Question 1

I just checked my random blood sugar level and it was 154, about 1 hour and 15 minutes after eating breakfast. Is this something I should be worried about? Im not on any medication, but I do have a sedentary lifestyle with very little physical exercise. I try to eat healthy and avoid sugar and oil, though. Could this blood sugar level be a sign of something more serious?

Accepted Answer

-A random blood sugar level of 154 mg/dL, about 1 hour after eating, is a bit higher than normal (which is usually under 140 mg/dL). Its worth keeping an eye on, especially with a sedentary lifestyle, as it could indicate your body isnt processing s

Question 2

I just got my wifes TSH test reports, and Im really concerned about her health. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. She doesnt have obvious symptoms, but her menstrual cycle was irregular twice, and she gets irritable at times. I read a bit...

Accepted Answer

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.

Question 3

I consulted you a while ago about my PCOS and irregular periods, and you prescribed Devi-Re and Krimson-35. Can you please guide me on when exactly to start taking Krimson-35 during my cycle, like which day of my period should I begin?

Accepted Answer

Krimson-35 (Combined Oral Contraceptive) for PCOS and Irregular Periods_Taking Krimson-35_1. _Start on Day 1-5_: Begin taking Krimson-35 on the first day of your period or within the first 5 days.2. _Take one tablet daily_: Consume one Krimson-35 tablet daily at the same time for 21 consecutive days.3. _7-day pill-free interval_: After completing 21 days, stop taking Krimson-35 for 7 days. During this time, you may experience withdrawal bleeding.4. _Repeat the cycle_: Start a new pack of Krimson-35 after the 7-day pill-free interval._Important Reminders_1. _Take Krimson-35 consistently_: To maintain its effectiveness, take Krimson-35 at the same time every day.2. _Missed pills_: If you miss a pill, take it as soon as you remember. If you miss two or more pills, consult your doctor for guidance.3. _Monitor your periods_: Keep track of your periods, including any changes in bleeding patterns or intensity._Please consult your doctor if you experience any of the following:_1. _Severe side effects_: Such as severe headaches, chest pain, or difficulty breathing.2. _Changes in bleeding patterns_: Heavy bleeding, prolonged bleeding, or spotting.3. _Other concerns_: Any other concerns or questions you may have about taking Krimson-35.

Question 4

I have hypothyroidism, but my levels are normal. A few days ago, I had a fever, and I took Crocin for a day, which helped bring the fever down. However, now I'm feeling like I can't breathe properly at timessometimes while sitting, sometimes standing...

Accepted Answer

Shortness of Breath Concerns_Possible Causes_1. _Hypothyroidism_: Although your hypothyroidism is currently under control, it can still cause respiratory issues.2. _Respiratory infection_: A recent fever and shortness of breath may indicate a respiratory infection, such as pneumonia or bronchitis.3. _Anxiety or panic attacks_: Anxiety can cause shortness of breath, especially if you're experiencing panic attacks.4. _Gastroesophageal reflux disease (GERD)_: GERD can cause shortness of breath, especially after eating or drinking._Recommended Tests_1. _Complete Blood Count (CBC)_: To rule out infection or inflammation.2. _Chest X-ray_: To evaluate lung health and rule out respiratory infections.3. _Pulmonary Function Tests (PFTs)_: To assess lung function and capacity.4. _Thyroid Function Tests (TFTs)_: To ensure your hypothyroidism is still under control._Immediate Actions_1. _Stay hydrated_: Drink plenty of water to help manage shortness of breath.2. _Rest_: Get plenty of rest to help your body recover.3. _Monitor symptoms_: Keep track of your symptoms, including when they occur and how long they last._When to Seek Emergency Care_1. _Severe shortness of breath_: If you experience severe shortness of breath or difficulty breathing.2. _Chest pain or tightness_: If you experience chest pain or tightness.3. _Fever above 102F (39C)_: If you have a fever above 102F (39C).

Question 5

I am 43 yrs old obese IT professional having 148 Blood glucose level at fasting.
I am taking 1 tab Asomex LT for hypertension daily at bed time.
Suggest me some medicine for my high blood glucose levels

Regards,
Chirabrata Majumder

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).

Question 6

I'm 29 and married, and I have PCOD. I haven't been taking any treatment for it lately. My periods have been irregular, and I havent had one since February. I've been trying to lose weight, but so far, I haven't seen much progress. What should I do? ...

Accepted Answer

Considering your PCOD, irregular periods, and weight loss struggles, consult a gynecologist or an endocrinologist to discuss a comprehensive treatment plan, which may include hormonal medications, fertility treatments, and lifestyle modifications, such as a personalized diet and exercise plan, stress management techniques, and possibly medications like Metformin to regulate your menstrual cycle and improve insulin sensitivity

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Related Questions

I just got my wifes TSH test reports, and Im really concerned about her health. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. She doesnt have obvious symptoms, but her menstrual cycle was irregular twice, and she gets irritable at times. I read a bit...

I consulted you a while ago about my PCOS and irregular periods, and you prescribed Devi-Re and Krimson-35. Can you please guide me on when exactly to start taking Krimson-35 during my cycle, like which day of my period should I begin?

I have hypothyroidism, but my levels are normal. A few days ago, I had a fever, and I took Crocin for a day, which helped bring the fever down. However, now I'm feeling like I can't breathe properly at timessometimes while sitting, sometimes standing...

I am 43 yrs old obese IT professional having 148 Blood glucose level at fasting. I am taking 1 tab Asomex LT for hypertension daily at bed time. Suggest me some medicine for my high blood glucose levels Regards, Chirabrata Majumder

I'm 29 and married, and I have PCOD. I haven't been taking any treatment for it lately. My periods have been irregular, and I havent had one since February. I've been trying to lose weight, but so far, I haven't seen much progress. What should I do? ...

Endocrinology

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