Hormonal Imbalances

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Type 2 diabetes , CKD and heart problem.

My father having type 2 diabetes for 7 years and echo showing lv dysfunction and creatine increased to 2.7. Medication continuing: Dytor Monit GTN Nikoran Amary glemipride 1 mg Erythropoietin injection 4000iv And now some skin problem like red spot, itching, driness arises. So I want some solutions.
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Periodical tests for diabetic patients

My wife (55) is a chronic patient of diabetes & BP.Her rent FBS is 103 and PP is 185.Every now and then she wants me to take herlipid Profile,urine micral & R/M,Hb, Creatinin,USG,ECG.Besides Blood sugar and BP.I have procured a Accu-Check and Dr.Morpen to check her her blood sugar and BP almost everyday.I think it's her mania or she is fear stricken to see a nephro patient next door. I know some tests are taken periodically. But I do not know their periodicity.Would you please let me Know! Is Brown bread is good for diabetic patient? ThanQ.
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HBA1C & ABG

Hello Doctor I see from my reports that HBA1C says 6.1 and ABG says 128. I am overweight. Please let me know what actually the above numbers mean and what should be my next course of action. Thanks in advance
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Cortisol levela

I am 17 years old male I think I have high cortisol levels due to stress and much intake of caffine coffee how do I lower cortisol levels and increase testosterone
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Want to know substitue for Epotrend Inj

Have been prescribed Epotrend Inj (4000 units S/C) but it is not available near my home. Kindly suggest me its readily available substitutes.
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Foot Gangrene on Great Toe

Age-63, Male. Exsmoker and Diabetic from 3 yrs. My father has undergone through Heart bypass operation and then after one month , he gradually developed Dry Gangrene in his Left Great toe. Now doctors suugest that he has to undergo through amputation of Great toe. Do we have an alternative to amputation. Please advise asap.
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Glucose sugar for 3 month ave. is 6 pl e

My glucose count for 3 month ave is 6 , is it ok, TSH count is 10.5 and taking thyronorm 50 daily in morninf is it ok
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HypoThyroidsm

I have a major concern about the way Hypothroidism is identifed in a pateint and also the range used. What I have noticed is TSH levels are usually very high, if the blood samples are given on fasting and in morning. TSH levels are low in afternoon or much lower in the evening. However, when a doctor is consulted, he or she never asks you the time you have done the test. Also they use the same range for all these times. I don't think this really makes sense. I think if the TSH is a hormone which in all human beings in supposed to be high in the morning, then the range used for a test done in the morning should be different from that done in other part of the day. Which time is considered the best for a tsh test? Also why doctors never tell their patients to do the test at the same time for all followups to see the progress of treatments. I really feel thyroid being now one of the most common diseases identified globally, there should be more research done on this issue.
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Extent of hypothyroidism

My prospective partner (41 years) says he has hypothyroidism and will be taking medicine lifelong. He is currently on Thyronorm 25 mg. He says it is genetic with half his family having the condition. Report of his test taken in 2015 shows T3 & T4 within range, but TSH is 5.62, though range is 0.35 - 5.5. Latest report results (Jan 2017) are: T3 C.L.I.A 110 ng/dl 60 - 200 T4 C.L.I.A 9.2 μg/dl 4.5 - 12 TSH C.L.I.A 3.68 μIU/ml 0.3 - 5.5 Comments : SUGGESTING THYRONORMALCY Please correlate with clinical conditions. Since the 2015 report shows that TSH value is out of range only subclinically, why does he have to take medicine all his life? Could it be that he has not shared all the reports, and is sharing only those which show near-normal/normal results? In other words, at what levels of TSH is the condition called hypothyroidism and thyronorm is prescribed for life?
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Lower back pain

Hi I'm 23 diabetic type 1 from past 2 months m suffering from a lower back pain both the left and right sides and its not daily but alternative days m worried about that can any one help letting me know about this and when ever I have any thing sweet or heavy thing I'm getting this pain.
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