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Diabatic and chronic pancretites - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   Hello,
User :   iam diabatic patient since 2 years
User :   iam suffering from chronic pancretites
User :   and under went spleanctomy
Doctor :   yes
Doctor :   I can remember what all you told me
User :   iam taking creon 0000 daily 1 tab in night in between meal
Doctor :   Please put the question
User :   iam taking insulin 26 units morning
User :   and 10 units in night
User :   what type of precautions i need to take care to control daibatics
Doctor :   Ok
Doctor :   When was the last check up done
Doctor :   for diabetes
User :   one month back
Doctor :   Was the glucose levels normal
User :   120 is fasting
User :   120 is after food
User :   but glocose level is little bit high in fasting
User :   last week i felt swetting and shevaring
Doctor :   The goals in caring for patients with diabetes include the elimination of symptoms; microvascular (ie, eye and kidney disease) risk reduction through control of sugar and blood pressure (BP); macrovascular (ie, heart attacks, Brain stroke, foot care) risk reduction through control of cholesterol and BP, smoking cessation, and utilizing aspirin therapy; and metabolic risk reduction through control of glycemia.
User :   ok
Doctor :   SO you have to get a 3 month check up with the doctor for Lipid profile, HbA1c, Blood sugar levels
Doctor :   Taking pancratic supplements creon as in yoiur case
Doctor :   As yoiu are operated on Spleen
User :   lipid profile means we come to know cholostral levels in our body
Doctor :   You have to take measures of
Doctor :   vaccinations and taking general hygienic measures
User :   under went spleanctomy last 5 years back
Doctor :   yes lipid profile is cholestrol
User :   i was done lipid profile, HbA1c and sugar levels
Doctor :   Splenectomised patients shsoul take care that he is not infected by any infections , avoiding any injuries, malaria
User :   cholostral is with in limits
Doctor :   get teh vaccinations every year to prevent from the infections
Doctor :   Yes it will be but it is to be tested even if it is normal , every 3-6 months
User :   HaA1c is 7.6
User :   sugar is good after food i.e 120
Doctor :   Ok it is above normal which is 4-7
User :   i have 120 during fasting
Doctor :   so the sugar control is not good in fasting
Doctor :   so should increase the insulin dose the previous night
User :   from last 5 years i didn't take any vaccination
Doctor :   under the doctors advice only
Doctor :   You should take the vaccinations
Doctor :   like influenza, pneumococcal
User :   before surgery they were given one vaccination
User :   i don't know which vaccination i have
User :   but i am consulting gastoentrologist for 6 months
User :   even doctor is not advised any vaccination
User :   hello sir
Doctor :   Ok
Doctor :   You mention this to your doctor next time
User :   ok i will do that
Doctor :   you have to take care of kidney and eye examination also
Doctor :   every year
User :   kidney examination means what i need to do
Doctor :   The tests to be done whether the kidney is not affected with yoru diabetes
Doctor :   the doctor does these
Doctor :   diabetologist
User :   i ahve done 24 hrs urine examination
User :   that is also ggod
Doctor :   Ok
Doctor :   I am sending you a feedback form now. Please take a moment to give your valuable opinion so that we can continuously improve our service.Please inform me after you have filled it. I will be waiting for you
User :   any other tests i need to do for kidney examinations
Doctor :   creatinine, Urea, albumin
User :   what i need to do to control my glucose levels
Doctor :   In general, most patients with type 2 diabetes can benefit from increased activity. Aerobic exercise improves insulin sensitivity and may improve glycemia markedly in some patients.
Doctor :   should choose an activity that you likely to continue. Walking is accessible to most patients in terms of time and financial expenditure.
Doctor :   Most important would be the diet
Doctor :   and diet counselling by a dietician
User :   ok
Doctor :   ask yoiur doctor how many calories you need daily
Doctor :   and ask the dietician to plan your menu per week with the said calories by the doctor
User :   iam taking insulin and creon 1000 daily
User :   do i have any side affects
Doctor :   No
Doctor :   Insulin has no major side effects
Doctor :   if taken according to the requirement
User :   ok
Doctor :   OK
Doctor :   DO you need any advice
Doctor :   you can get the
Doctor :   diet advice
Doctor :   from this link
Doctor :
Doctor :   The dietician will guide you
Doctor :   with query
Doctor :   OK
User :   ok
Doctor :   Please refer your friends with a click of the button and importing the contacts. You can import from Gmail, Yahoo by click of a button. You can do that once I close the button.
Doctor :   bye
Doctor :   then
User :   bye
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