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Komal

Komal Jethmalani  |327 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 07, 2023

Komal Jethmalani is a practising dietician and nutritionist with over 26 years of experience.
She specialises in weight loss and diabetes management.
Jethmalani has completed her MSc in food and nutrition from SNDT University and trained at Jaslok Hospital.
She is a NDEP-certified diabetes educator.... more
Asked by Anonymous - Oct 04, 2023Hindi
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Sir, I am losing weight constantly from 83 kg to to 78 kg in three months during midnight it sweats a lot my hands are trembling,paining and hungry .if I pass urine that time ii would almost faint .I have BP iam taking rancil 10 mg My sugar levels are fasting sugar is 102 pp is 113and H1ABc 4.7 CRP 0.80 . I met diabetic doctor she suggested to meet nephrologist .he told me that be because of BP and infection in urine it is happening.he prescribed pregablin 75 and changed by BP 50 mg for 7 days.he ask me to stop taking non veg foods salt 5 grams per day.only certain fruits should be taken. But I am not satisfied with the doctor assessment.beacuse he has not cleared why I am losing wait how to stop and regain the weight .pls explain me whether I would be able regain my weight and will be healthy

Ans: Midnight sweats and trembling are indicative of hypoglycemia. An HbA1c of 4.7 indicates good control of blood sugar levels. I suggest taking advise from a specialist to understand your health condition.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Asked by Anonymous - May 09, 2024Hindi
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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.
Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

..Read more

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