Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists online in Ghaziabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Adult Diabetes Treatment
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Type 1 Diabetes Treatment
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Dilatation And Curettage (D C) Procedure
Egg Donation Procedure
Treatment Of Erectile Dysfunction
Treatment Of Female Sexual Problems
Food Plan Preparation
I am female, 48, fair, diabetic since 2008, having periods regularly. My face is not clear, dark pigmentation on my cheeks, it looks am lost black, very little on whole face. I use sunscreens whenever go to work. I usually use gulabjal as toner then sunscreen then, term arif cream then face power of Lakme. Kindly suggest some remedy from clearer skin.
Hi, my daughter is 14 years old and she is having thyroid since she was 10 years, is thyroid curable in young age or will she have any problem at the time of pregnancy or to conceive.
Hello doctor, I am 30 years old having PCOD problem since I was 19 yrs. N now since 5 years I am having thyroid problem n taking 100 mg thyroxine tab. But I am facing very heavy weight gain n besides I am doing exercise n takes balanced diet my thyroid gets increased every now n then I hav heard that homeopathy is having cure of thyroid. Kindly help.
Sir I am diabetic detected 2 years back. My fasting is 85 and pp is 140-160 average. I am taking no medicine and avoids all diabetic food. Earlier I have asked the same question, you have suggested for Hba1c, which I got report yesterday an it is 6.5. Shall I need any medication. Please suggest.
I have diabetes I have tried so many tables but I got more side effects so I looking for home remedies so what would I need to try.
Hi I am 52 years.(male) diabetic patient. Suffering last twenty years. As per blood report doctor advised me to take glimepiride 1 mg before breakfast and metformin 500 after meal two times. After 3 months b. S (f) abnormalyy high (304) and during that time I was suffering from gastric (i think side affect) now medicine totally stop. Doctor advise me to take admission in any hospital. Feeling very weak. What can be done now.
My mother has high blood sugar and take 1 metformin tab IP 500 mg daily, tips for her to control blood sugar and maintain healthy life style.
My son aged 26 suffering from diabetes since last year, sugar level crossing 400 sometimes. Suggest remedies.
Diabetes is on the rise, yet most cases are preventable with healthy lifestyle changes. Some can even be reversed. Taking steps to prevent and control diabetes doesn’t mean living in deprivation.
While eating right is important, you don’t have to give up sweets entirely or resign yourself to a lifetime of bland “health food”. With these tips, you can still enjoy your favorite foods and take pleasure from your meals without feeling hungry or deprived.
Taking control of diabetes
Whether you’re trying to prevent or control diabetes, there is some good news. You can make a big difference with healthy lifestyle changes.
The most important thing you can do for your health is to lose weight—but you don’t have to lose all your extra pounds to start reaping the benefits. Experts say that losing just 5% to 10% of your total weight within a year can help you lower your blood sugar considerably, as well as lower your blood pressure and cholesterol levels.
It’s not too late to make a positive change, even if you’ve already developed diabetes. The bottom line is that you have more control over your health than you think.
The dangers of "sugar belly"
Calories obtained from fructose (found in sugary beverages such as soda, energy and sports drinks, and processed foods like Vada-Pav, Samosa, Maggi, Biscuit and coffee drinks) are more likely to increase blood sugar level rapidly.
Cutting back on sugary foods can decrease trigger to pancreases for insulin secretion, protects from further damage and ensures body cells insulin receptors functioning.
What you need to know about diabetes and diet
Eating right is vital if you’re trying to prevent or control diabetes. While exercise is also important, what you eat has the biggest impact when it comes to Blood glucose level. But what does eating right for diabetes mean?
You may be surprised to hear that your nutritional needs are virtually the same everyone else: no special foods or complicated diets are necessary.
A diabetes diet is simply a healthy eating plan that is high in nutrients, low in fat, and moderate in calories. It is a healthy diet for anyone! The only difference is that you need to pay more attention to some of your food choices—most notably the carbohydrates you eat.
Myths and facts about diabetes and diet
MYTH: You must avoid sugar at all costs.
