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Dr. Prakash

Endocrinologist, Bangalore

350 at clinic
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Dr. Prakash Endocrinologist, Bangalore
350 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Prakash
Dr. Prakash is a trusted Endocrinologist in Frazer Town, Bangalore. He is currently practising at Meridian Medical Centre in Frazer Town, Bangalore. Book an appointment online with Dr. Prakash on Lybrate.com.

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Meridian Medical Centre

#14, Standage Road, Frazer Town. Landmark: Opp. Shavari or Empire HotelBangalore Get Directions
350 at clinic
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Pregnancy and Fertility in Thyroid Disorders!

MBBS, DNB (Obstetrics and Gynecology), FNB
Gynaecologist, Delhi
Pregnancy and Fertility in Thyroid Disorders!

The human body works as directed by the various hormones released by the endocrine system. These hormones are essential for coordination of various body functions. From the height a person achieves to the metabolic reactions in the body to the reproductive cycle to the stress levels a person can handle, all are hormone controlled.

Pregnancy is another critical, complicated phase that a woman goes through. It is one of the most awaited phases in a woman’s life; however, it is not very simple either. The above-noted hormones play a major role in this pregnancy, as the baby is dependent on the mother for its initial supply of hormones until it can start producing its own hormones. If the baby does not receive the require amounts, there could be various detrimental effects during development and post birth.

Hypothyroidism or an underactive thyroid is extremely common in women and there are multiple theories about how hypothyroidism can affect a woman’s chances of getting pregnant. While the correlation between hypothyroidism and pregnancy are quite well researched, a strong connection stating hypothyroid women being not able to be pregnant is yet to be proven.

The following are some correlations between hypothyroidism and pregnancy.

Increased chance of miscarriage: Women with reduced thyroid functions have double the chances of having a miscarriage. Women suffering from thyroid are at a risk of recurrent miscarriages during the first trimester. The chances of miscarriages during the second trimester are also about 40% higher in hypothyroid women. These women are also at a risk of:

  1. Premature labour
  2. Low birth weight
  3. Increased chances of stillbirth
  4. Maternal anemia
  5. Postpartum hemorrhage
  6. Developmental defects and/or delays in the newborn
  7. Placental abruption
  8. High blood pressure

One of the reasons identified for infertility in women is hypothyroidism. This range varies from 1% to 40% and so remains to be proven still. In addition, the hypothyroid mother will have a set of symptoms to live through, which may be further complicated given the pregnancy. Thyroid replacement should be religiously done and monitored to ensure TSH levels are at the optimal required levels (2.5 to 3 mIU/L) during the entire duration of pregnancy.

If you have the following, be sure to go through a comprehensive thyroid screening before and during pregnancy.

  1. Family history of thyroid
  2. History of thyroid dysfunction or goitre or thyroid antibodies
  3. Clinical signs and symptoms suggestive of hypothyroidism
  4. History of repeated miscarriages
  5. History of head and neck radiation
  6. Family/personal history of autoimmune disorders

While it still remains to be proven that hypothyroidism per se can stop a woman from being pregnant, there are definitely effects of hypothyroidism on the developing child and the mother. A comprehensive screening and close monitoring through pregnancy are extremely essential. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3974 people found this helpful

How a diabetic patient intake homemade saline water made by sugar r salt when suffering diarrhea. If no then please suggest for any alternative. Regards.

MBBS, CCEBDM
Diabetologist, Bangalore
How a diabetic patient intake homemade saline water made by sugar r salt when suffering diarrhea. If no then please s...
Hi When a diabetic patient is having diarrhoea, hydration and blood sugars need to be carefully watched. You can give lemon water with salt and sugar, but make sure the intake of this homemade ORS is well balanced with your blood sugars. You can also consume rice water if you are unable to eat anything. Avoid milk as this worsens diarrhoea. Keep a constant watch on the blood sugars.
1 person found this helpful
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I am using following tablets for diabetes type 2: BGR 34 ---- one tablet (Before breakfast) ayurvedic Zitamet 50/500-- one tablet (after dinner) allopathicon 10.02. 16 fasting sugar 90 and post lunch sugar 96, pl advice me.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am using following tablets for diabetes type 2: BGR 34 ---- one tablet (Before breakfast) ayurvedic Zitamet 50/500-...
Please take following medicine:- Syz. Jamb. Q / 10 drops in little water twice a day for two weeks. Revert back after two weeks with feedback.
1 person found this helpful
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I have HbA1c% 6.3, but PP ranges to 110-130, also after 2 hrs of breakfast blood glucose level goes to 120-140. Am I diabetic? Also I am diagnosed with hypothyroidism.

