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Dr. T. K . Sapathi

Endocrinologist, Kolkata

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Dr. T. K . Sapathi Endocrinologist, Kolkata
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Personal Statement

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.
More about Dr. T. K . Sapathi
Dr. T. K . Sapathi is an experienced Endocrinologist in Sahapur, Kolkata. He is currently associated with Medicure Polyclinic in Sahapur, Kolkata. Save your time and book an appointment online with Dr. T. K . Sapathi on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 40 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.

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Hindi

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#No.15/3 ,sahapur colony, New Alipore,Landmark:- Near Saini Hyundai Showroom & Beside Vivekananda Sporting Club, KolkataKolkata Get Directions
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I am dibetic. Detected one year ago.What I should eat or not?

MBBS & Post Graduate course in Diabetology
Endocrinologist
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Eat 5 times instead of 3 times but break up the eating quantity, add plenty of vegetables, and atleast one fruit in a day(apple, pomegranate.
3 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician
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What Is The Healthiest Way To Treat Hypoglycemia?

Blood sugar refers to the glucose present in our blood. This glucose is formed from the food we eat. It is carried through our bloodstream to different parts of the body mainly to provide energy. Measuring blood glucose is an essential measure of our health.
Hypoglycemia refers to low blood sugar. This is a condition when blood sugar concentrations fall below normal. Without enough glucose, our body will not be able to perform its normal functions. It can be a concern for people with diabetes taking certain blood sugar-lowering medications, but it can also affect people who don?t have diabetes.
An episode of hypoglycemia (low blood sugar) comes on very suddenly and you must be aware of how to tackle it effectively.
Causes of Hypoglycemia
Hypoglycemia is usually seen as a side effect of Diabetes treatment. Some common causes of Hypoglycemia include:
Overmedication with insulin or Anti diabetic pills
Drinking too much of alcohol
Missed meals. Hypoglycemia may occur in people with cancer who are on chemotherapy, which often causes loss of appetite
Genetic defects in the regulation of Insulin release
Liver failure ? ability of liver to generate new glucose gets impaired
Pituitary and adrenal gland disorders affect the production of glucose
Symptoms of Hypoglycemia
Hypoglycemia means that there is not enough glucose reaching our brain. With drop in blood sugar our brain gets impacted immediately and we start feeling weak and fatigued. There is also a blurred/ impaired vision. Sometimes you tend to feel extremely hungry as well.
Other symptoms may also include-
Rapid or irregular heartbeat
Shaking
Sweating
Paleness, cold/clammy skin
Nausea
What to do when you feel hypoglycemic ?
If your blood glucose is less than 70 mg/dL, immediate action must be taken to increase the blood sugar level. In such a condition the healthiest thing to do is get your glucose levels up, immediately.
Get some carbohydrates into your body immediately ? snack on something sweet, maybe glucose tablets
Drinking fruit juices or simple plain water with added sugar also helps.
Check the levels again after 15 minutes and eat some other carb rich snack in case it is still low. Once you?re above 70, follow up with a protein snack to help stabilize your blood sugar.
Untreated mild to moderate hypoglycemia can lead to severe hypoglycemia and unconsciousness. Such a situation requires the intervention of a special and cannot be self treated.
How to prevent hypoglycemia?
Regularly checking your blood sugar level can help you keep it in your target range
Keeping quick fix foods around you whether in office or in the dashboard of your car is a good practice.
People with Hypoglycemia must check their blood glucose level frequently especially during long journey trips. If the person is driving, there could be trouble concentrating or seeing clearly.
Be aware of what causes the sugar levels to drop, when is it that it usually drops ? maintaining a record of these things will better prepare you to handle situations.
It?s critical to eat small snacks every 2-3 three hours. This helps prevent your blood glucose from falling too low.
Maintain a healthy body weight by consuming a healthy diet and engaging in adequate exercise.
Are you diabetic? Do you monitor your blood sugar levels?
5 people found this helpful

Hi, I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is 402, and HBA1c is 10.2, Last almost 3 years my sugar has gone up drastically I am taking Azulix 2 MF thrice a day and Pinorm 20 in morning and cilaheart 10 at night with clopitab cv 10. Please advice how I can can notrol my sugar properly.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi,
I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is...
Mr. Lybrate-user, your diabetes is totally uncontrolled, which really bad. As it can lead to a series of lonterm complications in relation with eye (retinopathy), kidney (nephropathy), peripheral neuropathy, problems with blood supply to lower limbs and coronary artery disease. You need to make special effort to bring sugar levels rapidly under control. You may need to shift to insulin injections right away, because looking at blood sugar levels it appears your beta cell reserve is almost nil. So taking oral drugs is not going to give any more benefit. Plus usual treatment guideline says when hba1c% goes beyond 8 to 9 % it essential to use insulin injections. By not doing so you are inviting serious complications.
1 person found this helpful

I am a old citizen having diabetic foot. What can I do to avoid it? Please suggest.

