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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.
More about Dr. Ajay Mian
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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I am type 2 diabetic, my last a1c number approx 4 months ago was 6.0 home testing 1 hour ago showed a post meal blood sugar of 8.4, I became severely dehydrated and overwhelmed by heat at work today leading to excessive sweating, nausea and dizziness, I now have a sour taste in my mouth and my breath smells fruity, I looked up the symptoms online and it looks like I am experiencing ketosis, what I need to know is do I need to go to my local hospital asap or can I wait and see my family doctor.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I am type 2 diabetic, my last a1c number approx 4 months ago was 6.0 home testing 1 hour ago showed a post meal blood...
Diabetes is a lifestyle disease completely reversible with diet and life style changes. I think your blood sugar of 8.4 is fine .May be there may be other factors involved like not hydrating yourself adequately or may be some medication I s causing the problem. It is very difficult to tell without knowing the medicines you are taking ,your diet history any supplements you take, how much fibre you take your stress levels at work ,home etc your sleep etc all will affect your blood sugar. So take a consult if you want specific advise.
3 people found this helpful
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What is best treatment to control diabetes type 2. I am patient from 7 years. What is best remedy to control or cure this. Fasting levels are 120 to 280 and are fluctuating continuous. Regds Mithlesh SHarma.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is best treatment to control diabetes type 2. I am patient from 7 years. What is best remedy to control or cure ...
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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PDDM, MHA, MBBS
General Physician, Nashik
 People with type 2 diabetes who have weight loss surgery are more likely to have significant improvements in their diabetes three years compared to diabetics who try lifestyle changes, a small new study suggests.

Past studies have found that weight loss surgeries sometimes result in improvement for people with type 2 diabetes, but it remains to be seen if the surgeries are better at treating the condition than lifestyle interventions, the researchers write in JAMA Surgery.

And few studies have examined the effectiveness of weight loss surgery for people with diabetes as well as class 1 or 2 obesity, which represents a body mass index (BMI) between 30 and 39. (BMI is a measure of weight in relation to height).

Weight loss surgeries are typically used to treat people with a BMI of 40 or more, or with a lower BMI but other health conditions.

Type 2 diabetes, the most common form, is often linked to obesity. In type 2 diabetes, the body doesn't make enough of the hormone insulin, which helps cells use glucose for fuel, or enough insulin is produced but cells are resistant to it.

For the new research, the researchers studied 61 people, ages 25 to 55, with type 2 diabetes. About half had class 1 obesity and the rest were heavier.

Participants were randomly assigned to receive one of three treatments. One was an intensive lifestyle intervention for one year to help them lose weight with diet, exercise and behavior changes, followed by a lower-intensity lifestyle intervention involving behavioral counseling a few times a month for two years.

Alternatively, participants were assigned to one of two weight loss surgeries: either Roux-en-Y gastric bypass (RYGB), or laparoscopic adjustable gastric banding (LAGB). The surgeries were followed by the same low-intensity lifestyle intervention the non-surgery group got, for two years.

After three years, 40 percent in the RYGB group, 29 percent in the LAGB group and no one in the lifestyle intervention group had at least a partial remission of their type 2 diabetes.

Three people in the RYGB group and one person in the LAGB group had their diabetes disappear entirely, which did not occur for anyone in the lifestyle group.

Researchers also found that blood sugar control improved more in the surgery groups, compared to the lifestyle intervention group. The surgery groups were also more likely to no longer need medication for their diabetes.

While the new results are a from a randomized study, which is considered the "gold standard" of medical research, Courcoulas said they will need to follow more patients at several medical centers over a longer period of time to draw definite conclusions.

The researchers are pooling their data with similar studies from across the country, she added.

"We’ll be able to see what the remissions look like at five and seven years," Courcoulas said. "I think that’s the next step in this field."

Dr. Osama Hamdy, who was not involved with the new study, cautioned that people with type 2 diabetes and their doctors should not get overly excited about the results.

"Any study like this we need to be very cautious when reading them and read between the lines," said Hamdy, who is medical director of the Joslin Diabetes Center Obesity Clinical Program.

For example, Hamdy pointed out, only a handful of people in the surgery groups had their diabetes disappear. What's more, he said, newer lifestyle-only interventions can be very effective.