MBBS, DNB (General Medicine)
General Physician, Mumbai
I have HbA1c% 6.3, but PP ranges to 110-130, also after 2 hrs of breakfast blood glucose level goes to 120-140. Am I ...
With these readings for sugar you are a pre diabetic. You need to control carbohydrate intake and start regular exercise. Repeat your fasting and post prandial sugar and HBA1C after 3 months.
1 person found this helpful
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I have sugar on border line so I want to know the list of fruits which I could eat in sugar and which fruits not to eat?

MBBS
General Physician, Mumbai
I have sugar on border line so I want to know the list of fruits which I could eat in sugar and which fruits not to eat?
Few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I am a 24 year old girl. I am a type 1 diabetic since the last 10 years. Will my kids also get diabetes like me? My partner s parents are disapproving our marriage due to the concern that the future generations will get affected because of me being diabetic.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Dear since u r below 25 years of age and in future mother of the child. type one womans children have 4 percent risk to develop diabetes. so you can go ahead about your future marriage without much worry. all the best.
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Diet Tips to Prevent, Control and Reverse Diabetes

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Mumbai
Diet Tips to Prevent, Control and Reverse Diabetes

Diabetes is one of the worst diseases which has gripped majority of people today, thanks to our erratic work schedule followed by a lack of exercise and sleep, aggravated by the overindulgence in junk food. But, the good news is that you can control and even reverse diabetes by following some simple dietary tips.

The fact is dieting doesn’t mean starving; you can have tasty nutritious food which is mentally and physically rejuvenating.

Here are a few dietary tips you should follow to keep your blood sugar levels in check-

  1. Include adequate vegetables in your diet; especially which have high fibre content. Leafy vegetables such as spinach and vegetables such as peas, broccoli and beans are a must.
  2. Include high fibre foods such as chickpea wheat, oats and millets in your diet.
  3. Milk has the perfect combination of protein and carbohydrate and can control blood sugar levels.
  4. Make sure you eat pulses, especially those with husk and sprouts, as they keep your blood glucose levels normal. Even when you are having noodles, you must add sprouts to them apart from the vegetables.
  5. Foods which are rich in omega-3 fatty acids are excellent for combating diabetes. These include flax seed oil, nuts, fatty fish; these have a very small level of cholesterol.
  6. Consume high fibre fruits such as papaya, pear, orange, guava etc. Eat those fruits which have high sugar content such as mangoes or grapes, in moderation.

These are some of the foods which you should include in your diet. In addition, there are few everyday tips which you should follow-

  1. Make sure to have small frequent meals comprising of high fibre and low in carbohydrate foods.
  2. Methi or fenugreek seeds have high diabetes controlling mechanisms. Soak one tablespoon of the seeds in 100 ml of water overnight and have it in the morning.
  3. Exercise helps in managing blood sugar levels.
  4. Losing weight improves the functioning of the insulin.

Tip for sticking with a diabetes-friendly diet plan-

First and foremost, take small, manageable steps. Choose two or three things you want to work on. Once you feel you have mastered those you can move on to two or three more steps towards a healthier diet. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

