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Dr. Nishikant Tirkey

Diabetologist, Dhanbad

300 at clinic
Dr. Nishikant Tirkey Diabetologist, Dhanbad
300 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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We gone through regular check up. N he found his Average blood glucose is 125 and hba1-c is 6%.plz suggest what the status of sugar. As it has done after 10 hrs of meal.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
We gone through regular check up. N he found his Average blood glucose is 125 and hba1-c is 6%.plz suggest what the s...
He is in a prediabetic stage as per the hba1c report. It is unaffected by the time of last meal and gives us an average idea about the diabetes status over a period of past 3 months. A healthy diet and regular exercise is a must at this stage. Retest after 3 months. Also check his lipid profile and blood pressure.
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He was suffering from diabetes from past 15 years. He had never taken the insulin. But from past 1 year he had swelling in his left leg also he is handicapped. Plss sugest me why he has swelling in his left leg?

MBBS
General Physician, Noida
He was suffering from diabetes from past 15 years. He had never taken the insulin. But from past 1 year he had swelli...
It can be because of Varicose veins in left leg,a venous doppler of lower limbs can help diagnose the condition.
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I am a 46 old man, I am diabetic from last 15 years using insugen insulin, some times my sugar level becomes low in the early morning, I find difficult to wake up and become unconscious, what can I do

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Check or sugar levels daily using glucometer before dinner if your sugar levels are low reduce the dose of insulin after consulting or doctor. Keep hyptotab tablet or sugar powder and if you feel tiring you can take this.
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Hi Diabetes in Morning 134 Morning After breakfast 324 after noon Lunc 269 in night after dinner 238 medicine taking Insulin 32 Point, Galvas Mat 50/1000 Voglitor 0. 3 & Redical HR 60 ( exect no name) can you suggest me for control Diabities

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Yes Hemant it is very easy to control with the AYURVEDIC Medicine. So you can contact personally to me along with blood reports ie with blood for sugar (F),(PP), & HbA1C.
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What are the types of diabetes, What is the severity, whether it gives fatal cause? What are the remedies?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
What are the types of diabetes, What is the severity, whether it gives fatal cause? What are the remedies?
One should know only three types Type I (Insulin Dependent) Type II (Mostly controlled without Insulin) and Gestational (Only during pregnancy and mostly temporary) Although no specific complaints initially Diabetes if not controlled can cause many complications to vital organs and this may result in serious problem. There is no known scientific cure for Diabetes. But must be kept under control which is possible under any good doctor.
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Good morning doctor I am a shopkeeper and I am having blood sugar please help me. please suggest

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Good morning doctor I am a shopkeeper and I am having blood sugar please help me. please suggest
Hello lybrate user, diabetes is much more complicated than you can imagine. You are doing your bit by taking the medicines regularly and that must be much appreciated by your doctors but please remember that it's a ongoing disease process and you will have ups and downs. First you should be aware completely of your sugar and blood pressure levels and just get them controlled them by adjustment of medicines by doctors. Second remember that medicine is just a part of the solution. Your diet and exercise are equally important solutions and can become a part of the problem if you don't watch them. You are young and exercise is your best ally at this juncture. Make use of exercise to do the fine tuning of your diabetes. Third all medicines have side effects but these side effects are better than the effect of disease in the body. I hear so many people crib about side effects of medicines but no one care about the effects of the disease process. Medicines are medicines because they cause less harm than benefit and surely prevent you from getting that bad effect of the disease on the body. Diabetes is going to be with you for life. Treat it as a unwanted guest on your journey. Keep watching it and never let it take the steering wheel. Checking your blood sugar is meant for several goals. If your doctor plans to put you on new set of medication then he requires to see your profile of blood sugars.
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I am a diabetic, what measures should I take to control it. I am having matrid 2 tablet in morning. But still my sugar level remains 150 to 180.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am a diabetic, what measures should I take to control it. I am having matrid 2 tablet in morning. But still my suga...
Diet and exercise is mainstay of management. You can add gliptins to take care of your high sugars. They are weight neutral. Delays gastic emptying, preserves beta cells.
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My wife is pregnant 32 weeks. FBS - 97 mg/dl, PPBS after 2hrs 75 gm glucose loading - 186 mg/dl, PPBS after 2hrs - 165 mg/dl, HbA1c - 5.9%. Kindly tell me is gestational diabetes or normal for pregnancy period. If it is gestational diabetes please advise me which treatment shall be done.

