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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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Personal Statement

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 35 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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Hi I am 35 years male n I have diabetes, high blood pressure and kidney damage and I have not able to make relationship with my wife bcz of erectile dysfunction, so pls help me with any medication or what I can do for that bcz I recently got married.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Diabetologist, Thane
Hi I am 35 years male n I have diabetes, high blood pressure and kidney damage and I have not able to make relationsh...
Dear lybrate-user, I can feel your anxiety and concern. Having multiple disorders require many medicines to be prescribed for each of the disorder. Diabetes can cause erectile dysfunction and many medicines can also lead to erector dysfunction. Also stress and depression associated with chronic multiple disease can contribute or cause erectile problems. It'll be prudent on your part to consult the doctor personally after letting him know proper history. This way he can help you better.
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I am having high bp get tension soon angerness now sugar also 125 before, after 200.

MD - Consultant Physician
General Physician, Mumbai
Meet your doctor. High blood pressure and diabetes can be controlled. But you also need to calm down. If there is anything which is troubling you, take help.
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How to prevent and decrease acids in stomach? And How to prevent Acidic nature in blood for diabetics?

BHOM, MD - Alternate Medicine, Diploma in Weight Loss, Diploma in Nutrition, DNHE
Dietitian/Nutritionist, Delhi
How to prevent and decrease acids in stomach? And How to prevent Acidic nature in blood for diabetics?
Our stomach itself produces HCl which helps in digestion and breaking of food. But when too much of acid is produced then it creates problems. Acid increases due to acidic foods, alcohol, dehydration, stress. You can have cold milk, buttermilk, coconut water or some herbs such as ajwain, jeera, tulsi or pudina. You can have antacid tablets, milk of magnesia, eno. Severe acidity may lead to ulcers also. To decrease acid drink a glass of water first thing in the morning. Eat lots of non-citrus fruits such as apple, banana, water melon and fresh vegetables such as beans, legumes. Include yogurt in your diet. Avoid spicy and oily foods.
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Hi, I have taken my regular Thyroid tests and it is showing a elevated TSH - 3.58 but total T3 and T4 is in normal range. I am under thyroid medication from past 5 years. I went again the next day for Free T3 and T4 test, the did TSH again, and it was 5.85! But, Free T3 and T4 were within the range. Also, I got the Anti-thyroglobulin test done and the result was 247.50. Can anyone tell me why the TSH fluctuation is so high in a day's interval and what is the significance of Anti-Tg being positive and at this level?

MBBS, MD
Endocrinologist, Delhi
Raised antithyroglobin antibodies are suggestive of autoimmunity as the cause of hypothyroidism. Monitoring of thyroid function is done by TSH estimation because T3 and T4 have a very short half life. As per your reports you need to increase your thyroid supplement in consultation with your Physician.
2 people found this helpful
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Nerve Damage Due To Diabetes - Is There A Way To Prevent It?

MBBS, Diploma In Diabetology
Diabetologist, Mumbai
Nerve Damage Due To Diabetes - Is There A Way To Prevent It?

Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugar from diabetes affects the nerves and over time increases a person's risk for nerve damage. Keeping blood sugar levels within the target range recommended by your doctor helps prevent diabetic neuropathy.

Types of Diabetic Neuropathy
Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways..

  • Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, and hands.
  • Autonomic neuropathy affects the nerves that control involuntary body functions such as digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.
  • Proximal neuropathy causes pain in the thighs, hips, arms, or buttocks and leads to weakness in the legs and hands, resulting in difficulty in walking, standing, picking up objects, buttoning your clothes, etc.
  • Focal neuropathy results in the sudden weakness of one nerve or a group of nerves, causing muscle weakness or pain. Any nerve in the body can be affected.

How Diabetes Causes Damage to the Nervous System?
There are several factors that are likely to contribute to nerve damage through diabetes...

