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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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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 90 patients.

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

Location

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

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150 at clinic
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Ways To Manage Type 2 Diabetes!

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Fatehpur
Ways To Manage Type 2 Diabetes!

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring and
  4. Blood sugar medication along with insulin therapy, if necessary

type diabetes

6 people found this helpful

Gone through for annual health check up on 22-May-2017 at 11: 30 am in12 hours fasting. I got attached report where fasting sugar is 91 and post breakfast is 81 which seems not be correct. Kindly confirm I has taken cup of Tea and omlet of 2 egg.

Diploma in Endocrinology, M.Sc.- Endo, Diploma in Diabetology
Endocrinologist,
Gone through for annual health check up on 22-May-2017 at 11: 30 am in12 hours fasting. I got attached report where f...
Yes. It may sometimes happen depending upon hours of fasting, activities etc. Don't worry Fasting and PP sugar reports r within normal limits.
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Hello Sir/madam I am suffering from diabetes since 9 years, I take insulin from the beginning. I just married last month My questions is -agar mere baby hota hai, to kya uska v diabetes ho sakta hai? Please tell me how much chances?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Sir/madam
I am suffering from diabetes since 9 years, I take insulin from the beginning. I just married last mo...
Mr. lybrate-user, Thanks for the query. If you have T2 DM, then it is likely to be seen in your children. If both parents are diabetic then 75% chance of children getting diabetes (3 out of 4 ). If one parent is diabetic then a 50% chance is there. But fortunately T2 DM is a preventable disease, meaning if a person adapts a modified lifestyle that is does regular exercise, avoids too much of sweets, colas, junk foods, pastries, bakery items and fructose corn syrup containing foods, plus consumes a good deal of green leafy vegetables, fruits and maintains normal weight then he/she can prevent it or postpone it. Thanks.
7 people found this helpful
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Hi good morning my husband has creatine 1.6 is this is more or it will effect his kidney please advice me how much he must have he is a diabetic patient. When will I get the answer I am waiting. Thank you.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Faridabad
Hi good morning my husband has creatine 1.6 is this is more or it will effect his kidney please advice me how much he...
Hello Your husband's creatinine is higher than normal, probably related to his diabetes. His blood sugar, BP, Cholesterol should be well controlled to avoid rapid worsening of his kidney function. Discussing problem with his treating physician will help. Take care.
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Blood sugar level is 308 fasting and 431 is pp, tool glizid M two times, dizziness,drowsiness and discomfort is there, is it first time detected, pain in neck eyes are also there, vision has also gone blur for far sight, please advise, which medicine is suitable.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Blood sugar level is 308 fasting and 431 is pp, tool glizid M two times, dizziness,drowsiness and discomfort is there...
lybrate-user, Thanks for the query. The blood glucose levels mentioned are too high, showing totally uncontrolled diabetes. This needs urgent control. Your current treatment is too inadequate. It has to be upgraded. Looking at your weight and height it is clear that you are over weight with a BMI of 27. 27 kgs/M2 (normal <23 kgs/M2). I am sure you are aware that uncontrolled diabetes can cause serious damage to all the vital organs of the body. Due to excess blood glucose you loose a lot of glucose through the urine, that leads to unexplained tiredness and fatigue. Plus there may be weight loss. If you are interested in getting properly treated and having good blood glucose control then please come with following details in a private conversation: Current FBG< PPBG, HbA1c%, Lipid profile, dietary pattern, extent of daily exercise and drugs with dosage. Based on that information I will be able to guide in improving the treatment. Treatment of diabetes needs appropriate drugs, diet control and regular exercise with normal weight maintenance. I await your response. Thanks.
3 people found this helpful
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My mother is an diabetic patient and her age is 58 years now she was suffering with dental problem, is is there any liquid food for her like horlicks boost complain bornvita is there any energy drinks for daily use.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
My mother is an diabetic patient and her age is 58 years now she was suffering with dental problem, is is there any l...
She is diabetic patients and she have to avoid bornvita and horlicks because both contain sugar, She can take proteinex. She should take High protein and high fiber diet and less carbohydrates.
1 person found this helpful
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Is there any Yoga therapy exercises for me as I'm sugar patient as I am 45 years old.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Is there any Yoga therapy exercises for me as I'm sugar patient as I am 45 years old.
Dear user kapalbhati is excellent in case of diabetes, along with it vajra asana is also very good.
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Symptoms of Diabetes in Hindi - डायबिटीज़ के लक्षण

