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Dr. Sunita Sayammagaru - Endocrinologist, Hyderabad

Dr. Sunita Sayammagaru

90 (200 ratings)
MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)

Endocrinologist, Hyderabad

14 Years Experience  ·  400 at clinic  ·  ₹300 online
Dr. Sunita Sayammagaru 90% (200 ratings) MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), ... Endocrinologist, Hyderabad
14 Years Experience  ·  400 at clinic  ·  ₹300 online
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I am fortunate to have travelled to different places. Having been born and brought up in Hyderabad, having done my undergraduate training in Vijayawada and having worked abroad for 11 yea......more
I am fortunate to have travelled to different places. Having been born and brought up in Hyderabad, having done my undergraduate training in Vijayawada and having worked abroad for 11 years has given me a broad outlook on life. I love to spend time with my patients, to get to know them and treat them as a complete human being rather than as a disease or condition. I believe in holistic treatment – taking care of both the physical and psychological well-being of my patients. My aim is to provide patient centered and compassionate care. I am driven, enthusiastic and an optimist. I derive happiness from small pleasures of life. In my spare time, I love reading books on spirituality and philosophy, practice meditation, keep myself physically fit and enjoy time with my family.
More about Dr. Sunita Sayammagaru
Hello and Namaste, I am Dr Sunita Sayammagaru. I am a practising diabetologist and endocrinologist. I completed my undergraduate training in India, and I did my post-graduation in UK. After working in UK for 11 years, I returned back to Hyderabad last year and currently run my own clinic - New Leaf Clinic at ECIL, Hyderabad. I am also a medical content writer for www.medindia.com. I write patient health information regarding various topics in simple and easy to understand language. I love keeping myself up to date with the ever changing medical technology and research. I practice evidence based medicine. I treat conditions such as Diabetes both in adults and children, Type-1 Diabetes, Type-2 Diabetes, PCOD, Thyroid disorders, Disorders of bone metabolism, Obesity and other hormonal problems. Thank you for going through my profile.

Info

Education
MBBS - U . NTR University of Health Sciences - 2003
MRCGP ( UK) - Royal College of General Practitioners , UK - 2008
Diploma in Diabetes (UK) - University of Glamorgan (UK) - 2012
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DFSRH (UK) - Faculty of Sexual and Reproductive Health - 2009
DRCOG (UK) - Diploma of Royal College of Obstetricians and Gynaecologists - 2008
CCT (UK) - Post Graduate Medical Education and Training Board, UK - 2008
Languages spoken
English
Telugu
Hindi
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Gujarati
Professional Memberships
Royal College of General Practitioners (UK)

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New Leaf Clinic

H No 1-7-43/F-50, Next to Sree Uma Opticals, Kamalanagar,Radhika Movieplex Road, ECIL (Post) Hyderabad Get Directions
  4.5  (200 ratings)
400 at clinic
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Sri Vijaya Sai Diagnostic Centre

H no: 44, Saipuri Colony, SainikpuriHyderabad Get Directions
  4.5  (200 ratings)
400 at clinic
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"Very helpful" 62 reviews "Caring" 15 reviews "Professional" 11 reviews "knowledgeable" 34 reviews "Well-reasoned" 13 reviews "Inspiring" 4 reviews "Thorough" 8 reviews "Practical" 5 reviews "Nurturing" 2 reviews "Prompt" 5 reviews "Helped me impr..." 6 reviews "Sensible" 4 reviews "Saved my life" 2 reviews

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Cholesterol - It Is Not Always Bad For You!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Cholesterol - It Is Not Always Bad For You!

Over the last few decades, the word cholesterol has assumed a different connotation. It has come to be known as a silent killer that spells doom for health. However, what we need to realize is that a certain amount of cholesterol is essential for the proper functioning of the body. The liver produces about 85% of the cholesterol that is required by the body normally. The ever changing food habits have introduced a lot of processed foods that are loaded with saturated fats. Along with this, reduced physical activity has led to accumulation of cholesterol in the blood.

