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Diet control to prevent cracking of throat and diabetes - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   Hi Doctor !
User :   Good morning...
User :   In 2 ways..
Doctor :   Good morning XXXXXXXX
User :   I am a company executive, 43 years old, and an amateur singer...
User :   traditional Indian stuff... not much trained or anything.. do this as a stress relief exercise....
User :   of late, I have developed 2 conditions...
Doctor :   ok
User :   cracking of my voice after 5 to 10 minutes of commencing a program ( typically lasting 3 to 4 hours )...
User :   and SEVERE pain just below the shoulder blade on the left side of my back, in addition to the traditional lower back pain I've been having...
User :   I'm diabetic ( Post Prandial Value last week - 280. Also have borderline cholesterol..
User :   otherwise, quite fit. Non smoker, social drinking ( mild ) once or twice a month, maximum..
Doctor :   ok
User :   no B P / Hypertension...
User :   have lost hair very badly over the last year or so..
User :   what do I do with the above situation, Sir ?!!!
Doctor :   As this is an online consultation, I have to ask you a few questions because I cannot examine you. It will take some time so please be patient
Doctor :   do u have sore throat or fever as of now
User :   sure, would greatly appreciate your suggestions / prescriptions
User :   no
User :   no sore throat
Doctor :   do u have cough or cold
Doctor :   or any other medical problems other than this
User :   once i give my voice total rest after a program, for 2 days or so, the voice condition gets back to normal..
User :   no. no cough, no cold..
User :   nothing other than what all I described...
Doctor :   how long u work per day
User :   travel time from office to home and back = 5 hours
Doctor :   ok
User :   desk job at office = 8 hours
Doctor :   ur back and shoulder pain can be due to occupational overuse
User :   computer gazing, rather sedentary, very little 'physical' activity...
Doctor :   or computer related injury
User :   ok
Doctor :   i will be sending u document on computer related injury
Doctor :   please go through it to prevent further injury
User :   in order to reduce my sugar levels, started a treadmill regime, that's when the shoulder pain perhaps came first...
User :   thank u !
Doctor :   u can do few exercises which u can do at ur desktop
User :   used to do 40 minutes of rigorous walk at 6 KMPH, giving a total distanced of 4 KM per day...
Doctor :   ur sugar levels are hig
Doctor :   so u need to continue with ur exercise regimen
Doctor :   also need to have strict diet control
User :   i will
User :   hmmm...
User :   diet control is something i've not been very good at !
Doctor :   have small quantity of food in four divided
Doctor :   or four times a day
Doctor :   also watch out for the amount of tea or coffee u take
Doctor :   no sweets strictly
User :   not that i binge on sweets or soft drinks as i used to, but indulge in rice items, maida roti etc...
User :   coffee, tea very much under control.
Doctor :   no alcohol strictly
User :   i understand...
User :   ok
User :   not difficult
Doctor :   u need to cut down amount of rice item u take
User :   ok
Doctor :   i would suggest u to switch to chappati and fruits and vegetables rather
Doctor :   have small pieces of fruits
Doctor :   not the whole fruit
Doctor :   i small quantity
Doctor :   in small quantity
User :   there's a significant content of chappathi and fruits / vegetables in my daily food intake, but shall stress on this..
User :   i get it.
Doctor :   stress can make ur sugar levels go up
Doctor :   u need to sleep well and de stress urself
Doctor :   make some time for urself
Doctor :   in a day
Doctor :   30 mins or brisk walk twice a day is good
User :   no idea if I can help it, thanks to work related pressures...
Doctor :   is ideal
User :   ok
Doctor :   if u dont find time
Doctor :   u can walk as much as possible
User :   would things like 'morning walker' help ?!!!
Doctor :   u can do simple things like using stairs
Doctor :   instead of lift for walking
User :   i do all that.. the knees complain, though !
Doctor :   avoid using ur vehicle for short distance
User :   i do not.
Doctor :   it would certainly
Doctor :   get ur knees tested if the problem persists
Doctor :   prolonged sitting can cause this
User :   okay
Doctor :   try to exercise take breaks
Doctor :   regular when u work
User :   i understand... as I said, it is 13 hours...
Doctor :   also it is very important u have to have eyes tested every 6 months
Doctor :   since u work on computers and diabetic as well
User :   i did a test just on the 23rd.. things are quite ok there...
Doctor :   please do consult a eye specialist if u have blurring or vision or not able to read properly with glasses
Doctor :   ok
User :   dry eye syndrome, astigmatism ( mild ), 1.5 at 90 degrees... for the left eye
Doctor :   make sure u folllow up regular with physician
User :   no problems with eyes
Doctor :   and get ur sugar leveks check at lab
User :   i do that every month
Doctor :   drink plenty of water
User :   ok
Doctor :   it keeps ur kidneys healthy as well
User :   i understand
Doctor :   I would recommend you to take the advice of a nutritionist who can help you with the menu you require based on your diet patterns.
For all weight problems, please visit and register at, you can also call them alternatively at 0000
Doctor :   Please fill the feedback form say done when done while I type the information you needed.
Doctor :   i will be sending u document on computer related injury within 24 working hours
User :   thank you
Doctor :   do write to us or have chat with us if u have any medical problems
User :   but you haven't helped on my voice problem
Doctor :   u can write to us at YYYY@YYYY
User :   i shall
Doctor :   u can do salt water gargling for three times a day for 2 days
User :   okay
Doctor :   in warm water
User :   i do this
Doctor :   if u dont find any relief consult a ENTsurgeon
User :   doesn't help much
User :   okay, I shall
Doctor :   anything else u would like us to help u with
User :   not right now, thanks a lot !
Doctor :   ur welcome
Doctor :   have XXXXXXXX day
User :   have a good day, you too ! Bye..
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Doctor :   too
Doctor :   bye for now
User :   i shall. bye.
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