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Jha Clinic

Endocrinologist Clinic

Sector 14 Extension, Rohini. Landmark:Near Madhuban Chowk, Delhi Delhi
1 Doctor
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Jha Clinic Endocrinologist Clinic Sector 14 Extension, Rohini. Landmark:Near Madhuban Chowk, Delhi Delhi
1 Doctor
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Jha Clinic
Jha Clinic is known for housing experienced Endocrinologists. Dr. Ajay Aggarwal, a well-reputed Endocrinologist, practices in Delhi. Visit this medical health centre for Endocrinologists recommended by 60 patients.

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TUE, FRI
10:00 AM - 12:00 PM

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Sector 14 Extension, Rohini. Landmark:Near Madhuban Chowk, Delhi
Rohini Delhi, Delhi
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What is proinsulin test? Does having high home index a concern? My home index was 7.5 and insulin was 55 (fasting) doctor started on metformin 500 mg two time and lipaglyn 4 mg,

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is proinsulin test? Does having high home index a concern? My home index was 7.5 and insulin was 55 (fasting) do...
Mr. lybrate-user, Thanks for the query. The test is to measure level of insulin secretion and resistance to its action. Not really needed in routine treatment. Most important is your fasting, PP glucose levels & HbA1c% are more relevant for initiating the treatment. Plus diet control plus exercise which play equally importnat role in controlling blood glucose levels. Thanks.
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Sir, I am pure vegetarian and don't have any type of addiction I am suffering from hypothyroidism and I am some what depressed from day.

MD - Psychiatry
Psychiatrist, Chennai
Sir, I am pure vegetarian and don't have any type of addiction I am suffering from hypothyroidism and I am some what ...
Hypothyroidism can produce depressive symptoms. If the depressive symptoms persist after thyroid hormones are corrected, you need to consult a psychiatrist and take treatment for depression as well. All the best.
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Mujhe last 9 years se sugar h main gluconorm g4 forte le rha hoon kya ye sahi hai?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Mujhe last 9 years se sugar h main gluconorm g4 forte le rha hoon kya ye sahi hai?
Agar aapki Sugar levels controlled hai - to yeh sahi hai! Nahi to aapko test karana chahiye aur apni dawa ko change karana chahiye.
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Gestational Diabetes

MBBS, DGO, MRCOG
Gynaecologist, Mumbai
Gestational Diabetes

Gestational diabetes is also known as Gestational Diabetes Mellitus(GDM). It is a prevalent disorder which affects pregnant women and the main cause of this condition is the imbalance in the functioning of the insulin, which mainly happens due to the presence of human placental lactogen. Expecting mothers show a rise in their blood sugar level, especially during the last trimester of their pregnancy. Women who do not have a medical history of diabetes can also be affected with this condition.

Prominent symptoms of gestational pregnancy include:

Gestational diabetes does not have any prominent symptoms; it can only be diagnosed through proper and professional screening of blood sugar level. You should immediately consult a doctor if you have any of the following symptoms:

  1. Increased level of blood sugar
  2. Trouble to concentrate
  3. Recurrent headaches
  4. Increased thirst
  5. Blurry vision
  6. Sudden weight loss
  7. Anxiety
  8. Dizziness
  9. Pangs of hunger
  10. Pale skin and dry skin
  11. Excessive sweating
  12. Persistent weakness

How can you manage gestational diabetes?
Modification of lifestyle pattern, healthy food habits and moderate physical exercise can help minimize the risk of gestational diabetes in expecting mothers.
In order to manage gestational diabetes, the following things should be followed:

  1. The treatment when accompanied with balanced diet and routine exercises, reduces the occurrence of health problems in both mother and child.
  2. A routine screening for type ii diabetes should be conducted throughout the pregnancy, to ensure early detection and treatment of the same.
  3. A diet rich in fiber and whole grains minimizes the risk of diabetes in pregnancy, fresh fruits and vegetables are also known to check the blood sugar level in expecting mother, minimizing the occurrence of the health problem in both mother and child.
  4. Giving up the use of cigarettes and other forms of tobacco may reduce the chances of gestational diabetes in female smokers.

How Does Gestational Diabetes affect Pregnancy?

Gestational diabetes is harmful to both the expecting mother and the child. It increases the risk of complications in pregnancy that can prove to be fatal. Potential risks of gestational diabetes in pregnancy include:

  1. Preterm birth
  2. Increased risk of needing a C-section
  3. Miscarriage
  4. Preeclampsia and high blood pressure
1 person found this helpful

Diabetes - 3 Ways It Impacts Male Sexual Health

MD - Physician
Sexologist, Coimbatore
Diabetes - 3 Ways It Impacts Male Sexual Health

Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost all body systems. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

Listed below are issues diabetic men and women face in terms of sexual health:

In Men:

1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.

