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Dr. Anuj Maheshwari  - Diabetologist, Lucknow

Dr. Anuj Maheshwari

86 (112 ratings)
MBBS, MD - General Medicine, FACE, FACP, FRCP (London)

Diabetologist, Lucknow

27 Years Experience  ·  600 at clinic  ·  ₹300 online
Dr. Anuj Maheshwari 86% (112 ratings) MBBS, MD - General Medicine, FACE, FACP, FRCP (London) Diabetologist, Lucknow
27 Years Experience  ·  600 at clinic  ·  ₹300 online
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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. Anuj Maheshwari
He has been a successful Diabetologist for the last 26 years. He has completed MBBS, MD - General Medicine. Book an appointment online with Dr. Anuj Maheshwari on Lybrate.com.

Lybrate.com has an excellent community of Diabetologists in India. You will find Diabetologists with more than 27 years of experience on Lybrate.com. Find the best Diabetologists online in Lucknow. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Moti Lal Nehru Medical College, Allahabad - 1991
MD - General Medicine - King Georges Medical College - 2000
FACE - American College of Endocrinology - 2013
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FACP - American College of Physicians - 2014
FRCP (London) - Royal College of Physicians, London - 2015
Past Experience
Medical Practioner at Shi Hari Kamal Diabetes Clinic 2001 - 2005
Shi Hari Kamal Diabetes Clinic and Research Center at Medical Practioner 2005 - 2016
Professional Memberships
Indian Medical Association (IMA)

Location

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Sri Hari Kamal Diabetes Heart Clinic

Jeevan Sahara Tower, Kursi Road, Landmark-Near Gulachin MandirLucknow Get Directions
  4.3  (112 ratings)
600 at clinic
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"knowledgeable" 4 reviews "Caring" 2 reviews "Very helpful" 11 reviews "Well-reasoned" 2 reviews "Professional" 3 reviews "Sensible" 1 review "Practical" 1 review "Prompt" 1 review

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The Diabetes Diet - Healthy Eating Tips To Prevent And Control It!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
The Diabetes Diet - Healthy Eating Tips To Prevent And Control It!

Your nourishment decisions matter a great deal when you have diabetes. Some are superior to anything others. Nothing is totally beyond reach. Indeed, even things that you may consider as 'the most exceedingly bad' could be periodic treats, in minor sums. Yet, they won't help you nutrition wise and it's least demanding to deal with your diabetes on the off chance that you for the most part adhere to the 'best' choices.

1. Dark chocolate: Chocolate happens to be rich in flavonoids and examination demonstrates that these supplements lessen insulin resistance, enhance insulin affectability and gruff yearnings. Be that as it may, not all chocolate is made equivalent. In a recent report from the Copenhagen University, individuals who ate dim chocolate made the report that they had the feeling more or less like eating some sweets and salty, or greasy foods contrasted with volunteers given milk chocolate, with its lower levels of useful flavonoids (and, regularly, more sugar and fat, as well).

2. Broccoli: Broccoli is hostile to diabetes. Likewise with different cruciferous veggies, similar to cauliflower and kale, it has one compound that is called as sulforaphane, which triggers a few calming forms that enhance blood sugar control and shield blood vessels from the cardiovascular harm that is regularly a result of diabetes.

3. Blueberries: Blueberries truly standout, they have both fiber that is insoluble (that 'flushes' out fat of the framework you have) and solvent fiber (which backs off the purging of your stomach and enhances blood sugar control).

4. Oats: You may not consider oatmeal a superfood, but rather it can lessen the danger of creating sort 2 diabetes. Oatmeal contains high measures of magnesium, which helps the body use glucose and discharge insulin appropriately. An eight-year trial demonstrated a 19 percent decrease in sort 2 diabetes' danger in ladies with a magnesium-rich diet, and a 31 percent decreased danger in ladies who consistently ate entire grains.