31 people found this helpful

I am suffering from diabetes type 1 yesterday doc gave me medicine for nasal polyps and I had one katori of pomegranate kal mere sugar aae 112 fasting or aj morning me 155kya eskaa reason medicine ho sakti hb yaa pomegranate kya reason ho sakta hh ek dam se sugar between ka.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am suffering from diabetes type 1 yesterday doc gave me medicine for nasal polyps and I had one katori of pomegrana...
Sugar never remains stationary, it fluctuates ten thousand times a day. Don't worry, keep same doses if it is continuously high, consult your doctor. pomegranate doesn't cause too much raising.
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Why pp sugar is checked after 2 hours of meal and how much time stomach should be empty to check fasting sugar?

MBBS
General Physician, Cuttack
Why pp sugar is checked after 2 hours of meal and how much time stomach should be empty to check fasting sugar?
You have to take a light dinner and check fasting blood sugar before break fast.10-12 hour gap after dinner is required. PP sugar is checked after 2 hour because it is the time required for the blood sugar to come to normal level in a nondiabetic person but it remains high for a diabetic patient
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Dear Doctor My fasting blood sugar is 123 , and i have high to moderate BP for the past 3 months , i am on medication on BP for the last 2 months. Telma40 in the morning and amlong 5 mg in the night , despite medication my bp is hovering around 150/110 . Both my parents are not diabetic

SENIOR RESIDENCY-ENDOCRINOLOGY, FELLOWSHIP IN DIABETES AND ENDOCRINOLOGY, MD, MEDICINE
Endocrinologist, Bangalore
From what u have sent it looks like u have prediabetes. Are u sure u taking the meds regularly? Such high BP in young age is not good for u in the long run. U may need some dose adjustment and also to find the cause of ur high BP. We need to look for the secondary causes of Hypertension since you are very young. You need a thorough evaluation - both clinical and biochemical. Kindly do it at the earliest.

39 year diabetic male. Intercourse interval is very short. Generally 1 minute or so. Can it be increased to at least 4-5 minutes. please suggest.

PDDM, MHA, MBBS
General Physician, Nashik
39 year diabetic male.
Intercourse interval is very short. Generally 1 minute or so. Can it be increased to at least ...
First thing you should do is to get rid off anxiety and stress as those are main offenders in many. You can try any of the following methods. You can do squeeze and stop technique. You can stimulate your partner to maximum before getting yourself stimulated. You can deviate your thought to something nonsexual when you about to near ejaculation. You can put on a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation. Hope this may help you. Let me know if you have any further query.
1 person found this helpful
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Does the spouse of a diabetic patient gets effected with his/her counterpart in future?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Does the spouse of a diabetic patient gets effected with his/her counterpart in future?
Hello, Thanks for the query. Diabetes has a familial spread. That means if one oth or both parents have it, then children can get it. But there is no spread from either husband to wife or vis a versa. It is non-communicable disease. Thanks.
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I am Diabetic patient my age is 58 plus, kindly advise me what (precautions) should be taken ?

MBBS
General Physician, Ahmedabad
I am Diabetic patient my age is 58 plus, kindly advise me what (precautions) should be taken ?
Too much precautions 1. Don't eat sweet, fattty oily food 2. Always wear sleeper or sandle in foot to prevent foot injury 3. Eat schedule should be fixed. Breakfast at 8am, lunch at 1pm, dinner at 8pm 4. Use sugar free gold instead of sugar in tea, coffee or any other food 5. Regular exercise 15-20 min walking in morning.
8 people found this helpful
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If patient is suffering from tb at (Rt) Hip with diabetes she can take coffee or not.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
If patient is suffering from tb at (Rt) Hip with diabetes she can take coffee or not.
Hello, When a patient is suffering with TB , he needs to eat a well balanced diet which includes vegetables, fruits, pulses, whole grains, milk etc. It is advised not to take coffee or other caffeinated drinks . Also as the patient has diabetes it is advised to avoid high sugary stuff. Thank you
2 people found this helpful
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I am 75 years old, diabetic type ii. I had sleeping disorder because of that I will not get sleep on many occasion our diabetic specialists doctor has prescribed LONAZEP 0.25 for that along with other diabetic and pressure medicines. My question is can I use it frequently? Does it have side effects? Is it advisable to take on regular basis? Shall I use other sleeping aid liquids? When lonazep 0.25 is not available? Kindly advice s.vembu.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 75 years old, diabetic type ii. I had sleeping disorder because of that I will not get sleep on many occasion ou...
Hello, It is always better to have blood glucose under control with fasting closer to 100 mg, PP 160 to 180 mg, HbA1c%<7. This will help in keeping fit and doing regular exercise will help in getting a good sleep. However, if there is sleep disturbance, some times a sleep inducing drug may be used. But taking clnazepam regularly is definitely bnot advisable. That drug has potential to cause addiction apart from multiple side effects. On kidney specifically there is no serious problem. Thanks.
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Sir I am from Kerala working NSS college mattanu today blood test results sugar 250 BP 130/90 SGPT 90 SGOT53 endoscopy normal abdominal problem please give your advice.

