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Dr. S.S.Rastogi

Endocrinologist, Delhi

500 at clinic
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Dr. S.S.Rastogi Endocrinologist, Delhi
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. S.S.Rastogi
Dr. S.S.Rastogi is a renowned Endocrinologist in Karkardooma, Delhi. You can consult Dr. S.S.Rastogi at Shanti Mukuand Hospital in Karkardooma, Delhi. Save your time and book an appointment online with Dr. S.S.Rastogi on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 27 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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Hindi

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Shanti Mukuand Hospital

#2, Dayanand Vihar, Institutional Area, Vikas Marg Extension, Karkardooma. Landmark: Near Metro Pillar No.116, DelhiDelhi Get Directions
500 at clinic
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I am 59 year old male. My blood sugar level is 131 fasting and 113 random. I am taking Glutemec 500 for the past 15 days. Please let me know what safe sweetener that I can take for coffee and tea once a day and what are the fruits that you recommend. Thanks.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am 59 year old male. My blood sugar level is 131 fasting and 113 random. I am taking Glutemec 500 for the past 15 d...
I would not recommend sweetners. They are artificial in nature and can play havoc with your hormones. Try to sweeten beverages with natural sweetners like cardamom mint other herbs. If taken in moderation and if your diet is balanced and planned well then as a snack (as a mid meal) any fruit is allowed.
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Sir I am suffering from diabetes mellitus and suffer from eye infection please give an advice or consult?

BAMS
Ayurveda, Bangalore
Sir I am suffering from diabetes mellitus and suffer from eye infection please give an advice or consult?
Hi, Please follow these tips: - Avoid all whites like rice, sugar, maida,etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Take medicines prescribed by the doctor regularly. - Visit your doctor regularly for follow up check-ups. - Get your sugar levels checked once in a month and try to keep it under control. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels .
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My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her diet and health routine consists of?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her die...
High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines . you should be avoid bad habits . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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 oily foods,junk foods, go for walk. Tests every 3 to 6 months.
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I am67 years male diabetic for last 20 yrs. As per my doctors advise I am taking telwas20 for last 10 years for control of bp since my urine creatinine was 1.3.now my bp is120/70. Please advise whether I can discontinue BP tablets.

MD
Yoga & Naturopathy Specialist, Delhi
I am67 years male diabetic for last 20 yrs. As per my doctors advise I am taking telwas20 for last 10 years for contr...
Ask your local doctor. He may advise you to reduce the dosages. But I feel you BP has not come down enough to warrant a reduction in dosages. If you can reduce your weight to about 59 kgs that may be the time you can think of reducing medication. But do so only after your Doctor agrees to it.
1 person found this helpful
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My blood creatinine is 4.8 mg. Blood urea is 89. So please help me how I get the normal ratio. I am 37 years old. Also suffering from diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood creatinine is 4.8 mg. Blood urea is 89. So please help me how I get the normal ratio. I am 37 years old. Als...
Mr. lybrate-user, Thanks for the query. Both creatinine and urea are very high. This points to a problem with functioning of the kidney, which may be due to uncontrolled diabetes. Since no details are given about blood glucose levels, HbA1c%, current treatment, diet pattern and extent of daily exercise, there is no way to give any opinion or suggestions. It is better if you come back with all the relevant details in a private conversation then I will be able to guide and even recommend drugs that may be required. Thanks.
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I am a 52 year old female. I am on medication for vitamin d deficiency and for keeping cholesterol and sugar at bay. Regular with medicines, I am trying to exercise/ walk etc regularly and have lost 2.5 kg in the last 45 days. I need to lose at least 12 more kgs. My worries comes from the fact that since last week, my legs have started to pain. A lot at night and when I switch postures. What could the reason be? I am literally dragging my left leg as I walk and the doctor I consult has just changed the medicine for calcium and has started me on multivitamis too. Do I need to meet a specialist, or is this how treatment works, taking this much time? why would the symptoms recur despite medicines? my patience and threshold of tolerating pain are challenged right now. Kindly help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 52 year old female. I am on medication for vitamin d deficiency and for keeping cholesterol and sugar at bay. ...
You are right by saying that you need to loose about 12 more kg weight as your bmi is30.14kg/m2 (23kg/m2 is normal). It will be good if you inform me about your fasting, pp blood sugar levels, hba1c level and lipid profile. The pain that you experience does it come on walking for some distance and if you rest does it subside? which part of the leg pains? knee joint, calf muscle or the whole lower limb? I suggest it would be better you meet a vascular surgeon to rule out any problem with leg blood supply. A colour doppler test may help. Vitamin d and calcium, multivitamins can be continued. But it is better to get the expert opinion.
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how to reduce diabetic eye pressure