The types of cholesterol are based on the density and we have 2 types of density that is Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL). LDL is more dangerous than HDL, called as bad and good cholesterol respectively. In addition, the triglycerides and lipoprotein are also critical indicators of overall cholesterol levels. Depending on a person's age, height and weight, normal levels are derived for each of these four.

Because of their density of the cholesterol molecules, as they are circulating in the blood stream, they tend to get sluggish and settle down along the walls of the blood vessels, referred to as plaque. This plaque attracts more and more cholesterol from the blood and the layer gets gradually thicker. This reduces the thickness of the blood vessels and in severe cases even completely blocks blood flow to important organs like the brain and heart, leading to severe conditions like stroke and heart attack respectively.

However, it is not always that all cholesterol is bad. It is one of the essential things for the proper body functions with the main functions listed below:

  1. Each cell in the body requires it to form the cell membrane, the protective layer around the cells
  2. Synthesis of vitamin D is done with the help of cholesterol, which is very essential for skin health
  3. It also helps in hormone formation. In addition to steroids, other hormones like testosterone, estrogen, cortisol require cholesterol as a main ingredient
  4. Formation of neurotransmitters and overall nerve function requires cholesterol. This ensures optimal neurological functioning.

So, as noted above, there are, both good and bad aspects to cholesterol. It is not all that dangerous a thing that it is made out to be. The trick is to maintain a good level of cholesterol so that the body's requirements are met, and at the same time, the harmful effects are kept at bay. Some important parameters to manage, include the percentage of bad cholesterol in the blood and the ratio of triglycerides to HDL in the blood. These are considered fair indicators of heart health and if need be, lifestyle changes and/or medications can be undertaken to manage overall health and reduce risk of heart disease and stroke.

2 people found this helpful

PCOS: What You Need to Know About It

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
PCOS: What You Need to Know About It

PCOS or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. PCOS tends to affect your heart functions, fertility, menstrual cycle and appearance.

There are certain symptoms, which can be indicative of PCOS; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, PCOS may also affect a woman in her mid age. PCOS can also cause excessive hair growth in unwanted places like above the upper lip,chin,arms and chest like a male.

The symptoms are:

  • Increase in the production of male hormone, leads to development of male characteristics
  • The size of the breasts may reduce
  • The tone and the texture of the voice may change and become similar to a man's voice
  • Hair may start to fall
  • You may suffer from acne and pimple breakouts on your face
  • It can lead to sudden weight gain
  • It may affect a woman's fertility
  • It may lead to pain in the pelvis

Other symptoms: Apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

The causes of PCOS have not been accurately identified so far, but researchers suggest that the following factors might contribute to the onset of the condition.

  1. Lower inflammation levels: The white blood cells present in your body form resistance against infections through a response termed as inflammation. Women with lower inflammation levels are likelier to get PCOS as the decreased levels stimulate poly cystic ovaries, thereby, producing more androgens.
  2. Increased amount of insulin secretion: Women suffering from insulin resistance may get PCOS as their body is not able to effectively use this insulin, which results in increased insulin secretion by the pancreas. This, in turn, triggers more androgen (male sex hormone) production in the ovaries, making it difficult for the ovaries to ovulate.
  3. Genetic factor: If you have a family history of PCOS, it's highly probable that you may also get it as the disease is linked with your genes.

Diagnosis and Treatment: Once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled.

Treatment for PCOS:

There is apparently no procedure to cure PCOS and improve fertility but the treatment is tailored as per the symptoms of the condition:

  1. A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise of both progestin and estrogen which aid to bring down androgen production.

  2. PCOS along with insulin resistance warrants the use of certain medications such as metformin which are prescribed to enhance insulin sensitivity.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1981 people found this helpful

Dealing with Cholestrol Disorders

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Dealing with Cholestrol Disorders

Anyone with high cholesterol levels should indulge in regular workout. True or false? Take this quiz to know more.