2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

In Women:

1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes, and therefore, there is a definite decline in the urge.

2. The above-mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.

3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.

Type diabetes

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मूझे काफी टाइम से थ्रोइड प्रॉब्लम है जिसके कारण मुझे हेयर फॉल रहने लगा है मेरे हेयर बहुत पतले होने लगे है हाथ लगते ही बाल गिरने लगते है नहाते वक्त ओर आयल लगते वक़्त हर रोज 20-30 हेयर गिर जाते है में न्यूट्रिसिशन में ओमेगा जेल उपयोग में लेता हूं

BHMS
Homeopath, Secunderabad
मूझे काफी टाइम से थ्रोइड प्रॉब्लम है जिसके कारण मुझे हेयर फॉल रहने लगा है मेरे हेयर बहुत पतले होने लगे है हाथ लगते ही...
Please ensure that you take the thyroid treatment properly and go for regular health check ups along with the basic tests. It is also important for you to change your habits and bring in a disciplined and healthy lifestyle into your routine. Eat only healthy food (homemade food is more preferable along with fruits and vegetables everday ). Avoid tobacco and alcohol and any other stimulants. Later you can add Homeopathy if the hairfall and dandruff does not stop. You can contact me or chat online with me for further clarification.
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I am 77 years old male having ppbs 265 & fasting sugar 148. Can a herbal remedy lower the levels, if yes--please give me the details.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 77 years old male having ppbs 265 & fasting sugar 148. Can a herbal remedy lower the levels, if yes--please give...
Mr. lybrate-userThanks for the query. The blood glucose levels mentioned are too high. To control these one would need anti-diabetic drugs from modern medicine. Herbals and other drugs will not be able to control the glucose levels. Thanks.
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Hi my father is taking amaryl m2 nd his sugar is not being controlled fasting is 330 aftr food 450 he went to various Dr. but still not. Controlling pls help me he has lost too. Mch weight he is suffering sugar from past 15 years nd I feel that medicines has stopped working before this ine Dr. prescribed strong medication with metformin 1000 mg which makes him unwell but now another Dr. gave 500 mg pls tell me I want good diabetologist who can solve my problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my father is taking amaryl m2 nd his sugar is not being controlled fasting is 330 aftr food 450 he went to various...
lybrate-user, Thanks for the query. The blood glucose levels mentioned are too high, which show that present medical treatment is not at all helping him. There has to be an up gradation of treatment. If you want me to guide in relation to treatment, diet and exercise, I I need to know following details: Fasting, PP blood glucose levels, HbA1c%, current drugs with dosage, dietary pattern, extent of daily exercise, lipid profile and BP readings. It would be better if you come in a private conversation (paid consultation) with all the above details, then I will be able to help and even prescribe and we can set up a follow up pattern. Thanks.
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My HbA1c is 7.1 what should I do? I have no diabetes history in my family. What should I do?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
My HbA1c is 7.1 what should I do? I have no diabetes history in my family. What should I do?
1.Reduce Carbs, sugar and oil in food. 2. Do daily exercise for 45 mins 3. Reduce stress, do meditation. 4. Visit a physician for .medical advice/ medicines etc. 5.Please mention Fasting /PP sugar for better advice.
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I am 47 year old, Suffering from Sugar since December 2009, in recent test, My sugar Level is 274 in Fasting and PP is 327.

Bachelor Of Medicine & Bachelor Of Surgery
General Physician, Delhi
I am 47 year old, Suffering from Sugar since December 2009, in recent test, My sugar Level is 274 in Fasting and PP i...
Hello, Do a HBa1c test to determine the blood sugar control for past 3 months. You have to do stringent blood sugar control and proper diet and exercise and weight control.
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Diabetes - 5 Tips To Control It!

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Diabetes - 5 Tips To Control It!

Diabetes is a lifestyle disease that can easily be managed by controlling our diet. Along with being aware of your sugar intake, your diet should help you lower blood pressure and cholesterol levels. However, this does not mean you have to resign yourself to a lifetime of tasteless food.

