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Dr. D Killivalavan

MBBS, Fellowship in Diabetology

Endocrinologist, Chennai

9 Years Experience  ·  200 at clinic
Dr. D Killivalavan MBBS, Fellowship in Diabetology Endocrinologist, Chennai
9 Years Experience  ·  200 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. D Killivalavan
Dr. D Killivalavan is a popular Endocrinologist in Kilpauk, Chennai. He has helped numerous patients in his 9 years of experience as a Endocrinologist. He has completed MBBS, Fellowship in Diabetology . He is currently associated with Be Well Hospitals in Kilpauk, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. D Killivalavan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MBBS - Stanley Medical College & Hospital Chennai, - 2008
Fellowship in Diabetology - dr mgr university, - 2014
Languages spoken
English

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no15 bank street.kilpauk chennai-10, ChennaiChennai Get Directions
200 at clinic
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Just to give you a brief background, my father is 72 years old and a diabetic and has Hepatitis C and previously suffered a Diabetic stroke 2 years and had resultant some brain damage from which he made an almost full recovery. He was hospitalized then for a about 2 months and he could recollect all before and after the hospital stay. Recently it was identified that he has some blood clots in his brain and a clot removal surgery was recommended by the local doctors who referred us to another hospital in a another city. The neurosurgeons there have advised that as it currently stands the surgery poses a high risk of post surgery hemorrhage and to compound the problem, he is now highly anaemic. The doctors have advised that he undertakes treatment with clot dissolving medication for a few weeks and then check response to before we go in for surgery due to the risk factors. My father is experiencing intermittent loss of coordination and feeling numb on one side arm and leg which lasts for sometime and then he normalizes. Please could you kindly advise what our next course of action should be. We would highly value your thoughts on this and recommendations. An urgently reply would be greatly appreciated.

BHMS
Homeopath,
Just to give you a brief background, my father is 72 years old and a diabetic and has Hepatitis C and previously suff...
Dear lybrate-user, the clot which is present in your father's brain is responsible for the sudden numbness & loss of co-ordination of one side. Due to clot the blood supply to a certain part of brain is being ceased as a result the numbness is occuring. However, this ceasation of blood flow does not last for a long time & the blood flow agains starts within a short period. As a result your father normalizes after some time. Along with the medicines which your father are taking you can also give him homoeopathic mother tincture gingko bilova q, 30 drops, thrice daily, after meals, in a cup of water.
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I am 62 yrs old suffering from thyroid, diabilities and hbp. Last year I had pancreatic problem but more or less it is resolved. Can you suggest preventive treatment to control above all ?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 62 yrs old suffering from thyroid, diabilities and hbp. Last year I had pancreatic problem but more or less it i...
(1. Preventive treatment for thyroid:-a healthy diet, exercise, proper nutrition, and stress reduction can all minimize the chance of developing thyroid disease. (2). Preventivet treatment for diabetes:- 30 grams of protein at breakfast may help reduce glucose spikes, among type-2 diabetic adults. Olive oil may protect against diabetes (3). Preventive treatment for hypertension:-do exercise, loose weight, reduced salt intake, stop drinking alcohol, reduced stress, take nutrients, potassium, calcium, magnesium, fish oil, garlic. (4). Preventive treatment for pancreatitis;- you cannot completely prevent pancreatitis caused by gallstones. But you may be able to reduce your risk of forming gallstones by staying at a healthy weight with a balanced diet and regular exercise. For more information, see the topic gallstones. You can reduce your chance of having pancreatitis by not drinking alcohol excessively. The amount of alcohol needed to cause pancreatitis varies from one person to another. Generally, moderate consumption is considered no more than 2 alcoholic beverages a day for men and 1 a day for women and older people. Smoking may increase your chance of having pancreatitis.
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I am 54 years old male. I have recently discovered my sugar level has gone up to 200 but I was able to bring it down to 150 with exercise and diet control. My parents too had diabetes. I don't want to get hooked on to regular allopathic diabetes medicines. I can maintain any exercise and diet schedule however strict. Any remedy to stay healthy?

