General Endocrinology

Health Q&A
Change in Insulin injection

I take 20 units of Human MIXTARD 30/70 insulin in the morning and 20 units in the evening. HM 30/70 is not available in medical stores and a Medical Doctor mentioned that the company is stopping production altogether. My query is : Can I take Huminsulin 30/70 instead of HM 30/70? Will the dosage remain remain the same? Thank you.

Diet control

Can we take papaya if diagnosed with prediabetes, but it's normal with lifestyle change without any medicine, which fruits and veggies to take and which ones to avoid , can take little ghee in dals or etc in food?

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?

Post-Miscarriage Diabetes Follow-Up

I am 37 years old. I had an IVF pregnancy. In June, my last HbA1c was 6.7. After that, I stopped taking metformin and continued checking my diabetes regularly. Even without the medication, my fasting sugar stayed around 101, and my post-meal readings were between 130/122/145. Today, my HbA1c report came back as 6.1, with a fasting sugar of 77 and a post-meal reading of 107. So does this mean that the diabetes I was experiencing after my miscarriage—which wasn’t returning to normal—has now become normal? Even though the HbA1c is still a bit high?

Neck swelling

Swelling in thyroid gland n USG done showing diffusly Heterogeneous parenchyma with multiple I'll defined hypoechoic nodules shattered throughout bilateral parenchyma and decreases vasculity in color Doppler -S/o  Chronic thyroditis