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Diabetes, alcohol and smoking addiction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi is anyone there
User :   hello is anyone here
User :   i am not sure what to do , is anyone reading this
User :   10 seconds as suggested in faqs are over long back , what should i do
User :   hello
User :   is anyone available
User :   is any one available
User :   this is very disturbing
User :   thre is no one available , when as per your main page there are 14 online chats and 34 doctors online
User :   where are they and what are they doing
User :   please refund my money back to me
Doctor :   Hi
User :   so finally there is someone to answer
Doctor :   iam.dr.XXX
User :   thanks for talking back to m
Doctor :   may i help you now ?
User :   yes
User :   i am diabetic
Doctor :   ok
Doctor :   may i know your age ?
User :   i want to know the effect of alchohol on my sugar levels
User :   i am 30 years old
Doctor :   are you using insulin ?
Doctor :   ok
User :   no
User :   till recently i was not on medication
User :   very recently i am been prescribed 2 tablets of Glimy M1 daily
Doctor :   alchohol can increase your blood sugar
Doctor :   ok
User :   i mean is can i have the same in moderate quantities
Doctor :   what was your last fasting blood sugar ?
User :   120
Doctor :   did you check your blood sugar after that ?
Doctor :   ok
User :   after what
Doctor :   can bring it down to less than 110
User :   ok
Doctor :   after starting the medicine
User :   ok
User :   what should i do then
User :   i am also overweight ( ht 5' 6" and weight 96 kgs)
Doctor :   intake of alcohol, is a form of having additional calories
User :   i agree
User :   but how can i know the exact calorie that i am intaking per glass or ounce etc
Doctor :   can u tell me exactly what type of alcohoo due you consume
User :   vodka smirnoff plain ( non flavoured)
User :   with carbonated water ( soda)
Doctor :   vodka is 45% alcohol
User :   ok
Doctor :   i75 ml of vodka has 120 k cal
User :   u meant 175 ml or 75 ml
Doctor :   yes
Doctor :   175 ml = 120 k calories
User :   which one 75 or 175
User :   one more question was , how can i consult a nutritionist for my diet planning and weight loss
Doctor :   we have a diet counselor , who will advice about diabetic diet, and also will provide you a diet chart which u can find to be very sueful
User :   ok
Doctor :   useful
Doctor :   useful i mean
User :   actually i have many general plans available, i have more specific queries,
User :   like whether i can have murmura ( puffed rice ) or whats the calorie count of say pan masala etc
Doctor :   also, please consider quiting alcohol totally as being a diabetic , & consuming alchol can cause you more problems
User :   ok
Doctor :   i understand, a dietician, will call you, and take your complete history and plan a specific diet paln for you
User :   if my diabetes is in control in normal levels consistently, how diferrent a life expectancy do i have as compared to a non-diabetic
Doctor :   u will have a good life expectancy when you have a good control of diabetes
User :   is there better option in medicine available as compared to Glimy M1
Doctor :   get a blood check up, HBA1C , to know your status of diabetic control once in 3 months
User :   ok
Doctor :   there are many drugs availble, but they should be taken in consultation with your diabetician or GP, who will have better knowledge of your condition
User :   is there better option in medicine available as compared to Glimy M1
User :   ok
User :   if am addicted to Smoking, Pan masla and alchohol what should i ideally quit first given that i am diabetic and overweight
Doctor :   u should idealy give up all of them
User :   yes its difficult all at once
Doctor :   but i would advise you to try making up a strict mind,
User :   what should be the order
Doctor :   reduce the no of cigarettes u smoke daily
User :   thats the problem doctor, too many things confuse me and i end up not quiting any
Doctor :   also you can try to use nicotine patches or nicotine gum
User :   can u name any of these , i am not sure what they are called in medical stores and how to use them
Doctor :   that can help u quit smoking, in a matter of 3 months, if u hae made up ur mind
User :   ok
User :   i make up mind everyday , but something gets over me ...
Doctor :   nicoderm (patch) & nicoret (gum)available in the pharmay, but pleae request your doctor for a prescription
User :   ok
Doctor :   also i would suggest you to go to a gym & workout
User :   is walking better or should i do gym considering long term
Doctor :   this will give u some kind of mind control which will improve your lifestyle
User :   ok
Doctor :   walking is better, but if u join a gym it is productinve as you know how many calories u have burnt
User :   ok
Doctor :   also meditate, so that it can help u
User :   doctor if i quit , i am not able to concentrate and loose control over work , that keeps me from quiting
Doctor :   getting into a habit is easy , but getting out of it is hard
User :   with my condition, can i hope to live ?
Doctor :   try to meditate as i said, it will help u keep stock of things and prevent u from losing focus
User :   ok
Doctor :   definitely, Diabetes is not the end of life
User :   how can i be sure that i already dont have cancer from the smoking over past few years
Doctor :   just u need to have a focus, concentrated lifestyle,
User :   ok
Doctor :   u r still 30 yrs old, and once u quit smoking now , the chances of having cancer is reduced over the time,
Doctor :   and after 10 yrs your risk of cancer is minimized to that of a noinsmopker
User :   ok
Doctor :   nonsmker i mean
User :   so should it be, quit smoking, then pan masala, then alchohol and then weight control
User :   i cannot do all at a time ?/
Doctor :   i hope i have answered all your queries, let me know if you any more
User :   you have , please suggest me a correct order , considering involved health hazaards...
Doctor :   weight control comes first, then slow and steady try to reduce the no of cigarettes and times u have vodka in a week
User :   ok sir
User :   thanks
Doctor :   having pan masala, is a cause of oral cancer, and u should stop that
User :   yes
User :   as i told i know i should, only i cant all at a time
Doctor :   i advise you to consult a dieticain , whoi will guide you to a healthy diet pattern , so that u can have a long and healthy life
User :   ok
Doctor :   small steps at a time, can take u long distance oer time
Doctor :   do not lose focus
User :   yes sir
User :   should i leave now?
Doctor :   be the tortoise, not the rabbit ( story of turtle & rabbit)
User :   your kind and motivating words have created good spirit in me
Doctor :   no, continue, if you have any other question
Doctor :   u r absolutely welcome
Doctor :   thats my goal
User :   thanks i dont have any questions
Doctor :   ok, good luck, and take care
Doctor :   thanks for consulting me.
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