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Dr. D. Vanaja

Endocrinologist, Hyderabad

200 at clinic
Dr. D. Vanaja Endocrinologist, Hyderabad
200 at clinic
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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. D. Vanaja
Dr. D. Vanaja is an experienced Endocrinologist in Shaikpet, Hyderabad. You can visit him at Gayathri Diabetic Care in Shaikpet, Hyderabad. You can book an instant appointment online with Dr. D. Vanaja on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 41 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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Research Society for the Study of Diabetes in India (RSSDI)

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Gayathri Diabetic Care

#8-1-284/OU/314, OU Colony, Shaikpet, Landmark: Above Bhimas Hotel, HyderabadHyderabad Get Directions
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I am 67 m with diabetes2. Taking metaformin 500 three times bs level 135 to140 mg pp. Any advise.

MBBS
General Physician, Cuttack
I am 67 m with diabetes2. Taking metaformin 500 three times bs level 135 to140 mg pp. Any advise.
Your blood sugar is under control. Continue with the medicine. Go for regular walk and control your diet by avoiding sweet and excess carbohydrate
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Role of Homeopathy in Treating Type II Diabetes

MD - Homeopathy, BHMS
Homeopath, Noida
Role of Homeopathy in Treating Type II Diabetes

Type II Diabetes is also known as Non-Insulin Dependent Diabetes Mellitus (NIDDM) or Adult-onset Diabetes. Diabetes mellitus is a syndrome characterized by increased level of sugar (glucose) in the blood due to deficiency or inactivity of hormone 'Insulin' that is absolutely necessary to monitor glucose metabolism of body. This is a metabolic disorder that is primarily characterized by insulin resistance, relative insulin deficiency and consecutively hyperglycemia. Diabetes is prevalent worldwide and if not attended properly, it may lead to serious complications.

Causes of Type II Diabetes:

Diabetes basically occurs due to defective insulin secretion combined with defective responsiveness of the body to the insulin (also called Insulin resistance). Due to both these factors, hyperglycemia starts occurring in the body. It is strongly associated with obesity and with increasing age. A strong inheritance pattern has been noted in cases of type 2 diabetes. Sedentary lifestyle, pregnancy, hypertension, cardiovascular diseases, etc pose as risk factors for developing Diabetes.

Type 2 diabetes can begin at any age though it is not very common in childhood. It usually begins with insulin resistance, a condition in which the body does not use insulin properly. At first, the pancreas keeps up with the added demand by producing more insulin but later it loses the ability to secrete enough insulin in response to meals. This ultimately results in Hyperglycemia (high levels of glucose in circulation).

Homeopathic Treatment for Type II Diabetes:

Diabetes is a constitutional disorder as it is an offshoot of constitutional defects (genetic factors, altered immunity) having an impact on the entire constitution of an individual. Hence it calls for an in-depth constitutional approach for its management.

Homeopathy is based on the principle that disease is a total affliction of body. Moreover homeopathy recognizes importance of the underlying causes such as genetic and inherited factors as the root of any ailment of the body. Homeopathic medicines prescribed on such criteria plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes.

When we talk about diseases like diabetes, we talk in terms of management rather than cure. Homeopathic treatment along with intake of hypoglycemic drugs and/or insulin can prevent the progress and the complications associated with this condition. Moreover timely administered homeopathic medicines help in maintaining the levels of exogenous insulin and hypoglycemic drugs at minimum possible dosage and in preventing the further progress of the disease. However, it may be noted that there is no substitute to insulin in homeopathy. The role of a healthy diet and exercise cannot be underestimated along with all the above treatment measures.

4421 people found this helpful

I have gout. Uric acid is 7.5 mg/dl. Please tell me what precautions I need to take.

