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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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Hi I am 45 years lady I have diabetes can you please suggest your natural health care tips.

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Hi I am 45 years lady I have diabetes can you please suggest your natural health care tips.
Diet management and exercise/walking for atleast 45 minutes daily. Avoid fried foods and junk foods. Limit rice and add plenty of vegetables like cabbage, cucumber, cauliflower to the diet. Also check the thyroid values and confirm along with sugar values for further advice.
1 person found this helpful
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diabetes. getting very hyper all the time. Getting very angry. As if brain does not work sometimes. Doctor please tel me what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
diabetes. getting very hyper all the time. Getting very angry. As if brain does not work sometimes. Doctor please tel...
Take easily any condition, do not react soon on any type of situation, realise the actual situation, do morning walk for 45 minutes, yoga, pranayam, avoid food/water kept in fridge avoid spicy ,fast, bakery,oily foods, avoid excessive salt intake, dry foods, avoid excessive tea, coffee,cold drinks, All the Best.
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Since my 10th standard, I urinate too much and from my inter, it has been increased to 25 times a day. I am worried whether it could be diabetes or not! And now a days am feeling hungry a little much than before. Please help me in resolving this!

MBBS, MD - General Medicine
Endocrinologist, Faridabad
Since my 10th standard, I urinate too much and from my inter, it has been increased to 25 times a day. I am worried w...
Please get blood sugar tested aftrr overnight fasting of10 hours then take 75gm of glucose dissolve in two glasses of water drink over 5-10 minutes do not dk any exercises andget sugar tested again after two hours if fasting or 2 hours more than 126 or 200 then you are diabetic any family history of diabetes.
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I'm a diabetic ,my diabetis is in control,sugar level PP-143,fasting-104.But since 6 months my neck,soldier region and two hands are paining. Even i couldn't sleep at night Please Tell me the reason and remedy ?

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
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I am a diabetic patient at present taking English medicines, what is the remedy for this complete cure//

psychologist
Psychologist, Delhi
I am a diabetic patient at present taking English medicines, what is the remedy for this complete cure//
From how many years you are suffering from diabetes. Ideally your weight should be around 63 kg. Without further investigation its difficult to give proper solution so please provide detail history of your blood sugar level along with dosage of medicine you are taking.
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Basic Health Problems

GAMS-Ayurveda, MD-TCM
Sexologist, Faridabad
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What are the most Common Health Concerns?

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Hi Doctor, I am 37 years of age I have sugar problem. Pls guide how I control my sugar level on Daily basis.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hi Doctor, I am 37 years of age I have sugar problem. Pls guide how I control my sugar level on Daily basis.
Following are the tips to control diabetes 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible
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Hi doc, I am of 25. I afraid I have a sign of diabetics. Past two days have a blurred vision and hunger even I ate good. Today I got a frequent urination and drowsiness. Bt am still healthy and active I didn't felt thirsty. Please help me to find some better meditation. Thank you.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Hi doc,  I am of 25. I afraid I have a sign of diabetics. Past two days have a blurred vision and hunger even I ate g...
Your weight is high. Control it. Test fasting and p.p. Blood sugar and lipid profile and serum creatinine test. Then report me. Every thing will be clear. Donot worry.
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I am diabetic for last 15 years and taking Trimetaday 2 twice a day I.e. 1 morning and one evening for last one year. My sugar level is not under control for 1 month . The fasting is 180 mg/dl and pp is 250 mg/dl. Please suggest what to do.

MBBS, DNB (General Medicine)
General Physician, Delhi
what is your hb1ac level ,you can start DPP4 inhibitors ,please come to private section for more details
1 person found this helpful
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I'm 61 years old male. I tested my blood glucose on 20.04.2017. It's level - fasting 111 mg /dl and pp 160 mg/dl. Pl diagnose the condition and give suitable advice to avoid taking medicines.

BHMS
Homeopath, Mumbai
I'm 61 years old male. I tested my blood glucose on 20.04.2017. It's level - fasting 111 mg /dl and pp 160 mg/dl. Pl ...
Your sugar level is little high. Diabetes is there. U start sugar free diet and take alfa slfa tonic diabetic. N monitor your sugar. If its not lowering you need to take medicine.
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My parents are of 60 years of age and my father is having diabetes. So I want to carry out the tests for whole body check fir them. Could you please suggest which tests should I carry out list of the tests I need. Please suggest Thanks in advance.

MD, FAIIDR
Diabetologist, Ahmedabad
My parents are of 60 years of age and my father is having diabetes. So I want to carry out the tests for whole body c...
You can go for complete health check ups. Ideally you require CBC, Urine Routine Micro, s. Creatinine, SGPT, FBS, PP2BS, HbA1C in case of your dad.
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Hi Doctor, Can I use honey while am a diabetic? I got Fasting and P.P diabetes tests done 20 days ago. Fasting was 235 and P.P 422. If I can use honey then will dabur honey be good?

