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Seeking Treatment Options for Diabetes and Related Symptoms
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General Medicine
Question #50629
21 days ago
277

Seeking Treatment Options for Diabetes and Related Symptoms - #50629

Client_7cd8b4

Mere pati ko fasting sugar 147 pp sugar 190 hba1c 6.9 abhi latest reports hain pairon ki calf muscle aur foot me jhanjhanahat hai 3saal se madhunashini 2subah ,madhugrit 2sham ko le rahe hain Kya allopathic treatment shuru karen ya aayurved me proper treatment ho sakta hai

How long has your husband been experiencing the calf muscle and foot tingling?:

- 1-3 months

Has he made any lifestyle changes recently, such as diet or exercise?:

- No changes

What is his current daily diet like?:

- Balanced, with controlled carbs
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Doctors' responses

Hello Thank you for sharing your husbands report and symptoms. i can understand your concerm regarding diabetics control and tingling sensation in the legs. With proper ayurvedic management amd home remedies diabetics can be effectively controlled. YOUR CONCERN Fasting sugar- 147 Post meal sugar- 190 HBa1C- 6.9 This indicates moderately controlled diabetics AYURVEDIC PLAN OF TREATMENT INTERNAL MEDICATION 1.Nishaamlaki churna 1 tap twice daily before food with lukewarm water It helps control blood sugar Improves digestion 2.Gudmar tablets 1 tablet twice daily after food Reduces sugar absorption Improves metabolism 3.Chandraprabha vati 1 tablet twice daily after food Improves metabolism Useful in madhumeha REGARDING YOUR CURRENT MEDICATION You mentioned Madhunashini Madhugrit This is useful but if sugar is still elevated, treatment adjustment may be required HOME REMEDIES 1.METHI SEEDS Soak 1 tsp methi seeds overnight Chew in morning empty stomach 2.karela juice 20-30 ml daily fresh karela juice Improves insulin function 3. CURRY LEAVES Chew 7-10 curry leaves daily Supports sugar control 4. FOOT OIL MASSAGE Massage feet with warm sesame oil daily It reduces tingling And improves circulation DIET PLAN INCLUDE Barley Green gram Butter gourd Bottle gourd Ridge gourd ❌AVOID Sugar and sweets Bakery food Fried food Excess rice LIFESTYLE ADVICE -walking daily for 45 mins - Regualar meal - Early dinner before 7:30 - No day sleeping This can be managed vedy well with the above plan Repeat FBS AND PPBS after 30 days And repeat Hba1C after 3 months Hope you found this helpful😊 Warm Regards Dr Snehal Vidhate

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Go with following medicines: 1.Diabecon DS tablets 2 tab twice daily with water before meals 2.Ashwagandha capsules 1 cap twice daily with warm milk after meals 3.Vasant Kusumakar Ras 1 tab once daily with milk 4.Nisakathakadi Kashayam 20 ml with 20ml water twice daily after meals Lifestyle & Diet Daily walking, yoga (Vajrasana, Pawanmuktasana, Anulom-Vilom). Avoid refined carbs, fried foods, excess dairy. Include fenugreek seeds, bitter gourd, amla, turmeric. Leg elevation and foot massage with Mahanarayan Taila can help neuropathy. WARM REGARDS DR. ANJALI SEHRAWAT

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Pairon mei jhunjunahat vit B12 deficiency sae bhi ho sakti hai / peripheral neuropathy So Ek baar vit B12 and vit D check karwana jaroori hai Madhunashini 2 subah aur do raat ko kanae sae pehlae chabakae pir halka garam pani sae nigalna hai Madugrit 1 tab din mei do baar lo Amla juice karela juice Giloy juice roj piyo Hba1c Ek baar next month repeat karna hai

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No need allopathic If ur using AYURVEDIC antidiabetic medicine Along with nishamalki 1tab bd AF Enough

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–Ye levels indicate karte hain ki diabetes uncontrolled hai, aur 3 saal se diabetes hone ke bawajood abhi bhi sugar ka control perfect nahi hai. —Tingling in calves & feet Ye diabetic neuropathy ka sign ho sakta hai, jo diabetes ke prolonged high sugar se hota hai. Early neuropathy me tingling, burning, ya numbness start hoti hai, usually pair me. –Herbal dawa thodi madad kar sakti hai, lekin ab modern (allopathic) treatment zaruri hai, taki sugar control ho aur nerves damage na ho. Lifestyle aur diet bhi continue rakhna hai.

