Dr. Ramesh Goyal

You can have sugar free tablet but control your diabetes first. Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take medicene perscribed by your doctor.

Understanding Diabetes:
Diabetes is a common condition characterized by high blood glucose (sugar) level. This Condition occurs when pancreas produce insufficient amount of the hormone insulin, or the body’s tissues become resistant to normal or even high levels of insulin, or a combination of both these problems arises. Diabetes is a chronic medical condition that requires regular monitoring & treatment.

Mr. lybrate-user, Dengue is a self limiting viral fever. It is problematic only when there may be internal bleeding resulting from platelet reduction. That episode has nothing to do with diabetes. Diabetes needs to be treated properly with suitable drugs either oral anti diabetes ones or Insulin injections or both. Treatment depends on the blood glucose levels. If disease in control then FBS should be closer to 100 mg, PP 150 to 160 mg & HbA1c% <6.8. If one does not maintain proper control, then there can be long term complications associated with multiple systems. If you are looking for specific treatment advice, please come in a private conversation with details like FB, PP glucose levels, HbA1c%, dietary pattern and extent of daily exercise being done. Then I will be able to give specific advice. Thanks.

Hello, If one has diabetes then it is preferable to avoid either sugar or sugar free tablets along with tea, coffe or milk. The sugar substtutes are not really safe. Their intake increases craving for sugar. They may not giving calories, but can be harmful. Thanks.

IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement can help, DO NOT STOP MEDICINES.

It is treatable by medicines which you should take regularly. There is no specific precaution as such. Should be monitored every 3 months for progres.

If it is a very recent one do try Homeopathy first. Homeopathy is a very good friend of diabetics, because it may not only reduce the sugar count in many cases, but it can cure diabetes also, provided the patient follows dietary precautions and physical movements. If it cannot cure, it can drastically help in improving the quality of life in terms of preventing or delaying the diabetic effects on kidneys, eyes etc. I observe great effects using homeopathy in diabetics. It can treat wonderfully the very common symptoms of diabetics like pain in the legs, sleeplessness, lethargy, depression, fatigue, indifference etc. You must move, go for a walk, at least half an hour and have dietary precautions. You must have physical movements, that helps to keep sugar under control and minimize all carbohydrates from the diet for ex rice. You can use the following tips: One teaspoon of methi seeds soaked overnight in 100 ml of water is good for diabetes, Drink tomato juice with salt and pepper every morning on an empty stomach. For details you can contact me for further guidance.

Most likely, you have diabetic sensory neuropathy. It might not always show up in nerve conduction studies. It would be best to do biothesiometry and 10gm monofilament tests. Talk to your dr.

Weakness is common with diabetics but can be due to other medical illnesses as well. Kindly consult privately for personalised management.

Hello, daily walk 20 mints like jogging, running, exercise small frequent meal high fiber complex carbs if you have sugar high and low check it after every 6 month hba1c test no add artificial sugar.

Hello diabetes is a preventable disease. You can certainly avoid it by following a regulated life style. You have to maintain your weight closer to ideal body weight for size. Bmi should be 23 kg per sq meter. Exercise at least 1 h every day. Avoid excess sweets and deep fried foods. Bmi = weight in kg height in sq meter. Ideal body weight= height in cms - 100. Waist should be below 90 cms.