Fact: The good news is that you can enjoy your favorite treats as long as you plan properly. Dessert doesn’t have to be off limits, as long as it’s a part of a healthy meal plan or combined with exercise.
MYTH: A high-protein diet is best.
Fact: Studies have shown that eating too much protein, especially animal protein (Meat), may actually cause insulin resistance, a key factor in diabetes. A healthy diet includes protein, carbohydrates, and fats. Our bodies need all three to function properly. The key is a balanced diet.
MYTH: You have to cut way down on carbs.
Fact: Again, the key is to eat a balanced diet. The serving size and the type of carbohydrates you eat are especially important. Focus on whole grain carbs since they are a good source of fiber and they are digested slowly, keeping blood sugar levels more even.
MYTH: You’ll no longer be able to eat normally. You need special diabetic meals.
Fact: The principles of healthy eating are the same—whether or not you’re trying to prevent or control diabetes. Expensive diabetic foods generally offer no special benefit. You can easily eat with your family and friends if you eat in moderation.
Diabetes and diet tip 1: Choose high-fiber, slow-release carbs
Carbohydrates have a big impact on your blood sugar levels—more so than fats and proteins—but you don’t have to avoid them. You just need to be smart about what types of carbs you eat.
In general, it’s best to limit highly refined carbohydrates like white bread, pasta, and rice, as well as soda, and snack foods. Focus instead on High Fiber carbohydrates—also known as slow-release carbs.
Slow-release carbs help keep blood sugar levels even because they are digested more slowly, thus preventing your body from producing too much insulin. They also provide lasting energy and help you stay full longer.
Choosing carbs that are packed with fiber (and don’t spike your blood sugar)
Instead of… Try these high-fiber options…
1 (White rice) Brown rice or wild rice
2 (White potatoes including fries and mashed potatoes) cauliflower mash
3 (White bread Whole-wheat or whole-grain bread
Idali - Dosa) High-fiber breakfast Chapati
Sandwich Eg and Milk
4 (Cornflakes) Bran flakes
5 (Corn) Peas or leafy greens
Making the glycemic index easy
The glycemic index (GI) tells you how quickly a food turns into sugar in your system. Glycemic load, a newer term, looks at both the glycemic index and the amount of carbohydrate in a food, giving you a more accurate idea of how a food may affect your blood sugar level.
High Carbohydrate foods spike your blood sugar rapidly, while high fiber contents in carbohydrate foods have the least effect.
You can find glycemic index and glycemic load tables online, but you don’t have to rely on food charts in order to make smart choices. Three broad categories: fire, water, and coal. The harder your body needs to work to break food down, the better.
• Fire foods have a high GI, and are low in fiber and protein. They include “white foods” (white rice, white pasta, white bread, potatoes, most baked goods), sweets, chips, and many processed foods. They should be much limited in your diet.
• Water foods are free foods—meaning you can eat as many as you like. They include all vegetables and most types of fruit (fruit juice, dried fruit, and canned fruit packed in syrup spike blood sugar quickly and are not considered water foods).
• Coal foods have a low GI and are high in fiber and protein. They include nuts and seeds, lean meats, seafood, whole grains, and beans. They also include “white food” replacements such as brown rice, whole-wheat bread.
Controlling weight with the glycemic index
Researchers believe that the key to weight control lies in reducing the amount of refined carbohydrates (“white” or “fire” foods) in your diet. Instead, focus on low GI or “coal” foods which keep you feeling fuller much longer.
Low-glycemic foods take longer to digest so sugar is absorbed more slowly into the bloodstream. As a result you’re less likely to experience a spike in your blood sugar level, you’ll remain sated for longer, and are less likely to overeat.
• Avoid processed foods like baked goods, sugary desserts, and packaged cereal and opt instead for steel cut oats, beans, dark green leafy vegetables, and whole grains.
• Eat whole fresh fruit instead of fruit juice—squeezing fruit releases more sugar so a whole orange has a lower GI than a glass of juice.
