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75 years old, having diabetes for long time. Reason for the tiredness? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1540 Questions
User:i am looking for a diabetologist
Doctor:Please proceed with your query, I can help u with it
User:would u be able to put me on to someone
User:its about my father
User:he is about 75 and is a diabetic for 35 years
User:on medicines and it is under control
User:howeer he is always feeling tired
Doctor:May i know what his age, weight and height is ?
Doctor:what medications he is on ?
User:75, weight 75, height 5ft 5.5 inches
Doctor:how are his blood sugars and what is his HBA1C level ?
User:amaryl one mg in the norn and glycomex one in the morn after food and one after dinner
User:habic level last checked is 6.8
User:sorry HBAIC
Doctor:how long was it checked ?
User:ecosprin AV 75 one every day and tamflo 0.4 at nite
Doctor:and has it been the same since long time , or has it reduced over time ?
User:last checked about 4 months back
User:153 post llunch sugar today
User:has been around that level for sometime now
User:can he be given some vitamins or revital for energy
User:he is regular with his walks and is other wise fit
User:what would u recommend
Doctor:he can be given Biovatal capsule per day
Doctor:this taken daily will give him some energy
User:and when?
Doctor:in One capsule , in the morning will be ok
User:he is taking a luntivitamin tablet - one from US
Doctor:in addition, i would advise him to continue a low fat and low carb diet
User:he loves sweets :)
Doctor:he should avoid eating sweets as, that could prevent proper diabetes control
User:given his age do u recommend we take him to the doc in person or u feel this capsule would work?
User:or do we try for a month?
Doctor:in addition, he should regularly check up with his doctor, for proper titration of his medications
Doctor:he can take the capsule, as that does not affect any of his diabetes , etc
User:ok thanks you
Doctor:he should get his HBA1C every 3 months checked
Doctor:and make sure that it comes down to less than 6.0
Doctor:which would be the desired level for diabetics
User:ok will do
Doctor:You are welcome
User:he also suffers from constipation
User:he has tried varius medications but not very effective
User:he is also very prone to sinus, sore throat and cold
User:one attacc a month at least and quite severe
Doctor:he can take Isabgul husk with milk , at night
Doctor:this will help formation of good stools
User:that hasnt helped
Doctor:how long has he tried it ?
Doctor:any other medications he has tried ?
User:5/6 years
User:at the moment he is on trifala
User:the name is BIOVATAL rite and we can get it at chemists?
Doctor:yes , that is right
User:trifala is 3 each nite
User:that is also not very helpful
Doctor:drinking enough water, having proper high fibre diet is the best way
User:he eats papaya
User:lactifiber- is that good?
Doctor:in case, that is not helpful, osmotic laxatives can be prescribed by your doctor, which can help on a as needed basis
Doctor:yes, he can use lactifiber
User:and for cold?'
Doctor:with age, it is common for the bowel movements to slow down
Doctor:the best way, to help it is to do pranayama, and stomach exercises , which will be better on the long term basis
Doctor: XXXXXXX breathing exercises will also keep the lungs fresh and prevent allergy and infections like sinusitis
Doctor:when going out, in winters, using a mask, or a muffler can help prevent infections
User:not sure if all this would help as he isnt very regular in this
User:but will try lactifiber
User:thanks and have a good eve
Doctor:you are welcome
Doctor:take care and have a good day
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