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Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.
People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:
Make healthy choices in eating
Engage in regular physical activity or exercise
Take medications, if required.
Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.
People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.
People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.
People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.
It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?
Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.
Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.
People with diabetes have an impaired ability to produce insulin, use insulin, or both.
People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.
People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.
The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.
The three different types of carbohydrates are starch, sugar, and fiber.
Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.
Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.
Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.
Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.
There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.
The type and amount of carbohydrate will affect post-meal blood sugar levels.
Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?
High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.
Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.
One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.
Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?
Some grains are better than others for managing diabetes.
A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.
White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.
Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.
Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.
Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.
Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice
Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.
Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.
The instructions are as follows:
Bring rice and water to a boil in an uncovered pot
Cover the pot and simmer for about 20 minutes
Turn off heat and let the covered pot sit for at least 10 minutes.
Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.
Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.
Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice
Because rice is high in carbohydrates, it should be accompanied by other foods.
Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.
Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.
Many foods can serve as substitutes for rice.
Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes
A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"
Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.
Season to taste with salt, pepper, lemon juice, and herbs.
Full recipe from the food network.
2. Cilantro lime quinoa
Low-sodium chicken broth
Juice of limes
Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.
My child who is 6 years complete in Oct 2015. And his weight is 17 kg. But he is taking meals with so much force. Breakfast also same. Nd I am employee. So day by day I loss my patience about my child. Any medicine. Pls help me. Male child.
Hiii my baby will complete his 5 months soon. Can I start solid food when he will turn 5 months. Till now he is only on breastfeed. His birth weight was 3.35 kg and now his weight is 6.7 kg.
My younger son aged 4 years have a strange problem. He never sweats and feels hot. During summer he has to sit in Cooler. What's this problem.
My son is 4 years old, he have adenoids for the past one year. I'm giving medicines (cold and sometime antibiotics also). Is that safe to give medicines for these many days?
My son is going to be seven this August. He suffers from season change/temperature change (sitting in car with a. C on) allergy which leads to stuffy nose very often. This has been happening since around 2.5 years. How to deal with it?
Tell me sir cow milk is a best for 5 month old baby please tell me he taking nan 1 but its not diegest.
2. Ensure the head is protected
3. Release any tight clothing
4. Move away from a dangerous position.
5. Use intranasal midazolam (insed or midsip nasal spray as advised by your doctor) as first-line treatment.
I have a baby girl.At the time of birth her weight was 3 kg. But after that she was not able to digest mother milk. .So doctor sai to stop feeding for some days. I hv stop feeding for 20 days. Then started feeding. But my baby's weight not gaining properly. Now she is of 13 months old and weight is 7.8 kg. Shebis not eating properly. And some days if she eat properly then vomiting due to access food. I think she is not able to digest food. My doctor gas given medicine SP LYCIN for weight gain.Should I continue that drops for long time? I also want to know How much weight should be for a baby girl at 13 months age? What should I give her to eat every day for calories gain? What kind of problem will be there if weight is less?
Sir/madam, my son is now 6 months male baby. He got a bottom one teeth at the time of 3rd month and another teeth came on next month itself at adjacent of first teeth. And now (6th month running) he got an another two teeth coming at top of his mouth. And his mother feel pain when giving breast milk for him. Because he bite his mother's nipple when feeding. Please suggest any solution!
My son is only 15 days old. Some boil comes on his skin. On alternate days. We consult with doctor they are saying it is local infections. But to avoid this what to do?
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?
Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.
Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.
Does Eczema In Infants Go Away By Itself?
In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.
Here are some home treatment options for infant eczema:
You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.
A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.
You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.
Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.
You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.
My 13 yr old daughter is having chronic urinary problem. She has to rush to the washroom every 15-30-45 mins interval. And also having itching and bedwetting since last yr. She has taken several antibiotics and medicines and has been shown to many doctors. They are yet not able to diagnose the reason of her problem. Can any doctor relief my daughter from that problem.
In pediatrics, we often say “children are not little adults” but in the case of the common cold, they really are. They have the same symptoms, runny nose, red-rimmed eyes, cough and they just FEEL YUCKY! With those symptoms most babies are fussier than usual and don’t sleep well at night, which is just like an adult with a cold (or maybe just me). for an infant, they are usually up and down all night, don’t feed as well, and just want to be held a little more.
When an infant gets a cold it is not uncommon for them to run a fever along with the cold symptoms. This usually only lasts a day or two and then resolves, but the other common cold symptoms may last from seven to 10 days.
With a cold they may not want to nurse or drink their bottle as well as they have a hard time breathing and sucking. This leads to a cranky baby, who may take less with each feeding, but will need to eat more often.
It is important to make sure that they stay hydrated. fluids are the most important thing. If your baby is having difficulty taking the bottle or latching on due to the congestion , you could feed with a katori spoon or a paladey with gaps in between . small frequent feeds will do the job.
Place the tip of the bulb syringe inside the baby’s nostril to remove mucous and help them breath and eat. You may also use a little salt water nose drops to squirt up their nose to help the mucous come out.
It also helps to get a mist humidifier to place in the room at night to help put some moisture in the air while the heat is running and the air is dry. The mist will also help alleviate some of the thicker mucous and also help the cough that accompanies the cold.
The most important thing to watch for is any sign of respiratory distress. A child’s breathing may “sound noisy” but it is important once again to look at their chest to make sure that they are not using those muscles between the ribs and “pulling” when they are breathing.
Coughs are also protective in that they help move mucous and keep the airway clear to prevent pneumonia. Lastly, your child should look a little better after the first several days of their cold. They should not develop fever later in the cold, and if they do it would be worth a pediatrician visit to check their ears. Not every baby with a cold gets an ear infection and they usually develop after they have had several days of cold symptoms, and not on the first day of a cold.
That’s your daily dose, stay tuned to my next update on your baby's health tips .Send in your questions or comments to babiesandmom.com !
Stay happy and stay healthy !
Dr Gorika's Children's Medical center
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