Doctor in Nandini Hospitals
Prevention & Treatment of Diabetes
Treatment of Thyroid Disorders
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of Underactive Thyroid
Treatment of Hormonal Imbalance
Treatment of Hyperthyroidism
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Treatment of Male Infertility or Impotency
Thyroid Disorder Treatment
Treatment of Growth Hormone Deficiency
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Treatment of Gestational Diabetes
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The thyroid is a small gland located on the neck. When the thyroid gland functions normally, it is easy to ignore it but an underactive or overactive thyroid gland can cause a number of problems. An underactive thyroid gland is known as hypothyroidism. In this case, the gland does not produce enough thyroid hormone. This, in turn, lowers metabolism. Your diet plays a large role in influencing the functioning of the thyroid gland. Some of the foods you should avoid in cases of hypothyroidism are:
This includes vegetables such as cabbage, bok choi, kale, sprouts, and broccoli. These vegetables restrict the thyroid’s ability to absorb iodine which in turn lowers the functionality of the thyroid gland. While you do not need to completely avoid these vegetables, you should restrict their intake to less than 5 ounces each day. Cooking these vegetables can also help reduce their effect.
Soy products are rich in plant-based phytoestrogen. This hormone interferes with the body’s ability to use the thyroid hormone. It can worsen hypothyroidism and even increase the risk of hypothyroidism. However, this has not been scientifically proven and hence there are no specific dietary guidelines on how much should be eaten. To be on the safe side, consume soy products in moderation and avoid them whenever possible.
Hypothyroidism is yet another reason to avoid fatty foods. Fats interfere with the body’s ability to absorb thyroid hormone as well as thyroid hormone replacement drugs. It also lowers the production of thyroid hormone and thus aggravates hypothyroidism. Ideally, you should avoid fatty foods such as red meat, fatty fish, butter, mayonnaise etc. You should also avoid foods that are deep fried. Instead, try steaming or baking your food.
Many dieticians refer to sugar as empty calories. These calories do not have any nutrients but can slow down the body’s metabolism rate. It also leads to weight gain that furthers aggravates hypothyroidism as well as other lifestyle disorders such as diabetes. Limit your sugar consumption to 1-2 spoons a day or try and eliminate it completely. You could also try replacing sugar with honey to sweeten your tea.
An excessive amount of anything including fiber can be detrimental to the body. Too much fiber can create complications in the treatment of hypothyroidism. Thus, you should not consume more than 35 grams of fiber a day. This can take the form of whole grains, legumes, fruits, vegetables, and beans.
Keeping the blood sugar at the recommended level can be a challenging task at times. While timely medication is a key prerequisite for controlling diabetes, lifestyle changes plays an important role in keeping the blood sugar under control.
Here is a list of simple yet effective ways of managing diabetes.
- Portion size and carbohydrate count: Carbohydrates are the single most important food element that impacts the level of blood sugar in body. People taking insulin shots should ensure that the portion size of carbohydrates does not exceed the recommended level. Maintaining a diary to keep a check on the carbohydrate count can help in this case.
- Balanced diet: For people suffering from diabetes, it is necessary to have a good mix of fruits, vegetables, fat, starch and protein in each meal. Carbohydrates should be consumed in the form of fruits and whole grains. A doctor advice in this matter can be of great help.
- Avoid sweetened beverages: Sweetened beverages with high sucrose and fructose content have high-calorie content that can directly impact the blood-sugar level. Refraining from these sweetened drinks is a must for diabetes patients.
- Make an exercise plan: Exercising for half hour on a daily basis is highly beneficial for diabetes patients. It makes sense to consult a doctor about the type of exercise that can be done regularly. The right mix of aerobic, cardio and muscle exercise should do the trick.
- Stay hydrated: Staying hydrated is very important during exercise. Dehydration can bring down the blood-sugar level drastically.
- Be prepared: Carrying a small dose of glucose or a snack can come in handy. In case the blood-sugar level drops to an alarming level while exercising, the glucose will ensure that it brings it back to normal quickly.
- Follow the doctor’s instruction: Alcohol is known to cause a lot of complications for diabetic patients. For people whose diabetes is under control, make sure that the doctor gives his go ahead for alcohol consumption.
- Drink carefully: If you get a doctors nod to drink make sure that dry wines and light beer are consumed. These drinks tend to have lesser calories and carbohydrates. Their impact on the blood-sugar level, therefore, becomes minimal.
- Pattern: Stress greatly increases the blood-sugar level. While it is difficult to be stress-free, try to look for a pattern by checking the blood-sugar level after prolonged stress. This will help to identify a pattern which can then be addressed with methods such as yoga, hobby practicing, laughter therapy, etc.
- Get help: Stress management is not an easy task. If stress cannot be controlled with a conventional approached, it makes sense to get professional help to reduce stress.
Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:
- Retinopathy - In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.
- Skin conditions - During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.
- Nephropathy - Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.
- Cardiovascular diseases - This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.
- Neuropathy - It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.
However, it is always desirable that you go and visit a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.
Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.
Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.
In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.
How can diabetes affect your kidneys?
Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.
Signs of Kidney Disease in Patients with Diabetes
- Albumin/protein in the urine
- High blood pressure
- Ankle and leg swelling, leg cramps
- Going to the bathroom more often at night
- High levels of BUN and creatinine in blood
- Less need for insulin or antidiabetic medications
- Morning sickness, nausea and vomiting
- Weakness, paleness and anemia
What are the possible complications?
- End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
- Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further.
- High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.
What to do?
- It is essential to get your urine checked at least once every year to detect signs of kidney damage.
- Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
- The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
- You should also avoid consuming medications that can cause damage to the kidneys.
- A kidney transplant or dialysis may be advised if the damage to kidneys is significant.
You know that diabetes is a chronic condition that renders difficulties to the patient in several aspects. A comprehensive care is essential to manage it effectively as the condition can lead to many other diseases including eye diseases.
If you have been diagnosed with diabetic or hypertensive eyes, then it means that your vision has started to deteriorate. But you need not lose hope as it is still possible to remedy the situation. Understanding the issue in detail will help you cope with the situation better.
What are diabetic and hypertensive eyes?
Diabetic eye refers to the complications in the eyes as a result of diabetes. It affects the blood vessels of the retina and hence develop impairment of vision and loss of vision in severe cases. Similarly, hypertensive eye as indicated by the name is the situation where in the eye is affected as a result of hypertension. This is because high blood pressure affects the blood vessels of the retina. It does not allow the retina to function properly and puts pressure on the optic nerve resulting is vision problems.
What are the symptoms of diabetic retinopathy?
Like many conditions of this nature, the early stages of diabetic retinopathy may occur without symptoms and without pain. An actual influence on the vision will not occur until the disease advances. Symptoms may only become noticeable once the disease advances, but the typical symptoms of retinopathy to look out for include:
How to take care of the conditions?
In the conditions of the diabetic eye and hypertensive eye that prime step to take care is to control diabetes and hypertension respectively. By following the prescribed medications for these conditions, the vision problem can be managed. At the same time, some adequate preventive measures are of utmost importance to efficiently and effectively take care of both diabetic eye and hypertensive eye.
Taking care of diabetic eye
First and foremost, you need to keep your diabetes under control and prevent it from being getting into the advanced stage. You should take utmost care to maintain the blood sugar level under control. After that, it is also necessary to keep the blood pressure in the correct range. Also, the cholesterol level in the blood needs to be under control. A proper and balanced diet is essential in this case. Whole grains, green leafy vegetables, fruits and lean protein should be included in the diet. Exercising is also very important to deal with diabetic, and if you are a smoker, you should quit it immediately since it causes problems with the blood vessels.
Taking care of hypertensive eye
You should bring down your blood pressure to the correct level and maintain it. You should consume a diet which contains all the essential nutrients, vitamins, and minerals. You should make sure not to do or involve in anything activity that can increase your tension or excite you. Smoking and drinking should be avoided to deal with the hypertensive eyes effectively. You should get yourself adequate and peaceful sleep which will help you to ease out of tension.
It is imperative to consult an ophthalmologist if you notice the classic symptoms of vision problems such as blurry vision, seeing floaters or flashes. If the condition progresses, treatment will involve medications or surgery depending on the severity of the condition. Hence, the best way to avoid such complications is to maintain a healthy lifestyle to take due care of your eyes.
Almost every woman wants to lead a healthy life with their loved ones and experience the joy of motherhood when the right time comes. However, as much as you detest it, the last decade or two has seen a steady rise in gynecological problems. While some of the gynecological conditions are minor and can be easily treated and taken care of, others may give you a hard time. From PCOS to Endometriosis, left untreated, some of these problems may trigger infertility, complicating things further.
Open surgeries have long been the only surgical option to deal with such critical problems. However, the advent of Laparoscopy has brought about a much-needed relief benefitting millions of women with gynecological problems worldwide. Based on latest technology and being minimally invasive, laparoscopy comes with a lot of benefits. In addition to surgically treating a condition, laparoscopy also ensures an accurate and better diagnosis. In this article, we will discuss the laparoscopic surgeries to deal with infertility and other related gynecological issues.
Infertility and Laparoscopic surgery
Identifying the underlying factor(s) responsible for infertility can go a long way to treat the condition successfully. Some of the factors that contribute towards infertility include
- PCOS: Polycystic Ovarian Syndrome is a medical condition whereby formation of a cyst(s) take place in one or both the ovaries. These cysts affect the ovulation process as the eggs either do not mature or the ovary fails to release the mature eggs. To deal with this situation, a surgeon often performs the Laparoscopic Ovarian Drilling or Ovarian Diathermy.
- Here, the surgeon makes small cuts in the abdomen (belly button).
- To inflate the stomach, the surgeon inserts carbon dioxide gas inside the stomach.
- The Laparoscope along with the surgical instruments are next inserted inside through the incisions.
- Parts of the ovary that are being affected are destroyed using Electrocautery.
- Ovarian Diathermy plays a significant role in normalizing the ovulation process, which was affected by PCOS.
- A blocked fallopian tube can also trigger infertility. In this case, Laparoscopic Fimbrioplasty (performed when there is a scar or a blockage in the part of the fallopian tube that is adjacent to the ovary) comes in handy. It is a laparoscopic reconstructive procedure that helps to open the tubal blockage, thereby restoring the fimbriae (finger-like projections located at the tube ends that aids in the transportation of the matured eggs from the ovary into the uterus).
- Endometriosis: This is a medical term used to define a condition whereby the endometrial cells grow outside the uterus, often in the ovary or the fallopian tube resulting in pain and infertility. Here also, laparoscopy comes as a savior, getting rid of any scarred tissues, endometrial implants or endometrioma (endometriosis cyst that forms in the ovary), thereby improving the condition.
- Laparoscopy can also be used to treat ovarian cancer, removal of fibroids (uterine myomas or uterine tumors), hysterectomy (uterus removal).
- Laparoscopy plays a significant role in reversing the tubal ligation (closure of the fallopian tube to prevent pregnancy).