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Dr. R K Sarogi  - Endocrinologist, Kolkata

Dr. R K Sarogi

MD-Medicine, DM, MBBS

Endocrinologist, Kolkata

23 Years Experience  ·  600 at clinic
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Dr. R K Sarogi MD-Medicine, DM, MBBS Endocrinologist, Kolkata
23 Years Experience  ·  600 at clinic
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Personal Statement

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.
More about Dr. R K Sarogi
Dr. R K Sarogi is an experienced Endocrinologist in Kankurgachi, Kolkata. He has helped numerous patients in his 23 years of experience as a Endocrinologist. He is a MD-Medicine, DM, MBBS . He is currently practising at Diabetes And Endocrine Clinic in Kankurgachi, Kolkata. You can book an instant appointment online with Dr. R K Sarogi on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 43 years of experience on Lybrate.com. You can find Endocrinologists online in Kolkata and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD-Medicine - University of Calcutta - 1998
DM - University Of Calcutta - 2003
MBBS - NRS Medical College and Hospital - 1994
Languages spoken
English
Hindi
Awards and Recognitions
Past Executive Member, Diabetic Foot society of India
Professional Memberships
Indian Medical Association (IMA)
Association of Physicians of India (API)
American Association of Clinical Endocrinologists (AACE)
...more
Endocrine Society Of India
European Association for the Study of Diabetes (EASD)
Geriatric Society Of India

Location

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Diabetes And Endocrine Clinic

30K, Ramkrishna Samadhi Road, Landmark : Near Charing Cross Nursing Home, KolkataKolkata Get Directions
600 at clinic
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Can thyroid be cured permanently by homeo or ayurveda, medication? I have thyroid problem since 6 years and have been taking thyronorm 100 mcg tablets to keep it in control - Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Can thyroid be cured permanently by homeo or ayurveda, medication? I have thyroid problem since 6 years and have been...
it can be only control by any system of medicines. 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.
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I have gone through thyroid test so many times and each time t3 & t4 is normal but tsh is between 30-40 which is super high. Is it due to any food and how do I fix it? I am taking elthroxing 100mg.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have gone through thyroid test so many times and each time t3 & t4 is normal but tsh is between 30-40 which is supe...
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. 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, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
2 people found this helpful
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Sir good morning. .i am 60 years old. 3 years back diabetes started. .suggest me shall I take any soda like kindly or 7 up soda. My fasting sugar reading is 96 and post lunch is 135. Thank you very much..

MBBS
General Physician, Cuttack
Sir good morning. .i am 60 years old. 3 years back diabetes started. .suggest me shall I take any soda like kindly or...
Your blood sugar is under control.Continue with diet restriction regular exercise like daily walking. Monitor your blood sugar ,HbA1c three monthly and consult doctor for further advice. There is no requirement of taking soda.It will cause gaseous discomfort
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Diabetes - Know Its Devastating Effect On Your Kidneys!

Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
Nephrologist, Delhi
Diabetes - Know Its Devastating Effect On Your Kidneys!

Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.

Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.

In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.

How can diabetes affect your kidneys?

Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.

Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.

Signs of Kidney Disease in Patients with Diabetes

  1. Albumin/protein in the urine
  2. High blood pressure
  3. Ankle and leg swelling, leg cramps
  4. Going to the bathroom more often at night
  5. High levels of BUN and creatinine in blood
  6. Less need for insulin or antidiabetic medications
  7. Morning sickness, nausea and vomiting
  8. Weakness, paleness and anemia
  9. Itching

What are the possible complications?

  1. End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
  2. Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further. 
  3. High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.

What to do?

  1. It is essential to get your urine checked at least once every year to detect signs of kidney damage.
  2. Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
  3. The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
  4. You should also avoid consuming medications that can cause damage to the kidneys.
  5. A kidney transplant or dialysis may be advised if the damage to kidneys is significant. If you wish to discuss about any specific problem, you can consult a nephrologist.
2066 people found this helpful

I am suffering from diabetes from last 12 years. Nowadays my fasting is234 and PP is 350. My medicines are zoryl mp2 one tab per day, and BGR34 FROM last few days,

BHMS
Homeopath, Faridabad
I am suffering from diabetes from last 12 years. Nowadays my fasting is234 and PP is 350. My medicines are zoryl mp2 ...
Hello, you should take homoeopathic medicines also along with your recent medication. Take sygyzium 1x, 2 tabs twice dailt before meals, morning and night. 1. Take karela jamun ras from swadeshi brand. 2. Powdered cinnamon has the ability to lower blood sugar levels by stimulating insulin activity. It contains bioactive components that can help prevent and fight diabetes. 3. Soak two tablespoons of fenugreek seeds in water overnight. Drink the water along with the seeds in the morning on an empty stomach. Follow this remedy without fail for a few months to bring down your glucose level. Another option is to eat two tablespoons of powdered fenugreek seeds daily with milk. **cut down your sugar and salt intake.**
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PCOS

M.Sc Dietetics and Food Service Management, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Hubli-Dharwad

Pcos is a hormonal disorder affecting many women leading to abnormal weight gain, high sugar levels and infertility. It is said even a 10% reduction in weight improves the overall condition in pcos. Losing weight is the only way to manage pcos and diet plays an 80% role in the same. Balance nutrition offers this online program for weight loss for women with pcos. Along with the diet, special super foods from the kitchen are incorporated to ensure you lose weight, correct the hormonal imbalance and regularize periods

What is pcos diet?