1. Which of these is an important part of high cholesterol management?
• Living a deprived life
• Eating saturated fats and trans-fatty acids
• Choosing healthier fats
• Not drinking any alcohol
Answer: Choosing healthier fats
When you are affected with high cholesterol levels, you should choose the fats very wisely. You must try to avoid trans-fatty acids and saturated fats at any cost which are mainly availed from dairy products, processed meat, and packed foods. Make sure you avoid cookies, crackers, snack cakes which are commercially produced as they tend to increase your bad cholesterol levels.
Tip: Eat a lot of pecans, almonds, avocados and cook the food in canola or olive oils since they are viable sources of healthy fats.

What should you do to bring down the cholesterol levels?
• Limiting dietary cholesterol
• Eating whole grains
• Choosing fruits and vegetables
• All of the above
Answer: All of the above
The most important sources of concentrated cholesterol include egg yolks, organ meats and whole milk products. Thus, you should avoid these foods and replace them with lean meats, beans and skimmed milk. Moreover, it is advised to choose whole grain products which promote the health of your heart. Also, fruits and vegetables are high in dietary fiber which helps you to feel fuller longer and reduce the burden of cholesterol.
Tip: Experiment with seasonal fruits and stir fry various kinds of vegetables to prepare a healthy meal. Also stock up on oats, whole-wheat pasta and brown rice.

People with high cholesterol levels should avoid eating fish.
• True
• False
Answer: False
There are various types of heart-healthy fishes including tuna, cod, halibut and others which have a meagre amount of total fat and cholesterol than poultry and meat. Also, fishes like mackerel, salmon and herring have high amounts of Omega 3-fatty acids which help in reducing cholesterol levels.
Tip: Eat a lot of these fishes, every day.

Weight loss is a crucial component of reducing cholesterol levels.
• True
• False
Answer: True
Excessive weight increases the cholesterol levels and therefore, doctors always recommend to lose at least 5 to 10 pounds in order to see a fall in the cholesterol levels. You must take a close look at your eating habits and find out what are the obstacles to weight loss and how is it possible to overcome them.
Tip: You should try to set goals which are sustainable and can be followed for a long time.

Anyone with high cholesterol levels should indulge in regular workout.
• True
• False
Answer: True
Did you know that regular workouts can aid in reducing the cholesterol levels? Work up to 30 to 60 minutes each day which can be in the form of swimming, biking, strength training, and elliptical training or any intensive workout. Take a brisk walk each day for at least 20 minutes. You can also do interval training for reaping the benefits of exercise without straining yourself. If you are not at all into exercise, you can start with brisk walking for at least 30 minutes each day. To keep up the motivation, find an exercise buddy or join a workout group.
 

9 people found this helpful

Excess Facial Hair? You May Have A Hormone Imbalance!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Excess Facial Hair? You May Have A Hormone Imbalance!

Majority of women like to look into the mirror and find not an extra strand of hair on her face, be it the upper lip or near the ears. While it is not uncommon for women to have hair on these and other areas, most women resort to multiple ways to get rid of this. The pattern of this unnecessary hair growth is very similar to the pattern seen in males normally.

This condition of excessive hair growth is known as hirsutism and can be caused by multiple causes, as listed below.