B.Sc - Dietitics / Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Symptoms of Diabetes in Hindi - डायबिटीज़ के लक्षण

मधुमेह के प्रारंभिक लक्षण, विशेष रूप से टाइप 2 मधुमेह, सूक्ष्म या हानिरहित हो सकते हैं। वास्तव में, कुछ लोगों को पता नहीं चलता कि उन्हे मधुमेह है, जब तक उन्हें रोग की वजह से दीर्घकालिक क्षति से समस्याएं न हों। टाइप 1 मधुमेह के लक्षण आमतौर पर दिनों या कुछ हफ्तों के मामले में जल्दी से देखा जाता है। वे बहुत अधिक गंभीर भी हैं।
 

डायबिटीज़ के लक्षण
आप कैसे बता सकते हैं कि आपको मधुमेह है? पता करने का सबसे अच्छा तरीका रक्त परीक्षण है। लेकिन यदि आप निम्न मधुमेह के लक्षणों में से किसी का सामना कर रहे हैं, तो अपने डॉक्टर से मिलें:
1. लगातार पेशाब आना:
जब आपको मधुमेह होता है, तो आपका शरीर चीनी में भोजन को तोड़ने में कम कुशल होता है। आम तौर पर आपका शरीर ग्लूकोज को पुनः अवशोषित करता है जब यह आपके गुर्दे से गुजरता है। किन जब आपको मधुमेह होता है, तो अतिरिक्त शुगर (ग्लूकोज) आपके खून में बढ़ जाता है। आपके गुर्दे को अतिरिक्त चीनी को फिल्टर और अवशोषित करने के लिए अतिरिक्त काम करने के लिए मजबूर किया जाता है। अतिरिक्त चीनी जो कि आपके गुर्दे अवशोषित नहीं कर सकते, आपके मूत्र में उत्सर्जित होते हैं। यह आपको अधिक पेशाब करने का कारण बनता है, खासकर रात में।
2. अधिक प्यास:
जैसा कि ऊपर बताया गया है, जब आपको मधुमेह होता है, तो आपकी गुर्दे को अतिरिक्त चीनी अवशोषित करना पड़ता है। जिसके लिए बहुत सारे तरल पदार्थ की आवश्यकता होती है, इसलिए आपको अधिक प्यास लगती है।
3. वजन घटना:
जब आप अक्सर मूत्र के माध्यम से चीनी खो देते हैं, तो आप कैलोरी भी खो देते हैं। इसके अलावा, मधुमेह आपके भोजन से चीनी को आपके कोशिकाओं तक पहुंचने से रोक सकता है। 
4. अतिरिक्त भूख लगना:
भूख की अत्यधिक पीड़ा, मधुमेह का एक और लक्षण, रक्त शर्करा के स्तर में तेज उतार-चढ़ाव से आ सकता है। जब रक्त में शर्करा का स्तर घटता है, तो शरीर यह सोचता है कि इसे खिलाया नहीं गया है और अधिक ग्लूकोज की आवश्यकता होती है, जो कोशिकाओं को कार्य करने के लिये आवश्यकता होती है। 
5. थकान:
बेशक आप ज्यादातर समय थका हुआ महसूस करते हैं, क्योंकि जो भोजन आप ऊर्जा के लिए खा रहे हैं वह कोशिकाओं द्वारा प्रयोग नहीं किया जा रहा है। इसके अलावा, निर्जलीकरण भी आपके थकान को बढ़ाता है। 
6. धुंधली दृष्टि:
विकृत दृष्टि और रोशनी की कभी-कभी चमक देखना, उच्च रक्त शर्करा के स्तर का प्रत्यक्ष परिणाम होता है। आपके शरीर में द्रव का स्तर बदलना आपकी आंखों में लेंस को सूजा सकता है। इसके अलावा, जब रक्त में ग्लूकोज उच्च होता है, यह लेंस और आंख के आकार में परिवर्तन करता है। यह सब, लेंस की अपनी क्षमता खोने का और ठीक से काम न करने का कारण बनता है। 
7. कटौती और घावों का धीमी गति से उपचार:
कटौती, और घाव का जल्दी से ठीक न होना, मधुमेह का एक और उत्कृष्ट संकेत हैं। प्रतिरक्षा प्रणाली और प्रक्रियाएं जो शरीर को चंगा करने में मदद करती हैं, बहुत अच्छी तरह से काम नहीं करती हैं, जब आपके शर्करा का स्तर उच्च होता है। 
8. खमीर संक्रमण:
चूंकि मधुमेह आपके शरीर की प्रतिरक्षा को नीचे लाती है; संक्रमण और रोग अधिक होने की संभावना है। खमीर का आहार ग्लूकोज है और शरीर में बहुत अधिक होने से यह कामयाब होने लगता है। संक्रमण किसी भी गर्म, त्वचा के नम गुच्छे में बढ़ सकता है, जिसमें शामिल हैं:
- उंगलियों और पैर की उंगलियों के बीच
- स्तनों के तहत
- सेक्स अंगों के आसपास
महिलाओं को, विशेष रूप से, योनि कैंडिडा संक्रमण से सावधान रहना चाहिए।
9. झुनझुनी की अनुभूति:
आपके रक्त में अतिरिक्त चीनी से तंत्रिका क्षति हो सकती है। आप अपने हाथों और पैरों में झुनझुनी और सनसनी की कमी महसूस कर सकते हैं, साथ ही साथ अपनी बाहों, हाथों, पैरों और पैरों में दर्द का दर्द देख सकते हैं। आप अपनी बाहों, हाथों और पैरों में जलता दर्द भी महसूस कर सकते हैं।
10. शुष्क मुँह और खुजली वाली त्वचा:
मधुमेह रोगाणुओं से लड़ने की आपकी क्षमता को कमजोर कर सकता है, जिससे आपके मसूड़ों में संक्रमण का खतरा बढ़ जाता है। आपके मसूड़ों को अपने दांतों से दूर खींच सकते हैं, आपके दाँत ढीले हो सकते हैं, या आपके मसूड़ों में घाव या मवाद विकसित कर सकते हैं। इसके अलावा, निर्जलीकरण के कारण शुष्क मुंह और खुजली वाली त्वचा सकती है।