8 principles of low-glycemic eating
1. Eat a lot of non-starchy vegetables, beans, and fruits such as apples, pears, peaches, and berries. Even tropical fruits like bananas and papayas tend to have a lower glycemic index than typical desserts.
2. Eat grains in the least-processed state possible: “unbroken,” such as brown rice, and whole barley, millet, and wheat berries; or traditionally processed, such as stone-ground bread, natural granola or muesli breakfast cereals.
3. Limit white potatoes and refined grain products
4. Limit concentrated sweets—including high-calorie foods with a low glycemic index, such as ice cream. Eliminate sugar-sweetened drinks.
5. Eat a healthful type of protein at most meals, such as beans, fish.
6. Choose foods with healthful fats, such as olive oil, nuts (almonds, walnuts). Limit saturated fats from dairy and other animal products. Completely eliminate partially hydrogenated fats (trans fats), which are in fast food and many packaged foods.
7. Don’t skip breakfast.
8. Eat slowly and stop when full.
Adapted from Ending the Food Fight, by David Ludwig with Suzanne Rostler (Houghton Mifflin, 2008).
Diabetes and diet tip 2: Be smart about sweets
Eating for diabetes doesn’t mean eliminating sugar. If you have diabetes, you can still enjoy a small serving of your favorite dessert now and then. The key is moderation.
How to include sweets in a diabetes-friendly diet
• bread or rice: Eating sweets at a meal adds extra carbohydrates. Because of this it is best to cut back on the other carb-containing foods at the same meal.
• Add some healthy fat to your diet: It may seem counterintuitive to pass over the low-fat or fat-free desserts in favor of their higher-fat counterparts. But fat slows down the digestive process, meaning blood sugar levels don’t spike as quickly. That doesn’t mean, however, that you should reach for the Snacks as Vada-Pav, Samoosa. Think healthy fats, such as carrot, cuccumber, cheese, yogurt, or some nuts.
• When you eat Sweet How many times have you mindlessly eaten your way through a bag of cookies or a huge piece of cake. Can you really say that you enjoyed each bite? Make your indulgence count by eating slowly and paying attention to the flavors and textures. You’ll enjoy it more, plus you’re less likely to overeat.
Tricks for cutting down on sugar
• Reduce how much soft drinks, soda and juice you drink. A recent study found that for each 12 oz. serving of a sugar-sweetened beverage you drink a day, your risk for diabetes increases by about 15 percent. If you miss your carbonation kick, try shelf sparkling water with a twist of lemon or lime or a splash of fruit juice. Reduce the amount of creamers and sweeteners you add to tea and coffee drinks.
• Sweeten foods yourself. Buy unsweetened iced tea, plain yogurt, or unflavored oatmeal, for example, and add sweetener (or fruit) yourself. You’re likely to add far less sugar than the manufacturer would have.
• Reduce the amount of sugar in recipes by ¼ to ⅓. If a recipe calls for 1 cup of sugar, for example, use ⅔ or ¾ cup instead.
• Find healthy ways to satisfy your sweet tooth. Instead of ice cream, blend up frozen bananas for a creamy, frozen treat. Or enjoy a small chunk of dark chocolate, rather than your usual milk chocolate bar.
• Start with half of the dessert you normally eat, and replace the other half with fruit.
Diabetes and your diet tip 3: Choose fats wisely
(Fats can be either helpful or harmful in your diet. People with diabetes are at higher risk for heart disease, so it is even more important to be smart. Some fats are unhealthy and others have enormous health benefits. But all fats are high in calories, so you should always watch your portion sizes.)
• Unhealthy fats – The two most damaging fats are saturated fats and trans fats. Saturated fats are found mainly in animal products such as red meat and whole milk dairy products. Trans fats, also called partially hydrogenated oils, are created by adding hydrogen to liquid vegetable oils to make them more solid and less likely to spoil—which is very good for food manufacturers, and very bad for you.