5. Fish: Fish is a thinning star, rich in protein, it will keep you fulfilled; additionally, it contains an extraordinary kind of fat that cools inflammation. Thousands of studies demonstrate that individuals with the most astounding blood levels of omega-3 unsaturated fats have less extensive inflammation, the very inflammation that prompts and compounds diabetes and weight issues.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4498 people found this helpful

The Effects Of Diabetes On Your Nervous System!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
The Effects Of Diabetes On Your Nervous System!

Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugar from diabetes affects the nerves and over time increases a person's risk for nerve damage. Keeping blood sugar levels within the target range recommended by your doctor helps prevent diabetic neuropathy.

Types of Diabetic Neuropathy-

  1. Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways...
  2. Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, and hands.
  3. Autonomic neuropathy affects the nerves that control involuntary body functions such as digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.
  4. Proximal neuropathy causes pain in the thighs, hips, arms, or buttocks and leads to weakness in the legs and hands, resulting in difficulty in walking, standing, picking up objects, buttoning your clothes, etc.
  5. Focal neuropathy results in the sudden weakness of one nerve or a group of nerves, causing muscle weakness or pain. Any nerve in the body can be affected.

How Diabetes Causes Damage to the Nervous System?
There are several factors that are likely to contribute to nerve damage through diabetes...

  1. High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals. 
  2. High glucose levels affect many metabolic pathways in the nerves, leading to an accumulation of a sugar called sorbitol and depletion of a substance called myoinositol. These changes are the mechanism that causes nerve damage. Nitric oxide dilates blood vessels. In a person with diabetes, low levels of nitric oxide may lead to constriction of blood vessels supplying the nerve, contributing to nerve damage.
  3. Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
  4. Inherited traits increase susceptibility to nerve disease
  5. Lifestyle factors, such as smoking or alcohol use

Symptoms:

  1. Numbness, burning sensations, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
  2. Either hypersensitivity to touch or insensitivity, even to hot and cold temperatures
  3. Weakness in muscles and loss of reflexes
  4. Indigestion, nausea, or vomiting
  5. Diarrhea or constipation
  6. Dizziness or faintness due to a drop in blood pressure after standing or sitting up
  7. Problems with urination
  8. Changes in gait and balance
  9. Injuries that are taking longer to heal and are more prone to infections

Prevent Diabetic Nerve Damage-

Keeping your blood sugar levels in your target range, set with your doctor, may help prevent nerve damage from ever developing. The best way to do this is by checking your blood sugar and adjusting your treatment. It is also important to get to and stay at a healthy weight by exercising and eating healthy foods.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4496 people found this helpful

Diabetes - A Major Risk Factor for Kidney Disease!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Diabetes - A Major Risk Factor for Kidney Disease!

At the point when our bodies process the protein we eat, the procedure creates waste products. In the kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amount of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose levels high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

  1. Shedding pounds
  2. Eating less salt
  3. Maintaining a strategic distance from liquor and tobacco
  4. Exercising regularly

A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician. In case you have a concern or query you can always consult an expert & get answers to your questions!

4324 people found this helpful

Diabetes - Complications It Can Cause!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Diabetes - Complications It Can Cause!

Diabetes is growing to be the epidemic of modern days. The challenge here is it is not just about managing your sugar levels, but the whole lot of symptoms that diabetes brings with it. From bones to teeth to kidneys to wounds, diabetes affects all body systems. It is therefore very essential to watch out for symptoms of diabetes and curb it in its early stages. This will help control diabetes significantly along with its effects on the whole body.

Diabetes Complications

Long-term complications of diabetes develop gradually. The longer you have diabetes — and the less controlled your blood sugar — the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

  1. Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
  2. Nerve damage. Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain. Left untreated, you could lose all sense of feeling in the affected limbs. 
  3. Kidney damage. The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
  4. Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness
  5. Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. These infections may ultimately require toe, foot or leg amputation.
  6. Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
  7. Hearing impairment. Hearing problems are more common in people with diabetes.
  8. Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. 

The following are some of the basic must do's if you have diabetes. These can go a long way in preventing adverse diabetic side effects.

