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Dr Vinod Kumar | Answer |Ask -Follow

Kidney Health Specialist - Answered on Mar 29, 2023

Dr Vinod Kumar is a consultant kidney health specialist at Aster RV Hospital, Bengaluru. His expertise includes critical care nephrology, paediatric nephrology and kidney transplantation. He has performed more than 500 kidney transplants, including robotic and high-risk transplants.
Dr Kumar completed his MBBS from JSS Medical College, Mysuru, followed by an MD in internal medicine from the Karnataka Institute of Medical Sciences, Hubballi. He has a DNB in nephrology from St John's Medical College, Bengaluru.... more

Asked by Anonymous - Mar 29, 2023Hindi

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Hi Doctor, I am 41 now. I am taking one tablet of Telmikind-CT40 daily in morning from past 8 years now. Also I am taking Triglynase-1 for diabetes for past 9 months. Currently my BP hovers at 120/80 to 130/90 whenever measured in morning. Though my sugar levels never comes good, mostly 135-180 in fasting. But Random for after breakfast also it is 150-200 only at most times despite taking the medication. The issue is I feel tired very much, sleep is inconsistent. I am a drinker (180 - 240 ml/night) this sometimes help me sleep. I think too much on each issue (my professional life has very little to no stress, but personal life has some stress elements). Please help me get out of this tiredness (weight-67 Kgs. / Height 5.6 in) (Diet - Non-veg (chicken or egg 4-5 times a week)) (Physical Activity/exercise - none)

Ans: Hi. You have both diabetes and hypertension at young age. I would suggest you to undergo detailed medical check up including kidney function test to know the cause of tiredness. Drinking daily with such large quantities is not advisable. Kindly refrain from that and make it occasional. Keeping the sugars and BP under strict control is of utmost importance.

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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Hello Dr. I am 43 and suffering from sleep issues since 3-4 years, i am on high BP (Amlopidine 5 mg Telmastartin , hypothyroid, cholesterol and uric acid medicines. Have tried various Ayurveda and Herbal treatment but nothing worked, i do get sleep but its not deep sleep and next day i feel little drowsy and light heavy headedness. Kindly advise

Ans: You can try to improve your sleep hygeine - i.e
Try to go to sleep and wake up at the sametime everyday — even on weekends and holidays.
Avoid consuming caffeine at least 6 hrs before bedtime. .
Make your sleeping environment comfortable.
One hour before bedtime, stop doing work or other mentally-challenging tasks.
Use your bed only for sleep or intimacy.
If you are stressed , relaxation techniques like yoga or meditation before bedtime might help.
Regular exercise, a balnaced diet and adequate fluid intake might help.
Can try taking melatonin 3 mg 1 hr before bed time.
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Question by Nabendu - Mar 29, 2023Hindi

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I am 65. My BP hovering around 140 - 150 / 78 - 85. I take Telma- Beta 25 Tablet in the morning after breakfast & 1 tablet Cilakar 20 at night as prescribed and advised by my physician for the last 3years. Any suggestion please. I have no other complication.

Ans: You might need to either increase the dose of Telma Beta to twice daily or add another drug called a diuretic. Ideally your BP needs to be consisitently below 140. Even if you do not have any complication now it is important to keep the BP under control to prevent long term complications (Strokes, kidney disease, heart attack, etc)

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Question by S - Aug 28, 2023Hindi

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Good evening Doctor. I am 76 living with Diabetes and B.P for the last 7 years.i am on Tazloc AM 40 m.g in the morning and zitamet plus 500 m.g and Rozat 10 mg after dinner.I am continuing these drugs for a long time now.since i found vit.D level was mere 15.5 on many occasions when blood tests were taken,i am taking Remylin in the morning as per doctor's advice.My recent blood test reveals fasting sugar at 132 with h1abc at 6.2.My Tryclerizdes level is also marginally high at 155,but ldl and hdl levels are found within the range. I seek your valuable guidance in maintaining my overall health conditions and if any changes are needed, please let me know. I am on walking daily for not less than 45 minutes. I am also getting dizziness at times in the morning mostly and goes off after a certain time. Kindly advice me Doctor. Thank you

Ans: Dizziness in the morning could be due to postural hypotension
Whenever you get up from bed, turn to one side preferable to your right and get up and plabe feet on the ground by the side of the bed. Feel the Earth move your toes and gently get up stand with feet apart at shoulder width and gently move your toes and the start your day.
Your biochemical markers are OK. Not to worry.
But try and have your dinner by 6 pm. Even if you are on medication try and keep your medicine schedule between 7 am and 7 pm
So they are also well balanced
Avoid animal protein at dinner meal

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