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Query about blood sugar levels - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi, may I answer your health q
User :   recently i checked my blood sugar levels
Doctor :Hi
Doctor :   ok
User :   Fasting blood sugar -- reached 72 now earlier it was 142 Post lunch blood sugar -- reached 81 now.. earlier it was not checked HbA1c -- 6.27% earlier it was 7.4% Average blood sugar -- 122.79 earlier it was 160.42 Triglycerides -- 145.70 earlier it was 341.00
User :   just copied my report 3 months earlier and took just 2 days beforee
Doctor :   Awesome improvement
User :   HbA1c still has to be below 6 right?
User :   and my MICROALBUMIN - URINE IS 33.10
Doctor :   7 and beloe is aceeptable control of blood sugar
User :   it has to be below 18 right?
User :   one of my family doctor says kidney damaged of blood sugar
Doctor :   A1c of below 7 is ok
User :   I am worried about microalbumin - urine
Doctor :   Regarding MICROALBUMIN, it is high
Doctor :   There is proteinuria
User :   so what to do for it?
Doctor :   Kidney is spilling proteins
User :   what to do for it?
User :   how to bring it down?
Doctor :   You need to use medicines medicines to control protein spilling
Doctor :   They are called ACE Inhibitors
User :   should i meet any MD or specialised doctor for it?
Doctor :   Yes
User :   u mean u cannot prescribe for it?
Doctor :   Your physician will prescribe the medicines
Doctor :   But you better consult the MD
User :   what he need to know additionally from me..I have detail thyrocare report with me now
User :   other urine reports all normal
User :   MD in what specialisation should i meet?
Doctor :   Just MD will mamage the diabetes
Doctor :   I think you might be taking medicines
Doctor :   I can review the medicnes
User :   no medicines yet
Doctor :   Can you tell me what medicines youare taking
Doctor :   For diabetes are you taking any medicines
User :   I have not met any MD doctor so far..just was following diet and gym acitivities
User :   no mediciones for diabetes yet
User :   only diet control and gym i brought down the other readings to normal
Doctor :   ok
User :   so which specialisation doctor should i meet?
Doctor :   just a min
User :   ok
Doctor :   Consult Diabetic specialist
User :   Is it too high I mnean my microalbumin- urine??
Doctor :   If not avaialble consult MD
Doctor :   Yes Sir, it is high
Doctor :   You medicines for proteinuria
User :   so u cannot prescribe medicines for it?
User :   what other precautions to be taken to control this?
Doctor :   I recommend few things
User :   tell me
Doctor :   1. Start Diabetic medicnies
Doctor :   2. tsrat medicines for proteins spilling
Doctor :   3. continue Diabetic diet
Doctor :   4. consult Eye specialist and get an baseline retinal exam
Doctor :   4. Check your BP every 3 mo
Doctor :   . check you cholesterol every 6 mo
Doctor :   6. now the A1c is ok. but u can repeat it after 3 mo
User :   ok
Doctor :   But once it is less the 7 u can just repeat every 6 mo
Doctor :   7. Get the foot screen
Doctor :   Diabetic patients are prone to develop nerve diosease
User :   so do i need to really see a MD doctor and decide on medicines?
User :   what is symptoms of nerve disease?
Doctor :   and they may not feel sensations or if their is foot njury it will not heal quickly
User :   what is foot screen?
Doctor :   Just leg p[ain
User :   no leg pains so far
User :   nerve disease any symptoms?
Doctor :   they will use very sentitive brushes to test ur sensations on mu;ltiple spots
Doctor :   : nerve disease any symptoms: leg pain
User :   who will test ..u mean MD doctor?
Doctor :   U do not have now
Doctor :   Ideally Diabetic specialist
User :   ok
Doctor :   But if the MD is good he also do it
User :   can u suggest any good doctor in mumbai?
Doctor :   where u live
User :   mira road western suburbs
Doctor :   Sanghvi Eye & Diabetes Care Centre
User :   where is it?
User :   ok.dahisar..nothing in mira road or bhayander side?
Doctor :   I am doing it
User :   ok.r u sure this one is good reputed doctor?
Doctor :   Every diabetic specialist will manage the problems
User :   Dr.Mithali last time 3 months before did'nt asked me to use medicines..why so?
User :   she just asked to control diet and do exercise
Doctor :   Please follow my advise wh=ich I typed number wise
User :   what all can i eat now and what all not?
Doctor :   Please consult Nutritionist that is very imp
Doctor :   Bcoz food habits are differewnt I am not aware of diabetic diet
User :   nutritionist seperately other than diabetic specialist?
Doctor :   Yes
User :   or he only tell me that too
Doctor :   xI a sorry
User :   ??
