Please suggest what exactly I shall do to reduce weight and get this type 2 issue resolved

You may have to practice aerobic exercises regularly. However, a routine warm up and cool down phase of aerobics is a must and that should reduce your leg pains to a higher extent. You may contact a physiotherapist to get help about your exercise routine. ...

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I have CAD and type 2 diabetes am age 70 male about 50 lbs overweight with 3 endeaver stents in right coronary artery and 1 in the left cecending artery. Got some chest pains last night after dancing for about 5 minutes to some fast music. I sat down and my felt I wanted to vomit and there was a STRONG taste of salt in my mouth. It went away after about 5 minutes including the chest pain which was like a bit of a squeeze. The salty tast in mouth....what is that?

You should visit your cardiologist. It looks like you had angina attack, take all prescribed medications on time and try to do just moderate physical activity, because excess physical activity can provoke angina attacks. ...

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My mother is 88 and recently diagnosed with afib/heart failure. She is on warferin and two other drugs, one is a diuretic and can't remember the other. She does not have diabetes and she is very thin. Of late, her calves and ankles have become very swollen and now she is weeping clear liquid through the skin on her lower leg. She will be visiting the doctor, but I was wondering what, if any, treatments there are for this condition.

Hi, the most probable, evident cause which can bring to legs swelling in this situation is heart failure worsening. Heart failure can progress even in case that patient accurately takes prescribed drugs. Atrial fibrillation complicates, worsenes the course of disease. Try to reach her doctor as soon as possible. Doctor may advice to increase diuretic doses, contunue treatment in-hospital states and in general fortified heart failure treatment brings the patient to a compensated condition within ...

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