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Dr. S.K.Sarkar

Endocrinologist, Hyderabad

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Dr. S.K.Sarkar Endocrinologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. S.K.Sarkar
Dr. S.K.Sarkar is a renowned Endocrinologist in Secunderabad, Hyderabad. Doctor is currently associated with Chanda Clinic in Secunderabad, Hyderabad. Book an appointment online with Dr. S.K.Sarkar on Lybrate.com.

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Chanda Clinic

H. No 76, Opp Deepak Book Depot, Jubilee Bus Stand, Secunderabad, HyderabadHyderabad Get Directions
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Myths Related To Thyroid Disease

MBBS, MD - Medicine
Diabetologist, Delhi
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Diagnosing thyroid problems is very challenging; symptoms are often vague and nonspecific, such as fatigue, depression, and anxiety. Hence its important that one should be clear about the few common myths associated with Thyroid.

3757 people found this helpful

Diabetes Mellitus

PG Diploma in Nutrition & Dietetics, M.Sc.in Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
Diabetes Mellitus

Diabetes mellitus is caused by a deficiency in the secretion of insulin.

Predisponsing factors:

the various predisposing factor are:

 

  • heredity: a familial tendency to diabetes has been found to exist genetic factors are involved when the disease develops before the age of 40 years
  • age: the disease occurs at all ages but a greater percentage of the cases occurs in persons over 45 of age.
  • sex: the disease affects both sexes. the incidence of the disease is somewhat greater in men tha in women.
  • obesity: the incidence of diabetes is greater among obese persons than in persons of normal weight.
  • stress: stresses of various types,ex. frequent intections, worry irregular meals, etc. may also contribute to the development of the disease.

Metabolism in diabetes mellitus:

The metabolismof carbohydrates, fat and protein in diabetes mellitus is briefly discussed below:

  • Carbohydrate metabolism: due to decreased oxidation of glucose in the tissues, the level of blood glucose is increased markedly, leading to glycosuria. the quantily of glucose present in urine may very from  0.5 to 6% depending on the severity of the disease. the volume of urine is increased (polyuria).
  • Fat metabolism: since, glucose is not utilised, there is increased breakdown of fats to acetate and ketone bodies (acetoacetic acid, acetone and β-hydroxybutyric acid. the keto acidosis which develops may lead to dehydration and coma in severe diabetes. the serum cholesterol and triglyceride levels are high.
  • Protein metabolism: since carbohydrates are not utilised for the production of energy, there is increased breakdown of tissue proteins and increased oxidation of dietary proteins for use as energy. hence, there is an increased in nitrogen excetion leading to negative nitrogen balance wasting of muscles is a common symptom in chronic diabetes. hence, diabetics need more proteins (about 2g/kg body weight) rgan normal subjects. the protein allowances should be corresponsingly higher (50% higher) for daibetic children and expectant and nursing mothers. further, increased protein intake may hepl to increase insulin production.


Clinical types of diabetes:

the classification of diabetes from the clinical point of view is as follows :

  • juvenile daibetes
  • adult diabetes

 

  • juvenile daibetes: this includes all daibetics below the age of 20 years. the disease is primarily due to deficiency of insulin. the subjects are generally undernourished and ematiated. they require a high calories, high protein diet and insulin for maintaining the blood sugar level within normal limits.
  • adult diabetes: (maturity onset diabetes) a majority of them are pbese subjects. the treatment will consist of a reducing diet rich in proteins and carbohydrates along with oral anti-diabetic drugs to maintain the blood glucose within normal limits. these subjects require less insulin than juvenile diabeyes.

Treatment of diabetes mellitus

the principles of treatment are as follows:

  • diet
  • moderate exercise
  • insulin in juvenile daibetes and sever adult diabetes and/or oral anti-daibetic drugs in mild to moderate adult diabetes.

diet: only weighed quantitis of food should be consumed according to the diet schedule prescribed by the physician. the most important consideration should be given to:

  • calories needs
  • the proportion of calories from carbohydrate, fats and protein.
  • calorie requirements: the calorie requirements should be about 5% less than the actual requirements for the patient’s height and ideal body weight.

