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Trinity Hospital & Heart Foundation

Endocrinologist Clinic

#27, Sreram Mandira Road, Basavanagudi. Landmark: Near RV Teacher Collage Circle Bangalore
1 Doctor · ₹
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Trinity Hospital & Heart Foundation Endocrinologist Clinic #27, Sreram Mandira Road, Basavanagudi. Landmark: Near RV Teacher Collage Circle Bangalore
1 Doctor · ₹
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About

Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Trinity Hospital & Heart Foundation
Trinity Hospital & Heart Foundation is known for housing experienced Endocrinologists. Dr. Sanjay, a well-reputed Endocrinologist, practices in Bangalore. Visit this medical health centre for Endocrinologists recommended by 96 patients.

Timings

Mon - Sat
09:00 AM - 09:00 PM

Location

#27, Sreram Mandira Road, Basavanagudi. Landmark: Near RV Teacher Collage Circle
Basavanagudi Bangalore, Karnataka

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Dr. my fasting sugar is 118 but after breakfast it goes to 210 I am having amaryl 1 mg before bf and xmat 500 after bf regards aknarayan.

MD - Diabetology, CCEBDM, CCMTD
Diabetologist
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Dr. my fasting sugar is 118 but after breakfast it goes to 210
I am having amaryl 1 mg before bf and xmat 500 after b...
Hello Mr. lybrate-user To the point your food is having high glycaemic index Stop simple carbohydrates like bakery products and sugar tea Instead eat 50gm oats and sugar free tea or coffee in breakfast Do 30 min walking and 10 min strength training Repeat blood sugar in one week and see the difference.

Respected. Doctor Ji My weight is 60 Kgs. 34 years old I want to know that my sugar level is 120 in Blood before meal am I Diabetic?

DNHE, BPTh/BPT
Physiotherapist
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Respected. Doctor Ji
My weight is 60 Kgs. 34 years old I want to know that my sugar level is 120 in Blood before meal...
Ideally to know whether a person is a diabetic or not blood sugar levels have to be checked after 12 hours of fasting (preferably in the morning) that is called as fasting sugar levels and after 2 hours of meal that is called as PP. If the sugar levels in these 2 tests are above normal then there are chances that a person is diabetic. Sugar levels checked anytime of the day are random and doesn't give the exact picture to diagnose a diabetic patient.

Which are the fruits for which it is a BIG NO for type II diabetics patient with over all good sugar control [ HBA1C ranging from 6.4 to 6.7 for last 4 years].

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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Which are the fruits for which it is a BIG NO for type II diabetics patient with over all good sugar control [ HBA1C ...
Avoid Banana, Chikoo, Mango, Grapes, Raisins and Dates. Any fruit with high Glycemic Index should be avoided.

Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weight 75 kg. Old patient of diabetes and hypertension. ESR: 40 mm.Blood sugar fasting: 188, after bf 266.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weigh...
Mr. lybrate-user, ESR tends to go up whenever there is a chronic (long term) ailment is going on. It is a parameter seen to go up in almost every chronic illness. There is no specific remedy to reduce ESR. However, the chronic illness present, is well controlled then ESR reduces. Since the patient has uncontrolled diabetes, with very high blood glucose, it es essential to control the same. Ideally fasting should be closer to 100 mg, PP 160 to 170 mg & HbA1c%<7. Thanks.

In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any particular nuts like pits, badam. N r ramachandran.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any par...
Nuts don't reduce blood sugar, they are beneficial if taken in limits. They tend to raise good cholesterol.

Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weight 75 kg. Old patient of diabetes and hypertension.

MD, DYA, PGDCR
Ayurveda
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Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weigh...
In Ayurved it is due to Raktagat aam. Kindly drink hot water whenever thirsty. Do not eat anything apart from rice flakes whenever hungry. Do this for three days. It will detoxify the blood. Then you can switch over to normal diet. please consult for other details.

Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels are almost good. But my fasting sugar levels are so much raised. My diet does not have any irregular item I eat as my diet plan but I don't know why sugar levels are raising. Please advise me what to do.