  1. Genetic or racial: While the European women have a more clean face that is free of hair, the Mediterranean and Indian women are highly likely to have more facial hair growth. There is also a strong family history relation, and it is hereditary.
  2. Androgens (testosterone): This is a male hormone, essential for the development of male sexual characters. Though it is present in very minute amounts in all women, in some, there could be higher than these minimal levels, leading to minor masculine characters, facial hair being one of them.
  3. Hormonal imbalances: There are multiple hormonal issues which can manifest as increased facial hair growth. The two most common ones include polycystic ovarian syndrome (PCOS) and adrenal conditions including tumours, Cushing's syndrome, and hyperplasia. In all these cases, there is increased amount of androgens, leading to excessive facial hair.
  4. Medication side effect: Some medications like testosterone, cyclosporine, anabolic steroids, and Minoxidil also lead to increased amounts of facial hair in women. Some other medications used to treat migraines, seizures, schizophrenia, and hypertension can also cause hirsutism. This is indirectly due to increased levels of male hormones in the system, producing these effects.
  5. Birth control pills: These also affect the hormone levels and lead to increased facial hair.
  6. Obesity: Most women with facial hair are also on the heavier side, and most people have a reduction in hair once weight is managed.

Treatment: The underlying cause should be treated for controlling hair growth. If there is an inducing medication, an alternative should be looked at. While hormone levels can be altered, in most cases, not much can be done. These need to be dealt with using one of the following methods - depilatory creams, waxing, plucking, shaving, laser reduction, electrolysis, and weight loss.

When reading through the above, it is obvious that a lot of causes for hirsutism point towards hormones. This helps to identify hormonal disorders in their earlier stages, which are managed with lesser complications. The next time you feel there is more hair on your chin or cheeks, get your hormone levels checked.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3711 people found this helpful

Diabetes and Depression - The Vicious Cycle!!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetes and Depression - The Vicious Cycle!!

Diabetes is a state where the body suffers from lack of energy due to poor metabolic state. This is construed as depression in many patients as they already feel lethargic and subdued. The fatigued state of body in diabetes can be alleviated by exercise which raises endorphins - substances which are released in the body especially by exercise - providing us the necessary elation so much necessary for our recovery

Managing diabetes may make a person feel alone and set apart from their friends and family due to the number of dietary restrictions they need to follow. Additionally, if the person has trouble controlling their blood sugar level, it may make him frustrated and anxious. Over time, these negative emotions can build up into depression.

Depression can make a person lose his sense of purpose and can make regular tasks feel like too much to handle. Thus, a depressed person may stop taking care of himself. The lack of energy can lead to a loss of appetite or unhealthy snacking. This can trigger fluctuations in blood sugar levels that worsen diabetes.

Thus, depression and diabetes have a cyclic relationship. The good news is that these two diseases can be treated together and managing one of these diseases can have a positive effect on the other as well.

Here are a few ways to treat diabetes and depression:

Regular Exercise

Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.

A Balanced Diet

A balanced diet is essential for good health and can help manage, both these disorders. Along with a balanced diet, there is also a need to abstain from snacking between meals. Reducing the amount of sugar in your meals helps stabilize blood sugar level and control fluctuations. Stable blood sugar level keep a person from becoming increasingly anxious and can thus prevent depression.

Restful Sleep

A good night's sleep can treat, both diabetes and depression. If you have proper sleep, you will awake feeling refreshed and energetic. This positive energy balances the negativity of depression, lowers the urge to snack and helps in stabilizing blood sugar level.

Psychotherapy

Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression. This in turn gives a person the motivation needed to manage his diabetes as well. If you wish to discuss any specific problem, you can consult an endocrinologist.

3624 people found this helpful

Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

One of the major risk factors for cardiovascular disease (CVD) is diabetes. Uncontrolled diabetes can lead to major heart problems. It is thus pertinent to take timely actions to control the insulin-related issues and save ourselves from CVD.

It is important to understand how diabetic patients are more prone to CVD than others to take pre-emptive actions to control it.

  1. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
  2. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.
  3. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
3737 people found this helpful

Type 2 Diabetes - Symptoms And Causes

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Type 2 Diabetes - Symptoms And Causes

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring and
  4. Blood sugar medication along with insulin therapy, if necessary 

    If you wish to discuss about any specific problem, you can consult an endocrinologist.

