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N. P Singh's Medical Centre

Endocrinologist Clinic

H No - 1401, Sector - 33 C Chandigarh
1 Doctor · ₹700
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N. P Singh's Medical Centre Endocrinologist Clinic H No - 1401, Sector - 33 C Chandigarh
1 Doctor · ₹700
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about N. P Singh's Medical Centre
N. P Singh's Medical Centre is known for housing experienced Endocrinologists. Dr. N. P Singh, a well-reputed Endocrinologist, practices in Chandigarh. Visit this medical health centre for Endocrinologists recommended by 45 patients.

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MON-SAT
07:00 PM - 08:30 PM 11:00 AM - 01:30 PM

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H No - 1401, Sector - 33 C
Chandigarh, Chandigarh - 160034
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Dr. N. P Singh

MD - Medicine, MBBS
Endocrinologist
28 Years experience
700 at clinic
Available today
11:00 AM - 01:30 PM
07:00 PM - 08:30 PM
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Hypothyroidism - 8 Tips To Manage It!

DNB (General Medicine), MBBS
General Physician, Mohali
Hypothyroidism - 8 Tips To Manage It!

If you are suffering from hypothyroidism, it is important for you to deal with the condition so that your daily life and activities do not get affected. Hypothyroidism occurs when your thyroid gland becomes under active and does not produces sufficient amount of hormones. This affects the metabolism rate of your body. Hypothyroidism has several symptoms which include fatigue, constipation, dry skin, muscle cramping, hoarse voice, depression, sudden gain of weight and brittle hair and fingernails.

Here are some important tips which you should follow in order to deal with hypothyroidism and for its treatment:

  1. Go Gluten and A1 Casein free: Common allergies and food intolerance, which occur today are because of wheat and dairy products because of the hybridized proteins of A1 casein and gluten. These may lead to a leaky gut, as a result of which inflammation of the thyroid gland takes place. This affects the thyroid’s functioning. You should avoid grain and gluten in your diet. Try to consume dairy products coming from A2 cow’s milk.
  2. Avoid BPA: Bisphenol A or BPA is present in plastic bottles. These are capable of disrupting the endocrine system and also affect the thyroid gland. You should avoid drinking from plastic bottles and drink water from glass, stainless steel and plastic bottles which are BPA free.
  3. Check your iodine levels: In case your iodine levels are low, you should use an organic liquid supplement. Kelp is ideal for this purpose.
  4. Heavy metal detox: You need to detoxify your body and eliminate traces of harmful metals from your organs and cells. For this, you may use a combination of milk, turmeric, chlorella, cilantro and thistle, which are ideal for a metal detox.
  5. Increase your selenium intake: It is important for you to consume sufficient amounts of selenium in your everyday diet, but you should not consume them in excess. You should eat food items containing selenium in good amount such as salmon, sunflower seeds, Brazil nuts, mushrooms, onions and beef.
  6. Take adaptogen supplements: You should lower your cortisol levels and improve thyroid functioning by taking supplements such as tulsi and ashwaganda.
  7. Remove silver fillingsIf you have amalgam fillings, you should consult a dentist and get the fillings removed.
  8. Lower your carbohydrate intake: You also need to reduce the amount of sugar and grains in your regular diet. Instead, take healthy fats. Consuming too much carbohydrates leads to increased estrogen, which affects thyroid negatively. Choose healthy fats like coconut oils, avocado, wild salmon, hemp seeds and flax seeds. These will help in balancing your hormone levels.

Hypothyroidism usually occurs from common causes such as toxicity due to radiation and metal exposure, deficiency of iodine and selenium, food intolerance and hormonal imbalance due to stress and excess carbohydrates.

7 Skin Conditions That Affect Diabetics!

MBBS, MD - Dermatology
Dermatologist, Bangalore
7 Skin Conditions That Affect Diabetics!

