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Dr. Kiran

Endocrinologist, Hyderabad

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Dr. Kiran Endocrinologist, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Kiran
Dr. Kiran is a renowned Endocrinologist in Khairatabad, Hyderabad. Doctor is currently associated with Srinivasa Diabeties Centre in Khairatabad, Hyderabad. Save your time and book an appointment online with Dr. Kiran on Lybrate.com.

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Srinivasa Diabeties Centre

Behind Bada Ganesh, Khairatabad, HyderabadHyderabad Get Directions
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I am 58 yrs old male. I have suffering from uric acid 8 What medicine can I take to reduce the uric acid level and also tell the diet.

MBBS
General Physician, Mumbai
We need to avoid pickles and papads in your diet and eat only freshly prepared home made food and for medication we have to know your symptoms
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I' m a diabetic woman. I gain diabetes during pregnancy. My fasting sugar does not controlled I eat glycomet 500 Sr twice a day. My random sugar is ok. What can I do to control my fasting sugar?

PDDM, MHA, MBBS
General Physician, Nashik
A sulphonylurea class of drug will take care of fasting sugar level. Dr surbhi agrawal consultant physician and diabetologist
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Guidelines for Treatment of Elderly Diseases

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
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Hello. I’m Dr Rajiva Gupta. I’m a senior consultant in internal medicine at Ashok Vihar and Fortis Hospital, Shalimar Park. My special areas of interest are diabetes and care of the elderly.

Now talking about care for the elderly, the branch of medicine that deals with the care of the elders is called Geriatrics anthology. The elderly patients present peculiar problems. They present not just discreet conditions, but with discreet syndromes. A syndrome is a constellation of symptoms and signs. In common, they are called the geriatric syndromes. The common geriatric syndromes are false, impaired cognition, deficiencies in a hearing, difficulty in vision, delirium. These syndromes are important because we have to investigate several different causes. For example, if the patient falls, it is not necessary that he may be having weakness in his legs. It is highly possible that the patient will be suffering from an acute infection or from some electrolyte imbalance or from CVA or cardiovascular problem. The patient is having disorientation, he is not oriented, he may have necessarily, he may be having, that he is having infection of the brain, he could as well be having electrolyte imbalance or any infection or a cardio-vascular problem. It means that the syndromes present, similar syndromes present with different types of illness in the elderly. The reason is that the physiological reserves of the elderly are just on the borderline and any acute insult that results in these syndromes. The approach to geriatric patients is slightly different from the way we approach people of other age.

So there are two components, one is the Curative component and another is comfort, or the palliative. That depends much on the functional ability of the patient. So if you have got an elderly person, above 80 years, he does regular exercise, enjoys his life, goes out for walks, the treatment of any condition in such a patient would be on the lines the management is done for a younger or a middle aged patient. Whereas, on the other end, if the patient is 70 years or 75 years, and he suffers from a problem, he is immobile, confined to bed, he is not able to take care of his own daily needs. For such patient, the aim would be to have a comfort care. So, the treatment of the elderly has to be individualized and surprisingly, there are not many guidelines which are available for treatment of elderly in different, for different medical conditions. SO the treatment for each individual has to be individualized, considering his individual circumstances. For example, if we take a very common problem like sugar, and we call that, there is a parameter called the Glycosylated hemoglobin, so we say that glycosylated hemoglobin for a normal should be less than 7% or less than 6.5 %. Bit for the elderly, because they may be having other illnesses, they may be having kidney disease or may be living alone in the house, they may not be able to take care, so in such patients, we will not go in for a very strict control, we’ll go in for a modest control, where the range may be say, around 8 or 8.5.

As physicians, we need to be aware that the number of elderly people is increasing, we need to be aware about their special needs, we have to give time once they come to our clinic and we have to define their problems and treat them accordingly.

I will be most willing and happy to answer to any questions, which can be approached through the lybrate website or they can seek consultation by telephone or physical consultation.

3038 people found this helpful

Hello Sir/madam I am suffering from diabetes since 9 years, I take insulin from the beginning. I just married last month My questions is -agar mere baby hota hai, to kya uska v diabetes ho sakta hai? Please tell me how much chances?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Sir/madam
I am suffering from diabetes since 9 years, I take insulin from the beginning. I just married last mo...
Mr. lybrate-user, Thanks for the query. If you have T2 DM, then it is likely to be seen in your children. If both parents are diabetic then 75% chance of children getting diabetes (3 out of 4 ). If one parent is diabetic then a 50% chance is there. But fortunately T2 DM is a preventable disease, meaning if a person adapts a modified lifestyle that is does regular exercise, avoids too much of sweets, colas, junk foods, pastries, bakery items and fructose corn syrup containing foods, plus consumes a good deal of green leafy vegetables, fruits and maintains normal weight then he/she can prevent it or postpone it. Thanks.
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I have problems in my legs knee joints in blood investigations say uric acid level is more 9.10 its paining lot give any solutions or suggestions.

