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Obesity and high sugar level - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2380 Questions
Doctor :   hi
Doctor :  
how can i help u
User :   hi
Doctor :  
please proceed with your query
User :   i have sugar meter
Doctor :  
ok
User :   its used for my mom
Doctor :  
ok
User :   i have tested mine its showing 195
User :   are u a diebotologist
Doctor :  

Doctor :  
Specialty - Family Medicine
User :   Ya doc tell me
User :   So will be able to advise on the medication
User :   ?
Doctor :   wats your age
User :   31
Doctor :  
ok
Doctor :  
are yu obese
User :   yes i am, but i rarely eat anything sweet
Doctor :  
or over weight
User :   yes i am 96 kgs
Doctor :  
ok
Doctor :  
wats your height
User :   I drink diek coke and use sugar free in cofee
User :   I am 5 ft 3 in
Doctor :  
ok
Doctor :  
as per your ht ans wt
Doctor :  
your BMI is more than 25
User :   okay
Doctor :  
so you come under obese category
User :   yes
Doctor :  
do yu any medical illness like High Bp
User :   no
User :   are u there
Doctor :  
yes i am here
Doctor :  
do yu high cholesterol levels
User :   i measured my bp in morning its 130/90
Doctor :   ok
User :   no i have no high Cholestrol level
Doctor :  
that normal but need to be care full that it does not cross these levels
Doctor :  
ok
Doctor :  
do yu have any other medical illness
User :   i have got it checked some time in jan ,2009
User :   no medical illenens
Doctor :  
ok
User :   illness
Doctor :  
are yu on any medications
User :   no
Doctor :  
ok
Doctor :   as per history
User :   is there a high risk to me life
Doctor :  
you have already 2 risk factors
Doctor :  
for Diabetes mellitus
User :   my mother and father have type 2 diabetese
Doctor :   1. OBesity
Doctor :  
and other is Family history of diabetes
Doctor :   did yu check the sugar levels before and after food
User :   this level that i told u is of fasting
Doctor :  
ok
Doctor :  
after the food
User :   let me check now wait
Doctor :  
ok
User :   its 145
User :   i have taken breakfast at 9:40 am
Doctor :  
ok
Doctor :  
let me explain this to you
Doctor :  
the glucometer what do yu have in the home is
Doctor :   good but the it always gives the high are low reading
User :   okay
Doctor :  
this is because your a just pricking
Doctor :  
and a drop of blood is examined not the whole blood form the vein
User :   okay
Doctor :  
so the readings are not appropriate
User :   so are these items not recommended by doctors
Doctor :   its highly help ful for those who are already diagnosed
Doctor :  
and on tablets
User :   why are they then getting sold ?
Doctor :  
and to monitor the sugar levels
User :   oka
Doctor :   are yu diabetic before
Doctor :  
???
User :   no
User :   i don't know
Doctor :  
is your mom diabetic now
Doctor :  
????
User :   yes she is
Doctor :  
so she is already detected on medications
User :   can diabetese be cured?
User :   yes she on insulin
Doctor :  
and to monitor her response to the medications and to maintain a good sugar levels we use this
Doctor :  
is that ok
Doctor :  
its not for first detection
User :   okay
Doctor :  
did yu check your fasting and after food levels in the hospital before
User :   yes last year
Doctor :   last year
Doctor :  
ok
User :   no issues in Apollo clinic
Doctor :   reading were normal levels right
User :   yes it was 82
Doctor :  
ok
Doctor :  
ideal would be
Doctor :  
be overnite fast
User :   okay
Doctor :   after 10 not to take any thing
Doctor :  
early morning around the 7-8 am
User :   okay
Doctor :  
give the sample for sugars levels
Doctor :   this will correctly say your sugar levels
Doctor :  
and even you need to know the urine for sugars
User :   at home or clinic
User :   so in a clinic
User :   ?
Doctor :   no as i have already said drop of blood does not properly