7 Diabetes Related Skin Problems

Diabetes is a metabolic disorder, chiefly caused by insulin fluctuation in the body. A study shows that, 1 out of 3 people suffering from diabetes are likely to develop a skin condition sooner or later; and in some cases, these skin problems serve as symptoms of diabetes. Although these skin problems can be cured easily if treated early, proper care must be administered at all times. Here are 7 skin conditions that affect diabetics:

1. Bacterial infection

Although anyone can get a bacterial infection, people suffering from diabetes are likelier to contract them. Usual bacterial skin problems that tend to trouble diabetics are boils, lumps near the eyelids, nail infections and carbuncles. Diabetics are also prone to infections deep in the skin and of the underlying tissues. The affected area is usually warm, red and swollen.

2. Fungal infections

People who have diabetes have an increased risk of contracting the fungal infection, especially the one known as candida Albicans. The fungus tends to create a red, itchy rash, which is surrounded by blisters and scales. These are usually found in warm places of the body like the armpits, or between the fingers of the hand or perhaps even the toes. Common fungal infections in diabetic people include athlete's foot, jock itch and ringworm.

3. Tingling and itching

Among the many causes of itching, diabetes is one. Yeast infection, dry skin and poor circulation are the primary causes of itching among patients of diabetes. Usually, the lower part of the leg tends to itch the most, if poor circulation is to be blamed.

4. Skin problems related to neuropathy

Diabetes can be the cause of nerve damage in some cases; and neuropathy is a common symptom of diabetes. This type of damage can cause a loss of sensation in a part of the body. On event of an injury, one may not be able to feel it. As a result, an open sore or wound, if left unattended, can develop into an infection.

5. Digital sclerosis

Digital sclerosis, a condition marked by tight, waxy, thick skin that develops on the back of the hand, is common among people who have type 1 diabetes. In this condition, the joints of the fingers get stiff and, thus, lose their mobility and elasticity. Skin of the toes, forehead and knees may also get affected.

6) Xerosis

Xerosis is another common skin condition that accompanies diabetes. In this condition, the skin becomes very dry and itchy.

7) Acanthosis nigricans

Acanthosis nigricans is the condition where diabetics get darkening of skin leading to skin tags around neck and armpits.

type diabetes

1 person found this helpful

I am 25 years unmarried I have thyroid problem (6.7) now I am taking 50 mg tablets in future I will get pregnant are not.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 25 years unmarried I have thyroid problem (6.7) now I am taking 50 mg tablets in future I will get pregnant are ...
lybrate-user, Thanks for the query. Hypothyroidism if well in control with adequate dosage of thyroxine, then there will be no problem in getting pregnant. However, when one is on treatment it is necessary to maintain TSH between 3 to4 mU/L for bring free from all the symptoms of hypothyroidism. Therefore with TSH 67 mU/L, you will have to increase the dosage of thyroxine by 12.5 mcg per day and then check TSH level after 6 weeks to see if desired level is reached or not. For proper ovulation and getting prgnent it is necessary to maintain TSH < 2 mU/L. That is when you are considering getting conceived. Thanks.
2 people found this helpful
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Does diabetes cause headache as I feel dizzy and have dull headache. When I check blood sugar it is normal.

DHMS (Hons.)
Homeopath, Patna
Does diabetes cause headache as I feel dizzy and have dull headache. When I check blood sugar it is normal.
Hello, usually, not. You might be suffering from gastric disorder to cause headache. Tk, plenty of water. Go for meditation. Your diet be easily digestible. Avoid junkfood, direct sweets, alcohol & nicotine. Tk, care.
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I am a Type 1 diabetics patient. Can I take supplement for muscle build For example: whey protein B4 diabetic my normal weight is 74 After that I admit in hospital for severe weight loss 61 kg Now I'm taking insulin Now my weight is 67 kg Am going Gym also Any suggestions?