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
how to reduce diabetic eye pressure
Diabetes causes vascular damage throughout the body. Because the blood vessels within the eye are so tiny, any damage at all can have a tremendous impact on eye health.

One of the most prevalent of the diabetes-related eye diseases is glaucoma. In fact, people with diabetes are between 40% and 50% more likely to develop glaucoma than non-diabetics.

Glaucoma causes the pressure within the eye to increase gradually, damaging the optic nerve and leading to partial or complete vision loss. The exact mechanisms for this are unknown. While there are several types of glaucoma, the most common form is open-angle glaucoma.
Open-angle glaucoma

The eye is full of fluid which continually refreshes. Normally, fluid drains at a point in the eye where the iris and the cornea meet. If this opening becomes even partially blocked the fluid drains out of the eye too slowly, even as new fluid is added. This backup of fluid causes an increase in pressure within the eye, damaging the optic nerve.

Open-angle glaucoma does not cause any symptoms until the disease is well-advanced. By that time, vision is impacted, with loss of peripheral vision first, advancing to tunnel vision and then total vision loss as the disease progresses.
Treatment

The goal of treatment is to lower intraocular pressure. This can be approached one of three ways: lower eye pressure, improve drainage of fluid from the eye or decrease the volume of fluid produced within the eye.

There are a variety of eye drops that may be prescribed.

Prostaglandins (xalatan, lumigan) and cholingeric agents (isopto carbine and isopto carbachol) act to increase outflow of fluid from within the eye.

Beta blockers (betimol, timoptic, betoptic) and carbonic anhydrase inhibitors (trusopt, azopt) reduce the production of fluid within the eye.

Alpha-adrenergic agonists (iopidine, alphagan) both lessen fluid production and increase fluid outflow.

Physicians may prescribe a combination of the above.

Oral medications may also be prescribed, if eye drops alone are not sufficient. These are usually in the form of a carbonic anhydrase inhibitor.

If medications are not sufficient to halt progression of the disease, then surgery might be necessary.

Drainage implants might be inserted within the eyes to facilitate drainage.

Laser surgery, known as laser trabeculoplasty, can be done to open clogged drainage canals.

Filtering surgery, known as trabeculectomy, removes a small piece of tissue from the location of the drainage canals, widening the opening and improving drainage.

The best possible treatment for glaucoma is prevention. Everyone above 40 years of age should have an eye exam at least every three years. Diabetics should have a dilated examination of their eyes annually.

Well-controlled blood sugar level are another preventive measure that will lessen the odds of developing glaucoma.
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1. The blood sample was take on over night fasting. Then fasting BG of 134 mg/dl is on the higher side, is'nt it? 2. I was taking Eltroxin 25 units / day, which I stopped two weeks ago as I ran out of stock. Should I continue the same? Do I need a higher dosage? 3. Do I need Vit D supplements?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
1. The blood sample was take on over night fasting. Then fasting BG of 134 mg/dl is on the higher side, is'nt it? 2. ...
Yes, you need to resume Thyroid meds. For a start resume with the same dose you were prescribed. Subsequently your treating physician will modulate the dose based on lab tests and clinical picture. As a rule I always optimize Vit D for all my patients, with periodic monitoring of blood levels. The same goes for Vit B12 and other nutrients and metabolic factors.
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