Here are a few diet tips that can help manage diabetes: 

  1. Choose high fiber carbohydrates: Carbohydrates are an essential element of the daily diet but have a huge impact on blood sugar levels. Hence, it is important to pick the right carbohydrates. Your diet should have a limited amount of refined carbohydrates such as white bread, pasta, soda etc. and should be focused more on high fiber carbohydrates such as brown rice, sweet potatoes, rolled oats and bran flakes that are digested slowly. This prevents your body from producing excessive insulin.
  2. Be sweet smart: The key to indulge your sweet tooth and controlling diabetes is moderation. Abruptly, removing sugar from your diet can make you crave for it. Instead, gradually lower your sugar intake. If you can't miss out on the dessert at the end of a meal, reduce the amount of carbohydrates in your meal. Adding healthy fats like peanut butter, yogurt or nuts to your dessert can also slow down the digestive process and thus control blood sugar level.
  3. Keep a food diary: When you are diabetic, it is very important to eat at regular intervals. Eating frequent, small meals are often better than fewer large meals. Try and maintain a food diary to keep track of your calorie intake. This helps identify problem areas of where your body is getting excessive calories from. When you are aware of the calories associated with things you eat, it is easier to cut down on snacks and replace unhealthy snacks with healthier options.
  4. Choose fats wisely: It is impossible to completely cut out fats from your diet. While some fats such as liquid vegetable oils and commercial baked goods are unhealthy, others have important health benefits. Unsaturated fats are the healthiest and safest. Replacing your vegetable cooking oil for olive oil and biscuits with nuts are easy ways to make smart choices with your fat intake.
  5. Go green: Green leafy vegetables are low on carbohydrates and high on nutrients. Thus, make them an integral part of your meal. Vegetables like kale, spinach, lettuce, etc. can be eaten raw or cooked. Along with being nutritious, they also add texture and color to your meals, thus making them more visually appealing.
5 people found this helpful

Prevent Diabetes with Lifestyle Changes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Prevent Diabetes with Lifestyle Changes!

Diabetes is a metabolic disorder that results in high blood sugar levels in the body. It basically means that the body is either insensitive to insulin or the insulin production levels in the body go down. The various symptoms of diabetes are blurred vision, weight loss and hunger.

Some other symptoms of diabetes are

  1. Excessive urine output
  2. Wounds that take time to heal
  3. Yeast infections
  4. You may experience fatigue on a regular basis
  5. Frequent Mood Changes

Diabetes is also known as a Lifestyle disease. From the food you eat to the amount of activity, they are all connected to diabetes prevention. The various modifications that you may carry out to prevent diabetes are:

1. Exercise

You should exercise on a regular basis as it increases your overall wellbeing. It helps you to lose weight and allows you to maintain optimal blood sugar levels. It can also improve your body's sensitivity to insulin to prevent blood sugar problems. Exercise helps in increasing endorphin levels in the body which are responsible for keeping you happy & satiated, thereby avoiding depression and over-eating.

2. Eat more whole grains

Unlike simple carbohydrates, whole grains are complex carbohydrates that raise your blood sugar steadily instead of spiking it suddenly. Avoid refined grains as most of the important nutrients are stripped from refined grains. A Well-balanced diet with adequate amounts of PUFA/MUFA help in increasing the insulin sensitivity, reducing cholesterol and heart problems, etc.

3. Eat a lot of fiber

If you have type 2 diabetes, you should be, including high-fiber foods in your diet is a healthy way to control high blood sugar. Fiber does not raise blood glucose levels. Because it is not broken down by the body, the fiber in an apple or a slice of whole grain bread has no effect on blood glucose levels because it isn't digested. The grams of fiber can actually be subtracted from the total grams of carb you are eating if you are using carbohydrate counting for meal planning. Fiber helps you in feeling satiated, thus prevents you from overeating. It also improves your blood sugar levels and decreases your chances of getting affected by heart disease.

4. Lose weight

You should aim to maintain a healthy weight level as it also decreases the risk of diabetes. It also helps in improving your cardiovascular health. Follow a regimen, which is based on a balanced diet and moderate amount of exercise. Losing weight is the best way to keep diabetes away. Weight is something that we can keep under control. The waist size of men and women should not be more than 150 cm and 90 cm respectively. Always maintain your ideal body weight as per your BMI (Body Mass Index). Globally, obesity is one of the leading causes of diabetes.

5. Avoid sugary drinks

With ten teaspoons of sugar in every 12-ounce can or bottle, sweet drinks can send your blood sugar soaring and boost your risk for weight gain, high blood pressure, stroke, and heart disease. One sugary drink a day adds 150 empty calories and 40 to 50 grams of blood-sugar-raising carbohydrates to your diet, and can lead to a weight gain of 15 pounds per year. Switching to healthier drinks can save hundreds of calories and a lot of carbohydrates.

