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Patient Review Highlights
I thought it was something very normal, but then I realised it is diabetes. My previous experiences were not so good, but DR. Abhay Ahluwalia has completely changed my opinion as he is very helpful and humble. I have had therdiabetes from quite some time. Even in case of emergency, the staff is always willing to help. It's been more than a year now, and I have noticed considerable change in myself. The interior of the Columbia Asia Hospital - Palam Vihar was no nicely done. i have been better now.
I was suffering from hyperthyroidism. I am so thankful to Dr Abhay Ahluwalia for giving me the best advice and I am now finally able to get back to my normal self. During the complete hyperthyroid treatment program he always supported and motivated me. He is a very practical doctor. Even after my treatment with my old doctor, I never felt so much relief, but he has treated my completely. The overall atmosphere in the Columbia Hospital is very soothing.
I was shocked to experience the symptoms of thyroid disorders. Thanks to Dr Abhay for the thyroid disorders treatment he gave me has given brilliant results. My previous experiences were not so good, but Dr Abhay has completely changed my opinion as he is very helpful and humble. The guidance he gave me has helped me immensely with my situation.
I am so happy with the results of my thyroid treatment, that I will surely recommend Dr Abhay to anyone gladly. In the past i consulted so many doctors, but nobody was able to help me with my thyroid disorders, but he has helped me immensely. He is a very practical doctor. And I am quite benefitted with his treatment.
From quite some time i was suffering from pain, but never gave much importance to it. With the help of Dr Abhay's treatment for thyroid disorders I am feeling so great. He is not just friendly, but also is very motivating. I am impressed with the way he treated me. I have noticed outstanding changes post treatment.
I was having very bad thoughts regarding my hypothyroid. I am so thankful that Dr Abhay Ahluwalia has given me the best advice and I am now finally able to get back to my normal self. I consulted a number of specialists but the way he treated me was the best. I found the Columbia Hospital itself quite pleasant.
With the help of Dr Abhay's treatment for trying to conceive I am feeling so great. During the complete treatment program he always supported and motivated me. His guidance has helped me immensely with my situation. He is so nice that they even at odd hours one can call him in case of emergency.
I was in so much pain due to my sugar problem. I chose to consult Dr Abhay. His advice and counselling has helped me immensely. It's been more than a year now, and I have noticed considerable change in myself. He treated me very patiently and helped me improvise my condition.
With great ease Abhay Ahluwalia carried out my adult diabaties treatment as the problem was increasing day by day.The atmosphere in the clinic Columbia Asia Hospital in Palam Vihar is always so positive and full of life.With the help of his treatment I am feeling so great.
I took a treatment from dr Abhay Ahluwalia at Columbia Asia Hospital - Palam Vihar for anorexia. Not only he is very calm and composed, but is also a very understanding doctor.His guidance has helped me immensely and has helped gain confidence.
I found the answers provided by the Dr. Abhay Ahluwalia to be very helpful. Thanks
If you have just learned that you have been diagnosed with type A diabetes, what would you do to manage it? There are just a few ways of coping with it and they include controlling the blood-glucose levels, managing insulin levels, being fit and active, getting a well-regulated diet and obtaining emotional support from close ones.
- Getting proper advice: Type A diabetes implies that your pancreas are no longer able to produce insulin and now it is up to you to monitor your blood-sugar level and administer your insulin levels in order to get rid of the harmful effects of type A diabetes. Though your doctor would be able to advise you better whether you will need insulin injections or any medication, you can beat the negative impacts of diabetes with small and simple lifestyle changes.
- Exercise to be fit and healthy: Working out is key to proper diabetes care. In addition to all the benefits you can reap by being fit and active, your diabetes would also respond with stable and lowered glucose levels. With type A diabetes, it is essential to know how your body reciprocates before, during and after exercise, and take proper precautions for treating hypoglycemia or low blood sugar. Your healthcare provider would be able to guide you better and etch out a fitness plan on the basis of your clinical requirements.
- Dietary changes for optimum nutrition: Obtaining a perfect dose of nutrition is a crucial piece of the puzzle to cope with diabetes, and it is quite difficult to figure out. Contrary to the popular belief, being diagnosed with type A diabetes doesn’t really mean that you will have to feel deprived and starve. A wide array of delicious meals, snacks, fruits and vegetables await you to be explored. Indulge in citrus fruits, beans, green leafy vegetables, berries, fish rich in omega-3 fatty acid contents, and whole grains to your heart’s content.
Though it is often undermined, emotional support plays a very significant role in caring for those affected with diabetes, regardless of its type. If you are presently combating with type A diabetes, connect with people who go through the similar pain of measuring the daily carbohydrate count, testing the blood-sugar levels endless times in a day and dealing with emotional highs and lows brought about by diabetes. These few things can bring a huge positive difference in your life. If you wish to discuss about any specific problem, you can consult a Endocrinologist.
Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.
With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.
- The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
- The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
- Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
- Babies born to diabetic mothers are often bigger. The baby’s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
- Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
- Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
- Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother’s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
It is important for you to know how pregnancy affects your thyroid gland. The thyroid hormone plays an important role during pregnancy in the development of the baby and also regarding the health of the mother. If you suffer from thyroid problems during pregnancy, you should take medicines and certain thyroid function tests.
How pregnancy affects normal thyroid function?
The pregnancy hormones known as human chorionic gonadotropin or hCG and estrogen lead to increased thyroid hormone levels in your blood. The hCG made by the placenta stimulates the thyroid to produce excessive hormones. Increased estrogen leads to higher levels of the thyroxine binding globulin, which transports the thyroid hormone in the blood.
Because of these normal hormonal changes, thyroid function tests are difficult to perceive during pregnancy. The thyroid hormone is very important for the normal development of a baby’s nervous system and brain. During the first trimester of pregnancy, the foetus depends on the supply of thyroid from the mother via the placenta.
In healthy women, the thyroid enlarges during pregnancy. An enlarged thyroid can indicate a thyroid disease, which should be diagnosed immediately. Thyroid problems are difficult to diagnose during pregnancy because of the increased hormone levels, increased thyroid size, fatigue and other factors.
Hyperthyroidism in pregnancy
Hyperthyroidism may occur in pregnancy because of Graves’ disease where enough thyroid hormones are not produced. Graves’ disease is an autoimmune disorder in which the immune system attacks the cells and organs of the body instead of fighting bacteria or viruses. With Graves’ disease, an antibody is released by the immune system called the thyroid stimulating immunoglobulin or TSI. This causes the thyroid gland to produce excess thyroid hormone. In many cases, the antibody is also associated with eye problems like bulging, irritation and puffiness. Graves’ disease commonly appears during pregnancy, but women with this disease from before may actually observe improvements in the symptoms during the second and third pregnancy trimesters. The remission or the disappearance of the symptoms of Graves’ disease may occur due to the general suppression of the immune system, which occurs during early pregnancy. The disease is likely to recur and worsen in a few months after the delivery. It is important for pregnant women with Graves’ disease to be monitored carefully.
Hypothyroidism during pregnancy may lead to a developmental delay in the child. Sometimes, hormone therapy is given to women who are at the borderline stage in thyroid function during pregnancy or just before pregnancy. The treatment of the condition aims at maintaining a proper and balanced thyroid hormone level in the body. If you wish to discuss about any specific problem, you can consult an endocrinologist.
If you are concerned about diabetes and want to protect yourself from getting affected by the disease, there are several preventive steps you can take. These steps are simple and require some modifications in your daily life, activities, diet and overall lifestyle. Diabetes is a condition in which your blood-sugar level gets higher than normal and affects your health in several ways.
Here are some ways to protect yourself from diabetes:
- You should know about the different causes of diabetes by speaking with health professionals, diabetes patients and by doing some online research.
- You must put off the causes which you just cannot prevent and should abstain from aggravating them. These may include heredity and age-related causes. If diabetes runs in your family, there are high chances of you getting it as well. The chances are maximum when both your parents are diabetic.
- Increasing age is another likely factor for developing diabetes. This is because the functioning of all your body system gets disrupted and slowed down because of age. Major cases of diabetes commonly occur after the age of 49.
- Prevent the causes of diabetes which you can control. These include obesity, stress, high blood pressure and viral complications. Stress because of several factors such as physical injuries and emotional problems commonly cause diabetes in many people. Obesity and high blood pressure too are linked with the development of diabetes. Several viruses can settle in your system and lead to diabetes as well.
- For preventing diabetes, you should conquer your obesity and attain a BMI or body mass index, which is within a normal range and is suitable for you. For men, the waist size should be maintained below 40 inches and in women, it should be under 38 inches.
- Eating healthy food will help you stay away from diabetes. You should consume less sugar, fats and alcohol and consume milk, meat and other proteins in a moderate amount. You should consume whole foods, such as vegetables, fruits, whole grains, starchy foods and beans in large amounts. These items should highlight all your major meals.
- Being physically active and exercising regularly is very important, if you want to stay healthy and prevent yourself from developing diabetes. You should climb stairs, walk, play and undertake activities which require you to move around.
To keep yourself safe from diabetes, you must take good care of yourself when you are ill in order to avoid several complications. Several viruses and autoimmune diseases lead to diabetes in which the immune system attacks the body. You should be careful of viral infections such as measles, influenza, rubella, mumps and many others. If you wish to discuss about any specific problem, you can consult an endocrinologist.
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.