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Dr. Balagopal.P.O

MBBS, DNB Family medicine

Diabetologist, Kannur

15 Years Experience  ·  200 at clinic  ·  ₹200 online
Dr. Balagopal.P.O MBBS, DNB Family medicine Diabetologist, Kannur
15 Years Experience  ·  200 at clinic  ·  ₹200 online
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Personal Statement

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. Balagopal.P.O
He has been a practicing Diabetologist for 15 years. He is a MBBS, DNB Family medicine . Don’t wait in a queue, book an instant appointment online with Dr. Balagopal.P.O on Lybrate.com.

Lybrate.com has a nexus of the most experienced Diabetologists in India. You will find Diabetologists with more than 34 years of experience on Lybrate.com. You can view profiles of all Diabetologists online in Kannur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - AIMS Bellur - 2003
DNB Family medicine - Lake Shore Hospital Kochi - 2013

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My sister is having diabetes from last 20 years. Shes also taking insulin called novomix. Shes having this from last 20 years. Now I wanna know how to make her at least better. M having no idea. Ty mam:)

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
My sister is having diabetes from last 20 years. Shes also taking insulin called novomix. Shes having this from last ...
Dear Mr. Singh, it's a good gesture on your part to be concerned of your sister's health! as she's got diabetes from the age of 12, it must be type 1 diabetes mostly. Type 1 diabetes means that pancreas is unable to make insulin and hence patient requires to take insulin for the whole life. But at the same time it's very much possible to lead almost normal life and ulmost normal life expectancy. Following are the ways in which you can help her lead a normal life. 1) at home monitoring of blood glucose with a glucose checking machine at home. 2) keeping glucose between 110-160 mg%. As much as possible. 3) avoid low sugar as much as possible. A sugar less than 72 mg% is defined as low sugar. 4) keep checking her for kidney function, hba1c, lipid profile, blood pressure, eye check and foot checkups to diagnose complications and when detected to address it promptly. 5) to take very stringent care during pregnancy. If possible look for newer option of insulin pump should be considered.
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What kind of breakfast is best for diabetes patient. Is it possible to remove this problem from root.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
What kind of breakfast is best for diabetes patient.
Is it possible to remove this problem from root.
To help manage your diabetes, your meals need to be: • Regular and spread evenly throughout the day • Lower in fat, particularly saturated fat • If you take insulin or diabetes tablets, you may need to have between meal snacks Matching the amount of food you eat with the amount you burn up each day is important. Not putting too much fuel in your body (keeping food intake to moderate serves) is vital to getting the right balance. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, reduce your blood fats (cholesterol and triglycerides) and maintain a healthy weight. . It is important to recognise that one diet does not fit everyone with diabetes. So my slogan for all diabetics is 'One Diet does Not Fit All'. So every individual diabetic should consult a dietician to plan a way according to individual body,tastes and requirements.Only then can you control your blood sugar levels. Diabetes can be controlled with Diet and medicines but cannot be permanently cured.
2 people found this helpful
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Kidney Care in Diabetes

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Kidney Care in Diabetes

Junk food is harmful to the kidney in diabetes. Eating junk food such as fries, biscuit, fizzy drinks may cause as much damage to the kidney in diabetes.

3 people found this helpful

My mom age around 45 sugar patient .level of sugar is around 200. Her foot (bottom) on both legs feels irritated and inflammation .what are the reasons for that ?but Some high sugar level people don't has the irritation problem .what treatment should she take?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mom age around 45 sugar patient .level of sugar is around 200. Her foot (bottom) on both legs feels irritated and ...
Mr Ravi, Thanks for the query. Long standing diabetes even when it is well controlled does cause peripheral neuropathy leading to irritation, burning, tingling and numbness in feet and legs. Further if diabetes is uncontrolled as is the case with your mom, the problem is bound to be more severe. First and foremost thing is to achieve a strict blood glucose control with fasting <100 mg, PP 160 to 170 mg & HbA1c%<6.8. Plus if needed certain medications also may be needed to reduce nerve irritation and pain. Thanks.
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My age is 39 and today immediately after getting up without having anything checked my sugar n got 110 reading.. Is this number shows pre-diabetes? Pl. Guide me to keep me fit.

