Endocrinology

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Sugar level unstable

My mom has been sugar patient from last 4 years where she only took one medicine valera 1000 mg which controlled her sugar levels but 3 months back due to some issues hospital where my mom got treated for sugar they stopped supplying that medications to thier patients and we took from outside and for some reason sugar dint got in control recently we visited Dr.Mohans coimbatore we went there with entire cbc where as HBA1c was 11 i was tenser but doctor said pancreas is good and no need for insulin they prescribed us tablets named SITARED M 500 MG GLYCOMET 500 mg and VOLIBO 0.2 MG but still empty stomach is 200 and post breakfast 180 and at night before dinner it is 292 my mom is on strict diet and exercise where now she is taking more of fibre than calaories where she has completely stopped rice sugar and maida as well Doctor also had an test of RANDOM PLASMA GLUCOSE TEST WHERE IT WAS 187 then they took fasting plasma was 177 and post plasma glucose test was 241 but still no results
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TSH 10 to 0.13!

70 yrs, newly diagnosed TSH was 10. Dr gave Thyronorm 50 mcg to take for 2 months. TSH thereafter now came 0.13 ! T3 is 0.97, T4 is 8.42. Patient is asymptomatic. Has early cirrhosis, hypertension. Prediabetes Hba1c was 6 earlier. Now FBS 94, ppbs 169. Takes Istamet 50/500.  1) Was Thyronorm dose more than required? What to do now? Is this serious? 2) Can this cause heart or liver issue? Pls help
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Suggest a suitable dose for diabetes

Sir/Mam , My father has type 2 diabetes for 5 years, Currently he is taking himalaya diabecon DS tablets for past 3 years, his current diabetes report is, Fasting -160 Pp- 190 Age- 58 Sex- Male Current B. P - 160/98(medication -Amlokind 2.5) Kindly, suggest a suitable medication for him that has least side effects with more benefits... Thank you.
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25M ED and Loss of Morning Wood

I have erectile dysfunction and loss of morning erection at the age of 25. I have did my hormonal profile and find out my Total and Free testosterone is very low. Who should I consult?
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Regarding hba1c test

We normally did the 3months average blood test (hba1c) and the result was 5.9% .he previously doesn't have any diabetes and even now he doesn't have any symptoms of diabetes .now the result is normal ? Or else we need to take the medicine for that. Hba1c =5.9% Fasting = 115 After eating= 155
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High Blood Pressure

My bp is elevated to 149 im overweight and obese will it be controlled with exercise and diet did i got stage 1 hypertension and i should start using medicine? And i should live with it?
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OGTT LEVEL 159

My wife is now in her 7th month of pregnancy. Her hemoglobin, TSH and OGTT test results are hereby attached for ready reference. Is it normal? Is there anything to worry about? If anything serious, what action should be taken?
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Gradual Rising Trend Of Urine ACR

My Urine ACR on 4/4/2025 was 2.84 mg/g On 18/5/2025 it was 5.77 mg/g On 23/06/2025 it came 14.69 mg/g Serum creatinine,blood urea,potassium & usg were all normal on 4/4/2025 BP is 140/90,HbA1c is 6 What might be the cause of such gradual rising trend of Urine ACR level ? Need to know whether it is fully reversible at this stage or not...
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Thyroid treatment?

Routine check TSH 5.48.  t3,t4 normal. Total Protein 8.4, globulin 3.8.  vit D, 9. Is there a need for thyroid medication or dietary changes? No other conditions.
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Usage of Diabetic drugs

Does the usage of Medicines like Practomet 1 mg and Teneva increase the frequency of urination? Do they increase urine quantity?
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