MBBS, MD
General Physician
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I am a old citizen having diabetic foot. What can I do to avoid it? Please suggest.
Please see to it that you wear cotton socks. Trim your nails regularly wear sandal with straps comfortable sports shoes of reputed brands dry your feet after a wash or a bath. Take special care of areas in between the toes. (fungal infections are common) any cuts and wounds have to be attended by doctors. Most importantly keep sugars under control.

Hi I am having sugar I am not using any medicines my age is 28 doctor told to do exercise not to take medicine but the main problem is I am getting infection on penis I consult a doctor and he gave me medicines in one week it's cured again after one month the infection started by consulting doctor only I came to know I am having sugar after one month my marriage is fixed wil any one help me to cure the problem and give me the correct medicines.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician
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Hi I am having sugar I am not using any medicines my age is 28 doctor told to do exercise not to take medicine but th...
Initially get your blood sugar tested in a reputed pathology / clinical laboratory at fasting, 2 hours after morning principal meal and before dinner, if possible hb a1c test then meet a good consultant physician or a diabetologist for further management, advice, follow up, monitoring and review as advised by doctor. Follow diet, exercise and medication as advised regularly. Remember there is no known scientific cure for diabetes but it can easily be kept under control which is a must.

I am 50 yrs. Man, detected first time a DM (PP2BS - 175 reading). What should I do to reduce the DM, without any medicine? Suggest me, if there is some daily exercise. Waiting for your quick suggestion. Thanks.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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First do HbA1c to confirm really u have DM or not. If u have then at first only diabetic diet you can follow to control your sugar. No need to start medicine immediately.

I am 62 yearn old. I am taking medicines for diabetes and BP. Can I take alcoholic drinks?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 62 yearn old. I am taking medicines for diabetes and BP. Can I take alcoholic drinks?
Dear Lybrate User, *If you have diabetes, drinking alcohol may cause your blood sugar to either rise or fall. Plus, alcohol has a lot of calories. *Drinking too much alcohol can raise blood pressure to unhealthy levels. So there is no befits to take alcoholic drinks.
2 people found this helpful

My T3, T4,TSH Thyroid test is in normal range. But Doctor prescribe tablet eltroxin 50 mg by clinically investigation. Can I take this medicine?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My T3, T4,TSH Thyroid test is in normal range. But Doctor prescribe tablet eltroxin 50 mg by clinically investigation...
Mr. Lybrate-user, if thyroid test result is normal then there is no need to take thyroxine tablets. It would have been better if you had mentioned actual test results. Thanks.

I am 36 year old I have diabetic always 150 so please give me advise how to reduce my own diabetic

PDDM, MHA, MBBS
General Physician
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Follow diabetic diet and exercise daily for at least half an hour and consult for proper management. Dr surbhi agrawal
1 person found this helpful

I am type 2 diabetic taking metformin1000sr once daily my hab1c is 6 FBS 96 and ppbs 153.Can i maintain be with out metformin only with diet and exercise?

Ph.D, M.D in Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Dear, Let me know your age so that I will suggest good Ayurvedic medicine.you need not worry.because your HbA1c is below to the normal. Reply to my Email:-drvsrao58@gmail.com.

It is a common belief among people that once a diabetic starts taking insulin he cannot come back on oral medicine , how far is this true?

MD - General Medicine
General Physician
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It is a myth. There are so many circumstances in which doctor has to give insulin temporarily then patient can go back to there medicine.
1 person found this helpful

What are the uses of Armotraz, siphene M, Ferteez in treatment of male fertility. And can it be used for long time and have any side effects. What is the success rate. Kindly provide details of each medicine individual that how it works.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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All these medicines are use to enhance male fertility. In males it improves sperm count, motility and morphology. No medicine should be taken & continued without doctors advice. Success rate is good depending on persons habits and lifestyle.
1 person found this helpful

One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk... let me clear the doubt in scientific way..

In fact, there are good reasons to believe that whole milk, full-fat yogurt, cream, and high-fat cheeses may be better for you than their low-fat alternatives.

Reason #1:  Saturated fat is not harmful to your health

Reason #2:  Low-fat and non-fat dairy products are higher in casein

Casein is a very sticky protein in milk that is quite difficult for humans to digest.  Milk proteins are designed to nourish baby cows, who are outfitted with a special enzyme (rennet) that can break apart casein. Humans do not make rennet, which is one of the reasons why dairy products can cause constipation and other digestive problems.

Reason #3:  Low-fat and non-fat dairy products are higher in whey

Whey proteins raise blood insulin levels just as much as pure sugar does.  Even though lactose, the sugar that naturally occurs in milk, has a low “glycemic index” and therefore does not raise blood sugar very much, whey proteins trigger big insulin spikes in body and destabilize blood sugar and hormone levels, lead to carbohydrate cravings, fatigue, mood swings, and obesity.

