Diabetes

Diabetes is a metabolic disorder where there is increased blood sugar levels. It may be of type 1 or type 2. The early signs of diabetes include increased thirst, increased hunger and increased frequency of urination.

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Can bariatric surgery be repeated?

Query: Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5 feet and 10 inches, and my current weight is 127 kg. Two years ago, I had a sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass sur...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, nothing needs to be done to increase testosterone. There are medications to increase testosterone lev...  Read Full »

Was my fasting blood sugar high due to my food habits?

Query: Hi doctor,I am 48 years old and I am not diabetic till now. Before three months, my blood pressure showed a high value than usual and my doctor changed my medicines. Previously, I was taking Omnitan-H 20 mg and Amlopin-M 20 mg for some time. After changing my medicines, I was taking Olmetrack 40 mg ...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. The value of your fasting blood sugar of 126 mg/dL falls into the diabetic range. Eating sugarcane or garlic or fenugreek does not affect your blood sugar level. Clonafit beta (Clonazepam and Propranolol) can cause diabetes. I suggest you stop taking Clonafit. You n...  Read Full »

My grandfather suffers from shoulder pain and wrist pain. How to help him?

Query: Hi doctor,My grandfather is 75 years old. He has severe pain in his right shoulder joint and bilateral wrist joints, especially more at night for the past two months. Just before a month, he was diagnosed as diabetic. His C-reactive protein level is 64 (reference value 0-6). Is it possible to have s...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. It could be either due to arthritis or as a consequence of viral infection in the recent past. I recommend him to get the following tests done and revert back with reports. CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), serum uric acid, serum RA factor (...  Read Full »

Does consuming glucose water alter potassium levels?

Query: Hi doctor,The patient is a 28 year old male. He had diarrhea for about 25 days, out of which about one week was severe (had around 85 times in a week) and hospitalized. While in hospital, he had increased potassium (4.7) and was given a nebulizer for two days. He lost about 10 kg during this episode...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. Yes, glucose or glucose water does reduce potassium levels and that could have given the normal results next day. I recommend you to repeat potassium level test after a week. If it is high, then he needs to undergo a complete evaluation for the cause for high potassium. F...  Read Full »

Is brown rice good for a diabetic patient?

Query: Hi doctor, I am a 38 year old male. My height is 6 feet height and weight is 90 kg. I have been a hypertensive for the past ten years. My fasting sugar generally comes in the range of 100 to 130; PP 140 to 170 and A1c level is 6.6. Should I start medicine for this? For hypertension I am taking Losar...  Read Full »


Dr. Divakara P

Answer: Hello, Welcome to icliniq.com. Your levels are indicating that you are diabetic. But, the values are not that high enough to start on medications. I recommend you to start diabetic diet and exercise regularly. Also, repeat your fasting blood sugar (FBS), postprandial blood sugar (PPBS), and HbA1...  Read Full »

Please suggest a diet plan for type 2 diabetes.

Query: Hello doctor, I have type 2 diabetes. I am 29 years old. My height is 5'7" and weight is 58 kg. 34 days back I gave blood tests. My fasting blood sugar was 313, postprandial 599, HbA1c-14.9, T3 109.6, T4-12.30, vitamin D-6.2 and TSH-2.29. After five days, I consulted a doctor and he gave me medicin...  Read Full »


Dr. Divakara P

Answer: Hello, Welcome to icliniq.com. First of all, I am surprised why have you stopped taking medicines? Medication does not cure diabetes; they control it and hence do keep continuing medications. Coming to your diabetic diet: You need to eat food in small quantities, but frequently. Avoid swe...  Read Full »

My cholesterol and insulin levels are high. Please help.

Query: Hi doctor, I seem to have high cholesterol for the first time and high insulin levels. Please go through my reports and advise. Thank you.  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. I went through all your reports (attachments removed to protect patient identity). Only few abnormalities noted. Raised insulin levels indicate that your body is becoming resistant to Insulin. It means that you are at risk of becoming diabetic in near future. The solut...  Read Full »

Is there a chance that a diabetic father affects his baby's health?

Query: Hi doctor, I am a 51 year old man and my wife is 28 year old. I would like to have a baby. I have normal sex life. I have been having diabetes for the last 8 years (hereditary). No BP or heart problem. Occasionally, I have kidney stone issue. I do not smoke or drink. I have a few questions: What a...  Read Full »


Dr. Divakara P

Answer: Hello, Welcome to icliniq.com. Thanks for posting your query. See if you have a normal erection and ejaculating normally, then I do not recommend any tests unless you have been trying for a baby for the past one year and there has been no result. In that case first get semen analysis with culture...  Read Full »

Please explain how the best Insulin treatment is selected for a diabetic patient.

Query: Hi doctor, I have few questions which I would like to ask a professional. As I am not able to find the answers by myself, I would love to hear from a practicing professional. How is the best Insulin treatment (syringe, pen, pump and pod) selected for a type 1 diabetes patient? Generally, how long ...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. Rather than the best way, we consider more convenient and economical ways for the patient. The best is always an Insulin pump, but it is costly and requires continued patient education. Injecting Insulin into the same site will cause damage to the fat tissue which resu...  Read Full »

Why do I always feel lazy and tired?

Query: Hi doctor, I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my he...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or d...  Read Full »

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