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Dr. Shekar

MBBS

Endocrinologist, Bangalore

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Dr. Shekar MBBS Endocrinologist, Bangalore
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shekar
Dr. Shekar is a trusted Endocrinologist in HAL, Bangalore. He has completed MBBS . You can visit him at Cloud 7 Healthcare Multi Speciality and Diagonstics in HAL, Bangalore. Save your time and book an appointment online with Dr. Shekar on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 33 years of experience on Lybrate.com. You can find Endocrinologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#3155, Srinivasan Towers, HAL 2nd stage, Indiranagar. Landmark: Opposite ESI HospitalBangalore Get Directions
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#3155, Srinivasan Towers, HAL 2nd stage, Indiranagar. Landmark: Opposite ESI Hospital.Bangalore Get Directions
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I have type 1 diabetes and intake 25 units apidra both time with glucobay50 mg but my fasting sugar is180 and pubs is145 so advice me to control my fasting sugary.

PGD Maternal Child Health, MBBS
General Physician, Akola
I have type 1 diabetes and intake 25 units apidra both time with glucobay50 mg but my fasting sugar is180 and pubs is...
You might be having rebound hyperglycaemia in your fasting sample, because with 25 units of actrapid your post meal level is 145 only meaning insulin is effectively controlling it. Possibly after the evening dose of insulin and a longer interval between dinner and lunch, by the early hours of morning your blood sugar might be going below normal without your knowledge while you are asleep. At this the internal mechanisms of body release anti insulin hormones and the morning blood sugar in fasting samples is raised. The doctors even somtimes get misguided by this and further increase the evening dose of insulin insead of reducing it. In your case the evening dose may be reduced by 2 units and afte about 1 week the fasting sample be rechecked. It should show normal or near normal level.
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Can a diabetic patient eat curd and milk which is available in market like amul, motherdairy.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Can a diabetic patient eat curd and milk which is available in market like amul, motherdairy.
Yes, there should be no problem in this.around 400 ml of milk is permitted. This includes curds paneer or buttermilk or plain tea
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I m 50 years old guy. Recently diagnose with diabetes other wise no illness till today. Perfectly balanced person. Pure vegetarian and takes proper diet schedules. In short no other problem health wise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I m 50 years old guy. Recently diagnose with diabetes other wise no illness till today. Perfectly balanced person. Pu...
Mr Sanjeev, I am glad to know that you have excellent habits and have a perfect health. Then what is the query? From your communication it appears you are a meticulous person, so by now you must have already initiated appropriate treatment too for diabetes. So if you have some query please clarify.
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He is a diabetic patient Taking medicines regularly After meal the sugar is 195 Leg is very much paining What to do metformin for diabetics.

CDIABT, MBBS
Endocrinologist, Mumbai
He is a diabetic patient
Taking medicines regularly
After meal the sugar is 195 Leg is very much paining What to do m...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Your after meal sugar is high. Check your fasting blood sugar also. Get yourself checked by a doctor to rule out diabetic neuropathy. If it is present than you will require treatment for that. Your diabetic medicine needs to increase.
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My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight protein release in urine. So taking pressue tab 5 mg and cholesterol as well present problems - just after going to bed, after 3 or 4 hrs, every night without a miss, she experiences pain in the left side leg muscles. So loosing sleep for 3-4 hrs. So to compensate sleeps until 9-10 am. Result the whole house is awake. It was diagonised as" pvd" a scanning was done and it was concluded that the problem was due to poor blood circulation. Guide me to the extent which specialist or treatment to be followed. Patient is suffering for more than 5 years.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight ...
You have provided some details about your wife's condition but certain other details are also needed, which I am mentioning. Please let me know her hba1c level and is she taking any thing else for diabetes other than glucobay? because only glucobay does not control sugar level. Furthe what is her lipid profile? and which drug is she taking for that? then which 5 mg tablet she is taking for her high blood pressure? if she has been diagnosed to have pvd which means blood supply to that part of the lower limb is affected. This can be corrected by vascular surgeon and proper blood supply can be restored. That is the best option for her pain relief and getting undisturbed sleep. To get better control of diabetes she may have to take additional treatment.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes Management in Ramadan

