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Dr. Ajay Mian

Diabetologist, New Delhi

700 at clinic
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Dr. Ajay Mian Diabetologist, New Delhi
700 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Dr. Ajay Mian is an experienced Diabetologist in Pitampura, Delhi. You can consult Dr. Ajay Mian at Ajay Mian in Pitampura, Delhi. Save your time and book an appointment online with Dr. Ajay Mian on Lybrate.com.

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Ajay Mian

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700 at clinic
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Diabetes - Can It Affect Your Kidneys?

MBBS, CCEBDM
Diabetologist, Bangalore
Diabetes - Can It Affect Your Kidneys?

Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.

When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.

A few features of this disorder are as follows:

  1. The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
  2. Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
  3. A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.

In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results. If you wish to discuss about any specific problem, you can ask a free question.

4047 people found this helpful

*My parents are suffering from diabetes could they eat jaggery or Shakkar? *Is there any homemade remedy to cure diabetes if we don't want to take medicines?

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
*My parents are suffering from diabetes could they eat jaggery or Shakkar? *Is there any homemade remedy to cure diab...
They can't eat jaggary. With diet and exercise you can control diabetes for some time, but not permanently. They have to be on medicenes after some time.
10 people found this helpful
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I am a 72 yrs old male diabetic since 20 years, my diabetes is under control with medication and insulin injections. But I am having diabetic peripheral neuropathy and find it difficult to walk due to imbalance and foot pain. Is there any medicines for dpn.

BAMS
Ayurveda, Kolkata
You are still young, imbalance due to age factor still you take some kind of multivitamin for weakness and try to use joint pain killer (ayurvedic) to reduce pain and take support of calcium, that's it. Hope for your long life.
1 person found this helpful
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Can we avoid consuming tabs for diabetics if we exercise regularly. I am at brim stage of diabetics. My blood sugar while fasting was 111.

BHMS
Homeopath, Chennai
Can we avoid consuming tabs for diabetics if we exercise regularly. I am at brim stage of diabetics. My blood sugar w...
Diabetes is a condition wherein the endocrine function of the pancreas has reduced. That is insulin secretion is reduced. So maintaining a good control is about substituting the deficient insulin, controlling and regulating diet to avoid glucose overload - whether the insulin will feel overwhelmed and lastly keep up body activity to avoid excess storage of extra glucose. But thats all about maintaining - that problem is consistently present and so is your treatment. Coming out of treatment regimen - however - possible only if the original cause of the problem rectified - i. E. Insulin secretion maintained or increased. Hence, medicines can be tapered and may be finally stopped if the pancreas is able to resume secretion of insulin at normal ranges
3 people found this helpful
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My dad has diabetes since 20 yrs. And right eye was block due to this diabetes will it infect to another eye also?

MBBS
General Physician, Mumbai
My dad has diabetes since 20 yrs. And right eye was block due to this diabetes will it infect to another eye also?
We need to control his vital parameters of the body and if it is well under control than we have to assume that his other eye will not be affected
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I am a diabetes patient. And I wanna loose my weight. How can I loose weight and to low my diabetes. It is creating too much problems in my daily life. How can I make it better? I am in stress and tension also.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am a diabetes patient. And I wanna loose my weight. How can I loose weight and to low my diabetes. It is creating t...
Dear Lybrate User, *Avoid oily, maida, dry, junk foods. *Physical exercise like brisk walking, jogging, swimming, cycling will helps a lot to burn fat and active. *Practice yoga, breathing exercise.
1 person found this helpful
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I am 67 years old. I am pre-diabetic with latest reading as fasting 110 and pp as 125. I am on a medicine course of glacifeg 850. I also have occassional bouts of uric acid problem when there is acute pain in the joint of a toe thumb. Do I need to continue with the medicine or can I try to manage it through lifestyle and diet.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
A high uric acid level is considered a risk factor for developing diabetes. In addition, you have blood sugar levels in the pre-diabetic range. Continue glyciphage (metformin). You might need to add febuxostat. Get your diabetologist's advice. By the way, how is your kidney function?
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I am 40 & my wife 34, both have diabetic. My second child son 10 months old have less weight. But he is very active. Since we both have diabetic, whether any problem in growth of my son. How to increase his weight. Please give which food will increase his weight for normal growth.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dont worry about your child. He is perfectly all right. Just give him any normal diet of his age, nothing specific. Like mashed bananas, curd, cerelac, mashed apple, papaya. To name a few.
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I am sugar patient. I am 41 years old and I am suffering from past 6 years. please help me to keep it under control?

MBBS, Diploma in cosmetology, Cc USG
General Physician, Gurgaon
I am sugar patient. I am 41 years old and I am suffering from past 6 years. please help me to keep it under control?
Hello, I am giving you Management of Diabetes that include Diet, physical exercise, and medications 1.Food if you have diabetes, you need to know how foods affect your blood sugar levels. It's not only the type of food you eat but also how much you eat and the combinations of food types you eat. Learn about carbohydrate counting and portion sizes. A key to many diabetes management plans is learning how to count carbohydrates. Carbohydrates are the foods that often have the biggest impact on your blood sugar levels. Use measuring cups or a scale to ensure proper portion size and an accurate carbohydrate count. Make every meal well-balanced every meal to have a good mix of starches, fruits and vegetables, proteins, and fats. Some carbohydrates, such as fruits, vegetables and whole grains, are better for you than are others. These foods are low in carbohydrates and contain fiber that helps keep your blood sugar levels more stable. Coordinate your meals and medications. Too little food in proportion to your diabetes medications — especially insulin — may result in dangerously low blood sugar (hypoglycemia). Too much food may cause your blood sugar level to climb too high (hyperglycemia). Avoid sugar-sweetened beverages. Sugar-sweetened beverages The exception is if you are experiencing a low blood sugar level. Sugar-sweetened beverages, such as soda, juice and sports drinks, can be used as an effective treatment for quickly raising blood sugar that is too low. Exercise Physical activity is another important part of your diabetes management plan. When you exercise, your muscles use sugar (glucose) for energy. Regular physical activity also helps your body use insulin more efficiently. These factors work together to lower your blood sugar level. In general, most adults should exercise at least 30 minutes a day on most days of the week. Keep an exercise schedule. Talk to your doctor about the best time of day for you to exercise so that your workout routine is coordinated with your meal and medication schedules. Check your blood sugar level. Check your blood sugar level before, during and after exercise. Medication Insulin and other diabetes medications are designed to lower your blood sugar levels when diet and exercise alone aren't sufficient for managing diabetes.
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