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M.V. Hospital for Diabetes & Diabetes Research Centre

Endocrinologist Clinic

No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, Chennai Chennai
1 Doctor · ₹600
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M.V. Hospital for Diabetes & Diabetes Research Centre Endocrinologist Clinic No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, Chennai Chennai
1 Doctor · ₹600
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about M.V. Hospital for Diabetes & Diabetes Research Centre
M.V. Hospital for Diabetes & Diabetes Research Centre is known for housing experienced Endocrinologists. Dr. Jaiganesh Muruganandam, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 54 patients.

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07:30 AM - 04:00 PM

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No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, Chennai
Royapuram Chennai, Tamil Nadu

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Diabetes Proves Deadly for Smokers

MBBS, DFM, FID, M.MED, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease
General Physician
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While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).

Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.

To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.

" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.

For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"

Diabetes Proves Deadly for Smokers

Can I Eat Rice If I Have Diabetes?

MBBS, DFM, FID, M.MED, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease
General Physician
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Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

Can I Eat Rice If I Have Diabetes?

Foods That Can Be Used To Reduce Blood Sugar Level

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist
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High blood sugar occurs when the insulin in the body fails to metabolize the sugar from the food, which raises the amount of glucose in your blood. It is a metabolic disorder which can be managed effectively with the help of lifestyle modifications such as exercise and food. This article is going to focus on the foods that you can eat to lower your blood sugar levels.

Here are 9 foods that you can use to reduce blood sugar levels:

Cinnamon: cinnamon is a herb which is very effective in getting your blood sugar down to manageable levels. You can simply sprinkle cinnamon on your food before eating it.

Fenugreek (methi): fenugreek is a common spice which is used in almost all indian cuisines. It has a number of health benefits, one of which is reducing blood sugar levels. Soaking fenugreek in water and then drinking it the next day is a very effective remedy in combating sugar problems.

Garlic: not just for sending away the vampires, it is also very effective in blood sugar control. Extracts of garlic have been shown to increase insulin in the body which is required to metabolize the sugar in the body.

Heart healthy fats: heart healthy fat based foods such as nuts and seeds are good for increasing the good cholesterol levels (hdl) in the body. Avocadoes contain nutrients which lower the risks of various diseases such as diabetes. In a nutshell, these fats make the cells of the body less resistant to insulin.

Blueberries: blueberries contain anthocyanin (water soluble pigments) which is very good for your health. They also contain fiber in large amounts which make you feel fuller faster. This fruit has also been shown to improve insulin sensitivity in the body.

Vinegar: vinegar is an age old remedy to control blood sugar levels; it contains acetic acid which causes a reduction in certain harmful enzymes in the stomach. Vinegar is also known to prevent blood sugar spikes when consumed with food.

Complex carbohydrates: complex carbohydrates raise your blood sugar but not like its cousin, simple carbohydrates. Simple carbohydrates cause an immediate spike in your blood sugar levels where as complex carbs provide a steady stream of energy. So drop that packet of refined flour and get that whole wheat variant.

Cherries: cherries, especially tart cherries and dark sweet cherries, are full of anthrocyanins. Insulin resistance prevents insulin from working properly to control blood sugar in normal ranges. Eating a diet high in anthrocyanins can mean improved use of insulin and lower blood sugars.

Nuts: people who eat nuts regularly have lower rates of heart disease than people who don't eat them.

Foods That Can Be Used To Reduce Blood Sugar Level

My fasting sugar is around 106-110. I love fruits. Which are the fruits which I can consume without fear of my blood sugar increasing. Thank you.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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My fasting sugar is around 106-110. I love fruits. Which are the fruits which I can consume without fear of my blood ...
ALL fruits and vegetables contain glucose. Hence, you cannot find a fruit that will not increase your blood sugar. However, take fruits in moderation, if you are a diabetic. By the way, what eaxctly are your 2 hour PPBS and HbA1c levels?

Diet Changes For Type - 2 Diabetes

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Type 2 diabetes is a form of diabetes in which the body does not use insulin properly and develops resistance to insulin.

A patient with type 2 diabetes must make several changes to his/her regular diet and food patterns. The aim is to manage the blood-sugar level of the body. Hence, a type 2 diabetes patients should follow a regular diet, which comprises of:

  1. All types of foods from different food groups.

  2. Lesser calories.

  3. Lessened and limited intake of carbohydrates.

  4. Healthy fats.

Here is a list of food items you should include in your diet in case you have type 2 diabetes.

