Weight fluctuations with diabetes bp

2025-12-23 15:59:33
Namaste sir/maa'm Myself 33 yrs old female diabetic since 2-3 years(controlled on medicines) hypertension since 2 yrs talking medication for that too it's controlled as well recently my hba1c is 5.6 with fasting 88 vitamin d3 15.86(low) not taking any supplement for that and have been hypothyroidism last year in oct so taking 50 mg that is controlled too now my concern is despite of having hypothyroidism my weight has reduced 5-6 kgs in 6. -7 months u was 83 in April may and now I m 78kgs even with good apetite and I take Serta 50 in morning in night I take oleanz 5mg with petril.25 for insomnia or negative thoughts, earlier for my diabetes I had istamet 500 twice a day so asked my doc that I reduced weight so she prescribed pioglitazone 15 mg with Glucobay 25 mg thrice, weight one month pahle 78 tha abhi one week phle 80.55 tha ab 78 ho gya toh ye sab kyu hora h jabki meri hunger bhi badia hai please doctor help me out this thing is panicking me a lot loose stools hote h sometimes
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-12-26 11:57:26

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Based on the details provided: • Your diabetes is very well controlled (HbA1c 5.6, fasting 88). • Thyroid seems controlled, but unintentional weight loss despite good appetite needs evaluation. • Pioglitazone does NOT cause weight loss; it usually causes weight gain, so it is unlikely to be the reason. • Glibenclamide (Glucobay/acarbose) can cause loose stools, bloating, and hunger, which explains your symptoms. • Anxiety, panic symptoms, and antidepressant/antipsychotic medicines (sertraline, olanzapine) can also alter appetite and weight. • Vitamin D is low and should be corrected. • Persistent weight loss with loose stools raises concern for malabsorption, anxiety-related hyperphagia, or over-treatment of thyroid
Next Steps
1. Repeat thyroid profile (TSH, FT4) to rule out over-replacement. 2. Stop acarbose (Glucobay) temporarily after consulting your doctor if loose stools persist. 3. Stool examination (routine + fat) if diarrhea continues. 4. CBC, ESR, CRP, and LFTs to rule out systemic causes. 5. Start Vitamin D3 supplementation (e.g., 60,000 IU once weekly for 6–8 weeks). 6. Review psychiatric medicines with your psychiatrist—dose adjustment may help anxiety and appetite issues. 7. Monitor weekly weight, not daily.
Health Tips
• Do not panic—your sugar control is excellent. • Avoid frequent weighing; anxiety can worsen symptoms. • Maintain balanced meals with adequate protein. • Seek urgent care only if you develop severe diarrhea, blood in stool, fever, or rapid weight loss (>2 kg/month).

Answered2025-12-26 10:51:38

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Need a few more details please consult for further evaluation and treatment

Answered2026-01-22 14:25:19

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Pl consult. Dm is under control. Destress. Pl do yoga, pranayama.

Answered2025-12-27 05:11:19

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