BHMS
Homeopath, Faridabad
I am 54 years old male. I have recently discovered my sugar level has gone up to 200 but I was able to bring it down ...
Hello, maintain the same diet schedule and exercises you are following and along with them you should take Sygyzium 1X, 2 tabs twice daily before meals.This is a Homoeopathic medicine and quite safe for you. Consult for further guidance if required.Take care , thank you.
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MBBS, DGO (cal)
General Physician,
Understanding Uric Acid and how to manage them.

Uric acid results from the breakdown of compounds known as purines in the body. Purines are both produced in the body and consumed through the diet. Normal values of uric acid in the blood range from 2.4 to 6.0 milligrams per deciliter for females and 3.4 to 7.0 milligrams per deciliter for males. Uric acid levels higher than 7.0 milligrams per deciliter in the blood can cause crystals to form and build up around joints, resulting in a painful form of arthritis known as gout. Many foods contain high levels of purines, and eating these foods can lead to high levels of uric acid in the blood.

Diet Tips for High Uric Acid Patients:
1. Lower fat intake as excess fat reduces normal excretion of uric acid.
2. Liberal fluid intake to keep the urine dilute and uric acid soluble to facilitate excretion by kidney.
3. Restriction or elimination of alcohol.

What to Avoid:
1. Shell fishes, red meat, mince meat, meat extracts, organ
meats, fishes (sardine, roe, makeral).
2. Whole pulses (masur, rajmah, chana, chole, etc.). Other dals
are allowed.
3. Vegetables and fruits - green peas, spinach, French beans,
brinjal, cauliflower, mushroom, chickoo, custard apple.

Diet Rules:
A. Use less salt while cooking. Avoid adding salt while cooking
rice or in chapatti dough.
B. Use adjuncts like tomato, vinegar, cocum, amchur, lime juice,
curd, pepper powder to make the food cooked with less salt
palatable.
C. Remove the salt shaker from the table.
D. Avoid salted nuts/ biscuits, papads, pickles, chutneys.
E. Avoid excess consumption of processed and preserved
foods; eg. Bakery products
F. Caution - Do not overdo on salt substitutes as that might
cause an electrolyte imbalance.

Recommended Foods:
a. Fresh cherries, strawberries, blueberries and other red-blue
berries
b. Bananas
c. Celery
d. Tomatoes
e. Vegetables including cabbage and parsley
f. Foods high in bromelain (pineapple)
g. Foods high in vitamin C (red cabbage, red bell peppers,
tangerines, mandarins, oranges, potatoes)
h. Low-fat dairy products
i. Complex carbohydrates (whole grain breads, cereals)
j. Chocolate, cocoa
k. 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.


Foods identified that lowers your Uric Acid

1. Water
Water flushes out toxins including excess uric acid from the body. Have at least 10- 12 glasses of water daily.

2. Cherries
Cherries have anti–inflammatory substances named anthocyanis that help reduce uric acid levels. It prevents the uric acid from crystallising and being deposited in the joints. Cherries also neutralise the acids and help prevent inflammation and pain. 200 gms per day is very effective in bringing down uric acid.

3. Apple
Malic acid in apple neutralises uric acid and thus provides relief to the sufferers. You should consume one apple daily after a meal.

4. Lime
The citric acid found in lime is a solvent of the uric acid .The juice of half a lime squeezed into a glass of water should be taken twice daily.

5. French bean Juice
Another effective home remedy for gout is French beans juice. The healthy juice can be consumed twice everyday for treating gout or high uric acid.

6. Celery seed
This is a popular home remedy to lower uric acid levels in the body. Have celery seeds extract to get best results.

7. Berries
Berries especially strawberries, and blueberries have anti-inflammatory properties so include them in your diet.

8. Apple Cider Vinegar
Drink apple cider vinegar. Add 3 teaspoons of vinegar to 8 ounces of water and have it 2-3 times every day to treat uric acid.

9. Pinto Beans
A diet rich in folic acid can help lower uric acid naturally. Folic acid rich foods like pinto beans, sunflower seeds and lentils should be included in your diet.

