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Is Ten Therapy Sessions Enough for Vitiligo and Dark Spots?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1113 Answers  |Ask -

General Physician - Answered on Jun 12, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Hypelis_aly.3 Question by Hypelis_aly.3 on Apr 21, 2024Hindi
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My mother has vitiligo spots on eyebrows and some little spots on body. It has been 3 years now . The spots on the body are just the same as they were earlier but now the spots on face are increasing. She has dark spots on face from many years. She is around 70 kgs and 5'5 . One doctor she met suggested her to apply ointment on the spots and gave her sunscreen and "costly" mild face wash. Now her face burns a lot when she is cooking or when she is under the sun. The doctor also wanted my mom to get peeling done for the dark spots but she refused. We took second opinion from other doctor and it was totally different . The other doctor said no peeling is required and the ointments won't do anything. HE said 10 therapy sessions are to be done . 2 per week. I am really confused by the opinions of the doctors. What should I do.

Ans: For skin lesions one need to be able to see the underlying metabolism
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I am a diabetic with HbA1C 7.4. I feel very sleepy after the breakfast, which I take around 10-10:30 AM. Also, I feel not so fresh when I get up in the morning. Infact getting up in the morning is a struggle. I generally sleep around 11 PM. How to avoid this sluggishness during the day. I do regular exercise Yoga or Walk for 30 min atleast 5 times a week. I have a feeling that I am becoming hypoglycemic during the night and that is what causing this sleepiness during the day. Quality of night sleep is reasonably ok. However, I get once during the night for urination. Please advise on my condition.
Ans: Feeling sleepy after breakfast and struggling to wake up in the morning can be linked to several factors, especially in diabetics. Here are some insights and tips to help manage your symptoms:

Possible Nocturnal Hypoglycemia: If your blood sugar drops during the night, it can affect the quality of your sleep and lead to morning sluggishness. You could try having a glass of milk before bed to help maintain blood sugar levels overnight. Consult your doctor to monitor glucose levels more closely.

Post-Breakfast Sleepiness: The type of breakfast you have might be causing a blood sugar spike, followed by a crash. Opt for a balanced meal with complex carbs, protein, and fiber to prevent rapid sugar fluctuations. Avoid sugary or processed foods that can cause drowsiness.

Sleep Quality and Schedule: Although you sleep around 11 PM, if your sleep quality is compromised (like waking up for urination), it may not be fully restorative. Try to reduce fluid intake an hour before bed, and consult a healthcare professional to address frequent urination.

Morning Exercise: Doing yoga or walking earlier in the day, particularly in the morning, can boost your energy levels and reduce daytime sluggishness.

Check with a Doctor: It’s important to discuss the possibility of hypoglycemia and other metabolic factors with your doctor, especially considering your diabetes and HbA1C levels. Adjusting your medication, diet, or routine may be necessary.

Combining balanced meals, consistent exercise, and good sleep hygiene should help reduce the sluggishness you're experiencing during the day.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/

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