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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypothyroidism. Diabetes. What Diet To Follow?

sir I am an hypothyroide patient ant taking tablets for last 10 years ... and for the last five years am taking medicine to diabetic also . but now my lab report is as follows Fast blood Sugar- 186 mg/dl Post prandial Blood sugar -360 mg/dl HBAIC GLYCOSYLAED HEMOGLOBIN -8.18 % PARAMETER A 19.7885 g/ dl parameter B 1.3345 g/ dl LIPID PROFILE S.Cholestrol 221. mg /dl S.triglycerides 181. mg/dl HDL Cholesterol 42 mg /dl LDL Cholesterol 156 mg/dl serum creatinine : creatinine : .8 mg/ dl URINE MICRO ALBUMIN micral 50 mg /l PLEASE SUGGEST ME A SOLUTION ... (MEDICINE AND LIFE STYLE INCLUDING FOOD ) WHAT KIND OF FOOD I CAN EAT? WHAT I WANT TO AVOID ?
Fri, 1 Feb 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
You are having hypothyroidism for last >10 years,and diabetic for last 5 years but your report of blood sugar is uncontrolled even your lipid profile is deranged as total cholesterol,LDL and TG are high.
FBS and PPBS should be
You have to take care of your diet which depends on your weight,it should be 25 Kcal/kg body weight and also you need to adjust dose of your anti diabetic medicine if required insulin therapy.
You should consult Physician/Endocrinologist for proper treatment.
Please take help of Dietitian.
In diet also take care to 30% calories from fats and 10% should be from saturated fats.avoid butter,cheese,fried items and animal fats.
Regular walking exercise for 3-4 km/day regularly helps to reduce sugar as well as improves lipid profile.
Please take care of yourself
Good Luck.

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General & Family Physician,  Dr. Pavan Kumar Gupta's  Response
Hello,
Not only your blood sugar levels are high but your lipid profile is out of range.
While high blood sugar levels are responsible for micro vascular complications,high lipid levels contribute towards atherosclerosis and ultimately macro vascular complications.
Remember 80% diabetics die of macro vascular complications.
You should consult your doctor and get a revised prescription for anti diabetic drugs as well as get some statins added.
Along with proper medications do regular exercises and reduce your weight by calorie restriction also.
Avoid sweets,fried foods,junk foods and colas.
Take more of green vegetables and fresh fruits except mango,grapes,banana,cheeku.
Thanks
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Hypothyroidism. Diabetes. What Diet To Follow?

Hi, Welcome to HCM, You are having hypothyroidism for last 10 years,and diabetic for last 5 years but your report of blood sugar is uncontrolled even your lipid profile is deranged as total cholesterol,LDL and TG are high. FBS and PPBS should be You have to take care of your diet which depends on your weight,it should be 25 Kcal/kg body weight and also you need to adjust dose of your anti diabetic medicine if required insulin therapy. You should consult Physician/Endocrinologist for proper treatment. Please take help of Dietitian. In diet also take care to 30% calories from fats and 10% should be from saturated fats.avoid butter,cheese,fried items and animal fats. Regular walking exercise for 3-4 km/day regularly helps to reduce sugar as well as improves lipid profile. Please take care of yourself Good Luck.