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Symptoms, diet plan and regime for diabetes type II, psoriasis - 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 : 2308 Questions
Doctor :   hi
Doctor :   how can i help u
User :   hi doctor!!!
Doctor :   hi
Doctor :   how can i help u
User :   last week i did master health check up for my parent. My mother blood and urine report indicate high sugar
Doctor :   ok
User :   does this mean she is diabetics?
Doctor :   can i ask few Q
User :   sure
Doctor :   wats her age
Doctor :   was she diabetic earlier
User :   54 yrs
Doctor :   ok
User :   no and no hsitory in family expect my father brother recently founr diabetic
Doctor :   ok
Doctor :   wat was her sugar levels - reading
User :   230
User :   i think after break fast
Doctor :   did u test both after food and before food sugar levels
User :   yes
User :   but both were higher than normal limit
Doctor :   ok
Doctor :   wats about urine sugars
User :   high
Doctor :   ok
Doctor :   is she obese
User :   yes 4 or 5 kg
User :   she is 59 kg
Doctor :   ok
Doctor :   wats her wt
Doctor :   ok
Doctor :   height
User :   5 feet 3 inch
User :   or 5' 2''
Doctor :   ok
Doctor :   is not obese
Doctor :   but over wt
User :   ok
Doctor :   her ideal wt is 56- 57 kgs
Doctor :   need to reduce 2-3 kgs
User :   yes
Doctor :   ok
Doctor :   is she on any medications
User :   she is on strict diet and doing daily exercise
Doctor :   ok
User :   no medication
Doctor :   ok
Doctor :   did she test her sugar levels again
User :   she go for morning and evening walk along with some light excercise
Doctor :   ok
User :   no i will do it tomorrow
Doctor :   ok
Doctor :   its should be both before and after food
Doctor :   and also urine sugars
User :   yes
Doctor :   with fasting lipid profile
Doctor :   means cholestrol levels
User :   we did US, Xray and other test and all were normal
Doctor :   need to under go follwing tests : Doctor :   1. blood sugars
Doctor :   2. ECG
Doctor :   3. Fasting lipid profile
Doctor :   4. Glycosylated hemoglobin
Doctor :   is this ok
Doctor :   hi are yu there
User :   i will do all,
Doctor :   thats right
Doctor :   coming to medications
Doctor :   as her levels were high on first reading
Doctor :   i cannot start her on anti diabetic medications
Doctor :   after the sugar levels are done
User :   any symtoms to monitor to no whether she is diabetics
Doctor :   if the second value is high then she nees antidiabetic medications
User :   ok
Doctor :   symptoms to moniter
Doctor :   1. tiredness especially after food
User :   ok
Doctor :   2. wt looss or wt gain
User :   ok
Doctor :   3. increased urination
Doctor :   4. frequently feeling hungry
Doctor :   and thirsty
User :   last 2 symtoms are not seen
Doctor :   ok
Doctor :   blurring of vision
User :   no
Doctor :   or eye sight
Doctor :   tingling and numbness in fingers and toes
Doctor :   burining sensation in the foot
User :   ok, i am not sure abt that
Doctor :   hip and low back ache
Doctor :   ok
User :   last one is not there
Doctor :   coming to diet
Doctor :   diet low in fat and carbohydrates
User :   ok
Doctor :   is very much essentia
Doctor :   diet rich in protiens and vitamin is required
User :   can i get some diet plan for her.