MBBS, MS - Orthopaedics
Orthopedist,
I have problems in my legs knee joints in blood investigations say uric acid level is more 9.10 its paining lot give ...
If your Utica acid level is this much high then take medicine for Utic acid. Search on internet what food you should not take incase of high Uric acid level. Take a pain killer and apply ice on knees three to four times a day.
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What is the symptoms of sugar. B'coz I am feeling giddiness vomiting from last few months. please help me out.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
What is the symptoms of sugar. B'coz I am feeling giddiness vomiting from last few months. please help me out.
Some of the signs commonly experienced include: Frequent urination. Excessive thirst. Increased hunger. Weight loss. Tiredness. Lack of interest and concentration. A tingling sensation or numbness in the hands or feet. Blurred vision.....get your fasting blood sugar , PPBS to remove the confusion
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My diabetes pps comes to 184 is this high? Pl guide what to do. I am taking gemer-2 (two times)

C.S.C, D.C.H, M.B.B.S
General Physician,
My diabetes pps comes to 184 is this high? Pl guide what to do. I am taking gemer-2 (two times)
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are:-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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I am a 24 yr old woman and I have hypothyroidism from 5th class and it is hereditary, my grandfather my dad and dad's brother have it. My grandfather also has vitiligo but not very prominent and my dad has it all over his body. Are there any chances that I can get it?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 24 yr old woman and I have hypothyroidism from 5th class and it is hereditary, my grandfather my dad and dad's...
IN HYPOTHYROIDISM:--- 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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, it is also hereditary.
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Is the person suffering from Hypothyroid or Hyperthyroidism at high risk of developing diabetes please clarify?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Is the person suffering from Hypothyroid or Hyperthyroidism at high risk of developing diabetes please clarify?
Since diabetes is harmonal disease. Change in any harmone will disturb all harmones so as thyroxine so thyroid disease increases the risk of developing diabetes and vice versa.
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Ayurveda for Diabetes

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
Ayurveda for Diabetes

Diabetes is a metabolic disorder which is characterized by high blood sugar levels in the body. This occurs when the glucose in the body is not converted into energy due to the impaired functioning of insulin in the body. Insulin is a hormone in the body produced by the pancreas which processes sugar in the body. Impaired functioning of the insulin leads to a rise in blood sugar levels, thus leading to diabetes.

Symptoms-

The symptoms of diabetes differ from person to person, depending on how high one’s blood sugar levels are. Diabetes exhibits various symptoms such as frequent urges to urinate, extreme hunger, rapid weight loss and irritability. Fatigue, blurred-vision and increased thirst are some other common symptoms as well. Diabetes also slows down the healing process of any sore or injury in the body.

Causes-

The cause of diabetes is linked to improper functioning of insulin. There are four types of diabetes and each comes with its own set of causes:

Type 1 Diabetes-

In Type 1 diabetes, the immune system of the body starts to attack the healthy pancreatic cells which produce insulin. This reduces the insulin production in the body, causing a rise in the blood sugar levels.

Type 2 Diabetes and Pre-diabetes-

The causes for Pre-diabetes and Type 2 diabetes are very similar. In both the cases, the body starts becoming resistant to insulin, and the normal production of insulin cannot make up for this. This leads to accumulation of sugar in the blood, leading to diabetes.

Gestational Diabetes-

During pregnancy, a woman’s body produces hormones which play a major role in sustaining the pregnancy to a full term. However, these hormones tend to affect the functioning of insulin, leading to a rise in blood sugar.

Ayurvedic Treatment For Balancing Blood Sugar Level-

Ayurvedic treatments to regulate blood sugar aim to get your blood sugar levels under control and improve your overall health. As they are made from natural ingredients, these remedies do not have any side-effects unlike conventional treatments. The Ayurvedic remedies are:

  1. Diet: Maintaining a healthy diet is very important to get blood sugar under control. Avoid eating simple sugars as they spike blood sugar levels; instead of opting for fiber and complex carbohydrates such as whole grains and vegetables.

  2. Exercise: Regular exercise helps in keeping blood sugar in check, as it burns calories. You can opt for cardiovascular or weight training to burn calories and keep your metabolic rate elevated. A high metabolic rate means good amount of calories burned by the body at rest.

