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Siri Diabetes and Endocrine Centre

Endocrinologist Clinic

3-45-10, Sai Nagar,Wellington Road, Picket-Secunderabad Hyderabad
1 Doctor
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Siri Diabetes and Endocrine Centre Endocrinologist Clinic 3-45-10, Sai Nagar,Wellington Road, Picket-Secunderabad Hyderabad
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Siri Diabetes and Endocrine Centre
Siri Diabetes and Endocrine Centre is known for housing experienced Endocrinologists. Dr. Sreedevi Patnala, a well-reputed Endocrinologist, practices in Hyderabad. Visit this medical health centre for Endocrinologists recommended by 77 patients.

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3-45-10, Sai Nagar,Wellington Road, Picket-Secunderabad
Secunderabad Hyderabad, Andhra pradesh - 500003

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How Gestational Diabetes Can Be Treated?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How Gestational Diabetes Can Be Treated?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

4 people found this helpful

Cardiovascular Disease & Diabetes - Know Everything About It!!

MBBS, CCEBDM
Diabetologist, Bangalore
Cardiovascular Disease & Diabetes - Know Everything About It!!

Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

  1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.
  3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
  5. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease.
 

2 people found this helpful

Infertility Treatment - 4 Parameters To Consider

MBBS, DGO
Gynaecologist, Gurgaon
Infertility Treatment - 4 Parameters To Consider

The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.

Treatment of infertility depends on:

  1. Cause of Infertility
  2. Duration of Infertility
  3. Age of both partners
  4. Personal preferences

Causes:
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following

2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:

3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.
Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments.
In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:

  1. Medications
  2. Surgery
  3. Change in lifestyle
  4. Sperm retrieval

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI)
  2. Stimulation of ovulation with fertility drugs
  3. Surgery to restore fertility

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:

  1. Intracytoplasmic sperm injection (ICSI)
  2. Assisted hatching
  3. Donor eggs or sperm
  4. Gestational carrier

Some complications that may occur during the treatment of infertility are:

  1. Multiple pregnancy
  2. Ovarian hyperstimulation syndrome (OHSS)
1 person found this helpful

Thyroid Diseases During Pregnancy

MS, MBBS
Gynaecologist, Delhi
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Causes, symptoms and diagnosis of Thyroid

1 person found this helpful

Diabetes - Know Its Ayurvedic Remedies!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Diabetes - Know Its Ayurvedic Remedies!

When the sugar concentration in the blood increases suddenly and unreasonably, the resulting condition is known as diabetes. Sugar or glucose is generally used in order to provide much needed energy to our bodies. But when the pancreas dysfunctions, it leads to a problem in the insulin production. As a result, glucose or sugar gets directly absorbed into the blood, instead of getting absorbed by insulin. And this leads to the condition of diabetes.

Diabetes Treatment in Ayurveda
For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produces insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

As an ancient science based on lifestyle related treatment methods that include herbs, massages and life changing tweaks, Ayurveda also provides various methods of managing this ailment. Here's how!

  1. Bitter Gourd: Known as an ingredient that is rich in antioxidants, this can be consumed to take care of diabetes. You will need to first remove the peel of at least four to five bitter gourds before crushing them to create a paste. This paste has to be put through a sieve so that the juice of the gourds can be extracted. You will then have to drink this juice every morning, on an empty stomach.
  2. Cinnamon: From treating coughs and colds to diabetes and other serious ailments, this is a wonder spice that can be found in most Indian kitchens. You can start by boiling a litre of water and letting it simmer on the gas for about twenty minutes. Thereafter, you can add three teaspoons of cinnamon powder to this simmering water. Strain this mixture and drink the entire batch every day to clear out the toxins.
  3. Fenugreek Seeds: For this, you will need to take about four to five tablespoons of fenugreek seeds. These will have to be soaked in a glass of water or about 250ml of water, overnight. In the morning, the softened seeds will need to be crushed before the mixture is strained. The water that escapes should be collected and ingested every day for a period of two months.
  4. Turmeric: Turmeric is a powerful and well-known ingredient that is used for curing and managing many ailments. You will need to mix about half a teaspoon of turmeric powder with one teaspoon of amla powder as well as half a tablespoon of methi seeds or fenugreek seeds powder. This concoction will have to mixed in half a glass of water and taken daily on an empty stomach. This can be used by patients suffering from heart ailments as well.
  5. Diet: Cereals like ragi, corn, kulit, green millet, and barley are known to beneficial for patients suffering from diabetes. Leafy greens are also a must for such patients along with protein-rich foods like soya beans. If you wish to discuss about any specific problem, you can consult an Ayurveda.
1 person found this helpful

