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Magna Clinics for Obesity Diabetes & Endocrinology

Endocrinologist Clinic

12/43, Vanniar Street, west Kk nagar Chennai
1 Doctor · ₹350
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Magna Clinics for Obesity Diabetes & Endocrinology Endocrinologist Clinic 12/43, Vanniar Street, west Kk nagar Chennai
1 Doctor · ₹350
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Our medical care facility offers treatments from the best doctors in the field of Endocrinologist, General Physician . We are dedicated to providing you with the personalized, quality he......more
Our medical care facility offers treatments from the best doctors in the field of Endocrinologist, General Physician . We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Magna Clinics for Obesity Diabetes & Endocrinology
Magna Clinics for Obesity Diabetes & Endocrinology is known for housing experienced Endocrinologists. Dr. Shanmugasundar, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 44 patients.

Timings

MON-SAT
09:00 AM - 08:00 PM

Location

12/43, Vanniar Street, west Kk nagar
Chennai, Tamil Nadu - 600078
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Doctor

Dr. Shanmugasundar

MBBS, MD - Internal Medicine, DM - Endocrinology
Endocrinologist
Available today
14 Years experience
350 at clinic
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Intra Uterine Insemination (IUI) - When To Go For It?

MD
Gynaecologist, Mumbai
Intra Uterine Insemination (IUI) - When To Go For It?

For the benefit of couples suffering from infertility, modern medical science has introduced several innovative procedures. Some of the popular procedures are In-vitro Fertilization (IVF), Intra Uterine Insemination (IUI), Gamete Intrafallopian Transfer (GIFT), Intracytoplasmic Sperm Injection (ICSI), donor eggs and embryos and so on. In addition to these, there are several drugs and surgical procedures that help the couple in getting rid of infertility. Among all these procedures, IUI has gained popularity in the field of gynaecology and infertility treatment procedures. The IUI treatment is also popularly called as artificial insemination procedure. Although this is a popular procedure, it is appropriate that you should also understand its pros and cons.

IUI procedure in brief:
In simple terms, the IUI procedure involves placing the sperm inside the womb or uterus, which in turn would assist in fertilization of the egg. As a result of this procedure, the sperm reaches the fallopian tube, which enhances the chances or rate of egg fertilisation.

Conditions precedent of IUI Procedure:
Before initiating the IUI procedure, the fast moving eggs are separated from the slow moving eggs. This separation is done in the laboratory. Further, in order to undergo IUI procedure, the women should be less than 40 years of age. On the other hand, apart from healthy fallopian tube, the women should also have higher ovarian reserves. Also, the sperm should have minimum mortality rate. However, IUI procedure is adopted only if the fallopian tube is healthy. IUI procedure is suggested in case the couple is having difficulty in vaginal intercourse, either because of psychosexual reasons or for reasons of physical disability.

The IUI procedure can be performed either with the partner’s egg or with the donor’s egg. Some of the other important aspects of IUI procedure are briefly discussed here:

  1. The IUI procedure is a short duration procedure and it can be completed within a few minutes. This procedure does not cause any discomfort or pain. The procedure does not require any hospitalisation or administration of anesthesia. Further, the procedure also does not cause any side effects. In fact, compared to the IVF procedure, IUI is cost-effective.
  2. In order to enhance the level of success, the gynaecologist may suggest IUI procedure every month. In some cases, the gynaecologist may also prescribe a few medicines to simulate the ovulation procedure. Except this, IUI may not involve extensive medication.

Summary:
You may undergo the IUI procedure under the supervision of sufficiently experienced gynaecologist. Further, you may also ensure the hospital is equipped with modern state of art machineries for carrying out the IUI procedure.

2 people found this helpful

Hypothyroidism - Homeopathic Remedies for Treating It!

MD, BHMS
Homeopath, Mumbai
Hypothyroidism - Homeopathic Remedies for Treating It!

As we age, we may get a lot wiser and experienced; however, the down-side of gaining knowledge and experience is that we also have to face a lot of health issues and troubles. Problems related to hormones and glands become common as we grow older, and one amongst the most common problems is hypothyroidism. This is a problem that affects the thyroid gland, which is located around the throat region, and is commonly found in women. When the thyroid gland does not produce enough hormones or is underactive, you may be diagnosed with hypothyroidism.

The lack of activity in the thyroid gland may lead to a number of other issues such as lowering of metabolism and the disturbance of immunity in the body. The problem of slow thyroid may alsoarise because of the lack of iodine in the body, and in any case, it is important to bring the issue under control so that a healthy lifestyle may be achieved.

