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Diabetic since 14 years, menopause and thyroid treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3545 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query.
User :   I am diabetic and taking oral medicines for the last 14 years
Doctor :  
ok
User :   Is it time to change to oral medicines?
Doctor :  
please provide your age, gender, location, occupation, height and current weight.
Doctor :  
when have you checked your sugar status? what were the values?
User :   I am 57 Male weight 74 kg
Doctor :  
what medications you are taking at present?
User :   sugar level random 159
Doctor :   please provide your height
User :   triglucoride forte
Doctor :   when was last fasting and post postprandial blood sugars checked?
User :   last year june
Doctor :   how many times a day do you take triglucoride forte?
User :   2 times
Doctor :  
ok
User :   I am testing my sugar level weekly at home
Doctor :  
i suggest you to check the fasting and post postprandial blood glucose and also glycosylated hemoglobin
Doctor :  
which will show the sugar control over 2-3 months time
User :   fasting around 140 PPs 210
Doctor :  
if the glycosylated hemoglobin levels are more, it will mean that sugar control in not adequate
Doctor :  
and you should change dietary habits and may need a dose adjustment of medications also.
User :   ok
User :   i am having hyper tryglicercide also
Doctor :   FBS and PPBS should be checked atleast 2 toimes a year that is every 6 months if control is good and you dont have any symptoms
Doctor :  
*times
User :   ok
Doctor :  
and if not in good control , then atleast every month you should check
Doctor :  
are you on any medicines for incresaed triglycerides also?
User :   i am taking medicines for triglyceride also
Doctor :  
what were the LIPID profile values and what medications are you taking for it?
User :   lipicard 160 and volix 0.2mg
User :   lipids are total cholestrol at 155 triglyceride at 242
Doctor :  
ok
User :   HDL was below 50
User :   any problem for low HDL
Doctor :  
yes, HDL is the good cholesterol
Doctor :  
and it being low, the risk for heart and kidnay damage will be high
User :   it has come down from 65 to 42
User :   after medication for two years
Doctor :  
ok
Doctor :  
your medications should be targetted at the triglyceride lowering
Doctor :  
which will not let the good cholesterol to come down
User :   at times my sugar comes to low and i had to eat much after 6 to 8 hrs fasting
Doctor :  
ok
User :   that is one of the reasons for hyper triglyceride
Doctor :  
fluctuations in sugar levels can occur if a proper diet is not maintained
Doctor :  
you can take our panel diabetologist and endocrinologist opinion on your condition
User :   with my job i cannot keep 4 hrly eating
Doctor :  
you can take our diet and nutrition services to help you maintain a healthy and well balanced diet
User :   i am consulting a dabetologist and cardiologist yearly
Doctor :  
in case your hypoglycemic spells get more, you should check the FBS, PPBS and Gycosylated hemoglobin levels
Doctor :  
to see teh sugar control status
Doctor :  
and get the dose of medications adjusted accordingly
User :   my lipid combination is very typical according to diabtologist so volix is prescribed
Doctor :  
depending on what time of the day those effects are more.
Doctor :   ok
User :   when i take food coffee snacks anything like that
User :   morning after breakfast and after noon after my main food
Doctor :  
ok
User :   I will go for gycosylated hemoglobin level checkup
Doctor :  
ok
User :   shortly
Doctor :  
you can take a full body checkup using the 'aarogyam' profile under thyrocare
User :   i have an executive check up due this month
Doctor :  
my recommedations for you will be seen on the right hand side of the chat window
Doctor :  
ok
Doctor :  
you can choose to go for them by clicking on them
Doctor :  
have you followed what i have said?
User :   yes
Doctor :  
Is there any thing else I can help you with?
User :   No thanks, my my wife 54 is having thyroid problem
Doctor :   Can you please share your mobile number and e-mail id so that we may update our records. This information will be useful to us in case we need to send you additional information through mail or sms.
Doctor :   ok
Doctor :  
is she on any medications now?
User :   she is taking thyroxine sodium 100mg
Doctor :  
she too can choose to opt for the diet and nutrition services and thyrocare investigations, through us, where she can avail upto 20-50% discount on her and your investigations
Doctor :  
ok
User :   eltroxin 100
Doctor :  
ok
Doctor :  
is she having any symptoms now?
User :   my eamil YYYY@YYYY
User :   mob 0000
Doctor :  
your details will be updated in our records
Doctor :  
is your wife having any symptoms now?
User :   yes body pain joint pain etc
Doctor :   ok
Doctor :  
when was her last thyroid status checked? and what was the report?
User :   muscle swelling and nervous strain
User :   6 moths back
Doctor :  
has she attained menopause? or is she still getting her periods?
User :   it has come down after taking medicine
Doctor :  
ok
User :   yes menopuase last two three months
Doctor :  
ok
Doctor :  
then her jint pains and body pain could be related to her menopause condition also
Doctor :  
*joint
User :   will it come down after say one year or so
User :   ok
User :   she is consulting gynocologist
Doctor :  
she should discuss with her gynecologist for possibility of starting on hormone replacement therapy to be free from these symptoms
Doctor :  
as after menopause ar during menopause, the bones become brittle
User :   ok
Doctor :  
and also various other hormonal changes affect the body metabolism and the symptoms
User :   she is taking calcium tabs
Doctor :  
ok
User :   when idle and during sleep the hands are paining and stiff
Doctor :  
ok
Doctor :  
since the last thyroid was checked 6 month sback, she should consider checking it again
Doctor :  
along with few other blood tests also
User :   ageing will automatically reduce the pain or strict medication is required
Doctor :  
for the pain management, she wil need treatment
Doctor :  
and also possible HRT (hormone replacement therapy)
User :   pains are bearable and nervous problem like stiffness is more
Doctor :  
ok
User :   yea hormone replacement therapy may help but is it urgent
User :   thank u
Doctor :   it is not urgent to start immediately, you can wait and see if her thyroid status and other blood hormone levels
Doctor :  
to see her health status
Doctor :  
Is there any thing else I can help you with?
Doctor :   are you there?
Doctor :  
have you followed what i have said?
Doctor :   are you there?

Doctor :  
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