3070 people found this helpful

I am having unexplained fertility. Tough I had 2 abortions earlier. I tried iui for this month and it failed. I need tips which can make iui successful.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am having unexplained fertility. Tough I had 2 abortions earlier. I tried iui for this month and it failed. I need ...
After abortion or after child birth sutika paricharya palan is must very beneficial for normalisation of uterus non following of sutika paricharya affects uterus functionally and structurally leading infertility recurrent abortions etc normalisation of uterus is very important for fertility and avoiding recurrent abortions detailed histroy needed for tips etc consult privetly for more details and few ayurvediy medications.
1 person found this helpful
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I am 60 yrs old male with good health and physique. Recently in the blood test the thyroid results are as follows: TOTAL TRIIODOTHYRONINE (T3) C. L. I. A 119 ng/dl 60 - 200 TOTAL THYROXINE (T4) C. L. I. A 9 μg/dl 4.5 - 12.0 THYROID STIMULATING HORMONE (TSH) C. L. I. A 7.24 μIU/ml 0.30 - 5.5. The TSH is more. Is it serious and any remedies please. And I have some warps in my face and shoulder. The remedies for both please.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 60 yrs old male with good health and physique. Recently in the 
blood test the thyroid results are as follows: T...
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. you can take tab. thyronorm 100mcg before meal in morning daily. and checkup thyroid profile every 3 to 6 months and consult endocrinologist .
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I had Pcod two years back and took medication for six months. It got solved. But I have again been diagnosed with it. My weight is increasing. I lost 13 kgs but gained back. I have herniated disc (l3-4, l4-5 and s1). I also have migraine. I want to loose weight and solve pcod

MD, BAMS
Ayurveda, Pune
I had Pcod two years back and took medication for six months. It got solved. But I have again been diagnosed with it....
You need daily 40 minutes exercise like walk, suryanamaskar, jogging. Your weight is due to pcod, hormonal imbalance. You need ayurvedic tretment to prevent reccurrence of pcod.
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Sir, madam I have uric acid level is 9.4 mg dl and I have knee pain in both knee. On maximum time my uric acid level remains above 7.2 mg dl. My doctor has started alluprinol to me and said, you have to keep it eating for your entire life. Does this true for the medicine or something else is there. But my knees are still hurting and my doctor has no answer for this I have already taken NSAID, Cortic Steroid injection, Hylane injection into the knees but still pain is there. After that they told me that you have gouty arthritis due to high uric acid level and you have to keep eating alluprinol. My x ray of knees show early degenerative changes. Please tell me upto how much time I have to take alluprinol and when my knees get rid off from pain.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Sir, madam I have uric acid level is 9.4 mg dl and I have knee pain in both knee. On maximum time my uric acid level ...
You may have to continue medication for Uricemia and keep blood tested rregularly when the treatment is under progress. You may temporarily stop medication when after a prolonged treatment Uric Acid is normal If pain does not subside even temporarily even then, There may be another cause for multiple large size joints. Your weight will have to be brought down first . These things should be under the direct supervision and advice of a well equipped Orthpedic Centre near your place like Goa, Manipal Hubli or Belgaum. Remain under their care permanently. Medical treatment already taken may prove to be harmful to you.
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I am diabetic from past 10 years and from last 1 month getting chitti or suun in hands and legs my sugar levels also not in control having medicines regularly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic from past 10 years and from last 1 month getting chitti or suun in hands and legs my sugar levels also ...
Mr. lybrate-user, Thanks for the query. Diabetes even when well controlled tends to affect peripheral nerves causing peripheral neuropathy. If the glucose levels are not in control then there can be a fairly severe neuropathy. This causes symptoms like numbness, tingling and pain in legs, feet and even upper limbs. So it is essential to achieve a strict blood glucose control with fasting glucose < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Otherwise consequences can be bad. There are some drugs used to treat diabetic neuropathy like combination of Methylcobalamine, Lipoleic acid, folic acid, plus for pain and other symptoms control drugs like pragabalin and/or gabapentine are used. But most important is to achieve a strict blood glucose control Thanks.
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Can I get cured from hypothyroidism by other forms of medicine neglecting allopathy? I don't have it in my family. I got it after consumption of tabs to kill gut parasites. I had continuous diarrhea for 3 months, then after three months I put on 20 kilos face swollen allergy and diagnosed with hypothyroidism. My family members aged 89 living no signs of this disease in anyone. I think thyroid got attacked by my system after diarrhea since my diet is more of wheat.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Can I get cured from hypothyroidism by other forms of medicine neglecting allopathy? I don't have it in my family. I ...
Hypothyroidism now a days is more an iodine deficiency disease, but it has become an autoimmune disease. In homoeopathy we give the medicine which makes the body generator, an adequate thyroid level, so that gradually body resume it's original functionality which is visible through the thyroid level test time to time, and gradually you can get rid of your altroxin as well, and may be after sometime you can stop homoeopathy medicine as your thyroid level remains normal afterwards. Avoid cabbage, cauliflower, soya in food.
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Last 5 months my serum bilirubin is fluctuated between 1.70 to 1.92. And sgpt is between 49 to 55. Is it any liver disorder? In that period I lost 5 to 7 kg weight. please guide me.

