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Dr. Nishikant Tirkey

Diabetologist, Dhanbad

300 at clinic
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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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Find numerous Diabetologists in India from the comfort of your home on Lybrate.com. You will find Diabetologists with more than 44 years of experience on Lybrate.com. Find the best Diabetologists online in Dhanbad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr nishikant tirkey

housing colonyDhanbad Get Directions
300 at clinic
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I am 47 diabetic my diabetes is controlled i want to howmuch calories should i burn everyday?

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

How can we reverse the diabetes? I've very recently been diagnosed as diabetic with A1C reading as 10.1 Please my plan of action to come out of diabetes permanently. Thank you, Sir.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
How can we reverse the diabetes? I've very recently been diagnosed as diabetic with A1C reading as 10.1 Please my pla...
lybrate-user, Thanks for the query. With a HbA1c% of 10.1 you have an uncontrolled diabetes. This can only be controlled by specific drug treatment, diet and exercise. As regards "Coming out of diabetes" or curing it, is rather impossible. Because once diabetes sets in, it remains for lifetime. One can live a good life by controlling the blood glucose levels effectively and postponing its long term complication or may be preventing those. When a person is in pre-diabetic state (FBG 108 mg to 125 mg, PP 141 to 199 mg & HbA1c%:5.9 to 6.4), it is possible to prevent progressing to diabetes or postpone it for a considerable time by adapting a modified lifestyle like: restricted diet, avoiding sweets, deep fried foods, pastries, junk foods, bakery items and colas. Plus consuming more of green leafy vegetables, salads, and fruits. Plus exercising regularly and maintaining near normal body weight and preventing central obesity. But once diabetes develops then it impossible to revert back to normal glucose levels without treatment. So now the only option you have is maintain desired glucose levels (FBG: <100 mg, PP 150 to 160 mg & HbA1c%<6.8) so that all the long term complications of diabetes are either prevented or postponed. So if you are keen please come back in a private conversation with following details: FBG, PP glucose levels, dietary pattern, extent of daily exercise, present drugs with dosage, lipid profile details and BP readings, then I will be able to guide specifically. Or else contact in your area a good diabetologist or physician and initiate the treatment. I hope you understand the seriousness of the situation. Take care. Thanks.
3 people found this helpful
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Dr. I am taking for sugar Glycomet GP1 1-0-1 For BP Tazloc H 40 1-0-0 ecosprin AV 75 0-0-1 why my sugar level is not coming down Any medicine required to take.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Dr. I am taking for sugar Glycomet GP1 1-0-1
For BP Tazloc H 40 1-0-0
ecosprin AV 75 0-0-1
why my sugar level is not ...
Mr. lybrate-user, Thanks for the query. In your given information only which drugs are being taken is mentioned. There is absolutely no mention of blood glucose levels (fasting & PP) and HbA1c%, BP readings, lipid levels. Plus from your weight and height details I notice that with a BMI of 35.15 kgs/M2, you are in the gread 2 obesity category. This is the main reason for excess blood glucose. Your ideal body weight should be 60 kgs, however, you are carrying an excess of 30 kgs. This has resulted in to severe Insulin resistance. Hence, weight reduction is the primary requirement. Plus there may also be a need to look at current drug treatment, dietary pattern and extent of daily exercise being done. Even a reduction of 5 to 8 % in weight will be great help. Thanks.
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Hypoglycemia - Low Blood Sugar Levels

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore

Hypoglycemia is a condition caused by a very low level of blood sugar (glucose), your body's main energy source.

Hypoglycemia is often related to the treatment of diabetes. However, a variety of conditions — many rare — can cause low blood sugar in people without diabetes. Like fever, hypoglycemia isn't a disease itself — it's an indicator of a health problem.

Immediate treatment of hypoglycemia is necessary when blood sugar levels are at 70 milligrams per deciliter (mg/dL) or 3.9 millimoles per liter (mmol/L) or below. Treatment involves quick steps to get your blood sugar level back into a normal range either with high-sugar foods or drinks or with medications. Long-term treatment requires identifying and treating the underlying cause of hypoglycemia.

