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Dr. Imtiaz Ahmed

Endocrinologist, Hyderabad

250 at clinic
Dr. Imtiaz Ahmed Endocrinologist, Hyderabad
250 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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Dr. Imtiaz Ahmed is one of the best Endocrinologists in Khairatabad, Hyderabad. He is currently associated with G M Health Care in Khairatabad, Hyderabad. Save your time and book an appointment online with Dr. Imtiaz Ahmed on Lybrate.com.

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G M Health Care

6-1-1015, Sensation Cinema Road, Near Qutubshahi Masjid,Khairatabad H O, Khairatabad, HyderabadHyderabad Get Directions
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Diabetes is a progressive disease

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes is a progressive disease,
An analysis from the united kingdom prospective diabetes study (ukpds) found that 50 percent of patients originally controlled with a single drug required the addition of a second drug after three years; by nine years 75 percent of patients need multiple therapies to achieve the target hemoglobin a1c (hba1c) value, which is the average blood sugar of the last three months.

After a successful initial response to oral therapy, patients fail to maintain target a1c levels (<7 percent) at a rate of 5 to 10 percent per year.

This means that all diabetic patients will start with one drug and will invariably end up with three with or without the addition of insulin within 10 years.

A1c should be done every three months until <7 percent and then at least every 6 months and should be preferred over the fasting sugar levels. It represents the average blood sugar of the last three months and the value should be kept lower than 7%.

Regardless of the initial response to therapy, the natural history of most patients with type 2 diabetes for blood glucose concentrations is to rise gradually with time.

Initial treatment of patients with type 2 diabetes mellitus includes education, with emphasis on lifestyle changes including diet, exercise and weight reduction when appropriate. Monotherapy with metformin is indicated for most patients and insulin may be indicated for initial treatment for some.

In the absence of contraindications, metformin is usually the initial therapy for most patients with type 2 diabetes.
3 people found this helpful

I am 67 years old. I have fasting blood sugar of 120. What should I do. I do not take any medicine so far.

MBBS, MD - Internal Medicine
General Physician, Delhi
Sir, what you have is called pre diabetes. Normal sugar is less than 110 pre diabetes is between 110 and 126 diabetes is more than 126 all for fasting blood sugars. Only thing that you need to do is exercise and diet
2 people found this helpful
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Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I also have motion problem. Can you suggest me what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. P lybrate-user, Thanks for the query. It is not clear what you are actually referring to by saying. When I am trying to sleep my nerves in head are beating and unable to sleep" Because nerves do not beat. What you saying may be related to some feeling of pulsation. This kind of a feeling may be there if your BP is high. Please tell me if you have hypertension and are you on treatment for that? If yes, what is the BP level now and the drugs with dosage. About the "motion problem" Due to diabetes some times there may be constipation as well as loose motions on some occasion. Please see that you take enough liquids every day. Plus consume a good deal of green leafy vegetables, salads and fruits (permitted. Ones, 100 g a day) that to with well controlled blood glucose. Ideally when in control fasting glucose should be <100 mg, PP 160 to 180 mg & HbA1c% <7. For reducing constipation drink a glass of hot water every morning after you are up in the morning. That will help in clear motion. Thanks.
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Can you suggest me the food which I should take having thyroid from 4 year and sinusitis since 15 year. Please.

