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Problems about cholesterol and prevention of diabetes - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hi good after noon doctor
Doctor :   Hi
Doctor :   How can I help you ?
User :   i need to know some precations about diabatics
Doctor :   Ok
Doctor :   Could you please give me some more details about your age, height,weight ?
User :   my dad and my grand father is having diabetic
User :   i am scaring about that desciese
Doctor :   Ok
User :   i need to prevent
User :   my age is 31
User :   height is 167
Doctor :   Could you please give me some more details about your age, height,weight ?
Doctor :   Ok
User :   and my weight is 68 -- 70 kgs
Doctor :   Ok
Doctor :   That is good BMI, not to worry, could you give some details of your life style - exercise, food - veg./non.veg, smoking , drinking ?
User :   i am not doing any excercies daily i am non-Veg but not daily weekly 1 or 2 max
User :   no smoking no drinking
Doctor :   First, let me congratulate you for trying to prevent diabetes.
Doctor :   Life style modifications : User :   thank u ,
Doctor :   1. Daily exercise for min.45 mins. is mandatory.
Doctor :   2. Yoga, Pranayama can doubly help.
Doctor :   3. Stress busting, being relaxed, calm and in a non-stressful state of mind.
Doctor :   Hope you are following .
Doctor :   Dietary modification : Doctor :   1. Non-sugary, low carb, low glucose diets.
User :   but i am in it we have some stress regularly
User :   sorry to intrupt
Doctor :   Will let you know at the end about stress busting, dont worry keep asking/posting
User :   low glucose dietes means
User :   ?
Doctor :   Dietary modification : 1. Non-sugary, low carb, low glucose diets. 2. More raw foods - with lots of fibre diet.
Doctor :   Examples are - All gourds, Green leafy vegetables, Pulses, Brown rice - Unpolished rice, Brown bread,etc. and at every stage where you opt for low carb diets rather than high carb diets.
Doctor :   To simplify , it is like opting for Diet coke rather than normal coke.
Doctor :   Hope you have followed ?
User :   s
User :   s
Doctor :   Brown bread instead of White, Unpolished rice instead of polished .
Doctor :   Bitter gourd, ribbed gourd , tomato, carrot rather than potato, etc.
Doctor :   3. Take calorie diet that balances the energy spent by you.
Doctor :   4. Also do have lots of raw, boiled vegetables rather deep fries and oily diet.
Doctor :   Suspecting Diabetes : User :   ok
Doctor :   1.Keep a record of all your blood checks and Get your Blood Glucose checked every 6 months.
Doctor :   Your Fasting must be below 110, random below 140, Post prandial below 180; Also HbA1c below 6.
User :   ok
Doctor :   2. Please get these 3 tests done regularly 1. FBS 2. PPBS 3. HbA1c
User :   this tests for every 6 months ?
Doctor :   What are your blood sugar levels now ?
User :   Fasting 85
User :   P.Glucose 90
Doctor :   So, 6 months is fine. If you are in the pre-diabetic level then it is 3 months.
Doctor :   Hope you have followed all the measures.
Doctor :   For stress busting : User :   is it show's right now sugar levels is fine for me
Doctor :   Yes absolutely fine.
User :   thank u
Doctor :   But please get a HbA1c done .
Doctor :   if it is below 6 , then since last 3 months your Blood Sugar levels are fine.
User :   ok
Doctor :   For stress busting : 1.take regukar weekend breaks, outing, 3.spend time with family & friends,, 5.pranayama, 6.meditation or every day prayer for 15-20 mins. and 7.good physical exercise.
Doctor :   8.Nice classical music or light music or humor has been proved to be a great stress buster.
Doctor :   9. Avoid too much coffee & tea, use green tea - great stress buster.
Doctor :   Hoe you have followed.
User :   s
Doctor :   I suppose all your queries are answered.
User :   yes i am having one more small query
Doctor :   please go on.
User :   recently i took all me general tests
Doctor :   ok
User :   there i found i am having some cholesterol levels high
Doctor :   ok.
User :   S.cholesrtol is 209
Doctor :   what are your levels.
User :   S.trigitycerides 244
User :   S.VLD clholestrol is 48.8
Doctor :   How about Hdl levels ?
User :   these three is showing helgh
User :   Hdl is 51
User :   ldl 109.2
User :   Ratio of cho/Hdl is 4.1
User :   s.urea 16
Doctor :   ok
User :   S.uric acid is 7.0
User :   these is the report i got
Doctor :   First let me tell you about the lipid profile : Doctor :   Your S.Chol. , S.Ldl , S.Trig. are in the Borderline range which if elevated can be in the Abnormal level and if worked out soon can be normal.
Doctor :   Your Vldl has to below 40 or LDL and VLDL put together have to be below 140.
Doctor :   So potentially you are not in risk zone.
User :   ok
Doctor :   but in borderline in your lipid profile.
User :   ok XXXXXXXX how to get this levels to be in normal any suggitions from your side is great help for me
Doctor :   Ok.
Doctor :   For lipid controls, initially I would like to tell you that your HDL levels are fine.
Doctor :   So Congrats.
Doctor :   Have lots of Onions & Garlic which are very good foe cholesterol control.
User :   ok
Doctor :   1. Have lots of Onions & Garlic which are very good foe cholesterol control, which increase HDL-Good cholesterol & decrease bad cholesterol.
Doctor :   2. Less oily diet
Doctor :   3. More small fish, chicken, egg white rather than prawns, mutton & egg yellow.
Doctor :   4. More fresh veggies, boiled foods, fruits, juices.
Doctor :   5. Good exercises.
Doctor :   6. Low fatty diet & Low Carb diet.
Doctor :   7. Say no to ghee, butter, oily foods, cheese, peanut butter, pastries, ice creams, milk shakes.
Doctor :   8. Say YES to butter milk, bolied foods, sugar free juices, fruit cakes, lots of water.
Doctor :   Hope you have followed.
User :   s
Doctor :   S.Uric acid & S.Ura are normal.
Doctor :   Please follow the above mentioned recommendations for better health status.
Doctor :   Hope you have understood all the recommendations.
Doctor :   Are you there ?
User :   s am there
User :   thank you for your valuable suggestions ans valuable time
Doctor :   Take care, Thank you for consulting me.
Doctor :   Bye for now.
User :   bye have a good day..
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