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Deepak Tiwari

Diabetologist Clinic

216/3 new sheetal nagar Indore
1 Doctor · ₹150
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Deepak Tiwari Diabetologist Clinic 216/3 new sheetal nagar Indore
1 Doctor · ₹150
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About

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Deepak Tiwari
Deepak Tiwari is known for housing experienced Diabetologists. Dt. Deepak Tiwari, a well-reputed Diabetologist, practices in Indore. Visit this medical health centre for Diabetologists recommended by 85 patients.

Timings

MON-FRI
08:00 AM - 01:00 PM

Location

216/3 new sheetal nagar
Indore, Madhya Pradesh - 452011

Doctor

150 at clinic
Unavailable today
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Hi. For the last 3 days I am observing that ,when my son (6 months) piss the urine, big black ants are coming. Is that is the sign for diabetic.

MBBS, MD - Paediatrics, Fellowship in Paediatric Care ( Paediatric Intensivist)
Pediatrician, Pune
Hi.
For the last 3 days I am observing that ,when my son (6 months) piss the urine, big black ants are coming. Is tha...
If your child growing well and he is not having other issues then forget this complaint. This is not the presentation of diabetes in children.
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Hello my dad is 49 years old recently past sunday we did coronary Angiogram + PTCA + RCA. He was discharged from hospital on this tuesday evening on the discharge note they have mention the blood glucose level as 192 mg/dl after came from hospital his glucose level changes rapidly wednesday - evening - 6.00 pm - 172 before food Thursday - Morning - 7.45 am - 219 before food Thursday - Morning - 8.45 am - 292 after food Thursday - evening - 7.45 pm - 227 before food I really don't know how to control his blood sugar kindly Help as soon as possible waiting for your response mail.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
Hello 
my dad  is 49 years old recently past sunday we did coronary Angiogram + PTCA + RCA. He was discharged from ho...
It is common for sugar levels to be uncontrolled after such procedures. If he is on insulin, you need to discuss with his doctor regarding dose adjustments at home according to his sugar levels. Also, a common reason is that oral medications are changed/stopped during such procedures. You can ask his doctor regarding this and whether any tablets can be restarted.
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I am sugar patient how to balance please help me doctor minimum 260 / 300 pulse is ple help me.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
I am sugar patient how to balance please help me doctor minimum 260 / 300 pulse is ple help me.
Blood sugar can be effectively controlled with combined effects of healthy lifestyle and medicines. Your blood sugar is very high and should be controlled as soon as possible. Discuss your problem with your physician or you can have private consultation online.
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Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses. He always reports Tiredness and Weaknesses in Body. If possible also prescribe some medicines which would be beneficial for him. thank you.

MPH
General Physician, Dehradun
Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses.
H...
Yes of course But few tests are to be done before proceeding ahead HbA1C His dodt weight and Height in Cms TSH levels in blood You can wtite with the details back.
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Which sugar level can affect diabetic complications in long term or short term in diabetic patients.

DM - Endocrinology
Endocrinologist, Ahmedabad
Which sugar level can affect diabetic complications in long term or short term in diabetic patients.
Fasting sugar level above 126 and PPBS level above 200 And HbA1c level more than 6.5% can lead to long term complications.
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I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is saying now I have to take medicines for whole life. But I don't want so. Is there any other way to cure this as I started walk, exercise, started taking healthy food cut carbs and fats. Give me solution please.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is sayin...
lybrate-user, Thanks for the query. Fasting blood glucose level 147 mg & PP 273 mg, both confirm that you have diabetes (T2). Diet control and exercise do help in controlling blood glucose levels, but once diabetes is confirmed, then there is absolutely no option but to start medication with out any further delay. Lifestyle modification withexercise, diet control and weight management are useful in pre-diabetes, to prevent progression to diabetes. But once it is confirmed, unfortunately there is no other option. So please start proper medication and also take restricted diet and exercise daily for 1 hour. With this you will be able to live an almost normal life. Thanks.
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I am diabetic my FBS is 113 pp is 120 random is 127 without medicine only diet and exercise can I eat Rice in daily basis or weak and which fruit is good for me in daily basis I am 26 year old my weight is 48.

MBBS, PGDCR
Diabetologist, Thane
I am diabetic my FBS is 113 pp is 120 random is 127 without medicine only diet and exercise can I eat Rice in daily b...
You nearly don't have Diabetes. You can eat rice. Have small portions of food more frequently. Make sure protien content is more in your food. You can eat strawberries, blueberries, watermelon, Musk melon, papaya regularly or daily without worrying much about blood sugar.
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Diabetic Retinopathy - What you should know?

MBBS, MS - Ophthalmology
Ophthalmologist, Ghaziabad
Diabetic Retinopathy - What you should know?

