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Dr. Shahin

Endocrinologist, Hyderabad

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Dr. Shahin Endocrinologist, Hyderabad
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Shahin
Dr. Shahin is an experienced Endocrinologist in Toli Chowki, Hyderabad. Doctor is currently associated with Max Poly Clinic And Diabetic Clinic in Toli Chowki, Hyderabad. Save your time and book an appointment online with Dr. Shahin on Lybrate.com.

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Max Poly Clinic And Diabetic Clinic

Beside Sbi, Near Bsnl Office , Tolichowki, HyderabadHyderabad Get Directions
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I have been detected wth blood sugar after lunch its 131 what remedied shall I take.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have been detected wth blood sugar after lunch its 131 what remedied shall I take.
Pp sugar level of 131 mg / 100 ml is not a diabetic level. Fasting >126 mg and pp >200 mg per 100 ml of blood is considered diabetic level. Your level is normal. To avoid possibility of diabetes keep exercising regularly for at least 1 or more per day, avoid to many sweets, direct sugar, deep fired foods, junk foods and pastries. Keep weight in check, as near as possible to normal.
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Sir I m 35 male suffering from diabetes my fasting sugar 110 & posting 200 currently I m taking voglibose 0. 3 mg before lunch & glycomate 3/850 before dinner. Please suggest some medicine for normal sugar.

MBBS
General Physician, Mumbai
Stop previous medicine and take tb diabetrol before lunch and dinner and do a fbs and pobs after a week.
1 person found this helpful
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Diploma in Diabetology, CCT (Rheumatology & Internal Medicine), MD - Internal Medicine
General Physician, Noida
You are at an increased risk of developing diabetes if you are:
A woman with a waist circumference of 35 inches or more
A man with a waist circumference of 40 inches or more

Hyperglycemia - 10 Tips to Manage it

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Hyperglycemia - 10 Tips to Manage it

In simple terms, hyperglycemia is the medical term for abnormally high levels of sugar in the blood stream. The blood sugar level range is 65-110 mg/dl and can extend up to 120-140 mg/dl a few hours after eating. However, when a person has eaten no food, but has a blood sugar level of more than 126 mg/dl, that may be a symptom of diabetes mellitus.

Reasons Behind it

A person who is hyperglycemic is most likely to be diagnosed with diabetes, which may be type 1 or type 2.

Type 1 diabetes is caused when the immune system destroys the insulin secreting cells in the pancreas. The insulin production in the body stops, thereby, causing an enormous increase in the sugar levels. In such a situation, nothing, but external dose of insulin will be required to survive.

Type 2 diabetes is caused when the body stops responding to the insulin produced by the body and in a desperate attempt to maintain blood sugar level, the pancreas produce excess insulin. In this case, changing lifestyle, food-habits and taking proper medication can be the only way out for a healthy life.

Therefore, the major causes leading to increase in blood sugar level might be:

  • Inadequate supply of insulin

  • Slow or no reaction of the body to the insulin produced by the body

Tips to manage hyperglycemia

Here are some important tips that could help individuals regulate their blood sugar levels:

  1. As we know, the carbohydrates break down into glucose, which is absorbed by the body cells with the help of insulin. So, in case of hyperglycemia, individuals should manage or better, cut off, carbohydrate intake in their meals.

  2. Another important element to be highly monitored is the blood cholesterol level. For this, you must curb eating oily and spicy food.

  3. It is very important that individuals limit their alcohol intake because alcohol contains huge amount of calories and carbs, which might lead to sky-rocketing blood-sugar levels.

  4. The diet should contain adequate portions of nuts and olive oil.

  5. Eating fatty milk products and fatty food should be strictly avoided.

  6. Each and every food should be inspected for sugar because even a slight bit of sugar can mess up the entire process of managing the sugar level.

  7. Individuals should try stress-free mild work out, as heavy work out could cause the blood-sugar level to rise in case of type 2 diabetes.

  8. Anxiety, tension and stress would not help the process in anyway.

Proper medication and check-ups are necessary. It is important to be fit and healthy. If you wish to discuss any specific problem, you can consult an endocrinologist.

2136 people found this helpful

I am a known case of thyroiditis detected in the year 2015 but wasn't on any medication as TSH Profile was WNL, though I took thyrovol supplement for 3 months when my TSH was fluctuating sometimes high and sometimes low. I had spontaneous conception. During pregnancy I had low TSH and was started on tab eltroxin 50. My post pregnancy TSH aftr 2 months of delivery was 0.01 and after 4 months it has com to 0.18 (2_4. 2) with T3 4.09 (0.6-1.7) and T4 0.77 (0.34-4.25) though I had continued tab eltroxin 25 till now. What should I do now as my TSH is still below normal range. M having severe hair fall, lack of appetite, and irritability, I feel sleepless sometimes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. You are being treated with thyroxine means the condition is hypothyroidism. When a person is on treatment for that with levothyroxine TSH should be maintained <3 mU/L, to be free from all the symptoms. But 0.18 mU/L is bit too low. So you need to reduce the dose to 12.5 mcg per day. Then check TSH again after 6 weeks, to see if desired level is achieved. Thanks.
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Tsh is 26 against a max. 0f 5. Esr 15 against max. Of 7. These tests were done when complained of ibs. I am taking medicines for thyroid. For ibs what should be done?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you can take medicines for thyroid..tab. thyronorm 150 mcg before meal.and for ibs you cut out such items as carbonated beverages, vegetables — especially cabbage, broccoli and cauliflower — and raw fruits.Fiber supplements. Taking fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), with fluids may help control constipation. Fiber obtained from food may cause much more bloating compared with a fiber supplement. If fiber doesn't help symptoms, your doctor may prescribe an osmotic laxative such as milk of magnesia or polyethylene glycol.
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I am 74 years old and suffering from diabets since 10 years and it type -2. I am using galvas met 2 tablets a day and one tablet of glycipage 500 mg. As galvas met is costly will you kindly suggest any other alternative tablet to keep my blood sugar level in normal sir? you may also suggest homeopathic /ayurvda medicines also. Now after taking above tablets my blood sugar level in fasting is 130. Please advice.