BHMS
Homeopath, Faridabad
Hi, Gout (also known as podagra when it involves the big toe) is usually characterized by recurrent attacks of inflammatory arthritis—a red, tender, hot, and swollen joint. Pain typically comes on rapidly in less than twelve hours. The joint at the base of the big toe is affected in about half of cases. It may also result in tophi, kidney stones, or urate nephropathy. Prevention: Both lifestyle changes and medications can decrease uric acid levels. Dietary and lifestyle choices that are effective include reducing intake of food such as meat and seafood, consuming adequate vitamin C, limiting alcohol and fructose consumption, and avoiding obesity. Coffee, but not tea, consumption is associated with a lower risk of gout. Medication: Take homoeooapthic medicine – Colchicum 30/ 3 times a day daily for 1 month, report back to me.
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My pennies does not become hard. I have diabetes. I am going to get married this year. I am worried. Please advise.

MBBS
General Physician, Chandigarh
My pennies does not become hard. I have diabetes. I am going to get married this year. I am worried. Please advise.
Apart from diabetes there can be umpteen reasons for this physiological as well as psychological please consult a good physician and get clinically checked and evaluated to get some effective solution.
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I have pain on heel and knees for about two years especially in the evening. What is its solution. Uric acid is 5.9. What is its solution?

MPTh/MPT, BPTh/BPT
Physiotherapist, Ghaziabad
I have pain on heel and knees for about two years especially in the evening. What is its solution. Uric acid is 5.9. ...
Dear lybrate-user your weight is fine according to your height. You might be suffering from a consition called plantar fasiatis. The leg muscles tend to get tight with time as well as get weak with time. You need to start wd excersises soon as well as spme easy precautions. N knee pain might be due to muscle weakness nothing to worry about. You can do well with exercises.
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I am taking medicines and my sugar levels are within limits, will it still hurt my body organs? Whether I should take very small piece of sweets daily

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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Is dosage of vozuca I. E. metformin 500 mg with voglibose 0.2 mg for type2 diabetes twice daily having adverse effect on body.

PDDM, MHA, MBBS
General Physician, Nashik
Is dosage of vozuca I. E. metformin 500 mg with voglibose 0.2 mg for type2 diabetes twice daily having adverse effect...
There are some side effects of all anti diabetic drugs. But you need them to control sugar levels as high blood sugar level is more dangerous.
1 person found this helpful
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Reactive Hypoglycemia

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Reactive Hypoglycemia
In some people there will be less glucose in the blood due to hormonal imbalance and eventually if it is not treated or if no precautions are taken, then it may lead to pre diabetic or diabetic case - this condition is called reactive hypoglycemia.

6 people found this helpful

Sir I m a diabetic patient since last 30 years. I m insulin dependent. My age is 44 yrs. Is there any sure medicine that I can take and get rid of my insulin injections atleast for one time a day as I take insulin twice daily.

MD-Physician, Dip. Endocrinology, Dip. Diabetes
Endocrinologist, Jabalpur
Sir I m a diabetic  patient since last 30 years.  I  m  insulin dependent.  My age is 44 yrs.  Is there any sure medi...
Unfortunately thr is no such medicine for type 1 diabetic you have to be insulin dependent and thats the sad part.
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Sir, have thyroid problem from past 10 years now I am using thyronorm tables suggest me doctor for permanent treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, For hypothyroidism only treatment option is to take correct dose of thyroxine, so that TSH is maintained between 3 to 4 mU/L.Then only all symptoms are in check. This treatment has to go on for life time. Thanks.
2 people found this helpful
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My father is 67 years . He is having sugar. He is suffering from tooth cavities, can he extract the tooth ? We are scared because of sugar. Pls advise.

BDS
Dentist, Rewa
My father is 67 years . He is having sugar. He is suffering from tooth cavities, can he extract the tooth ? We are sc...
yes extraction can be done when his sugar level is under control Secondly see if the teeth can be saved either by some filling or root canal type of procedures
1 person found this helpful
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I'm a 21 year old guy I checked recently my blood it is showing that I have tsh 5.1 is that mean I'm suffering from thyroid?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, tsh 5.1 mlunits/l is with in the normal range. There is hypothyroidism. Along with tsh, t3 & t4 values are also important.
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I am 54 years old and my fasting glucose is 140mgdl and pp is 112mgdl after having 4 ripen bananas and 2 mangos with 2 idlis with coconut chutny and an omelet with 2 egg whites and a cup of green tea. In the morning done 40 minutes of brisk walk. Am I a diabetic.?

