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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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My mother has sugar for that she is getting sweat when she is working how to avoid this problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother has sugar for that she is getting sweat when she is working how to avoid this problem?
I would like to know how weel is the blood sugar control? what are current fasting, pp sugar levels and hba1c%? plus weight & height of the patient. There are many reasons for sweating like being over weight, being anemic or nearing menopause. Hence please send me all the details then I can suggest some remedy. However, proper sugar control is a primary need.
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Is Miller lite beer 2 bottles per day good/bad for a type 2 diabetic. And what would be its effect on human body.

MBBS, MD - Aerospace Medicine, Eular Certification in Rheumatology
General Physician, Pune
Is Miller lite beer 2 bottles per day good/bad for a type 2 diabetic. And what would be its effect on human body.
dear friend A pint of lite beer contains 128 Calories, since these are empty calories which mean they cannot be stored they will take precedence to be metabolized and sugar will be kept on hold, in this manner and along with beer the snacks one consumes adds to the calorie load and causes the calorie imbalance, per say they do not have any direct effect, if you are taking your medications regularly, and keeping your blood sugar under control , your Hb A1 C is in range, food that you take logically does not matter, but if any of the parameters i mentioned afore are off then it will matter, my suggestion will be keep your calorie intake under check and be regular with your followup and medication you can indulge in a beer or to you need any further clarification and want to discuss please ask a private consult where we are connected directly and can discuss more freely
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I m diabetic since last 15 yrs. On insuline lantus solstar. Dosage 30 morning 20 eveng. Main medicine Galvus 50+5000 twice in a day. Main problm Sexually defunct 80% Kindly sugest for sex booster. Age 64 yrs Fasting avg 120 to 150 PP avg 150 to 200. Thanks

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear , please let me know blood test ie HbA1C, then I will suggest the best Ayurvedic Medicine which works for your sexual problems also.
1 person found this helpful
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I have total cholesterol 239 LDL 161 HDL 41, sugar pressure are normal, I am 33, is it necessary to take statin?

ICR Study, M. B. S.(H)
Homeopath, Mumbai
I have total cholesterol 239 LDL 161 HDL 41, sugar pressure are normal, I am 33, is it necessary to take statin?
How's your activity levels what's your profession. If you are active and exercising regularly. Then no need of stations. Of course family history is also important for me further to advise you and how your nature of work all are important to know. It's statins.
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Common Insulin Alternatives

DDF, FCCP, MD , MBBS
General Physician, Delhi
Common Insulin Alternatives

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

  1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 
  2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
  3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
  4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
  5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Related Tip: "Living Well with Type 2 Diabetes"

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I'm diabetic patient since 20 years and it is controlled stage. I'm the age of 50 years. I have one hour time to do the exercise or yoga. My question is which one is more effective/better for me i.e exercise or yoga because both may not be possible due to time concern. Kindly advise please.

MBBS
General Physician, Jalgaon
I'm diabetic patient since 20 years and it is controlled stage. I'm the age of 50 years.
I have one hour time to do t...
Please Yoga is better I will suggest few points. Avoid using vehicle whenever possible go by walking Take salads, vegetable juices and soups more Avoid processed food totally.
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I am a 56 year old diabetic having burning unbrabul at my place continuous since two months. Please advise a genuine Doctor for treatment please.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am a 56 year old diabetic having burning unbrabul at my place continuous since two months. Please advise a genuine ...
Hye, Thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - The sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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My dad is diabetic patient, his age is 60 years, he is facing some health problems and he is approximately 110 kg, kindly suggest you have any ayurvedic medicines for curing / controlling diabetics and obesity.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Howrah
My dad is diabetic patient, his age is 60 years, he is facing some health problems and he is approximately 110 kg, ki...
Follow proper diet to loose your extra weight naturally. Avoid outsider foods, deep fried foods, fatty foods, high caloric vegetables, salted foods. You may contact me for your detailed weight loss & diabetes diet plan.
3 people found this helpful
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My average blood glucose (calculated) is 209, HbA1c is 8.9 and other factors are with in range. I am taking insuman 25/75 20 units before breakfast and 20 units before dinner and one tablet of Janumet 50/500 before lunch. I am diabetic for the last 10 years. I am Unable to control glucose level. Do you suggest any change in the medication.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My average blood glucose (calculated) is 209, HbA1c is 8.9 and other factors are with in range. I am taking insuman 2...
Saguna lybrate-user, Thanks for the query. Madam as I can see you are already on 3 doses of Insulin, plus a gliptin & metformin combination. So my suggestion is to give a closer look at your dietary pattern and daily exercise quantity. Then we may late look at any addition of a newer compound. Exercise should be done daily and for a minimum of 45 minutes to 60 minutes per day. Doing just 2 workouts in a week is not at all helpful. How to manage that is your look out. Secondly it is necessary to give a very close look at your current diet. You have not mentioned your height, so difficult to know whether there is extra weight. You may have to increase intake of green leafy vegetables and salads. If you have any doubts please do come back. Thanks.
2 people found this helpful
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I have Diabetes type 2 but due to poor control now have to be on insulin for a few months. Is prolonged insulting use bad for the body.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have Diabetes type 2 but due to poor control now have to be on insulin for a few months. Is prolonged insulting use...
Mr. lybrate-user, Diabetes mellitus occurs either due to deficiency of insulin or resistance to its action or both. Hence, the most suitable medicine for diabetes is insulin itself. Hence there is no question of that causing any bad effect on the body. In T1 DM only insulin is given as the treatment for lifetime. Thanks.
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My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.
Mr. Lybrate-user, in case of increasing insulin resistance there is darkening of skin on the neck including back of neck, under arms and groin. It is call as acanthosis nigricans. It is also a major sign in t2 diabetes particularly in overweight and obese patients.
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I am suffering form type 2 diabetes for 5 years. I am taking metformin HCl tab 1 daily. My pp level and fasting level under control but my weight not increasing Please suggest.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
I am suffering form type 2 diabetes for 5 years. I am taking metformin HCl tab 1 daily. My pp level and fasting level...
I advice you include diet high in protein (20%of kcals) for the health of diabetics because it supplies the essential amino acids for tissue repair. Pulsese are rich in protein and fibre. Take lukewarm water with half spoon methidana powder. Complex carbohydrates and fibre should be included in diet. You should avoid fasting and feasting. Junk food should be avoided. Timely and balanced diet is as important as regular medicine intake to control diabetes. Except fruit juice you should eat complete fruit because it contain fibers which is good for a diabetic. You should take one glass milk (skim milk) at the night.
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I am a diabetic patient. I need help of a gud doctor who can suggest me and guide me about what should be my diet food and also what medicine shall intake.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am a diabetic patient. I need help of a gud doctor who can suggest me and guide me about what should be my diet foo...
You can take 1400 cal diet, which include two chapatti in breakfast, two chapatti and one katori rice, one katori vegetable, one katori dal in lunch and two chapatti, one katori vegetable, one katori dal in dinner. Midmorning you can have one fruit. In the evening one cup tea. Avoid sugar, junk food, fried food and fruit juices. Medicenes will depend on your reports.
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DIET FOR DIABETICS