Diabetic Retinopathy is a complication of the eye that occurs because of diabetes. It is a condition that damages the light-sensitive tissue of the retina. It can start with a medium to low level of problems in vision and can advance to complete blindness. It is mostly witnessed in patients who are suffering from type 1 or type 2 diabetes. An uncontrolled blood sugar and diabetes levels in a patient pose a greater threat of diabetic retinopathy.

What are the symptoms?
Diabetic retinopathy could be devoid of any symptoms in its early stages. However, as the condition progresses, a person might experience the following symptoms:

  • Empty or dark areas in the vision
  • Blurred vision
  • Spots floating in the vision
  • Fluctuating vision
  • Complete loss of color vision
  • Complete vision loss

Possible causes of Diabetic Retinopathy
Too much sugar in the blood vessels can block the blood supply in the retina. In the meanwhile, new blood vessels can form in the eye that does not fully matures and leak easily. Typically, there are two types of diabetic retinopathy:

  1. Early diabetic retinopathy: This is the type of diabetic retinopathy where the new blood vessels haven’t started growing in the eye yet. This condition is also known as NPDR. In this phase, the walls of the retina blood vessels weaken and numerous tiny bulges extend from the vessel walls. This condition could even leak blood into the retina. The nerve fibers and the macula tend to swell and requires immediate treatment.
  2. Advanced diabetic retinopathy: This is the most severe and advanced type of diabetic retinopathy and is known as proliferative diabetic retinopathy. This is a condition where the damaged blood cells shut down resulting in the growth of new and abnormal blood vessels. It leaks a jelly like substance and fills the vitreous. Eventually, the scar tissue can detach the eye from the retina. It can also result in a condition known as glaucoma.

What are the risk factors involved?
Patients suffering from diabetes can have diabetic retinopathy. The risk factors further increase in the following condition persists:

Tests and diagnosis:
An ophthalmologist tests the vision, look for cataracts and measure the eye pressure. In addition to this, he looks out for symptoms of abnormal blood vessels, retinal detachment, the growth of scar tissue swelling of the retina etc. A doctor might also prescribe tests such as optical coherence tomography and fluorescein angiography.

Treatment:
For early diabetic retinopathy, a doctor might not take any action but closely monitor the condition. If it aggravates, a doctor starts treatment when he deems fit. For advanced diabetic retinopathy, the doctor might go for focal laser treatment, scatter laser treatment and vitrectomy.

type diabetes

Dear Lybrate I am a diabetic n under insulin control. I feel very tired always n feel sleepy all the time. I sleep for almost 14 hrs than also I feel drowsy. please tell me how to feel energetic n feel less sleepy.

MBBS, PGDCR
Diabetologist, Thane
Dear Lybrate I am a diabetic n under insulin control. I feel very tired always n feel sleepy all the time. I sleep fo...
Sleeping 14 hours doesn't mean you are resting. Sleep can be tiresome if it's not deep one. Do pranayam every morning. Before sleeping, do shavasan. Keep sleep time same every day. Same with food. In couple of weeks you should get a good sound sleep, and energy after you wake up.
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I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is always going very high or very low. please suggest what to do?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is...
Check your fasting, PP and pre-dinner levels if possible. Alternatively, there is something called continuous monitoring of glucose which can provide good idea about your fluctuations. The medicines will need to be changed and insulin must be adjusted. Follow a healthy lifestyle, exercise regularly and avoid sugar in any form
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Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what will happen if take d dosage to 200 ml at one shot. What will b end result please answer.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what w...
Mr. lybrate-user, Thanks for the query. Insulin dose decided on the basis of blood glucose level both fasting and after food. Plus there are different types of insulins, it is not which one you are using. There are rapid acting and long acting insulins plus combination of both. It is given in units per dose, not as ml. Taking excess insulin is not advised. It causes hypoglycemia. Thanks.
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Have got blood sugar examined. Fasting 98 and pp 176. Does it mean I have diabetes? Medicines required? If yes please prescribe.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Have got blood sugar examined. Fasting 98 and pp 176. Does it mean I have diabetes? Medicines required? If yes please...
Mr. lybrate-user, Thanks for the query. Blood glucose fasting 98 mg is normal. However, PP 176 mg, shows that you have pre-diabetes state. If proper care is not taken like food restriction, regular exercise and weight control, then you will progress to diabetes. Presently no medication is needed. Only adapting a healthy lifestyle. Thanks.
1 person found this helpful
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Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful? Esp. For all the joints etc.

