Medical history- i'm 56, female, diabetic since ten years approx. My fasting glucose remains around 240 while pp around 290. I've been taking medicines (galvus met 50/1000 mg and amaryl 2 -both bd) since long, but my sugar levels didn't show any significant changes and hence my doctor added vogliboz 0.3 tds to my regime (two weeks back). Last, I got my glucose levels tested yesterday and they are still the same, only a mild reduction registered. I walk 3-4 kms daily in the morning, apart from that I don't have any other physical activity on schedule. My last month's thyroid report- (t3/t4-normal tsh-low-0.21 iu/ml) i'm currently on thyroxine 75 mcg as well. Main problem- my toe nails have been showing an inward growth since an year or two, which has now started causing pain. I feel soreness in my left toe almost all the time, while it hurts insanely whenever it contacts any hard surface. Nailbed has become so thickened, that it is not possible for me to cut the toenail myself. What should I do to curb this problem? Also i'm having a little pain in my heels and ankles lately, but it is not much significant. And my doctor told me that I will need to switch to insulin, if my sugar levels remain the same after two months. Can I not be treated with oral drugs anymore?
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You need to control your sugar asap otherwise its difficult t treat other problems. Along with mediicnes follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats sugar, cake, pastries mithai/sweets chocolate fruits like mango, litchi etc. White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.take a lot of green vegetables n fruit. 8. Drink lot of water. 9.curd is good for u. 10. Everyday preferably sleep on same timenow about point no. 5. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions. Other days you can do cardio exercises like yoga, cycling, swimming etc. Till lock down do suryanamaskar. for sugar n nail problem homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all. Â
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From your history it sounds like you hv developed ingrown toe nai. Along with fungal infection of nail (onychomycosis). Correct diagnosis to be made only after proper examination. For acute pain you can take nsaids (like aceclofenac). Once the pain is subsided, you can cut the ingrown portion of toe nail (or removal of matrix of nail. For onychomycosis pulse dose of cap itraconazole is given along with topical (like cyclopirox olamine/ amorolfine lotion). Visit nearst dermatolgist. Thanks. Â
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