Bsc Food & Nutrition, Msc Food & Nutrition
Dietitian/Nutritionist, Delhi
I am a Type 1 diabetics patient.
Can I take supplement for muscle build
For example: whey protein B4 diabetic my norm...
Yes you can take protein supplements. However please be careful with your sugar readings before and after your exercise. I would suggest take medically approved proteins in your case like Abbott (Ensure, Danone (Protein X, British Biologicals (D Protin, Azzura. Do read the label to check the protein per scoop. You can take it as per your requirements.
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I tasted my blood at your lAB. THE SUGAR IS 240. I USE TO TAKE TEA WITH SUGAR ATLEST 6 TO 7 TIMES PER DAY. NOW I HAVE COMPLETELY STOPPED TAKING TEA. DO I HAVE TO STILL TAKE ANY MEDICINES FOR DIABETICS.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
I tasted my blood at your lAB. THE SUGAR IS 240. I USE TO TAKE TEA WITH SUGAR ATLEST 6 TO 7 TIMES PER DAY. NOW I HAVE...
It depends on your fasting, post prandial blood sugar levels. Fasting blood glucose should be less than 100 and post prandial less than 140.
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4 Ayurvedic Remedies For Thyroid Disorder!

BAMS, MBA - Health Care Administration
Ayurveda, Gurgaon
4 Ayurvedic Remedies For Thyroid Disorder!

Thyroid conditions are conditions that affect the thyroid gland which is a butterfly-shaped gland in the front of the neck. Thyroid conditions have become a common ailment among most women in India nowadays. Because of hormonal imbalances a number of symptoms, including anorexia, unhealthy weight gain, loss of energy, weakness and fatigue are experienced or opposite symptoms like an increased metabolic activity, a rise in pulse rate, loss of weight and palpitation may be felt in the case of hypothyroidism. 

Irrespective of whether you are suffering from hyperthyroid or hypothyroid, Ayurvedic treatment has some viable solutions that are aimed at elevating your health condition. 

Ayurveda and Thyroid 

Ayurveda explains a disease named 'Galaganda' that is caused due to an imbalance of doshas and symptoms of these are similar to Thyroid. Thyroid imbalance can be controlled by the following treatment regimen that includes: 

  1. Dietary regulations: Charaka mentioned the disease under 20 sleshma vikaras so one should avoid foods which increase kapha like curd, milk, soybeans. In addition, you must avoid foods which are injected with growth hormones to grow them in size. 
  2. Herbs for regulating thyroid: The herb named Purple Mountain Ebony is purposely helpful in the treatment as well as proper functioning of the thyroid gland. In addition to this herb, you must also intake Punarnava, Brahmi, Jatamansi, Gokshura and Shilajita for alleviating your thyroid problems. 
  3. Home remedies: If there is swelling in any part of the body caused due to thyroid imbalances, then it can be properly treated by applying a fine paste of Jalakumbhi over the affected area. The juice of this paste can be administered in a small quantity of 22 grams in a span of 24 hours. It helps in those cases where the reason of Thyroid imbalance id iodine deficiency as it increase the amount of iodine in the body which helps to fix various problems in the body. If you are experiencing a lack of energy and weakness, you can use coconut oil for boosting the sluggish metabolism of the body. 
  4. Yoga for treating thyroid: There are various Yogic postures, which are believed to help in the maintenance of the thyroid gland. You can practice sun salutation, fish pose and shoulder stand for alleviating your condition and get rid of all types of health issues caused from thyroid imbalances. If you wish to get a personpersonalization of your health condition, then it is imperative to pay a visit to an expert who can recommend proper Ayurvedic treatment methods for you.
2 people found this helpful

Endometriosis - How To Know If You Are Actually Suffering From It?

MBBS, MS-Obstetrics & Gynaecology
Gynaecologist, Delhi
Endometriosis - How To Know If You Are Actually Suffering From It?

When endometrial tissue goes out of the uterus in women, then endometriosis occurs. In most of the cases, lower tummy and pelvic areas of women show the prominent symptoms of this disease.  Symptoms of this disease can be either severe or mild but immediate medical diagnosis is required so that unwanted symptoms can be effectively prevented.

Surgery, hormone treatment and painkillers are the most prominent treatments that can deal with the concerned trouble, but you can also follow a few natural therapies in this respect. Excessive intake of contraceptive pills can be one of the leading reasons for endometriosis, but you can also inherit this from your family or ancestors. 