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
DIET FOR DIABETICS
Lili saak bhaji, methi, karela, jamun, saragwa, kankora, guar gum and phalli. High protein, moderate fats and no sugars and high glycaemic foods and carbs, exercise daily yoga meditation.
10 people found this helpful

I'm having type 2 diabetes since 1997. I am presently advised zoryl M2 in mornings and zita plus (telegliptin) at night. For hyper tension I am on amlokind AT. B.I.D.I have undergone CABG IN APRIL 2004. I AM ALSO ON NICORANDIL 10 mg. For anticoagulation I'm on deplatt A. Am I on correct medications for my ailments. Recently for my thyroid problem I'm on eltroxin 100 mcg. Kindly advise if any further medicine s are required. Thanks.

MBBS
General Physician, Chandigarh
I'm having type 2 diabetes since 1997. I am presently advised zoryl M2 in mornings and zita plus (telegliptin) at nig...
Your medication is right please continue with that and get regular check ups fine if symptoms free then once in three months otherwise as and when required and keep a close watch on your blood sugar and blood pressure get them checked at least weekly.
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My fbs is 118 and ppbs is 158. Am I diabetic, what are my risks? Am 36 years and 161cms.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
My fbs is 118 and ppbs is 158. Am I diabetic, what are my risks? Am 36 years and 161cms.
You have a high bmi. Though your sugars appear fine but would still like to see your hba1c along with your blood pressure. High bmi definitely makes you prone for metabolic complications like hypertension and other cardiovascular diseases along with both micro and macro vascular complications of diabetes. Best will be to exercise regularly, maintain a balanced diet and take proper medicines. Hope that solves your query.
1 person found this helpful
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Hello on my back waist pass-through acne trouble from 3-4 year. All body part are clean not any acne on other area but on waist area its too much critical. Please tell me which tablet and treatment can I use .i am not diabetic. So please give me best tablet and other thing.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Hello
on my back waist pass-through acne trouble from 3-4 year. All body part are clean not any acne on other area bu...
Please do cryotherapy means put iceon part daily for 7 days then repeat weekly for 3 weeks. Modt probably you will get relief.
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Hi Having pain in all of the parts of body and my suger level is 212 before fasting so what precautions should I take to control my suger level

MD - Medicine, MBBS
Cardiologist, Panchkula
Your blood sugar is still very high. You need a readjustment of the dose of your medicines. Avoid oily and sugar rich food. Do exercise daily.
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Hi I got addicted to Trika 1 mg with out that I am not getting sleep .how to come out of that habit. I am 36 years. I have diabetes since 12 years.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I got addicted to Trika 1 mg with out that I am not getting sleep .how to come out of that habit. I am 36 years. I...
Mr. Lybrate-user, there is no special method or treatment to come out of that addiction. You have to just stop using it. It will be tough for some nights to get sleep. Looking at your height and weight it is clear that you have grade 3 obesity. It is better if you exercise regularly over 1 hour a day, that physical strain will make you tired and possibly quality of sleep will improve even without any drug. Thanks.
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