MSc
Dietitian/Nutritionist, Hyderabad
My wife is pregnant 32 weeks. FBS - 97 mg/dl, PPBS after 2hrs 75 gm glucose loading - 186 mg/dl, PPBS after 2hrs - 16...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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Doctor Sir, This my blood details this is the under line by the reports. I am diabetic person since 5 years my age 43 yrs. Please see my average blood sugar reports & cholesterol reports TOTAL CHOLESTEROL PHOTOMETRY 213 mg/dl 125 - 200 HDL CHOLESTEROL - DIRECT PHOTOMETRY 51 mg/dl 35-80 LDL CHOLESTEROL - DIRECT PHOTOMETRY 105 mg/dl 85 - 130 TRIGLYCERIDES PHOTOMETRY 246 mg/dl 25 - 200 TC/ HDL CHOLESTEROL RATIO CALCULATED 4.2 Ratio 3.0 - 5.0 LDL / HDL RATIO CALCULATED 2.1 Ratio 1.5 - 3.5 VLDL CHOLESTEROL CALCULATED 49.2 mg/dl 5 - 40 NON-HDL CHOLESTEROL CALCULATED 162.5 m HbA1c H. P. L. C 7.2 % BASOPHILS - ABSOLUTE COUNT 0.00721 X 10? / ?L 0.02 - 0.10 EOSINOPHILS - ABSOLUTE COUNT 0.23 X 10? / ?L 0.02 - 0.50 IMMATURE GRANULOCYTES (IG) 0.02 X 10? / ?L 0.03 TOTAL RBC 4.83 X 10^6/?L Male: 4.5-5.5 Female: 3.9-4.8 NUCLEATED RED BLOOD CELLS Nil X 10? / ?L Nil in adults NUCLEATED RED BLOOD CELLS % Nil % Nil in adults HEMOGLOBIN 14.7 g/dL Male: 13-17 Female: 12-15 HEMATOCRIT (PCV) 41.16 % Male: 40-50 Female: 36-46 MEAN CORPUSCULAR VOLUME (MCV) 110.6 fL 83-101 MEAN CORPUSCULAR HEMOGLOBIN (MCH) 30.4 pq 27-32 MEAN CORP. HEMO. CONC (MCHC) 27.5 g/dL 31.5-34.5 RED CELL DISTRIBUTION WIDTH - SD (RDW-SD) 66.7 fL 39 - 46 RED CELL DISTRIBUTION WIDTH (RDW-CV) 16.1 % 11.6-14 PLATELET DISTRIBUTION WIDTH (PDW) 23.2 fL 9.6-15.2 MEAN PLATELET VOLUME (MPV) 14.3 fL 6.5-12.0 PLATELET COUNT 120 X 10? / ?L 150-400 PLATELET TO LARGE CELL RATIO (PLCR) 59.5 % 19.7 - 42.4 PLATELETCRIT (PCT) 0.12 % 0.19 - 0.39.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Doctor Sir, This my blood details this is the under line by the reports. I am diabetic person since 5 years my age 43...
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. Take anti cholesterol medicines .
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I have been detected diabetes with hb1 6.7 in jan2016. Doctor advice me to diet control and come after rwo month. Now I have got checked hb-1 5.7. At the same time I also have detected with 60-70percent blockage in LAD and LCX. What I have to do.