DNHE, BPTh/BPT
Physiotherapist
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Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels a...
For a diabetic person its very important to eat small frequent meals at regular intervals to keep the sugar levels in check. Avoid having refined carbohydrates, have more of whole grains, eat fruits, good amount of protein like milk, milk products, eggs,chicken, fish,lentils etc. Avoid skipping meals, check fasting blood sugar level as well as pp and if the blood sugar is high ,then consult your doctor regarding the dosage of insulin. Alos its very important to engage in some form of physical activity like walking, yoga or exercising.

I am 39 years old male, One week before I have tested my sugar level, results came, Fasting - 114 and after food - 157, pls suggest me how it is?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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I am 39 years old male, One week before I have tested my sugar level, results came, Fasting - 114 and after food - 15...
Reduce weight. Avoid sugar, junk food, fried food and fruit juices. If you don't take precautions now, otherwise you will be diabetic in coming years.

How to control my dad sugar levels? please suggest me food or and medicine for diabetes!

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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How to control my dad sugar levels? please suggest me food or and medicine for diabetes!
Give him simple home diet. Avoid sugar, junk food, fried food, and fruit juice. Medicine will depend on sugar value and his weight.

Dear Sir, My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some years in spite of medication and precaution his diabetes level being up as when he was using istamet 50/500 two times his diabetes PP level wa around 240 so he consult a diabetes specialist and he prescribed a medicine Gph-2 (Glimepiride 2 Mg and Metformin-500 dose 1-1/2 once in a day before breakfast but now after 20 days medication his pp is 375 which is two high when he consult once more and explained about this he changed the medicine and prescribed Dioglip-h ONE TIME with same composition of GPH-2.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist
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Dear Sir,
My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some year...
Hello, Diabetes is a progressive condition. It means that even if diabetes has been well under control previously, it will worsen over time. In your father's case, I would suggest that he be started on premixed insulin twice daily. Insulin is a brilliant drug, the sugar levels can be controlled quite well. It hardly has any side effects apart from hypoglycaemia if the dose is too high, and then your doctor can reduce the dose. There will be a couple of kgs of weight gain but this can be minimised by exercise and adequate diet control. Further insulin can be given in kidney and liver failure patients too. Please do not think that if patient is on insulin then it means that his sugar levels are really uncontrollable or that insulin should be given only as last resort. These are the myths which general public has. Recent research shows that even newly diagnosed type 2 diabetes patients when started on insulin for a few months will show a dramatic improvement in their sugar levels. May be once your father's glucose levels have improved he can take the insulin only once a day along with medications. Hope this has helped you. Thank you.

My fasting blood sugar is 294 Post prandial blood sugar 398 This the first time my blood sugar level is at this level. So now am I diabetic. And what to do noe.

BHMS
Homeopath
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My fasting blood sugar is 294
Post prandial blood sugar 398
This the first time my blood sugar level is at this level...
Go for a test called HbA1C, which ll tell us your sugar levels for last 2 to 3 months. N such reports are also likely to come after having more sweets for 2 to 3 days n then doing. Do not panic. There's solution for everything. Just do this above mentioned teat as soon as possible.

Hello respected doctors Aged 55 diabetic and have thyroid problem My sugar levels are before food 98+and after food 110+and hb1ac 5.8 Had an angioplasty and one stunt had put my problem is lost weight after procedure my weight was 70 kgs but now it has dropped to 63 kgs recently done all blood tests and abdomen and pelvic scanning all are normal then why I am lost so much of weight and even after 4 months I have not gained any weight it is worrying me please give me the solution.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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Hello respected doctors
Aged 55 diabetic and have thyroid problem
My sugar levels are before food 98+and after food 1...
Your Sugar is in Control which is a good thing. You can speak to your doctor and reduce your Diabetes medicine gradually. If every test is normal, then you should not worry too much. Try to improve your diet. You can take more proteins and nuts - Almonds/Walnuts etc. And legumes in your diet. Please recheck your Thyroid levels.

Dear doctor, mera insulin ke bare mein jana he. Normal amount status insulin kitna hota he. Aur kam zada kaisa pata karun.

MBBS, DFM, FID, M.MED
General Physician
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Dear doctor, mera insulin ke bare mein jana he. Normal amount status insulin kitna hota he. Aur kam zada kaisa pata k...
Insulin is hormone which sends glucose into cell dosage kam zada all depends on patient and your treating doctor.

