Treatment of Mellitus
Treatment Of Male Sexual Problems
Dilatation And Curettage (D C) Procedure
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Egg Donation Procedure
Pre And Post Delivery Care
Adult Diabetes Treatment
Urinary Incontinence (Ui) Treatment
Type 2 Diabetes Treatment
Treatment Of Erectile Dysfunction
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Patient Review Highlights
My pre lunch sugar is 119 and post lunch sugar was on yesterday was 197 and today it is 240. Why so diff. Is there? Today I have not consumed any sweet and drink sugar free tea.
Every woman likes to look into the mirror and find not an extra strand of hair on her face, be it the upper lip or near the ears. While it is not uncommon for women to have hair on these and other areas, most women resort to multiple ways to get rid of this. The pattern of this unnecessary hair growth is very similar to the pattern seen in males normally.
This condition of excessive hair growth is known as hirsutism and can be caused by multiple causes, as listed below.
- Genetic or racial: While the European women have a more clean face that is free of hair, the Mediterranean and Indian women are highly likely to have more facial hair growth. There is also a strong family history relation, and it is hereditary.
- Androgens (testosterone): This is a male hormone, essential for the development of male sexual characters. Though it is present in very minute amounts in all women, in some, there could be higher than these minimal levels, leading to minor masculine characters, facial hair being one of them.
- Hormonal imbalances: There are multiple hormonal issues which can manifest as increased facial hair growth. The two most common ones include polycystic ovarian syndrome ((PCOS)) and adrenal conditions including tumours, Cushing's syndrome, and hyperplasia. In all these cases, there is increased amount of androgens, leading to excessive facial hair.
- Medication side effect: Some medications like testosterone, cyclosporine, anabolic steroids, and Minoxidil also lead to increased amounts of facial hair in women. Some other medications used to treat migraines, seizures, schizophrenia, and hypertension can also cause hirsutism. This is indirectly due to increased levels of male hormones in the system, producing these effects.
- Birth control pills: These also affect the hormone levels and lead to increased facial hair.
- Obesity: Most women with facial hair are also on the heavier side, and most people have a reduction in hair once weight is managed.
Treatment: The underlying cause should be treated for controlling hair growth. If there is an inducing medication, an alternative should be looked at. While hormone levels can be altered, in most cases, not much can be done. These need to be dealt with using one of the following methods - depilatory creams, waxing, plucking, shaving, laser reduction, electrolysis, and weight loss.
When reading through the above, it is obvious that a lot of causes for hirsutism point towards hormones. This also helps identify hormonal abnormalities in the earlier stages. This helps to identify hormonal disorders in their earlier stages, which are managed with lesser complications. The next time you feel there is more hair on your chin or cheeks, get your hormone levels checked. If you wish to discuss about any specific problem, you can consult an endocrinologist.
Addison’s disease is a disorder caused due to significant damage in the adrenal cortex (located alongside the adrenal gland’s perimeter that helps mediate stress reaction), which leads to a deficiency in the secretion of the hormones ‘aldosterone’ (that regulates the sodium and potassium level of the body), ‘androgen’ and ‘cortisol’ (which control the body’s reaction in situations of intense pressure) by the adrenal glands.
There are generally two stages of Addison’s disease. The causes vary according to the stages:
In the primary stage of the disorder, the body’s immune system attacks the adrenal cortex and significantly damages it.
Other significant causes are as follows:
- This might occur as a result of the development of tumors and cancerous cells in the body
- Resulting from certain infections
- Long-term usage of glucocorticoids (inflammation reducing steroids) might result in the primary adrenal insufficiency
- This might also be caused due to tuberculosis or severe bleeding in the adrenal glands.
If you’re suffering from any one of the following complications, your chances of contracting Addison’s disease increase significantly:
- Cancer or if you have undergone any surgery to remove parts of the adrenal gland
- Tuberculosis or diabetes.
- Frequent usage of coagulants
The treatment of Addison’s disease varies according to the cause of the disorder.
The most common treatments for the disorder include:
- A prescribed dosage of glucocorticoids might be recommended
- Replacement of the hormones that the adrenal glands are unable to produce: Cortisone acetate or prednisone might be used in order to replace the ‘cortisol’ hormone.
- Meditation or other relaxing techniques to ease excessive stress levels or manage any trauma that you have been through. If you wish to discuss about any specific problem, you can consult an endocrinologist.
The glycemic index is a measure of food containing carbohydrates and how it can raise the level of glucose in blood. This is essentially a process where every food is ranked based on a reference food such as white bread. A food with a high GI value increases the level of glucose in the blood compared to a food with a GI that is medium or low. Some of the common examples of food with a low GI include legumes and dried beans. Fats and meats are not included in the index due to the non-availability of carbohydrate in them.
Some common foods with a GI of 55 or less include bread made up of pumpernickel and whole wheat, muesli, oatmeal, bulgur, barley, pasta, yam, lentils, sweet potato, converted rice, corn, non-starchy fruits, and vegetables. A food set with medium GI in the range of 56 to 69 includes quick oats, basmati rice, pita bread and couscous. Some example of foods with high GI value in the range of 70 includes pineapple, russet potato, white bread, macaroni, puffed rice, corn flakes, rice cakes and melons.