5 people found this helpful

What are best way to control diabetic if the sugar level is at 210 with fast & After fasting 300 mcg, What remedies should be taken.

MBBS, MD
Endocrinologist, Delhi
What are best way to control diabetic if the sugar level is at 210 with fast & After fasting 300 mcg, What remedies s...
Avoid sugar, jagary,honey, sweets,sweet fruits like banana, grapes,mangoe and cheeku. Regular exercise, yoga and meditaion also advised. If not controlled wiuth diet and exercise then take medicine as advised by your doctor.
7 people found this helpful
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I am diabetic patient 34 years male, im having burning sensation on both foot when I will wear shoe, my sugar levels are controlled, fbs-110, ppbs-140-150 mg/dl. please give me solution, any home remedies to control sugar levels.

MBBS
General Physician, Kolkata
I am diabetic patient 34 years male, im having burning sensation on both foot when I will wear shoe, my sugar levels ...
Hi Lybrate user, Burning sensation of both foot is due to peripheral neuropathy due to long standing or uncontrolled Diabetes mellitus. You should take Tablets containing methylcobalamin, mecobalamin twice daily, eat high fibre diet. Full of green leafy vegetable. Eat rajma. Lots of pulses. Dhals.soyabean. Take a warm foot bath before going to bed at night. Do yoga. Brisk walking. Pranayam at 30 minutes per day.
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Which is a best blood sugar measuring machine in market? And it's how much concise than the pathological lab test.

Endocrinologist, Kolkata
Which is a best blood sugar measuring machine in market? And it's how much concise than the pathological lab test.
Most of them are standardised and work well. There is a difference of 10 to 15% from the laboratory value. Pl ensure that the glucose measuring strips are easily available for the glucometer you are buying.
1 person found this helpful
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I am 31 year old. My height is 5 feet 10 inches. My weight is 82 kg. So what kind of exercises and diet I need to follow. Also I have sugar. So what kind of precaution I need to observe.

