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Dr. Vasanth Kumar Ch

Endocrinologist, Hyderabad

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Dr. Vasanth Kumar Ch Endocrinologist, Hyderabad
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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. Vasanth Kumar Ch
Dr. Vasanth Kumar Ch is a popular Endocrinologist in Banjara Hills, Hyderabad. You can consult Dr. Vasanth Kumar Ch at Elbit Diagnostics in Banjara Hills, Hyderabad. You can book an instant appointment online with Dr. Vasanth Kumar Ch on Lybrate.com.

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Elbit Diagnostics

#8-2-703, A G Heights, Road No. 12, Banjara Hills. Landmark: Near Amrutha Valley, HyderabadHyderabad Get Directions
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Diabesity = Diabetes + Obesity

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Diabesity = Diabetes + Obesity

Type 2 diabetes is reaching pandemic levels and young-onset type 2 diabetes is becoming increasingly common. Erectile dysfunction (ED) is a common and distressing complication of diabetes. The pathophysiology and management of diabetic ED is significantly different to nondiabetic ED.

Aim
To provide an update on the epidemiology, risk factors, pathophysiology, and management of diabetic ED.
Method
Literature for this review was obtained from Medline and Embase searches and from relevant text books.
Main Outcome Measures
A comprehensive review on epidemiology, risk factors, pathophysiolgy, and management of diabetic Erectile Dysfunction.

Results
Large differences in the reported prevalence of ED from 35% to 90% among diabetic men could be due to differences in methodology and population characteristics. Advancing age, duration of diabetes, poor glycaemic control, hypertension, hyperlipidemia, sedentary lifestyle, smoking, and presence of other diabetic complications have been shown to be associated with diabetic ED in cross-sectional studies. Diabetic ED is multifactorial in aetiology and is more severe and more resistant to treatment compared with nondiabetic ED. Optimized glycaemic control, management of associated comorbidities and lifestyle modifications are essential in all patients. Psychosexual and relationship counseling would be beneficial for men with such coexisting problems. Hypogonadism, commonly found in diabetes, may need identification and treatment. Maximal doses of phosphodiesterase type 5 (PDE5) inhibitors are often needed. Transurethral prostaglandins, intracavenorsal injections, vacuum devices, and penile implants are the available therapeutic options for nonresponders to PDE5 inhibitors and for whom PDE5 inhibitors are contraindicated. Premature ejaculation and reduced libido are conditions commonly associated with diabetic ED and should be identified and treated.

Conclusions
Aetiology of diabetic ED is multifactorial although the relative significance of these factors are not clear. A holistic approach is needed in the management of diabetic ED.

Psychosexual counseling in diabetic patient 
In order to avoid the problems inherent in the assessment of any organic component of impotence, a consecutive series of 20 diabetics were treated with psychotherapy after a detailed assessment of the psychological components of their disability, 13 patients improved in the long term and responders could not be identified from pretreatment characteristics. However, most of the patients had been impotent for several years and their successful adaptation may have limited the success of psychotherapy. There is a need to identify the impotent patient at an early stage in order to offer more effective treatment. This might also avoid the problems of adaptation and the need for detailed investigations of pelvic nervous and vascular function. The management of ED in the diabetic patient may often involve a multidisciplinary approach where psychosexual counselling and specialist Sexologist advice is required in addition to the skills of the diabetologist. Finally, the introduction of the new oral agents have completely revolutionised the management of ED and allowed more individuals to come forward for treatment.

6 people found this helpful

If a person is suffering from diabetes what health recondition should given to her/him.

MBBS, MD - Medicine
General Physician, Delhi
If a person is suffering from diabetes what health recondition should given to her/him.
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 usually in adults due to insulin resistance and treated with oral medicines. It can't be cured completely but you can keep it controlled by taking these precautions.
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I am heart attack patient with sugar level 380 fasting . I take insulin (insuman) 25 units daily at morning time. Please prefer me medicine (tablets).

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am heart attack patient with sugar level 380 fasting . I take insulin (insuman) 25 units daily at morning time. Ple...
First you get tested for diabetes type 1 or type 2 which is maturity onset. Type 1 needs only insulin + diet therapy. Type 2 is controlled with medicines + diet and type 2 rarely requires insulin & type 1 is never controlled with medicines, insulin is the only therapy.
3 people found this helpful
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Am getting continues bleeding, feeling tiered I have hypothyroidism, all scan reports are normal n healthy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Am getting continues bleeding, feeling tiered I have hypothyroidism, all scan reports are normal n healthy.
lybrate-user, Thanks for the query. I have gone through the details mentioned. In hypothyroidism if the there is no proper control of TSH (should be around 3 to 4 mU/L), there is a possibility of menstrual disturbances including excess blood loss. So it is essential to maintain TSH in the range mentioned above. So please check TSH and come back. Loss blood does lead to weakness due development of anemia. Thanks.
1 person found this helpful
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Fight diabetes.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Fight diabetes.