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From your husband’s reports—fasting 147, post-meal 190, HbA1c 6.9—and tingling in the calves and feet, it appears he has moderately uncontrolled diabetes with early neuropathic changes. The tingling suggests nerve involvement, which is common in long-term blood sugar fluctuations. Ayurveda can help manage blood sugar, support nerves, and improve circulation, especially when combined with diet and lifestyle measures: • Internal medicines – formulations like Madhunashini, Guduchi, or Triphala-based rasayanas can support sugar regulation and digestion; nerve-specific Rasayanas (like Bala, Ashwagandha) may help with tingling and weakness • External therapies – gentle Abhyanga or medicated foot oils can improve circulation and reduce discomfort • Lifestyle – regular walking, avoiding long periods of inactivity, maintaining a consistent diet, and stress management Since sugar levels are above normal and neuropathic symptoms are present, allopathic evaluation may also be necessary, especially to prevent progression and monitor for complications. A personal consultation is important to assess his constitution, current medicines, diet, and neuropathic symptoms so a safe, structured Ayurvedic plan can be designed alongside monitoring for best results.

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1) Vasant kusumakar Ras 1 tablet 2 times a day with honey or water on empty stomach 2) tablet Chandraprabha Vati 2 tablet twice a day after meal 3) ekangveer rasa - one tablet twice a day with luke warm water 4) Ashwagandha rishta 15 ml with equal amount of water after food Start foot massage of feet and calfs daily 10 to 15 minutes with mahanarayan tail or sahacharadi tel After the massage with soak in warm water to help oil penetrate into deeper tissue muscle Include Methi seeds soaked overnight daily and take in morning

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HELLO, Based on your husband’s reports -Fasting sugar= 147 mg/dL- high -Post meal sugar= 190 mg/dL- borderlinehigh -HbA1c= 6.9% (diabetes range- early stage) -Tingling in calves and feet-> may indicate early diabetic neuropathy This is early diabetes , and with proper management it can be controlled effectively SHOULD YOU START ALLOPATHIC TREATMENT? With an HbA1c of 6.9% , many doctors usually start Metformin at this stage Since tingling symptoms are present, a medical evaluation is important BEST APPROACH -You may continue Ayurvedic management with strict lifestyle control -Recheck sugar levels after 3 months -If levels do not improve or symptoms worsen, starting allopathic medication is advisable -Neuropathy symptoms should not be ignored In Ayurveda, diabetes is referred to as Madhumeha INTERNAL MEDICATIONS Continue -Madhunashini -Madhugrit ADD 1) NISHA AMALAKI CHURNA= 1 tsp in morning with lukewarm water 2) GUDMAR + BITTERGOURD + JAMUN SEED POWDER= 1 tsp twice daily after meals with warm water 3) CHANDRAPRABHA VATI= 2 tabs twice dialy after meals 4) TRIPHALA CHURNA= 1 tsp at night with warm water helps metabolism and gut clenasing MANAGEMENT OF TINGLING This indicates data imbalance In Ayurveda -ASHWAGANDHA CHURNA= 1 tsp with warm milk at night EXTERNAL -Daily foot massage with Dashmoola oil before bed -Mild warm fomentation after massage DIET -multigrain rotis= wheat + millet like jowar/bajra -bottle gourd, ridge gourd, bitter gourd, pointed gourd -moong dal -5-6 soaked almonds daily -fenugreek soaked water in morning AVOID STRICTLY -white rice -refined flour -sweets -fruits juices -banana and chikko If tolerated, 30 ml fresh bitter gourd juice daily will help a lot LIFESTYLE -45 min brisk walking daily -PRANAYAM= Anulom vilom= 10 min, Kapalbhati= 5 min -7 hours proper sleep EXPECTED TIMELINE -HbA1c can reduce below 6% within 3 months if strict control is followed -Neuropathy symptoms may improve in 2-3 months with good sugar control IMPORTANT WARNING Consult a diabetologist immediately if -fasting sugar goes above 180mg/dL -HbA1c rises above 7.5% -Numbness increases -Burning sensation or weakness develops DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