MD - Consultant Physician
General Physician, Jaipur
You can use other medicine like guconorm g2. But you will have to check blood sugar regularly for sometime after starting this medicine to make sure it is lowering down sugar. It is comparatively cheap medicine than galvas met.
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I have suffered from blood sugar and hypothyroid. I want to know that blood sugar symptoms produce due to hypothyroidism.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have suffered from blood sugar and hypothyroid. I want to know that blood sugar symptoms produce due to hypothyroid...
You are saying you have hypothyroidism and sugar problem but it appears you are taking only eltroxin tablets for correction of hypothyroidism. What about diabetes treatment? diabetes rarely produces any noticeable symptoms until it becomes really severe. Hypothyroidism is unlikely to add to diabetic symptoms. Basically feeling weak, tired and lethargic are the symptoms one notices.
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Diabetes - How Can You Control its Affect on Your Eyes?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
Diabetes - How Can You Control its Affect on Your Eyes?

Diabetes is a scourge that has been spreading like wildfire across the globe. It is one of the major public health concerns of the modern era. Diabetes not only causes damage to your internal organs but will also take a toll on your eyes if left unchecked. Retinopathy, glaucoma, cataracts and blurry vision are common phenomena accompanying diabetes. 

You may not notice it at first. Symptoms can include:

  1. Blurry or double vision

  2. Rings, flashing lights, or blank spots

  3. Dark or floating spots

  4. Pain or pressure in one or both of your eyes

  5. Trouble seeing things out of the corners of your eyes

Thus Comprehensive Dilated Eye Exam plays an important role to detect it.

Here are some common Diabetic Eye Problems:

  1. Blurry Vision: Do things turn blurry for you at times? Well it is not your glasses which are at fault but your high blood sugar count swelling up the lens within your eye and changing your ability to see. In order to correct your vision, you need to try bringing your sugar level back to the optimal range, which is 70 to 130 milligrams per deciliter. Do call on a doctor if the situation persists or deteriorates further.

  2. Cataracts: Your eye lens is just like a camera that enables you to see through it by focusing on a particular object. If you have cataract, your otherwise clear lens gets shrouded a layer making it opaque and cloudy. You tend to face difficulties in the form of glares, blurred or clouded vision, and blind spots among other problems. Diabetics are prone to acquiring cataract much earlier than others, with the condition worsening subsequently. They are removed via surgery where your doctor substitutes your hazy lens with a new artificial one.

  3. Glaucoma: You eye transmits images to your brain through the optic nerve. Pressure may build up within the optic nerve resulting in damage and ultimately causing total or partial blindness. This is a fairly common disorder with diabetics and a large number of cases pertaining to blindness due to diabetes are caused by this. Usually, glaucoma can be treated with laser, surgery, eye drops or medicines.  It is important to visit a doctor as it can help stop the progression of the disorder much earlier.

  4. Diabetic Retinopathy: The retina is a cluster of cells behind your eyes that absorbs light and converts them into images that are sent to the brain via your optic nerve. High blood sugar count can actually wreak havoc on the tiny blood vessels within your retina giving rise to diabetic retinopathy. Symptoms may include blurry vision, seeing spots, blind spots and difficulty in low light or night time. Retinopathy can cause you to progressively go blind and thus it is imperative that you go for periodic check-ups and keep your diabetes under control.

Control and Prevention

If you have diabetes, you are not doomed to develop diabetic eye disease. Although you are at risk, you have the ability to control your diabetes so your vision is not compromised. Controlling diabetes requires you to monitor your blood sugar levels regularly. Follow some steps to help you control and preserve your vision:

  1. Taking your Medicines regularly as prescribed by your doctor. Skipping of medication may leads to irregular control and is more hazardous.

  2. Eating Right food is essential when trying to prevent or control diabetes. Eat a diet that is high in nutrients, low in fat and moderate in calories. A high-fiber diet with low glycaemic index foods (slow-release carbohydrates) will keep blood sugar steady and make you feel full. Although you do not need to eliminate sugar completely, you must limit sugar to a small serving. The good news is that as you cut sweets, your cravings will change and you will naturally desire more healthy foods.

  3. Keep your A1C level under 7%: A1C is a test you have during a visit to your endocrinologist to determine how well-controlled your diabetes has been during the previous 2-3 months. Keeping your blood glucose in this target range means less damage to the delicate blood vessels around your eyes.

  4. Control blood pressure and Cholesterol Levels: People with diabetes have a greater chance of having high blood pressure and Cholesterol, which can cause eye blood vessel damage.

  5. Regular Physical Exercise can help you control your blood sugar, increase fitness and reduce your risk for heart disease and nerve damage. You must track your blood sugar before, during and after exercise to prevent hypoglycaemia.

  6. Annual comprehensive eye exams: If you are pre-diabetic or diabetic, it is even more important to have Complete Dilated eye exam to initially get baseline recordings of the eye conditions and then regular yearly follow-up visits to monitor changes in your vision. If you notice blurred vision and you have had diabetes for a length of time, it might be a signal you need to keep tighter control of your glucose levels.

4221 people found this helpful

Hi I am 38 years old and I check my sugar it is 147 after lunch so please guide me.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Hi I am 38 years old and I check my sugar it is 147 after lunch so please guide me.
It is in the range of impaired glucose tolerance or prediabetes. At this stage diabetes can be prevented by lifestyle modification with healthy diet and regular exercise.
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