List of the symptoms of Endometriosis:

  1. Painful periods: If pain continues throughout the periods, then you get yourself checked as you may have developed endometriosis. These pains can even be quite severe making the situation quite troublesome to bear. If you find that you are facing unusual menstrual pain, then you should not delay and rather immediately consult your nearest gynaecologist
  2. Bleeding periods: Sometimes, bleeding periods can be one of the clear symptoms that can help you to recognize the arrival of endometriosis. Therefore, if you notice excessive bleeding, then you should consult any specialized doctor immediately. 
  3. Pregnancy difficulty: Reduced fertility might create a greater trouble for conceiving, and thus you might get deprived bearing children. This is one of the most prominent or highlighting symptoms of endometriosis. Endometriosis clumps interrupt egg passage as a result of which the eggs cannot reach the fallopian tube via ovary.  You can take the help of your gynaecologist so that the clumps can be reduced with the help of proper treatments. 
  4. Pelvic area and abdomen pain: You will often experience a worse kind of pain, especially in the pelvic and abdomen areas during and before periods. Sometimes, the pain might even linger after the menstrual period is over. There are many women who take medications for reducing this kind of pain, but this is not the right procedure, rather proper treatment is needed for getting complete recovery on a permanent note. 
  5. Painful sex: You will face a lot of troubles while making intercourse or sexual interaction with your partner, and this pain can be even severe at times. If you are facing painful sex for a long time, then you should immediately report the same to any experienced medical professional.

Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.
Mr. lybrate-user, Thanks for the query. Both the brands mentioned are having same drugs, both are equally good.
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I have pain in the whole body I got my uric acid checked its 6.9 Mg as agsiest 4.5 mg please advise medicines.

MD Hom., Certificate in Food and Nutrition, BHMS, Diploma In Yoga
Homeopath, Indore
I have pain in the whole body I got my uric acid checked its 6.9 Mg as agsiest 4.5 mg please advise medicines.
Constitutional medicine will treat your problem completely, for which we need to take complete case taking including physicial and mental symptoms. But till then you can take COLCHICUM Q 10 drops twice a day and then report thereafter for more queries, contact us.
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Diabetes

BSc
Ayurveda, Ujjain
Diabetes

Do not stop your medicines and check monthly sugar level.

Sir I have gone through certain tests by myself and the results are as under In march 2017 1. Glucose, Random (R)- 110 mg/dL, Creatinine,Serum - 1.13 mg/dl, Uric Acid, Serum - 5.70 mg/dL, then In 19th Aug 2017 1. Glucose, Random (F)- 83 mg/dL, Creatinine,Serum - 1.12 mg/dl, Uric Acid, Serum - 10.10 mg/dL and blood sugar (R)- 96 mh/dL, then I started tablet Feustate-40 for uric acid and taken 20 days and started jogging and more exercise. Again tests on 30/09/2017 1. Glucose, Random (F)- 112 mg/dL, Creatinine,Serum - 1.19 mg/dl, Uric Acid, Serum - 9.70 mg/dL and blood sugar -95 mg/Dl. I surprised to see that just after one month my sugar fasting is more than random. I tested random sugar after taking some cold drink and tea and after 45 minutes. My questions are 1) whether I am diabetic 2) I do lot of exercise whether my creatinine level is out of range and I should take any medication at this stage and why my uric acid increases and controls with medicine. Is there any other method to control it. I do lot of exercise etc. Kindly advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I have gone through certain tests by myself and the results are as under
In march 2017 1. Glucose, Random (R)- 11...
Mr. lybrate-user Kumar, Thanks for the query. It appears you have high uric acid, if that is associated with pain in joints (gout) then you need to get it treated, otherwise pain will increase and there may be more deposits of uric acid around the smaller joints. The blood glucose levels mentioned show that there is no high glucose. Hence no diabetes. If you want to get a confirmation get a proper fasting (10 hours after dinner) then a after food (2 hrs after) glucose level and HbA1c%, that will give a clear indication. Creatinine is normal. Thanks.
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Kindly let me know what should be my next action to reduce BP & TSH level based on the following observations. My blood report is as under: T3: 1.06 nmol/l T4: 39.51 nmol/l TSH: 60 microlu/ml HbA1C: 5.6 %Anti-Thyroid PAS: > 1300 Hemoglobin Variant Analysis, Blood: within range USG report of thyroid gland: Multi-nodular Goiter right Thyroid. Both thyroid shows slightly increase in vascularity. After investigation, I am taking medicine: Thyrox 100 for thyroid control Olmezest 40for BP control. Solution sought for the following: My blood pressure always remains around 150--160/ 95-105 Feeling depression due to weakness and high BP.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Please tell whether TSH 60 mU/L value shown is with thyronorm 100 mcg or is it before beginning of the treatment? Because when on treatment with adequate dosage of Levothyroxine, TSH should be maintained around 3 to 4 mU/L. Your TSh value is too high, suggesting uncontrolled hypothyroidism. Plus your USG report talks of multinodular goiter. That needs to be observed periodically. Plus the antibody titre is also very high, suggesting an autoimmune problem. As regards BP, when on appropriate treatment it should be maintained around 120 to 130 /70 to 80 mm Hg. That also needs to be properly treated. If hypothyroidism is not well controlled it does cause depressive tenancy in some persons. If you have any further doubts please come back in a private conversation (paid consultation), where I will be able to give specific guidelines plus prescriptions if needed. As in this communication we are supposed to give only general guide lines, no prescriptions are allowed. Or please consult a local endocrinologist / physician. Do not neglect. Thanks.
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Gestational Diabetes - Ayurvedic Treatment For It!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kottayam
Gestational Diabetes - Ayurvedic Treatment For It!