  3. Herbs: There are certain herbs that you can consume (in different forms) to control diabetes. Herbs such as ‘neem’ and ‘fenugreek’ (methi) seeds, if incorporated in the daily diet in prescribed dosages, can be beneficial in getting your blood sugar in check. Turmeric is another herb which has anti-inflammatory properties that can treat this condition by reducing body resistance to insulin and increasing insulin production by the pancreas. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.
4722 people found this helpful

What is the remedy for conception when a lady aged 34 had a blocked right side fallopian tube?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Diploma in YOGA Ayurveda
Ayurveda, Bhopal
What is the remedy for conception when a lady aged 34 had a blocked right side fallopian tube?
Hello - Many cause are responsible for tube block. Ayurved medicine are helpful in this conditions - take arogyavardhini vati -kanchnar gugglu - punarnava mandoor - dashmoolaristam - triphala churna regularly and follow pitta-kaphashamak diet and lifestyle. Panchkarma treatment also helpful.
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I am 50 years old. Since 2 years I am suffering with tingling numbness in legs and some times in hands also. My after food sugar is 165. And fasting nil. Please guide me.

Certified Diabetes Educator , Sports Nutritionist, Registered Clinical Dietician
Dietitian/Nutritionist, Mumbai
I am 50 years old. Since 2 years I am suffering with tingling numbness in legs  and some times in hands also. My afte...
Dear , please control The amount of cereals you r consuming in your meals n increase a bit if physical activity post meals, like a stroll within d house or bldg compound. Do not forget to add salads in your meals.
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I am 32 years old man suffering from diabetic type 2 last one year. So what shall I do ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 32 years old man suffering from diabetic type 2 last one year. So what shall I do ?
Mr nitesh, please tell me are you taking any medications if yes what are those? because without medicine there is no way one can control diabetes. So please start treatment with appropriate drugs. Also exercise and take a restricted diet matching the needs of your body and avoid sweets, sugar and smoking and alcohol.
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My mother have thyroid for 2 years, from 2 days her neck was swelling what is the reason for that, what should we do? please give your suggestions.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother have thyroid for 2 years, from 2 days her neck was swelling what is the reason for that, what should we do?...
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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 stress. get relax during work. go for x ray- c-spine and consult doctor. again.
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Dear Sir/Madam, I am 56 years old male. I have diabetes. I have taken fundus test, got result that I have PDR. Doctor did laser treatment for 3 times in 3 months. But still I have blood leakages in my eyes, my vision is bit blur. Doctor suggested me citravite tablet twice daily and Nepavac drops twice daily. I am using these medicines from my 1st laser treatment which was from 13th, june, 2016. Kindly help me, my vision is still not clear, I had tests it shows that I have blood leakage in eye. Kindly help me. Thanks in advance.

MBBS, CCEBDM
Diabetologist, Bangalore
Dear Sir/Madam,
I am 56 years old male. I have diabetes. I have taken fundus test, got result that I have PDR. Doctor...
Hi First of all make sure your diabetes and blood pressure are very well maintained. By keeping them normal you'll be preventing further damage to your eyes. Laser treatment prevents the progression of retinopathy but does not cure it. Sometimes Lazer itself can cause loss of side vision as the new blood vessels are shrunken. There are some injectable growth factors which may help you. Please talk to your ophthalmologist regarding the same.
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Sir, since last one year I have been suffering from leg calf pain. I am 42 years old male. I am taking telma 40 and amlong for high bp and thyronorm 75 MCG for hypothyroidism. My vitamin d level report, thyroid tests reports are normal. But uric acid is increased. What should I do for my severe leg pain (calf)?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir, since last one year I have been suffering from leg calf pain. I am 42 years old male. I am taking telma 40 and a...
your all reports are normal. continue with your medicines. but your uric acid level is high according you. 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.
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My father is a diabetic person but he loves to eat sweets so much. So, is there any solution to control his diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father is a diabetic person but he loves to eat sweets so much.
So, is there any solution to control his diabetes?
diabetic person it is essential to follow dietary guide lines like avoid sweets, direct sugar, deep fried foods, junk food and pastries. Sweets increase the blood sugar very quickly being a simple carbohydrate. If he wants to lead a complication free life then stopping sugar and sweet eating has to be followed. You may think of replacing sugar with sucralose,
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Hi I am a diabetic n under insulin control need to ask here how to increase my weight as I just 50 kg right now.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am a diabetic n under insulin control need to ask here how to increase my weight as I just 50 kg right now.
Mr Iqbal, Thanks for the query. Looking at your weight and height, you are having a BMI of 21.6 kgs/M2, which is marginally less. Your ideal body weight can be about 52 to 53 kgs. To increase weight first thing is to achieve a strict blood glucose control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. If this is achieved, then proper nutrition and exercise will help in gaining weight. Thanks.
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My father is suffering from diabetes since 5 years. please suggest proper treatment and precautions. Also suggest medicines without having side effects.

MBBS
General Physician, Cuttack
My father is suffering from diabetes since 5 years. please suggest proper treatment and precautions. Also suggest med...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet. 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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