6. Avoid Stress

When you are stressed, your blood sugar levels rise. Stress hormones like epinephrine and cortisol kick in since one of their major functions is to raise blood sugar to help boost energy when it's needed most. You can't fight danger when your blood sugar is low, so it rises to help meet the challenge. Both physical and emotional stress can prompt an increase in these hormones, resulting in an increase in blood sugars and diabetes. Ensuring a stress-free life is very important if you want to stay away from diabetes. Avoid stress by going out for garden-walks, indulging in social causes/activities, yoga, meditation, etc.

type diabetes

6 people found this helpful

Hypothyroidism - Ways Homeopathy Can Help You!

BHMS, MD - Homeopathy
Homeopath, Delhi
Hypothyroidism - Ways Homeopathy Can Help You!

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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Hello Sir I have 168 as fasting sugar and 238 as post prandial sugar do I need to take medicines or can I do exercise and food control I want to avoid medicines.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Sir I have 168 as fasting sugar and 238 as post prandial sugar do I need to take medicines or can I do exercise...
Mr. lybrate-user, Thanks for the query. Fasting 168 mg (very high) & PP 238 mg both are suggestive of presence of uncontrolled diabetes. In such a situation drug treatment is essential plus diet control and regular exercise to control weight and burn extra glucose also is needed. Once diabetes is confirmed, then it is rather impossible to control it with only exercise and dist. That is possible in pre-diabetic state. My suggestion is please initiate appropriate treatment without any delay. If you are looking for online guidance, then come with following details: Fasting, Pp (current), HbA1c%, dietary pattern, extent of daily exercise, weight & height, then I will be able to give specific guidance. Thanks.
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Diabetic Nephropathy - Ways That Can Help You Manage It!

MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Diabetic Nephropathy - Ways That Can Help You Manage It!

Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.

What Causes Diabetic Nephropathy?

Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.

Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-

  1. Smoking

  2. Poor control of blood glucose

  3. High blood pressure

  4. History of kidney diseases

What are the symptoms of diabetic nephropathy?

In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-

  1. Severe malaise

  2. Headaches

  3. Nausea

  4. Lack of appetite

  5. Frequent voiding

  6. Itchiness of skin

  7. General feeling of illness

Diagnostic tests that can confirm diabetic nephropathy are-

Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-

  1. Blood pressure

  2. Cholesterol levels in your blood

How can you treat/ manage diabetic nephropathy?

If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-

  1. Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.

  2. Glycemic Control: Monitor your blood glucose levels regularly

  3. Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body

  4. Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.

2 people found this helpful

If anyone with hypo thyroidism maintain his tsh level within 4, then after long time does it affect his memory or brain power? I want to know whether it is possible to keep one's memory and intelligence level unaffected by maintaining tsh level even after the diagnosis of hypothyroidism? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If anyone with hypo thyroidism maintain his tsh level within 4, then after long time does it affect his memory or bra...
Mr. lybrate-user, Thanks for the query. When thyroid function is normalised or if adequate thyroxine hormone supplemented, then there is no adverse effect on brain function. Thnanks.
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I have a longer menstrual cycle almost 35-40 days cycle. I had my last menstrual period on August 6th. I'm pregnant. So till date the pregnancy should be 11 weeks but in the ultrasound scan it is measuring to be only 6 weeks with a sac and no heartbeat. Adding to this I have hypothyroidism for which I'm taking medication. What could be the reason the pregnancy is measuring less in age please? Or is it normal to people who have irregular or longer cycle of menstruation? I didn't have any cramping or bleeding till now. Kindly suggest on this. I'm worried. Also on 30th September the gestational sac measured 1.4 cm and then on 6th October it measured 1.6 cm. Had my HCG blood test done and it is around 27829.2 mIU/ml which is in the range expected for 6-8 weeks pregnant.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have a longer menstrual cycle almost 35-40 days cycle. I had my last menstrual period on August 6th. I'm pregnant. ...
you may show heart beat later since periods were always delayed, accordingly ovulation would have been later than expected 14 th day of cycle reason for small for date fetus another reason can be due to medicines for low thyroid which increases the metabolic rate to the extent that the baby gets affected inversely and stops growing. thyroid medicines should be avoided during first three months and given later with caution depending upon levels of thyroid hormone circulating in the blood good for you that hcg levels are good get tested again rising levels of hcg hormone indicate a growing fetus
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What diet is best for diabetic patients? What fruits are best for dietetic patients?

MBBS, MD
Endocrinologist, Delhi
What diet is best for diabetic patients?
What fruits are best for dietetic patients?
A diabetic person should avoid sweets, sugar,jaggery, honey,sweet fruits like mangoe, grapes,cheekoo, banana etc. He can take papaya, guava,khomani, kivi,jamun, apple etc in moderation.
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