During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
Followers will typically eat just after sunset and again before dawn.
In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
Islamic law does not require fasting when it would create a physical danger.
Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
Long-acting sulfonylureas should be avoided.
Once-daily sulfonylureas should be taken at the sunset meal.
For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL ? particularly for patients with type 1 diabetes ? they should also break their fast and take insulin.
Patients should be cautioned against overeating after breaking the fast.
Moderation is the trick. Don't overfill an empty stomach.
Patients should be counseled about avoiding dehydration as much as possible.
Also adjust BP medicines during Ramadan
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I am hypothyroidism since 2013. Having thyronorm 25 .now on test today tsh 9.6.should I take thyronorm 50.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am hypothyroidism since 2013. Having thyronorm 25 .now on test today tsh 9.6.should I take thyronorm 50.
Mr. lybrate-user, WHen on treatment for hypothyroidism, for getting complete relief from all he symptoms TSH should be maintained around 3 to 4 mU/L. Therefore, q value of 9.6 m U /L is very high. There is need to increase the dose of thyroxine. Thanks.
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What should be the best diet practice for diabetes mellitus type 2 patient. Shall it be millets or rice?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What should be the best diet practice for diabetes mellitus type 2 patient. Shall it be millets or rice?
millets are definitely very good as they contain good number of fibers plus other nutrients too. But rice is also good, only thing is highly polished rice is not desirable. Now a days brown rice and special rice with enhanced fibers is available which can be used. Most important is to have a restricted diet giving only permitted amount of calories according to your sugar levels and weight.
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Is there any Insulin tablet or capsule that can be taken orally in stead of insulin injection?

Vaidya Visharad
Ayurveda, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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what fruits you should be eat and not eat in diabetes.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
what fruits you should be eat and not eat in diabetes.

Many fruits are rich in micronutrients, essential vitamins, fibre content and antioxidants along with that fruits occupy more space and less in calories so makes your tummy full and gives you feeling of satiety or fullness.

Most of the fruits have high fiber content , it comes in soluble or insoluble form. both forms are indigestible. They forms a bulk & increase water content of stool making it softer and easily movable in Gastrointestinal tract. High fiber diet reduces cardiovascular morbidity & mortality.

Diabetic person should avoid eating fruits with high glycemic index i.e. those fruits which readily digest in stomach and raises your blood sugars more than others like Mango, Chikoo, Banana (Green), Grapes, Custard Apple, etc.

Also one should avoid drinking fruit juices as condensation process increases sugar content of juice as well as a glass of juice is roughly equivalent to eating 2-3 fruits at a time. It is always better to eat a fresh fruit instead of drinking a fruit juice added with or without preservatives.

Managing blood sugars by diabetic person is all about balancing food intake. For example suppose Person (A) who is diabetic had four bread slices at breakfast at 9.00 AM and his blood sugars measured at 11.00 AM found out to be 300 mg/dl. If the same person (A) divides those breakfast into 2 halves and take 2 bread slices at 8.00 AM and 2 bread slices at 10.00 AM then his blood sugar roughly remains around 130 mg/dl. In this example the food intake is not decreased but instead it is divided into small quantity and consumed frequently.

Normally we consume most of the meal in the first 20 mins of starting a meal so eating a fruit before meal delays food intake and gives feeling of fullness or satiety earlier. That eventually leads to consumption of less food at meal so less calorie intake and helps to loose weight.

Many colorful fruits like berries are rich in antioxidants ( Lycopen, Beta-carotene, etc.) . In diabetes high blood sugar values causes damage to nerves, retina, blood vessels and other systems via specific pathways. One of them is through generating free oxygen radical species, these anti-oxidants reacts with such harmful oxygen radicals and scavenger them thus minimizes the tissue damage in diabetes.

What fruits to eat in diabetes ?

Blueberries, blackberries, strawberries etc. all berries are rich in antioxidants, vitamins and low in carbohydrates.
Peaches are rich in vitamin A & C , Potassium and fiber.
Apple a day keeps doctor away. Apples are rich in fiber, vitamin C & low in carb. don’t peel the skin as it contains antioxidants.
Oranges are great in vitamin C, low in carb, contains potassium and folate, other citrus fruits like grapefruits are also equally good to eat.
Pears good in potassium and fiber.Other fruits like apricot , guava are also rich vitamin A and good to eat .
Eating Fruits before meals helps you to loose weight & control your blood sugars. Making a habit of it helps a lot to obese individuals and known diabetic people.

