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Dr. Ahmed Binmazi

Diabetologist, Kaghaznagar

Dr. Ahmed Binmazi Diabetologist, Kaghaznagar
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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People suffering from hypertension and sugar are often suggested to do some physical exercise, at least a mile of walking. So far as people are otherwise capable so good but what about the people in advanced age, men and women. What type of exercise can they undertake?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
People suffering from hypertension and sugar are often suggested to do some physical exercise, at least a mile of wal...
The concept is about remaining physically active, you can walk just as much as you are comfortable with or do yoga and the least that remain active within your house, walk within as much as possible, rather than being sedentary. That is all.
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I am suffering from execive hunger. After taken meal . Again feel hunger after 30 minutes of meal. I am totally confused. .what the cause? ? I am 25 years old newly married women. .pleas tell me the cause of hunger. .except diabetes. .family history of diabetes is none. .

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am suffering from execive hunger. After taken meal . Again feel hunger after 30 minutes of meal. I am totally confu...
Excessive hunger, in a woman of your age, is usually seen with conditions like hyperthyroidism & diabetes mellitus. I suggest you rule out these two.
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Which one is good for a diabetic type 2 Brisk walk for 1 hour in 6.5 km or Travel by sports bicycle for 1 hour.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Which one is good for a diabetic type 2
Brisk walk for 1 hour in 6.5 km or
Travel by sports bicycle for 1 hour.
Any thing which is easy and enjoyable to burn some calories and to keep body fit and good blood circulation. If you are above 64 as mentioned better setttle with minimum 40 minutes of brisk walk minimum 5 days a week on plain surface in morning. If you enjoy more exertion and old cycling enthusiast go ahead and enjoy. No overexertion - harmful and not necessary
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My right has become numb and if I operate a computer mouse or when I drive a two wheeler my right hand becomes numb and when Iam free it is normal. Iam also a diabetic with a daily dosage of insulin in the morning.

MD-Physician, PGDCC
Cardiologist, Jaipur
My right has become numb and if I operate a computer mouse or when I drive a two wheeler my right hand becomes numb a...
Hello. This could be due to diabetic vasculopathy. Blood supply to your arm could be affected by the blood vessel occlusion. You must diagnose it earlier to prevent further worsening. There are ways to open the blockage. Feel free to take my consultation uf you need.
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I am 54 years male having diabetes for last 24 years . I am taking insulin 12 units 4 times a day (ie before food and before night sleep . My sugar level at the morning fasting is 140 to 160. But it reducing gradually and becomes 60 at the evening . Please advise.

DHB
Homeopath, Sagar
I am 54 years male having diabetes for last 24 years . I am taking insulin 12 units 4 times a day (ie before food and...
You need to reschedule your insulin doses the level of insulin in the evening as you mentioned is very low and you may go in to coma due to hypoglycemia keep a pouch of sugar always with you for emergency. Consult your doctor immediately for review of your insulin dosing.
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TMT Test - Why It Is Done In Diabetes?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
TMT Test - Why It Is Done In Diabetes?

A Stress test is done by making you do exercises like walking on a treadmill or riding a stationary bike during an Electro Cardiogram or ECG. Sometimes, medication to stimulate your heart is used instead of exercise.

The stress test compares the circulation of blood in the heart when you are resting and when you are under optimum physical pressure. There are various types of stress tests, but the most common of them is the Treadmill Stress Test or TMT. 

Why it’s done?

  1. A stress test is a common test for identifying a heart problem like Coronary Artery Disease or CAD in which the major blood vessels that supply your heart with blood, oxygen and nutrients, also called coronary arteries, get blocked, damaged or diseased. 
  2. It’s also used for determining the condition of your heart after a heart attack.
  3. TMT utilizes exercise so it helps to show up extreme shortness in breathing, chest discomfort, dizziness and sudden weakness- all of these indicating an underlying heart condition.
  4. TMT is also used to check the efficiency of the heart medications for diseases like angina and ischemia and to monitor heart function in patients who’ve had an angioplasty or a heart attack earlier.
  5. It is also to identify an abnormal heart rhythm due to exercise.

CAD and Diabetes
People with diabetes are at high risk of coronary artery disease, as it tends to present late, Diabetics also suffer more silent heart muscle problems like Ischemia. This is why TMT is a lifesaver for diabetics as early detection and intervention can save lives.

Preparation

  1. You need to prepare yourself before you take a stress test.
  2. You must not eat or drink anything but water for four hours before the exercise stress test which includes TMT.
  3. You should not drink any beverage with caffeine for twelve hours before the test too.
  4. You must stop all medications for the heart on the day the test is scheduled, unless specifically instructed by your doctor.
  5. If you are a diabetic, you should ask your doctor how much insulin can you inject on the day of the test, and if you are on pills, be aware that the medication is only to be taken after the completion of the stress test.
  6. You should wear comfortable clothes and soft walking shoes or sneakers for the TMT.

How is a TMT done?
A nurse or technician will place electrodes on your chest. These are then attached to wires that carry the electrical activity of your heart to the monitor and recorder of the ECG/EKG machine. These leads record different parts of your heart.

