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Dr. A Sarkar

Endocrinologist, Kolkata

Dr. A Sarkar Endocrinologist, Kolkata
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Hello sir diabetes kitna point tak normal hai aisa kah sakte hai. Or kya sirf peshab se hi pta chalta hai yaa koi any karan bhi hai please sir btaye na hm im waiting for your answer.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello sir diabetes kitna point tak normal hai aisa kah sakte hai. Or kya sirf peshab se hi pta chalta hai yaa koi any...
Mr. Lybrate-user diabetes is diagnosed by looking at blood sugar level and hba1c%. Fasting >126 mg, after food >200 mg and hba1c%>6.5. Confirm diabetes. Urine sugar is not so important for diagnosis.

What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hashimoto's thyroiditis (ht), is an autoimmune disease, causing lymphocytic infiltration of thyroid gland plus there are anti bodies produced by our own immune cells against thyroid peroxidase (anti tpo abs). These antibodies destroy thyroxine secreting cells in the gland, leading to hypothyroidism. The causes are not clear, genetic predisposition, viral infections and even taking excess iodinated salt have been thought to be the reasons. In usa this is the main cause of hypothyroidism, more common in women, the patient with ht usually have other members of the family having some or the other autoimmune disease or himself or herself may have another autoimmune disorder like rheumatoid arthritis or t1 diabetes. Treatment is to give thyroxine replacement for life time. Iodine has no role in the treatment.

I am 60 year old male and I am having scratchy, scaling skin problem for the last one yr. My tsh (ultrasensitive tsh, serum) is 5.1108 and uric acid level is 7.27. Presently I am on medication for itching - alerfix-m once daily at night. Please help.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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For temporary relief of itching, try these self-care measures: use a high-quality moisturizing cream on your skin. Apply an anti-itch cream or lotion to the affected area as prescribed by me avoid scratching whenever possible. Apply cool, wet compresses. Take a lukewarm bath. Wear smooth-textured, loose cotton clothing. Do reply back for private consultation for a detailed treatment plan which will cure your itching problem.
1 person found this helpful

My fasting fbs is 257 and ppbs is 340. Diabetic for the last 7 years. On insulin 30 units pre breakfast and amaryl 2mg twice a day. Please Advise.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Insulin dosage appears not enough. You have to do self monitoring of blood glucose daily and up titrate insulin dosage by 2 units every alternate day by informing your doctor and getting instruction.
3 people found this helpful

How to control thyroid?

MD - Internal Medicine
General Physician
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Hi there are 2 conditions in thyroid (mainly). 1. Hypothyroid 2. Hyperthyroid. Which condition you are taking about. Anyway both conditions for control need medications. In hypothyroid you need to avoid cabbage, cauliflower and spinach.

My H1bi three month suger is 6.3 without Suger shall I have to start the Medicine or continue with the same exercises in the morning and evening

Vaidya Visharad
Ayurveda
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Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

Hi, I wanted to know if there is any treatment of diabetes mellitus in naturopathy.

C.S.C, D.C.H, M.B.B.S
General Physician
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Hi, I wanted to know if there is any treatment of diabetes mellitus in naturopathy.
NO and is dangerous unless you control diabetes well. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance... if you keep in touch personally.

I have sugar type 2 and I take daonil tablets. 5 mg and please tell me that how many times do sugar test in a month.

MBBS
General Physician
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I have sugar type 2 and I take daonil tablets. 5 mg and please tell me that how many times do sugar test in a month.
Depends. If your sugar control is good you may do it less frequently. If your dietary control is at par. Your daily routine like exercise etc. Are regular. You observe on an average your sugar levels at different occasion are fairly the same you may reduce frequency. Take different samples like fasting (should be around 120. Random (should be around 200) and pp (should be around 140-150. Check your hba1c once in 6 months and it should be around 6.5-7.00. With danila (glibenclamide) the problem of hypoglycemia is high. It may be better if you change over to similar group if drugs like glimeperide that is less likely to have this risk. Consult your treating physician to get his advice on this.
2 people found this helpful

How to get rif off thyroid problems. Is it curable or not?