Fight diabetes.

My fasting sugar is 136 and pp after 2.30 hrs 150. During day hours I eat as usual and found sugar level less than 140. My age is 65 years. BP 140/86 around with telmisartan 29 mg and 2.5 mg amlodipine Hb1ac 7 and triglycerides 282 two months ago 7. Tmt, echo, ecg creatinine checked in Feb -all normal. Please suggest me how can I bring fasting sugar level. From last 2 days I am following 1200 calories chart.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My fasting sugar is 136 and pp after 2.30 hrs 150. During day hours I eat as usual and found sugar level less than 14...
Mr. lybrate-user, Thanks for the query. The values of blood glucose mentioned show that diabetes is fairly controlled. Ideally fasting should be <100 mg, PP 160 to 170 mg & HbA1c%<7. As regards BP systolic should be a bit lower, closer to 130 mm. And diastolic closer to 80 mm. TGL level is high. We may have to give a closer look at all the drugs and see if anything can be improved. By simple modifying the lifestyle almost everything can be corrected. Regarding TGL some drug may be required. Thanks.
10 people found this helpful
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My father is of 50. He was suffered from major heart attack on 18 april. Then angiography was done and 2 veins blockage came 90 % and 60 %. Before standing or surgery he suffered from tubercular meningitis, Pott's spine and sepsis. Now following medicine is going on : R cinex 450 / 300 Combutol 1000 mg PZA 750 Pyri 10 Deplatt A 75 Avas 20 Cardace 1.25 Meconerv forte Is this medicine ok? Can we do ayurvedic treatment to remove blockage of veins? What can be done to remove the blockage ? Which should not effect adversely, keeping in mind all the diseases.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is of 50. He was suffered from major heart attack on 18 april. Then angiography was done and 2 veins blocka...
Please follow anti tubercular treatment as scheduled. But all of anti tb medicines are toxic to liver specially r cinex, therefore need to do liver function tests every month or earlier if some changes like loss of appetite / jaundice symptoms felt. We advise liver toxic food like fats & other heavy medicines known to be toxic to liver and kidneys. Atovas is used to lower cholesterol but fats are not given to patients on treatment for tb, emphasis is on high carbs & more simple proteins. There is no need to give this medicine which is toxic to liver. He is being given ace inhibitor to bring down bp-this medicine can lead to cough confusing symptoms of tb. Change to safer beta blockers after consulting with your doctors. Regarding medicines to dissolve blockages, our system has not much to offer for old blockages, be careful about interactions with ayurvedic medicines also. I can suggest simple things which may help dissolve blockages & help the liver also. Juice of pomegranate, spoon of honey + juice of a lemon in warm water on empty stomach, apple cider vinegar plus honey. Avoid all fats except good fats like a spoon of pure ghee only plus a katori of assorted nuts to get much needed protein plus good fats. He must be on bed rest, get some physiotherapic advice to improve the blood circulation otherwise get massage done on entire body. If person is not eating bad fats, the levels of lipids remain within limits and there is no need for medicines to lower cholesterol. Give him high protein diet like simple things like toned milk, curd, chhachh, boiled eggs, clear fat free soups of vegetables and pulses. Get back here for more guidance with latest reports of liver function tests, cbc & total lipid profile. Good luck. Continue giving multivitamin in the list of medicines above.
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Doctor I am Diabetic and taking medicines. Due to summer, I am not going out of house. I frequently urinate at night also. Will there be any kidney problem. I regularly check blood sugar once in two months and due in 20 days. Your advice.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Doctor I am Diabetic and taking medicines. Due to summer, I am not going out of house. I frequently urinate at night ...
Frequent urination at night doesnt mean your kidney is harmed. Frequent urine at night can be due to uncontrolled diabetes or can sinply be cause you are drinking more water in evening. Reduce water inatke after 7pm. Avoid colas or tea or coffee in evening. Check your diabetes
7 people found this helpful
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I am 39 years old I am diabetes percent two years give me some suggestions for control my sugar level my f. F. 235 and after 200.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I will advise you to start homoeopathic treatment alongwith diabonil drops (sbl) 20 drops in 20 ml fresh water 3 times a day 20 minutes before meals vincetoxicum (adel) 20 dropss in 1 glass fressh water morning empty stomach eat little every 2 hrly instead of full meals report after 2 months.
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