M.D. Internal Medicine
Endocrinologist, Mumbai
I am 54 years old and my fasting glucose is 140mgdl and pp is 112mgdl after having 4 ripen bananas and 2 mangos with ...
Fasting blood sugar more than 126mg% means you have confirmed diabetes - since you are not on any medication probably you are aware of the fact-continue nutritional balanced diet and exercise. Get your hba1c done every 4 monthly and try to maintain below 5.7%
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1. Is sago going good for Type II diabetics whose sugar is under control. 2. In which proper way sago be consumed by patients of type ii? Your advice would be very helpful.

BHMS
Homeopath, Secunderabad
1. Is sago going good for Type II diabetics whose sugar is under control. 2. In which proper way sago be consumed by ...
You can consume it in any form ( use the traditional ways of cooking ). But eat in moderation depending on your need ( calories require ). If it is made with sugar in it then you may take a few spoons only. Keep your blood sugar under check by following a healthy lifestyle.
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I have a complaints of mild diabetes. I have checked FBS 154 PPBL 194 Last 2 -3 months I have similar report Should be I am diabetic or not? If I am diabetic which antidiabetic medicine I have taken? And since how long far continue with antidiabetic medicine? Doctor reply immediately about this query?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I have a complaints of mild diabetes. I have checked FBS 154 PPBL 194 Last 2 -3 months I have similar report Should b...
FBS above 126 is confirmed Diabetes. In your case its 154 hence you have to take medicines. The meds will be prescribed by a Physician or Diabetologist. Meds can't be given online like this. If this is the beginning. It may be possible to reverse your Diabetes through controlled diet + exercise. Best is to immediately consult a doctor.
1 person found this helpful
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Hello, I am 36 years old and its my first pregnancy, 30th week pregnancy going on, Recently I went through Sugar Test, FBS value is 81.3 mg/dl and PPBS value 154.6 mg/dl. This value was same as earlier test. Looking for advice which can be helpful. Pls suggest weather I have to visit diabetologist. Also pls advice weather I should go for HBA1C test or not. In this situation can I take fruits or not like apple, banana, guava, pomegranate. Also I would like to know what should be my daily diet..

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, I am 36 years old and its my first pregnancy, 30th week pregnancy going on, Recently I went through Sugar Test...
lybrate-user, Thanks for the query. Your glucose levels seem to be normal. There is no Gestational diabetes. The diagnosis of GDM is made if there is at least one abnormal value (≥92, 180 and 153 mg/dl for fasting, one-hour and two-hour plasma glucose concentration respectively), after a 75 g oral glucose tolerance test (OGTT). Since you have tested fasting and Pp values, it is better if you get a Oral Glucose Tolerance Test done in a lab with 75 g of glucose. That will give a clear idea. If test shows normal values then there is no reason to worry. If you have any doubts please do come back. You can take fruits, but restrict excess carbs in diet. Thanks.
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I am 70 years old lady my blood sugar level 110/160. Any advice for my blood sugar level. No bp.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a registered dietitian, certified diabetes educator and a doctor who will help you in your diabetes problem. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet. Maintain a healthy body weight eat a balanced diet as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
1 person found this helpful
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I am 60 year male I am diebetic taking gluconorm g1 my fasting suggar level is 130 and random 230. What should I do to control sugar levels?

MD - Medicine, MBBS
Cardiologist, Panchkula
You have to increase your medicine. But this should be done under the supervision of your physician.
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Causes and Treatment of Infertility in Men and Women

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Causes and Treatment of Infertility in Men and Women

If you are having problems conceiving, you are not alone; around one in seven couples has difficulty.

Infertility is often thought of as a female concern, but in fact in a third of the cases, it is because of male problems, such as a low sperm count.