THE PROPORTION OF PROTEIN, FAT AND CARBOHYDRATE IN THE DIET:

the proportion of calories derived from carbohydrates, fats and proteins in the diet will depend on the type of diabetes as indicted below in table:

type of diabetes

carbohydrates

fats calories (%)

proteins

juvenile diabetes

40

40

20

adult obese diabetics

60

20

20

adult diabetics with normal body weight

40

40

20

         

 

proteins: since, diabetics in general are in negative nitrogen balance, they should receive about twice as much proteins as normal subjects. the proteins should be of high biological value and provide about 20 to 25% of the calories in the diet.

fluid: a liberal intake is desirable.

carbohydrates: the daily intake of carbohydrates should provide about 40% of the calories to prevent ketosis. the carbohydrate intake should not exceed 40% of the total calorie intake (except in the case of obese diabetics as indicated in above table) as otherwise it will be difficult to control the blood sugar level.

1 person found this helpful

Will eating dates on regular basis not increase blood sugar level in diabetic patients?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Will eating dates on regular basis not increase blood sugar level in diabetic patients?
lybrate-user, Yes eating dates repeatedly in substantial number will definitely increase blood glucose level. So one can consume just 2 or 3 dates a day, that too when blood glucose is well in check. Thanks.
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I have blood sugar level of around 220 (PP) and 120 (Fasting). Can I use Divya Madhunashini Vati from Patanjali?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD- Ayurveda
Ayurveda, Shimoga
I have blood sugar level of around 220 (PP) and 120 (Fasting). Can I use Divya Madhunashini Vati from Patanjali?
Dear please also check with following symptoms * excces of urination * thirsty * burning or tingling in extremities if not don't go with m n vati as it contains tikta drugs it may create problems related to pain.
3 people found this helpful
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I have type 1 diabeties.I am on insulin taking three time insuline in a day.Any suggestion how can i reduce this my insulin dose ?

Vaidya Visharad
Sexologist, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

I am a 44 year old male. Since last one year I am suffering from nocturia. I am forced to wake up for almost five times a night. I am not diabetic. However I snore loudly and breath through my mouth. I am 5 feet 9 inch tall and 88 kilos in weight. Please help. Vsk.

BAMS
Ayurveda, Bangalore
I am a 44 year old male. Since last one year I am suffering from nocturia. I am forced to wake up for almost five tim...
Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in the nose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used.
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I found my TSH levels as 10.12. What does it indicate, What prescription should I take. I am already on Medication of THYRONORM 100 mg. Should I continue with this or I need to increase my Dosage of Thyronorm.

BHMS
Homeopath, Noida
I found my TSH levels as 10.12. What does it indicate, What prescription should I take. I am already on Medication of...
This means your thyroid levels are still not normal. U need to see your attending physician He will guide u. Don’t increase dose on your own.
1 person found this helpful
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My dad aged 86 is diabetic type 2. He is constantly hungry. What can I give him to eat in between other than fruits. He wants to eat something chatter pattar like shankarpally salted, fried banana wafers. But the same increases his cholesterol values. Can something else be offered to curtail his in between hunger pangs.

BHMS, diploma in nutrition and health education, m.sc. in counselling and psychotherapy
Homeopath, Noida
My dad aged 86 is diabetic type 2. He is constantly hungry. What can I give him to eat in between other than fruits. ...
Hello, For munching give him plain roasted gram and white makkhana and almond. It will help to give him energy and filling feeling. Thanks
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I'm having type 2 diabetics for last twenty years, have started feeling pain left ankle, s sometime severe had no injury. Wish to know may be reasons for this. Thanks.

Physiotherapist, Latur
I'm having type 2 diabetics for last twenty years, have started feeling pain left ankle, s sometime severe had no inj...
Do ankle exercises in warm water like inversion- eversion, flexion-extension of ankle. use proper and comfortable footwear. avoid continue standing for long.
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Hi, I am 29 years old female 3 months ago I got my thyroid tested and my tsh level was 6.7. I started homeopathy treatment. After 3 months my thyroid has increased to 7.4 and I also got my vitamin d tested which is 7.6. Please advise what should I do? My homeopathy Dr. says he has changed my medicine since my thyroid increased.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Lybrate-user ji, Thanks for the query. TSh 6.7 mU/L & 7.4 mU/L are high, but fall in the subclinical hypothyroidism category. Usually no treatment is advocated at this level. However, if there are troublesome symptoms present associated with hypothyroidism then treatment is needed. Please tell me why was the test done? What are the symptoms you have? Thanks.
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