10. Vegetable Juices
Carrot juice in combination with beet and cucumber juice is also very effective. 100 ml each of beet juice and cucumber juice should be mixed with 300 ml carrot juice and taken daily.

11. Low fat dairy products
Low fat dairy products like milk, curd help lower uric acid level.

12. Foods rich in Vit C
Include Vitamin C rich foods and supplements in your daily diet to reduce uric acid in the body. It disintegrates uric acid and forces it out of the body through urine. Good sources of vitamin C are Awla, Guava, Kiwi, Sweet lime, oranges, capsicum, lemon, tomato and green leafy veg.

13. High-fiber foods
According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol , Oats, Broccoli, apples, oranges, pears, strawberries, blueberries, cucumbers, celery, and carrots, barley.

14. Bananas
Bananas are also beneficial in lowering uric acid.A banana-only diet, consisting of eight or nine bananas per day for three or four days, may alleviate the swelling and inflammation of joints caused by gout or other forms of arthritis more rapidly.

15. Green tea
Consume green tea on a regular basis to control hyperuricemia (high uric acid levels) and lower your risk of developing gout.

16. Grains
Eating grains that are more alkaline such as jowar, bajra are helpful to reduce the level of uric acid in the body.

17. Tomatoes, broccoli, and cucumbers
Tomatoes, broccoli, and cucumbers are some of the veggies that you need to start including in your meals. Tomatoes are one of the best vegetables that you could have for lowering uric acid. Fresh tomato is alkaline by nature and when it is exposed to the blood stream it increases the alkalinity of the blood.

18. Dark Chocolate, cocoa
Theobromine is an alkaloid that is similar in structure to caffeine. It is found mainly in the cocoa bean and is at the highest levels in dark chocolates. Theobromine also can relax the bronchial muscles of the lungs and according to a small study, was more effective than codeine in relieving coughing. According to Dr. Shmuel Halevi at Acumedico.com, theobromine has the highest concentration of uric acid per gram of food than any other substance”, as reported by Livestrong.

19. Raw vegetables
Raw vegetables like potatoes or corns are effective to reduce uric acid in the body. Have them raw or steam these vegetables.

20. Omega-3
Essential fat Omega 3 from flaxseeds, walnuts, fishes like salmon, herring, mackerel, sardines reduces inflammation and swelling



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My wife is thyroid patient. Her blood test result T3 - 1.41 T4- 8.81 T. S. H- 0.53 She is taking tyrox 100 mg We got married just four months before. Now we want a child. So is there any problem for her in getting pregnancy at this time. Is there any problem in 100 mg? Can it cause abortion? Medicine was prescribed by a doctor. She is losing her hair also. Please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is thyroid patient. Her blood test result
T3 - 1.41
T4- 8.81
T. S. H- 0.53
She is taking tyrox 100 mg
We got ...
Hello, her tsh level which is 0.53 milli units/l is with in the recommended level (by american thyroid assocn), for conception. Before conception it is better to have tsh between 0.1 to 2 milli units and even during first trimester. Later 2nd trimeste it should be 0.3 to 3 mill uits and 3rd trimester 0.3 to 3.5 milli units/l. So my suggestion is you can go ahead and try for pregnancy. Hair fall is usually the last thing to get corrected once hypothyroidism comes in control. There is no need to reduce the dose of thyroxine 100 mcg now. May be post delivery you can look at that. Thanks for the question.
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I am sixty years old male have diabetes. My sugar label does not come down below 200. I take pio plus 2' two times a day, amaryl 2 two times a day and telvas H one time a day, kindly advise suitably. than.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am sixty years old male have diabetes. My sugar label does not come down below 200. I take pio plus 2' two times a ...
Take diabetic diet. Do regular exercises. Take multi vitamin tabs one daily for one month. Do HbA1c, informe report.
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Taking bcaa during workout cause any problem like diabetes or any other serious conditions .as am using regular gym .for 2 hr and jogging.

