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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Dr. Savita Jain, I wanted to thank you as all your posts on advice show a high degree of understanding of the issues at hand. Naturally your advice turns out to be very relevant. Please keep it up. May God give you long life to serve the humanity better. My best regards.
Doctor is extremely good, she gives time to the patient and answers all the queries thoroughly.
She was very very nice. We are fully satisfied
Menstrual irregularities- Periods may come early or late and may be too light or heavy.
Excess hair growth or acne on chin, face, chest, abdomen or back.
Long-term health risks-
Other health problems associated with PCOS are- Diabetes mellitus, High blood pressure, weight gain and obesity, high cholesterol and heart disease.
Weight loss ( even 5-10% of your initial weight) can help treating these hormonal changes as well as associated complications.
Medicines are prescribed depending on the symptoms of the patient and whether the patient is planning a pregnancy or not.
Local treatment in the form of laser/ electrolysis for permanent hair removal may be required.
Diabetes means a group of diseases that affect your body’s ability to use blood glucose appropriately. Glucose is vital to our health because it's the main source of energy for our muscles, tissues and most importantly our brain. Having diabetes means having higher than normal glucose level in our blood. This can lead to serious consequences, as it is a chronic and progressive disease.
Here are some tips for adopting a healthy lifestyle:
1. Follow a regular and fixed diet. Your doctor/dietician will help you deciding what and how much you eat. With little planning, you can include your favourite foods. Some important tips for diet control-
- Don’t delay or skip meals
Take a fixed amount of food at fixed time everyday
Include variety including vegetables, whole grains, fruits, non-fat dairy foods. Don’t eat too much of one type of food.
Space your meals equally throughout the day.
2. Be physically active, means you start exercising.
A. You should be involved in a moderate activity for at least 30 minutes a day for at least 5 days a week.
B. Examples of exercise-
- Aerobic activity like walking, biking, swimming
- Flexibility exercises like yoga and stretching may be done.
- Strength training like lifting weight should be done twice a week.
- Being active throughout the day like parking your car as far as possible, taking stairs instead of elevator, taking your dog for a walk etc
C. You can increase the time for exercise gradually.
D. If you are overweight or obese, you need to lose weight (at least 5-10% of your initial weight).
E. Don’t go for exercise on an empty stomach.
3. Regular blood sugar monitoring is very important.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetic diet ( also known as medical nutrition therapy) is actually a healthy balanced diet that everybody should follow. It doesn't mean living in deprivation, giving up your favourite foods particularly sweets completely or resigning yourself to tasteless food. It just means a balanced diet, not necessarily bland.
It is very important to follow this diet at all the stages of diabetes management, including pre diabetic stage to prevent the onset of diabetes or even to reverse it. For this, you don't have to shed all those extra kilos, just a loss of 5-10% of your initial body weight will do the job.
Basic principles of a diabetic diet
Diabetic diet plan should be such that it is high in nutrients, with low fat and carbohydrates.
Moderate restriction in calories have to be there if you are overweight or obese.
- Avoid sugars (beverages like soda, energy and sports drinks, coffee drinks and processed foods like doughnuts, muffins, candy bars) and starches (rice, potato, refined wheat flour) as they break down into glucose with digestion. Also these are more likely to cause abdominal obesity ( increased waistline which is more prone for heart disease).
- Eat healthy carbohydrates like vegetables, fruits, legumes, whole-grains and low fat dairy products.
- Select foods containing ‘good’ fats like monounsaturated fats and linoleic acid.
- Restrict total amount to approximately half kilogram per person per month or 3 tsp per person per day.
- Prefer oils containing alpha linoleic acid (good for heart) - like mustard oil, soybean oil and rice bran oil.
- All these oils can be used on a rotation basis each month.
- Avoid bakery products like biscuits, cakes, sweets and fried snacks like chips, french fries, burger, samosas, pakoras, pizza.
- Amount of protein should be such that it provides 15-20% of total calories (approximately 1gm/kg body weight).
- Two types of proteins are available
Class 2 or incomplete- These generally lack one or the other essential amino acids. Examples- legumes, pulses and cereals. These can be used in different combinations to cover up for the deficient amino acids.
Micronutients- A balanced diet with adequate amount of fruits and vegetables should supply all the required micronutrients. Diabetics do not usually need extra supplementation.
- Eat fibre rich food (all parts of plant foods that body cant digest and absorb) like vegetables, fruits, beans, peas, whole wheat flour, wheat bran.
Don’t starve yourself. Eat something every 3-4 hours.
- If at times you feel like eating sugar, take small quantity and avoid any carbohydrate for that day e.g. rice, potato etc that you would normally have taken.
You can also adjust the dose of insulin accordingly.
Don’t forget to check your blood sugar after eating sweets.
- Avoid Alcohol
Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among children. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, taking healthy diet and increased physical activity.
Type 2 diabetes is a condition wherein the insulin is produced normally, but the body is not able to use it properly due to insulin resistance. It is the most common form of diabetes. In the earlier stages, patients have high insulin levels and they can be treated with oral glucose-lowering medicines. With time, pancreatic cells get damaged and insulin may be required to control the blood sugar. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.
Gestational diabetes is diabetes that develops in some women during pregnancy. It usually occurs around 24th week. The hormones produced during pregnancy can block insulin to be used by the body. These women have normal blood sugar before pregnancy and most of them have normal sugar after delivery also. But they require treatment of diabetes during pregnancy and many of them may become diabetic later in life. If untreated, it can have adverse effects on pregnancy and the baby.
Risk factors for type 2 diabetes
Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
Inactivity: Immobility increases the risk of diabetes in a person. It causes insulin resistance, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes. So, engaging in moderate intensity physical activity for at least 30-45 minutes daily is very helpful.
Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is more likely that his immediate family or extended family has a history of diabetes.
Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts.
Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group.