  1. Before you start the test, the EKG will record your heart activity on paper. This is called the Resting EKG.
  2. Initially, the treadmill is switched on at a rather slow ‘warm-up’ speed and gradually both the incline of the treadmill and the speed is increased every three minutes called stages.
  3. During TMT your blood pressure is recorded at the second minute in every stage.
  4. A stress test generally takes up to 90 minutes from beginning to end, but the exercise part of the test takes only 20 minutes.
  5. If you develop any uneasiness, TMT is stopped before the target heart rate is achieved.

How TMT Works
During the TMT, the healthy arteries in the heart dilate more than the blocked ones. This uneven dilation means that more blood is provided to the heart by the healthy arteries as compared to the blocked ones to their designated areas. This lowered blood flow makes the muscles in those areas thirsty for more blood during the TMT, creating symptoms like chest pain, and/or shortness of breath. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3183 people found this helpful

My mother has diabetes and ashtama. She has been discharged last week after asthma attack and she has very high sugar due to medrol. Doctor has been suggested Huma insulin 30/70 12unit morning and 14 unit night but her sugar levels is 400+.she is also taking tripade 2 twice in a day. She is not able to walk much as she is sick and oxygen. Before admitting to hospital she was taking galvus met 50/500 and diamiacorn xr 60 and glucobay.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My mother has diabetes and ashtama. She has been discharged last week after asthma attack and she has very high sugar...
Firstly, You need to know that medrol is a steroid and steroids are medicines with lots of side-effects. I am sure that your doctor would have started your mother on steroids because her asthmatic condition would have endangered her life and he would have been left with no choice but to start steroids. I respect his decision and would urge you also to understand the urgencies that we as doctors face to save our patients - sometimes taking calculated risks! As a next step, the doctor would try to taper and stop medrol as soon as possible. Secondly, please remember that in emergency life threatening conditions, insulin is the best choice medicine for all diabetics in the world. I say, categorically "the world" - because if your mother was been treated in USA - ever there the doctors would have given her insulin only! So please don't stop or substitute insulin for the time being. Once your mother is stable - there will be other choices.
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Sir what precaution should one take to prevent himself from diabetes especially after crossing 50 years of age ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello diabetes is a preventable disease. You can certainly avoid it by following a regulated life style. You have to maintain your weight closer to ideal body weight for size. Bmi should be 23 kg per sq meter. Exercise at least 1 h every day. Avoid excess sweets and deep fried foods. Bmi = weight in kg height in sq meter. Ideal body weight= height in cms - 100. Waist should be below 90 cms.
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I am 67years and suffering slight pain if I hold on from urinating and also have to pass constantly iam also diabetic with BP problems.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 67years and suffering slight pain if I hold on from urinating and also have to pass constantly iam also diabetic...
Mr Dojan, First thing is you have to achieve excellent sugar control, (fasting closer to 100 mg and PP areound 150 to 160 mg and HbA1c%<7). Then get an examination done to see any enlargement of prostate, because that can affect passing urine and cause difficulty.
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High sugar, acidity and burning sensation at times when eat junk food, foot movement less, eye sight getting week, take insulin.

BHMS
Homeopath, Mumbai
High sugar, acidity and burning sensation at times when eat junk food, foot movement less, eye sight getting week, ta...
These all is bcoz of high sugar level. Eat healthy duabetic friendly diet. Control diabetes. Eat less spicy n junk food.
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Ayurveda and Gestational Diabetes

BSc
Ayurveda, Ujjain
Ayurveda and Gestational Diabetes

Diabetes during pregnancy is known as gestational diabetes. It is interesting to note that the chances of getting gestational diabetes, is one of the most common complication of pregnancy. It has increased by almost 40%. Also, gestational diabetes not only affects the health of the mother, but also the health of the baby. What usually happens with gestational diabetes is that the blood sugar level, of both the mother and the baby go above the normal level.

Ayurveda can help treat this disease. Here are the most common Ayurveda remedies for gestational diabetes.

  1. Gurmaar: Gurmaar, called "The Sugar Killer" is also known as Gymnema sylvestre in medical jargon. Gurmaar also contains gymnemic acid molecules, which are crucial because they have an anti-diabetic effect. They work by combining with glucose molecules, which are in the blood stream. These stop the glucose from entering the bloodstream. 
  2. Karela: Karela is commonly known as bitter gourd and its biological name is Momordica charantia. It has anti-diabetic properties and also contains many other micronutrients, which are crucial in preventing the complications which arise from gestational diabetes.
  3. Vizaysaar: Vizaysaar comes from the bark of a tree whose biological name is Pterocarpus marsupium. It is very useful for diabetes. If you immerse the wood of Vizaysaar in water overnight and then drink it, your blood sugar levels are expected to fall.
  4. Saptrangi: Saptrangi is biologically known as Salacia oblonga. Just like Vizaysaar, it is a tree whose bark is immersed in water and then drunk by the patient suffering from diabetes. You will know that the water is ready for drinking when it turns brown, which usually happens overnight. It is also being studied in Western herbal schools in addition to Ayurveda nowadays.
  5. Tulsi: Tulsi is a holy plant in Hindu mythology and is known as Ocimum sanctum in biological terms. It is worshiped as a holy plant because it has tremendous medicinal properties including treating many types of cancers, cough, cold, sore throat as well as reducing blood sugar.
  6. Ashwagandha: The medical name for ashwagandha is Withania somnifera. It is another great remedy for diabetes.
3618 people found this helpful