What r the thing need to take precaution from sugar And to take healthy food and want to made bone healthy.

B.A.M.S, MD (Ayu.) Kayachikitsa
Ayurveda,
Dear Thanks for contacting with your health concern and following are the recommended guidelines: A. For prevention of high sugar: i. Say NO to: Sugar, all sweets, cakes, sweetened biscuits-drinks, sweet fruits like mangoes and grapes, jam, honey, canned sweet fruits. Ii. Eat in Plenty: all leafy vegetables, tomato, cucumber, brinjal, cauliflower, lady's finger, soup [tomato/vegetable], butter milk, sugar free drinks, tea/coffee with sweeteners, all cereals, sprouted pulses. Iii. Eat restricted quantities: chapati, bread, corn flour, plain or salted biscuits, rice, meat, eggs, chicken, fish, skimmed milk. Iv. Regularize timings and quantity of meals. Be careful in festivals and marriages, compensate for extra sweets by reducing previous and subsequent meals. Do not remain starving for long periods. Avoid alcoholic drinks. B. For healthy bones take Vitamin D fortified diet and Calcium rich food.
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My 32 year old son suffering from diabetes since 3 years. Sugar not came normal range from starting. All remedies and afferds failed. Ayurvedic and alophaty both treatments are running but still sugar not in normal range. What should I do.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for your query. It very unlikely that all efforts to control blood glucose would fail. Since there is no mention about current blood glucose levels, HbA1c%, drugs with dosage and also about diet and exercise, it is very difficult to comment anything. If you and your son are keen on getting appropriate treatment then please come back with following details: Fasting, PP glucose lvels, HbA1c%, weight, height, present drugs with dosage, dietary pattern and extent of daily exercise. Then based on those details I will be able to give specific guidamce. Thanks.
2 people found this helpful
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My random sugar level is 160. I finished lunch at 1.50 pm & blood taken for test at 2.16 pm. Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the query. RBG of 160 mg is high. It points out that there is a problem. But to decide whether one has diabetes or not can only be decided by doing - Fasting, PP and HbA1c%. So please get these tests and then only a correct advise can be given. To confirm diabetes - FBG has to be 126 mg and above, PP 200 mg and above & HbA1c% 6.5 and above. So my suggestion is please get these tests at the earliest and come back with details. Thanks.
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Healthy Snacks To Manage Blood Sugar!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthy Snacks To Manage Blood Sugar!

Healthy snacks to manage blood sugar are here:

1. Whole grain crackers: Made of oats, cracked wheat, rye and quinoa; this is a healthy option for people who like a little crunch while snacking. To give it a more delicious spin, serve it with a little curd and cottage cheese dressing. The overall nutrition value of this snack is excellent. It does good to your cholesterol and glucose levels.
 
2. Fruits for snacks: This might be the oldest trick in the book but always the best. Go for mixed fruit salads with a tangy orange juice, honey and fresh mint dressing. This should add a new punch to those who are tired of eating fruits. This is a friendly snack for people who have both diabetes and a sweet tooth.

3. Steamed sprouts salad: Steamed sprouts might sound a little boring but make a salad with finely chopped tomatoes, cucumber and boiled beans along with sprouts. Add a dressing with cottage cheese, one tsp of lemon juice and a little salt for a twist. This a great combination of protein and fiber, which helps in controlling blood sugar.


