Type 2 diabetes is a progressive disease. As the years progress, more patients require different medicines and finally, injectable medicines. Some common medicines used in diabetes are further associated with weight gain and hypoglycemia. Diabetes therapies are evolving. Once a week therapies like Dulaglutide (marketed as Trulicity) have made it more convenient for patients. Medicines…
It is not unusual to be on long-term steroid therapy. Long term steroids may be used for lung diseases, rheumatological conditions, skin diseases or as a part of cancer treatment viagra 100mg prix. Although most patients detest the use of “steroids”, they are very valuable drugs. Taking steroids under supervision is safe and very effective….
When it comes to weight gain, nothing beats the thought that thyroid is the first culprit. It is a well-known fact that overactive thyroid can drive weight loss and underactive thyroid can drive weight gain. When you have an underactive thyroid, the metabolic rate of the body slows down. Further due to inadequate thyroid hormone…
Insulin pump is possibly the best method for delivering insulin. It is very helpful for patients with type 1 diabetes and selected patients with type 2 diabetes who want precise and timely delivery of insulin along with the flexibility of leading an active lifestyle. Most type 1 diabetes patients if not all would benefit from…
PCOS or Polycystic Ovary Syndrome is a common medical problem. I have heard my patients say casually that they have PCOS in the family. The causes of PCOS is still not fully understood. It is true that the entire spectrum of PCOD is not very clear and it is still evolving. But every ultrasound that…
Young people with hypertension are not the same as older people with hypertension. Older persons with hypertension have something that we doctors label as essential hypertension. This basically means that the hypertension is due to a list of causes that we poorly understand in full. It is however important that we check these individuals for…
The recent outcry in the media on the reports of “ketoacidosis “with the use of a new class of diabetes medications, SGLT-2 inhibitors ( Canagliflozin, Dapagliflozin, Empagliflozin) lead to a flurry of phone calls to physicians asking if the drug can be safely continued. This has led to discussions on how qualified are the so…
Over the years in practicing Endocrinology, one of the most common questions I get asked is the role of diet in thyroid diseases. It is well known that iodine is required for the normal thyroid gland to make thyroxine. And if you have significant iodine deficiency, the thyroid gland can reduce the function. But being…
Invokana (Canagliflozin) and Forxiga (Dapagliflozin) belong to a new class of drugs used for managing diabetes. It works in the kidney to prevent absorption of glucose and in turn helps to lower blood glucose. It literally flushes the glucose out of the body and thus reduces blood glucose. What are the advantages of these drugs?…
Thyroxine is one of the most common medications in practice. It is used and misused in a variety of circumstances. The tablet is the synthetic form of L-thyroxine which is chemically similar to the thyroxine produced in the body from the thyroid gland. Thyroxine is preferably consumed in the morning in empty stomach. Many patients…