MD - Internal Medicine, MBBS
Endocrinologist
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How to get rif off thyroid problems. Is it curable or not?
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
1 person found this helpful

Diet chart for hypothyrodism, I am 37 female.

MD - Internal Medicine, MBBS
Endocrinologist
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Diet chart for hypothyrodism, I am 37 female.
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

DHMS (Hons.)
Homeopath
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Hello, dear lybrate user, i, being a homoeopath may suggest some recourse in homoeopathy *homoeo medicine * @ hypericum 200-6 pills, twice a day. @ arnica mont 200-6 pills, thrice. Please, follow all d norms instructed by your treating orthopaedic surgeon. Take, care.

Res sir i am 75 years old and debetic from the last 30 years.I have stomech problem.Every 10 - 15 days i have loose motions. That continue for two three days. In single day i have to go for above 20 times. I have taken several medicines from most senior doctors. But problem is there. I use to take medicines tab glycomet gp 2 1---0----1 and insuline 30/70 30 unit morning and 20 unit evening. Please suggest for stomech loose motions problem.

FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist
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You need to get throughly evaluated if the problem is recurrent and probably need endoscopy to rule out any potential problem in your intestine, if the diarrhea is recurrent and not subsiding. Any blood in the diarrhea? please send me your detailed reports.
1 person found this helpful

Sir, I am 42 year old diabetic patient, with poor control of sugar level around 240 points after food, since last 11 months I suffer one problem, I am suffer by candida penis, can you tell me what is the treatment of this disease. How to cure and control this, and diet suggestion.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Your diabetes is poorly controlled. You need to control it first. Second maintenance of good hygiene is very important. You can consult with me regarding further management.
1 person found this helpful

Hi. I am 25 year old and I am diabetic since 2007 I have type 1 diabetes. I want to ask you can I takr creatine for bodybuilding.

DHMS (Hons.)
Homeopath
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Hi. I am 25 year old and I am diabetic since 2007 I have type 1 diabetes. I want to ask you can I takr creatine for b...
hi, U r required to maintain all sorts of anti diabetic norms. - go for a brisk walk in d morning. - Go for meditation to nourish your whole body & pancrease, as well. Take, apples, carrots,almonds, walnuts,spinach. Avoid, dust, smoke,caffeine,nicotine. junk food , Take, care.

Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she was strabismus is it because of the diabetes?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she wa...
Strabismus is also called Squint. Usually, it is a chronic condition. However, in hypoglycemia, during the attack, some patients squint. I can't comment on your mother's condition without more info. In the meantime, take her to an Ophthalmologist.

Hi. I want to know that. Is there is any perfect cure for diabetes. And is there is any medicine to solve diabetes problem totally from body. If yes then which is that medicine or therapy..

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi. I want to know that. Is there is any perfect cure for diabetes. And is there is any medicine to solve diabetes pr...
Mr. Lybrate-user, diabetes mellitus is occurring due to either lack of insulin or resistance to its action, so the treatment is to make that hormone available by increasing the secretion from islets of langerhans in pancreas or provide insulin from outside. Insulin is required constantly in the body for glucose, protein and fat metabolism. So it has to be made available daily. Hence there is no cure. It can only be controlled by drugs, diet and exercise.
1 person found this helpful

How do you define FDC in Diabetes medicine like Trimetaday 1, prolomet xl 50 for BP and in Heart medicine like Novastat 20 which I had been taking after heart stent 2 years back. Kindly elaborate and help. Regards.

C.S.C, D.C.H, M.B.B.S
General Physician
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How do you define FDC in Diabetes medicine like Trimetaday 1, prolomet xl 50 for BP and in Heart medicine like Novast...
The drugs are needed to bring down your sugar level to normal and keep[ the pressure normal.FDC s used to avoid multiple drugs and they come in one tablet
1 person found this helpful

I am a diabetic since 1998. On Insulin since 2001. Though the fasting sugar is well in control but PP is shooting beyond 200 level. Using Novomix 30 @ 30 units in morning & 20 units before dinner. Kindly advise how to control the PP?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician
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By reducing the carbohydrate diet in the lunch&dinner By brisk walking By diet planning in consultation with dietician
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