A typical low-fat weight loss diet like the simple 1200 calorie diet plan is not effective enough to promote weight loss in women suffering from pcos because in this case, weight gain is a result of high insulin levels that promotes fat storage in the body. Polycystic ovaries treatment and weight management call for a specialized low gi diet that includes selected combinations of foods that don't cause a rapid rise in blood glucose levels.

6 healthy food groups to include in a pcos diet menu

The following is a healthy pcos food list that can be included in the daily diet in order to manage the polycystic ovarian disease in a more effective manner and prevent weight gain which is one of the most recognizable symptoms of this condition.

Green leafy vegetables

The benefits of eating fruits and vegetables to lose weight are well known, but it also helps to control polycystic ovary syndrome naturally. Leafy vegetables have maximum nutrients per calories compared to other foods and also rich in calcium, iron, potassium, magnesium along with vitamins k, c and e and most importantly essential b vitamins which plays an imperative role in managing the symptoms of pcos. B vitamins especially b2, b3, b5 and b6 help in better sugar and fat metabolism, improve thyroid functioning and render better hormone balance, improve fertility all of which are essential for pcos management.

Green leafy vegetables for pcos

The minerals help to neutralize the acidity caused by inflammation and impaired glucose tolerance. Calcium helps in egg maturation and follicle development in ovaries; potassium is needed for fsh (follicle stimulation hormone) production. It helps to reduce pms symptoms and also promotes weight loss.

Coloured vegetables

Brightly colored vegetables not only makes for an appetizing salad but also helps in controlling pcos and must be included in the pcos diet plan. Colourful vegetables are loaded with powerful antioxidants that help to neutralize the harmful effects of oxidative stress in women suffering from pcos. Coloured vegetables

Some of the healthiest colored vegetables include red and yellow bell peppers, sweet potatoes, tomatoes, carrots, eggplant, etc.

Fruits

This is the next set of healthy foods that must be included in pcos diet recipes. Although most women suffering from pcos are reluctant to include fruits in their diet because of the fructose content that causes a sudden spike in blood sugar levels and consequently insulin levels, fruits are really rich in phytonutrients, vitamins, minerals and fibres so it should not be avoided entirely.

Fruits and vegetables

Include fruits that have low gi such as lime, strawberries, apricot, grapefruit, lemon, cantaloupe, guava, pear, oranges, watermelon, blueberries, nectarines, apples and kiwifruit and also eat a handful of nuts or seeds with the fruits for the much needed protein boost that helps to control the sudden sugar spike caused by fruits. You can also try delicious kiwi smoothie recipes which are loaded with nutrients.

Sir I am 21 years old female suffering from thyroid, so what are the prevention to relief from this condition?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir I am 21 years old female suffering from thyroid, so what are the prevention to relief from this condition?
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.
3 people found this helpful
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Suffering with burning sensation when I take warm lemon water with honey. I am a diabetic taking two times glicomate sr 500mg per day. Energy is not sufficient with veg based. Food.

C.S.C, D.C.H, M.B.B.S
General Physician,
Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. it is not as easy 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) 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. For sugar 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 privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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My brother is diabetic whose sugar level is very high what should I do his age is 17 year.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My brother is diabetic whose sugar level is very high what should I do his age is 17 year.
hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I am 53 years old. Since 2003 suffering type 2 diabetes. Super level always 250/350 stands. Human mustard insulin 40 iu is continue 16/22 point daily. How my super level will be normal? I am a business man with no hard work. M M Gupta Bhubaneswar.

MBBS, MD
Endocrinologist, Delhi
I am 53 years old. Since 2003 suffering type 2 diabetes. Super level always 250/350 stands. Human mustard insulin 40 ...
You need to do regular physical exercise like walking yoga etc. Also control your diet strictly as per advice of your doctor if your blood sugar still remains high he may advise you some medicine or/and increase the dose of insulin.
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MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Travelling with insulin
You can enjoy your holidays like any other child.
You have to do extra planning,remember to carry your insulin with you.while travelling by air ,DO NOT store your insulin in baggage that is going in the un pressurised baggage area of aircraft as insulin affected by extreme of temperature.
Certain guidelines while travelling
Check blood sugar regularly is very important.
Stop for light physical activity.
Keep your medication ,meals and snack times as regular as possible .keep glucose tablets or other treatment for low sugar.
Take Identification that explains your condition.
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I am 45 years old and suffering from hypo thyroid since 2005 and take 100 mcg thyoronom, but off late have been facing mascule pain some time severe in my both legs some time swelling is also there.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance.
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A pleasant mrng, sir, would you please apprise me about the symptoms of a diabetic patient & its normal range.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
A pleasant mrng, sir, would you please apprise me about the symptoms of a diabetic patient & its normal range.
Dear Lybrate User, *The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet. *A normal fasting (no food for eight hours) blood sugar level is between 80 and 120mg/dL. A normal blood sugar level two hours after eating is less than 140 mg/dL.
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Uric acid is 6.1 and thyroid is now normal. And there is swelling on arms not on whole body. Can you suggest me what to do?

