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Dr. A Sarkar

Endocrinologist, Kolkata

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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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I am type 2.diabetic ,aged 42 yrs. Having glcypage 599 sr daily morning I pills. But sugar level is 182 in random is it ok or not.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am type 2.diabetic ,aged 42 yrs. Having glcypage 599 sr daily morning I pills. But sugar level is 182 in random is ...
Mr. lybrate-user, It means current treatment is inadequate. It has to be upgraded with an additional drug plus we Will have to give a closer look to diet and exercise being done. If you want specific guidelines from me please come back with following details: current. Fasting, PP glucose levels & HbA1c%, dietary pattern & extent of daily exercise. Based on those details, I will be able to guide. Thanks.
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I am male, 52 years old, my hba1c level is 8.2. And fasting sugar is 142. What medicine I should take? And what should be my diet? please.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am male, 52 years old, my hba1c level is 8.2. And fasting sugar is 142. What medicine I should take? And what shoul...
tab metformin is the best to start with..but before that serum creatinine values are required and what is your after meals sugar?? DIABETIC DIET ADVICE: ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour
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I am 62 years old always feels sleepy. My blood sugar between 150 to 200 and blood pressure too. Recently I check up my HBA1C that is 9 Please advice.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
I am 62 years old always feels sleepy. My blood
sugar between 150 to 200 and blood pressure too.
Recently I check up ...
If you are not taking medicene, start tablet Istamet 50/1000 twice a day after meals. Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and check your sugar after one month.
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I am a 33 years old female, suffering from hypothyroid. I am not losing weight. I weigh 104 kg. Please advice me.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am a 33 years old female, suffering from hypothyroid. I am not losing weight. I weigh 104 kg. Please advice me.
You need a diet control. Follow a 1000kcal diet. No fried, sweets, bakery products, fast food. Take lots of vegetables and fruits.
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I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take normal medicine. I don't like to take insulin shot. For that what should I do.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am a type 1 diabetic patient. Suffering from last 1 year. I am totally insulin dependant. I would like to take norm...
If you are a confirmed case of Insulin Dependent Diabetes . At least as of now nothing other than Insulin will work. Insulin Pen works well, least pain and most convenient. You should do everything to maintain perfect sugar control, regular follow up , preventing complications, early detection and earliest detection of complications to have long and healthy life. Research is going on extensively for painless administration of Insulin for which wait hopefully
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I am 55 years old and have border line diabetes (146 and 110) ,but it is under control with yoga and work out. But my legs keeps on paining a lot and I feel weakness also.

DHMS (Hons.)
Homeopath, Patna
I am 55 years old and have border line diabetes (146 and 110) ,but it is under control with yoga and work out. But my...
Hi, diabetes is a disease to b managed rather, than to b cured, completely. Go for a brisk walk in d morning. Go for meditation to reduce your stress, anxiety & to nourish the whole body including your pancreas, too. Specially pawanmuk ashan. Go for either of cycling, swimming, gardening, dancing, playing badminton. Maintain 1200-1600 calories, through dietary regulation to avoid general weakness, * tk, 4 marie, biscuits with a cup of tea, morning at 7.00 am. * 3 sliced bread with one cup of milk at 9.00 am. * 3 breads, small bowl of pulses, green vegetable, curds small bowl. * 4 marie biscuits with a cup of tea at 4.00 pm * 3 breads, green vegetables small bowl & small bowl of diluted curds at 9.00 pm, night. * finally 1 cup of milk at bed time. *you can consume 100 grams of fruits, too. Avoid, direct sweets, caffiene, nicotine, alcohol, junk food. Tk, plenty of water to eliminate toxins and to regulate metabolism. Tk, care.
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My wife (43yers) have sugar of 200 pp. Her right hand elbo has terrible pain. Is it because of sugar?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My wife (43yers) have sugar of 200 pp. Her right hand elbo has terrible pain. Is it because of sugar?
Mr. Lybrate-user, it is difficult to say whether the being experienced by her is due to diabetes. One needs to look at various causes, plus location, intensity of pain, nature and what affect it has on her movement, grip and strength etc. High sugar can can cause various kinds of problems. But 200 mg after food is high but need not be the cause for that kind of a pain.
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My father 83+ years old is diabetic. He is having constipation entire of last week. We put him to oral laxative but no improve. He now throw up black bile and mucous from mouth. Ref attach picture of same. Every 15 min or so he feel like vomiting bit nothing much comes out. I gave Ondem 8 MG to placate the vomiting spasms. Is this right? Pls suggest more.

MPH
General Physician, Dehradun
My father 83+ years old is diabetic. He is having constipation entire of last week. We put him to oral laxative but n...
Dear sir it is very complicated situation and the advise on line may harm you need to have either consultation with one of the physician on lybrate or you should contact the doctor in city where he can be physically checked since even to start the advise on line it will take one week to understand patient s actual suffering then only treatment will be advocated may be he is suffering with some ulcer - what you say black bile as far the constipation is concern just -just give him liqquid parrafin 1 spoon before sleep it will give him relief I hope this may not be definitive - I presume, and say the safest to relieve constipation, this may relieve the vomiting since the gases will be relieved to ease the irritation to diaphragm to relieve the reflex also is essential to control sugar to control acidosis- due to diabetes please feel free to contact.
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