Registered Dietician, Post Graduate Diploma in Dietetics
Dietitian/Nutritionist, Mumbai
Hi Doctor,
Can I use honey while am a diabetic? I got Fasting and P.P diabetes tests done 20 days ago. Fasting was 23...
Honey is not recommended for diabetics. Honey is a mix of glucose and fructose and has only a slightly less calories than sugar. Right now, your blood sugars are uncontrolled. You need a proper diabetic diet with more of complex carbs, good protein and moderate amounts of oils or fats. Eat 4 meals with controlled portions of rotis, more of veggies or salads. In-between meals like a small fruit or nuts can be included.
3 people found this helpful
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I do not eat a lot of sugar but still I am suffering from symptoms of diabetes mellitus what should I do?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I do not eat a lot of sugar but still I am suffering from symptoms of diabetes mellitus what should I do?
If you are not prone to diabetes, it does not mean you will have diabetes because of eating sweets. However, if you have diabetes then you should avoid eating sugar.
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Sir I have sugar so please tell me what eating sweet day to day I like to eat sweet please tell me sir.

MBBS
General Physician, Chennai
Sir I have sugar so please tell me what eating sweet day to day I like to eat sweet please tell me sir.
try sweets which are sugarfree many are available in the market take sweets with jaggery it may be better
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How should we calculate insulin for type 2 Diabetes mellitus condition ?plz give me with example.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
How should we calculate insulin for type 2 Diabetes mellitus condition ?plz give me with example.
Normally starting dose of insulin for type 2 diabetes is roughly 0.4-0.6 units/kg weight. But in type 2 diabetes insulin resistance is variable. In long standing diabetes pt whose beta cells are exhausted and who is obese insulin requirement may go beyond 2-3 units/kg. HbA1c is approx average of blood sugar control in last 3 months. More HbA1c means more uncontrolled diabetes and may require more insulin. Normally diabetologist starts insulin considering age of patient, duration of dm, HbA1c, obesity, current medication details, co morbidities, meal pattern and few other factors. Its individualised treatment and may not work same in other individual. Even insulin has different analogues and have different duration of action. For e.g. Lantus (glargine) has 24 hr action (basal insulin) and humalog (lispro) has 4 hr action. Human actrapid or huminsulin R (regular insulin) has 6-8 hr action. Etc so dosage and timing of insulin is also variable, it depends on which insulin you are taking or which insulin is suitable for you. I hope this answer help you to understand your doubt.
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I am 49 years old, Diabetes from last 16 years, regularly walk for 4 to 5 kilometer, taking allopathic medicine but sugar level is 175 fasting. Please told how to reduce sugar level.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
I am 49 years old, Diabetes from last 16 years, regularly walk for 4 to 5 kilometer, taking allopathic medicine but s...
hello suraj ji, have small and frequent meals. don't skip your breakfast specially .take high fiber diet. take plenty of fluids. take plenty of fruits. take food in fix time. avoid fried food, oily food, junk food, extra salt sugars , potatoes, rice, white bread,egg yolk .take flax seed with luke warm water early morning empty stomach.
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Am a 45 year old diabetic male. I feel cold/hot sensations below my feet. Can you help me understand why this happens.

MBBS
General Physician, Cuttack
Am a 45 year old diabetic male. I feel cold/hot sensations below my feet. Can you help me understand why this happens.
1.It could be due to Diabetic neuropathy. 2.Take one capsule of polybion daily 3.Get your fasting, post prandial blood sugar, HbA1c examined and consult Diabetologist
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I am suffering from sugar last 10 years my sugar levels FBS 200 and PB's 310 .Last 1 month this kind of sugar comes in over all. Hb1c 200 comes in report. I admit to control sugar in hospital doctors give insulin human actrapid mornings 60 unit evening 40 .And also give linked insulin 10 unit it is proper? Give me guide.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from sugar last 10 years my sugar levels FBS 200 and PB's 310 .Last 1 month this kind of sugar comes i...
Mr. Thanks for the query. In uncontrolled diabetes when blood glucose goes up extremely high, then multiple doses of Insulin are required. Some times patients need up to 200 units of insulin. Different types of insulins also have to be used one for prolonged action and one to control after food rise of glucose. So what the doctors in the hospital are doing is quite right. Once glucose levels are brought under control, Insulin dose will be reduced. Thanks.
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My blood sugar fasting 113 & pp 146 pl suggest which vegetables & fruit eat me for good health & reduce sugar level.

MBBS
General Physician, Akola
My blood sugar fasting 113 & pp 146 pl suggest which vegetables & fruit eat me for good health & reduce sugar level.
Thanks for posting, I really appreciate your concern, the first thing you can do is you can gel bitterguard juice without sugar, that will help you, you can use any fruits except those contains sugars like papaya, apple. Fruits like which contains vitc, like masambi, oranges are the best, if you have any concerns please feel free to ask, hope that helps, regards.
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