Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Glinate Mf 60Mg/500Mg Tablet Tips

Dr. Sajeev Kumar 91% (38624 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Diabetes Management in Ramadan

During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
Followers will typically eat just after sunset and again before dawn.
In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
Islamic law does not require fasting when it would create a physical danger.
Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
Long-acting sulfonylureas should be avoided.
Once-daily sulfonylureas should be taken at the sunset meal.
For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL ? particularly for patients with type 1 diabetes ? they should also break their fast and take insulin.
Patients should be cautioned against overeating after breaking the fast.
Moderation is the trick. Don't overfill an empty stomach.
Patients should be counseled about avoiding dehydration as much as possible.
Also adjust BP medicines during Ramadan
1 person found this helpful

M.S.Gynaec(ayurved )
Ayurveda, Pune
PCOD (Polycystic Ovarian Disease)is multifactorial disease.
PCOD is endocrinal,reproductive and metabolic disease.
It needs proper investigations and treatment.
Day by day Pcod incidence is increasing.
Change in lifestyle is one of the basic cause for it.
According allopathy treatment is
Weight reduction, Regularate the menses by hormonal pills, metformin tablets for insulin resistance,sometimes laperoscopic drilling for cysts etc. But it seems that sometimes it is not satisfactory and recurrence of symptoms after discontinuation of treatment.
Ayurveda is best option in such cases .
Sometimes integrated treatment (i.e.Ayurved & Allopath) also beneficial in such cases.
1 person found this helpful

Diabetes is a progressive disease

Dr. Sajeev Kumar 91% (38624 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Diabetes is a progressive disease,
An analysis from the united kingdom prospective diabetes study (ukpds) found that 50 percent of patients originally controlled with a single drug required the addition of a second drug after three years; by nine years 75 percent of patients need multiple therapies to achieve the target hemoglobin a1c (hba1c) value, which is the average blood sugar of the last three months.

After a successful initial response to oral therapy, patients fail to maintain target a1c levels (<7 percent) at a rate of 5 to 10 percent per year.

This means that all diabetic patients will start with one drug and will invariably end up with three with or without the addition of insulin within 10 years.

A1c should be done every three months until <7 percent and then at least every 6 months and should be preferred over the fasting sugar levels. It represents the average blood sugar of the last three months and the value should be kept lower than 7%.

Regardless of the initial response to therapy, the natural history of most patients with type 2 diabetes for blood glucose concentrations is to rise gradually with time.

Initial treatment of patients with type 2 diabetes mellitus includes education, with emphasis on lifestyle changes including diet, exercise and weight reduction when appropriate. Monotherapy with metformin is indicated for most patients and insulin may be indicated for initial treatment for some.

In the absence of contraindications, metformin is usually the initial therapy for most patients with type 2 diabetes.
3 people found this helpful

Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Dr. Ruchita Chandra 91% (1855 ratings)
Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma In Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopathy Doctor, Navi Mumbai
Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Introduction:-
Polycystic ovarian syndrome (pcos) is a metabolic, endocrine and reproductive disorder affecting most of the female population. The condition is defined by the presence of small fluid filled cysts present in one or both of the ovaries. These cysts interfere with the normal functioning of the ovaries.
Its clinical characteristics include hyperandrogenism, chronic anovulation, insulin resistance and infertility, obesity, type 2 diabetes and cardiovascular disease. Depression and anxiety are common in women with pcos as compared with healthy women. Depression in pcos is often associated with obesity and metabolic abnormalities and did not show any significant change in pcos after treatment with oral contraceptive pills.
In conventional medical system-- metformin, oral contraceptives, anti-androgens, clomiphene citrate and thiazolidinediones are used for the management of pcos. Metformin is commonly used either alone or in combination with other medicines for the treatment of most of the clinical manifestations of pcos. However, metformin reduced hyperinsulinaemia and hyperandrogenaemia, and even shown improvements in menstrual abnormalities and resumption of ovulation, but it causes gastrointestinal intolerance i. E. Nausea, abdominal pain and diarrhoea. It is contraindicated in liver disease and other medicines also have their side effects.

Role of homoeopathy:-
Homoeopathic prescription being holistic might help in these aspects which evaluates emotional aspects along with excess body hair growth, obesity, infertility and menstrual problems. Lifestyle modification is the first line of treatment in which weight loss has done by improving psychological outcomes, reproductive and metabolic features.
Homeopathy helps in dissolving the cysts to eliminate the need for hormone therapy. In homeopathy no two women would be suggested to take the same medication. This is because every woman with pcos has a specific set of problems which need an individualistic approach. Stress management, weight control, corrective lifestyle habits along with the remedy can be of considerable help. Homeopathy can also work as a secondary treatment while one is treated with conventional medications to treat pcod. With homeopathy, when the hormonal imbalances can be kept in check, it can also help to treat infertility in women who are planning a pregnancy.

type diabetes

How To Get Pregnant With PCOS?

Dr. D.D. Verma 88% (30 ratings)
Laproscopy Training, MS, MBBS
Gynaecologist, Ghaziabad
How To Get Pregnant With PCOS?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

  1. Women who are suffering with PCOS do not ovulate normally.
  2. They have irregular periods and thus their monthly cycles are not predictable.
  3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment.

2665 people found this helpful

Does PCOS Lead to Infertility?

Dr. Vinod Kumar 90% (56 ratings)
MBBS,MD,FMAS,DMAS,MMAS,FICRS,DRME(Germany)
Gynaecologist, Bangalore
Does PCOS Lead to Infertility?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

2920 people found this helpful

PCOS (Polycystic Ovary Syndrome) And Getting Pregnant - All You Need To Know!

Dr. Irina Dey 87% (73 ratings)
DNB - Obstetrics & Gynecology, MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Gynaecology & Obstetrics
Gynaecologist, Kolkata
PCOS (Polycystic Ovary Syndrome) And Getting Pregnant - All You Need To Know!

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment.

2597 people found this helpful

Tips To Get Pregnant Despite Suffering From PCOS!

MBBS Bachelor of Medicine and Bachelor of Surgerygmc patiala, MD - Obstetrtics & Gynaecology
Gynaecologist, Mohali
Tips To Get Pregnant Despite Suffering From PCOS!

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility: Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant or why it is difficult for them to maintain pregnancy are:

  1. Women who are suffering with PCOS do not ovulate normally.
  2. They have irregular periods and thus their monthly cycles are not predictable.
  3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS: There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatmentThe good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS:

  • Metformin (Glucophage): It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.
  • Clomid (Clomiphene citrate): Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.
  • Gonadotropins: This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded and can find the symptoms mentioned above, visit your doctor and start the treatment.

2498 people found this helpful

Suffering from PCOS? How to Get Pregnant?

Dr. Pooja Choudhary 91% (370 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Suffering from PCOS? How to Get Pregnant?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.

  1. Metformin (Glucophage): It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.
  2. Clomid (Clomiphene citrate): Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.
  3. Gonadotropins: This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, consult a doctor and start the treatment.

2297 people found this helpful

Will PCOS Hamper Pregnancy?

Dr. Aprajita Singh 91% (73 ratings)
MBBS, MD, Registrar, DNB, MNAMS
Gynaecologist, Delhi
Will PCOS Hamper Pregnancy?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS lead to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2775 people found this helpful