MBBS, DPHA, DPH, PGDHHM, MBA (Healthcare), Fellow in Diabetes
General Physician, Gandhidham
Taking bcaa during workout cause any problem like diabetes or any other serious conditions .as am using regular gym ....
Dear Sir BCAA may not cause diabetes but may lead to Poor brain function related to liver disease. Mania. Muscle breakdown. Movement disorder called tardive dyskinesia. Regards.
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Grr I am diabetic for the last six years. I do not take any medicine. I go to gym on alternative days. Is this sufficient to keep me healthy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Grr
I am diabetic for the last six years. I do not take any medicine. I go to gym on alternative days. Is this suffic...
Dear lybrate-user, if your blood sugar level is under controlled with your current lifestyle, there is no need to take any medicines. Diabetes is a lifestyle disease. So the best treatment is to maintain good diet and lifestyle accordingly. Just keep one thing in mind that your should be regularly monitoring your blood sugar. The most reliable test for monitoring is hba1c (shows the average bs for last three months) and if constantly it is maintained at around/ below 6.5, no need to get worried. Also at least once a year get your diabetic profile done from any reliable path lab so that any complication could be checked before time. Along with exercise focus on diet too. Frequent meals (every two hours) in small quantities is basic rule for diabetics. Keep your mind relaxed and cool. Do meditation, pranayam. Hope this would help you out. Thanks.
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Sir very good morning sir my mom have sugar so please tell me sir what to eating so please tell me sit.

MBBS
General Physician, Cuttack
Sir very good morning sir my mom have sugar so please tell me sir what to eating so please tell me sit.
1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat. Take fish/chicken. 5. Avoid alcohol and carbonated drinks like soft drink, include more fiber in the diet like pulse/green leafy vegetables, legume 6. Adhere to a proper diabetic diet after consulting dietitian.
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I am Having thyroide problem last 3 year. I using thirox-100mg tablet. Kindly give me best treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am Having thyroide problem last 3 year. I using thirox-100mg tablet. Kindly give me best treatment.
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid bad habits . Avoid stress. Take Some Relax during work. Take treatment for hypothyroidism :- tab. THYROXINE is used in hypothyroidism. And dose are according to level of thyroid for life time. Do Tests thyroid profile every 3 to 6 months. And consult doctor regular on time. pl. give me details of reports after that i can help you.
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I am diagnosed sugar on 3/8/2016. My age is 43. I feel very low mentally. Since then I am taking boiled food. But not taking any medicine. Kindly guide me or recommend me medicine which has no side effects.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Madurai
I am diagnosed sugar on 3/8/2016. My age is 43. I feel very low mentally. Since then I am taking boiled food. But not...
India is the capital for diabetes mellitus (sugar) in the world. So no need to be shocked or worried about it. It is only a metabilic disorder. If you understand it in a scientific way and modify your lifestyle accordingly, it is no more a problem. The disease can not be cured. But can be kept under control and escape from its ill effects by obeying the following 3 mantras; 1. Proer diet 2. Brisk walking everyday for 50 minutes at a stretch 3. Taking tablets prescribed by a qualified doctor and fllow-up periodically. When compared to the ill effects of uncontrolled blood sugar for a prolonged period, the side-effects of antidiabetic drugs are very very negligible. Moreover, the recent antidiabetic medicines are safer than the older ones. Get an appointment of a diabetologist immediately.
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How often should I visit a doctor for checkups in order to stay as healthy as possible and avoid diabetic complications? And I have a family history ofheart attacked/orstroke. Will my diabetes put meat greater risk for those problems?