• Healthy fats – The best fats are unsaturated fats, which come from plant and fish sources and are liquid at room temperature. Primary sources include olive oil, Soyabean oil, Sunflower oil. Also focus on omega-3 fatty acids (Fish Cod. Liver oil Tablets), which fight inflammation and support brain and heart health.
Ways to reduce unhealthy fats and add healthy fats:
• Cook with olive/Soyabean/Sunflower oil instead of butter or vegetable oil.
• Trim any visible fat off of meat before cooking and remove the skin before cooking chicken.
• Instead of chips or crackers, try snacking on nutsor seeds.
• Instead of frying, choose to grill, boil, bake, or stir-fry.
• Serve fish 2 or 3 times week instead of red meat.
• Add cuccumber, Carrot, curd to your sandwiches instead of cheese. This will keep the creamy texture, but improve the health factor.
Diabetes and diet tip 4: Eat regularly and keep a food diary
If you’re overweight, you may be encouraged to note that you only have to lose 7% of your body weight to cut your risk of diabetes in half. And you don’t have to obsessively count calories or starve yourself to do it.
When it comes to successful weight loss, research shows that the two most helpful strategies involve following a regular eating schedule and recording what you eat.
Eat at regularly set times
Your body is better able to regulate blood sugar levels—and your weight—when you maintain a regular meal schedule. Aim for moderate and consistent portion sizes for each meal or snack.
• Don’t skip breakfast. Start your day off with a good breakfast. Eating breakfast every day will help you have energy as well as steady blood sugar levels.
• Eat regular small meals—up to 6 per day. People tend to eat larger portions when they are overly hungry, so eating regularly will help you keep your portions in check.
• Keep calorie intake the same. Regulating the amount of calories you eat on a day-to-day basis has an impact on the regularity of your blood sugar levels. Try to eat roughly the same amount of calories every day, rather than overeating one day or at one meal, and then skimping on the next.
Keep a food diary
Research shows that people who keep a food diary are more likely to lose weight and keep it off. In fact, a recent study found that people who kept a food diary lost twice as much weight as those who didn’t.
Why does writing down what you eat and drink help you drop pounds? For one, it helps you identify problem areas—such as your afternoon snack or your morning Breakfast—where you’re getting a lot more calories than you realized. It also increases your awareness of what, why, and how much you’re eating, which helps you cut back on mindless snacking and emotional eating.
What about exercise?
When it comes to preventing, controlling, or reversing diabetes, you can’t afford to overlook exercise can help your weight loss efforts, and is especially important in maintaining weight loss.
There is also evidence that regular exercise can improve your insulin sensitivity even if you don’t lose weight.
You don’t have to become a gym rat or adopt a grueling fitness regimen. One of the easiest ways is to start walking for 30 minutes five or more times a week. You can also try swimming, biking, or any other moderate-intensity activities—meaning you work up a light sweat and start to breathe harder. Even house and yard work counts.
More help for diabetes
Learn how to lose weight and keep it off. If your last diet attempt wasn't a success, or life events have caused you to gain weight, don’t be discouraged. The key is to find a plan that works with your body’s individual needs so that you can avoid common diet pitfalls and find long-term, weight loss success.
Carbohydrates – Covers the three main types of carbs: sugars, starches, and fiber. Includes information on making smart carb choices. (American Diabetes Association www.diabetes.org/food-and-fitness/food/what-can-i-eat/carbohydrates.html)
Carbohydrates and Diabetes – Explore a collection of simple tips on managing your consumption of carbohydrates. (UCSF Medical Center www.ucsfhealth.org/education/carbohydrates_and_diabetes/index.html).
Fruits – Many people mistakenly assume that fruits aren’t a part of a diabetes-friendly diet. But fruits, like vegetables, are loaded with nutrients and fiber. Learn
how to include them in your diabetes diet. (American
Diabetes Association www.diabetes.org/food-and-fitness/food/what-can-i-eat/fruits.html)
Fat and Diabetes – Information on the different kinds of fats, as well as what foods they are in. (American Diabetes Association www.diabetes.org/food-and-fitness/food/what-can-i-eat/fat-and-diabetes.html)
My age is 44 and I am facing hair fall, and my uric acid level always on higher side, kindly advice me to control my hair fall and uric acid. Thank you.
