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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Dear doctors, I am a diabetic since last 3 years and I am 38 years. I am following good diet plan and regular workout with recommended medicine. Before diabetic patient my weight was 68 and now is 62. It is fastly down. Tell me how can gain my weight. Although I am energetic and can do 2 or 3 years workout without any stop. I am tense for my weight gain. Thanks Pankaj kumar.
There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.
Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).
Poor sperm perms motility
Semen where sperm concentration is low
Male infertility with unidentifiable cause
Poor sperm quality, with sluggish sperms
Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
Useful in couples who have failed IVF.
What to expect?
The following outlines some of the steps for both male and female before and during the procedure.
Before the procedure - males:
First step is the sperm collection; a screening is first done
Sperms collection happens through either masturbation or directly from the testicles via a small incision
Sperms could be collected fresh or collected and frozen for later use
Before the procedure – women:
In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release
During the procedure - How ICSI happens:
A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
If you wish to discuss about any specific problem, you can consult a gynaecologist.
Hi. Last 2 weeks back I randomly checked my blood sugar. It was 478. I than went for a proper blood and urine test and the reading were 473 and 278. Personally I am not a very sugar person. The doctor prescribed diamicron and Metsmall. Initially in the morning with another medication before bed. 9 days down the line the readings were still above 200 average. Now the dosage has been increased to Metsmall after every meal. The doctor said she cannot prescribe further check till the blood sugar stabilizes below 170-160. What is the take on this? Is there a chance of kidney issue or what?
A few weeks ago my dad just used my grandfather's pin accidentally to check sugar level any, problem in that thing? Please let me know I am quite worried since that time.
My age is 24 .from last 1.5 years I am getting pains in my body. I didn't care about that medicine. Later I came to know that uric acid is increasing in blood. I hv taken medicine .uric acid became normal. But again uric acid is increasing in body Can anyone suggest me how can I control uric acid in body Currently I am not eating non veg. And I don't hv the habit of drinking Whether I can eat eggs or not? Please say me suggestions to improve my health so that I shouldn't take medicine.
Hi, My mother is a diabetic and hypertensive patient. She is taking medication but feeling some problems like hunger, weakness and lack of energy . Doctor told to walk but she has lethargy to walk. What is the way out? Also facing gastric problems. Latest Blood Sugar report is FPG : 127, PPG :121. BP : 160/80.
Past studies have found that weight loss surgeries sometimes result in improvement for people with type 2 diabetes, but it remains to be seen if the surgeries are better at treating the condition than lifestyle interventions, the researchers write in JAMA Surgery.
And few studies have examined the effectiveness of weight loss surgery for people with diabetes as well as class 1 or 2 obesity, which represents a body mass index (BMI) between 30 and 39. (BMI is a measure of weight in relation to height).
Weight loss surgeries are typically used to treat people with a BMI of 40 or more, or with a lower BMI but other health conditions.
Type 2 diabetes, the most common form, is often linked to obesity. In type 2 diabetes, the body doesn't make enough of the hormone insulin, which helps cells use glucose for fuel, or enough insulin is produced but cells are resistant to it.
For the new research, the researchers studied 61 people, ages 25 to 55, with type 2 diabetes. About half had class 1 obesity and the rest were heavier.
Participants were randomly assigned to receive one of three treatments. One was an intensive lifestyle intervention for one year to help them lose weight with diet, exercise and behavior changes, followed by a lower-intensity lifestyle intervention involving behavioral counseling a few times a month for two years.
Alternatively, participants were assigned to one of two weight loss surgeries: either Roux-en-Y gastric bypass (RYGB), or laparoscopic adjustable gastric banding (LAGB). The surgeries were followed by the same low-intensity lifestyle intervention the non-surgery group got, for two years.
After three years, 40 percent in the RYGB group, 29 percent in the LAGB group and no one in the lifestyle intervention group had at least a partial remission of their type 2 diabetes.
Three people in the RYGB group and one person in the LAGB group had their diabetes disappear entirely, which did not occur for anyone in the lifestyle group.
Researchers also found that blood sugar control improved more in the surgery groups, compared to the lifestyle intervention group. The surgery groups were also more likely to no longer need medication for their diabetes.
While the new results are a from a randomized study, which is considered the "gold standard" of medical research, Courcoulas said they will need to follow more patients at several medical centers over a longer period of time to draw definite conclusions.
The researchers are pooling their data with similar studies from across the country, she added.
"We’ll be able to see what the remissions look like at five and seven years," Courcoulas said. "I think that’s the next step in this field."
Dr. Osama Hamdy, who was not involved with the new study, cautioned that people with type 2 diabetes and their doctors should not get overly excited about the results.
"Any study like this we need to be very cautious when reading them and read between the lines," said Hamdy, who is medical director of the Joslin Diabetes Center Obesity Clinical Program.
For example, Hamdy pointed out, only a handful of people in the surgery groups had their diabetes disappear. What's more, he said, newer lifestyle-only interventions can be very effective.