Hello doctor, I have 2years daughter having beta thalassemia.....ger hemoglobin around 6-7.5......and tlc count always higher lies between 15000to 30000.....what shall I do ..... I have recently went to kgmu Lucknow ...... For this treatment .....

My wife aged 61 years is a diabetic since 1994.She is weighing 83 kgs and ht is 5.5 ft. Now we are using Insulin Tresiba (20-0-20 units), Insulin Fiasp(18-16-18units ) , Jardiance 25mg-1 daily in the morning , Istamet 50/500 - 1 dialy in the morning , Carbophage XR500-1 in the night as diabetic medicines. Her HbA1c was ranging from 7.5- 8.5. Her last Serum creatinine level in January 2023 is 1.2. The Fasting sugar level is ranging between 110 - 145 in this month sofar. Random sugar in the other time of the day is 140- 210. She is also a BP patient taking Telma 40, Telma CT6.25/40 and Praxopress XL 2.5 - each one daily. Bp readings are 140 -145 / 60-68. Thyroid(taking Thyronorm 75mcg daily) and cholestrol( Rosuvas CV10 daily) are under control . Please advise how to decrease HbA1C to a level of 6-7 . Is these medicines are helpful in maintaining her health staedily?. she is south indian and taking rice normally and wheat onec in 2 days in the night time. Is the creatinine level indicates any deterioration in Kidney function? The medicines indicated above are kidney friendly? Your advise to maintain a safe healthy life is required please

Hi Doctor My daughter who is 28 years old perpetually has Bilirubin above the normal range since many years. She is asymptomatic.She does not have fever or lack of appetite and aversion from food. She has had jaundice twice in her lifetime. Once when she was 8 years and again when she was 14. What could be the reason? What course of action should I take now. Thanks

Dear sit my wife hemoglobin 8.75 how increase

Hi Doctor, I was diagnosed with Diabities in July 2024. At that Time. My BSL(F) - 282. BSL PP was 486. Hb1AC was 11 and average glucose was 270. Weight was 79 KGs. Height 5.6 ft Thereafter my doctor adviced me for lifestyle changes (diet and 3km walk daily ) and medication started with Metformin 500 SR and (Glicazide 30mg + Metformin 300) both tablets once a day. However after 15 days glicazide was discontinued due to hypoglicemic issues. Only metformin 500 SR is consumed since then. In meanwhile BSL (F) ranged was around 95-110. and PP 120-140. 3 months over now. had HB1AC came to 6. BSL (F) - 79. weight 74 kgs. what further shall i do to reduce hb1ac and wieght