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Dr. K. Nagesh

DM - Endocrinology

Endocrinologist, Hyderabad

Dr. K. Nagesh DM - Endocrinology Endocrinologist, Hyderabad
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. K. Nagesh
He is a DM - Endocrinology . Book an appointment online with Dr. K. Nagesh on Lybrate.com.

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DM - Endocrinology - NA -
Languages spoken
English

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C/O Aditya Endocrine And Diabetes Clinic, ChaitanyapuriHyderabad Get Directions
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Hello doctor, my dad has 50 years, he is an diabetic & bp patient recently we found my dad's one of the kidney in small in size but we don't know about its working or not and another one having 5 mm water babble and his serum 1.7 sugar 150 bp 90/110 so my dad getting problem was to-much sweetening and getting high temper & feeling very hungry so can you give best guidance to me.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Let's go step by step. First tell me since how. Many years he is hypertensive and diabetic? which medicines is he taking for same? last 2 months blood pressure readings and sugar status? hba1c report? serum creatinine is 1.7? it might be due to long standing diabetes. Get done fundus examination by ophthalmologist also to see effect of diabetes on eyes and check urine albumin level too. Revert back with all these and I will advise you what to do to slow progression of this kidney involvement in diabetes and tune up his medications.
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My fasting blood sugar is 125 and after food 2 hours 180. Which medicine are best for me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My fasting blood sugar is 125 and after food 2 hours 180. Which medicine are best for me.
Mr Subhashish, The blood sugar levels mentioned are just below the diagnostic levels. Diabetes is confirmed if fasting is >126 mg/100 ml and PP is >200 mg / ml. If you are not on any medication then these levels are called as a prediabetic condition or Impaired Glucose Tolerance (IGT). If you adapt a strict changed life style can still remain free of diabetes or delay the onset. Regular exercise and proper diet, avoiding alcohol and smoking can be very helpful.
108 people found this helpful
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Pumpkin Extract Beneficial for Diabetic Patients

C.S.C, D.C.H, M.B.B.S
General Physician,
Pumpkin extract has insulin–like effects. It can help people with diabetes keep their blood sugar under control.

Quoting Chinese researchers that animals with drug–induced diabetes treated with pumpkin extract had lower blood glucose levels, greater insulin secretion, and more insulin–producing beta cells than diabetic rats that weren’t given the extract. This action may be due to the presence of both antioxidants and D–chiro–inositol, a molecule that mediates insulin activity.

Pumpkin extract is potentially a very good product for pre–diabetic persons, as well as those who have already developed diabetes.

Pumpkin is frequently used to treat diabetes and high blood glucose in Asia.
45 people found this helpful

I am 22 years I am suffering from uric acid. What should I do?

MD - Internal Medicine, MBBS
Endocrinologist,
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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For diabetes patient what should be the daily routine food and exercise?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
For diabetes patient what should be the daily routine food and exercise?
hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also 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 which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida 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.
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I hear that if any diabetic patient regularly consume aloe vera juice his or her glucose level will fall. Is it true? If not please explain this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I hear that if any diabetic patient regularly consume aloe vera juice his or her glucose level will fall. Is it true?...
Mr. Lybrate-user, yes there are certain reports which do mention that use of aloe vera juice regularly does reduce blood glucose levels plus it has beneficial effects on cholesterol.
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What is normal blood sugar levels?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
What is normal blood sugar levels?
Fasting blood sugar 70 to 110 mg/100 ml, after food <140 mg/100 ml. These are normal blood sugar values.
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I have recently been diagnosed with thyroid, my T3 is 163 from reference range of 58-159, T4 is 13 from reference range of 4.9-11.7 and lastly TSH is 4.720 from reference range of 0.35-4.97. My doctor has prescribed me thyroid medicine for 1 month and asked to do prayaam, walking and avoid food rich in iodine. Now I have 2 situations, first is I can take all precautions along with medicine and second without medicine, as because he said its slightly more than reference range. Please help me out with this. Also let me know what all food including vegetables and fruits, I can have and what not. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have recently been diagnosed with thyroid, my T3 is 163 from reference range of 58-159, T4 is 13 from reference ran...
In 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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Hello sir, My mother's age is 55 years, she already have B. P. Now few days before after checking post meal sugar was 282, doctor prescribe tab but I want to know about how to control sugar level by home remedies or other ways.

MBBS
General Physician, Cuttack
Hello sir, My mother's age is 55 years, she already have B. P. Now few days before after checking post meal sugar was...
Her blood sugar is high.she has to go for regular brisk walk daily,reduce her weight if over weight and control her diet. She should avoid sweets,sugar,rice,potato,Maida,high calorie and carbohydrate rich diet. If her blood sugar both fasting and PP is still high,she has to take medicine regularly by consulting gastroenterologist
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I have diabetes and my sugar level has increased how can I decrease it to normal?