3420 people found this helpful

I got my blood sugar level 206 in fasting. I or my family members do not have diabetes. I have cold from 3 days. Did cold increase my sugar level or I have diabetes.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I got my blood sugar level 206 in fasting. I or my family members do not have diabetes. I have cold from 3 days. Did ...
Hello Sir, It is very likely that you do have Diabetes. But, just based on one blood test report, a doctor should not diagnose Diabetes. Physical stress or mental stress can cause raised blood glucose levels. I would advise you to get your Fasting blood glcuose, your 2 hour post breakfast blood glucose and HbA1C levels checked after you recover from your cold. If these results are elevated, then you are having diabetes. I hope this answer has been helpful to you Kind regards.
3 people found this helpful
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Cushing's Syndrome - Sign's You Are Suffering From It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Cushing's Syndrome - Sign's You Are Suffering From It!

The adrenal glands are present above the kidneys (hence the name) and produces an important hormone known as cortisol. Cortisol is responsible for regulating multiple body functions, including controlling the blood pressure, protein and carbohydrate metabolism, and anti-inflammatory response, and stress management.

Under natural circumstances, the body produces excessive cortisol in the following situations:
Physically stressing situations like illness, surgery, injury, pregnancy, etc.

  1. Emotionally stressed situations
  2. Alcoholism
  3. Athletic training
  4. Malnutrition
  5. Depression
  6. Panic disorders

Causes: Cushing’s syndrome is a group of symptoms that manifest when there is too much cortisol in the body. It is more common in women than men, in the age group of 25 to 40. Some of the common causes for Cushing’s syndrome are listed below:

  1. Consuming too much of prednisone (and other steroids) or for prolonged periods can cause Cushing’s syndrome. These are strong anti-inflammatory medications and are used in asthma, arthritis, lupus, transplants, etc., to control the body’s inflammation reaction. It is therefore advisable to use topical steroids than oral steroids or injections as their effects are more noticeable and severe.
  2. Adrenal gland tumours can cause excessive production of cortisol.
  3. Pituitary gland tumours or adenomas also can also cause excessive production of cortisol, leading to Cushing’s syndrome.

The first type is known as exogenous Cushing’s disease and the others are known as endogenous Cushing’s disease.
Signs and symptoms: Cushing’s disease produces characteristic features which are referred to as the Cushingoid appearance. These features include the following:

  1. A rounded, plump face with a pinkish hue
  2. A moon face, with fat deposits on the face
  3. A buffalo hump with fat deposits between the shoulders
  4. Stretch marks on the abdomen, thighs, and arms
  5. Weak muscles, especially in the hips and shoulder
  6. Significant weight gain
  7. Skin that gets thin and bruises easily
  8. Extreme tiredness
  9. High blood pressure
  10. High blood sugar
  11. Thin arms and legs
  12. Delayed healing of cuts and injuries
  13. Increased facial hair in women
  14. Menstrual disorders
  15. Reduced libido, infertility, and erectile dysfunction in men
  16. Emotional issues like depression, anxiety, irritability
  17. Increased thirst and urination
  18. Bone loss, and eventually fractures
  19. Affected bone growth in the developing years
  20. Increased susceptibility to infections

Complications: Untreated Cushing’s disease can lead to bone fractures, hypertension, full-blown infections, kidney stones, etc.

Treatment: This would depend on the cause. If you are on long-term steroids, the dose would need to be adjusted. This should always be done under medical supervision, as it requires constant adjustment. Underlying tumours (pituitary or adrenal) need to be diagnosed and treated. There are other hormones too which come into the picture and need to be monitored. If you wish to discuss about any specific problem, you can consult an endocrinologist..

3312 people found this helpful

Diabetic Nephropathy - Tips To Help You Manage It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetic Nephropathy - Tips To Help You Manage It!

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels. 

    If you wish to discuss about any specific problem, you can consult an endocrinologist..

3259 people found this helpful
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