MBBS
General Physician, Mumbai
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and avoid chilled food items
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He feel very tired all the time. His age is 68 and he is very weak, although he looks younger than his actual age. Is this weakness is because of age factor or something else? He has Diabetes as well.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Hello, if your patient is known diabetic patient and he feel weakness it is may be due to incresed level of sugar just chek it out. Also his age is 68years so we can not ignore age factor also. But first of cheking sugar is must.
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MY mother had angina attack in 2014 since then she I on medicines (winitro 2.6 bd, clopivas ap75 od, tvs-40 od, aciloc 150 bd, trivedon Mr. 35 bd, metolar 50 bd, ozomet pg2 she is diabetic also since 2010. Sometimes She feels sensation and fatigue in chest area and feels tired after short walking. What is the precautions she can take and can she do brisk walking because she is little overweight 80 kg at 5 ft 3 inch. Thanks.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, If she is tired after a few stepping, her brisk walk is not advisable, over all hv a consultation with cardiologist in this respect. Her diet be simple, easily digestible on a all intervals. Meditation will b beneficial for her to feed the heart, in case of valvular & coronary arteries disorder. Take, simple, breakfast: Poha, phulkas, with vegetables, sandwich ,milk, Lunch & dinner: Rice (white/red/ brown) or, phulkas, or, khichadi (white / brown/broken rice) or oatmeals, chapaties,or Ravi balls,(1000-1300 calories) Liquid: 3/4 litters of water/day or from assorted sources e.g.milk, juice,milk shakes, Vit 'C' -gooseberry, guava,oranges, tomatoes to improve immunity & to prevent constipation, Vit'A' Papaya, sweet potatoes, oranges,to maintain skin & and good vision. Vit' B complex -Green leafy vegetable: Palak, methi leaves, drumsticks leaves, to check, constipation. Iron- pomegranate to increase haemoglobin level * go for cycling, jogging,skipping, gardening,swimming, either Under noted Foods b avoided. Row eggs, smoked seafood, Over indulgence in coffee & tea. Restaurant food, junk food, containing MSG & taste enhancer. Mango & jackfruits. Fried food. Tk homoeo medicines/ @ PhytoberryQ-10 drops, thrice before meal with little water. Stay, healthy. * Your feedback be appreciated for further follow up, please. Follow the advise of cardiologist.
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I have diabetes mellitus. Specifically diabetic neuropathy as per consulted doctor. Can you please tell me the signs and symptoms of this. And I also take ecosprin. please give me detailed information about my condition.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Tingling burning numbness in feet are signs of neuropathy. Gradully it may lead to loss temp sensation, vibration and touch sensations. Claw fingers gradully appears as neuropathy progresses. Calosities, bunions appears as pressure points of feet changes. Calosities may lead to neuropathic ulceration. Ecosprin is blood thinner. Normally diabetics have extensive atherosclerosis and arteriosclerosis which diminish blood flow to feet. Diabetes patients have more viscous blood due to high sugars. Thick blood is more prone to get clotted. Keeping sugar levels under control and regular physical activity will help.
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From the last two months I hd irregular periods. So I hd blood test nd my reports are--(T3) 1.02, T4 (6.0), TSH (3.25). So, I wanted to knw dat do I have THYROID. If yes then what I should do nw. Plzzzz help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Nazimaji, The results of thyroid assay are quite normal. Hence, you are not having hypothyroidism. The reason for irregular periods could be different. Better to consult a gynaecologist regarding menstrual disturbances.
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I am a diabetes patient. I was having indigestion problem and leg pains. What solution can you suggest me?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
M these things should help in controlling blood sugar. R richard, the best solution is to achieve excellent sugar control like fasting to be closer to 100 mg and pp 150 to 160 mg and hba1c%<7. Plus dietary control and regular exercise.
21 people found this helpful
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I am suffering for itching problem. Location: both the sides of vagina outer part. Pls help me. I have hypothyroidism & type-2 diabetic problem.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Fungal infection is the commonest cause; especially if you are diabetic. So you need to go to a doctor to get a prescription of an anti-fungal cream.
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My daughter was diagnosed with hypothyroidism with tsh value of 7.7 against normal value of 0.2 - 5.5. She was taking eltroxin 50 mcg od. After taking this medicine for approx. 2 months, her tsh has dropped to a value of 0.03. Doctor may please advise the further course of action.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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My mothers age is 50 years and she is suffering from diabetes. While fasting her glucose level is 247 and she has leg ache and she has totally dried up and became more thin. She gets burning sensation in her feet and hand. and she has feet ache. and has more pain in the right side of her back.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, fasting blood glucose level of 247 mg/100 ml is too high. That means after food it will go close to 350 to 400 mg/100 ml. This high level of glucose leads to excess of glucose being excreted from the urine, leading to a great degree of weight loss, tiredness, lethargy, no energy to do work and a host of other symptoms. It will also affect her eyes (retina), small blood vessels, nerves, kidney and heart. So rapid blood glucose control is the only option. She has to be put on appropriate medication and blood glucose levels should be brought down to fasting closer to 100 mg, pp 150 to 160 mg & hba1c%<7. Otherwise situation can be dangerous. Please initiate proper treatment, plus diet control and some physical exercise. Thanks.
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Hi Doctor, Can I use honey while am a diabetic? I got Fasting and P.P diabetes tests done 20 days ago. Fasting was 235 and P.P 422. If I can use honey then will dabur honey be good?