Homeopathy and hypothyroidism
One of the best ways to be able to deal with lifestyle and hormone diseases is to opt for homeopathic treatment. Homeopathy is the branch of medicine that usesnatural means and products to treat health issues; the biggest and most stubborn of diseases are known to be treated with the help of this stream of medication. The same holds true for hypothyroidism because it is found that the most effective way to treat this problem is through the use of homeopathic medicines.

Since there are a lot of medicines that can be used for treating hypothyroidism through homeopathy, the medicines that are prescribed by medical practitioners are segregated on the basis of the symptoms or the effects of the problem, such as the following:

  1. You may be prescribed homeopathy medicines for hypothyroidism if you are experiencing excessive weight gain, which is one of the main symptoms of this condition. In such cases, you may be given medicines that help in controlling not only weight gain issues but also issues of lowered hormone secretion.
  2. A lot of homeopathy experts also suggest medicines that are exclusively developed for women who experience menstrual issues due to hypothyroidism, which also happens to be a common occurrence.
  3. The tolerance for cold in a lot of people is also affected due to the presence of hypothyroidism, which may require a different type of treatment or medication in the field of homeopathy.
  4. Many also suffer from issues such as constipation and hair fall which are generally connected to the symptoms of hypothyroidism, and the homeopathic medicines prescribed by doctors may help in tackling such symptoms.

While it may be wise to choose homeopathy as your preferred stream of medicine when hypothyroidism is diagnosed, it is also important to make sure that the best and the most experienced doctors in the arena are chosen for getting the most effective treatment.

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All About Congenital Hypothyroidism!

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
All About Congenital Hypothyroidism!

What is congenital hypothyroidism?
Newborn babies who are unable to make enough thyroid hormone have congenital hypothyroidism, meaning they are born with an underactive or absent thyroid gland.  If the condition is not found and treated, children can have mental retardation and growth failure. But the good news is that early diagnosis and proper treatment can prevent these problems. In most cases, the condition is permanent and your child will need lifelong treatment. 

What causes congenital hypothyroidism?
 The most common causes are

  1. An underdeveloped thyroid gland
  2. A thyroid gland that’s not located where it should be (in the neck below the voice box or larynx)  
  3. A missing thyroid gland

 Other possible causes include

  1. Defective production of thyroid hormone (an inherited condition)
  2. Problems with the pituitary gland (located at the base of the brain), which tells the thyroid to make thyroid hormone
  3. Less commonly, a mother’s thyroid disease or medicines taken during pregnancy can cause congenital hypothyroidism.

What are the signs and symptoms of congenital hypothyroidism?

Many babies with congenital hypothyroidism appear normal at birth or for several months after birth.  But others may have these signs and symptoms:

  • Jaundice (yellowing of the skin and eyes)
  • Constipation
  • Poor muscle tone
  • Sluggishness
  • A hoarse cry
  • They might also have
  • Feeding problems
  • A thick, large tongue
  • A puffy-looking face
  • A swollen abdomen, sometimes with “outpouching” of the belly button
  • Large soft spots of the skull

Thyroid hormone deficiency can also occur in older babies or young children, even if test results at birth were normal.

Treatment
Early diagnosis is very important. Most of the effects of hypothyroidism are easy to reverse. For this reason, doctors always ask to get screening for hypothyroidism of your newborn.

Thyroxine is usually given to treat hypothyroidism. Once the child starts taking this medicine, blood tests are regularly done to make sure thyroid hormone levels are in a normal range.

When to Contact a Medical Professional
Call your health care provider if:

  • You feel your infant shows signs or symptoms of hypothyroidism
  • You are pregnant and have been exposed to antithyroid drugs or procedures

Prevention
If a pregnant woman takes radioactive iodine for thyroid cancer, the thyroid gland may be destroyed in the developing fetus. Infants whose mothers have taken such medicines should be observed carefully after birth for signs of hypothyroidism. Also, pregnant women should not avoid iodine-supplemented salt. If you wish to discuss about any specific problem, you can consult an endocrinologist.