Reason 4:  High-fat dairy products contain less protein

This means that people who have dairy protein sensitivities may tolerate them better.  People who have trouble with dairy foods are almost always reacting either to milk carbohydrate (lactose intolerance) or milk proteins (dairy allergy and sensitivity), not to dairy fat. This is why many dairy-sensitive individuals are able to eat butter and heavy cream, which are extremely low in protein.

Reason #5:  High-fat dairy products taste better

They improve the flavor, digestibility, and absorption of foods and are more satisfying, therefore you may find yourself naturally eating less.

Bottom line:  The lower the fat content, the higher the protein content

People who consume the most high-fat dairy products, have a 23-percent lower risk of developing type 2 diabetes than people who have one serving or less but there was no association between intake of low-fat dairy products and lowered type 2 diabetes risk.

Keep in mind that, you choose unsweetened varieties, since sugar and other refined carbohydrates raise insulin levels and disturbs blood sugar levels.
And MODERATION is the key for all the food .

Thank you for reading and i Hope it has helped you.

Source: Diabetologia

One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk
47 people found this helpful

Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the morning I feel I have not got a complete sleep. I am diabetic, asthmatic and do not do any exercises. I smoke and drink too. Kindly advice how I can get a proper sleep?

MD - Psychiatry
Psychiatrist
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Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the mo...
I am not sure who got you hooked onto sleeping pills. On a longer run they will shrink your brain, resulting in early onset dementia, personality changes, memory changes, even withdrawal seizures. Kindly consult a psychiatrist, get your sleep evaluated, and he will gradually wane you off the sleeping pills and give pills which promote sleep by acting on the cause of sleep disturbance, he may also educate you on sleep hyigiene.
3 people found this helpful

Hi doctors, from last 2 months my father has lost 34 kg weight and getting weaker day by day, at stage of early diabetic this much amount of weight loss is not justifiable. Now my father is hospitalised from last 19 days, conducted many tests like nerves conduction, xray, urine test, cough test, blood test & many more and results got normal for same few dr's had recommended for ct and pet in order to check there might be a chance of tb or cancer, but no such problem was diagnosed and after that in recent days it has been diagnosed from pet that my father is having fungal infection in lungs. Biopsy has been done on last wednesday i. E. 3rdjune'15 for further investigation on nature of fungus. And my father is still there in hospital for meditation and under observation. Current health issues: 1) got fever on every alternate day 2.) mouth ulcers 3.) early diabetic 4.) weakness but not able to understand the drastic weight loss from 96 kg (weighted in january 2015) to 62 kg (current body weight) and getting weaker day by day. Also not able to understand are we on right track for the treatment he is getting. Looking for the assistance and valuable advice on same. ---- thanks

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist
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Hi doctors, from last 2 months my father has lost 34 kg weight and getting weaker day by day, at stage of early diabe...
Dear, in diabetes fungal infections are very dangerous. And common. If blood sugar level is not under control. As you said. All tests are in right direction. It will take some time to get cure. If anything diagnosed in medical science in these days means no need to worry. Just faith in god. Your father will recover soon. All the best.
1 person found this helpful

I am causes diabetes last 4 month 165 take food I didn't take any medicine so what can I do.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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I am causes diabetes last 4 month 165 take food I didn't take any medicine so what can I do.
Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
4 people found this helpful

MDS - Oral & Maxillofacial Surgery, BDS
Dentist
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If you have diabetes, make sure you take care of your mouth. People with diabetes are at risk for mouth infections, especially periodontal (gum) disease. Periodontal disease can damage the gum and bone that hold your teeth in place and may lead to painful chewing problems. Some people with serious gum disease lose their teeth.
31 people found this helpful

I am a 43 years old woman. I am having 125 range on fasting blood sugar test. Am I a diabetic? Should I start medication now.

BHMS
Homeopath
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I am a 43 years old woman. I am having 125 range on fasting blood sugar test. Am I a diabetic? Should I start medicat...
Madam this blood sugar is slightly high. Iwould suggest you to get your fasting and post prandial sugar levels examined once more and then we can decide further line of treatment. Please let me know your blood reports fo further line of treatment. Thanks.
1 person found this helpful

Can raw mango with salt can be taken by diabetic patients?

Vaidya Visharad
Ayurveda
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Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. 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

My father is a diabetic patient, he is suffering from edema there is pain in hip joint fom last 3 months so doctor advised him to have a rest for 3 months. But after having a rest of 3 months there is too low recovery In new xray we came to know about that still there is no blood circulation on that particular area (hip joint) So doctor again advised him for rest So please suggest me something better than the best I'll be so thankful to you.

BPTh/BPT, MPTh/MPT
Physiotherapist
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My father is a diabetic patient, he is suffering from edema there is pain in hip joint fom last 3 months so doctor ad...
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
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