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Dr. Ganesh Jevalikar  - Endocrinologist, Gurgaon

Dr. Ganesh Jevalikar

D.N.B. (Paediatrics), M.B.B.S, M.D. (Paediatrics), PDCC (Paediatric Endocrino...

Endocrinologist, Gurgaon

17 Years Experience  ·  1000 at clinic
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Dr. Ganesh Jevalikar D.N.B. (Paediatrics), M.B.B.S, M.D. (Paediatrics), PDCC (... Endocrinologist, Gurgaon
17 Years Experience  ·  1000 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ganesh Jevalikar
Dr. Ganesh Jevalikar is a renowned Endocrinologist in Sector-38, Gurgaon. He has over 15 years of experience as a Endocrinologist. He has completed MBBS, MD - Paediatrics, DNB (Pediatrics). You can visit him at Medanta-The Medicity in Sector-38, Gurgaon. You can book an instant appointment online with Dr. Ganesh Jevalikar on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
D.N.B. (Paediatrics) - National Board of Examinations, New Delhi - 2006
M.B.B.S - B.J. Medical College and Sassoon Hospital - 2001
M.D. (Paediatrics) - Grant Medical College - 2006
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PDCC (Paediatric Endocrinology) - SGPGIMS, Lucknow - 2009
Languages spoken
English
Hindi
Professional Memberships
Indian Academy of Paediatrics (IAP)

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Medanta-The Medicity

Rajeev Chowk, Gurgaon Sector-38. Landmark: Near Cafe Coffee Day, GurgaonGurgaon Get Directions
1000 at clinic
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Medanta The Medicity

Sector - 38, Golf CityGurugram Get Directions
  4.3  (46 ratings)
1000 at clinic
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Medanta Mediclinic Defence Colony

E-18 Defence ColonyNew Delhi Get Directions
1000 at clinic
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My mother is a diabetic n thyroid patient from last l year she is suffering from a small white pimple type particle in her tongue and now some lumps has also appeared near by that white pimple she consulted an ENT and is using kenacort n metro gya DG gel and some vitamin supplement can pls suggest a proper treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is a diabetic n thyroid patient from last l year she is suffering from a small white pimple type particle i...
Lybrate-user, the condition appears to aphtous ulceration. There is no specific treatment, whatever presently advised is good enough. Vitamins particularly folic acid and b12 are more often used. These are recurring type of lesions.
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Hi sir, Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg daily, after 1 and half month I used to start 50mg after 10 days I go for test my TSH result is 0.11. Can you please suggest me how much MG I used daily. Can you please help me.

MS - ENT,MBBS
ENT Specialist, Kolkata
Hi sir,
Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg ...
Hi First: medicines are mandatory. Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs. Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know. Take care
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Sir I have been suffering from Diabetic for last 5 years .Please tell me to take some medicine. Now i am taking Triglynase V-1.

MD - General Medicine, MBBS
General Physician, Durgapur
Diabetic medicines are to be taken after proper investigations. Get Your blood sugar examination (FBS, PPBS, HbA1C) done and consult the doctor. If you want to consult me you will need to visit me once.
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My name is sonal I have thyroid t3 is 2.57 t4 is 0.93 tsh is 3.20 is normal but TPO level is 688.8 and TG is 155.4 and I have obesity problem my weight is 96 I keep on increasing even I have cholesterol problem so pls suggest good diet and do's and don't for the said.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My name is sonal I have thyroid t3 is 2.57 t4 is 0.93 tsh is 3.20 is normal but TPO level is 688.8 and TG is 155.4 an...
Lybrate-user, with anti - tpo abs being high (688.8) you are having hashimoto's thyroiditis (ht), which has caused hypothyroidism. Tsh may be normal, but there is hypothyroidism. That is the reason for increasing weight or being unable to reduce it. So you need to start treatment with thyroxine tablets right away. Thanks. If you have any doubts please come in a private conversation where I will be able to guide specifically. In usa ht is the main cause of hypothyroidism. It will be good if you go through a note on ht written by me in the medical tips, that will give you an idea about the condition. Thanks.
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I am diabetic. (sugar after meal around 200 without taking any medicine) my age is 43 years. I am also suffering from piles. I am feeling something in my anus. And also swelling in anus. I have pain during passing stools. Now a days I am taking two Arshhar capsules twice on daily. I feel better after taking arshhar but not cure. I want permanent solution. Please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic. (sugar after meal around 200 without taking any medicine) my age is 43 years. I am also suffering from...
Mr. Lybrate-user, you have diabetes t2 and probably hemrrhoids (piles). If piles are trouble some, then surgical treatment is the only option. More importantly your diabetes needs to be treated with appropriate medication either oral anti diabetes drugs or insulin injection. With a pp level of 200 mg it not good to leave it untreated. This my sicere advise to you.
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Is the person suffering from Hypothyroid or Hyperthyroidism at high risk of developing diabetes please clarify?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Is the person suffering from Hypothyroid or Hyperthyroidism at high risk of developing diabetes please clarify?
Since diabetes is harmonal disease. Change in any harmone will disturb all harmones so as thyroxine so thyroid disease increases the risk of developing diabetes and vice versa.
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How can I loose my weight. Its nearly 100 kg. And I have thyroid. I have tried many things like gyming, yoga.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Nagpur
How can I loose my weight. Its nearly 100 kg. And I have thyroid. I have tried many things like gyming, yoga.
If your having thyroid your weight loss will be slow. For this you should do daily walking for at least 45 minutes. Have your meals 5-6 times a day which is low in carbohydrate like roti, brown rice, salads. Stop having raw cabbage, soy and soya product and do not have anything to eat for half an hour after taking your thyroid medicine.
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Diabetes and Heart Disease - An Intimate Connection!!

