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How to reduce belly fat in a diabetic?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father is a diabetic since 25 years. He had bypass surgery last year and has gained some belly fat.

He is taking medication for lipids. He has grade 2 fatty liver with no symptoms. Please examine my father's recent ultrasound which was done to check his enlarged prostate. Also, please see his blood reports and advise.

Currently, he is on Insulin Mixtard 30/70 - 38 units in the morning and 15 units at night. He is also taking Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar 25 1-0-0, Dynapres 0.4 0-0-1, Clopilet 75 1-0-0 and Ecosprin 150 1-0-0. Please guide.

Answered by Dr. Pardhan Rajesh Kumar

Hi,

Welcome to icliniq.com.

His ultrasound (attachment removed to protect patient identity) of abdomen suggests fatty liver.

Liver function test (LFT) is normal. This indicates there is fat in liver, but it is not damaging liver. There is no specific treatment for fatty liver.

Main treatment to be followed is strict control of diabetes.

Avoid fatty food; if possible do some exercise in the form of morning walk.

The Probable causes

Type 2 diabetes mellitus (DM).

Probable diagnosis

Fatty liver.

Preventive measures

Avoid oily food.

Regarding follow up

For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Patient's Query

Hi doctor,

The problems are gas and bloated feeling. Last year we did a scan and it was fine. After one year we see grade 2 fatty liver. He keeps eating Unienzyme for gas. Please suggest any medicine for that.

Answered by Dr. Pardhan Rajesh Kumar

Hi,

Welcome back to icliniq.com.

The Probable causes

Dyspepsia.

Investigations to be done

Differential diagnosis

Probable diagnosis

Dyspepsia.

Treatment plan

1. Rantac (Ranitidine) tablet twice daily before food for a month. 2. Tablet Normaxin (combination of Chlordiazepoxide and Clidinium) one twice daily after food for a month.

Preventive measures

1. Avoid fasting and eating spicy and oily food. 2. Avoid having cabbage, cauliflower and milk. 3. Take small frequent meals.

Regarding follow up

Revert back after 15 days to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Answered byDr. Pardhan Rajesh Kumar

Medically reviewed byiCliniq medical review team

Published At November 30, 2017
Reviewed AtFebruary 2, 2024

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Dr. Pardhan Rajesh Kumar

Medical Gastroenterology

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