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful...
Yes you are right. But if you Are not taking sugar from our side .all your diet carbohydrates are getting converted into surgery .so don't afraid. We don't advice fat free diet .we say it low fat diet. And olive oil and rice bran oil are good.
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My age is 32 years and have son of 3 years. I have done HbA1C test. Score is 10.2 and random sugar is 292. My height is 5'4" and weight is 67 kg. Please guide.

BAMS
Ayurveda, Bangalore
My age is 32 years and have son of 3 years. I have done HbA1C test. Score is 10.2 and random sugar is 292. My height ...
Hi, Your blood reports confirm that you are diabetic. Avoid intake of high carbohydrate diet, sweets, oil fried food, sugar in your diet. Walk 1 hour daily. Consult a good diabetologist for further treatment.
2 people found this helpful
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My mother was suffering from pain in the left leg since 1 year. She is a diabetic. She suffered a massive heart attack and collapsed in the hospital after a day of admission. She was 88 years old. Angioplasty was suggested but due to her age it was deferred. Please let me know if the leg pain would have been a pad or dvt which caused the acute MI. Her lipids were within normal a month back before her death. If pci was done would she be saved.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
My mother was suffering from pain in the left leg since 1 year. She is a diabetic. She suffered a massive heart attac...
Every rule don't apply to everyone. Sometimes despite of all test, procedure & even medicine we are helpless. So pray to God to give the peace to departed soul. Take care of yourself.
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Respected doctors this is dhandapani age 56 had mi last year instead one drug eliminated stent taking medicines 1.razel gold 20 mg 2. Gemer1 mg for sugar 3.thyronorm 50 mg and starpress xl 20 mg these medicines were proscribed last weak my problems is from yesterday evening feeling mouth drying too much my sugars are normal my hb1ac is 6.4 what might be the cause for dryness in mouth.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Respected doctors this is dhandapani age 56 had mi last year instead one drug eliminated stent taking medicines 1.raz...
dry mouth is a side-effect of Starpress xl which is metoprolol and it is not going to harm you. But it is a very good medicine for your heart, so should continue your medicine, if it bothers you too much you can ask your doctor to change the XL version to a simple version. So nothing to panic or worry.
2 people found this helpful
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Hello sir, I am 31 years old man. BP, Sugar & urine R/M are normal. Before 3 months I had got creatinine @1.22 (0.7-1.17) but after taking NEERI KFT @1 month by guide of ayurveda doctors, I got 0.98 (0.7-1.17). Now I have check serum creatinine@1.5 (0.7-1.4). Is it any big problem in future & whats the reason of increase creatinine again to again? Please Suggest me for my safely life.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hello sir, I am 31 years old man. BP, Sugar & urine R/M are normal. Before 3 months I had got creatinine @1.22 (0.7-1...
1. Shift to vegetarian diet. 2. Drink 2 cups of green tea daily 3. Eat more fruits and vegetables. 4. Reduce exercise, increase water intake.
1 person found this helpful
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Pre-Diabetes - Know The Importance of Portion Control!

Non-invasive Cardiology
Cardiologist, Thane
Pre-Diabetes - Know The Importance of Portion Control!

Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.

Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.

Type 2 Diabetes and Pre-Diabetes

  • What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
  • Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
  • Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
  • If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
  • Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.

Portion size control for pre-diabetics

  • You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
  • Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
  • This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
  • And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
  • Remember, proper serving size is crucial to preventing full-blown diabetes.
  • Let’s take a look at how you can do this as a pre-diabetic-

Essentially, portion control for pre-diabetics is geared towards managing

  • Calorie intake, especially important for those carrying extra body weight
  • Carbohydrate intake

Managing calorie intake

  • Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
  • Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
  • This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
  • Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.

Managing carbohydrate intake

  • Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
  • Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet. If you wish to discuss about any specific problem, you can ask a free question.
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Sir, I am a 26 years old person from Assam and I am a High BP Patient and taking OMEN CT20 since 1 year. Recently on 14 Sept/17, I have been prescribed for Rosuvastatin Tab 10 mg for increasing my TRIGLYCERIDES as 186 H. And my Cholesterol Total is 131 and LDL is 84 and HDL is 37.2 mg/dl. Sir my question to you are 1.I should take the medicine or not? 2.If I take the medicine now then whether I should be continued for long term or can I stop after coming in normal position. 3. I have read from Google that Rosuvastatin may increase Sugar level in blood. Is it True? As of now my Sugar is 107. Please reply me Please Sir.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Sir, I am a 26 years old person from Assam and I am a High BP Patient and taking OMEN CT20 since 1 year. Recently on ...
your lipid profile is normal .No need to take medicene.Triglyceride is little high but is not of much concern.Triglyceride warrants treatment only if it crosses 250.Moreover rosvastatin is not a drug for lowering triglycerides .you can lower triglyceride by cutting oil in food and walking for half hour.
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