MSc
Dietitian/Nutritionist, Hyderabad
My age is 39 and today immediately after getting up without having anything checked my sugar n got 110 reading.. Is t...
Do exercise. Eat small frequently. Do not skip meals. Use unrefined foods. Avoid sugar, sweetened juice. No underground vegetables, banana etc. Use healthy fats small amount. Avoid smoking, alcohol. Take stress free rest.
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Two months back I did my blood test done in tht my hbnc report was 10% 287 blood sugar. I have been to doctor he prescribed some medicine for diabetic. Yesterday afternoon I had one sweet dish and evening I check my sugar and it was 167 .So want to know is my sugar under control or more.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Two months back I did my blood test done in tht my hbnc report was 10% 287 blood sugar. I have been to doctor he pres...
lybrate-user, If your HbA1c% is 10, that means your diabetes is uncontrolled. Change in HbA1c% occurs after 3 to 4 months of proper treatment with adequate amount of drugs being taken regularly plus exercising daily and taking restricted diet every day as prescribed by the doctor. You are not supposed to eat any sweet dishes. At the most a small piece may be taken. To say diabetes is in good control, fasting glucose should be closer to 100 mg, PP 150 to 160 mg & HbA1c&<6.8. Thanks.
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I have a problem on my pennis. Its outer skin will bleeding n pain. Am a diabetic. Wat will do?

BHMS
Homeopath, Agra
I have a problem on my pennis. Its outer skin will bleeding n pain. Am a diabetic. Wat will do?
Take damiaplant p, 10 drops 3 times daily, For 1 week then revert me. You can also purchase my package for treatment of penis enlargement. If you want permanent homoeopathic cure, then consult me.
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Gestational Diabetes

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
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Hello, I am Shefali Karkhanis, I am a practising diabetes specialist in Thane, Mumbai. Today I am going to talk about a different topic call gestational diabetes. What is gestational diabetes, diabetes which is diagnosed first during the pregnancy, it is called as gestational Diabetes. This can occur all throughout the 9 months of pregnancy it does not mean that it will last forever, in 90% of the patients after the delivery of the child, diabetes also disappears. However, there are few patients who will continue to have diabetes even after delivery of the child. Why does it occur, of course, its an interplay of hormones the pregnant womb is like a firecracker it's an atom bomb of hormones. So there are a lot of hormones which are released in the mother's body during the pregnancy, this increases the need for insulin from the weather and when this demand is not meant that is when you develop gestational diabetes, 90% of the times after the delivery these pregnancy hormones come back to normal and so does your diabetes. If it continues, well you develop diabetes for life. Who are at risk of diabetes during pregnancy, the patients who have a family history of diabetes, patients for more than 25 years of age, patients who have a history of having developed diabetes during the previous pregnancies, patients who have delivered a child who was more than 3.5 kg in worth weight, patients who have had a history of miscarriage or spontaneous abortion in the past, patients who have had a history of PCOS or Polycystic ovarian disease , a patient who has obesity and it is overweight before pregnancy, patients who have had a history of hypertension or blood pressure before pregnancy, patients who have had acanthosis that means blackish discolouration beneath your neck line as well as beneath your armpit which are signs insulin resistance, patients who have had delivered a child with malformations or with some kind of abnormalities. All of these patients are at high risk of developing diabetes so are they the only people who should be scream, no. Every pregnant lady must undergo a screening for diagnosis of diabetes at the time when you diagnose with pregnancy, so the day you come to know the good news about having been pregnant you must test for diabetes to make sure that your pregnancy is healthy all throughout. It's a very easy test, you have to the obestatin at the time of the first visit, will give you a glucose load and one hour later that is a blood sample which is connected, this is called as, spot test for diabetes. Now if this is positive then you have to undergo a little elaborate test called oral glucose tolerance test, wherein you go on fasting stomach they collect the blood sample another glucose load is given and periodically samples are collected. Anyone of the sugars if they are high you is diagnosed with gestational diabetes and you will meet treatment immediately.