Symptoms

If blood sugar levels become too low, signs and symptoms may include:

  • An irregular heart rhythm

  • Fatigue

  • Pale skin

  • Shakiness

  • Anxiety

  • Sweating

  • Hunger

  • Irritability

  • Tingling sensation around the mouth

  • Crying out during sleep

As hypoglycemia worsens, signs and symptoms may include:

  • Confusion, abnormal behavior or both, such as the inability to complete routine tasks

  • Visual disturbances, such as blurred vision

  • Seizures

  • Loss of consciousness

People with severe hypoglycemia may appear as if they're intoxicated. They may slur their words and move clumsily.

When to see a doctor

Seek a doctor's help immediately if:

  • You have what may be symptoms of hypoglycemia and you don't have diabetes.

  • You have diabetes and hypoglycemia isn't responding to treatment. Initial treatment of hypoglycemia is drinking juice or regular soft drinks, eating candy or taking glucose tablets. If this treatment doesn't raise your blood sugar and improve your symptoms, contact your doctor right away.

Seek emergency help if:

  • Someone with diabetes or a history of recurring hypoglycemia has symptoms of severe hypoglycemia or loses consciousness

4 people found this helpful

I am 57 year old. Suffering from type ii diabetes for 10 year. Now sugar level is normal for 2 months. But my BP was 179/105. On investigation s. creatinine is 2.4 and blood urea 71. After medication by MD physician BP came down and liver profile and s. electrolyte is normal. But blood urea and s. Creatinine is same. What I should do. What precaution in diet to be taken. BP is 128/87 today.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 57 year old. Suffering from type ii diabetes for 10 year. Now sugar level is normal for 2 months. But my BP was ...
to reduce creatinine and urea, you will have to consume more of vegetarian diet. Avoid high protein foods like mutton and chicken and fishes. Also avoid strenuous physical activity. Consume green tea, reduce intake of high fat cheese and other milk products. These measures may be helpful in reducing creatinine and to extent urea. For hypertension it is better to use ace inhibitors or arbs, which have a beneficial effect on kidneys.
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I am a 48 years old male and my glucose fasting is 124 mg/dl and ppbs 135 mg/dl. Should I start taking medicine to control sugar? kindly advice.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am a 48 years old male and my glucose fasting is 124 mg/dl and ppbs 135 mg/dl. Should I start taking medicine to co...
Mr your sugar levels are not high enough to label you as having diabetes. So medication is not required. You fasting glucose intolerance (fgt). Pp level is with in 140 mg hence normal. What this means is you in a pre diabetic state. Do you have any family history of diabetes? if so then you to take extra care. Your bmi (body mass index) is 25.71 kg/m2 which is signifying over weight. To avoid possibility of developing t2dm exercise daily for more than 1 h every day, avoid direct sweets and sugar, deep fried foods, excess eating. Try and loose at least 6 - 7 kgs weight over next 3 - 4 months. Avoid smoking and alcohol. If you take these precautions you will probably remain free from diabetes.
2 people found this helpful
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Respected sir, my age 42 my sugar level 220(pasting). What i can control in level(with out tablet)?

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I think you can have a better control in sugar level with a modified lifestyle & homoeopathic constitutional treatment. Kindly mail me all your reports on drrashmishukla1@gmail.com
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BHMS
Homeopath, Solan
3 people found this helpful

I am a diabetic patient last 10 years. I want to take 2nd issue which type of precaution do I take not for future problem ?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Dear, the foremost and most imp is sugar control. Better let me know what medicines you are taking for diabetes as certain medications are contraindicated in those planning pregnancy.
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Is mango good for diabetic person, sir my father refuse to take mango that's why.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Is mango good for diabetic person, sir my father refuse to take mango that's why.
Mr. lybrate-user, Thanks for the query. The ripe mango is very sweet offers a large amount of calories. Hence, it is not good for a person with diabetes, Occasionally a small piece can be eaten, but not more. It is good if he is refusing to eat it. Thanks.
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