  1. Diet: Whether diabetic or not, it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way in managing sugar levels than binging at one meal and starving the rest of the day. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Diet is very important in diabetes. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium
  2. Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required.
  3. Watch your weight: For a diabetic person, controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics.
  4. Smoking: Another risk factor for diabetes onset, quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting.
  5. Stress management: One of the main risk factors for diabetes, there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent diabetic complications like heart disease and stroke and promotes well-being.
  6. Constant Checkups: Periodic check-up of blood sugar levels, cholesterol levels, eye exam, dental checkup, foot checkup to test for nerve damage are all extremely important. Take your medications regularly without fail.

Diabetes requires a change in lifestyle, which may seem tedious initially. But after a while, it will become the norm and then diabetic control does not feel like something additional that is to be done.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4287 people found this helpful

Diabetes - The Sweet Sugar With Bitter Consequences!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Diabetes - The Sweet Sugar With Bitter Consequences!

Diabetes, frequently alluded to by specialists as diabetes mellitus, it depicts a gathering of metabolic illnesses in which the individual has high level of glucose in the blood (blood sugar), either in light of the fact that the production of insulin is insufficient, or on the grounds that the cells of the body don't react appropriately to insulin, or both. Patients with high blood sugar will commonly encounter polyuria (continuous pee), they will turn out to be progressively parched (polydipsia) and hungry (polyphagia).

It's the start of the holiday season, which implies heaps of candies, cookies, cakes, and different treats wherever you go. And, numerous individuals with sort 2 diabetes accept that their finding implies they should starve their sweet tooth and say no to these seasonal treats. Yet, is that truly the case?

Joyfully, say experts, the answer is no watchful way to deal with planning your diabetes diet and it implies you don't need to kiss desserts farewell. Yet, to have the capacity to appreciate that pumpkin pie or bit of cake without blame while holding your blood sugar levels in line, you have to know:

  • What you are eating
  • How much you are eating
  • Carbohydrate, sugar, and calorie substance of all that you devour

Impacts:
After you eat or drink, your body separates the sugars in your blood and transforms it into glucose. The glucose goes through your bloodstream and gives your body vitality. To fulfill this, your pancreas needs to deliver a hormone called insulin. In a man with (diabetes mellitus), the pancreas either delivers too little insulin or none by any means, or the insulin can't be utilized viably. This permits blood glucose levels to rise while whatever is left of your cells are denied of greatly required vitality. This can prompt a wide assortment of issues influencing about all aspects of your body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3989 people found this helpful

The Impact Of Diabetes On Your Eyes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
The Impact Of Diabetes On Your Eyes!

If you are diabetic, know that high blood pressure level can take a severe toll on your eyes in the form of blurry vision, cataract, glaucoma and retinopathy, if left unchecked. It can even lead to partial/complete blindness in young adults. Nonetheless, a strict control over your blood sugar count would prove effective in preventing such eye complications in the long run.

How does diabetes affect the eyes?

  1. Blurry Vision: Diabetes can cause swelling of the eye and damage to your vision. In case you are already using glasses, it might bring about fluctuations in your optical power. Once your blood sugar count gets back to the normal level; that is within the range of 70 to 130 milligrams per deciliter, your vision would be normal again; though this might take some time (about 3 months).

  2. Cataract: Eye lens works just like a camera, helping you to focus on a particular object. Cataract is a condition wherein this lens gets clouded with debris. Nevertheless, diabetic patients are more vulnerable to cataracts as compared to others. It has to be removed with a surgery wherein an artificial lens replaces the blurry eye lens.

  3. Glaucoma: Pressure starts building up within the eyes when fluids do not get drained out normally. This damages the nerves and blood vessels, thereby causing vision loss, blurred vision, watery eyes and headaches. Generally, glaucoma can be cured with laser, surgery, eye drops or medicines. Medications do help in alleviating eye pressure, reducing excessive fluid production and facilitating drainage. Having said that, diabetics are likely to develop neovascular glaucoma, a rare complication wherein new blood vessels form on the iris (the ring-shaped colored region in the eye), obstructing the normal fluid flow and further increasing the eye pressure.