With proper management of Diet one can control diabetes but cannot remove it altogether. To help manage your diabetes, your meals need to be: • Regular and spread evenly throughout the day • Lower in fat, particularly saturated fat • If you take insulin or diabetes tablets, you may need to have between meal snacks Matching the amount of food you eat with the amount you burn up each day is important. Not putting too much fuel in your body (keeping food intake to moderate serves) is vital to getting the right balance. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, reduce your blood fats (cholesterol and triglycerides) and maintain a healthy weight. . It is important to recognise that one diet does not fit everyone with diabetes. So my slogan for all diabetics is 'One Diet does Not Fit All'. So every individual diabetic should consult a dietician to plan a way according to individual body,tastes and requirements.Only then can you control your blood sugar levels. Fat Fats have the highest energy (kilocalorie) content of all foods. Eating too much fat can make you put on weight, which may make it more difficult to manage blood glucose levels. While it is important to try and reduce fat in your diet, especially if you are trying to lose weight, some fat is good for health. Saturated fat It is important to limit saturated fat because it raises your LDL (‘bad’) cholesterol levels. Saturated fat is found in animal foods like fatty meat, milk, butter and cheese. Vegetable fats that are saturated include palm oil (found in solid cooking fats, snack foods or convenience foods) and coconut products such as copha, coconut milk or cream. To reduce saturated fat: • Choose reduced or low-fat milk, yoghurt, ice-cream and custard • Choose lean meat and trim any fat off before cooking • Remove the skin from chicken (where possible, before cooking) • Avoid using butter, cream, sour cream, coconut milk, coconut cream and hard cooking margarines • Limit the amount of cheese you eat and try reduced-fat and low-fat varieties • Limit pastries, cakes, puddings, chocolate and cream biscuits to special occasions • Limit pre-packaged biscuits, packet snacks, cakes, frozen and convenience meals • Limit the use of processed deli meats ( chicken loaf, salami etc) and sausages • Avoid fried takeaway foods such as chips, fried chicken and battered fish and choose BBQ chicken (without the skin) and grilled fish instead • Avoid pies, sausage rolls and pastries • Rather than creamy sauces or dressings, choose those that are based on tomato, soy or other low fat ingredients. As some tomato and soy sauces can be high in salt, choose low-salt varieties or make them yourself without any added salt. • Limit creamy style soups. Polyunsaturated & monounsaturated fats Eating small amounts of polyunsaturated and monounsaturated fats can help ensure you get the essential fatty acids and vitamins your body needs. Polyunsaturated fats include: • Polyunsaturated margarines (check the label for the word ‘polyunsaturated’) • Sunflower, safflower, soybean, corn, cottonseed, grapeseed and sesame oils • The fat found in oily fish such as herring, mackerel, sardine, salmon and tuna. Monounsaturated fats include: • Canola® and olive oils • Some margarines • Avocado. Seeds, nuts, nut spreads and peanut oil contain a combination of polyunsaturated and monounsaturated fat. Ideas for enjoying healthy fats • Stir-fry meat and vegetables in a little canola® oil (or oil spray) with garlic or chilli • Dress a salad or steamed vegetables with a little olive oil and lemon juice or vinegar • Sprinkle sesame seeds on steamed vegetables • Use linseed bread and spread a little canola margarine • Snack on a handful of unsalted nuts, or add some to a stir-fry or salad • Spread avocado on sandwiches and toast, or add to a salad • Eat more fish (at least three times a week) because it contains a special type of fat (omega-3) that is good for your heart. • Do more dry roasting, grilling, microwaving and stir-frying in a non-stick pan • Avoid deep fried, battered and crumbed foods Carbohydrate I recommend to eat a moderate amount of carbohydrates for all Diabetics means, on a plate, approx, 1/4 of the plate should be carbohydrate foods. Carbohydrate foods are the best energy source for your body. When they are digested they break down to form glucose in the bloodstream. Insulin takes the glucose out of the blood and deposits it into the muscles, liver and other cells in the body where it is used to provide energy. A regular carbohydrate intake is required to provide our body and brain with instant energy. Most foods contain carbohydrate and also provide us with fibre, vitamins and minerals. Very low carbohydrate diets are not recommended for people with diabetes. If you eat regular meals and spread your carbohydrate foods evenly throughout the day, you will help maintain your energy levels without causing large rises in your blood glucose levels. If you take insulin or diabetes tablets, you may need to have between meal snacks. Discuss this with your doctor or dietician. All carbohydrate foods are digested to produce glucose but they do so at different rates – some slow, some fast. The glycemic index or GI is a way of describing how a carbohydrate containing food affects blood glucose levels. The type of carbohydrate you eat is very important as some can cause higher blood glucose after eating. The best combination is to eat moderate amounts of carbohydrate and include high fibre foods that also have a low GI. Sugar A healthy eating plan for diabetes can include some sugar. However, it is important to consider the nutritional value of the foods you eat. In general, foods with added sugars should be consumed sparingly (manufacturers sometimes use fruit juice or other sources of sugar to avoid using table sugar). In particular, high energy foods such as sweets, lollies and standard soft drinks should not be consumed on a regular basis. Some sugar may also be used in cooking and many recipes can be modified to use less than the amount stated or substituted with an alternative sweetener. Select recipes that are low in fat (particularly saturated fat) and contain some fibre. Alternative sweeteners The use of intense sweeteners by people with diabetes is preferable to use of natural sugars. Protein Choose protein foods that are also low in fat. This will help to reduce the amount of saturated fat you eat. Protein foods include lean meat, poultry without the skin, seafood, eggs (not fried), unsalted nuts, soy products such as tofu and pulses (dried beans and lentils). Herbs, condiments & drinks You can use these following foods nd add flavour and variety to your meals. • Herbs, spices, garlic, chilli, lemon juice, vinegar and other seasonings. • Products labelled ‘low calorie’ (e.g. low calorie/diet soft drinks, low calorie jelly). • Tea, coffee, herbal tea, water, soda water, plain mineral water. • Limit your alcohol intake if you choose to drink