msc in nutrition and dietetics
Dietitian/Nutritionist, Jaipur
Sir I am from Kerala working NSS college mattanu today blood test results sugar 250 BP 130/90 SGPT 90 SGOT53 endoscop...
well ur bp is slightly increased so for that take min.salt .if u r facing abdonimal pblm then it's better to consult ur doctor or speciality that would be better so that ur pblm cn b resolve soon without any other issue.hope u take my advice forward take care sir.
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Hello sir I am 21 year old and at this age I have sugar problem what are the majors to get prevented. I have a back ache also any time it appears so please help me l sir thank you.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
Hello sir I am 21 year old and at this age I have sugar problem what are the majors to get prevented. I have a back a...
Diabetes can occur at any age, you should first know the cause of it, so that appropriate action can be taken, also you can start having methi (fenugreek) water in the morn, besides get a diet plan for yourself. Eat at regular intervals at every 3-4 hours also avoid refined grains (rice, maida) have food rich in fiber like whole grains, fruits etc.
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Are long Distance Athletes like marathon & 10,000 meter professional athletes in India prone to getting diabetes since the running done is the most. There is no such gym workout that is done by such kind of athletes. Unlike a Sprint runner who does only 100m, 200m or long jump or hurdles, a long distance is mostly running or a 3000 steplechase. Also, diabetes is on the insulin level in the body. I'm a middle distance runner. Hence, i'm asking this question.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Are long Distance Athletes like marathon & 10,000 meter professional athletes in India prone to getting diabetes sinc...
In a word, YES. Long distance runners can also develop diabetes, though the chances are much lesser than those in non-athletes. Diabetes doesn't mean the person has low Insulin alone. It means both that the person's body isn't producing enough Insulin for his/her requirements (known as Insulin deficiency) AND also that the Insulin that is produced is NOT able to exert its influence efficiently (a phenomenon known as Insulin Resistance). Thus, diabetes means both Insulin deficiency PLUS Insulin resistance and also a host of other metabolic derangements. I don't want to bore you any further...
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I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take normal medicine. I don't like to take insulin shot. For that what should I do.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take norm...
If you are a confirmed case of Insulin Dependent Diabetes . At least as of now nothing other than Insulin will work. Insulin Pen works well, least pain and most convenient. You should do everything to maintain perfect sugar control, regular follow up , preventing complications, early detection and earliest detection of complications to have long and healthy life. Research is going on extensively for painless administration of Insulin for which wait hopefully
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Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking 1 actos 30mg. Still my fasting sugar level is 220. I am not using any sugar food and rice. Kindly advice. My hba1c is 12.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking...
It's cause of concern that your insulin is not acting to neutralize the sugar while you are taking good medicines prescribed by your experience doctor. This is non response of drugs. It's not fault in treatment by your doctor. I would suggest the support of ayurveda medicine as support to your current medicine. Both won't counteract with each other. Observing the response of this integrative approach, further directions would be decided. If you agree, I would mention the first phase of safe, side effect less, easy to take and economic medicines which will prevent complications also.
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My father is diabetic patient. What should I do so that I may not suffer from this disease. I feel very weakness what should I take?

MBBS
General Physician, Mumbai
My father is diabetic patient. What should I do so that I may not suffer from this disease. I feel very weakness what...
Exercise regularly and Increase your self confidence and Eat protein rich food and take tablet Nurokind-more 1-1 for a month and revert back after completion
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Diabetes Cure In Ayurveda

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD Ayurveda
Sexologist, Yamunanagar
Diabetes Cure In Ayurveda

Diabetes is often called the silent killer. This is because you would not even know when it sneaks up on you. It may not have any symptoms initially but once you have it, you would need lifelong administration of drugs. Diabetes or diabetes mellitus, 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.