  4. Diabetic Retinopathy: The retina is a cluster of cells behind the eyes that absorb light and converts them into images which are then transmitted to the brain through the optic nerve. High blood sugar levels damage the tiny blood vessels of the retina, leading to a condition called Diabetic retinopathy.

The stages of diabetic retinopathy

The retina requires a constant blood supply via a network of small blood vessels. In due course of time, a high blood sugar count might damage those blood vessels; primarily across three stages:

  1. Background Retinopathy: This is a condition wherein tiny lumps develop in your blood vessels, causing slight bleeding that usually does not affect your eye sight.

  2. Pre-proliferative Retinopathy: This is a condition characterized by significant bleeding from the eyes as a result of the blood vessels being severely affected.

  3. Proliferative Retinopathy: Proliferative retinopathy is a condition wherein new blood vessels and scar tissues that bleed easily develop on the retina, leading to vision loss.

Are you at risk?

The risks of Diabetic retinopathy increase if one is suffering from diabetes. Apart from this, certain other factors could also aggravate the chances of this disorder:

  1. Rise or fall in blood sugar

  2. Rise in the blood pressure level

  3. High cholesterol

  4. Pregnancy

  5. Excessive consumption of tobacco

When should you call a doctor?

  1. When you experience spots in your vision

  2. In case of blurred and fluctuating vision

  3. Impaired color vision

  4. Sudden loss of vision

  5. Redness and pain in the eyes

These signs serve as an early wake up call. However, it’s not mandatory for these signs to indicate towards diabetic retinopathy.

How to protect your eyes from diabetes and keep them healthy?

  1. Get your eyes checked periodically and try and maintain a steady blood sugar count.

  2. Take the prescribed medicines on time.

  3. Try to achieve and then maintain optimal weight levels.

  4. Avoid a sedentary lifestyle and engage in some sort of physical activity.

  5. Control your cholesterol levels by picking the right kind of foods.

  6. Abstain from smoking and limit alcohol consumption.

  7. Opt for a healthy diet comprising of green and leafy vegetables, oily fish, tuna, salmon; protein rich foods such as beans, nuts and eggs; citrus fruits such as oranges; pork and oysters.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3735 people found this helpful

Prevent Diabetes with Lifestyle Changes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Prevent Diabetes with Lifestyle Changes!

Diabetes is a metabolic disorder that results in high blood sugar levels in the body. It basically means that the body is either insensitive to insulin or the insulin production levels in the body go down. The various symptoms of diabetes are blurred vision, weight loss and hunger.

Some other symptoms of diabetes are

  1. Excessive urine output
  2. Wounds that take time to heal
  3. Yeast infections
  4. You may experience fatigue on a regular basis
  5. Frequent Mood Changes

Diabetes is also known as a Lifestyle disease. From the food you eat to the amount of activity, they are all connected to diabetes prevention. The various modifications that you may carry out to prevent diabetes are:

1. Exercise

You should exercise on a regular basis as it increases your overall wellbeing. It helps you to lose weight and allows you to maintain optimal blood sugar levels. It can also improve your body's sensitivity to insulin to prevent blood sugar problems. Exercise helps in increasing endorphin levels in the body which are responsible for keeping you happy & satiated, thereby avoiding depression and over-eating.

2. Eat more whole grains

Unlike simple carbohydrates, whole grains are complex carbohydrates that raise your blood sugar steadily instead of spiking it suddenly. Avoid refined grains as most of the important nutrients are stripped from refined grains. A Well-balanced diet with adequate amounts of PUFA/MUFA help in increasing the insulin sensitivity, reducing cholesterol and heart problems, etc.

3. Eat a lot of fiber

If you have type 2 diabetes, you should be, including high-fiber foods in your diet is a healthy way to control high blood sugar. Fiber does not raise blood glucose levels. Because it is not broken down by the body, the fiber in an apple or a slice of whole grain bread has no effect on blood glucose levels because it isn't digested. The grams of fiber can actually be subtracted from the total grams of carb you are eating if you are using carbohydrate counting for meal planning. Fiber helps you in feeling satiated, thus prevents you from overeating. It also improves your blood sugar levels and decreases your chances of getting affected by heart disease.