Doctor :   I am telling you the standRD OF TREATMENT
User :   ok
User :   I thought I can start eating rice and non veg now?
Doctor :   No
User :   ok
Doctor :   Diabetic is chronic problem
Doctor :   once u get it it will be there for ever
Doctor :   early aggressive management saves many complications
User :   but my reading all come down right?
Doctor :   yes
User :   Is it because of microalbumin i still have to follow strict diet?
Doctor :   keep following what u do now and what I said
Doctor :   you have to control diabetis
User :   how many more months i have to follow this diet?
User :   for taking normal food?
Doctor :   to ocntrol mictoalbumin and plus take additional medicnies
Doctor :   Do you follow what i said before
Doctor :   Diabetic is chronic problem
Doctor :   once u get it it will be there for ever
Doctor :   You have to control it for life long to avoid problems
Doctor :   controlling sugars include
User :   ok
Doctor :   Diet control and medicnies
Doctor :   Sugar control= diet control + medicines
User :   so eventhough my blood sugar level came down but still i have to follow same diet???
Doctor :   I said it before
Doctor :   You are diabetic
Doctor :   You need to follow diabetic diet life longh
User :   so in future i cannot have normal food ?
Doctor :   No
Doctor :   Pleasse follow my advise which I have given
Doctor :   read carefully the chat
Doctor :   Do all I said
User :   ok.anyway i meet a doctor and decide
Doctor :   I did 2 yr of Family Medicnies in USA
User :   MD doctor
Doctor :   Iam telling u with experince
User :   ok
Doctor :   I did Family Medicnie
User :   can i bring down my blood sugar level to further normal level and have normal food later??
Doctor :   No
Doctor :   maitain fasting around 100-120
Doctor :   Randome around 120-140
User :   my fasting is now 72
Doctor :   It fluctuates
User :   and post lunch is 81
User :   i have told u before
Doctor :   That is very great
Doctor :   keep doing what u doing
User :   so ie why i told u can i have normal food now?
User :   other wise low sugar also problem right?
Doctor :   Additional to that you need additional care
Doctor :   becuase you kedneys are getting damages
User :   ok
Doctor :   A kidney failure may Dialisis
User :   ok
Doctor :   Kidney problem makes diabetis control tough
User :   ok
Doctor :   Kidney problem makes hear problem worse
Doctor :   it is viscious circle
User :   ok
Doctor :   So even though your fasting sugars are fine you need small dose of diabetis medicnies and medicnies to stop proteins spilling in urine
User :   my kidney problem can be cured?
Doctor :   With giood diabetis control and with medicnies , it will slow diown
Doctor :   it will ot be cured
Doctor :   Your priotein spilling will decrease
User :   my kidney can come back to normal functioning right?
Doctor :   it will be normal once your sugar is controled
Doctor :   and you will live a healthy life span
User :   now only protein spilling has to be controlled right?
Doctor :   but its crucial to make sure you take proper care
Doctor :   yes
User :   sugar level almost in control??
Doctor :   you do need to see a diabetologist ?
Doctor :   thats important
User :   ok.I will see that doctor u have given me in dahisar
Doctor :   yes please do so
Doctor :   dont worry with proper care you will be fine
User :   all my other reading is normal for cholestrol also
User :   so i thought i can have non veg and rice now
Doctor :   yes you can but in moderation
User :   becasue i lost 9 kgs weight and waist come down from 40 inch to 34 inch now
Doctor :   i will advice to still wait
Doctor :   you are in healthy waist 34 is perfect\
User :   ok
User :   and what was u referring about nervous system
User :   I mean nervous disease?
Doctor :   nothing will happen
Doctor :   you can prevent all the complications
User :   ok
Doctor :   ONLY IF you take your sugar controlled
User :   ok
Doctor :   like i said you will live a normal life
User :   ok
User :   do u know this dahisar doctor good one?
Doctor :   yes he is
User :   u know him personally?
Doctor :   i am in Bangalore
User :   ok
Doctor :   and we have a good data base
User :   ok
Doctor :   of qualified doctors
User :   ok
User :   what is his name?
Doctor :   dont worry you will be fine
Doctor :   just set up and appointment
User :   ok
User :   i can continue gym everyday right ?
Doctor :   yes you should
Doctor :   its important to be in good health
User :   ok
User :   now i was doing cardio continuosly for last 3 months..can i start weight lifting also?
Doctor :   yes you can
User :   what about eating fish?
Doctor :   yes you can eat that too
User :   fry or curry is best now?
Doctor :   avoid fried
User :   ok
User :   what about eggs?
Doctor :   yes you can
User :   what form is best boiled or omlette?
Doctor :   both are ok
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