BHMS
Homeopath,
Last 5 months my serum bilirubin is fluctuated between 1.70 to 1.92. And sgpt is between 49 to 55. Is it any liver di...
Dear lybrate-user, the provided information about your liver function test is indeed a bit abnormal. However, you should not worry. Take homoeopathic liv-t liver tonic (sbl company). Take 20 ml of the aforesaid liver tonic for thrice daily, after meals. Continue the medication for one month. Check your blood for liver function test after one month of medication. If your liver function test report shows any abnormality even after one month of medication then you should inform me
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Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 100. Y there is such deviation in measuring sugar levels. Kindly revert.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 1...
The criteria set by ADA mentions values as below Normal FBS <100 mg% & PLBS < 140 mg% Borderline or prediabetes FBS 101- 125 mg% & PLBS - 141 - 199 mg% Diabetes - FBS-126 & above.& PLBS 200 & above. HbA1C levels Normal < 5.5 Borderline- 5.5- 6.5 Diabetes- > 6.5.
3 people found this helpful
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My mother have diabetes from one year and taking medication on time but due to stress glucose is increasing what to do please give suggestion.

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
My mother have diabetes from one year and taking medication on time but due to stress glucose is increasing what to d...
Hi Its not possible to remove stress from a person's life, but to combat the I'll effects some destressing activities like yoga and meditation can be started. Along with diet changes to make the sugar levels under control,you have to include low glycemic index foods Kindly consult privately for detailed diet plan for diabetes Thanks
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Regarding sugar complaint, before food 250 after food 360 kindly give a suggestion to control without tab thanks

PDDM, MHA, MBBS
General Physician, Nashik
Dear you should start medical treatment as early as possible, because the sugar levels are very high. Kindly consult privately for proper advanced management. Dr surbhi agrawal Consultant physician and diabetologist
1 person found this helpful
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I am 48 years. I just want to know that what are the symptoms of diabities & is there any ointment for vagina tightening ?

PDDM, MHA, MBBS
General Physician, Nashik
There are exercises for vaginal tightening. Please consult privately for personalised advice. Dr. Surbhi agrawal consultant physician, diabetologist and wellness expert
2 people found this helpful
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I am 44 years old and suffering from BP (170/90, kidney problem and a diabetic patient. Please advice.

BHMS
Homeopath, Moradabad
I am 44 years old and suffering from BP (170/90, kidney problem and a diabetic patient. Please advice.
Take a gourd peel it and boiled it in 2 glasses of water for 20 minutes after that cool it then drink it daily. For 1 week granteed result. Take 1 bowl curd wid out sugar and salt plain curd once in a day. Used lona salt in meals. Take 4 litres water per day and avoid oily food and rich diet. Non veg. Take green vegetables. For medicine take an appointment.
1 person found this helpful
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Hi doctor, My mother age is 58 she had diabetes from past 18 years. She is on insulin and tablets now. From one year she had lvsd heart issue and on medication. I observed that she has a high wbc when I used to get her blood test nearly 4000_5000 more. What are the preliminary tests she has to undergo to know the reason for this high wbc. Could you let me know the possible reasons.

MBBS, MD
Endocrinologist, Delhi
Hi doctor,
My mother age is 58 she had diabetes from past 18 years. She is on insulin and tablets now. From one year ...
High wbc count is usually taken as evidence of infection and common infetion in diabetics is Urinary tract infection. My advice is to consult a physician who will clinically evaluate her and then suggest appropriate tests to diagnose the poroblem to treat it accordingly.
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