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

I'm really worried because we've had to increase the insulin dose to get blood sugar under control, and now there's swelling in the face and feet. Could this be a side effect of more insulin? What should we do about it?

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

Question 3

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?

Accepted Answer

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.

Question 4

I'm a bit worried because my TSH level has gone up to 7.8, although my T3 and T4 are still within the normal range. About two months ago, I missed my menopause, so I started taking some medication, and it seems to have worked this month. A blood test...

Accepted Answer

- Your TSH level of 7.8 suggests subclinical hypothyroidism, which may be influenced by your hormonal changes, including menopause. It's important to consult with your doctor for a thorough evaluation. Based on your symptoms and medical history, they may

Question 5

I'm currently managing my diabetes with medication, but I'm curious about IME9. Is it okay to take IME9 once or twice a day along with my current meds? Any advice on how to incorporate it into my routine would be really helpful.

Accepted Answer

.. It would been easier if you posted your current blood glucose level, Life style modifications are the main treatment for the Diabetes.... Consider dietary changes. Low-fat, high-carbohydrate diets may increase insulin levels, so you may want to consider a low-carbohydrate diet . High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur wheat, barley, brown rice, and beans. Exercise helps a lot. Consult your doctor before going for alternate medicine

Question 6

I'm diabetic and have been for about 45 months. My latest HBA1C reading came back as 5.6, and I'm trying to understand what that really means. Also, I noticed my mean blood glucose level is 122 mgdL. Could you explain if that's considered normal or n...

Accepted Answer

normal hba1c is 5.6 and if your fasting is 122mgdl then it comes under pre diabetic range

Consult Top Endocrinologists

Dr Sumanth R

Dr G Prathyusha

Dr. Amrutha G

Dr. Anand Ravi

Related Questions

I'm really worried because we've had to increase the insulin dose to get blood sugar under control, and now there's swelling in the face and feet. Could this be a side effect of more insulin? What should we do about it?

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?

I'm a bit worried because my TSH level has gone up to 7.8, although my T3 and T4 are still within the normal range. About two months ago, I missed my menopause, so I started taking some medication, and it seems to have worked this month. A blood test...

I'm currently managing my diabetes with medication, but I'm curious about IME9. Is it okay to take IME9 once or twice a day along with my current meds? Any advice on how to incorporate it into my routine would be really helpful.

I'm diabetic and have been for about 45 months. My latest HBA1C reading came back as 5.6, and I'm trying to understand what that really means. Also, I noticed my mean blood glucose level is 122 mgdL. Could you explain if that's considered normal or n...

Endocrinology

Get medicines delivered in 2 hrs