Dr. Shaikh Sadaf
Endocrinology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My father has been suffering from hypothyroidism and was having thyroxine 137.5 mg for the past four months, but on his own started 125 mg in the past two months. I have attached my laboratory reports for you to check. He is a diabetic and even had an angioplasty done. Please suggest the best for him.
Hello,
Welcome to icliniq.com.
I read your query and saw the laboratory reports (attachments are hidden to protect the patient's identity). From what you have mentioned, it appears that your father has overcorrected his thyroid. He must take 100 mcg of Thyroxine only. Repeat his thyroid test after three months, only TSH (thyroid-stimulating hormone). His diabetes is not controlled. I would like to know his medication's name, dose, and times per day. He has some urine infection, likely because of high blood sugar. Once sugar gets controlled, the infection will resolve. Drink eight to ten glasses of water daily. Please do not change the dose of Thyroxine on your own, as it can be risky in patients with heart disease like your father.
I hope this helps.
Regards.
Patient's Query
Hello doctor,
Thank you. Medicines for diabetes are as follows:
1. Tendia M forte one tablet once a day at night.
2. Xigduo 10/1000 mg, one tablet once a day in the morning.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Add tablet Diamicron MR (Gliclazide) 30 mg after lunch. Check his blood sugar regularly with a glucometer at home. Regular diet control by avoiding rice, etc. Regular three monthly HbA1c (glycated hemoglobin) test with fasting blood sugar and TSH (thyroid-stimulating hormone). Regular diabetes and thyroid follow-up.
Hope this helps.
Regards.
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Endocrinology
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