| Questions, and answers too. | Submitted by... (asc.) |
| Q. I am 71y, diabetic for 12 yrs, no htn,no signs of IHD so far, strong FH of Dib and CHD, not obese, BMI 23, daily walker for 2-3 km, well managed with Metformin and Semidionil for last 3-4 yrs with FBS 92 t0 120 but PPBS of 200 to 220, HBA1c 7.7 6 mths ago. Recenly had mild chest uneasyness and had to have CABG due to +ve TMT and Left main lesion and LAD block but no infarct about 2 mths ago and doing fine now. Post operatively my Physician changed my diabetic regimen switching to Amaryl 2mg B.D saying for Cardiac patients this is better than Semidiaonyl. But with Amaryl and Metformin, my diabetic control is worse with FBS 125 to 156 and PPBS 220 to 280. Doctor says he has to titrate the dose. My question is "Is semidionil not safe for cardiacs. Ia m afraid of taking max dose of amaryl while lower doses of Semidionil was working better before?". Thanks A. The subject is controversial., however if properly titrated insulin in combination with metformin and if required Amaryl will be the best in your case.Keep your A1c below 6.5.Post prandial highs are not good for heart. | s.rao asked: 25-Jun-08 |
| Q. Dr., how can I manage Diabetes and chrohn's disease together? A. We do have a couple of them on follow up.You should be on regular follow up with a gastroenterologist and also with a diabetes team.Both diseases are not curable but controllable.The experts will decide on drugs which will not have interactions and side effects.Once in 4 months it is better to undergo lab and physical evaluations. www.jothydev.net, jothydev@vsnl.com | varna rajesh asked: 02-Jun-08 |
| Q. how to control cholesterol A. Diet, exercise and if advised by doctor medications.High cholesterol is a risk factor for heart attacks, strokes, kidney disease and diabetes.If you can control cholesterol you can avoid most of the dealy diseases.Worth taking medications under your doctors advise. | madhuh asked: 22-May-08 |
| Q. Now a day PCOD is a common problem faced by the young girls. Is this is another risk factor for diabetes?. A. 100%.We have plenty of young girls being treated at our center, with PCOD and diabetes due to insulin resistance.Getting prepared for pregnancy in an intelligent fashion is the most critical period. | sujitha asked: 20-May-08 |
| Q. what are the major symptoms of type 1 diabetes? A. Sudden loss of weight,incresed hunger, thirst,tiredness etc., | sujitha asked: 18-May-08 |
| Q. I walk 1 hour daily and diabetics is under control for 10 years.Should I worry about kidney disease od diabetic? A. Daily walking is good for diabetes.However kidney disease is related to average sugar, Blood pressure, lipids , duration of diabetes etc.,Meet your diabetes team and be regular in doing all tests for the important organs,at least once in 6 months. | Chandrasekharan asked: 14-May-08 |
| Q. enikk 21yrs aayi, eppolum shwasam muttal varum, aadhyam thummal varum, ennitanu shwasam muttal varunnath.. kure medicines kazhichittund, chila samayangalil nalla shwasam muttal varum, raathriyannu kooduthal, ithinu prathividhi???? A. you should do PFT/PEFR and there are good inhalation medications.Though not curable your allergic asthma is completely controllable. | shemeer asked: 11-May-08 |
| Q. Dr, Making this website, you did a great things to the whole community of this World, What is motivated you to do so ? A. I have several young patients with diabetes and obesity who cannot get married due to their illnesses.I sincerely wish young educated youth either healthy or without the same illness to get registered in this site and start knowing each other and perhaps later get married... | Sreekumar asked: 11-May-08 |
| Q. Is this site only for Diabetic patients or for others also A. This site is actually meant for as a chat site for patients and doctors and also between pts | Babu asked: 11-May-08 |
| Q. what are rhe major difference between type1 & typeII diabetes? A. Type 1 is spontaneous and requires life long insulin.Type 2 is the commonest diabetes and occur in people who are overweight with added risk factors like high lipids, lack of exercise, genetics etc., | santhosh asked: 10-May-08 |
| Q. I underwent Bye-pass surgery (3 grafting) on 08.12.07. Cholesterol level is normal now. Sugar below normal (fasting and after food). Kindly suggest kerala diets for me. A. Diet depends on body weight, previous sugar, cholesterol status,medications etc., Instead of suggesting a general diet, get in touch with the dietician of your treatment team. | P K Sarachandran asked: 10-May-08 |
| Q. Do you think Rheumatic Arthritis is a life style disease? A. No Sir.It is classified under collagen vascular diseases.Newer disease modifying agents when started earlier will help prevent joint deformities. | jayapalan asked: 10-May-08 |
| Q. This site was launched by Mohanlal who does not have Diabetes,Blood Pressure or any other illness.What is the idea behind this? A. Mohanlal is worshipped and respected by all of us and messages for prevention of lifestyle illnesses are effectively communicated to the masses via this venture. | Dr Shabir asked: 10-May-08 |
| Q. i am 45 yrs old business man.I have recently heard about insulin pump.Will it be helpfull for me ? if so could you tell me how? A. Insulin Pumps are widely used by us.It depends on the financial status, type of diabetes, living styles,level of education etc.,Please visit www.jothydev.net and view videos on pump | Kapil asked: 10-May-08 |
| Q. I am newly diagnised to be having diabetes.I am 29 yrs old ,65 kgs,5 feet tall.What is the best way for me to tackle this disease? A. Ahsa: Do tests to differentiate type 1 from type 2.(Ce peptide, Anti GAD etc.,)You should be in constant touch with a trained diabetes team so as not to develop any complications in future.Just by taking some medications daily will not be a solution. | Asha asked: 10-May-08 |
| Q. What are the chances of my children getting diabetes if i marry a person who is having diabetes A. Hi Aysha: Chances are high.But don't worry.If you are intelligent with preventive measures the kids will never develop diabetes. | Aysha asked: 10-May-08 |
