Endocrinology

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Missed 4-5 doses Thyronorm before test

Mother 71 yrs, diagnosed subclinical hypothyroidism a year back TSH 10, started 50 mcg Thyronorm. Then TSH 0.13. Prescribed 25 mcg. Then for TSH 5, prescribed 37.5 mcg. T3,T4 normal. (No symptoms, prediabetic, hypertension, early liver disease) **Recently, she missed 4-5 days of Thyronorm (forgot due to cold cough illness) and blood test done after that showed TSH 9.   T3,T4 normal. Based on this test Dr increased Thyronorm from 37.5 to 50 mcg but I forgot to mention missed doses before test to dr.  Dr not available at present. Q: Can the test be inaccurate due to missed doses?  Is the current increased dose ok to take?  What can be done? Thanks 🙏
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Query about pressure medicine

I have diabetes since long 7yd taking metformin 500 sr and blood pressure also i take olmy 20 it si costly and other alternatives for this medicine
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Hypoglycemia after 3hrs of food

I had low blood sugar after 3 hrs of food endocrinologist had prescribed to do 72 hrs fasting blood sugar test but I am fear is it safe 72 hrs fasting can cause severe hypoglycemia??
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About insomnia

I had morning cortisol 23.84 and insomnia can I take melatonin by own to get sleep is doctor prescription required
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Nails problem

I have diabetes and bp since 7 years i take metformin sr 500 once my hba1c is 6.4 my nail is broken or ot because of diabetic pls suggest
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Suggestions needed

Hello doctors, I have a quick question. My father age is 64 and he has been suffering with type 2 diabetes from the past 10 years. He is using oral tablets and but his diabetes is still in the range of 300-350 post food. I have taken him to doctor in Bangalore which suggested insulin but my dad is afraid and still wants to use oral tablets only. My question is, what is the solution here? How can I help him to control diabetes without insulin? Is there any latest medication available right now? Your answers would be highly appreciated. Thanks in advance.
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About blood sugar after 2.5 hrs of food

My blood glucose after 2.5 hrs came 75 is it ok no symptoms or I need any investigations more to  rule out any condition
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LDL reduced, Non HDL improvement

My earlier lipid profile showed: total cholesterol 241 mg/dL, LDL 145 mg/dL, non-HDL 191 mg/dL, triglycerides 95 mg/dL Hdl 50 mg/dL My latest test (after lifestyle changes) shows improvement: total cholesterol 219 mg/dL, LDL 82 mg/dL, non-HDL 171 mg/dL, triglycerides 85 mg/dL, HDL 48 mg/dL. I have started exercising regularly (walking and gym), don’t smoke, and have no diabetes or symptoms. I am concerned about the still elevated Non Hdl.
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Low blood sugar

I had normal fasting blood sugar but after 3 hrs after food sometimes low like 50 and 66 but sometimes normal 88 87 81 did I need 72 hrs fasting blood sugar test and night sweat and less sleep but no symptoms a days
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Reactive hypoglycemia

Did reactive hypoglycemia leads to dibeates in future how much chances are there as body produces more insulin after meal ??
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