I am both a registered dietitian and a doctor who will help you in losing your weight. Let me know your food intake details. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to weight loss on some diets can be dramatic in the short term, but there's more of a chance of rebound weight gain. Set yourself a realistic target and aim to lose between (0.5-1.0kg) a week I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. Don't fall for self dieting or fad diets availiable online they have harmful effects in the long run, if you lose a lot of weight very quickly, you may not lose as much fat as you would with a more modest rate of weight loss. Instead, you might lose water weight or even lean muscle tissue, since it's hard to burn that many fat calories in a short period. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight loss, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. I being a both a registered dietitian and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. Do reply back for private consultation.

From your records of medicine it is possible to reduce some of them if you concentrate seriously on lifestyle modification with proper diet restriction, exercise and weight reduction.

Hi. What medicine you are taking for reducing uric acid. Avoid more protein foods, avoid cold drinks. You can send reports kft, urine r/m, cbc, r a factor, s. Calcium and do pvt consultation for better advise. Drink 6 glass of water in a day.

lybrate-user, The Ayurvedic medicines ordered by you, may be useful in improving constipation, you may try the same. But my suggestion is please do not stop modern medicines for controlling diabetes and start so called ayurvedic medicines for diabetes. Those do not work. Thanks.

Hello, Diabetes cannot be cured as, it is not a disease, it is a disorder. You can always manage it and lead a happy and active life.

Indian Diet Plan For Diabetes Food ItemAmountProtein (g)Calories (kcal) EARLY MORNING Fenugreek seeds with 1 cup of water––– Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1–40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total–49.51286 How is an Ideal Indian Diet Plan for Diabetes made? An Ideal 1200 Calorie Indian Diet Plan For Diabetes can be designed keeping in mind the person’s individual requirements and other medical conditions. Every person has different caloric requirement. The calorie requirement is based on various factors like age, sex, medical conditions, activity levels, metabolism etc. To lose weight in a healthy manner, calculate your BMR (Basal Metabolic Rate). This will help you understand the minimum calories your body requires in order to function properly. This sample 1200 Calorie Indian Diet Plan For Diabetes, will provide you with an idea of what an ideal 1200 Calorie Indian Diet Plan For Diabetes looks like. Although you must understand that this is just a generalized 1200 calorie Indian diet plan for diabetes, it may or may not suit your goal as there are chances your body requirements will be different. So do consult your dietician in person to know if you can use this 1200 Calorie Indian Diet Plan For Diabetes.

Dear, Yes your sugar levels are not well controlled and you are on a number of medications. But do not worry you still do not need to be insulin as we can still increase the doses of your medications. Glimepiride 1 mg can be increased so can met for min and pioglitazone. However januvia or sisal up tin is at the highest dose possible.

STOP STEROID.... IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.