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Dr. Upendra Mishra

Endocrinologist, Hyderabad

300 at clinic
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Dr. Upendra Mishra Endocrinologist, Hyderabad
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Upendra Mishra
Dr. Upendra Mishra is an experienced Endocrinologist in Domalguda, Hyderabad. He is currently associated with Ayush Diabetic Center in Domalguda, Hyderabad. You can book an instant appointment online with Dr. Upendra Mishra on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 40 years of experience on Lybrate.com. Find the best Endocrinologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Ayush Diabetic Center

C-2, Janaki Apts, Gagan Mahal St.No.10, Domalguda, HyderabadHyderabad Get Directions
300 at clinic
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Thyroid - 5 Common Mistakes That Most People Do!

Diploma in Diabetology
Endocrinologist, Mumbai
Thyroid - 5 Common Mistakes That Most People Do!

The thyroid hormones, namely T3, T4 and TSH (Thyroid Stimulating Hormone) play a pivotal role in various metabolic processes in the body. Any imbalance in the level of these hormones can interfere with the normal body functions. While an elevated level of the thyroid hormones gives rise to Hyperthyroidism, a reduced level of the same thyroid hormones can lead to a condition medically termed as Hypothyroidism. A proper diagnosis and treatment can bring about a significant improvement. However, there are some common mistakes that many people with thyroid problems often make.

  1. Choose your diet with care: The health benefits of a balanced and nutritious diet are known to all. However, a food considered healthy may not be an ideal choice for a thyroid patient. Time and again, broccoli and kale have been recommended for its nutritive value. However, these vegetables may not be a good choice for thyroid health. Known to contain goitrogens, they may interfere with the production of the thyroid hormones. Gluten, a protein present in wheat, rye, and barley, though healthy should be avoided, especially in the case of Hypothyroidism.
  2. Obesity may not be the trigger: While it is a healthy practice to maintain a healthy body weight, it is unfair to blame the extra kilos for every single disease that you suffer from. Many people believe that losing weight is the best way to deal with thyroid problems. However, the fact is quite different from what you believe. Thyroid problems can be an outcome of various triggers where losing weight may provide negligible or no assistance to reverse or improve the condition. In fact, rapid weight loss may give rise to some complications which may aggravate the condition further.
  3. Thyroid glands are not always at fault: Many people associate thyroid problems with some abnormalities or improper functioning of the thyroid glands. There is no denying the fact that problems in the thyroid glands often trigger thyroid disorders. However, this is not the only cause. A host of other factors such as stress, medical conditions, certain medications and unhealthy lifestyle habits may be equally responsible for the thyroid problems. In some cases, the body may fail to utilize the thyroid hormones produced by the thyroid glands. In another condition, the thyroid hormone produced is unable to enter the cell (triggered by a problem in the cell receptor). It is important to identify the root cause of the problem rather than generalizing.
  4. People with hypothyroidism do not need to gulp down tons of iodine. Always use the amount recommended by the doctor. Increased intake of iodine supplements (way above the recommended quantity) may result in unnecessary health complications such as Wolff-Chaikoff effect.
  5. Many health organizations or individuals may promise instant relief and cure. They may lure you with some irresistible offers. However, it will be foolish on your part to fall for such claims. Always seek the help of experienced and genuine health professionals.

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

2152 people found this helpful

I am 59 years old man I have sugar since 2 years onwards and using tablets cetapin 1000 mg 2 tablets per a day. Recently 219 diagnosed post lunch test and fasting 106. So wat are your suggestions to me to reduce my problem.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Try following a stricter diet and regular execise. If the sugars are still high after 1 month, you can add another medicine.
1 person found this helpful

My wife aged 41 has developed diabetes, earlier she had gestational diabetes. Shall we go for allopathy or homeopathy or ayurvedic medicines. We are confused.

MBBS, MD
Endocrinologist, Delhi
My wife aged 41 has developed diabetes, earlier she had gestational diabetes. Shall we go for allopathy or homeopathy...
I am Medical specialist of modern medicine, we try to control diabetes with diet restritions, exercise,walking, yoga etc. But if not ontrolled then we add oral medicines and those patients who are not controlled with these measures we recommend insulin.
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I have various cases of diabetes in my family members. May I know the symptoms of diabetes and health tips?

MBBS
General Physician, Chandigarh
I have various cases of diabetes in my family members. May I know the symptoms of diabetes and health tips?
Diabetes symptoms vary from person to person mainly they are excessive thirst hunger frequent urination weakness and loss of libido to some extent you have yo take care of your diet don't eat direct refined sugars sweets bakery products and refined carbohydrates exercise daily for atleast one hour and keep a busy active lifestyle.
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My mother was continuing thyrox 50 mg since 3 month while she has 18.59 tsh, and t3-122, and t4-6.8 and now she has 0.40 tsh ,t3-109, t4-9.2 and continuing thyrox 25 mg. Is it good to take?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My mother was continuing thyrox 50 mg since 3 month while she has 18.59 tsh, and t3-122, and t4-6.8 and now she has 0...
Lybrate-user, Thanks for the query. I have already answered this query. Only thing is you had mentioned TSH level as 0.04 mU/L instead of 0.4 mU/L (now mentioned). There is a lot of difference in those levels. 0.4 mU/L is at the lower end of the normal range. If she has no symptoms she should continue that dose (25 mcg). Check TSH after 8 weeks. Thanks.
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Understand Your Risk for Diabetes!

MD - General Medicine, MBBS
General Physician, Ahmedabad
Understand Your Risk for Diabetes!

Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among young people. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, oral insulin intake, taking healthy diet, increased physical activity and controlling blood pressure and cholesterol levels.