MBBS
General Physician, Mumbai
I am 31 year old. My height is 5 feet 10 inches.
My weight is 82 kg. So what kind of exercises and diet I need to fol...
Dear Lybrateuser, - As you have sugar problem you have to take certain dietary precautions: - have more of fibre containing foods, vegetables, fruits (avoid banana, mangoes, chickoo) citrus fruits, whole grains like whole wheat, brown rice, oats, corn, low fat milk & milk products, lean meats like seafood - have 5-6 small meals rather than three large meals which include snacks, do not skip meals, have meals on time, take a walk for 10-15 min after meals especially dinner to stabilize your sugar - avoid fried, processed & junk food - do regular exercise like brisk walking, jogging, swimming for 10-15 min, also do moderate weight lifting for 5-10 min at least twice a week, try to include yoga & deep breathing in your morning schedule to keep fit - take a dieticians help for accurate dietary requirement.
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My hba1c value on 10 March 2017 was 8.22 and Exactly after two months 10 may 2017 it is 6.4 after have good life style and necessary Diet, Am I diabetic now also I have been prescribed Januvia 50 mg (Sitagliptin) and metformin 500 mg do I still need to take these tablets.

MBBS, MD
Endocrinologist, Delhi
My hba1c value on 10 March 2017 was 8.22 and Exactly after two months 10 may 2017 it is 6.4 after have good life styl...
Yes. You still need to take medicines because your blood sugar is controlled with medicines, diet control and good life style. Get your blood sugar check regularly and if still blood sugar falls then your doctor will reduce medicines gradually.
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How much of Dark Chocolate can a Diabetic have everyday? Besides, how much percentage of cocoa in dark chocolate is best for diabetic?

MBBS, MD
Endocrinologist, Delhi
How much of Dark Chocolate can a Diabetic have everyday? Besides, how much percentage of cocoa in dark chocolate is b...
Recently it has been found that dark chocolate is good for diabetes, provided its cocoa content is high (>75%).It has low glycemic index means potential to raise blood sugar level. It is expensive also. Hence may be taken in moderation.
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Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I also have motion problem. Can you suggest me what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I als...
Mr. P lybrate-user, Thanks for the query. It is not clear what you are actually referring to by saying. When I am trying to sleep my nerves in head are beating and unable to sleep" Because nerves do not beat. What you saying may be related to some feeling of pulsation. This kind of a feeling may be there if your BP is high. Please tell me if you have hypertension and are you on treatment for that? If yes, what is the BP level now and the drugs with dosage. About the "motion problem" Due to diabetes some times there may be constipation as well as loose motions on some occasion. Please see that you take enough liquids every day. Plus consume a good deal of green leafy vegetables, salads and fruits (permitted. Ones, 100 g a day) that to with well controlled blood glucose. Ideally when in control fasting glucose should be <100 mg, PP 160 to 180 mg & HbA1c% <7. For reducing constipation drink a glass of hot water every morning after you are up in the morning. That will help in clear motion. Thanks.
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Hi My mother has diabetes but now it is not coming under 170 -180 fasting with all the heavy medicine intake. Now doctor consult us basalog insulin injection. Please suggest insulin injections are safe or not or we should go for another option. Thank you.

Endocrinologist, Kolkata
Hi My mother has diabetes but now it is not coming under 170 -180 fasting with all the heavy medicine intake.
Now doc...
Insulin are very much safe. To reduce the fasting plasma glucose value the basal insulin you have mentioned is very much needed. Pl follow your doctors prescription. Wish you good health.
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I am 57 year old and I am suffering from high sugar level. Today my sugar level was 240 I want to consult you regarding that. I am also suffering from cancer Just want to ask you what documents should I bring.

MBBS
General Physician, Cuttack
I am 57 year old and I am suffering from high sugar level.
Today my sugar level was 240
I want to consult you regardi...
1.Do regular aerobic exercise for 1 hour daily (brisk walking, 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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I am diabetic my age is 28 yrs, today I have seen one article from Lybrate about Dark chocolate which has 4 types of benefits. Since I am diabetic can consume dark chocolate? Does it grows my sugar levels?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am diabetic my age is 28 yrs, today I have seen one article from Lybrate about Dark chocolate which has 4 types of ...
Plain dark chocolate (without added sugar) is ok, but it's not freely available everywhere in India.
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