MBBS, MD - Medicine
General Physician, Delhi
I have diabetes and my sugar level has increased how can I decrease it to normal?
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 usually in adults due to insulin resistance and treated with oral medicines.
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My age is 44 years and I am suffering from hypothyroidism and uric acid . In the year 2012 have suffered from TB . Now for last couples of year I am dry skin hands and foot especially when I am in air conditioner. Please suggest?

BHMS
Homeopath, Bangalore
My age is 44 years and I am suffering from hypothyroidism and uric acid . In the year 2012 have suffered from TB .
No...
Please try n meet a Nearby homoeopathic doctor its very important for u to go start treatment as soon as possible,,as there's too much of workup required in ur case n physical examination too.. as u had TB take homoeopathic medicine Hippruic Acid 1M 4pills 3times 3days n when u meet nearby doctor tell that u have taken such medicine as u have past history of Tb.
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Is there any medicine elopathic/homeopathic/ayurbedic for permanent cure of diabetic. My fbs 120 &ppbs 180.please provide me the solution ?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Is there any medicine elopathic/homeopathic/ayurbedic for permanent cure of diabetic. My fbs 120 &ppbs 180.please pro...
You have to take medicines regularly..diabetes can only be controlled not cured...besides medicines follow these simple tips: Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your 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 :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. 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. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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Fasting sugar levels 160 npp 230 what can i do?

MD - Medicine, MBBS
Cardiologist,
If this level is without medicines then try to cut down your weight. Do regular exercise. Avoid oily and carbohydrate rich food. Repeat blood sugar after 1 month.
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I am from a village of west Bengal and suffering from sugar in blood. I want a permanent relief from insulin. Please suggest me about best available treatment.

MBBS
General Physician, Mumbai
I am from a village of west Bengal and suffering from sugar in blood. I want a permanent relief from insulin. Please ...
Insulin is given only after diet exercise and medicine do not work. Please continue with insulin it is a very effective drug and you can lead an almost normal life with it.
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Sir, What are the causes for diabetes? My family members all are having diabetes, will it be come to me also?

MBBS
General Physician, Cuttack
Sir,
What are the causes for diabetes? My family members all are having diabetes, will it be come to me also?
Lack of exercise, overweight, sedentary life style,excess of carbohydrate and sweets. It could be genetic and it runs in families. Monitor your blood sugar regularly
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I am suffering from sugar and very high bp. What to do? Please help me.

MBBS
General Physician,
I am suffering from sugar and very high bp. What to do? Please help me.
We need to control your sugar and high blood pressure levels by medication exercise and following a diabetic diet with low salt
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What medication should be taken in thyroid?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
please tell me what you are referring to saying" thyroid, because it only means a gland present in all of us. The conditions that occur due problem in that gland are hypothyroidism - where there is lack or absence of thyroxine hormone and hyperthyroidism in which excess activity is there.
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I am suffering from huge hairfall. My head is becoming bald. Please suggest some medicine to prevent this hairfall and please also suggest medicine of thyroid because I am suffering from this disease since 1 year. I am taking one medicine everyday but not my thyroid yet become low.

MD - Homeopathy
Homeopath, Aurangabad
I am suffering from huge hairfall. My head is becoming bald. Please suggest some medicine to prevent this hairfall an...
Hello. Hair problem is common now a days. Due to stress and busy life. Take full sleep. Drink planty water. Have fruits. Take. Acid hydrofluoric 30.2 tds x 30 days. And revert. Use arnica mon q 30 ml + your oil 100 ml mix. Twice a week at night and wash
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I am 56 years male having b. P 160/120 (hyper tension) and sugar 100-140. Taking tablets for 14 years. Presently I am feel tired of continuing my job. What is your advise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 56 years male having b. P 160/120 (hyper tension) and sugar 100-140. Taking tablets for 14 years. Presently I am...
Since you have both essential hypertension and t2dm, this itself can make you feel tired, unless both conditions are in control. Your bp is high, it should ideally be 130/80. You have not mentioned hba1c level which tell about long term control of blood sugars. I also want to know medications taken and amount of exercise that you are doing. Your bmi is 27.14kg/m2 which is high (normal 23kg/m2). Plus do you use tobacco in any form and alcohol also. Please give this information which will help me advise you better.
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I am diabetic patient and range lies fasting 120 to 130 and randomly 130 to 150. My age is 36 yrs and taking galvus met 50/500mg two times. I want to get treatment it by stem cell. Is it permanently curable and what is the procedure of it. If any other way to cure, please tell me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
As far as I know stem cell treatment for beta cells is still not there or well developed. Better to switch to insulin injection.
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