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Consult diabetologist/endocrinologist within 7 days Likely to start: Metformin 500–1000 mg BD (or extended-release) Add SGLT2 inhibitor (dapagliflozin/empagliflozin) - protects kidneys, heart & nerves Gabapentin 100–300 mg night or Pregabalin 75 mg night (for neuropathy tingling) ✓Continue current Ayurvedic medicines Madhunashini 2 tabs morning Madhugrit 2 tabs evening Safe to continue as add-on ✓Add safe Ayurvedic support Chandraprabha Vati – 2 tablets twice daily after food Punarnavadi Mandoor – 250 mg twice daily after food Triphala Churna – 3 gm night with warm water ✓Lifestyle Walk 30–45 min daily (after meals best) Strict carb control: no white rice, maida, sweets, fruits >1 small portion/day Add: bitter gourd juice 50 ml morning, fenugreek seeds soaked (1 tsp), 1 tsp flaxseeds No skipping meals - 3 main + 2 small snacks ✓Do not delay allopathic treatment as neuropathy can become irreversible. Regards Dr Gursimran Jeet Singh MD Panchakarma

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AAPKE PATI KO FASTING SUGAR 147 PP SUGAR 190 AUR HBA1C 6.9 HAI PAIRON KI CALF MUSCLE AUR FOOT ME JHANJHANAHAT HO RAHI HAI YE DIABETIC NEUROPATHY KE SHURUATI LAKSHAN HAIN JO 1 SE 3 MAHINE SE HAIN AYURVEDIC NAZARIYE SE ISKA UPCHAR HO SAKTA HAI BLOOD SUGAR KA REGULAR MONITORING BOHUT ZARURI HAI AYURVEDA ME FOCUS NERVES KO MAZBOOT KARNE BLOOD CIRCULATION IMPROVE KARNE AUR PAIN AUR JHANJHANAHAT KO KAM KARNE PAR HOTA HAI AAP MADHUNASHINI 2 SUBAH AUR MADHUGRIT 2 SHAAM JARI RAKH SAKTE HAIN SAATH HI ASHWAGANDHA CHURNA 3 GRAMS RAAAT ME GARAM DUDH KE SAATH LE SAKTE HAIN KAUNCH BEEDHA 500 MG SUBAH KHAALI PET SHIRDHAN VATI YA MUKTA VATI 1 TABLET RAAAT ME LEG MASSAGE KE LIYE MUKTA OIL YA MAHATIKTHA OIL USE KAR SAKTE HAIN DIET LIGHT AUR EASY TO DIGEST RAKHE STEAMED VEGETABLES WHOLE GRAINS AUR PROTEIN FOODS INCLUDE KARE FRIED HEAVY AUR SUGAR FOODS AVOID KARE GENTLE WALKING AUR LEG EXERCISES BLOOD CIRCULATION ME MADAD KARTE HAIN AYURVEDIC TREATMENT SE NEUROPATHY AUR JHANJHANAHAT ME KAAMI AA SAKTI HAI LEKIN BLOOD SUGAR CONTROL REGULAR MONITOR KARNA ZARURI HAI ALLIED DOCTOR CHECKUP KE SAATH AYURVEDA SAFE AUR EFFECTIVE HAI

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Aap ayurvedic medicine continue karo iske saath Karela jamun juice 15 ml twice daily before food with 30ml. water Mamejva ghanvati 2-0-2 after food with water. Pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins twice daily after Brisk walking atleast 30 minutes daily. Calf ka jhanjhanat ke liye Ekangvir ras 1-0-1 after food with water Cap. Ashwashila 1-0-0 after food with water. Shatdhaut grith Se calf muscle aur pairo ka massage.

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