2 people found this helpful

I have hypothyroidism. How to avoid the thyroid and I have heavy body pain and stomach pain. Can anyone suggest how we defeat this disease with daily food and what type of food and exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothyroidism. How to avoid the thyroid and I have heavy body pain and stomach pain. Can anyone suggest how w...
lybrate-user, I have gone through the query and understand your concern. If you have overt hypothyroidism with TSH above 10 mU/L, then taking levothyroxine is the ONLY OPTION and that too for LIFETIME. This is a hormone deficiency disease. Thyroxine is required for day to day activities and every single metabolic function, plus maintaining body temperature. Hence, it has to be supplemented from outside on daily basis. If not in control then symptoms like weight gain, cold intolerance, irregular menstruation, muscle and joint pains, early fatigue and tiredness, dry skin. Dry hair and hair fall etc are seen. You will have to avoid soy beans, soy containing foods. Other things like cabbage, cauliflower, peanuts, mustard, radish etc also should be consumed less. Green leafy vegetables and salads, fruits should be consumed more. Always use whole grain flour for chapati and roti. Maida should be avoided. Regular exercise of over 1 hour a day is necessary. Looking at your height and weight, it is clear that there is grade 2 obesity with a BMI of 36.37 kgs/M2. Your ideal body weight should be 65 kgs. Your efforts to reduce weight will be successful only if TSH is maintained between 3 to 4 mU/L with adequate dosage of levothyroxine. If you have any doubts please do come back. Please understand other than this there is no option. Thanks.
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I was diagnostics with hypothyroid on November month where (TSH- 22.14, T4-7.2, T3-1.12). I was prescribed Thyroxine sodium tablets Eltroxin 50 mcg. After 6 weeks I had done test again where (TSH-3.59, T4-8.6, T3-1.09). And after taking tablet for 3 month my result shows (TSH-0.01, T4-10.0, T3-1.21). Result seems TSH level comes under normal level and T4 n T3 level increased gradually. Please advice. Thanks in advance.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was diagnostics with hypothyroid on November month where (TSH- 22.14, T4-7.2, T3-1.12). I was prescribed Thyroxine ...
lybrate-user, Thanks for the query. WHen on treatment with adequate dose of levothyroxine tablets (Eltroxin), TSH should be maintained between 3 to 4 mU/L, for being free from all the symptoms. In your case TSH level is much lower than expected. So you should reduce the dose by 12.5 mcg to 37.5 mcg per day. Then check TSH level after 6 weeks. Thanks.
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What's the cure for bilateral lower limbs Non healing venous ulcers. Skin grafting Unsuccessful. I am a diabetic & a smoker. What are the underlying Causes. What Should be done for healing. Pls. Explain In detail with proper reasoning.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
What's the cure for bilateral lower limbs
Non healing venous ulcers. Skin grafting Unsuccessful. I am a diabetic & a ...
You are suffering with diabetic ulcer. It is due to poor supply of blood to the part. Stop smoking ,control tightly the blood sugar. Proper dressing by specialist ,off-loading means rest to part and continued long effort is required. Be sincere otherwise you may get mishappening.
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What's Diabetic neuropathy? What are the Causes & the remedies. Is it due to severe Nerve damage? Who's qualified to look Into this. What are the proper drugs. Pls. Explain.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What's Diabetic neuropathy? What are the
Causes & the remedies. Is it due to severe
Nerve damage? Who's qualified to ...
Mr. lybrate-user, Thanks for the query. When diabetes continues for a number of years, even when it is fairly well controlled peripheral neuropathy occurs. This happen due to hyperglycemia, excess glucose molecules affect the functioning of peripheral nerves. It may begin first as sensory effect with altered sensations like numbness, tingling, burning and even pain. Later even motor functions may get affected. Begins usually with toes and feet, legs. May spread to upper limbs also. Strict blood glucose control is helpful. There are some drugs used like vtmin B12, folic acid, lipoleic acid, and other vitamins. Plus drugs like gabapentine and pragabalin are also used for getting pain relief. A diabetologist will definitely be able to help. Thanks.
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I am using glycomet 250 mg at my bed time after dinner. Today I got checked my blood sugar levels Fasting is 116. Post lunch is184 mg/do The lipid profile is fine. However I am on medication for both parameters. Are my blood sugar levels alarming. I am on good vegetarian diet with brown rice etc. I will walk for one hour every day in park in evenings brisk walk Any supplementation if suggested I will be thankful I'm a South Indian vegetarian aged 62 years.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am using glycomet 250 mg at my bed time after dinner.
Today I got checked my blood sugar levels
Fasting is 116. Pos...
Mr. lybrate-user, Thanks for your query. The blood glucose levels mentioned are fairly good. It would be better if HbA1c% is known, which gives a clearer idea about control of diabetes. (ideally <6.8 or <7). Looking at your height and weight it is clear that you are over weight, with a BMI of 28.57 kgs/M2. Your ideal body weight should be 60.75 kgs. It means you need to cut down weight for achieving better control. Weight reduction by a few kgs will help in getting blood glucose in better control. Thanks.
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For a diabetic patient with type 2, how often it is required to check the blood glucose? Is random check will do as a regular check up once in three months? Thanks in AdvanceSathish.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
For a diabetic patient with type 2, how often it is required to check the blood glucose? Is random check will do as a...
3 montly HbA1c, once a month fasting glucose and 2 hours after lunch glucose testing is sufficient in a stable patient with T2DM reasonable controlled blood glucose. More frequent monitoring needed in uncontrolled diabetes
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Thyroid Disorder

