Sir I have been asked to take Remylin D after dinner along with daily diabetic medicines? Is this enough or do you have take any other vitamins? My age 54 and diabetic for the past 7 years. My diabetes is under control

Ans: Generally you will need the once a week tablet every month after the Vitamin D become normal. Apart from that a Bcomplex vitamin is good. You can try Remylin D or Nuhenz or Neurobion

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

Ans: Nothing wrong with the medication
Please increase your physical activity. Unless you do regular phtsical. Activity, the sugar levels will not be regulated.

Ans: Not sure if this question is for me (as I am not Bikki) but it appeared for me so I am answering this one.

Remylin D is a multivitamin with alpha lipoic acid etc. It is essentially useful supplement. In diabetes and specially those who are on treatment with Metformin etc, there is change in gut microbiota and deficiency of Vit B12 etc, so such supplements are needed. Specially those taking metformin should take such multi-vitamins.

So, Remylin D or any similar multivitamin is not a treatment of diabetes but helpful. This also helps in improving cell size of RBCs and thus treat anemia; it does not benefit in iron deficiency anemia but micro or macrocytic anemias where cell sizes are either big or small.

The other relationship between Hb and diabetes is that people who have low hameoglobin, the HbA1c, a marker for diabetes management is usually underestimated. Therefore, those who are anemic, HbA1c is not a good marker.
For male, haemoglobin should be above 13 gm% and for female above 12gm%

Best,
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi

Ans: Remylin D is a multivitamin. It helps in improving overall blood count by tackling the issue of small or large blood cells. However, it does not have Iron which is usually needed for improving Hameoglobin. However, please remember it has a role in iron deficiency anemia or when we have CBC which is deranged.
Please discuss with your doctor regarding specifics of why Remylin D has been prescribed.

Dr Chandrakant Lahariya