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Hormonal Imbalances and related queries

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I'm 34 years old and my fasting glucose level is 103. I'm a bit concerned about what this might mean for my health. Could you tell me if this is something dangerous for me? And how long might it be before I need to worry about becoming prediabetic?

Managing Diabetes with High Blood Sugar (560 mgdL) *Immediate Action:* 1. _Consult your doctor_: Reach out to your doctor or a diabetes specialist for guidance. 2. _Monitor blood sugar_: Regularly check your blood sugar levels to track changes. *Dietary Routine:* 1. _Balanced diet_: Focus on whole, unprocessed foods like vegetables, fruits, whole grains, lean proteins, and healthy fats. 2. _Carbohydrate management_: Distribute carbohydrate intake evenly throughout the day, aiming for 45-60 grams per meal. 3. _Fiber-rich foods_: Include fiber-rich foods like legumes, whole grains, and non-starchy vegetables to slow carbohydrate digestion. 4. _Hydration_: Drink plenty of water (at least 8 cupsday) to stay hydrated. *Physical Activity:* 1. _Aerobic exercises_: Engage in moderate-intensity aerobic exercises like brisk walking, cycling, or swimming for at least 150 minutesweek. 2. _Resistance training_: Incorporate resistance exercises 2-3 times a week to build muscle and improve insulin sensitivity. 3. _Increase physical activity gradually_: Aim to increase physical activity levels over time to avoid burnout or injury. *Additional Tips:* 1. _Medication adherence_: Take your diabetes medications as prescribed by your doctor. 2. _Stress management_: Engage in stress-reducing activities like yoga, meditation, or deep breathing exercises. 3. _Regular health check-ups_: Schedule regular health check-ups to monitor your blood sugar levels, blood pressure, and cholesterol levels. *Target Blood Sugar Levels:* 1. _Fasting blood sugar_: <130 mgdL 2. _Post-meal blood sugar_: <180 mgdL Work closely with your healthcare team to adjust your diet, physical activity, and medication regimen to achieve optimal blood sugar control.

Last updated on 23 Jan 2025

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I'm really concerned about how serious this is and what treatment options I should consider to get it under control. Could you suggest any medications that could help manage it quickly?

Possible Causes of High Blood Pressure in an 18-Year-Old:* 1. *Family history*: If your family has a history of hypertension, it could contribute to your brother's condition. 2. *Lifestyle factors*: Poor diet, lack of physical activity, stress, and inadequate sleep can all impact blood pressure. 3. *Underlying medical conditions*: Certain conditions, such as kidney disease, sleep apnea, or hormonal imbalances, can cause high blood pressure. 4. *Medication side effects*: Some medications, such as birth control or certain antidepressants, can increase blood pressure. *Chest Pain and High Blood Pressure:* Mild chest pain can be related to various factors, including: 1. *Musculoskeletal issues*: Tight muscles or poor posture can cause chest pain. 2. *Anxiety or stress*: Stress can manifest physically, leading to chest pain. 3. *Gastrointestinal issues*: Acid reflux, stomach ulcers, or other digestive problems can cause chest pain. 4. *Cardiovascular issues*: Although less likely in an 18-year-old, cardiovascular problems like hypertension can contribute to chest pain. *Next Steps:* 1. *Consult a specialist*: Schedule an appointment with a cardiologist to review your brother's test results and provide personalized guidance. 2. *Monitor blood pressure*: Regularly track your brother's blood pressure to ensure it's within a healthy range. 3. *Lifestyle modifications*: Encourage your brother to adopt a healthy lifestyle, including a balanced diet, regular exercise, and stress management techniques

Last updated on 23 Jan 2025

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I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

Elevated SGOT (AST) and SGPT (ALT) Levels _Interpretation_ 1. _Mild elevation_: Your SGOT (53) and SGPT (67) levels are mildly elevated. 2. _Possible causes_: Elevated liver enzymes can be caused by various factors, including: - Fatty liver disease - Viral hepatitis (A, B, C, or E) - Medication side effects - Muscle damage or exercise - Other medical conditions (e.g., thyroid disorders, celiac disease) _Next Steps_ 1. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to discuss your elevated liver enzymes. 2. _Additional tests_: Your doctor may order further tests, such as: - Liver function tests (LFTs) to monitor enzyme levels - Hepatitis A, B, and C screenings - Ultrasound or other imaging tests to evaluate liver health - Blood tests to rule out other medical conditions 3. _Lifestyle modifications_: Maintain a healthy lifestyle, including: - A balanced diet - Regular exercise - Adequate sleep - Stress management _Reassurance_ 1. _Hepatitis and cirrhosis are unlikely_: Given your age, lifestyle, and absence of symptoms, hepatitis and cirrhosis are less likely. 2. _Further evaluation is necessary_: A thorough medical evaluation will help determine the cause of your elevated liver enzymes.

Last updated on 23 Jan 2025

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I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. At a nearby hospital, they suggested switching her to Ryzodeg and changing her dose to 10 units. But ever since that change, her blood sugar has skyrocketed to 480 at night before insulin and dinner, and her fasting level is at 280. I'm really anxious about these high levels. What can I do to help get her sugar levels under control? Any advice would be really appreciated.

Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties: Ryzodeg 1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart. 2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours. 3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals. Human Mixtard 1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension. 2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours. 3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals. Considering your mother's: 1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes. 2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment. However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective. Recommendations 1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly. 2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective. 3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.

Last updated on 22 Jan 2025

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I'm a 28-year-old woman working a desk job, and I've noticed my TSH level is at 8.67, even though my T3 and T4 are normal. I usually keep a pretty healthy lifestyleI'm vegetarian and consume a lot of milk-based products, plus I swim four days a week. Im 5 feet tall and weigh 50kgs. Recently, though, I've been off track with my diet, eating whatever whenever. I've had high TSH before but managed to lower it through lifestyle changes. Do you think adding a multivitamin could help if I focus on fixing my diet and sticking to regular exercise? Would love to hear your thoughts.

_Possible Causes_ 1. _Anal fissures_: Small tears in the anal lining. 2. _Hemorrhoids_: Swollen veins in the anal region. 3. _Skin irritation_: Allergic reactions, eczema, or dermatitis. _Treatment and Relief_ 1. _Warm sitz baths_: Continue using warm water with potassium permanganate (1:10,000 dilution) for 10-15 minutes, 2-3 times a day. 2. _Topical creams_: Apply over-the-counter (OTC) creams or ointments, such as hydrocortisone or lidocaine, to reduce inflammation and pain. 3. _Stool softeners_: Take OTC stool softeners, like docusate, to ease bowel movements and reduce straining. _Precautions_ 1. _Avoid rubbing or scratching_: Gently pat the area dry instead. 2. _Wear breathable clothing_: Loose, cotton underwear can help reduce irritation. 3. _Maintain good hygiene_: Clean the area gently with water and mild soap. _Consult a Doctor If_ 1. _Bleeding or discharge_: Presence of blood or unusual discharge. 2. _Severe pain_: Intense pain or difficulty controlling bowel movements. 3. _No improvement_: Symptoms persist or worsen despite treatment.

Last updated on 22 Jan 2025

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I'm 32 weeks pregnant and I just did my glucose tolerance test. My results came back showing that my fasting glucose is 79 mgdL, the 1-hour test is 219 mgdL, the 2-hour test is 192 mgdL, and the 3-hour test is 181 mgdL. My doctor suggested I start taking metformin tablets. I'm concerned about how this might affect my baby. Could you please help me understand if there's any potential impact on my baby from taking this medication?

Interpreting dengue test results can be complex. _Test results:_ 1. _NS1- Weakly positive_: Indicates possible early infection or low-level viral load. 2. _IgM- Negative_: Suggests no recent infection or inadequate immune response. 3. _IgG- Negative_: Indicates no past infection or immunity. _Treatment approach:_ 1. _Consult a doctor_: Discuss your test results with a healthcare professional for personalized guidance. 2. _Monitor symptoms_: Keep track of your symptoms, such as fever, headache, or joint pain. 3. _Supportive care_: Focus on relieving symptoms, such as: - Resting and staying hydrated. - Managing fever with medication (e.g., paracetamol). - Avoiding non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. 4. _Follow-up testing_: Your doctor may recommend repeat testing to confirm the diagnosis or monitor your condition. _When to seek immediate attention:_ 1. _Severe symptoms_: If you experience severe headache, difficulty breathing, or severe abdominal pain. 2. _Bleeding or bruising_: If you notice unusual bleeding or bruising. 3. _Deteriorating condition_: If your symptoms worsen or you experience severe fatigue, vomiting, or diarrhea.

Last updated on 22 Jan 2025

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I'm really worried after getting my wife's TSH test results. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. But the weird thing is, she doesn't show any obvious symptoms other than having an irregular menstrual cycle a couple of times and sometimes being irritable. I read up a bit online and saw that hypothyroidism usually means the gland is underactive and shrunk, but hers seems inflamed. She hasn't gained or lost weight and isn't experiencing hand tremors, but she does get tired during the day and has had mood swings recently. I'm trying to make sense of this is it definitely thyroid-related even though her T3 and T4 are normal? Could it be thyroiditis or maybe subclinical thyroid issues? I'd really appreciate some guidance on what might be going on, its root cause and if its treatable. Also, is this something urgent? We're in a pretty remote area, so I'm a bit concerned.

Your wife may be experiencing subclinical hypothyroidism. This means that while her T3 and T4 levels are within normal range, her TSH level is elevated, indicating that her thyroid gland is not producing enough thyroid hormone. The inflammation you mentioned could be indicative of thyroiditis, which is inflammation of the thyroid gland. To treat subclinical hypothyroidism, the common medication prescribed is Levothyroxine with dosage adjustments made based on individual response. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed. Given that your wife is experiencing symptoms such as tiredness, mood swings, and irregular menstrual cycles, it is advisable to consult with a healthcare professional for a proper evaluation and treatment plan. While it may not be an emergency, addressing thyroid issues is important for overall health and well-being.

Last updated on 22 Jan 2025

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