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a female aged 57 years complained of increase in her blood sugar fasting 139 and her post prandial 111 is lesser, her triglycerides are 230... why does this happen? doctors please post ur suggestions regarding this case and possibly certain remedies regards Dr.Sriman
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    Saturday, November 14 2009, 09:33 AM - #Permalink
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    NEED MORE HISTORY OF THIS PT.
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    Saturday, November 14 2009, 09:57 AM - #Permalink
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    Need more history. Is she taking any antidiabetic drug , time of the medicine. Fbs and pp2bs should be repeat

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    Saturday, November 14 2009, 09:59 AM - #Permalink
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    Goodalingam vyathi upasaya anupasayena pareekshet before panel discussion give me a clear picture doctor
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    Saturday, November 14 2009, 10:41 AM - #Permalink
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    Dr. Sriman Abnormalities in blood test results are due to problems in the multiple control mechanism of glucose regulation which may be more prominent in fasting stage. Certain food and spice can also influence the metabolic response to carbohydrate assimilation. There are certain carohydrates which are slow to be digested by humans) and the more complex sugars which also cannot be digested by humans. And there are carbohydrates which are not digested even with the assistance of gut bacteria; several of the fibres (soluble or insoluble) are chemically carbohydrates. Moreover the error rates for blood glucose measurements systems vary, depending on laboratories, and on the methods used. Fasting hyperglycaemia is common in certain clinical conditions such as Pheochromocytoma, Severe Liver Disease, and Glycogen storage diseases. You should focus your treatment on dhatvagni balancing and lipid management. Chandra Prabha Vati in the doses of 500 mg twice daily may be considered.
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    Saturday, November 14 2009, 10:49 AM - #Permalink
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    agree with dr jain.can advice one more blood test. if she is showing any symptoms treat her accordingly.
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    Saturday, November 14 2009, 12:05 PM - #Permalink
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    definitely patient need some more history details.
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    Saturday, November 14 2009, 12:19 PM - #Permalink
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    DR.SRIMAN, 'INCREASED HEPATIC GLUCOSE OUTPUT' ACCOUNTS FOR INCREASED FBS / FPG(FASTING PLASMA GLUCOSE). 'DECREASED PERIPHERAL GLUCOSE USAGE' RESULTS IN POST PRANDIAL HYPERGLYCEMIA. IN THIS CASE THERE IS INCREASED PERIPHERAL GLUCOSE USAGE, WHICH IS GOOD AND WHICH IS WHY POST PRANDIAL GLUCOSE LEVELS ARE LESS.....AND, HEPATIC GLUCOSE OUTPUT IS ALSO INCREASED WHICH IS ALSO CAUSING INCREASED TRIGLYCERIDES. ADVISE 'EARLY, LESS AND BLAND' DIET AT DINNER. INCREASE THE DOSE OF EVENING MEDICINES....ADD AROGYAVARDHINI AND KAISHORA GUGGULU TO YOUR PRESCRIPTION.
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    Saturday, November 14 2009, 02:47 PM - #Permalink
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    respected doctor as per the bld sugar levels are concerned it seems that pt is non diabetic. also blood test should be done from venous blood and not from finger tip and that too from a good lab. we can also go for glycated haemoglobin to evaluate her diabetic control. as for as triglyceride levels are concerned advise her for daily exercise and medicines as prescribed by dr. raju. chetan
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    Saturday, November 14 2009, 03:11 PM - #Permalink
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    as advised by vaidya chetan mehta.
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    Saturday, November 14 2009, 03:53 PM - #Permalink
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    yah... its right that the tests should be get done from a good lab and repeat the test both for blood sugar and triglycerides.
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    Saturday, November 14 2009, 06:37 PM - #Permalink
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    need some more details,,
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    Saturday, November 14 2009, 09:12 PM - #Permalink
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    normal plbs suggests his insulin reaction to meals is normal to control the glucose levels.the said condition may be due to o any liver diseases as dr.jain mentioned, or may be due faulty report.Patient should be advised to regulate his dinner .suggest him suitable diet and exercises along with yoga and pranayama. regarding drugs give him nisamalaki 2 bd. mustarista for triglycerides 2tsp twice. keep liposem 1 tid.

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    Sunday, November 15 2009, 02:51 PM - #Permalink
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    **in the event of 2 hours postprandial blood glucose below the fasting blood sugar, first increase the monitoring frequency, such as the increase measured postprandial 1 hour,3 hours of blood glucose,record good data for looking for changes of blood glucose.Then,consult a doctor for common analysis and find out the reasons,if necessary,adjust diet, exercise and medication.
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    Sunday, November 15 2009, 10:39 PM - #Permalink
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    marked fasting hyperglycemia following antecedent hypoglycemia is called as 'somogyi effect' or 'the rebound effect; or 'hyperglycemic rebound'. diabetic patients who have high glucose readings in the morning may need to test their glucose levels in the middle of the night around 2-3 am for several nights. if glucose readings are relatively low at these times 'the somogyi effect' may be the cause of high glucose readings in the morning. however if the glucose readings are consistently normal or high during the night, the mornings high readings may be the result of 'the dawn phenomenon' (fasting hyperglycemia with the absence of antecedent hypoglycemia). inappropriate hepatic insulination is the cause for 'increase in triglycerides' in this case. a physician should make necessary adjustments to the patient's diabetes management plan which may include changes in insulin or antidiabetic medications or their eating schedule. possible adjustments include: increasing evening food; changiing the time of the evening food; reducing dosage and changing the time of insulin or medicines; exercising early in the day instead of evening etc. normalisation of the fasting blood sugar minimizes the glucotoxicity and insulin resistance, profoundly increases daytime glycemic control thus reduces the risk of diabetes complications. manage this case by giving 'siva gutika' 1 tab 6am and 6 pm dosages and 'kaishora guggulu' (specifically kerala pharmacies) 1 tab after food for the best results.
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    Monday, November 16 2009, 12:40 PM - #Permalink
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    in my opinion the statement of dr . kranti is perfect .

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    Monday, November 16 2009, 06:57 PM - #Permalink
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    thank u drs.
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    Saturday, January 30 2010, 10:10 AM - #Permalink
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    dear doctor dr. kranthi's opinion seems good regards
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    Friday, February 26 2010, 09:26 PM - #Permalink
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    agree wth dr.kranti ji and add glucomap jai ayurveda
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