4. Yogurt with fresh vegetables: Add yogurt to a fresh mix of celery, tomatoes, broccoli and carrot. This is a combination that is not only healthy but will also keep you full for a long time. It is rich in enzymes, proteins, vitamins and calcium which are highly essential for your body.


5. Nuts: Nuts are rich in healthy fats which are required for our body. They are also very rich in protein and have a low carbohydrate content. The only catch is the quantity in which they have to be used. A couple of walnuts a day and around 5 to 6 almonds should do it.
 

6. Healthy smoothie: Smoothies are easy to make and a healthy option for an on-the-go snack. Blending refreshing coconut milk to a hand-picked combination of amla, spinach, cucumber and tomatoes should do the trick.


 7. Eggs: When we say eggs, we only mean egg whites. It is a snack that can be had round the clock. It is quick and easy to cook and is good for diabetic patients too.

4 people found this helpful

Is it OK to give insulin (Lantus) after meal if somehow the dose before meal gets missed?

MBBS, MD Internal Medicine
Internal Medicine Specialist, Karnal
No. It should be before meal only. It can precipitate certain conditions if sugar is already high. Thanks.
1 person found this helpful
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Ayurvedic Remedies For Thyroid Disorder!

BAMS, MD - Ayurveda
Ayurveda, Mumbai
Ayurvedic Remedies For Thyroid Disorder!

Thyroid has become a common ailment among most women in India nowadays. It is triggered due to the presence of impurities in the blood, which lead to hormonal imbalances and therefore, a number of symptoms, including anorexia, unhealthy weight gain, loss of energy, weakness and fatigue are experienced. But in case of hyperthyroid, you will notice an increased metabolic activity, a rise in pulse rate, loss of weight and palpitation.

Irrespective of whether you are suffering from hyperthyroid or hypothyroid, Ayurvedic treatment has some viable solutions that are aimed at elevating your health condition.

Ayurveda and thyroid

Though there is no direct mention of thyroid in the Ayurvedic texts, there are major implications that hint towards a disease like thyroid that is caused due to imbalance of body fluid and its probable treatments. Thyroid imbalance can be controlled by the following treatment regimen that includes:

1. Dietary regulations: As per Charaka, thyroid doesn’t affect those individuals who take milk in adequate quantities. In addition, you must take moong seeds, bengal gram seeds, sugarcane, cucumber, barley and old rice in optimum amounts for prevention of thyroid. In case you are already suffering from thyroid imbalance, then you must also aim at having a considerable amount of milk on a regular basis.

2. Herbs for regulating thyroid: The herb named Purple Mountain Ebony is purposely helpful in the treatment as well as proper functioning of the thyroid gland. In addition to this herb, you must also intake Punarnava, Brahmi, Jatamansi, Gokshura and Shilajita for alleviating your thyroid problems.

3. Home remedies: If there is swelling in any part of the body caused due to thyroid imbalances, then it can be properly treated by applying a fine paste of Jalakumbhi over the affected area. The juice of this paste can be administered in a small quantity of 22 grams in a span of 24 hours. It helps to increase the amount of iodine in the body which helps to fix various problems in the body. If you are experiencing a lack of energy and weakness, you can use coconut oil for boosting the sluggish metabolism of the body.

4. Yoga for treating thyroid: There are various Yogic postures, which are believed to help in the maintenance of the thyroid gland. You can practice sun salutation, fish pose and shoulder stand for alleviating your condition and get rid of all types of health issues caused from thyroid imbalances.

If you wish to get a personalised evaluation of your health condition, then it is imperative to pay a visit to an expert who can recommend proper Ayurvedic treatment methods for you.

Hello doctors I am diabetic from 2014 in starting I have used tablets but know my sugar levels r 180 .190. Still I have to use tablets are not please tel me.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Dear lybrate user, sugar level 180 is a bit high and calls for a medicine. U must b knowing that diabetes is a disease associated with d stress,anxiety and all ur emotions. So to keep fit, stay calm. Do some regular exercise for 1 hr(morning walk is d best) Avoid sugar,sweets,potato,deep fried food,junk food,fast food Avoid whole milk(use toned) Avoid fruits like banana,chikoo Try to take fibrous diet. Most importantly diabetes is an internal disease which needs to b treated with internal constitutional medicine. Homoeopathy ll solve ur problem. Consult me privately. TC
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How to reduce uric acid level in our body? What to eat or not to reduce uric acid level?