There is another test which is called Hba1c, HbA1c will give you an average of last 2-3 months and if it is positive then again you are diabetic. During the pregnancy you will have to have immediate treatment and we'll have to continue treatment probably throughout the pregnancy HbA1c is a very important factor because the higher the HbAa1c the more is a risk to develop complications as well as a child to develop problems, so the higher the HbAa1c levels that means the patient probably has diabetes even before the onset of pregnancy and it was just not diagnosed at that time. So uncontrol hyperglycemia is associated with a higher rate of miscarriages a higher complication in mother and higher from congenital anomalies in the baby. Early diagnosis is very very important and so is the control of blood sugars all throughout the pregnancy you know that there are only 9 months that you got the foetus, so every day is extremely important for the child as well as for you, so control sugars every single day is essential that cannot be any cheat days during the pregnancy and diabetic control. The effects on the baby are many, the most commonly will see that the baby is a big baby that is the birth weight is almost more than 3.5 kgs, sometimes a liquor i.e. the fluid inside the womb is also very very high, there can be hard defects, there can be spinal defects, most commonly find up Bifida. There can be brain defects in the child sometimes these babies are of very low weight, so that can be one of the things. The respiratory system, the lungs are not very well developed in this children so it might have to be put on ventilators after delivery. There might be a chance of kidney malformation in the child. So all of these things are very very important, similarly to the mother also in the mother they can we increase chances of infection whether it is unary infection, whether it is vaginal infections there can be repeated spontaneous miscarriages or abortions, they can have blood pressure during the pregnancy just because they are not controlled with diabetes, they can have vascular complications. These patients have a higher risk of going into preterm labour that means delivering before the 9 months are completed. They are more prone to placental bleeding or bleeding through the vagina during the pregnancy and of course preeclampsia and eclampsia that means fits or seizures during the pregnancy. Treatment of diabetes in pregnancy is very simple and it has to be maintained, the goal for treatment is a lot lower than the normal person so we attend to target the fasting values at around 95 and the postprandial or after food values at around 120. The diet forms a very important part of the treatment of diabetes, the calorie restriction is not so much because now you are eating for 2 people so you have to have a nutritionally balanced to meet. So we do not restrict the calories but we restrict the calories from carbohydrates, simple sugars and sweets are absolute no no you cannot have any form of sweet all throughout the pregnancy, if you are a diabetic, diet has to be well planned and well balanced. So you are nutritional compromises should not happen it is ideal that you need a dietician before you start with this kind of a diet. Exercise again if you are permitted by the obstetrician only and only when exercise is recommended.

I generally recommend patients simple walking half an hour or two times a day or yoga under the guidance of experts, but again this has to be done only and only if your obstetrician agrees to that fact. Coming to the medications oral hypoglycemic agents and not being safe for use during pregnancy. Except from metformin which can be used in the earlier half, insulin is the drug of choice for pregnancy. The sound of insulin gets everyone scared, there will be 100 other people who will come and tell you that this means that you are in the last stage of diabetes or this means you'll be addicted to the insurance etc-etc-etc. this is not the case. Insulin is very safe to be given and diabetes because it not only promote healing but it also is very good for control of sugars only thing is it is an injectable. So, yes you have to inject yourself once a day, maybe twice a day, maybe three times a day depending upon how is your sugar levels Vary, always remember that the requirement of insulin will increase as a pregnancy growth. So as your child is becoming bigger you are hormones are waiting Haywire and your insulin levels also will keep on increasing, so there is nothing wrong with that. You have to realize that 90% of the time after delivery, when the sugar comes back to normal, the dosage of insulin also stops. Even if your sugars do continue after delivery the requirement of insulin will come down drastically, so it will not be the same amount of insulin that you will be required as you required during your pregnancy. If you do continue to have diabetes this advisable to continue insulin, till the time that you are breastfeeding the child because again, it is safe for both you as well as a child. However, once the child is big enough is being off the milk, you can go back to having oral medication, so definitely insulin does not detect, so you can be get assured about that all the complications of the child, as well as the mother, can be easily avoided just by early diagnosis and by correct treatment of your diabetes, also your pregnancy and that is whatever be patient should aim at. A regular follow up is a must with your diabetologist as well as your obstetrician because just because you do not feel it, does not mean that it isn’t there. So don't wait for symptoms to appear because, by the time the symptoms appear in you, it might be too late for both you as well as your child, so take care of your pregnancy right now,

Thank You. If you have any other queries you can contact me at Lybrate

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My HbA1c is 6.1 andABG is 128. Do I need to use any medicine, Am I a diabetic patient now. Please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My HbA1c is 6.1 andABG is 128. Do I need to use any medicine, Am I a diabetic patient now. Please advice.
lybrate-user, Thanks for the query. HbA1c% 6.1 signifies you are in a pre-diabetes state. However, after food glucose level (128 mg) is normal. So it is clear that there is no diabetes. If you have a family history, then there is a need to adapt a modified lifestyle, by which it means - avoid too much of sweets, deep fried foods, pastries, bakery items, foods made from maida. Use whole grain flour for roti and chapati. Increase the intake of green leafy vegetables, salads and fruits. Exercise daily for one hour, brisk walking is a good option. With this lifestyle you can prevent developing diabetes or postpone it. Thanks.
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I M 49, height 175 cms, body weight 78 kgs, I have diabetes in range of 128 to 210, h1c1 6.5, hdl 183 and routine life is good but I have facing problem in sex, not make satisfied, no penis enlarge and more Please let me know what can I do.

MD - Homeopathy
Homeopath, Aurangabad
I M 49, height 175 cms, body weight 78 kgs, I have diabetes in range of 128 to 210, h1c1 6.5, hdl 183 and routine lif...
Agnus castus 1m take 1 drop 3 times x 7 day take above is homeopathic medicine and available in homeopathic store also safe to take and no side effects for future management contact me.
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