General Endocrinology

Health Q&A
Vitamin and iron low

Have severe fatigue, hair loss, and brain fog. My blood tests show critically low ferritin (4.23) and vitamin D (11.8). I need help

Medicine levels

I have diabetes since  8 years my current medicine is metformin 500 sr once and olmesar 20 for blood pressure my hba1c is 6.3  but my doc changed medicine to januvia 100 and my weight is 53 and serum creatinine is 1.0 so doc prescribed it is good enough because my hba1c is in controlled why doc changed the medicine and it's cost is very much higher

Why my post prandial spike up, low hba1c

Hey everyone, I’ve been living with type 2 diabetes for the last 3 years and I’m honestly confused and a bit frustrated. My HbA1c is always below 6.8, which seems okay… but my post-prandial sugars are consistently high, usually above 230 mg/dL. My fasting sugar averages around 140 mg/dL, and despite trying multiple medications over the years, the pattern hasn’t really changed.Right now I’m on:Vildagliptin 50 mg in the morning only. I live in a South Indian household, so my diet is still very carb-heavy—rice, idli, dosa, etc. I do try to include protein, but in a combined family setup it's really hard to change the everyday meal pattern. My parents eat the same carb-heavy meals, but their post-prandial sugars stay under 180 mg/dL, which is considered normal. Meanwhile, mine shoots up even with smaller portions. I’m trying to understand:Why does this happen even though my HbA1c seems controlled? Do I need Homa. IR Test and change medication?

Rbs 175 and lab report 145

Namaste sir / madam, I'm non diabetic .. today after having a glass of coconut water and 4 idlis I again had a glass of coconut water and after half an hr I checked my rbs it was 175. After 2 hours I went to the lab and checked there it was 145 .. am I diabetic ?? Should I start medication?. I often check my sugar levels and it never crossed 130 on rbs .. kindly help me and suggest the best ways to reduce my sugar levels pls. I'm attaching the report . Kindly look into it and do the needful pls.

Suggest all hormone tests

I had COVID in 2020. The only symptom I had then was a very severe headache. But after that, my body started changing fast. I feel like I am aging quickly, I have brain fog, often infection, muscle loss, skin becoming dark, deep facial wrinkles every morning, and loss of erection. Can any doctor please suggest all the important hormone tests? I want to start with complete hormone testing first, and later, if any hormone is low, I will do further tests based on the reports.