Question 1

I've been taking Teneligliptin 20 mg daily along with Mixtard insulin for the last three weeks, and it seems to be helping with controlling the variations in my readings throughout the day. But I'm a bit concerned because I've heard about possible side effects, especially since I have a heart condition. On top of that, I recently found out my Vitamin D levels are low, so I'm taking DRetcal 60k once a week. Do you think Teneligliptin and the Vitamin D supplement will work together to help manage my diabetes better? My HbA1C is around 9, and I've been dealing with diabetes for quite a while now. Is there anything specific I should watch out for?

Accepted Answer

Here are some easy-to-digest food options for loose motion:

_Breakfast_

1. Banana
2. Toast with honey or butter
3. Plain biscuits
4. Ginger tea

_Lunch_

1. Plain rice
2. Boiled potatoes
3. Steamed vegetables (e.g., carrots, green beans)
4. Clear soups (e.g., vegetable or chicken broth)

_Dinner_

1. Plain crackers
2. Boiled vegetables (e.g., zucchini, spinach)
3. Mashed bananas
4. Electrolyte-rich coconut water

Avoid spicy, fatty, or high-fiber foods until your symptoms improve.

Question 2

Are figs good for a diabetic patients?

Accepted Answer

Figs are good in fibre content and when taken in moderation are good for diabetic patients. Avoid consuming huge amounts and also dried figs.

Question 3

I'm a bit concerned right now. Over the past few months, my follicular scans showed my endometrium thickness was in good range, over 6mm or even 7.75mm. But this month, it dropped to just 4.8mm. My thyroid profile looks normal with TSH, T3, and T4 levels, according to my doctor. But my antithyroglobulin and anti-TSH antibodies are really high. My doctor said I don't need meds for that, but when I went to an infertility center, they gave me Thyronorm to take every morning on an empty stomach. I'm worried if this condition is affecting my fertility or chances of getting pregnant. Could the thyroxine sodium be making my endometrium thinner? Should I even take it? Also, I'm curious if taking Estrogen Estradiol Valerate from day 5 of my period and Progesterone Duphaston from the 15th day will help thicken my endometrium and improve my chances of getting pregnant. What do you think?

Accepted Answer

Elevated anti-thyroglobulin and anti-TSH antibodies may indicate autoimmune thyroiditis, potentially affecting fertility and pregnancy; taking Thyronorm (thyroxine sodium) as prescribed by the infertility center may help regulate your thyroid function and improve fertility, despite your normal TSH, T3, and T4 levels; the medication might also contribute to the temporary thinning of your endometrium; to promote endometrial growth, your doctor's recommendation of Estradiol Valerate from Day 5 and Duphaston from Day 15 of your cycle may be beneficial, but closely monitor your endometrial thickness and adjust the treatment plan as needed.

I'm pregnant and just found out my TSH level is 3.59. My gynecologist recommended starting thyroid medication, and I'm not sure if that's normal for this TSH level. Should I be worried or is this standard practice?

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