Diabetes during pregnancy is known as gestational diabetes. It is interesting to note that the chances of getting gestational diabetes, is one of the most common complication of pregnancy. It has increased by almost 40%. Also, gestational diabetes not only affects the health of the mother, but also the health of the baby. What usually happens with gestational diabetes is that the blood sugar level, of both the mother and the baby go above the normal level.

Ayurveda can help treat this disease. Here are the most common Ayurveda remedies for gestational diabetes.

  1. Gurmaar: Gurmaar, called "The Sugar Killer" is also known as Gymnema sylvestre in medical jargon. Gurmaar also contains gymnemic acid molecules, which are crucial because they have an anti-diabetic effect. They work by combining with glucose molecules, which are in the blood stream. These stop the glucose from entering the bloodstream. 
  2. Karela: Karela is commonly known as bitter gourd and its biological name is Momordica charantia. It has anti-diabetic properties and also contains many other micronutrients, which are crucial in preventing the complications which arise from gestational diabetes.
  3. Vizaysaar: Vizaysaar comes from the bark of a tree whose biological name is Pterocarpus marsupium. It is very useful for diabetes. If you immerse the wood of Vizaysaar in water overnight and then drink it, your blood sugar levels are expected to fall.
  4. Saptrangi: Saptrangi is biologically known as Salacia oblonga. Just like Vizaysaar, it is a tree whose bark is immersed in water and then drunk by the patient suffering from diabetes. You will know that the water is ready for drinking when it turns brown, which usually happens overnight. It is also being studied in Western herbal schools in addition to Ayurveda nowadays.
  5. Tulsi: Tulsi is a holy plant in Hindu mythology and is known as Ocimum sanctum in biological terms. It is worshiped as a holy plant because it has tremendous medicinal properties including treating many types of cancers, cough, cold, sore throat as well as reducing blood sugar.
  6. Ashwagandha: The medical name for ashwagandha is Withania somnifera. It is another great remedy for diabetes.
3 people found this helpful

5 Ayurvedic Remedies For Infertility!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), T.T.C.M Yoga
Ayurveda, Navi Mumbai
5 Ayurvedic Remedies For Infertility!

Not everyone can conceive a baby easily. The inability to conceive a baby despite having intercourse during the fertile window in a woman’s menstrual cycle for over a year is termed as infertility. Infertility does not affect only the physical health of a woman, but also her mental and emotional well-being as well as the couple’s social health.

