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Dr. Ashok Damir

Endocrinologist, Delhi

Dr. Ashok Damir Endocrinologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ashok Damir
Dr. Ashok Damir is a popular Endocrinologist in Vasant Kunj, Delhi. You can consult Dr. Ashok Damir at Fortis Flight Liutenant Rajan Dhall Hospital - Vasant Kunj in Vasant Kunj, Delhi. Book an appointment online with Dr. Ashok Damir and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 26 years of experience on Lybrate.com. You can find Endocrinologists online in Delhi 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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Sector B, Pocket 1, Aruna Asaf Ali Marg, Vasant Kunj. Landmark: Near B 5-6 Vasant Kunj Bus stop, DelhiDelhi Get Directions
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Uric acid level high tendency, I want to ask which part of body is not working properly & what is the solution of this?

MBBS
General Physician, Mumbai
Usually great toe is affected due to high uricacid levels and so avoid pickles and papads and eat freshly prepared home made food.
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Does the growth hormone has any direct or indirect influence on diabetes mellitus?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Does the growth hormone has any direct or indirect influence on diabetes mellitus?
Vijay, Growth hormone is one of the glucose counter regulatory hormones, rising in response to hypoglycemia. It has both intrinsically hyperglycemic action and causing insulin resistance. GH has effect on glycemic control is evident from abnormal glucose tolerance seen in acromegalics. Clinical studies have shown that giving GH in children for increasing height, makes them susceptible for developing T2 DM
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Diabetes: It Can be the Reason Behind Other Disorders

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
Diabetes: It Can be the Reason Behind Other Disorders

Are you suffering from diabetes? If yes, then it’s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take medical efforts to get rid of diabetes as soon as possible.

You are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%.  Also, diabetes patients should keep a check on blood pressure and cholesterol levels.

Here’s how diabetes can affect your overall health:

1. Check your heart: There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as a hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.

2. Neuropathy: Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (which affects toes, feet, legs, hand and arms) and Autonomic (which affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.

3. Nephropathy: Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.

4. Foot ulcers and amputations: Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, Charcot joint or Charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region.

5. Retinopathy: Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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Sir I am a diabetes patient, pls tell me how am I recover my doses without medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I am a diabetes patient, pls tell me how am I recover my doses without medicine.
Mr, if one has diabetes mellitus, then treatment with appropriate drugs is necessary for life time. There is no way to control raised blood sugar with out taking any anti - diabetes drugs. Life style changes are required to support the drug treatment. Thanks.
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If my sugar fasting is 140 and after breakfast two hour it is 150 still can I control with diet or medicine is compulsory.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If my sugar fasting is 140 and after breakfast two hour it is 150 still can I control with diet or medicine is compul...
Mr. Lybrate-user, according to diagnostic criteria if fasting is >126 mg it is considered diabetes. Similarly if pp is>200 mg it is diabetes. Between 141 to 199 mg it is pre diabetic state. So it looks like you are having prediabetes. This can be definitely be controlled by diet and exercise. If you really adapt the modified lifestyle with balanced and restricted diet and regular exercise, refraining form alcohol and smoking, avoiding junk foods and pastries, you can remain free from diabetes for a considerable time. With regards.
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I am 50 years old male have been suffering from uric acid pain in my legs (ankles) for five years. I use Zyleric tablets daily pain killers. Kindly advise me some other medicines and your valuable precautions if any. I will be grateful of you. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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Hi Doctor. I am close to 40 and suffer from hyper hunger. Though I have diabetes for the last 7-8 years. But hunger is abnormal. What can I do about it? Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Hi Doctor. I am close to 40 and suffer from hyper hunger. Though I have diabetes for the last 7-8 years. But hunger i...
Polyphagia is one of the symptoms of DM. If your treatment is suiting you, hyper hunger should not be there given proper diet schedules. However you can't alter medicine without your diabetologist's advise. But I may suggest you compatible Ayurveda herbal support for DM which will not only control hyper hunger but also check neuropathy, retinopathy etc from becoming more intense. There's no interaction between allopathy and herbals. Herbals are slow but definitely effective. It would be a boon to your life. It can be taken parallel to your current treatment.
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I am 35 years old my left feet is painful when I am walking for I have went to doctor he suggested for blood test the result is diabetes 249 after food. What dite should I take?

BHMS
Homeopath,
I am 35 years old my left feet is painful when I am walking for I have went to doctor he suggested for blood test the...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I am diabetic patient since a one year ago I take regularly medicine but my sugar is not normal so please can you suggest a diet to normal it.

MBBS
General Physician, Chandigarh
I am diabetic patient since a one year ago I take regularly medicine but my sugar is not normal so please can you sug...
You should take very small quantities of carbohydrates and more proteins in your diet no sugar in any form eat more fresh vegetables and fruits salads and soups cut down on excessive consumption of tea and coffee no areated and alcohol drinks and take a handful of nuts everyday plus it is very important to exercise for atleast one hour in a day in the form of brisk walking or some other exercises.
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I have already asked that what r the benefits for daily walking to the type 2 diabetic, b. P and hypothyroid patient, this is for myself and I am being taken regular medicines and maintaining well should not gone beyond the blood results.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
I have already asked that what r the benefits for daily walking to the type 2 diabetic, b. P and hypothyroid patient,...
Dear, first of all my wishes for the holy month of ramadan. By going through your history and what you have written one thing is sure you have an habbit of getting irritable very soon. Please try and relax as it also affects your blood pressure and sugar. Your weight is high 84 kg might be due to hypothyroidism (water retention) or you need to reduce your calorie intake and restrict it to 2000 cals. Regarding your question of daily walks, of course walking helps in calorie burning reducing the fat deposits which help reduce the insulin resistance in in type 2 diabetics. It is advisable to take a walk for around 1 hr daily covering 6-7 kms which will burn around 300 cals. I hope your queries are resolved.
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I am 29 years old unmarried female, I have hyperthyroidism problem, current level is 45, where the normal level is 0.5-5.0 thus my weight is 53.6, I have leaner physic. My question is, is my weight is alright regarding my age (my height is 5'3? another question is though I'm unmarried now, but whenever I get married, will be there any problem regarding conceive issue?