User :   right now she stop eating rice and taking very less food in evening and taking more fruits and salad
Doctor :   take plenty of green leafy vegetables like palak, pudina, spinach, cabbage and caulflower
Doctor :   thats good
Doctor :   reduce fatty foods- like panner, thick curd, butter cheese
User :   no fried, milk, sugar items except tea with less sugar
Doctor :   and even thick milk
Doctor :   thats good
User :   ok
Doctor :   take gauva, amla, papaya its very good for diabetes
User :   ok
Doctor :   let her take small frequent foods
Doctor :   may be 4 times a day
Doctor :   so that the blood glucose levels are under good control
Doctor :   hi are yu there
User :   i am fine
User :   my tests are normal
Doctor :   ok
Doctor :   thats good
Doctor :   i will aslo send her the diet plan for the diabetes and for wt control
Doctor :   next is regarding exercise
Doctor :   needs to do brisk walking
Doctor :   for atleast 20 - 30 min per day
Doctor :   for 5-6 days in a week
Doctor :   early morning around 7 am
Doctor :   with free movements of shoulder and hands
Doctor :   this will redcue her wt as well as good for her sugar status
User :   Doctor, i ahev some question about my health
Doctor :   yes i here to help u
Doctor :   proceed
User :   i has psoriasis
Doctor :   ok
User :   which is mild and under control
Doctor :   ok
User :   mostly in my scalp and part of body which is exposed to sun
Doctor :   ok
User :   whenever i exposed to sun it comes again
Doctor :   are yu on any skin lotion or onintment
Doctor :   ok
User :   i am taking Dr. Batra homopethy treatment
Doctor :   ok
User :   i am using dwederm lotion daily after bath
User :   sorry dewderm lotion
Doctor :   ok
Doctor :   yes its dew derm
User :   but scalp is always itching
Doctor :   ok
User :   i am using Ionax-T shampoo
Doctor :   ok
User :   any suggestion for scalp
User :   i have losed lot of hair and become bald
Doctor :   let me explain u about psoriasis first
Doctor :   its a chornic dieseas with out permanent cure
User :   yes i knw
Doctor :   but we can halt the progression of the disease and complications
User :   ok
Doctor :   do yu have skin lesions
Doctor :   or any knee joint involvement
User :   no
Doctor :   ok thats good
Doctor :   its the scalp mainly
Doctor :   do yu have fresh lesion in the scalp
User :   yes
Doctor :   ok
User :   i developed some in my hand leg and my back
Doctor :   ok
Doctor :   are yu satisified with ayurvedic treatment
Doctor :   did yu use medical treatment
User :   no i am taking homopethic
Doctor :   ok
User :   yes i used early some oinment they works but not stop
Doctor :   ok
User :   do u have any suggestion for scalp psoriasis?
Doctor :   are yu stressed and tensed
User :   not too much
Doctor :   ok
Doctor :   do yu smoke
Doctor :   or consume alcohol
User :   no
Doctor :   ok
Doctor :   Some people have worsening of their symptoms in the colder winter months.
User :   i do have same
Doctor :   if yu apply any cream on the scalp it may cause u reactions
Doctor :   because the lesions are fresh
User :   ok
Doctor :   the hair improvement shampoo and creams can cause
Doctor :   damage to your scalp
User :   ok
Doctor :   and first and the foremost
Doctor :   your are not using
Doctor :   allopathic medications
User :   yes
Doctor :   so if i prescribe the allopathic medications it can cross react and worsening the condition
User :   ok
Doctor :   so its better to stick to one treatment
User :   ok i have another concern not a issue
Doctor :   yes not to worry
Doctor :   be mentally strong
Doctor :   your scalp lesions will subside
User :   ok
Doctor :   once its done i can prescribe you less side effect shampoo and tablets for hair growth
User :   can i ask some question not related to psoriasis?
Doctor :   yes proceed
Doctor :   i am here to help u
User :   my face seems to bigger than my body size?
User :   i looks faty but i am not
Doctor :   ok
User :   is there any way i can reduce my face size
Doctor :   are yu obese
User :   no
Doctor :   wats your wt
User :   i have right weight
Doctor :   ok
User :   60kg for height 166cm
Doctor :   ok
Doctor :   but this is inborn
Doctor :   since birth
User :   no
Doctor :   its your body frame
User :   after crossing 24 yrs
User :   i was very lean before that
Doctor :   ok
Doctor :   did yu have any head injury
User :   no
Doctor :   did yu do any investigation
User :   no
Doctor :   ok
Doctor :   ideal is to go for a plain CT san
Doctor :   scan
User :   is there any execize for toning up the face
Doctor :   plain CT scan
User :   ok
Doctor :   yes i will advice that to u
User :   ok
User :   thanks doctor for your time
Doctor :   yu need to give exercise to the muscleof face, cheek
User :   you can send your suggestion by mail if possible
User :   ok
Doctor :   exercise of chewing appident
User :   i will do that
Doctor :   will give exercise to the face muscles
Doctor :   lip smacking
User :   ok
Doctor :   open the mouth and close the mouth
User :   how many time in one exercise
Doctor :   frequently 8- 10 times per day
User :   ok
Doctor :   frequently blinking exercises
User :   ok
Doctor :   to strenthen the yes
User :   ok
Doctor :   eye muscles
Doctor :   this are some of the exresises
Doctor :   with the fingers give a gentle massage
Doctor :   below the eyelids to chins
Doctor :   infront of the mirror
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