Type 2 diabetes is a condition wherein the body refuses to use insulin in order to carry glucose to each and every cell of the body. The pancreas try to produce more insulin in order to counter the condition but soon give up due to an increased blood pressure. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.

Gestational diabetes is observed in many pregnant women. The hormones produced during pregnancy can block insulin to be used by the body. While insulin resistance is common during pregnancy, failure of the pancreas to fill in the additional insulin in the body can result in gestational diabetes. Women who are overweight are more likely to develop this condition. Although gestational diabetes goes automatically after the baby is born, it often recurs in the form of type 2 diabetes in a later stage of life.

Risk factors for diabetes

  1. Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
  2. Inactivity: Immobility increases the risk of diabetes in a person. It stacks up glucose in the body, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes.
  3. Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is very likely that his immediate family or extended family has a history of diabetes.
  4. Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts. Lifestyle and eating habits are the major reasons for diabetes in these races.
  5. Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group. If you wish to discuss about any specific problem, you can consult a General Physician.
4568 people found this helpful

I am a diabetic history of 16 years. Presently I am taking lantus insulin with other medicines. Now my s creatinine is 1.4 which is on higher side. I wanted to know how it can bring in normal value.

DHMS (Hons.)
Homeopath, Patna
I am a diabetic history of 16 years. Presently I am taking lantus insulin with other medicines. Now my s creatinine i...
Hello, Lybrate user, Your creatinine level is within normal range. Diabetes is a disease to b managed rather, than to b cured, completely & only medication can't suffice the treatment ,unless under noted natural norms are considered   • Go ,for a brisk walk in d morning to restore blood circulation to nourish the cells & tissues of your body to reduce creatine level, too.   • Tk, plenty of water to eliminate toxins, regulate metabolism.  • Go ,for meditation, yoga to reduce your stress, anxiety to nourish the whole body including your pancreas to monitor ,beta cells to maintain your sugar level and to feed heart.   • Go ,for either of cycling, swimming, gardening, dancing,playing badminton.    • Maintain 1200-1600 calories, through dietary regulation.   • Ensure, sound sleep for 7 hrs.in d night.    • Avoid, direct  sweets, junk food, caffeine, smoking, dust,smoke, spicy,fried -intake. Beverage, alcohol, grapes, banana,ripened mangoes, sugarcane juice, potatoes,sweet potatoes, pea   •  Follow all d instructions of your diebetologist  along with desired medications for your sound health.   •  Homoeopathy can help you in need.   • Report, fortnightly,your feedback matters, please. .stay fit & fine.
5 people found this helpful
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Hi. I read article on mangoes. I am diabetic and its very much under control with medication, exercise and right eating. I love mangoes so I was wondering if I could eat a mango every alternative day or restrict my mango eating to bare minimum. Say a slice a day. Thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
If your diabetes is under control that if fasting is 100 mg pp 140 mg, you may eat one slice of mango a day. Please remember any indulgence is dangerous for sugar levels.
3 people found this helpful
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Laparoscopy for Infertility!

Masters of Surgery Obstetrics & Gynaecology
Gynaecologist, Pune
Laparoscopy for Infertility!

Laparoscopy is a procedure that helps a doctor to view the abdomen of a woman. The pelvis of a female consists of the uterus, ovaries and the fallopian tube right at the bottom of the abdomen. The process of laparoscopy allows a doctor to witness any abnormalities that might be interfering the ability of a woman to conceive. Some of the common problems that women encounter in this regard include ovarian cysts, endometriosis, uterine fibroids, pelvic adhesions, pelvic adhesions etc.

Advantages of Laparoscopy:
Laparoscopy allows correct diagnosis of infertility problems that are often missed by the conventional method of diagnosis. For instance, a woman suffering from severe endometriosis can be rightly diagnosed by employing ultrasound. However, if a woman suffers from mild endometriosis, ultrasound cannot pick it up. Laparoscopy, in this case, can do the trick. Another instance where laparoscopy comes handy is during the diagnosis of pelvic adhesions or scar tissue. Adhesion is a disorder that restricts the fallopian tube to hold the egg during ovulation. Conventional methods such as x-rays, ultrasound, and CT scan fail to rightly diagnose the problem in this case.

Another important advantage of laparoscopy is the fact that, it is a less invasive technique as compared to conventional surgery. Traditional surgery requires making an incision that is several centimeters long. This necessarily means that a patient requires at least 2-3 days in the hospital to heal. In laparoscopy, on the other hand, make several small incisions that heal quickly.

Who has to go undergo laparoscopy?
Laparoscopy surgery is suggested for those women, who have gone through the basic assessment for infertility. Some of the infertility tests that should be undergone before approaching for a laparoscopy include ultrasound, ovulation, ovarian reserve, hysterosalpingogram etc. For men, a basic semen analysis should be done to test fertility. There are instances, where a doctor recommends laparoscopy, if the woman has a history of severe pelvic infection or ruptured appendix.

Things to expect after surgery:
Typically, the incisions are covered with bandages that are removed after twenty-four hours. Medications for nausea and pain are prescribed, to deal with them after the surgery. The recovery time depends on the length and type of the procedure, the present health of the patient, the number of incisions made, complication level of the surgery etc. Usually, there are no restrictions on food and drink after the procedure is performed. Since anesthesia is given for undergoing the surgery, it is recommended that a person takes rest for at least twenty-four hours before resuming normal activities. The woman cannot return to normal life and work after a few days, from the day of the surgery. But it is recommended to take rest for two weeks.

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

2473 people found this helpful

Hello, Can hypothyroid patient eat soybean oil as I heard hypothyroid patient should reduce soybean? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Can hypothyroid patient eat soybean oil as I heard hypothyroid patient should reduce soybean? Please suggest.
Mr. lybrate-user, Thanks for the query. It is better to avoid all the foods including soy oil in hypothyroidism. Thanks.
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