  1. High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals. 
  2. High glucose levels affect many metabolic pathways in the nerves, leading to an accumulation of a sugar called sorbitol and depletion of a substance called myoinositol. These changes are the mechanism that causes nerve damage. Nitric oxide dilates blood vessels. In a person with diabetes, low levels of nitric oxide may lead to constriction of blood vessels supplying the nerve, contributing to nerve damage.
  3. Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
  4. Inherited traits increase susceptibility to nerve disease
  5. Lifestyle factors, such as smoking or alcohol use

Symptoms:
1. Numbness, burning sensations, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
2. Either hypersensitivity to touch or insensitivity, even to hot and cold temperatures
3. Weakness in muscles and loss of reflexes
4. indigestion, nausea, or vomiting
5. diarrhea or constipation
6. dizziness or faintness due to a drop in blood pressure after standing or sitting up
7. problems with urination
8. Changes in gait and balance
9. Injuries that are taking longer to heal and are more prone to infections

Prevent Diabetic Nerve Damage-
Keeping your blood sugar levels in your target range, set with your doctor, may help prevent nerve damage from ever developing. The best way to do this is by checking your blood sugar and adjusting your treatment. It is also important to get to and stay at a healthy weight by exercising and eating healthy foods. In case you have a concern or query you can always consult an expert & get answers to your questions!

3959 people found this helpful

Known diabetic from 17 years 1999 started. Istamet50/500 daily one and glimisave max forte3mg daily 2 tabs, and 10iu of glaritus 10iu.

MBBS, MD - Community Medicine
General Physician, Jaipur
Known diabetic from 17 years 1999 started. Istamet50/500 daily one and glimisave max forte3mg daily 2 tabs, and 10iu ...
Follow the doctor’s advice properly Eat plenty of vegetables Have sufficient fibres in your diet e.g. salads Cut down on sugar/ sweets Cut down on salty processed foods Cut down on energy dense, processed food - such as crisps, cakes, biscuits and pastries Make at least an hour rigorous physical activity part of your daily life i.e. jogging/ brisk walking/ running/ gym/ else you like Yoga/ meditation will help you in reducing stress level If you are non-vegies Eat fish regularly Cut down on processed meat but no problem with fresh (unprocessed) meat/ chicken If you are alcoholic/ smoker Cut down on alcohol/ smoking Check your Blood Pressure/ Cholesterol level (Lipid Profile)/ Renal Function Tests regularly. Take medicines regular to keep controlled your blood sugar as advised by your doctor. Remember, not only medicines, all the advices of doctor are precious and very useful.
1 person found this helpful
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Bariatric Surgery - How Can It Help With Diabetes?

FMBS, FNB, MS - General Surgery, MBBS
Bariatrician, Delhi
Bariatric Surgery - How Can It Help With Diabetes?

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.           

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

1838 people found this helpful

What is the normal range of Average Blood Glucose and HPLC which is normal and not prediabetes or diabetic? For example whether ABC 125 and HPLC 6 is normal or not?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
What is the normal range of Average Blood Glucose and HPLC which is normal and not prediabetes or diabetic? For examp...
Mr. lybrate-user, Thanks for the query. Following are the criteria to decide whether a person is normal, pre-diabetic or diabetic: 1) FBG 70 to 100 mg, PP < 140 mg, HbA1c% <5.7 2) Pre-diabetes: FBG 101 to 125 mg, PP 141 to 199 mg & HbA1c% 5.7 to 6.4. 3) FBG: 126 mg and above, PP 200 mg and above, HbA1c% 6.5 and above. I think I have answered the question. Thanks.
10 people found this helpful
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Im married suffering frm thyroid problem t3. T4 are within range bt tsh is more than normal (15. Is there any chances to conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Im married suffering frm thyroid problem t3. T4 are within range bt tsh is more than normal (15. Is there any chances...
First you need to take medication for thyroid. As it may cause irregularity your of cycle thus affecting conception.
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My diabetes is high. Before 2 days. I carefully my diabetes. But why high diabetes. Tell me.

MSc
Dietitian/Nutritionist, Hyderabad
My diabetes is high. Before 2 days. I carefully my diabetes. But why high diabetes. Tell me.
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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