Registered Dietician, Post Graduate Diploma in Dietetics
Dietitian/Nutritionist, Mumbai
Honey is not recommended for diabetics. Honey is a mix of glucose and fructose and has only a slightly less calories than sugar. Right now, your blood sugars are uncontrolled. You need a proper diabetic diet with more of complex carbs, good protein and moderate amounts of oils or fats. Eat 4 meals with controlled portions of rotis, more of veggies or salads. In-between meals like a small fruit or nuts can be included.
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My father is a diabetic and can not care about his food & takes junk food, alcohol, tobacco etc so how can he cure it and stop to take these type of injurious things.

MBBS, MD - Medicine
General Physician, Delhi
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly. 6.
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Why sugar remains in blood when it is available to body for use. Apart from medicines what are alternatives for proper utilization of sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, it is the blood which carries glucose to all the tissues and cells, so glucose has to be there in it. Our brain needs 5 grams of glucose every minute, so blood has to carry it there, otherwise how will it reach? all the tissues need glucose for producing energy, so blood ahs to carry it and supply. If not then a person feels week. That is what happens in hypoglycemia (low blood sugar level). If bllod sugar goes below 50 mg /100 ml, some persons will feel giddy and further lower levels will cause unconsciousness.
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I have undergone blood sugar test and fbs is 190 and my. Ppbs showing 223 mg/dl. My age is 24 year. What would be the treatment option. And my parents are diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Your blood sugar levels clearly show that you have developed t2dm, at a much earlier age. It would be better if you start treatment with insulin for first few months and control it better, later you can be shifted on to oral anti diabetics. The reason I am saying this is the glucotoxicity that harms the beta cells of pancreas can be better controlled and there is good possibility that beta cell activity revives rapidly with this treatment. Later insulin can be withdrawn and oral drugs can be substituted. Because of your younger age you have to be very careful in getting the sugar levels in good control. For any help you are welcome to ask me.
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Need help from ayurvedic doctors My mother is suffering from sugar or diabetes Sugar level is almost 200 before taking food 240 after She was taking powder of some natural herbs her sugar was perfectly normal but it was bit costly 1500 per month So now she decided to make medicine herself so please List me the medicine ingredient two of them are dried giloi and methi seeds powder Can you list me ingredients to treat sugar or diabetes problem. Please tell.

BHMS
Homeopath,
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I have high uric acid, which has exceeded the normal level, it is 8.0 something. What should I do!

MBBS
General Physician, Cuttack
1. Avoid protein rich diets like mutton egg, fish, mushrooms, sea foods, cauli flower, spinach 2. Take fruits like apple, banana, orange, lime etc 3. Drink plenty of water 4. Avoid alcohol and caffeinated drinks 5. Take medicine after consulting physician
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I have red eyes, Gas in my stomach. Pain in my right side of heart. And how to control my diabetes. Please give me suggestions. I am little confused with my diet.

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicines 1. Belladonna 200 (4 drops in little water) thrice a day for 7 days 2. Carbo veg 200 (4 drops in little water) thrice a day for 7 days and revert. If overweight, lose weight. Avoid fried and spicy food and food containing caffeine. Make a habit of 8-10 glasses of water intake. For diet management consult privately.
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Hi everyone. My wife having a enlargement near to thyroid gland. We had FNAC and other report that confirm only hyperthyroidism. Now what are the medications to treat this.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hyperthyroidism treatment consists of oral medicines like methimazole, carbimazole and propylthiouracil. Other measures like thyroid ablation by radioisotope and surgery are also indicated in some cases. Kindly contact me with all the reports if possible.
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