Which is the best treatment for an ILD + DIABETES patient of 50 years age female? She is suffering from diabetes from last 15 years (uncontrol) and most probably ILD from last 7-8 years. Is it Allopathy, homeopathic or ayurvedic Which one has a sure sot treatment which will not only give relief to the patient but also increase the living standards and life of the patients. Thanking you for your advice.
Respected sir/madam, my age is 54 male. Recently I went for thyroid test. I went for t3, t4, and tsh. The report shows that my t3 levels are value of 22 ng/dl and the reference range they have given is 60 - 200, and t4 is <0.3 as against their reference range 4.5 - 12.0 and the tsh levels are > 150.00 as their reference range is 0.30 -5.5. And the comments given is hypo function. What is the medication suggested. The thyrocare people gave me thyronorm tablets of 50 mcg. And I am using the same tablets. Is it correct are will you suggest me any other medication. Please help me.
My daughter is 26 years old and her blood results show tsh (thyroid) value of 8.25%. When she was checked three months back it is only 4.0%. Is it effect the fertility of my daughter and is it curable or any danger.
Hi, I am 35 year old lady. Yesterday I checked my diabetes in morning (fasting, it was 102. Then after 2 hours of lunch it was 106. I was shocked to see it. Day before yesterday I had rice their in dinner and in the morning I saw this result. Please suggest what to do?
The body has multiple chemicals called hormones, which regulate many of its functions. Increased or decreased levels of these hormones affect various functions including metabolism, growth and sexual functions. Thyroxin produced by the thyroid (situated in the front of the neck) is one such hormone, which has a significant role to play in metabolism.
Graves’ disease is one of the main causes of hyperthyroidism, where there is excessive production of thyroid hormones. Graves’ disease is an autoimmune disorder, wherein the body reacts against its own tissues. It is very common in women than men, especially after 20 years of age. Family history also has a strong correlation in developing Graves’ disease. The high levels of thyroid hormone increase the rate of metabolism, thereby altering weight, mental energy levels, physical stamina, and also mood.
Thyroid hormone is related to metabolism and more amount of it lead to higher metabolism. This causes the following symptoms.
- Intolerance to heat
- Excessive sweating
- Nervousness and anxiety
- Inability sleep, as the mind is always excited
- Increased appetite (sometimes despite weight loss) due to higher metabolism
- Irregular menstrual cycles
- Palpitations (rapid, loud heartbeat)
- Irregular heartbeats (tachyarrhythmia)
- Fine tremors of the extended arms
- Breast enlargement in men, known as gynecomastia
- Extreme moodiness, causing irritability and anger
- Inability to focus and concentrate
- General fatigue and shortness of breath with any exertion
- Increased frequency of bowel movements
In addition, the eye symptoms are quite diagnostic including:
- Protrusion of the eyes (exophthalmos), giving an impression that they are going to fall out
- Double vision
- Excessive tearing
- Increased irritation in the eyes
Diagnosis: The first symptom would be the presence of an enlarged thyroid gland (front of the neck above the collarbone), and the some of the above symptoms would be present.
In addition, tests to check for thyroid gland functioning including T3 and T4 levels would reveal increased amounts of hormone in the blood stream.
As a confirmatory test, the radioactive iodine uptake test also is done, which will indicate increased uptake by the thyroid gland. This indicates that the gland is functioning at an increased pace and requires additional iodine for the production of thyroid hormones.
Treatment: There are two approaches to it, one to control the symptoms and the other to control the thyroid gland per se.
- Beta blockers are very useful in controlling rapid heart rate and anxiety.
- Prednisone may be used to control eye irritation and swelling
- Antithyroid drugs are used to control the production of thyroid
- Radioactive iodine is given orally to control excessive thyroid production
- In severe cases, thyroid gland may be surgically removed partially or completely
Graves’ disease is not life-threatening and once symptoms are controlled, the patient’s quality of life improves drastically.