Endocrinology

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Controlling diabetes with osteoarthritis

My mother has diabetes since 1 year. Her HBA1c is 7.2. However, she also has knee osteoarthritis since last 5 years. The only option is to do a knee replacement surgery. In this condition, what can we do to control her diabetes as she is unable to do any kind of exercise - unable to do too much walking, cannot climb stairs etc. What options for exercise do we have for diabetes management? Please advise.
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Lipid profile test and TFT report

Here i am attaching lipid profile report and TFT report,please check and let us know any issue. Note:I am taking roseday f 10 mg tab,but still increased ldl to 15 points compared to old report to new report.due to thyroid ldl is increasing or not please confirm.
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Low cortisol levels

I am facing numbness in limbs and pressure in head (after doing some office work or travelling) However, NCV is normal, B12 is normal and tried pregablin and gabapentin. I thought it may be because of stress so i underwent cortisol test and value was 25 ng/ml (Lab ref 57.2 - 194.2).  Also i am thin not get fat easily. Blood sugar and Tsh also normal. Request you to Please advice what does it indicates as per your opinion.
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Fasting Sugar high?

So I use a home based testing kit to monitor my sugar levels, not diabetic. Recently i have observed I wake up in the morning everyday around 5-6.30 am(everyday). And go to pee. So as a result i checked my sugar. Fasting is staying between 100-108 and pp comes under normal. I am a software engineer staying in the UK. I used to eat junk but have completely cut it out. I eat home based food only. But i eat basmati rice twice a day with dal, veggies or other protein like chicken. Is this why it is causing a spike? Should I eliminate rice? Please help me, I do not want this to be converted into diabetes. I do strength training every alternate 3 days. Thats 2 days a week. I am 27yo, 5'7, 68.5KGs and I eat homemade food mostly and definitely include protein. Also i have switched my oils to olive oil and reduced the amount of oils generally. Please help me how to reduce it. I am already cutting off most of the sugars and kept the intake under 10g. Please help
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My father is diabetic

My father is 64 years old and diabetic.. today we did the HBA1C test and normal glucose test. HBA1C is 6.5 and fasting sugar is 135 and after food is 235 What medicine can be given as currently he is already taking medicine. Is this range normal of HBA1C for a diabetic person?
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Am I diabetic? Should I start medication

My Hba1c has gone up from 6.8 to 7.2 to 7.3 in December, March and August respectively. Glucose from 149 to 156 to 162 mg. Am I diabetic? Should I have to start on regular medication? I have been trying to keep it low with ayurvedic medicine, walking, diet changes, meditation
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Need advice

I took rbs today and the reading is 330. Before 22 days it was 390. I am doing 45 mins walk and maintaing a healthy diet. Can I bring back the sugar level to normal with this lifestyle ? Or do I have to take some tests? Pls advice Thanks &regards
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I didn't get the report

I have test my blood... Nd I didn't get ki merko h kya dikkt hai... Kya apa bt skte hai.. Ki dikkt kya hai?
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Humalog mix 25 vs ryzodeg

Which insulin is better for diabetic patients...are there effect similar...what is the difference between these two insulin
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Parathyriod query

Hi Dr, Today took ct scan for neck ImpRESSION:  Small rounded isodense nodular structure at lower pole of left thyroid gland – likely parathyroid adenoma. Pth -78 Calcium 8.4 Gerd, Ostopenia in dexa scan Anemia Mood swings Irritability Bones pain Heart palpitations Three years back sestambini scan show adenoma on left side. But today sestambini scan show normal. Kindly let me know whether I have adenoma or not. Plz advice
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