Male infertility is a condition wherein a man is unable to cause a successful pregnancy in a perfectly fertile woman. Male infertility usually stems from deficiencies in the semen (relating to poor sperm count or low sperm motility).

On the other hand, female infertility is as a condition wherein a woman is unable to carry a pregnancy to full term or conceive after an entire year of having unprotected sexual intercourse.

What causes infertility?

Causes of Male Infertility:

  1. Blockage or obstruction either in the production of sperm or its motility leads to infertility. This problem is caused by various factors such as prostate infections or vasectomy (a surgical procedure used for birth control in men).

  2. Difficulty in the production of sperm, either due to genetic or chromosomal causes, can lead to this condition. Damage to the testes or the condition of undescended testes can also result in this disorder.

  3. Hormonal problems caused due to anabolic steroid (a synthetic steroidal hormone with effects similar to those of testosterone) abuse or pituitary tumors (tumors of the endocrine gland) are other factors responsible for male infertility.

Other factors that may play a part in infertility include:

  1. having had inflamed testes (orchitis)

  2. a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas

  3. having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles

  4. genetic problems

  5. diabetes

  6. lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.

  7. Male fertility is also thought to decline with age, although to what extent is unclear.

Causes of Female Infertility:

  1. Ovulation disorders: Ovulation disorders account for about 25% cases of female infertility. This happens either because of under-secretion or other problems in the secretion of the reproductive hormone by the pituitary gland.

  2. Tubal infertility: The fallopian tubes allow the eggs to travel from ovaries to the uterus. Any blockage or obstruction of these tubes results in infertility, owing do the fact that the eggs or the ova do not reach the uterus. Certain factors such as pelvic inflammation (infections of the uterus) can result in the blockage of the fallopian tubes.

Other factors that may play a part include:

  1. age – female fertility declines sharply after the age of 35

  2. Polycystic Ovary Syndrome (PCOS)

  3. gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage

  4. medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases

  5. lifestyle factors such as stress, being overweight or underweight, and smoking.

Treatment Methods for Males:

  1. Surgery can correct blockage or obstruction in the testes.

  2. Gonadotropin treatment is a treatment method to develop sperm production. This includes injectable medicines which comprise of both the hormones, Follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This mode of treatment has been found to improve sperm motility, morphology and count.

  3. Varicocele treatment method is the enlargement of a varicose vein (swollen or twisted vein) in the scrotum (testicles). The objective of this treatment is to correct abnormal sperm shape.

Treatment Methods for Females:

  1. Fertility stimulating drugs: Fertility restoring drugs are known to induce ovulation in women who have ovulation disorders. They tend to work like hormone stimulators such as the luteinizing hormone and follicle stimulating hormone (FSH) which trigger ovulation.

  2. Surgical process: There are surgical treatment methods available to boost female fertility. Laparoscopic surgery is a minimally invasive surgery that reduces or corrects abnormalities related to pregnancy

6 people found this helpful

Diet Tips to Prevent, Control and Reverse Diabetes

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diet Tips to Prevent, Control and Reverse Diabetes

Diabetes is a chronic progressive condition of glucose abnormality. A patient with diabetes loses the capacity to regulate his blood glucose and hence there are high circulating levels of glucose in his blood. This is either due to less production of insulin hormone or the body loses the sensitivity to respond to the insulin hormone normally or both. The incidence of diabetes in general population is increasing fairly rapidly due to our erratic work schedule followed by lack of exercise and sleep. 

Further, it is aggravated by our overindulgence in high sugary food and junk food. But, the good news is that you can control and even reverse diabetes (at least in the initial stages) by following some simple dietary tips. People have a misconception that “Dieting = Starving “. This is completely wrong. Further people also think that to enhance the taste of any dish it should have lot of oil, ghee, butter. This is again wrong. You can make your dish delicious even by using healthy ingredients and reducing the fats, oil and sugar in it. You can enhance the taste by using spices which are good for health as well as for digestion. Following a healthy diet means that you are eating nutritious food which is both healthy and tasty. 