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
Play video

Dietary Changes to Improve Thyroid

3877 people found this helpful

I was prescribed to use Insugen insulin 30/70, and directed to use 50 units in the morning and 40 units at night. I was bought 40IU/ml insulin for the first time and by mistake I bought 100IU/ml for the next time. So can I use the second one or I have to change the product.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
I was prescribed to use Insugen insulin 30/70, and directed to use 50 units in the morning and 40 units at night. I w...
Use a 100U/ml syringe (orange cap) for the 100u/ml vial or use a 40U/ml syringe (red cap) for 40u/ml vial. As long as u dont mix them up, you will do just fine. All pen cartridges come as 100u/ml concentration only. Never mix up the syringes or pen cartridges
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I am 69 years old and suffering from Type 2 Diabetes which is under control with Metamorphine Hydrochloride Twice daily. I am fond of Bananas but have been advised not to take as they contain lot of Sugar. Can I start taking now as per your article?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 69 years old and suffering from Type 2 Diabetes which is under control with Metamorphine Hydrochloride Twice dai...
Mr. lybrate-user, Thanks for your query. Generally for a person with diabetes fruits like bananas, chikkoos. Grapes and mangoes are not good as they have a fairly high sugar content. However, if one has strict blood glucose control with fasting closer to 100 mg, PP 160 to 170 mg & HbA1c%<7, then one can take a banana occasionally, that too a small one. Banana has many benefits, but being too sweet it is to be restricted. You have only mentioned that blood glucose is in control, but no values are given, so difficult to give exact answer. Thanks.
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Obesity - Can It Lead to Diabetes?

MBBS, CCEBDM
Diabetologist, Bangalore
Obesity - Can It Lead to Diabetes?

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.

Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes: Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk: Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-

Choose whole grains and wholegrain products over highly processed carbohydrates.

  • Skip the sugary drinks, and choose water, coffee, or tea instead.
  • Choose good fats instead of bad fats.
  • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor.

1 person found this helpful

Tsh is high but T3T4 are normal but there is no symptoms of thyroid. Tsh is 44. I have use medication for life long or the disease will decrease.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Tsh is high but T3T4 are normal but there is no symptoms of thyroid. Tsh is 44. I have use medication for life long o...
Please first go for anti tpo test. If negative it may be due to iodine deficiency. If positive you have to take life long eltroxin. Use iodised unripe salt in vegetables and on salad. Any quiry ask on line.
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I want to about the diabetes. People say we can control it by keeping sugar beside. Is it true. Somewhere sugar is necessary for our body.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I want to about the diabetes. People say we can control it by keeping sugar beside. Is it true. Somewhere sugar is ne...
Hello, Glucose is surely very important for the body, even if diabetes. Sugar contains empty calories without contributing any nutritional benefits. Natural and better substitutes are fruits, jaggery etc. Do not use artificial sweeteners.
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I am diabetic for more than 15 years, I take Metformin 1000at night sustained release, and metformin 500+glymipride 2 mg. Before breakfast. Though I take controlled diet my weight is 68 kg .I am 5'2" Should I Continue same medicines? Should I reduce?

MBBS
General Physician, Jalgaon
I am diabetic for more than 15 years, I take Metformin 1000at night sustained release, and metformin 500+glymipride 2...
Please Continue your current medicine Go for morning and evening walk daily for good digestion, good circulation Take salads, vegetable juices, soups regularly Maintain your weight upto 55 to 60 kg
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My T3 and T4 level is 94.12 and 6.20 respectively. TSH level is 4.812. Whether I should take any medicine?

MD - Alternate Medicine, BHMS
Homeopath, Surat
My T3 and T4 level is 94.12 and 6.20 respectively. TSH level is 4.812. Whether I should take any medicine?
Better you start taking Homeopathic treatment. Because it is the only mode of treatment that will help you to get rid of it. Otherwise in allopathic treatment, it will never end and you need to take life long medicines with increasing dosage after every 2-5 yrs. Now choice is yours. If you have queries, you can please let me know. Take care :)
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If honey is good replacement for sugar if I an trying to control sugar level in blood by taking glycomet.

MD - Alternate Medicine, BHMS
Homeopath, Surat
If honey is good replacement for sugar if I an trying to control sugar level in blood by taking glycomet.
Honey also leads to increase glucose level in body. But not that much as sugar does. Yes, you can have honey too. Take care :)
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Preventing Type 2 Diabetes in Children And Teens!

MD, MBBS
General Physician, Bangalore
Preventing Type 2 Diabetes in Children And Teens!

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity - Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child - Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.

3. Adopting proper eating habits - It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.

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