Ketosis-Prone Diabetes Mellitus

Health Q&A
Diabetic since eight years

I have Diabeties since 8 yrs i m taking medicine of glucomet 500 sr once in the morning and olmy 20 bp tablet my hba1c done around 1 month ago is 6.6  yesterday I have done ppbs it's 200 in glucometer bcoz day before yesterday I have taken alloo parathas big quantity should I change medication wen I was newly diagnosed in 2015 my hba1c was 10 that doc was different doc he prescribed janumet 50/500 two times day n night and vobit 0.3 two times day n night then after 6 months my hba1c came to 6 but my weight was reduced from 60 kg to 43 kg so i went to another doctor he prescribed glycomet 500 sr once and current weight is 51 and height is 160 cm so should I change medication and sitagliptin is not suiting me it is decreasing my weight so which medicines to be taken pls suggest

Thyroid -Low TSH

My wife aged 50 years has been on Eltroxin 100 mcg for nearly 10 years.She weighs around 63 kgs and her height is 5'4. Lately , she has been feeling fatigued and having heat intolerance. Her report indicated low TSH level of 0.048, whereas he T3/T4 are within the range.147 & 11.0 respectively. What medication can restore the TSH levels to a normal range?

Palpitations after insulin change

I  having Type 1 diabetes and Hypothyroidism. For years, I was on premixed insulins (Novomix 50 and Mixtard 30) without these symptoms. Three months ago, my regimen changed to Actrapid before meals and Xglar at night. Since then, I have new symptoms, mainly at night: breathlessness, fast heartbeat, internal restlessness/panic, throat discomfort, and disturbed sleep. ECG and basic tests are normal. A doctor prescribed Fluoxetine, Etizolam, Propranolol, and Livas, but I have not started them yet. My labs show: HbA1c 8.5%, fasting glucose 253 mg/dL, TSH 10.1 (high), low iron, and low HDL. These symptoms began only after the insulin change. I want to know if this could be due to insulin timing/dose and glucose swings, thyroid imbalance, or iron deficiency rather than anxiety. Should I correct these first before starting the psychiatric medicines? Is adjusting insulin or returning to my previous regimen reasonable?

FBS,RBS and A1C

Hai iam tested my sugars today FBS : 97( 70 to 110) Hba1c:5.3(4 to 6) RBS :105 ( 80 to 140) at evening. Regards.

My sugar report

Here attaching my sugar report as I have continuously pulling pain in left hand so done with sugar test as I am a diabetic patient awaiting for your reference

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Dr. Joshua J. Joseph Internal Medicine (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Fellowship in Clinical Research Fellowship, Fellowship in Diabetes Research) 20 years experience Nationwide Children's Hospital
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Dr. Elena A Christofides - Internal Medicine
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Dr. Rundsarah Majed Tahboub - Internal Medicine
Dr. Rundsarah Majed Tahboub Internal Medicine (Residency, Medical School, Medical degree, DO, Fellowship in Endocrinology, Diabetes, and Metabolism, Residency in Internal Medicine, Medical Residency in Family Medicine, Fellowship in Endocrinology and Metabolism, Family Practice Residency) 28 years experience Millhon Clinic
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Dr. Angela R Caffaratti - Family Physician
Dr. Angela R Caffaratti Family Physician (Residency, Medical School, Residency - ID) 28 years experience Ohio State Richard M. Ross Heart Hospital
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