Hi, im 29 and weight is 53. 8 kg because of period problem gynecologist asked me to take to check my TSH, prolactin, FBS, insulin fasting but my TSH range is 8.89 so doctor asked me to take thyronorm 25 mcg tablet before breakfast, after taking tablet for two days from two days not getting sleep, and headache and feeling hungry throughout the day after having food, shivering no energy, should I take that tablet or stop please help me my doctor did not ask to check T3 and T4 level this is first time having this tablet.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist
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Hi, im 29 and weight is 53. 8 kg because of period problem gynecologist asked me to take to check my TSH, prolactin, ...
Hi, You seem to be having mild side effects of Thyronorm. Most of these side effects will settle down within the first week. You can continue to take the tablet for the next week and see if your symptoms settle or not. If your symptoms DO NOT settle down or if your symptoms INCREASE over next couple of days you can stop the tablet and consult your doctor again. Hope this helps you. Thank you.

Which type of fruits a diabetic patient can have? How to control sugar level without any medications? Please provide me a diabetic diet chart that we can follow.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
Ask Free Question
Which type of fruits a diabetic patient can have? How to control sugar level without any medications?
Please provide ...
Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.

Diabetes

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Diabetes or diabetes mellitus is a collection of disorders that affect the way blood sugar is used by your body. A healthy blood sugar level is very important as it provides energy for the necessary bodily functions. Diabetes results in increased glucose levels in the blood. Diabetes is classified into two types:

  1. Type 1 Diabetes: In this type, the immune system of the body destroys cells that produce insulin, thus resulting in lesser insulin production.

  2. Type 2 Diabetes: In Type 2 diabetes, the body is not able to use the insulin as a result of increased resistance to insulin and definite deficiency in insulin, thus resulting in high blood glucose levels.

Symptoms-

The symptoms of diabetes are:

  1. Rapid weight loss.

  2. You may feel thirsty frequently.

  3. Excessive and frequent bouts of hunger.

  4. Presence of ketones (byproduct of muscle and fat breakdown) in the urine.

  5. Vision problems.

  6. Constant fatigue.

  7. Sores take a longer time to heal.

  8. You become vulnerable to various infections because of the weakening of the immune system.

Causes-

The causes for Type 1 and Type 2 diabetes are different. In case of type 1 diabetes, the immune system of the body kills cells in the pancreas that produce insulin. This results in shortage of insulin in the body, resulting in high blood sugar levels.

In Type 2 Diabetes, the cells in the body turn resistant to insulin. The exact cause of this is not known, but genetic factors, being overweight, inactivite and other environmental factors can trigger this disorder.

Treatments-

The treatment options for diabetes are:

  1. Exercise: Exercise is an effective remedy to lower your blood sugar levels as it helps in transporting sugar into the cells for energy. You can include cardiovascular activities such as running and swimming in your workout regimen.

  2. Insulin Therapy: Insulin therapy involves injecting insulin into the body to reduce blood sugar levels. It can be injected by using an insulin pen or an insulin pump.

  3. Oral Medications: Oral medications may be prescribed to stimulate the pancreas to boost insulin production. Certain medications can also inhibit excess glucose release from the liver.

  4. Pancreas Transplant: In some cases, pancreas transplant is advised to replace the faulty pancreas with a good one that produces insulin in sufficient quantity. Although, it's a rare possibility and does not correct already caused damage to eyes, kidney or nerves.

  5. Diet: Diet is another important aspect of the treatment plan that plays an important role in controlling diabetes. Avoid foods that contain simple sugars as they tend to raise your blood sugar levels. Rather, include complex carbohydrates in your diet such as beans, vegetables and whole grains. Special emphasis should be put on green vegetables.
Diabetes

My father body weight is decreasing. .I check with doctors whether there is diabetes or sugar. But nothing is going to come in report. So please help Me in this.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist
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My father body weight is decreasing. .I check with doctors whether there is diabetes or sugar. But nothing is going t...
Hi, Is your father having any other symptoms Ina edition to weight loss like nausea, vomiting, stomach pain, constipation, fever, night sweats, any lumps in the body, any pain in the body, jaundice, urine or kidney problems, any skin problems etc? Weight loss can be due to many reasons. A few of them are mentioned below 1) general debility due to poor intake of food due to old age 2) infections like TB etc or any other chronic infections 3) diabetes 4) kidney failure, heart failure, liver failure etc 5) gastritis Lisa ding to nausea and lack of appetite 6) any tumours in body etc. All of the above would result in other symptoms in addition to weight loss. Only age related malnutrition in initial stages would give rise to weight loss without their symptoms. So I would suggest you to take him to a good general physician and get him throughly assessed. Hope this helps you. Thank you.