  1. Vegetables: You must have fresh or frozen vegetables and avoid using sauces, dips, fats or salts. Intake non-starchy vegetables like cucumber, spinach, broccoli, cabbage, lettuce and vegetables, which are dark green or yellow in color. Also have starchy vegetables such as corn, green peas, beans, carrots and yams. Avoid potatoes as they are pure starch.

  2. Fresh Fruits: You should include fresh fruits in your regular diet. Have apples, bananas, berries, papaya, cherries, grapes, melons, oranges, peaches, pineapples and raisins. Have whole fruits regularly, which do not contain added chemical sweeteners.

  3. Grains: Include grains in your diet and consume whole grains more. Whole grains are not processed and consist of the whole-grain kernel. Grains contain starch, which is a source of carbohydrates. Carbohydrates are bad for blood sugar. Hence, whole grains, which are rich in fiber are recommended. Fiber controls the blood-sugar level from shooting up. Fiber should be included in the form of bran of oat and wheat.

  4. Proteins: Coming to protein food items, you should consume fish and poultry items often. Always remove the skin from chicken or turkey properly before cooking. Buy lean meat and trim all the fat from meat. Avoid frying and use methods such as baking, roasting, grilling or boiling. Also use healthy oils for frying purpose.

  5. Dairy Products: In case of type 2 diabetes, always use dairy products, which are low in fat. Do not add sugar to milk, curd or yoghurt as they contain natural sugar. Do not consume more than three cups of milk a day.

  6. Oils and Fats: Cut down the intake of excessive oily and fatty foods. Avoid food items that contain high saturated fats such as bacon, hams, sausages and butter. Consume food with polyunsaturated or monounsaturated fats. Oil raises blood-sugar level and is high in calorie and should be used in lesser amounts.

A type 2 diabetes patient needs to undergo several changes in his/her diet to keep a check on the rising blood sugar levels and for living as healthy as possible.

Diet Changes For Type - 2 Diabetes

I think I have thyroid problem. What food I should avoid and what food should I take and recommend some exercise.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist
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All food items are safe in thyroid disorders. No food should be avoided. Exercise has no link with thyroid dysfunction.

I am male 54 years of age, weight 61 kg/height-5'8" My fasting blood sugar level varies between 145-220 since last 2 years. I am not taking any medicine except patanjali Madhunashini 2 tabs twice a day. I am not feeling any specific problem like frequent urinating, weight gain etc. My father was also a diabetic patient. My diet is normal and I am non-veg. My physical activity is very less. I walk approx. 2-3 km few times a week Please advice some medicine and diet plan so that I could control my sugar level. Thanking You.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist
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I am male 54 years of age, weight 61 kg/height-5'8" My fasting blood sugar level varies between 145-220 since last 2 ...
Increase your level of activity. You can start with metformin in small dose, gradually increasing it to reach the target blood sugar levels. Also get yearly retina and kidney check ups (health check)

Can hyperthyroid be cured with proper medication at the age of 20. Or if medicines cured thyroid then how many years we will have to continuously consume medicines. Is it for lifetime for all the peoples .whether person is old or in youth stage.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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Depends on level of hormones and degree of control and what exactly is the cause of hyperthyroidism good luck.

Infertility - 4 Causes Behind It

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist
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Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes

  1. Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

  2. Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

  3. Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

  4. Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

Treatments

Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

  1. Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

  2. Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy).
Infertility - 4 Causes Behind It

Sir I am recently diagnosed has diabetes FBS=170, PPBS= 210, SO I will do regular exercise in gym so plzz help me in diet pattern. Daily I will go for gym. I will do regular skipping. So please help me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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Sir I am recently diagnosed has diabetes FBS=170, PPBS= 210, SO I will do regular exercise in gym so plzz help me in ...
Your current level of FBS indicates Diabetes. Hence you have to take medicines else your body organs can get damaged. However through proper diet control and exercise its possible to bring the levels down. Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour..>> Do at least 30-45 mins of exercise specially Cardio. Everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.

Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe for pridibatic person? please suggest. Thanx.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe...
Mr. lybrate-user, It is difficult to answer about how many grams of sugar and carbs to be eaten. Basically if one is in a pre-diabetes state, then over all caloric intake has to be restricted to meet the exact requirement based on - Ideal body weight X 25 calories per kg / day. In your case IBW should be around 60 kgs. So 60 X 25 cal /Kg = 1500 calories, that means your total dietary intake should be 1500 cals per day. It best to avoid sugar or jaggery or sweets in total. Honey is also similar to sugar, there is hardly any difference. It is supposed to give some additional anti-oxidents. But only a small quantity should be used. Complex carbs like whole grain products are best. Do not use maida, pasta, bakery items, junk foods, sugary aerated drinks, pastries etc. Avoid deep fried foods and fructose corn syrup containing products and highly processed packaged products. Consume more of green leafy vegetables and salads and fruits. Daily exercise of at least 1 hour is necessary. Thanks.

