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Dr. Ankush Prakash

Endocrinologist, Hyderabad

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Dr. Ankush Prakash Endocrinologist, Hyderabad
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ankush Prakash
Dr. Ankush Prakash is an experienced Endocrinologist in Kothapet, Hyderabad. You can consult Dr. Ankush Prakash at Siddhartha Nursing Home And S V Diabetic Centre in Kothapet, Hyderabad. You can book an instant appointment online with Dr. Ankush Prakash on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 33 years of experience on Lybrate.com. Find the best Endocrinologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Siddhartha Nursing Home And S V Diabetic Centre

#11-13-1346, Margadarsi Colony, Kothapet, Landmark: Ast Laxmi Temple Road, HyderabadHyderabad Get Directions
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Sir, Sugar posting 106 & post lunch 117 & hba1c as 4.3% ion exchange reason method.

MBBS
General Physician, Siddharth Nagar
Sir,

Sugar posting 106 & post lunch 117  & hba1c as 4.3% ion exchange reason method.
According to this values- 1- if you were not diagnosed previously as diabetes and under medication.- you don't have diabetes 2- if you are already under treatment then your diabetes cotroll is very good and continue your treatment. 3- you are over weight so start doing exercise and dietry modification to lower your weight. Hope you got your answers.
2 people found this helpful
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Infertility - Causes And Treatment

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Infertility - Causes And Treatment

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

  1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

  2. Female factor - Tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

  3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

  1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

  2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

  3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

  4. Obesity: An overweight person has a higher chances of having sperm abnormality.

  5. Workout: Less or very heavy work out is said to increase the chances of infertility.

  6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

  7. Sexually Transmitted infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

  1. Hormones treatment

  2. Drugs for fertility

  3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

  1. Intrauterine insemination

  2. In Vitro Fertilization

  3. Intracytoplasmic sperm injection

  4. Donation of Sperm or Egg

  5. Assisted Hatching

  6. Electric or Vibratory Stimulation to achieve ejaculation

  7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication! If you wish to discuss about any specific problem, you can consult a gynaecologist.

1 person found this helpful

How can we know regarding heart attack? Means angiography is necessary to know if patient has high BP, Cholesterol, Thyroid and sugar about 200 (random).

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How can we know regarding heart attack?
Means angiography is necessary to know if patient has high BP, Cholesterol, T...
Mr. Lybrate-user, the various things you have mentioned are some what inter related but everything can not be predicted as you may be thinking. Various things can cause problem with heart. High cholesterol can cause blocks in the coronary artery which can lead to angina or later myocardial infarction (heart attack). High blood pressure puts extra work load on the heart. Diabetes does affect large blood vessels (coronary artery) and also aids dyslipidemia. Tests like echocardiogram and angiography do help in identifying possible causes leading to heart attacks.
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I wanted to know if a person with thyroid (hypo) can or should donate liver for liver transplant surgery? If it is possible to do the same, what things need to be checked before and will donating the liver have any long term effects on the donor?

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Endocrinologist, Pune
I wanted to know if a person with thyroid (hypo) can or should donate liver for liver transplant surgery? If it is po...
No harm in liver donation if you have hypothyroidism. Investigations will be suggested by your liver transplant donar.
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Hello sir, I am 21 years old or I have diabetes for 8 moths how to cure it fully? Please tell me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hello sir, I am 21 years old or I have diabetes for 8 moths how to cure it fully? Please tell me.
tips to control diabetes first and foremost take your medicines regularly as diabetes can be controlled ,not fully cured 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet.
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Diabetes: At A Glance

MD - Medicine, MBBS
General Physician, Gurgaon
Diabetes: At A Glance

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called Hypoglycemia and if the blood sugar levels are too high, it is called Hyperglycemia. Both are extremely harmful for a patient.

Type 1 and Type 2 and Gestational Diabetes:

Type 1

In Type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have Type 1 diabetes. Patients with Type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from Type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational Diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of Diabetes

  1. Frequent urination
  2. Extreme hunger or thirst
  3. Weight loss
  4. Problems with vision
  5. Tingling or numbness of the extremities.
  6. Unexplained fatigue
  7. Dry skin
  8. Cuts or sores that heal slowly
  9. High number of infections

Who is at greatest risk for developing diabetes?

People who:

  1. are 45 or over
  2. are overweight
  3. are habitually physically inactive
  4. have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
  5. have a family history of diabetes
  6. are members of certain ethnic groups (including Asian American, African American, Hispanic American, and Native American)
  7. have had gestational diabetes or have given birth to a child weighing more than 9 pounds
  8. have elevated blood pressure
  9. have an HDL cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
  10. have polycystic ovary syndrome
  11. have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing Type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

Type diabetes
4606 people found this helpful

I am 41 year old. I am suffering from diabetics for last 3 years it may vary from 110 to 152 in fasting.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am 41 year old.  I am suffering from diabetics for last 3 years it may vary from 110 to 152 in fasting.
Hi,great that you shared being dm n gd control! please maintain it with your diet, exercise n medicines advised by your Dr. Consider to reverse it with full charm in life authentic ayurveda shares achar n ahar sarayan with medicinal rasayan after detox. There is time bound complications with modern medicines of arteries n nerves (initially major n then small) if you have family history. Maintain weight n look for good bed performance which is the marker of health of arteries. Inside u.
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Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.

PDDM, MHA, MBBS
General Physician, Nashik
Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). The first thing you should do is to eat foods that are high in fiber, This is because fiber rich foods absorb uric acid from the blood. Your kidneys then 'throw' out the excess uric acid. Try to eat Oatmeal, Spinach, cauliflowers and Isabgol in milk if possible.  Please use olive oil to cook your food. Kindly avoid vegetable oils because they become unhealthy when heated twice. This leads to rancid fat in the body. These destroy vitamin E, that in turn controls uric acid levels. Olive oil also curbs uric acid by itself.  Vitamin C chewable tablets taken 500 mg daily lower uric acid levels within 4 to 8 weeks.  Try to stop intake of sweets, cakes and pastries. Saturated fats are bad for you.  Many fruits have got potent anti-oxidant properties, like celery seeds, grapes and tomatoes, and these prevent harmful toxins from attacking your organs - releasing uric acid.
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I have T2DM. PP blood glucose test is done 2 hrs after lunch. How do I measure the 2 hrs ; from the start of lunch or from the end of lunch? There is a confusion amongst the different pathology laboratories. Please clarify. Also clarify the no. Of hrs of fasting required when a test the Fasting Blood Glucose.

MD
Diabetologist, Ahmedabad
I have T2DM. PP blood glucose test is done 2 hrs after lunch. How do I measure the 2 hrs ; from the start of lunch or...
POST PRANDIAL SUGAR IS 1.5 to 2 hour after meal. Use glucometer for sugar. Measure all meal time sugar. Fasting, post breakfast, prelunch, postlunch, predinner, postdinner and midnight on different days.
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Sir/mam. I am pridibatic person and I take couple of apples. Sometimes banana and grapes. Buy my question is. These fruits contains natural fruit sugar. So will this effect my sugar level and push me close to diabetic phase later in life. I am confused please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir/mam. I am pridibatic person and I take couple of apples. Sometimes banana and grapes. Buy my question is. These f...
Mr. lybrate-user, All fruits contain fructose. But in persons with diabetes usually following fruits are to be avoided like banana, mango, grapes & Chikkoo. The reason the quantity of sugar is much higher. Other fruits are good enough. But in a person with diabete, fruit intake is permitted only when the blood glucose control is really very good. Fruits mentioned by you particularly grapes and banana are to be avoided. But occasionally a small quantity can be taken. Thanks.
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