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Depression, increased blood sugar levels - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Depression
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2497 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   i am suffering from depression
Doctor :  
ok
User :  
mdd
Doctor :  
when was this diagnosed for you?
Doctor :  
what symptoms are you having?
User :  
now i am taking
Doctor :  
what medications are you taking now?
User :  
nexito 10mg twice
User :  
lonazep 1g twice
Doctor :  
ok
User :  
milborn 50mg twice
Doctor :  
ok
User :  
pramipex 0.5mg twice
Doctor :   ok
User :  
since one year
Doctor :  
ok
User :  
at present i am depressed
Doctor :  
ok
User :  
and unable to do daily works
Doctor :  
you told me that you are having "mdd", do you mean to say "major depressive disorder"?
User :  
yes
Doctor :  
ok
Doctor :  
i would advise you to take rest for sometime, taking off from office
Doctor :  
be near your freind or family memeber
Doctor :  
do not stay alone
Doctor :  
keep talking to someone who knows you well
Doctor :  
continue taking your medications as prescribed
User :  
i am on rest since one and half month
Doctor :  
go for a repeat counselling
Doctor :  
ok
User :  
but all in vein
Doctor :  
are you close to some person your freind or family memeber?
Doctor :  
are you mingling with population?
Doctor :  
are you going out for exerciose or some entertainment?
Doctor :  
are you sleeping well?
User :  
no physical activity
Doctor :  
please provide your age, gender, location, occupation and marital status
Doctor :   ok
User :  
i slept well
Doctor :  
ok
User :  
42yrs,male,business and married
Doctor :  
ok
User :  
please advice me another medicine
Doctor :  
have you found any triggers that is leading to to feel depressed?
User :  
no
Doctor :   you are already taking 4 medicationsat present
User :  
yes
Doctor :  
any more medication will lead to interactions with those and cause you more problems
Doctor :  
so it is recommended that you get back to your prescribing doctor
Doctor :  
and report the recent depressed state
Doctor :  
and ask for change of medications
User :  
sir, iam diabetic also
Doctor :  
also go out, mingle with people
Doctor :  
talk to friends
Doctor :  
ok
Doctor :  
what medications are you taking for diabetes?
User :  
taking insulin NOVORAPID twice 30 units each dose
Doctor :   ok
Doctor :  
how many times a day are you taking insulin?
User :  
since five yrs
User :  
diamicrown tab od
Doctor :  
you are married? are you able to confide in your spouse? are you getting enough support from her?
Doctor :  
ok
User :  
no
Doctor :  
ok
Doctor :  
is this the reason that you are depressed?
User :  
may be
Doctor :  
what are the reasons that you are depressed now?
Doctor :  
what do you think could be the possible causes?
User :  
i do not know
Doctor :   have you joined back office after rest?
User :  
no
Doctor :  
ok
Doctor :  
i would suggest you to report back to your doctor
Doctor :  
who is treating you for deprtession
Doctor :  
and tell your symptoms
User :  
my sugar level also high
Doctor :  
and ask for possibilities of changing your medications
User :  
240 fasting
Doctor :  
then your insulin doses should also be readjusted
Doctor :  
with increased stress levels, sugars are known to go high
User :  
dr. viswanathan of chennai, appolo
Doctor :   ok
Doctor :  
fasting sugar levels of 240 with insulin are very high
User :  
yes
Doctor :  
i recommend you to get admitted and treated adequately
Doctor :  
as with admission there wqwill be time to time monitoring of sugar levels
Doctor :  
and also the does of insulin wil get adjusted accordingly
Doctor :  
as per the sugar levels
Doctor :  
also the problem of depression
Doctor :  
can be better handled under constant supervision
User :  
admission in nursing home?
Doctor :  
and possible change of medication
Doctor :  
no, not nursing home, in a hospital
Doctor :  
may be Apollo hospital
User :  
ok
Doctor :  
where you are taking consultation with Dr. Viswanathan
User :  
will they admit me?
Doctor :  
since the rest and medications have not helped you, admission and constant supervision
Doctor :  
you have to request admission and treatment under supervision
User :  
i have mediclaim
Doctor :  
that is good, you should use it
User :  
but insurance company discourage to admit
Doctor :  
the decision for admission has to be made by you and the treating doctor, not the insurance company.
User :  
they said this type of treatment can be done in OPD
Doctor :   it just has to pay you back wht it has to pay and clear your bills
Doctor :  
why do you want to ask them for advise on admission
Doctor :  
what do they know about your conditions or for that matter the medicine itself?
Doctor :  
have they done MBBS and specilaoization?
Doctor :  
to undert=stand wht is happening to you?
Doctor :  
or is the treating doctor more correct in advising you admission and treatment
User :  
OTHERWISE THEY DENY TO MAKE PAYMENT
Doctor :  
so do not depend on any insurance company
Doctor :  
your health is in your hands
Doctor :  
and right now your condition demands the treatment under constant supervision
Doctor :  
please do not delay and invite undue complications which will in turn lead to rise in your hospital cost, rather go ahaed and meet your treating doctor
User :  
thank you sir
Doctor :  
and get admitted and treated adequately for depression and sugar status
Doctor :  
Is there any thing else I can help you with?
User :  
ok
User :  
sir
User :  
thanks
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   hi
User :  
dr
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