4. Lose weight

You should aim to maintain a healthy weight level as it also decreases the risk of diabetes. It also helps in improving your cardiovascular health. Follow a regimen, which is based on a balanced diet and moderate amount of exercise. Losing weight is the best way to keep diabetes away. Weight is something that we can keep under control. The waist size of men and women should not be more than 150 cm and 90 cm respectively. Always maintain your ideal body weight as per your BMI (Body Mass Index). Globally, obesity is one of the leading causes of diabetes.

5. Avoid sugary drinks

With ten teaspoons of sugar in every 12-ounce can or bottle, sweet drinks can send your blood sugar soaring and boost your risk for weight gain, high blood pressure, stroke, and heart disease. One sugary drink a day adds 150 empty calories and 40 to 50 grams of blood-sugar-raising carbohydrates to your diet, and can lead to a weight gain of 15 pounds per year. Switching to healthier drinks can save hundreds of calories and a lot of carbohydrates.

6. Avoid Stress

When you are stressed, your blood sugar levels rise. Stress hormones like epinephrine and cortisol kick in since one of their major functions is to raise blood sugar to help boost energy when it's needed most. You can't fight danger when your blood sugar is low, so it rises to help meet the challenge. Both physical and emotional stress can prompt an increase in these hormones, resulting in an increase in blood sugars and diabetes. Ensuring a stress-free life is very important if you want to stay away from diabetes. Avoid stress by going out for garden-walks, indulging in social causes/activities, yoga, meditation, etc. In case you have a concern or query you can always consult an expert & get answers to your questions!

3859 people found this helpful

I have suffering type 2 Diabetes. Can I cure 100% this with strict diet & regular exercise.

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
I have suffering type 2 Diabetes. Can I cure 100% this with strict diet & regular exercise.
No, not always. It works only up to certain extent but it never means once you start medicine you can stop doing this. While taking medicines you must continue diet & exercise.
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अगस्त 2016 fasting 138 PP. 255 Hba1c. 8.2 अगस्त 2016 से मेरा diabetes का इलाज शुरू हुआ उस समय मेरा वजन 67 किलो था मैंने परहेज टहलना और दवाइयां लेनी शुरू की लगभग 6 महीने बाद मेरी diabetes कंट्रोल हो गयी hba1c 6 fasting 93 PP 130 हो गयो लेकिन मेरा वजन 67 से घटकर 58 किलो मात्र रह गया है अप्रैल 2017 से मैंने टहलना और परहेज बन्द कर दिया लेकिन आज sep 2017 में मेरा वजन सिर्फ 600 ग्राम बढ़ा और 58 किलो 600 हो गया मैं वजन बढ़ाना चाहता हूँ प्लीज हेल्प me लंबाई 5 फुट 10 इंच अभी तक मैं 1 mg की आधी टेबलेट सुबह खाली पेट और metformin 500 mg एक टेबलेट सुबह नाश्ते के बाद लेता रहा लेकिन अभी 10 दिन पहले से मैंने ये दवाइयां बंद कर दी है और सिर्फ bgr 34 ही ले रहा हूँ

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
अगस्त 2016 fasting 138 PP. 255
Hba1c. 8.2
अगस्त 2016 से मेरा diabetes का इलाज शुरू हुआ उस समय मेरा वजन 67 किलो था मैं...
If your sugar will not control, you will continue losing weight. So please check once what you are taking it is keeping you under control. Then only you can choose certain drug which can help you increasing weight. You must rule out other causes of weight loss like hyperthyroidism or any other disease which can only be detected if you get yourself examined by some qualified physician. I can help you if you ever plan to be at Lucknow.
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How Obesity Increases The Risk For Diabetes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
How Obesity Increases The Risk For Diabetes!

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes-

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk-

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-
    • Choose whole grains and whole grain products over highly processed carbohydrates.
    • Skip the sugary drinks, and choose water, coffee, or tea instead.
    • Choose good fats instead of bad fats.
    • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. Consult an Expert & get answers to your questions!

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