Types of Diabetes

There are three types of diabetes. These are:

  1. Type 1 Diabetes: this is a condition in which in which the body does not produce insulin at all. Patients suffering from this condition may need to take insulin supplements for the rest of their life, in order to properly metabolize sugar in the body. This is a very rare, genetic condition.

  2. Type 2 Diabetes: this is a condition in which the insulin product is impaired and there is not enough insulin in the body for metabolizing sugars properly. This leads to high blood sugar and eventually, the symptoms of diabetes.

  3. Gestational Diabetes: This is an affliction of pregnant women. Some women’s bodies may not be able to produce enough insulin at the time of pregnancy and therefore they have excess sugar in their blood stream. Gestational diabetes may be harmful for both the mother and the baby.

Diabetes Treatment in Ayurveda

For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produce insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

Here are a few home remedies that may help cure diabetes naturally:

Juice of Bitter Gourd:

You may consume 30ml of fresh juice of Karela/ bitter melon every day early in the morning. You can also mix it with other things to make simple recipes and consume it.

How to prepare:

  1. Separate the seeds and mix the fruit in the mixer. Add a little bit of water and mix it in the blender. Use a sieve to obtain the juice.

  2. Small and thin pieces of the bitter gourd are cut. Fry them with some mustard oil and the required quantity of salt. Add green chillies and onions to the pan and heat the mixture for 10-15 minutes.

Aloe Vera and Ground bay leaf:

The mixture of aloe vera gel (1 tbsp), ground bay leaf (1/2 tsp), and turmeric (1/2 tsp) is recommended to be taken twice a day before lunch and dinner for effective hyperglycaemic control.

Methi Seeds:

Methi seeds, also known as Fenugreek seeds, when taken by itself or in combination with other Ayurvedic herbs, can act as an effective remedy to lower the symptoms of diabetes.

How to prepare:

  1. Grind a few Methi seeds and turmeric together and take it with a glass of milk at least twice a day.

  2. Soak fenugreek seeds in warm water overnight followed by chewing it in the morning.

  3. Soak 4tbsp of fenugreek seeds in about 300ml of water overnight and chew it the following morning.

  4. Prepare chapattis with fenugreek seed powder

Jamun Seeds:

The powdered seeds of Eugenia jambolana (about 1 tsp) should be taken twice a day with lukewarm water. Jamun has the beneficial property of not allowing the starch in food to get converted into sugar.

Amla:

Amla juice (Embelica officinalis) (20 ml) two times a day is beneficial for a diabetic patient. You may also use powdered ‘Amla’ powder and consume it twice a day.

Banyan Tree Bark:

A decoction of the bark of banyan tree is taken (50 ml) twice a day.

Preparation method: 20 gm of the banyan tree bark is boiled in 4 glasses of water. Evaporate the water until only about one glass of the decoction is remaining and drink it when it is warm.

Cinnamon Powder:

Cinnamon powder is probably considered as one of the most important home remedies.

How to prepare: Add 3-4 Tbsp of cinnamon powder and add to one litre of water and boil the same for about 20 minutes. Strain this mixture and cool the same. It is recommended to consume it every day. If you wish to discuss about any specific problem, you can consult an ayurveda.

4568 people found this helpful

I am 21 year old I m having diabetes since 3 years I intake a insuline 3 tym in a day my question is if I have eaten a more sweet after taking insulin at noon and then my sugar goes at 300 or more. So can I intake again a insuline 4th tym. To control diabetes or take insuline direct a night?

MD , MBBS
General Physician, Aligarh
Dear . let me clarify you that diabetes is a silent killer if not taken precautions. Why the hell are you taking sweets. You are just 21 and you have a life ahead. 3 times insulin itself is 2 much. Haven't you tried medicine. Brother life is precious. Don't play with yourself.
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I am diabetic & my fasting yesterday was 152. I take glocoryl m1 fort before break fast & 1 tab zyoral m4 forte before dinner. I am now experiencing pain in my right ankle joint. Please advise.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear . As per most guidelines a fasting blood sugar of less than 140mg/dl is desired. However I would not panic on one reading above 140. What is your latest hba1c levels? is the ankle pain less than 4 weeks? in that case the ankle pain can be due to any of the three conditions- trauma -infectious arthritis or gout.
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300 at clinic
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