Dear XXXX

Welcome to Healthcare magic

I shall answers one by one

First thing I want to tell you is milk and milk products contains protein named CASEIN, which is allergic to some persons, they develop the same type of symptoms which you have mentioned, so you might be instructed not take milk products suspecting allergy to this protein.

The best alternative protein is Albumin which is present richly in egg white, since you are a vegetarian, it is advisable to get proteins from pulses and cereals. Pulses are found to be very good in prediabetes patients.

Your sugar values and serum insulin values are looking good, I don't think there is any abnormality in that, but your fasting glucose values are quite high when compared to normal range (According to American Diabetes Association criteria 100-126 mg/dl is glucose intolerant or prediabetes)

The best way to treat prediabetes is diet and exercise, next improving insulin resistance by addition of tablet metformin starting with low doses and gradually raised to high doses. Physical activity is recommended at-least 45 min to 1 hour per day, which should be preferably aerobic exercises like walking, cycling etc.

Diet should consist of more quantity of mono and polyunsaturated fats which should constitute about 25 - 30% of your diet along with more amount of proteins (20%) and carbohydrates should consist of complex carbs.

Hope these information is helpful for you

Thanks

---

Dear XXXX

These mono and poly unsaturated fats are considered good fats as they helps to maintain low cholesterol levels and even if you don't take these fats in sufficient quantities then they may cause even obesity and heart problems

Polyunsaturated fats include
1. Fish oil supplements
2. Walnuts
3. Flax seeds oil
4. Oils such as sunflower, safflower, soyabean oil, corn and cotton seed

These helps to raise HDL cholesterol and decrease the triglycerides and total cholesterol

Monounsaturated fats include
1.Canola oil
2. Peanut oil
3. Olives
4. Olive oil
5. Avocados
6. Seeds such as safflower, sunflower and pumpkin
7. Most nuts such as almonds, cashews and peanuts, Almond butter, peanut butter and cashew butter

Monounsaturated fats especially works to decrease the LDL cholesterol which is commonly called as bad cholesterol.

Try to take foods XXXXXXX in omega 3 fatty acids which also possess antioxidant properties and additional protection for your heart and kidneys. Omega 3 fats are XXXXXXX in sea foods especially sea fishes. Since you are a vegetarian, you can get this through cashews, peanuts, almonds etc. As suggested before, you may also take Omega 3 supplements.

Too much caffeine is not good for body as it is a strong stimulator of heart.

For your itching problems, try to avoid caffeine and adjust the insulin dosage accordingly after consulting your doctor. Try to avoid oral drugs as much as possible and many times itching which is not subsiding after taking mast cell stabilizers, are usually caused by one of your medicines.

Hope this information is helpful.

Thanks

---