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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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Respected Dr. The following are the brief details of my case for your kind consideration:- 1. History of High Myopia since the age of 12 years. 2. Suffered Retina Detachment in the right eye at the age of 25 years and was operated upon at Shankar Netralaya, Chennai but with little gain of vision. 3. Continued with the help of contact lens in the left eye and almost stable number for the next 11 years. 4. Sudden appearance of rainbow like colours in the Left eye and the case was diagnosed as Advanced Optic Nerve Atrophy & Retinal Degeneration at PGI, Chandigarh & I was told that the condition is irreversible with no cure or medication. 5. I was put on eye drop medication with Dorzox, Combigan , Alphagen & am continuing with the same. 6. I was advised IOL transplant in the left eye and underwent surgery for the same at Grewal Eye Institute, Chandigarh. 7. During the last 4 Â½ years i.e. since the problem was diagnosed, I have underwent regular treatment under Acupuncture, Acupressure, Ayurvedic & Homeopathy medicines but with no relief and the deterioration in the field of vision and also its aquity has continued. 8. The latest checkup has shown that even the remaining macular vision in the Left Eye also shows signs of further degeneration. Kindly suggest some remedy for my sister's ailment. Pravin Misra

The condition is called Pathological Myopia and she is having all the complications of this condition. only thing a doctor can do is to treat and try to prevent from the further detoriation and treat the complications of the condition.You can only do is regular follow up to the doctor. There is no curative treatment of this condition. ...

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Attaching a test report, high HbA1c of 200 and GGT of 136is getting me worried, kindly advise

Hi, I could not have a look at your report,probably you did not attach properly. Your raised hba1c levels indicate that you are a diabetic and needed to be started on medicines for diabetes and that can be started only after knowing about your full history and examination. ABG 200 i don't think you wanted to right the same and report must be telling something else which you did not write properly. 25 years old jaundice has no link today unless it was due to acute hepatitis infection. Raised ggt ...

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Sir , I am 22 years old with brownish skin tone and oily skin.when i was 15 years old(7 Years back) i had chicken pox which resulted in scars on my face but i am not able to concentrate due to studies and later used to have frequent acne and pimple problems in which few are cystic.Now i have lot of scars and pit hole on my face .Kindly prefer some scar gels or cream which is good for my skin tone and any latest treatments possible. Doubt(while searching net i came through a scar gel Derma -E Which is a combination of Panthenol,Allicin,Allontoin etc is it good for my skin) Kindly ,waiting for your Annswer Thanking You .

scars and pits dueto pimples and chicken pox will not improve well with creams ,better option isto go for procedures like lasers ,microneedling ,punch elevation,punch grafting depending on the nature of the scar.consult a dermatologist ...

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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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Low Grade Glioma (Brain Tumor) diagnosed in my wife's MRI. Size of tumor is 24 x 36 cm and location is speech area (left side). In first MRI (2011) confirmed but size of tumor increased in second MRI (23/08/2012) and in latest MRI (23/12/2013) its unchanged. We have taken alopathic(Dr Y R Yadav) & Homeopathic from our local (Dr Lalit Babel, Dr Ramakant Chachondia,JABALPUR) doctor. As per doctors opinion is surgery is better option because tumor may be change any time in High Grade Glioma. Please advice

My sympathies.What r the homeo-medicines prescribd? ...

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I have been suffering from pain in neck, joint, shoulder knee, all finger ra factor 140, uric acid 6.6, vitd3 025h is 6.82, vitb12 is about 239. which is the safe medicine. sugar hba1c is 4.2, fasting 91, thyroid lipid profile kidney profile all are normal.

Respected Sir, Most medicines are safe to take if taken under supervision and properly. Arthritis itself is more damaging than the medicines, hence earlier control is needed ...

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