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Treatment of Thyroid Disorders
Treatment of Hypertension
Management of Obesity and related Disorders
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Treatment of Bone Disorder
Treatment of Peripheral Neuropathy
Type 2 Diabetes Treatment
Treatment Of Foot Infection
Treatment Of Childhood Diabetes
Gestational Diabetes Management
Treatment of Hyperlipidaemia
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Due to my diabetes my daily activities were suffering. She is very courteous and behaves very aptly with elder patients. Over the period of time I noticed a number of changes in myself. I searched therSunita Sayammagaru online and saw herreviews. Even in case of long queues, the staff was managing people in a very positive manner. I was amazed that otherdoctors before him were not able to even diagnose my problem, but Sunita Sayammagaru did it immediately and started the diabetes treatment for it. Thanks to the expert care and guidance, I feel much better than before. With great ease Sunita Sayammagaru explained us the problem and how the treatment will be carried out.
So many doctors I consulted, but Dr Sunita Sayammagaru treatment was the best. I thought it was something very normal, but then I realised the body weakness is something else. My previous experiences were not so good, but Dr Sunita Sayammagaru has completely changed my opinion as she is very helpful and humble. I had lost hope, but the body weakness treatment given by her has helped me regain my confidence. Even in case of long queues, the staff was managing people in a very positive manner. the best thing about Sunita Sayammagaru is that she prescribes limited no. of medicines. Finally with her treatment, I am completely cured from the disease.
I was diagnosed with fatigue. Dr Suinta Sayammagaru's advice and counselling has helped me immensely. The overall atmosphere in the New Leaf Clinic is very soothing. I saw her clinic's advertisement in newspaper and that is how we referred her. I was quite depressed due to my condition, but Dr Sunita Sayammagaru guided me to change my attitude. I found the New Leaf Clinic itself quite pleasant. She is not just friendly, but also is very motivating. I consulted a number of specialists but the way she treated me was the best. She is quite knowledgeable.
I was panicked, because I never thought I will suffer from sugar like this. I am so thankful to Dr Sunita for giving me the best advice and I am now finally able to get back to my normal self. I have consulted so many doctors but nobody till now was able to understand my concern properly, until i consulted her. She ensures that she listens to her patients. I am glad that I chose to consult her and I am quite benefitted with her treatment.
Thanks to Dr Sunita for the perfect advice as I was not able to conceive. I was quite depressed due to this problm. The doctor gave me perfect guidance and prescription which helped me deal with my situation. The complete process of the treatment was so painless and quick, and i am so relieved that I chose to consult her.
The symptoms were severe and unmanageable, as I was suffering from high sugar, but Dr Sunita Sayammagaru was able to handle it. She is not just friendly, but also is very motivating. So many doctors I consulted, but her treatment was the best. She is well aware about innovative techniques to treat problems.
I consulted Dr Sunita as I was suffering from sudden weight gain and was feeling lethargic. She prescribed me some blood tests in order to know the problem. And I was shocked to know that I am suffering from underactive thyroid. I thank Dr Sunita for treating me so well. I am perfectly fine post treatment.
I saw Dr Sunita clinic's advertisement in newspaper and that is how we referred her. Her advice and counselling has helped me immensely. In the very first sitting, she clearly told us the problem and the what the lose weight treatment procedure will be in future.
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My condition was bad due to thyroid. Also I was facing number of issues due to this. I consulted number of doctor but the way Dr Ravi treated me was teh best. He has specialised in this field. I owe him a big thanks for treating me so well.
I am so happy with the results of my thyroid treatment, that I will surely recommend Dr Sunita to anyone gladly. She has a broad knowledge in this field. I am glad that I chose to consult her as I am perfectly fine after the treatment.
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Dr. Sunita Sayammagaru provides answers that are knowledgeable. Good
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:
- Each cell in the body requires it to form the cell membrane, the protective layer around the cells
- Synthesis of vitamin D is done with the help of cholesterol, which is very essential for skin health
- It also helps in hormone formation. In addition to steroids, other hormones like testosterone, estrogen, cortisol require cholesterol as a main ingredient
- 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.
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
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.
- 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.
- 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.
- 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:
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.
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!
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.
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.
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.
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.
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.
- 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.
- 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.
- 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.
- 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.
- Birth control pills: These also affect the hormone levels and lead to increased facial hair.
- 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!
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 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.
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 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.
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.
- 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.
- 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.
- 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.
- 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.
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:
- 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.
- 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.
- 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.
- 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.
- 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:
- Change in diet and healthy eating
- Physical activity and exercising
- Regular blood sugar monitoring and
- Blood sugar medication along with insulin therapy, if necessary
If you wish to discuss about any specific problem, you can consult an endocrinologist.
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.
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.
- Emotionally stressed situations
- Athletic training
- 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:
- 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.
- Adrenal gland tumours can cause excessive production of cortisol.
- 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:
- A rounded, plump face with a pinkish hue
- A moon face, with fat deposits on the face
- A buffalo hump with fat deposits between the shoulders
- Stretch marks on the abdomen, thighs, and arms
- Weak muscles, especially in the hips and shoulder
- Significant weight gain
- Skin that gets thin and bruises easily
- Extreme tiredness
- High blood pressure
- High blood sugar
- Thin arms and legs
- Delayed healing of cuts and injuries
- Increased facial hair in women
- Menstrual disorders
- Reduced libido, infertility, and erectile dysfunction in men
- Emotional issues like depression, anxiety, irritability
- Increased thirst and urination
- Bone loss, and eventually fractures
- Affected bone growth in the developing years
- 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..
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:
- Severe, uncontrolled diabetes
- Family history
- Prior kidney disease, even chronic infection
- Race or ethnicity (native Americans, African Americans, etc.)
- Preexisting hypertension or high cholesterol levels
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.
There would be no symptoms in the initial stages
- 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
- There could be swelling of the feet and ankles
- Urine tests may indicate increased levels of protein in the body (serum albumin in particular)
The idea is to arrest or stop damage to the kidneys.
- 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
- Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
- Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
- 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.
- 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.
- Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
- If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
- Maintain weight under optimal levels.
If you wish to discuss about any specific problem, you can consult an endocrinologist..