In some cases, infertility can be treated with Ayurveda. According to Ayurveda, a couple needs to be both physically and mentally strong and healthy. Ayurveda believes that a lack of nutrition in the shukra dhatu or the person’s reproductive tissue is the cause of infertility. This can be triggered by indigestion, anxiety, depression, insomnia and the presence of toxins in the body. Some of the ways Ayurveda can be used to treat infertility are as follows:

  1. Eat cool foods: Spicy food can affect the quality of shukra dhatu and lower the quality and quantity of both sperm and ovum. This is because shukra dhatu requires a cool environment to promote fertility. Hence, eat food that is easy to digest and which has a cooling effect on the body. Men can benefit from foods like asparagus, dates and almonds, while foods like quinoa and pineapples can help a woman conceive easily.
  2. Shirodhara therapy: Shirodhara involves the movement of liquid over the forehead in a rhythmic manner at specific points. This stimulates the hypothalamus, pituitary and pineal glands and aids in the secretion of hormones including follicle-stimulating hormone (FSH). When it comes to women, FSH stimulates the ovarian follicles into releasing an egg without which it would be impossible to conceive a child.
  3. Fight stress: One of the effects of stress is reduced libido. Prolonged exposure to stress is often a major factor that contributes to infertility. When it comes to women, stress makes a woman ovulate less regularly. In men, stress can affect the sperm production and affect testosterone levels. To fight stress, try deep breathing exercises like alom vilom or keep a little time aside each morning for a walk or light exercise.
  4. Lodhra: This herb is very beneficial in treating women with infertility. It stimulates FSH and luteinising hormones (LH) and lowers the risk of a miscarriage. It also increases chances of conception. Lodhra should be taken twice a day along with honey and milk.
  5. Lifestyle changes: Ayurveda is not only about herbal medicines but also following the right lifestyle. Bad habits like smoking, drug usage and alcohol not only affect a person’s overall health but also interfere with fertility. Hence, when trying to conceive a child, quit these bad habits and try following a healthier lifestyle that involves following a routine, eating right and exercising regularly. If you wish to discuss about any specific problem, you can consult an ayurveda.
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Can sugar patients type 2 eat food like onions Marie biscuits apple and what type of fruits and vegetables. Please suggest can we take citrus fruits like lemon Amla .and what type of snacks can take and how to plan diets.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Can sugar patients type 2 eat food like onions Marie biscuits apple and what type of fruits and vegetables. Please su...
Hi sesodhar... Yes they can eat fruits and vegetables... Less containing sugar especially.. They can eat oats, bajri, etc... Also take homoeopathic treatment to control the sugar and prevent complications
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Fasting 105 PP. 136 HbA1c% test 6.1 G T T test Fasting 108 Glcouse eating 211 After 1 hr 120 It is diabetic or non diabetic?

MBBS, MD
Endocrinologist, Delhi
Fasting 105 PP. 136 HbA1c% test 6.1 G T T test Fasting 108 Glcouse eating 211 After 1 hr 120 It is diabetic or non di...
Diagnosis of diabetes requires any of the following- 1) Fasting blood sugar 126 or more after 8 hours of fasting. 2) 2 hour post prandial blood sugar 200 or more in 75 gm OGTT. 3) Random blood sugar 200 or more with symptoms of hyperglycemia like polyuria (Excessive urination, Polyphagia (Excessive appetite, polydypsia (Excessive thirst, weight loss, or hyperglyei crisis. 4) HbA1c 6.5 or more.
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Even suffering from sugar before breakfast 228 mg/dl and 360 mg/dl after breakfast .the symptoms are common .nothing is strange. What is the effects of this much of diabetics and precautions need to be taken. Is there any other effects if this will increase and, if such then what will be the effects.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Even suffering from sugar before breakfast 228 mg/dl and 360 mg/dl after breakfast .the symptoms are common .nothing ...
Hello, Thanks for the query. Fasting blood glucose 228 mg, PP 360 mg is already a very bad or uncontrolled diabetes. This affects every single vital organ and system in the body like eyes (retina), kidneys, peripheral nerves, heart. Unfortunately most often diabetes does not produce easily recognizable symptoms that is why people do not realize that they have diabetes. Therefore, please start early treatment with appropriate drugs, diet control and regular exercise. If you have further questions please comeback, preferably in a private conversation (paid consultation), then I will be able to guide specifically. Thanks.
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