MBBS, MD
Endocrinologist, Delhi
To control serum uric acid low purine diet is recommended. Non vegetarian diets are rich source of purines. Cold drinks, beer,wine soda should be avoided. Vegetarin diets are not very rich source of purines but vegetables like spinache, mushroom,cauliflower, green peas are rich source and should be avoided, same is true for whole moong, chana,tur. Bread,biscuits. Dailry products can be taken in moderation.
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Sir I have hypothyroidism what is the normal level of tsh. If my tsh comes to normal position should I stop taking medicine or can I change the power of medicine. I am taking eltroxin 75 mcg. I am suffering since 2007 and since then under medication. Sir I have body pain, joints pain. But after doing many treatment of RA or arthritis it did not reduce. Can this pain be for thyroid.

BHMS
Homeopath, Chennai
Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypothyroidism is Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an auto immune disorder in which the antibodies are produced by the immune system against its own tissue, which in turn attacks the thyroid gland resulting in hypothyroidism.Severe Iodine defficiency can also lead to hypothyroidism . Natural Homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Top Homeopathic Remedies for Hypothyroidism Calcarea carb , Sepia ,Lycopodium, Graphites and Nux Vomica are the leading homeopathic remedies for hypothyroidism The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter.  You can easily take an online consultation for further treatment guidance
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Hi my wife has thyroid enlargement. Recent report says thyroid gland is grown. Also it touches the throat pipe. Can anyone pl suggest to control the growth of thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Null, Thanks for the query. The reason thyroid grows is because of hypofunction, there is an extra amount of TSH (Thyroid Stimulating Hormone) secreted, that makes the gland size go up. This invariably signifies low thyroxine hormone levels leading to hypothyroidism. Usual cause is iodine deficiency. There is no mention of her thyroid hormone levels (T3, T4 & TSH), as it is important from the point of view of treatment. She may also have to undergo an Ultra Sono graphy of the gland to what kind of changes are present and if there are any nodules inside. Please get these tests done and come back. Then I will be able to guide specifically. Also please tell me if she has any symptoms related to either low thyroxine or high thyroxine. Thanks.
5 people found this helpful
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I am diabetic and hypertensive. My morning blood sugar levels are being recorded high between 150-160 and 120 around 3 AM. I suspect it might be Dawn phenomenon or sneeze effect. How to get solve the problem? Please advise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. M Ramprasad lybrate-user, Thanks for the query. The dawn phenomenon, sometimes called the dawn effect, is an early-morning (usually between 2 a.m. And 8 a.m.) increase in blood sugar (glucose) relevant to people with diabetes.[1] It is different from chronic Somogyi rebound in that dawn phenomenon is not associated with nocturnal hypoglycemia. From above explanation it must be clear to you that your problem is not Dawn effect. Sometimes if night dose is high (whether Insulin or oral drugs) there may be a lower level of glucose in the early morning leading to hypoglycemia. That too is not present. What may be needed is proper adjustment of night dose and food intake. Thanks.
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Today my dad had diabetes test please anyone guide is he at risk or not? Below are test results Fasting Serum Glucose - 94 Serum Glucose 2 hrs - 163 Post breakfast.

MBBS
General Physician, Pune
He has postprandial hyperglycemia. It's also called prediabetes. Get his HbA1C done. If it's above 6.5 then he should start low carb diet. Regular exercise. Repeat his blood sugars after 1 month.
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I am having type 2 diabetics, I was taking glynase 5 mg and ppg ,3 tablets for few years. Recently since blood sugar level increased ,the doctor prescribed vobose (metformin hydrochloride) But I am having diarrhea if I take this. What is the alternative.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd for 60 days only
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