Doctor :  
estimate the sugar levels
User :   got it
Doctor :  
so its clinic
Doctor :   even urine sugars is must
User :   okay, will do that
Doctor :  
as you said you do not know that you were diabetic or not
User :   yes
Doctor :  
Test called Glycosylated HbA1C will detect the past 6 months sugar status
User :   okay
Doctor :  
so if your fasting and after food sugars are high
Doctor :  
then your can do this HbA1C test
User :   i will have it done tomorrow
User :   there is no harm
Doctor :  
ok
Doctor :  
so i will advice you to have a good control on diet
Doctor :  
and to do proper exercises
User :   but i never over eat from past 3 years
Doctor :  
to reduce the weight
User :   but still I am obese
Doctor :   obesity risk factor is reduced
Doctor :  
but do yu do any exercises
User :   i have reduced my weight from last year to 10 kgs
Doctor :  
tahts good
Doctor :  
your are on right path
User :   i climb stairs for 8 floors on weekends
Doctor :  
continue to do it
Doctor :  
ok
User :   is there a life risk
User :   can diabetese be cured?
Doctor :  
do yu have any family history of obesity
User :   yes my mother father are slightly obese not very obese
Doctor :  
ok
Doctor :  
wat other exercises do yu do
User :   my mother waist size is 36 and father is 44 waist size
Doctor :  
ok
Doctor :  
ok
Doctor :   wat other exercises do yu do
User :   i just climb stairs on weekends about 8 floors
Doctor :  
ok
User :   i have very stressed life and i don't have any time for gng to gym
Doctor :  
i will also advice yu exercises
Doctor :  
that will help u to reduce the wt and stress
Doctor :  
its aerobic non gym exercises
User :   but where should i get time
Doctor :   its your health yu need to take care
User :   okay so i can do aerobics at home
Doctor :  
i understand your hectic shedule
Doctor :  
but health is very important
Doctor :  
Brisk walking
User :   i asked you how much life risk is there ?
Doctor :   Family history + Over weight = risk factors
Doctor :  
1. Diabetes
Doctor :  
2. Hypertension
Doctor :  
3. Heart disease at the age of 40 and above
Doctor :  
4 even high cholesterol
User :   so won't live more even if reduce wait to be in shape?
Doctor :   if you reduce the weight
Doctor :  
all the risk factors will revert back
Doctor :  
survival rate will double
User :   are u serious?
Doctor :   yes i am serious
Doctor :   i am guiding my patient in a proper direction
User :   can i live normal life if wait is gone
Doctor :  
yes
Doctor :   rom the chat i can even make out
Doctor :  
you are living a stress full life
User :   okay, i know exactly what to do reduce wait
Doctor :  
and tensed life
Doctor :  
already you have a good control on diet
Doctor :   so need to concentrate more on exercises
User :   i would live on only fruits and juice
Doctor :   ok thats good
User :   i would try to climb daily 8-9 floors after coming from office
Doctor :  
as you have no time for gym eerxcises
Doctor :  
thats good do it
Doctor :  
also need to supplement other exercises also
User :   like what?
Doctor :   Brisk walking
User :   okay
Doctor :  
do yu know wat is it
User :   like walking with a speed
Doctor :   criteria for brisk walk
Doctor :  
1. speed less than jog and more than normal walk
User :   okay
Doctor :  
2. free movements of shoulders and arms
User :   ok
Doctor :  
3. atleast 4-5 days in a week
Doctor :  
4. for atleast 25- 35 min per day
Doctor :  
5. need to walk only on plain surface no ups downs
User :   okay
Doctor :  
this has 2 advantages
User :   listening
Doctor :   a) reduces the bad cholesterol
Doctor :  
and improve the good cholesterol
Doctor :  
b) second is at the time of exercises there is hormone like substance called
User :   ok
Doctor :  
ENDORPHINS released from the body
Doctor :  
these reduces the stress and tension
Doctor :  
and also elate the mood
User :   ok
Doctor :  
fine concentrate on this
Doctor :  
i will assure with in 5 months
Doctor :  
you will reduce a good wt
User :   okay lets set a target then
Doctor :  
also need to be relaxed and cool
Doctor :  
not to get tensed and worried
Doctor :   yes AAAAAAA you can do it
User :   that i can't control
Doctor :  
exercise will help yu not to worry
User :   can u tell me me wht my idela weight should be?
User :   ideal weight?
Doctor :   ht is 5.3 right
Doctor :  
wt is 55- 58 kgs
User :   okay
User :   can i drink diek coke and pepsi
User :   fiet coke
Doctor :   no pepsi and coke
User :   diet coke
Doctor :  
please avoid those
Doctor :  
diet coke is ok
User :   but its 1 calorie
Doctor :  
its not about calories
Doctor :  
its not a good for over all health
User :   i drink around 1 litre of diet coke/pepsi in a day and past 3 years
Doctor :  
please diet coke is ok
Doctor :  
not pepsi
User :   okay
Doctor :  
i am advising you to not to stop it but reduce it
User :   okay
User :   so after i get report i need to talk to you
Doctor :   please fill the feed back form
Doctor :   ok
Doctor :  
i will guide you further
User :   pls go ahead
Doctor :  
after your results
Doctor :  
is that fine
Doctor :  
ok
Doctor :  
take care
Doctor :  
bye for now
User :   so how should i get in touch with you?
Doctor :  
yu can come and chat with me
Doctor :  

User :   okay
Doctor :  
i will be there for you
User :   okay bye take care
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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