Question 1

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 side effects of Teneligliptin that I should be aware of. My Vitamin D levels were found to be low recently, so Im taking D-Retcal 60k once a week. Will taking both Teneligliptin and the Vitamin D supplement help me improve my diabetes control? My HbA1C is around 9% and Ive been diabetic for a while.

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 2

Hello Doctor, Im obese and my endocrinologist has prescribed Glycomet SR 850 twice a day for 3 months. Im wondering if this tablet will help me lose weight, and how exactly does it work? Could you please explain?

Accepted Answer

Glycomet SR 850 is a medication for type 2 diabetes management, not primarily for weight loss. However, weight loss may occur as a secondary effect

Question 3

Ive been advised to take a B12 injection once a week for 6 weeks and then once a month for the next 6 months. Whats the best time of day to take it? Are there any side effects I should know about? I also take Ziten 20mg in the morning for diabetes an...

Accepted Answer

Optimal Timing for B12 Injections_The best time to take a B12 injection is in the morning, as it can help increase energy levels throughout the day. Additionally, taking it in the morning may help minimize any potential sleep disturbances._Potential Side Effects_B12 injections are generally considered safe, but some people may experience:1. Pain, redness, or swelling at the injection site2. Fatigue3. Headache4. Dizziness5. Nausea6. DiarrheaThese side effects are usually mild and temporary._Interactions with Other Medications_B12 injections are unlikely to interact with your diabetes medications, Tab Zitten (20mg) and Razel (5mg). However, it's essential to inform your doctor about all medications you're taking to ensure safe treatment._Specific Considerations_1. _Monitor your blood sugar levels_ closely, as B12 injections may affect glucose metabolism.2. _Inform your doctor_ if you experience any changes in your blood sugar levels or any other concerns.

Question 4

I recently got a scan done and it showed a tiny nabothian cyst on my cervix. I already have a cyst in my left ovary and Im a little worried about what this means. Is a nabothian cyst harmful and could it affect my ability to get pregnant?

Accepted Answer

A nabothian cyst is a small, benign growth on the cervix, typically harmless and asymptomatic, often resolving on its own; having a nabothian cyst is unlikely to affect pregnancy or fertility, but it's essential to monitor both the nabothian cyst and the ovarian cyst through regular check-ups with your gynecologist to ensure they don't cause any complications or affect your reproductive health

Question 5

My TSH level is 11.4, is that normal or should I be worried? Can you please guide me on how much medication I should take and what kind of diet plan would be suitable for me?

Accepted Answer

A TSH level of 11.4 is higher than the normal range (0.4-4.5), indicating hypothyroidism; consult your endocrinologist or healthcare provider for personalized guidance, but typically, levothyroxine (T4) medication is prescribed, starting with a low dose (25-50 mcg) and adjusting as needed; a general diet plan for hypothyroidism includes: iodine-rich foods (dairy, seafood), selenium-rich foods (Brazil nuts, fish), zinc-rich foods (oysters, beef), and avoiding soy, gluten, and cruciferous vegetables, which can interfere with thyroid function.

Question 6

Im 27 and have gynecomastia, and my weight is 73 kg. Im planning to get married soon and want to get my body in shape. Ive read that surgery is the only solution for gynecomastia, so Im considering it. I also have a tummy, and my chest and tummy are ...

Accepted Answer

Gynecomastia vanishes without treatment in less than two years. But in some patients treatment may be needed if gynecomastia doesn't improve on its own or if it causes significant pain and embarrassment...avoid junk foods,carbohydrates like rice etc,avoid oily foods...add proteins and fibre rich foods to your diet with green tea,green leafy vegetables, fruits...do regular exercise at least 2 hours a day....Medications used to treat breast cancer and other conditions, such as tamoxifen and raloxifene may be helpful for some men with gynecomastia....if no improvements to medications you can go for surgery....Two gynecomastia surgery options are:Liposuction. This surgery removes breast fat, but not the breast gland tissue itself.Mastectomy. This type of surgery removes the breast gland tissue. The surgery is often done endoscopically, meaning only small incisions are used. This less invasive type of surgery involves less recovery time...consult nearest surgeon they will do the needful.

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Related Questions

Hello Doctor, Im obese and my endocrinologist has prescribed Glycomet SR 850 twice a day for 3 months. Im wondering if this tablet will help me lose weight, and how exactly does it work? Could you please explain?

Ive been advised to take a B12 injection once a week for 6 weeks and then once a month for the next 6 months. Whats the best time of day to take it? Are there any side effects I should know about? I also take Ziten 20mg in the morning for diabetes an...

I recently got a scan done and it showed a tiny nabothian cyst on my cervix. I already have a cyst in my left ovary and Im a little worried about what this means. Is a nabothian cyst harmful and could it affect my ability to get pregnant?

My TSH level is 11.4, is that normal or should I be worried? Can you please guide me on how much medication I should take and what kind of diet plan would be suitable for me?

Im 27 and have gynecomastia, and my weight is 73 kg. Im planning to get married soon and want to get my body in shape. Ive read that surgery is the only solution for gynecomastia, so Im considering it. I also have a tummy, and my chest and tummy are ...

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