Here are a few dietary tips you should follow to keep your blood sugar levels in check: 

  1. Include plenty of vegetables in your diet, more the better. At least half of your plate should be filled with vegetables; this can be in salad form or can also be in form of curries/subzi which is prepared using less oil. Eating vegetables helps to bulk you up, you do not feel hungry and thus you would not be consuming high-calorie food like fats or carbohydrates. Vegetables have plenty of fibre. Eating vegetables also help to release the glucose from carbohydrates slowly so that your blood glucose levels do not fluctuate much. Green leafy vegetables are excellent sources of Vitamin-A. Beans are rich sources of protein too. 
  2. Carbohydrates are needed for your body; you derive the necessary energy from these carbohydrates. But you should consume them in a portion of about 1/3-1/4th of your plate – in other words, 2-3 phulkas, a bowl of rice etc. Use whole grains rather than polished grains. Whole grains of rice, wheat will release glucose into your blood in a slower fashion than polished rice or wheat. Whole grains also have much needed essential vitamins and minerals, the polished grains lose these vitamins during the process of dehusking and polishing. Include plenty of millets like jowar, bajra, Ragi/pearl millets etc. Include oats, quinoa, brown rice, broken wheat, wheat rava, etc. Avoid food items made with maida. 
  3. Make sure you eat pulses. Pulses are a good source of protein. Sprouts are filled with protein and fibre. Try adding sprouts to your rice, noodles or salads. Non-vegetarian food is a very good source of protein. You can take egg, chicken and fish. Avoid mutton or organ meat. 
  4. Restrict animal fats like butter, cheese. Also, restrict large quantities of oil and ghee. Avoid Vanaspati/dalda. 
  5. Milk is the perfect combination of protein and carbohydrate and can control blood sugar levels. Take a glass of milk when you experience low sugar symptoms. People who don't drink milk can consume yoghurt/curd or buttermilk. Milk, curd and buttermilk are good sources of calcium.
  6. Consume fruits such as papaya, pear, orange, guava, small bowl of musk melon, water melon, apples, etc. Don’t eat fruits which have high sugar content such as mangoes or grapes, custard apple, chikoo. 
  7. Foods which are rich in Omega-3 fatty acids are excellent in combating diabetes. These include flax seeds and nuts. You can take 5-7 nuts everyday like almonds, cashew nuts, walnuts etc. 

There are few everyday tips which you should follow: 

  1. Make sure to have small frequent meals comprising of high-fibre and low in carbohydrate foods. This is to make sure that you do not experience low sugar levels as you would be taking medicines for your diabetes. 
  2. Methi or fenugreek seeds are good for glucose control too. Soak one tablespoon of the seeds in 100 ml of water overnight and have it in the morning. 

Tip for sticking with a diabetes-friendly diet plan: 

  1. First and foremost, take small, manageable steps. 
  2. Choose one aspect you want to work on. For e.g. if you eat junk food 4-5 times a week, make a conviction of consuming junk food only once a week. After you have mastered this, then go for another aspect. This is to make sure that you are not overwhelmed with the prospect of lot of changes and that you can take pleasure in the fact that you could make one positive change. This will provide you enthusiasm to likewise make other changes. 
  3. The mantra that you should be following should be “small portions of food”. So instead of helping yourself to 3 ladoos or 2 bowls of kheer, you should limit yourself to 1 ladoo or ½ ladoo. That way you will still derive the pleasure of eating the ladoo (and satisfy your craving) but you would not have consumed that many calories as you would have done if you had eaten 3 ladoos.
  4. As well as following a diet, make sure that you get some exercise. It is recommended to exercise at least 45 minutes every day for 5 days of the week. You can go on fast walk, running, jogging, cycling, swimming etc. 
  5. You can even break your exercise time into small chunks – maybe you can exercise 15 minutes 3 times a day. If you have never exercised start with 5-10 minutes of walking, you can then gradually increase the intensity of the exercise.
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