MBBS
General Physician, Cuttack
How often should I visit a doctor for checkups in order to stay as healthy as possible and avoid diabetic complicatio...
You must do your blood sugar test three monthly and consult doctor.Diabetes is a risk factor for stroke and heart disease
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I am 45 years old and have BP diabetic and have undergone angioplasty in 2011. I have been jobless last 10 years and small businesses I have tried my hand have failed miserably. I drink alcohol like crazy till I fall when I am too depressed. I am contemplating divorce as well as my wife of almost 20 years has started accusing me of nonsense. My father had committed suicide 5 years ago and my mother sold my ancestral property and vanished in thin air. What to do.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 45 years old and have BP diabetic and have undergone angioplasty in 2011. I have been jobless last 10 years and ...
From what you describe, it appears like that even though you have a medical problem which you have barely fixed you continue to test your health in obviously dangerous ways. This is an indication that you do not comply with healthy ways and much more can be read from that. Now, whether the problems came first or your irresponsible behavior caused these health problems may be a contentious point. From this, I can garner that you may be contributing to the conflict with your wife to a large extent, after so many years of marriage, and now pushing for a divorce that may add more to your misery. With your father having committed suicide, which incidentally can run in families, you need to be very responsible about various things. My advice is that you drop the idea of divorce and sort out the differences with your wife together with the help of a marriage counselor, immediately. Then you must give up your drinking habit and if need be, admit yourself in a rehabilitation center to resolve that. You must get into a health regimen that will ensure good health and longevity. You must also look at getting some employment since the business deals failed ( I do not know how much of that was due to your attitude). Please take serious note of my suggestions even if it upsets you and take concrete action steps to reduce the stressful life you are leading right now. They have only one outcome if you continued to persist with it: total ruin and destruction that need not be named.
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Hi I am a diabetic n under insulin control. I need to take 20 ml of insulin injections twice a day. The area of insulin insertion has become hard n black due to daily intake of insulin injections. Kindly tell me is it a cause for concern in d long run n how to avoid dis.

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
Hi I am a diabetic n under insulin control. I need to take 20 ml of insulin injections twice a day. The area of insul...
Hi you r a diabetic. Your injection site is not healthy. You need to follow a proper rotation technique for injection. Not at the same site always. The area you are referring need to be left for few days without injection. It will improve on its own. Take care.
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I am a diabetic and suffering from varicose veins and my legs are always painful and stiff. Sole of the feet is also stiff and painful This is a description of a patient.

Physiotherapist, Gandhinagar
I am a diabetic and suffering from varicose veins and my legs are always painful and stiff. Sole of the feet is also ...
Hello sir, I agreed with the lybrate-user. Kalyani's advice but I want to add one more important point in that and thats 1) try to avoid long standing position as much as possible 2) use the compession stockings 3) use the pneumetic compressive therapy if available at your near by physio centre.
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I have TSH level >100 last week, my physician advised me thyrome 100 /day, some symptoms like puffy face, weight gain stopped but still have some sign of puffy face, so need to know that is he really good going or not?

MBBS, MD
General Physician, Bangalore
Take your medications regularly. If you have started treatment now visit one after 21 days with ft4 and tsh levls then after 3months with same tests.
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Is it ok to take one tea spoon of honey with hot water and lemon for diabetic patient?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is it ok to take one tea spoon of honey with hot water and lemon for diabetic patient?
if your blood sugar is in excellent control with fasting near 100 mg, pp 150 to 160 mg/100 ml and hba1c%<7, then you may take one to two spoons of honey if you feel so. But remember honey is just like sugar with same composition of glucose+ fructose, plus it is supposed to have some antioxidants and vitamins. But it will definitely increase blood sugar. Thanks for the question.
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I am 42 years old. And I m suffering from sugar last 2 months like fasting 250 and pp 460 so, please give me right advice about sugar.

MBBS
General Physician, Cuttack
I am 42 years old. And I m suffering from sugar last 2 months like fasting 250 and pp 460 so, please give me right ad...
Your blood sugar is very high. Consult physician immediately with blood report. Follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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My age 38 year comes to know before 2 months that i am diabitic. There is lot of pain in my both legs at night.What is the reason ?

Vaidya Visharad
Ayurveda, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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I am Diabatic since 20 years i take allopathy but now my sugar level is going above 160 fasting.

MD - Medicine, MBBS
Endocrinologist, Delhi
Get your HbA1c test done.Diet control and regular physical activity is must.Visit your doctor regularly.
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