Lifestyle Changes to Prevent Diabetes

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist
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Diabetes is a metabolic disorder that results in high blood sugar levels in the body. It basically means that the body is either insensitive to insulin or the insulin production levels in the body go down. The various symptoms of diabetes are blurred vision, weight loss and hunger.

Some other symptoms of diabetes are:

  1. Excessive urine output
  2. Wounds that take time to heal
  3. Yeast infections
  4. You may experience fatigue on a regular basis
  5. Frequent Mood Changes

Diabetes is also known as a Lifestyle disease. From the food you eat to the amount of activity, they are all connected to diabetes prevention. The various modifications that you may carry out to prevent diabetes are:

  1. Exercise: You should exercise on a regular basis as it increases your overall wellbeing. It helps you to lose weight and allows you to maintain optimal blood sugar levels. It can also improve your body's sensitivity to insulin to prevent blood sugar problems. Exercise helps in increasing endorphin levels in the body which are responsible for keeping you happy &amp; satiated, thereby avoiding depression and over-eating.
  2. Eat more whole grains: Unlike simple carbohydrates, whole grains are complex carbohydrates that raise your blood sugar steadily instead of spiking it suddenly. Avoid refined grains as most of the important nutrients are stripped from refined grains. A Well-balanced diet with adequate amounts of PUFA/MUFA help in increasing the insulin sensitivity, reducing cholesterol and heart problems, etc.
  3. Eat a lot of fiber: If you have type 2 diabetes, you should be, including high-fiber foods in your diet is a healthy way to control high blood sugar. Fiber does not raise blood glucose levels. Because it is not broken down by the body, the fiber in an apple or a slice of whole grain bread has no effect on blood glucose levels because it isn't digested. The grams of fiber can actually be subtracted from the total grams of carb you are eating if you are using carbohydrate counting for meal planning. Fiber helps you in feeling satiated, thus prevents you from overeating. It also improves your blood sugar levels and decreases your chances of getting affected by heart disease.
  4. Lose weight: You should aim to maintain a healthy weight level as it also decreases the risk of diabetes. It also helps in improving your cardiovascular health. Follow a regimen, which is based on a balanced diet and moderate amount of exercise. Losing weight is the best way to keep diabetes away. Weight is something that we can keep under control. The waist size of men and women should not be more than 150 cm and 90 cm respectively. Always maintain your ideal body weight as per your BMI (Body Mass Index). Globally, obesity is one of the leading causes of diabetes.
  5. Avoid sugary drinks: With ten teaspoons of sugar in every 12-ounce can or bottle, sweet drinks can send your blood sugar soaring and boost your risk for weight gain, high blood pressure, stroke, and heart disease. One sugary drink a day adds 150 empty calories and 40 to 50 grams of blood-sugar-raising carbohydrates to your diet, and can lead to a weight gain of 15 pounds per year. Switching to healthier drinks can save hundreds of calories and a lot of carbohydrates.
  6. Avoid Stress: When you are stressed, your blood sugar levels rise. Stress hormones like epinephrine and cortisol kick in since one of their major functions is to raise blood sugar to help boost energy when it's needed most. You can't fight danger when your blood sugar is low, so it rises to help meet the challenge. Both physical and emotional stress can prompt an increase in these hormones, resulting in an increase in blood sugars and diabetes. Ensuring a stress-free life is very important if you want to stay away from diabetes. Avoid stress by going out for garden-walks, indulging in social causes/activities, yoga, meditation, etc.
Lifestyle Changes to Prevent Diabetes

Male Infertility

MD, BHMS
Sexologist
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The causes, symptoms and Homeopathic treatment for Male Infertility

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She is a diabetic patient. Her glucose level is 350 mg/dl wat r all the foods she must be avoided. Nd mainly wat r all the foods she can have to control her sugar level?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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She is a diabetic patient. Her glucose level is 350 mg/dl wat r all the foods she must be avoided. Nd mainly wat r al...
Give her fix calories as per her BMI. Avoid sugar, junk food, fried food and fruit juice. She should take high fibre food, low in calorie.
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