Question 1

Hello Doc, We recently got my thyroid checked and the report shows TSH is 100. How can we manage thyroid levels? Also, Im scheduled for a knee replacement surgery in 10 days. Does having thyroid issues affect the surgery or recovery?

Accepted Answer

A TSH level of 100 indicates severe hypothyroidism. To control thyroid levels before your knee replacement operation, you will need to start taking Levothyroxine. The usual starting dose for adults with severe hypothyroidism is 25-50 mcg once daily. Your doctor may adjust the dose based on your TSH levels. Regarding the knee replacement operation, uncontrolled hypothyroidism can increase the risk of complications during surgery, such as heart problems and delayed wound healing. It is important to optimize your thyroid levels before the operation to reduce these risks. Make sure to inform your surgeon about your thyroid condition so they can take necessary precautions during the knee replacement surgery.

Question 2

I'm 32 weeks pregnant, and I recently did a glucose tolerance test. My results were: fasting glucose 79 mg/dl, 1-hour test 219 mg/dl, 2-hour test 192 mg/dl, and 3-hour test 181 mg/dl. My doctor recommended taking Metformin tablets, but I'm concerned ...

Accepted Answer

Glucose Tolerance Test (GTT) results:_1. _Fasting_: 79 mg/dL (normal)2. _1-hour_: 219 mg/dL (high)3. _2-hour_: 192 mg/dL (high)4. _3-hour_: 181 mg/dL (high)_Indication of gestational diabetes:_1. _High glucose levels_: Your GTT results indicate high glucose levels, which may suggest gestational diabetes._Metformin tablets:_1. _Common treatment_: Metformin is a common medication used to manage gestational diabetes.2. _Safety for the baby_: Metformin is generally considered safe for the baby, but it's essential to discuss potential risks and benefits with your doctor._Potential benefits for the baby:_1. _Reduced risk of complications_: Managing gestational diabetes with metformin can help reduce the risk of complications for the baby, such as macrosomia (excessive birth weight) or respiratory distress._Monitoring and follow-up:_1. _Regular blood sugar checks_: Monitor your blood sugar levels regularly to ensure the medication is effective.2. _Fetal monitoring_: Your doctor will closely monitor the baby's growth and well-being.

Question 3

Hi doctor, Ive been diabetic for about 17 years now, and my blood sugar levels usually range between 180 and 240, both fasting and after meals. I also struggle with sleep and often wake up feeling groggy and exhausted in the mornings. Im really worri...

Accepted Answer

Focus on a healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of sugary and processed foods. Aim for regular physical activity such as brisk walking for at least 30 minutes a day. Establish a bedtime routine to improve your sleep quality. Avoid screens before bed, create a comfortable sleep environment, and aim for 7-9 hours of sleep per night. Regularly monitor your blood sugar levels throughout the day and keep a log to track patterns. This will help you and your doctor make informed decisions about your treatment plan. Remember, these are general recommendations. It's important to consult with your healthcare provider for personalized advice and adjustments to your diabetes management plan.

Question 4

Ive been on Teneligliptin 20 mg once a day for the past 3 weeks, along with my usual Mixtard insulin. Its helping to control the fluctuations in my blood sugar levels, which is great. But since I also have heart issues, Im wondering if there are any ...

Accepted Answer

Teneligliptin is generally well-tolerated, but as a heart patient, monitor for:1. Hypoglycemia (low blood sugar)2. Increased risk of heart failure3. Acute kidney injuryInteractions with Vitamin D supplements are unlikely. However, Vitamin D deficiency correction may improve insulin sensitivity, helping with diabetes control.To achieve better control, consider:1. Regular monitoring of blood glucose and HbA1c2. Adjusting insulin and Teneligliptin dosages under medical supervision3. Maintaining a healthy diet and exercise routine4. Regular follow-ups with your doctor to adjust treatment plans as needed

Question 5

I had a Thyroid Function Test on 04-06-2016, and here are the results:- T3: 1.09 ng/ml (normal range 0.72-2.02 ng/ml)- T4: 8.38 g/dl (normal range 4.3-12.5 g/dl)- TSH: 5.61 IU/ml (normal range 0.4-4.2 IU/ml)Do I need medication for this, especially c...

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Last updated on 18 Dec 2024

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Question 6

Im 43, obese, and work in IT. My fasting blood glucose level is 148. I take Asomex LT for hypertension daily at bedtime. What medicines would you suggest to help control my high blood glucose levels?

Accepted Answer

Fasting blood glucose should not exceed 100mg/dl. The initial drug of choice for first line treatment of type 2 diabetes mellitus is Metformin 500mg. However, in order to get a more comprehensive understanding of your condition, you should undergo a panel of tests including FBS, PPBS, HbA1C, and URE. This data will help to curate a more effective treatment plan for you. You should also look into lifestyle modifications such as diet control, regular exercise, stress management and cessation of smoking/drinking (if you are a smoker/drinker).

Hello Doc, We recently got my thyroid checked and the report shows TSH is 100. How can we manage thyroid levels? Also, Im scheduled for a knee replacement surgery in 10 days. Does having thyroid issues affect the surgery or recovery?

Hello Doc, We recently got my thyroid checked and the report shows TSH is 100. How can we manage thyroid levels? Also, Im scheduled for a knee replacement surgery in 10 days. Does having thyroid issues affect the surgery or recovery?

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Related Questions

I'm 32 weeks pregnant, and I recently did a glucose tolerance test. My results were: fasting glucose 79 mg/dl, 1-hour test 219 mg/dl, 2-hour test 192 mg/dl, and 3-hour test 181 mg/dl. My doctor recommended taking Metformin tablets, but I'm concerned ...

Hi doctor, Ive been diabetic for about 17 years now, and my blood sugar levels usually range between 180 and 240, both fasting and after meals. I also struggle with sleep and often wake up feeling groggy and exhausted in the mornings. Im really worri...

Ive been on Teneligliptin 20 mg once a day for the past 3 weeks, along with my usual Mixtard insulin. Its helping to control the fluctuations in my blood sugar levels, which is great. But since I also have heart issues, Im wondering if there are any ...

I had a Thyroid Function Test on 04-06-2016, and here are the results:- T3: 1.09 ng/ml (normal range 0.72-2.02 ng/ml)- T4: 8.38 g/dl (normal range 4.3-12.5 g/dl)- TSH: 5.61 IU/ml (normal range 0.4-4.2 IU/ml)Do I need medication for this, especially c...

Im 43, obese, and work in IT. My fasting blood glucose level is 148. I take Asomex LT for hypertension daily at bedtime. What medicines would you suggest to help control my high blood glucose levels?

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