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Diabetes, glycomet 500 mg taken, triglyciride, no diabetic diet, BMI indicates obese, burning while urinating and urine smells - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
Doctor :   Hi
User :   hi dr.
Doctor :   please proceed with your query
User :   i am 35 male and am suffering from diabetes. I required your guidance
Doctor :   ok
Doctor :   can you elaborate on the diabetic history
Doctor :   are you with me ?
User :   wait
Doctor :   ok
User :   hi
User :   sorry was on call
Doctor :   ok
User :   yes tell me
Doctor :   may i know since when are you having diabetes?
User :   approx 3 yrs
Doctor :   ok
Doctor :   may i know if you are on medications ?
User :   dont have anyone in hereditory
User :   ya i m on medication
Doctor :   ok
Doctor :   what medicines have you been taking ?
User :   glycomet 500 morning and evening after launch and dinner
Doctor :   ok
Doctor :   may i know your height and weight ?
User :   5.8 ft & 76 kg
Doctor :   ok
Doctor :   may i know if you have high blood pressure ?
User :   no
Doctor :   have you beed diagnosed with high cholesterol?
User :   i had detected triglyciride along with diabetes but its in control
Doctor :   ok
Doctor :   do you follow a good diet
Doctor :   a diabetic diet?
User :   no
Doctor :   do you exercise daily ?
User :   ya but i have a lot of control on my diet
User :   not daily but whenever i get time i go for a walk
Doctor :   ok
Doctor :   when did you last check your sugar levels?
User :   january
User :   i check almost on weekly basis at home
Doctor :   may i know the readings
User :   fasting - 140 after launch 210
Doctor :   ok
Doctor :   when was the last visit to the diabetologist?
User :   lastly when i checked in january with pathology the sugar was present also in urine
User :   long back
User :   havent consulted dr recently
Doctor :   ok
Doctor :   let me explain it to you
Doctor :   since you are on medications and have been a diabetic
User :   ya
Doctor :   it is necessary that you follow these suggestions
User :   ya pls
Doctor :   1. you must see the doctor every 3 months and get a review on sugar levels and medications
User :   ok
Doctor :   2. you must get fasting and post prandial blood sugar every week
Doctor :   there is a test called HbA1C
User :   ok
User :   ya i do that
Doctor :   this will help in knowing the sugar control over the last 3 months
Doctor :   i recommend you get these done
User :   i do that
Doctor :   ok
Doctor :   apart from this , you have to follow the right diet and exercise daily is compulsory
User :   can u suggest me proper diet chart?
Doctor :   since your BMI is around 25
User :   wht is BMI?
Doctor :   i would recommend you keep it at 24
Doctor :   it is the body mass index
User :   how did u get this?
Doctor :   this predicts the accurate weight for height of a person
Doctor :   we need to calculate it
Doctor :   i have calculated it for you
Doctor :   BMI more than 24 range indicates over weight
User :   and how to reduce it to 24 and measure it
Doctor :   regular exercise and healthy diet will do good
Doctor :   if you get the right weight ,BMI will come down to normal levels
Doctor :   since you have diabetes you must watch out on this
User :   wht is the right weight?
Doctor :   your weight must be between 65 to 70kgs
Doctor :   maintain at this range
User :   so suggest on how to reduce it
Doctor :   as i mentioned
Doctor :   you must concentrate on the right diet
User :   any diet chart
Doctor :   and good amount of activity
Doctor :   yes, we have a dietitian on our panel
Doctor :   do you want a personalized diet chart
User :   ya my job profile is that i have work mostly in office
Doctor :   i would suggest you to try brisk walk and similar exercises
User :   ya if u can do that?
Doctor :   after an opinion with the general physician you can try gym also
Doctor :   sure
Doctor :   may i confirm your contact no and mail id ?
User :   does it cost anything?
Doctor :   No
Doctor :   it will not cost you
Doctor :   please confirm your details
Doctor :   ok thanks for your details
User :   that it will cost to whom?
Doctor :   our customer care team will contact you for an appointment with the dietitian
Doctor :   did i answer your questions ?
User :   no it will cost to whom?
Doctor :   your company will take the cost
Doctor :   are there any more questions for me ?
User :   Secondly recently i have noticed that my urine smells bad odour
User :   wht could be the reason?
Doctor :   do you have any discharge from the penis ?
User :   no
Doctor :   ok , any burning urination ?
User :   ya somewhat
User :   sometimes
Doctor :   ok
Doctor :   if there is burning urination and smelling urine .
Doctor :   it indicates a urine infection
Doctor :   i suggest you get a urine routine and microscopy done
User :   wht urine tests should i do?
Doctor :   if there is an infection you may need antibiotics
Doctor :   it is called urine routine and microscopy analysis
User :   is it done with the urine early in the morning or anytime during the day
Doctor :   it is the early morning sample
User :   ok
User :   sometimes discharge also happens
Doctor :   meanwhile drink lot of water daily
User :   i do
Doctor :   discharge also indicates an infection in the urinary tract
User :   but it is not everytime
Doctor :   so get an examination form your doctor and these tests done
User :   ok
Doctor :   the tests will reveal the infection
User :   ok
Doctor :   did you follow my advice ?
User :   ya sure
Doctor :   are there any more questions ?
User :   none for now thanx
Doctor :   thanks for consulting me
Doctor :   pleasure her e
Doctor :   take care
Doctor :   bye for now
User :   u too tc
User :   bye
User :   gud luck ahead
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