MD - General Medicine
General Physician, Delhi
I have been detected diabetes with hb1 6.7 in jan2016. Doctor advice me to diet control and come after rwo month. Now...
Your weight for the height is high, you should focus on reducing your weight. Start with walking and exercising, that will help increase the hdl which is the good cholesterol, and it will also help reduce ldl which is bad cholesterol that results into blockage of arteries. Get your blood pressure and sugar checked regularly. You might need some medicines in order to keep the sugar and bp in check.
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There is no symptomatic sign of diabeties 2. But my fasting suger remains between 150-160 at 6, 30 am. Till lunch it comes down between 120-130. Before dinner also it remains in the same range. Glycosylated hemoglobin is 8.2. Please advise the diet and some ayurvedic remady to lower the fasting suger. Random suger in day time ranges between 160-170.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
There is no symptomatic sign of diabeties 2. But my fasting suger remains between 150-160 at 6, 30 am. Till lunch it ...
Please start with chandraprabha vati 2 bd before meals & syrup ayaskruthy 3 tsf bd after meals. Don't have excess water. Have only when you feel thirsty. Keep a gap pf min 6 hrs between meals.
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I am suffering from diabeties for the last about 33 years, I am taking 7 units of insulluin and one tablet both morning and evening. When I checked recently, my fasting level was 112 and post breakfast was 100 when done on a gluco meter. Can I reduce the insulin? Please advise.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
You need complete evaluation of your order diabetes. It is inappropriate to tell you with your one sugar reading on Glucometer.
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What is the symptoms of kidney stones and diabetes and what types of precautions.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
What is the symptoms of kidney stones and diabetes and what types of precautions.
Kidney stone pain from back referred to front and then towards penile area. Please donot take palak tomato and leafy vegetables. Low carbohydrate diet.
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Meri mymy ki age 60 year h unko sugar h agar sugar khali pet 100 ya 120 ho to unko davai deni chahiye ya nhi wo jenumet50/500 leti h davai dene se sugar level kum to nhi ho jayega sugar kitni honi chahiye jab hum davai de please bataye.

MBBS, DPHA, DPH, PGDHHM, MBA (Healthcare), Fellow in Diabetes
General Physician, Gandhidham
Meri mymy ki age 60 year h unko sugar h agar sugar khali pet 100 ya 120 ho to unko davai deni chahiye ya nhi wo jenum...
Dear friend your mothers blood sugar levels appears normal. Blood sugar fasting should be 100 and 2 hrs after meals should be 140. She is already diagnosed as diabetic and on medicine so the credit of sugar control goes to medicine and your doctor. The best person to decide whether to continue or discontinue the drug is your treating doctor only. Please consult him.
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I am diabetic. Fasting180 pp 230 age 67yrs detected 7 yrs back. What medicine should be taken?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
If you have not taken any drug up till now, start galvusmet 1000 twice a day after meals. Otherwise inform your medication.
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I am diabetes patient, but my sugar level is not maintain, what is doing for maintain?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am diabetes patient, but my sugar level is not maintain, what is doing for maintain?
You have to take arsenicum bromatum - 30 / 5 drops in little water thrice a day for one month. Syz. Jamb. Q / 10 drops in little water thrice a day for one month. Revert back after one month with feedback.
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I am 55 years old woman need some advice to how to keep check on increasing sugar level in my body.

MBBS,Doctor of Medicine, CCH
General Physician, Bhopal
I am 55 years old woman need some advice to how to keep check on increasing sugar level in my body.
Most important is to exercise regularly for at least 40 to 60 mins everyday. Eat food of low glycemic index eg salads, watered daal, light rotis. Avoid oily greasy food and fast foods.
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As per the blood test, I am just very near to borderline for Diabetic. I do not want to be a Diabetic and no one in family are Diabetic. Please advise how do I prevent? What are all the exercise do I do and the diet system I follow. Brief what are all the food, Fruits, vegetables I should not take and What I should take like bitter guard. Etc.

MBBS
General Physician, Cuttack
As per the blood test, I am just very near to borderline for Diabetic. I do not want to be a Diabetic and no one in f...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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I am 46 year old suffering from a diabetic what diet should be taken for avoid it?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips blog on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.
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Sir I am 58 and two years bacck cabg done. Since 3 to 4 months my sugar levels are fluctuating between 300 and 65. Can you please explain why it is so sir.

PDDM, MHA, MBBS
General Physician, Nashik
So much fluctuation is not good. Kindly consult privately for personalised assessment and management.
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