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Diabetes and Heart Disease - An Intimate Connection!!

Our body cells are responsible for the essential breakdown of food into energy, as it is vital for our body functioning. Cells break down food into glucose and then convert glucose into energy through insulin, which is an important hormone in the body. Diabetes is associated with the inappropriate functioning of insulin and can be classified into two types: Type I and Type 2 Diabetes. In type I Diabetes, the body does not make enough insulin. In type 2 diabetes, the cell do not use insulin properly.

Both conditions cause blood glucose levels to rise in the body. Diabetes is more than one disease as it poses serious health risks. People with diabetes are at risk of developing a host of problems such as stroke, hypertension, nerve damage, skin, eyes and kidney problems. High amount of blood sugar level can cause damage to the blood vessels leading to blocked arteries restricting blood flow to the heart. Poor blood glucose control can lead to high blood pressure and other blood lipid abnormalities including high levels of HDL (good cholesterol) and triglycerides.

The link between cardiovascular disease and diabetes is well established by medical science. It is estimated that 65% of people with diabetes die of heart disease, which makes it a leading cause of all deaths among diabetic patients. Doctors refer to this connection as DHD- Diabetic Heart Disease. The term Diabetic Heart Disease covers coronary heart disease; narrowing of the arteries, heart failure; minimising heart’s capacity to pump enough blood and diabetic cardiomyopathy; alteration in the structure and function of the heart.

A sedentary lifestyle with little or no physical activity, smoking, stressful life and unhealthy eating habits all contribute to weight gain, high cholesterol, high blood pressure, heart diseases and diabetes. Thus, weight and lifestyle issues management is the best way to prevent and control such health risks.

Let’s look at some simple but effective ways towards a healthy lifestyle:

  1. Physical exercise: Adopt a 30 minute exercise rule to remain healthy and fit. For diabetic patients, a morning and evening walk is highly recommended. You could walk, run, gym, climb stairs, do yoga, aerobics or other physical activity that interests you.
  2. Eat healthy: Avoid fried and packaged foods as they are full of fats, salt and sugar. Include seasonal vegetables and fruits in your diet and drink plenty of water. Dieticians recommend eating a heart-healthy diet including superfoods like broccoli, spinach, berries and fibre rich meal.
  3. Weight managementKeeping weight under check is an effective way to prevent the risk of heart diseases. Consult a dietician for a customised diet plan as per your medical condition.
  4. Be positive: Stress is a silent killer and a major contributor to all lifestyle diseases. Remain calm and manage your negative thoughts to overcome stress.

Health is the ultimate treasure you have! Preserve it.

Type Diabetes

2 people found this helpful

Recently I had a postprandial blood test for sugar level and the result is 126 mg/dl. I want to know whether I am suffering from diabetes.

Diabetologist, Mumbai
Recently I had a postprandial blood test for sugar level and the result is 126 mg/dl. I want to know whether I am suf...
Hello lybrate-user, according to your blood test you r not suffering from diabetes. But your BMI I.e body mass index is high (30) which comes in category of obesity .ideal weight according to your height is 50 to 54 kg. Hence, you come in high risk for occurrence of diabetes in further .u need to reduce your weight.
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I am a 2nd stage diabetic patient having average 125 blood sugar, bp 90/140, cholesterol levels 200.