Madam I am 62 year old with type 2 diabetes from the last one year I used to 5 km daily and active is it advisable to take one banana with papaya after the meals and two chapati s in the night Regards Ramesh B R.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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Madam
I am 62 year old with type 2 diabetes from the last one year I used to 5 km daily and active is it advisable to...
A papaya and banana after a meal is too much. Take Banana only half. That too before meal. Not after..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.

I want to know the main symptoms of thyroid .which commonly seen in all thyroid all thyroid patents. And want to know something in detail about thyroid.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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lybrate-user, Thyroid is the normal gland present in all of us. It produces thyroxine hormone, essential for development & day to day functioning of brain, for all the vital metabolic activities in the body. Deficiency of the hormone causes hypothyroidism where patient experiences weight gain, tiredness, early fatigue, slow heart rate, dry skin. Dry hair and hair fall, irregular menstruation, infertility, joint pains, mood swings, depression etc. Hyperthyroidism causes loss of weight, anxiety, increased heart rate, palpitation, sleeplessness, etc. Getting a thyroid assay will help in knowing whether thyroid is functioning normally or not. Thanks.

It is beneficial to take IME 9 from kudus laboratory for diabetes patient Pls advice.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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It is beneficial to take IME 9 from kudus laboratory for diabetes patient
Pls advice.
Mr. lybrate-user, Diabetes mellitus needs to be treated with appropriate drugs belonging to modern medicine. The drug mentioned by you at best can be a supportive treatment. By itself it will not be able to control blood glucose. The claims made by those people are all unsubstantiated. There are no properly done clinical studies to support any of the claims. Thanks.

I am 29 years and I have diabetics for past 5 years. My doctor prescribed me Glycomet 500 mg one in the morning and one at night before food. May I know the difference in Glycomet 500 and Glycomet 500 S.R, which is the best and effective.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 29 years and I have diabetics for past 5 years. My doctor prescribed me Glycomet 500 mg one in the morning and o...
lybrate-user, Both Glycomet 500 mg and 500 mg SR tablets contain same medication Metformin 500 mg. The difference is SR has a formulation which releases the drug over 6 to 8 hours. One of the advantage claimed is SR tends to be better tolerated. Some patients complain of gastrointestinal side effects, then SR is advised. As regards drug action both are same. Thanks.

Suffering from thyroid for 3 years. Taking tablet thyronorm 50 mg. Latest test report shows TSH 0.005.what to do?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello, TSH level seems to be fairly low. If you are not having any symptoms, then you may continue the same dose. Then check TSh after another 8 weeks later, if it is still very low, then dose may be reduced by about a small fraction. Thanks.

How should I change my diet to reduce high uric acid level in blood without taking medicine.

MBBS, DFM, FID, M.MED, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease
General Physician
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How should I change my diet to reduce high uric acid level in blood without taking medicine.
Lower fat intake as excess fat reduces normal excretion of uric acid Liberal fluid intake to keep the urine dilute Restriction or elimination of alcohol What to avoid Shell fishes, red meat, mince meat, meat extracts, organ meats, fishes (sardine, roe, makeral). Whole pulses (masur, rajmah, chana, chole, etc.). Other dals are allowed Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple Diet rules Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable Remove the salt shaker from the table Avoid salted nuts/ biscuits, papads, pickles, chutneys Avoid excess consumption of processed and preserved foods; eg. Bakery products Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance Recommended foods Fresh cherries, strawberries, blueberries and other red-blue berries Bananas Celery Tomatoes Vegetables including cabbage and parsley Foods high in bromelain (pineapple) Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) Low-fat dairy products Complex carbohydrates (breads, cereals) Chocolate, cocoa Coffee, tea Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood. Therefore, rather than attempting to find foods that are free of purines and uric acid, it's important to know how to increase the body's alkalinity, which naturally reduces the body's acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.

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

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

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

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

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

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist
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Which are the fruits for which it is a BIG NO for type II diabetics patient with over all good sugar control [ HBA1C ...
Hello, Generally fruits like mangoes, bananas,grapes, chickoo,jackfruits, raisins,custardapple have slightly high level of sugars in them, but they can be enjoyed in moderation prescribed by a qualified dietitian. As all such fruits have very vital nutritional importance.
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