If you found this article useful, please share it with your friends & family.

from pyare lal hormones clinic.
thanks.
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What are the symptoms of thyroid?

MD - Internal Medicine, MBBS
Endocrinologist,
What are the symptoms of thyroid?
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.
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Reduce the risk of diabetes

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
India is diabetic capital in the world. It is no more hereditary and anybody can gat it if one is not making conscious efforts.

Reduce the risk of diabetes by not burdening your pancreas and improving your blood sugar control by taking more fibre.
Lower the risk of heart disease
Promote weight loss by taking more protein, less carbs, less fats, and helping you feel full by fibre rich foods.
Foods high in fiber include sprouts, fruits & vegetables with skin, beans, whole grains, nuts and seeds.
Basically whenever you eat chocolate or sweet (for food cravings or sweet tooth people), just make sure you eat a cucumber also, so that fibre in cucumber or any raw veg will bind the excess sugar & fat from the diet thus will not allow your blood sugar to rise.

The people with diabetes also can apply this tip to control their blood sugar.
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My mother is suffering from diabetes last 5 years. Diabetes are out of control. Please suggest a better treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is suffering from diabetes last 5 years. Diabetes are out of control. Please suggest a better treatment.
Lybrate-user, to suggest any treatment first you should inform follwing thing: curren fasting and pp levels, hba1c%, dietary habits and extent of daily exercise being done and present treatment with dosage. Based on those details I can give suggestions. It is better if you come in a private conversation. For ideal sugar control fasting sugar should be around 100 mg, pp 150 to 160 mg and hba1c%<7. Thanks for the question.
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Hi My aunt aged 41 years also a Diabetic patient experiencing a pricking sensation in her nerves specially in legs ,Is this due to Diabetics or Internal heat in her body ,whenever she feels it she starts taking curd, lot of water n lemon then this problem gets cool down .Suggest us a solution for this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi My aunt aged 41 years also a Diabetic patient experiencing a pricking sensation in her nerves specially in legs ,I...
Hello, diabetes mellitus when present for long time and if not well controlled causes a number of chronic complications including peripheral neuropathy. This condition produces pricking and burning sensation in feet. One of the prime requirement is strict blood sugar control like fasting around 100 mg, pp 150 to 160 mg and hba1c%<6.8. Consistently well controlled diabetes may not produce serious consequences. Plus to reduce the symptoms there are some medications available like methylcobalamine & combinations with other vitamins, plus other drugs. The very concept of heat in the body causing various problems it self is incorrect. Our body is warm, if any extra heat is produced that comes as fever. Thanks for the question.
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I am 64 years and diabetic. My sugar level is under control due to intake of insulin. I have knee problems. I find it very difficult to ascend or descend stair cases. Is this problem due to me being diabetic. I have no cholesterol or bp problems. I do have ed problem. Please suggest as to what I should do. Thanks

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
As u told you are 64 years old, age related degenerative changes occurs in joints and diabetic patients are affected faster. You might be having osteoarthritis age related. Get your calcium & vitamin d levels done also and of severe knee problem, I would like to examine u and refer to orthopedic surgeon if necessary.
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I am 50 years old suffering from type 2 dm, blood pressure, cholesterol. Presently my sugar level is 170(fasting) and pp 230. Blood pressure is 140/90, creatinine is 1 9. Please advise remedy. male, 50 years.

C.S.C, D.C.H, M.B.B.S
General Physician,
Your dm is not controlled and there is impairment of kidney. Tell me how much is each medicine taken? you will probably need insulin/change dosage of the medicines and diet control. Read my article in health tips on hba1c and diabetes. You need to be constantly reviewed. Come to consult privately.
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I have thyroid since 8 years, I'm taking 125mcg daily, my tsh, t3, t4 are normal, shall I still continue with the medicine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have thyroid since 8 years, I'm taking 125mcg daily, my tsh, t3, t4 are normal, shall I still continue with the med...
Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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. Tests every 3 to 6 months.
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I am 23 and my weight is 64 and height is 5.3. Someone told me that having warm water and honey can give me thyroid problem. Is it possible?

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
No, warm water and honey don't cause any problems leave aside thyroid disorder. You can safely use it without any concern.
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