DM Cardiology
Cardiologist, Delhi
Dear,you need to reduce the cholesterol levels. High cholesterol (hypercholesterolemia) what is hypercholesterolemia? hypercholesterolemia is a condition in which the level of cholesterol in your blood is high. When you have too much cholesterol, deposits of fat in the blood called plaque form inside blood vessel walls. The blood vessel walls thicken and become narrower (a condition called atherosclerosis). This change in the blood vessels reduces blood flow through the blood vessels, increasing your risk of heart disease and possibly leading to heart attacks or strokes. Cholesterol is a naturally occurring fatty substance. Your body needs small amounts of cholesterol to make and maintain nerve cells and to produce hormones. Most of the cholesterol in your blood is made by your liver from the fats, carbohydrates, and proteins you eat. You also get cholesterol by eating animal products such as meat, eggs, and dairy products. The two most important components of cholesterol are ldl (low-density lipoprotein) and hdl (high-density lipoprotein). Ldl and hdl carry cholesterol through your blood. Ldls carry a lot of cholesterol, leave behind fatty deposits on your artery walls, and contribute to heart disease. Hdls do the opposite. They clean the artery walls and remove extra cholesterol from the body, thus lowering the risk of heart disease. Ldl is called" bad" cholesterol. (you can think of" l" for" lousy" cholesterol.) hdl is called" good" cholesterol (think of" h" for" healthy" cholesterol). It is good to have low levels of ldl and high levels of hdl. How does high cholesterol occur? the main cause of high cholesterol is eating foods that are high in saturated fat or cholesterol. Other possible causes are? an inherited problem with the way your body processes cholesterol? a disease that raises the cholesterol level (for example, diabetes mellitus, kidney disease, liver disease, or hypothyroidism). What are the symptoms? high cholesterol is a silent disease. There are no symptoms until problems have already developed, such as the chest pain of a heart attack or calf pain with walking, caused by narrowed or blocked arteries to the legs. How is it diagnosed? you will have blood tests to check your cholesterol level. These lab tests usually measure your total cholesterol level as well as the levels of low-density lipoprotein (ldl), high-density lipoprotein (hdl), and triglycerides. You may need to fast before your blood test. This means you do not eat or drink anything except water for 12 hours before the test. Your health care provider may give you a physical exam. He or she may ask about your diet and diseases and health problems in your family. How is it treated? the goal of most cholesterol treatment is to decrease the ldl in your blood and to raise the hdl. For every 1% decrease in cholesterol level, your risk of heart disease is reduced 2%. A diet high in fiber and low in total fat, saturated fat, and cholesterol can help to lower cholesterol levels. For more information on changes you can make in your diet, see health maintenance: controlling cholesterol. You will need to lose weight if you are overweight. You should also exercise as recommended by your health care provider. If diet and exercise are not enough to reduce your cholesterol level, your health care provider may prescribe drugs. Among the drugs commonly used are cholestyramine, niacin, gemfibrozil, atorvastatin, fluvastatin, lovastatin, pravastatin, and simvastatin. Each medicine has slightly different effects. Sometimes you will need to take more than one medicine to decrease your total cholesterol. Your health care provider will choose the best medicines for you. How can I take care of myself and prevent high cholesterol? in addition to changing your diet, you can help lower your cholesterol by the following? get more exercise, especially aerobic exercise. Ask your health care provider about an exercise prescription. Start slowly to avoid injury. Exercise helps raise hdl levels, improve circulation, decrease body fat, and tone muscles? don't smoke? maintain a normal weight? have your cholesterol levels and weight checked by your health care provider.
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I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units and 10 units respectively. But my blood sugar level is fluctuating. One time blood glucose level come down very low and other time it shoots up to 328 mg/ dl. Kindly suggest. I have thyroid also and is normal. No blood pressure and any other. Kindly suggest I am very worried about my sugar level.

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units ...
Hello Lybrate user, Constant high or fluctuating blood sugar will not only have a negative impact upon eyes but other health parameters too. In such cases the immunity goes down due to the higher blood sugars and one is very prone for infections. Homeopathy is a very good friend of diabetics, because it may not only reduce the sugar count in many cases, but it can cure diabetes also, provided the patient follows dietary precautions and physical movements. If it can not cure, it can drastically help in improving the quality of life in terms of preventing or delaying the diabetic effects on kidneys, eyes etc. I observe great effects using homeopathy in diabetics. It can treat wonderfully the very common symptoms of diabetics like pain in the legs, sleeplessness, lethargy, depression, fatigue, indifference etc. You must move, go for a walk, at least half an hour and have dietary precautions. She must have physical movements, that helps to keep sugar under control and minimize all carbohydrates from the diet for ex rice. She can use the following tips: One teaspoon of methi seeds soaked overnight in 100 ml of water is good for diabetes, Drink tomato juice with salt and pepper every morning on an empty stomach. For details you can contact me for further guidance.
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I have suffering to drugs addition since 20 days likes post and other dangerous likes that brown sugar now I want to leave this habit I have suffering from diabetes melitus so plg ask me what can I do which medicine I take.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I have suffering to drugs addition since 20 days likes post and other dangerous likes that brown sugar now I want to ...
Dear lybrate-user, Welcome to Lybrate. Drug addiction also comes under abuse and addiction. If you’re ready to stop the substance and willing to get the support you need, you can recover from addiction and abuse —no matter how bad the addiction or how powerless you feel. The first step in treating addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn’t easy. But it’s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of addiction. Therefore, you need to stick to the treatment plan. Take care.
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I am 53 years male having diabetes for the last 20 years. Now I am frequently getting low sugar. Hence I reduced the insulin in take. It may be due to the Ayurveda medicines also which I am taking for last six months. What should be the normal sugar level in fasting, PP and at random? So that I can still reduce the insulin and switched over to tablets.