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am 29 years old unmarried  female, I have hyperthyroidism problem, current level is 45, where the normal level is 0...
Actually you are suffering from hypothyroidism. You should be taking thyroid hormone replacement. Your weight seems alright. If your thyroid remains uncontrolled you can have difficulty in conceiving and also higher chances of abortion. Even if you conceive and don't take treatment baby's brain may be affected. So you should be taking medicine regularly.
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My TSH level was around 7 about 2 years back. I was advised to take Thyroxine /Eltroxin 50 mg tablet. Recent test shows it has gone down to 0, 29 level which is below the normal level. Please advice whether I should continue with the tablet? What other measures suggested.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Tsh coming to lower levels is good. But depending upode t4 and t3 levels thyroxine does may have to be decreased one step down. But please do not stop talking your medications by yourself. Complete thyroid profile will help in deciding next step.
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Sir I am 35 Years old but sir Last 7 year I detect for Diabetes. In last six year I swallowed the tab. But in last 7 month my sugar level is increased my fasting is 179 and PP is 223. Dr. Has advice for insulin but sir insulin se muse kami dar lagta his place suggested me any other way of treatment instead of insulin.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Sir I am 35 Years old but sir Last 7 year I detect for Diabetes. In last six year I swallowed the tab. But in last 7 ...
First of all, there is nothing to be scared of insulin. It is very safe and definitely not addictive. The diabetes can be managed with different medicines depending upon the doses you are taking now.
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I am diabetic but I am having infection in my right toe and its not getting cured what can I do and i am having crack in my legs? please provide solution.

DM - Endocrinology
Endocrinologist, Hyderabad
This seems to be serious and will require lot of care in form of good blood augar control. Appropiate antibiotics and foot care and dressing. I would suggest please consult endocrinologist near you and do take care of toe else this can spread and can lead to lot of problem later.
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I am 42 years old I have Sugar last 6 years, I am taking Tablet but my sugar always showing 150 to 200, not crossing 200 Fasting or PP. In the feature what type problem will be come? Till I have not feel any problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 42 years old I have Sugar last 6 years, I am taking Tablet but my sugar always showing 150 to 200, not crossing ...
Mr asit kumar, fasting sugar 150 mg to 200 mg is high. What is the hba1c %? it appears that the anti diabetic treatment being taken is not adequate, may have to be increased. Secondly diabetes is called as a" silent killer, because there are hardly any symptoms noticed. But it affects almost every system in the body. Diabetes damages retina - leading to retinopathy, can lead to loss of vision. Damages small and large blood vessels affecting kidneys and heart. Of all the deaths occurring due to renal failure in india 25%are diabetic patients. Neuropathy affecting peripheral nerves and loss of sensation leading to foot ulceration and related problems. In india over one lack legs are amputated per year in diabetic patients. Looking at all these details it is necessary for you to take appropriate treatment. Please consult your doctor and change the drugs or add new ones. If you want me to guide please come in a private conversation with all the details, where I can prescribe specific treatment.
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My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Please suggest some effective medicines. Thank you.

MSc
Dietitian/Nutritionist, Chandigarh
My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Pl...
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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Which type of fruits a diabetic patient can have? How to control sugar level without any medications? Please provide me a diabetic diet chart that we can follow.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Which type of fruits a diabetic patient can have? How to control sugar level without any medications?
Please provide ...
Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.
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I have uric acid at high value in my body what should I do for decreasing uric acid. Consequence I have pain and swelling in my toe. please recommend me for how to decrease uric acid naturally.

MBBS
General Physician, Cuttack
I have uric acid at high value in my body what should I do for decreasing uric acid. Consequence I have pain and swel...
1. Avoid protein rich diets like mutton, egg, fish, 2. Avoid bean, peas, lentill, mushrooms, cauli flower, spinach 3. Take fruits like apple, banana, orange, cherry, lime etc 4. Drink plenty of water (10-12 glass daily 5. Avoid alcohol and caffeinated drinks 6. Reduce weight if overweight 7. Take medicine after consulting physician.
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I am 64 years and diabetic. My sugar level is under control due to intake of insulin. I have knee problems. I find it very difficult to ascend or descend stair cases. Is this problem due to me being diabetic. I have no cholesterol or bp problems. I do have ed problem. Please suggest as to what I should do. Thanks

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
As u told you are 64 years old, age related degenerative changes occurs in joints and diabetic patients are affected faster. You might be having osteoarthritis age related. Get your calcium & vitamin d levels done also and of severe knee problem, I would like to examine u and refer to orthopedic surgeon if necessary.
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