Why is my brother observing weight loss and skin dullness for a few weeks?

Hello,

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His blood sugars, thyroid profile, and triglycerides are deranged. The rest of the report is fine (attachments removed to protect the patient's identity). His symptoms are related to elevated blood sugar. He needs to be started on medications for sugar urgently. However, we can wait and see the effect of lifestyle modifications on other derangements. So it is important to get medications prescribed from a local physician. He should also be engaged in a healthy lifestyle as soon as possible. He should avoid sugars, sweets strictly and should also reduce the consumption of oily products. He should engage in regular physical activities for at least 30 minutes a day. So his diabetes needs to be treated on an urgent basis, and it is better to get medications like Metformin, etc., prescribed from local MD (doctor of medicine) physician or endocrinologist as it will be helpful in regular follow up. Also, he should buy a glucometer for home sugar monitoring as well, as he will need to monitor sugar atleast till sugars are well controlled. For a deranged thyroid profile, he may wait for medications and should repeat the thyroid profile after three to four months. I hope this was helpful.

Hello,

Welcome back to icliniq.com.

His sugar level is good now. Both diabetes and hypertension are chronic problems and do not have a permanent cure. So medications need to be continued on a long-term basis. If medications are stopped now, sugar and blood pressure will rise again. However, with a healthy lifestyle and regular exercise, his requirement of medicine will decrease. So he needs to monitor sugar and blood pressure frequently. Get him sugar tested again after a week especially fasting, and if it stays in this range, then Glimepiride may be stopped. He should always carry some sweets with him, and whenever he experiences any symptoms like nervousness, sweating, and uneasiness, it may be due to low sugar, and he should consume sweets. For hypertension, he should continue with Olmesartan, and if blood pressure goes below 110 mmHg systolic, we need to reduce the dose. All the best.