CDIABT, MBBS
Endocrinologist, Mumbai
I am 53 years male having diabetes for the last 20 years. Now I am frequently getting low sugar. Hence I reduced the ...
For diabetes follow a diet low in carbohydrate, low in salt, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Normal fasting is 80-130, PP is less than 180 and random is less than 200.
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Hello. My husband who is 29 years old. He has suffering from sugar disease. His weight is 83 kg and height is 5 ft 10-11 inch. How he will control weight and sugar/diabetes level. What diet should be taken. And how many weight for height should be need. Please tell me.

Diploma in dietetics, PG certificate in Diabetes Education, BPTh/BPT, Verified Certificate in Nutrition for health promotion and disease prevention
Dietitian/Nutritionist, Gurgaon
Hello. My husband who is 29 years old. He has suffering from sugar disease. His weight is 83 kg and height is 5 ft 10...
For 5 ft 10 inch, ideal weight is between 77-80 kg. He should avoid the following to lose weight as well as to control sugar levels: 1) sugar, gur, sweets, sugary items like jams, jellies etc. 2) processed and ready to eat food like chips, namkeens etc 3) refined flour or maida items 4) cut down on saturated fat or solid fats like ghee, butter 5) fried foods like pakodas, samosas etc following food items should be taken in moderation: 1) fruits- mango, litchi, chickoo, grapes and bananas 2) vegetables- patatoes, sweet patatoes and arbi 3) suji or semolina and white rice 4) nuts like dates, raisins etc he should include more fibre in the diet as fiber helps in controlling the blood sugar levels and also helps in losing weight. For this he should have plenty of vegetables and whole pulses. Ask him to include salad before both the meals. Hope this will help.
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I am a diabetic patient i m taking regularly medicine then also my feets are burning please give me advice for medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello how good is sugar control? if sugar levels are normal most symptoms are in check. You can add cap mego xl daily one for a month.
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At night times I go 4 and 5 times to toilet. My sugar level is normal. What is the reason and solution?

MBBS
General Physician, Cuttack
At night times I go 4 and 5 times to toilet. My sugar level is normal. What is the reason and solution?
For your age excessive urination could be due to 1. Drinking lot of water/ excess tea/ coffee/alcohol 2. Urinary tract/bladder infection 3. Bladder stone causing a blockage in ureter/bladder, stone in urinary tract, cystitis, interstitial nephritis 5. Diabetes mellitus/diabetes inspidus, hypertension, 6. Stress/anxiety/nervousness, 7. Do urine re/me, blood sugar testing, take usg kub, and consult urologist for advice.
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She is having thyroid. N she is taking thyronorm medicine since three years. Sometimes she skips her dose. Is it compulsory to take those medicine everyday?

BHMS
Homeopath, Mumbai
She is having thyroid. N she is taking thyronorm medicine since three years. Sometimes she skips her dose. Is it comp...
HELLO SAUMYA, PLS,,NEVER EVER MISS YOU THYROID MEDICINE DOSE, KEEP YOUR THYROID MEDICINE IN COOL AND DARK PLACE AWAY FROM SUNLIGHT,AS IT MAY REDUCE EFFICACY OF THE MEDICINE. DO T3,T4,,TSH TEST EVERY 3 MONTHS AND REGULARY CONSULT YOUR DOCTOR
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I am hypertensive and type 2 diabetes my doctor has prescribed amlopres AT why a Beta Blocker in diabetic any suggestions? Do beta blockers affect diabetes? Which one is safe Proprinol or Atenolol?

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am hypertensive and type 2 diabetes my doctor has prescribed amlopres AT why a Beta Blocker in diabetic any suggest...
No beta blockers does not affect diabetes and Propanol and Atenolol are both similar medications. You need to understand about high blood pressure.  Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise  You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT  Renal doppler  Get back to me with a detailed history and  old / new records for a better individualized advice.
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How can I control my thyroid simulation hormones is there any tips please tell me.

BHMS
Homeopath, Chennai
Homeopathy treats the person as a whole. This means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The Homeopathic thyroid treatment medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. You can easily take an online consultation for further treatment guidance
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