What influences GI?
Since GI has nothing to do with fibre and fat, some general findings of the GI count are as follows:
When a food is processed or cooked, the GI tends to increase
More the storage time of the food, the higher is the GI. It is applicable for ready to cook food and frozen food as well.
The higher is the GI count, more the ripeness of a fruit or vegetable.
Converted food items tend to have a lower GI as compared to the original version of the food
What are the other considerations?
While the GI value gives first-hand knowledge about the type of carbohydrate a person is consuming, it is hard of any help when it comes to the amount of carbohydrate intake. Portion size, therefore, still plays an important role for patients suffering from diabetes. The GI count of a food item greatly varies when combined with a food which has higher GI or lower GI for that matter. Nutritious food that is extremely beneficial for the body, tends to have a higher GI count. For instance, the GI count of oatmeal is greater than that of a chocolate.
Which one is more effective?
While there is no hard and fast rule for maintaining the carbohydrate count, an approach that is equally balanced between a GI count and carbohydrate count works best for a patient. Both the type of carbohydrate as well as the count of carbohydrate plays a crucial role in keeping the blood sugar level under control. If you wish to discuss about any specific problem, you can consult a endocrinologist.
Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.
Symptoms of type 2 diabetes:
- Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
- Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
- Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally.
- Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
- Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.
Causes of type 2 diabetes:
Some of the most common causes of type 2 diabetes could be:
- Being overweight
- Lack of physical activity
- Genetic predisposition or family history
- If you are more than 45 years of age
- Hormonal problems such as Polycystic ovarian syndrome
Treatment or management of type 2 diabetes:
In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:
- Change in diet and healthy eating
- Physical activity and exercising
- Regular blood sugar monitoring and
- Blood sugar medication along with insulin therapy, if necessary
I am not diabetic. My fbs is 73 .fasting ins test is 21. Tsh is 4.metformin is given for regulating periods and dec insulin which is 21. Am I having thyroid.
Some pioneers of Ayurveda like swamy of yogavana hills in kanakpura road claim to cure hypothyroidism. Is it possible to cure hypothyroidism if we have antibodies against our thyroid?
Hi. Sir my father having diabetes problem. Blood sugar level 200 and last 2 years back his right leg 2nd finger facing small injury. After then doctor doing small operation for his leg. Doctor cuts his 2 fingers. After 6 moths my father health improve. But under the foot small infection will started still now he suffering from that infection. Two days ones he went to hospital and dressed to his leg .sir give me some gud medicine improving his condition.
Do you have an extremely low reading of thyroxine or T4, it means that you are suffering from an under active thyroid disease called hypothyroidism. With this condition, your thyroid glands fail to make sufficient thyroid hormones. The thyroid gland releases hormones, which travel all over your bloodstream and affect all parts of the body. Thyroid controls how the cells of the body use energy from food via the metabolism process, which in turn affects the body’s temperature, heartbeat and burning of calories. Lack of thyroid hormones slows down the body’s functions, reduces your energy and the metabolism is disrupted.
Causes of hypothyroidism
The primary cause of this condition is Hashimoto’s thyroiditis. Thyroiditis refers to an inflammation of your thyroid gland. Hashimoto’s thyroiditis is an autoimmune disorder in which extra antibodies are produced which destroy the thyroid gland. Viral infections may also lead to thyroiditis.
Other causes of the condition are as follows:
- Radiation therapy to the neck region for the treatment of several cancers like lymphoma may damage the cells present in the thyroid gland. Hence, the gland cannot secrete hormones properly.
- Radioactive iodine treatment is undertaken by people having an overactive thyroid gland. Radiation destroys the thyroid gland cells and leads to hypothyroidism.
- Certain medicines used to treat heart problems, cancer and psychiatric diseases may affect the thyroid gland and lead to hypothyroidism.
- Surgeries undertaken for removing the thyroid also lead to hypothyroidism.
- Iodine is required by the thyroid gland to produce hormones. A low amount of iodine in your diet and body may lead to hypothyroidism.
Risks factors of hypothyroidism
Usually women, especially older women are more likely to get hypothyroidism than men. The factors which determine if you are at a risk of acquiring the condition are as follows:
- Premature graying of hair
- Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison’s disease and many more.
- Bipolar disorder
- Turner’s syndrome
- Down’s syndrome
The symptoms of hypothyroidism are as follows:
- Changes in menstrual cycle
- Hair loss and dry hair
- Fatigue and tiredness
- A slow heart rate
- An increased sensitivity towards cold
- Swelling of the thyroid gland or goiter
- Gaining weight unusually or great difficulty in losing weight
- Carpal tunnel syndrome
If you observe the symptoms of hypothyroidism, you should consult a doctor who will prescribe several blood tests, such as the thyroid stimulating hormone test and the T4 or thyroxine test. Based on the results, a treatment method is adopted.