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Have Body Pains, Advised Vitamin D And Sugar Test And Given Vitamin D Medicine. Suggest?

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Posted on Wed, 9 Oct 2013
Question: hello
i am a 35 yr old man from Delhi. i have body pains for many years now. since i don't go exercises much and have a seating job , i am generallly told i am experiencing this.i went to see a doctor who advised me to go for a VIT D test and also blood sugar test. i took those tests. VIT D was 30.41 mnol/L and my sugar PP was 98 mg/dL. i am advised to take vitamin D tablets weekly for 2 months. pls suggest as to what should i be doing to get the levels back to normal. also i am worried whether the sugar levels is early diabetic level or not . what should i be doing to control it . my dad is diabetic but that too was discovered when he was 55 yrs of age. pls advise
doctor
Answered by Dr. Minal Mohit (16 hours later)
Brief Answer:
hypovitaminosis D, blood glucose normal.

Detailed Answer:
Dear XXXXXXX , Hi! It is nice to hear from you, though I really feel sorry for all your pains. I will be answering your problems a bit randomly and not in the order that you have asked because that will make some sense to you.
I have gone through the attached reports.
1. Your PP 98 mg/dl is absolutely normal. It is not in the diabetic range or even prediabetic range. At the same time, as you have family history of diabetes, you must check your fasting values as well. Monitor annually both Fasting blood glucose and Post prandial blood glucose.
2. Your Vitamin D levels are low and for this, you have already started the treatment. The course is one tab/cap of 60,000IU once a week bedtime, for 12 weeks, and then recheck your vitamin D levels. Then you can maintain with once a month tablet.
3. Bone pains cannot be attributed to low vitamin D alone. You must check your thyroid profile as well. You must take calcium supplements along with vitamin D else you may develop hypocalcemia.
4. B12, folic acid, B3, B6 supplements are also recommended for your generalized myalgia.
5. Last point, which is of utmost importance, if you have no physical limitation, then get up and start moving. Yes, at 35 years, if you are not exercising, you are not active, then it is not something good, not really something for which you need doctors, you need to motivate yourself, and develop healthy lifestyle.
Thanks, and all the best.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Minal Mohit (45 minutes later)
dear doctor , thanks for such a elaborate answer , shows you indeed care.
one big error in my update to you was the sugar level which was 98 mg/dl was FASTING and not PP. regret the error. Pls advise .
doctor
Answered by Dr. Minal Mohit (56 minutes later)
Brief Answer:
Require to be alert.

Detailed Answer:
Dear XXXXXXX fasting 98mg/dl is a bit high, though not still in the prediabetes range, so you have to take care. by taking care I mean, start diet regulation, regular exercise, watch your weight, monitor fasting and Post prandial every month. you should also undertake Glucose tolerance test, and HbA1c. Thanks!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Minal Mohit (49 minutes later)
thanks a lot, will do as being suggested by you and revert after 3 months
doctor
Answered by Dr. Minal Mohit (6 minutes later)
Brief Answer:
time to act.

Detailed Answer:
Dear XXXXXXX I will really appreciate if you start following as doctors advise. Thanks!
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Have Body Pains, Advised Vitamin D And Sugar Test And Given Vitamin D Medicine. Suggest?

Brief Answer:
hypovitaminosis D, blood glucose normal.

Detailed Answer:
Dear XXXXXXX , Hi! It is nice to hear from you, though I really feel sorry for all your pains. I will be answering your problems a bit randomly and not in the order that you have asked because that will make some sense to you.
I have gone through the attached reports.
1. Your PP 98 mg/dl is absolutely normal. It is not in the diabetic range or even prediabetic range. At the same time, as you have family history of diabetes, you must check your fasting values as well. Monitor annually both Fasting blood glucose and Post prandial blood glucose.
2. Your Vitamin D levels are low and for this, you have already started the treatment. The course is one tab/cap of 60,000IU once a week bedtime, for 12 weeks, and then recheck your vitamin D levels. Then you can maintain with once a month tablet.
3. Bone pains cannot be attributed to low vitamin D alone. You must check your thyroid profile as well. You must take calcium supplements along with vitamin D else you may develop hypocalcemia.
4. B12, folic acid, B3, B6 supplements are also recommended for your generalized myalgia.
5. Last point, which is of utmost importance, if you have no physical limitation, then get up and start moving. Yes, at 35 years, if you are not exercising, you are not active, then it is not something good, not really something for which you need doctors, you need to motivate yourself, and develop healthy lifestyle.
Thanks, and all the best.