I am 39 years old I am diabetic my fasting sugar is getting 150 after that all day sugar is 120 to 130 what to do. I am taking melmet 1000mg dsr in morning and in evening.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Your dose of metformin is very high 2 gram per day. Maximum dose. If possible add our ayurvedic herbs
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Why for Type II Diabetics quantum of a insulin to be injected before dinner is much less than before breakfast?

MBBS, MD - Medicine
General Physician, Delhi
Why for Type II Diabetics quantum of a insulin to be injected before dinner is much less than before breakfast?
As your meals are mostly during day time n so the risk of blood glucose getting high also rises. So morning dose is usually higher. But it depends on person to person.
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I have diabetics problem how can I overcome this problem what should I take prevent from. It.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
I have diabetics problem how can I overcome this problem what should I take prevent from. It.
Change your life style and go for walk 30 min daily. Avoid high charbohydrats rich food stuff. Avoid high sugar and fatty food items. Avoid full cream milk and its products. Avoid fry chicken mutton and fish. Avoid preservatives and processed food.
3 people found this helpful
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semen test is effective to check erectile dysfunction or male impotence. Please suggest me.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
semen test is effective to check erectile dysfunction or male impotence. Please suggest me.
No. There is no test for erectile dysfunction. Sometime enlarge prostate and blood sugar. Anxiety ,worry, tension etc can cause it.
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Am suffered form diabetes last two years which medicine I take for cough symptoms of heat stroke.

Master of science in Foods & Nutrition, Post Graduate Diploma in Dietetics and Public Health Nutrition
Dietitian/Nutritionist, Delhi
Am suffered form diabetes last two years which medicine I take for cough symptoms of heat stroke.
Hi im a nutritionist. I can help you with diet modifications and right nutrition for your medical condition. But not authorize to prescribe medicines for any medical conditions.
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What are the serious side effects of Diabetes in our body. Why insulin Secretion by pancreas decreases over Long period of age. Why it cannot produce Sufficient insulin. When insulin deficiency Becomes fatal.

MBBS, MD
Endocrinologist, Delhi
What are the serious side effects of
Diabetes in our body. Why insulin
Secretion by pancreas decreases over
Long peri...
Diabetes is a syndrome which can affect each and every organ system of our body. Most commonly affected organs are kidneys, Heart,Eyes, Feet,and brain. Beside it makes our body more prone to infections. Actually in type 2 diabetes Insulin resistance is more important than absolute levels of Insulin. Insulin deficiency may be fatal in type 1 diabetes and in few cases of type 2.
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What are the most important warning signs to look out for in terms of diabetic emergencies, and when is calling 911 necessary?

MBBS
General Physician, Mumbai
What are the most important warning signs to look out for in terms of diabetic emergencies, and when is calling 911 n...
If suppose you are diabetic and are on medication than if there are any signs of hypoglycaemia or hyperglycaemia with complaints of breathlessness and giddiness than you can term it as emergency and can call the control room
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I am a 48 years old male and my glucose fasting is 124 mg/dl and ppbs 135 mg/dl. Should I start taking medicine to control sugar? kindly advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 48 years old male and my glucose fasting is 124 mg/dl and ppbs 135 mg/dl. Should I start taking medicine to co...
Mr your sugar levels are not high enough to label you as having diabetes. So medication is not required. You fasting glucose intolerance (fgt). Pp level is with in 140 mg hence normal. What this means is you in a pre diabetic state. Do you have any family history of diabetes? if so then you to take extra care. Your bmi (body mass index) is 25.71 kg/m2 which is signifying over weight. To avoid possibility of developing t2dm exercise daily for more than 1 h every day, avoid direct sweets and sugar, deep fried foods, excess eating. Try and loose at least 6 - 7 kgs weight over next 3 - 4 months. Avoid smoking and alcohol. If you take these precautions you will probably remain free from diabetes.
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I am 57 years old, male and Asthmatic since birth. As a backup to medicines, can I use Pulmocare powder to give strength to my lungs? Does it contain sugar, as I am Diabetic? If so, is there any alternative like Pulmocare? Please confirm.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I am 57 years old, male and Asthmatic since birth. As a backup to medicines, can I use Pulmocare powder to give stren...
pulmocare is a protein supplement ,like any other protein powder. It cannot give strength to your lungs. It is recommended only for those people who have poor appetite and food (protein ) intake. try having balanced diet with milk,dal,soyabean, eggs etc. It is not sugar free, and not recommended for diabetic patients. do regular exercise and pranayam to improve lung power.
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