C.S.C, D.C.H, M.B.B.S
General Physician,
Uric acid is 6.1 and thyroid is now normal. And there is swelling on arms not on whole body. Can you suggest me what ...
In human blood plasma, the reference range of uric acid is typically 3.4-7.2 mg/dL (200-430 µmol/L) for men (1 mg/dL=59.48 µmol/L), and 2.4-6.1 mg/dL for women (140-360 µmol/L) As you are normal the swelling can be due to sprain or detailed check up is needed.
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Impotency - Can Lifestyle Changes Help?

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
Impotency - Can Lifestyle Changes Help?

Impotence, also known as erectile dysfunction, is a condition in which a man is not able to maintain an erection during sexual intercourse. It can be triggered by a variety of conditions like smoking, intake of certain drugs, health disorders or excessive consumption of alcohol. Although treatment options like medication and surgery are available, there are non-invasive treatments that can help a person fight the condition.

Here are some of them:
1. Engage in a physical workout - 
Among the many types of lifestyle changes that could be resorted to, exercise is the most effective one. Exercising improves blood flow and blood pressure in the body, both of which are essential for getting and maintaining a normal erection for a prolonged time. Plus, exercising also increases the level of testosterone, which is a crucial factor in sex drive.
2. Follow a balanced dietThe food you consume has a direct effect on your health and subsequently on your sex drive. A diet consisting of fruits, veggies, fish and lesser servings of red meat and refined grains can decrease the risk of impotency. Also, a healthy diet helps to maintain a stable body weight, which aids in sexual activity. Overconsumption of junk foods can cause obesity and diabetes, which are responsible for impotence.
3. Get sufficient sleep - Apart from a host of health problems, lack of sleep may also you render you impotent. Studies have shown that testosterone levels of men who are sleep deprived are much lower than in those who get their 8 hours of sleep. A proper sleep schedule should thus be duly adhered to.
4. Quit smoking and limit your alcohol consumption - Erectile dysfunction can be the cause of vascular disease. This occurs when the blood supply to the penis becomes restricted due to the blockage and narrowing of arteries. Alcohol and smoking can be responsible for this and can be the cause of both temporary and long-term impotence. Therefore, it's important to limit your alcohol consumption and quit smoking altogether. If you wish to discuss about any specific problem, you can consult a Sexologist.

6830 people found this helpful

Hii my roommate is 28 or 29 years old. I feel his urine attracts ants, those black big ants ones in whole pot. Is he suffering from diabetes or any sexual prob ?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hii my roommate is 28 or 29 years old. I feel his urine attracts ants, those black big ants ones in whole pot. Is he ...
Ants attracted towards urine can be due to presence of high glucose in urine. Get fasting and post-prandial blood glucose levels. Along with this get complete chemical examination of the urine done. Consult your physician for prescription of relevant investigations and further management.
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I have diabetes type-2 last 2 year around 150 fasting & taking ayurveda tablets not taking suger frequently to reduse what i shoul i do ?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Whatever medicine you want to try but make sure that your blood sugar levels are well controlled with out out any side effects. Otherwise treatment is of no use and you will land up in complications.
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Hi Dr. My mom is 72 years old. Has diabetes. Reading is 114 after food. She goes for walk in the morning, does yoga, meditation, cooks food, washes clothes etc. She is always doing some work. Eats good food, fruits, dry fruits, green leafy vegetables as prescribed. Always complaints of severe body pain. All parts of her body is paining. Is there any remedy for her in allopathy, Ayurveda, homeopathy etc. Would appreciate your assistance. Thanks.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Hi Dr. My mom is 72 years old. Has diabetes. Reading is 114 after food. She goes for walk in the morning, does yoga, ...
Her sugar is a bit low. Its good that she is active. Let her be that way. You can test for her vit. D and vit. B12 levels as these can cause weakness and pains. Also check her haemoglobin levels. Her medicines for diabetes will have to be lowered.
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I am suffering from sugar and I take lot of medicines and had not improved a lot .what is your suggestion regarding this.

CDIABT, MBBS
Endocrinologist, Mumbai
I am suffering from sugar and I take lot of medicines and had not improved a lot .what is your suggestion regarding t...
For diabetes follow a diet low in carbohydrate, low in salt, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Medicine will depend upon your blood reports.
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