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Aayushi Clinic

Diabetologist Clinic

A 306,Mangal Aarambh,next to Mc Donalds,opp kora kendra ground.Borivali West, Mumbai
1 Doctor · ₹900
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Aayushi Clinic Diabetologist Clinic A 306,Mangal Aarambh,next to Mc Donalds,opp kora kendra ground.Borivali West, Mumbai
1 Doctor · ₹900
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Aayushi Clinic
Aayushi Clinic is known for housing experienced Diabetologists. Dr. Alka Gandhi, a well-reputed Diabetologist, practices in Mumbai. Visit this medical health centre for Diabetologists recommended by 69 patients.

Timings

MON-SAT
10:00 AM - 12:00 PM 06:30 PM - 08:30 PM

Location

A 306,Mangal Aarambh,next to Mc Donalds,opp kora kendra ground.Borivali West,
Mumbai, Maharashtra - 400092
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Doctor in Aayushi Clinic

Dr. Alka Gandhi

mbbs
Diabetologist
24 Years experience
900 at clinic
Available today
10:00 AM - 12:00 PM
06:30 PM - 08:30 PM
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Diabetic Foot - Ways To Prevent & Treat It!

DNB GENERAL SURGERY, MBBS, National Board Of Examination
General Surgeon, Mumbai
Diabetic Foot - Ways To Prevent & Treat It!

Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.

  1. Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
  2. Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.

Some of the common foot problems encountered in diabetics are listed below:

  1. Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
  2. Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
  3. Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own.  Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.

Prevention/Treatment:

  1. The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
  2. Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
  3. Regular feet care to check for blisters, ulcers, wounds, etc.
  4. Check toenails for overall health
  5. Preferably wear closed toe shoes
  6. Wear stockings or socks and shoes that fit well
  7. Moisturise the skin well to avoid drying
  8. Avoid exposing feet to extreme weather
  9. Quit smoking
  10. Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise
2 people found this helpful

Nervous System - How Does Diabetes Affect It?

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma In Diabetology (PGDD), Middlesex university London, Stanley Medical college Chennai
Diabetologist, Chennai
Nervous System - How Does Diabetes Affect It?

Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugarfrom 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:
Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways...

Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, and hands.

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.

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.

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...

  • High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals. 
  • 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.
  • Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
  • inherited traits increase susceptibility to nerve disease
  • 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. indigestionnausea, 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.

2 people found this helpful

I have non diabetic hypoglycemia science last 2 years. My blood tests including CBC, LFT,KFT, S.CORTISOL, and INSULIN TESTS are normal. Is there any specific treatment for low blood sugar in homeopath?

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
Hi sir, Hypoglycemia does not require any additional treatment. This will not harm you in any way.
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My husband is 30 years old and 6 months before he diagnosed as diabetic mellitus. Now it ranges to 170 to 220 .whether he want to start medicine or controlled by diet management or exercise?

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
My husband is 30 years old and 6 months before he diagnosed as diabetic mellitus. Now it ranges to 170 to 220 .whethe...
Hi sir, Along with life style measures, some additional treatment is to be given to him. He is over weight, Advised to reduce his weight. Get checked for HbA1c level.
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Fasting Before Blood Cholesterol Test In Diabetes - Why You Shouldn't Do It?

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Fasting Before Blood Cholesterol Test In Diabetes - Why You Shouldn't Do It?

If you are diabetic, you must have been going for empty stomach blood cholesterol tests to know the sugar level in your body. If this is true, you should be worried as a new study claims that this habit causes more harm than good.

Diabetic people have a higher level of bad cholesterol in their bodies, which leads to excessive fat in the arteries. Due to the same reason, doctors suggest the patients to go for regular blood cholesterol tests.

As per the orthodox guidelines, the patients are recommended not to consume anything except water, as it may affect the results. The new study, however, claims that this is not necessary and may be harmful in some cases.

The study conducted by specialists at Michigan State University in East Lansing claims that fasting before a blood cholesterol test may boost the blood sugar level, or hypoglycemia, in the patients who take insulin.

Fasting leads to FEEHD:

The study was conducted on over 500 diabetes patients in Michigan. In the study, the specialists found out that the people with diabetes were more prone to face fasting-evoked en route hypoglycemia (FEEHD) if they fasted before going for blood cholesterol test.

In this condition, the blood sugar levels become very low, which leads to faintness, confusion and dizziness. These problems become so severe that people can experience life-threatening conditions when outside their home.

Updating of guidelines:

The experts at the Michigan State University say that fasting before the blood cholesterol test is a guideline which was set back in the 1970s, and the doctors in Canada and most European countries no longer use it.

It is time for Indian doctors too to amend the guidelines before a blood cholesterol test while suffering from diabetes to ensure good health of their patients.

3 people found this helpful

I am 60 years old. Male.Suffering from diabetes since 2007. Taking following medicine .glucobay m 50, repace 25 mg, clavix 75 mg, ecosprin av 75 mg, I am experiencing erectile dysfunction since 3 months. Kindly prescribe suitable medicine .regards.

BHMS
Homeopath, Noida
I am 60 years old. Male.Suffering from diabetes since 2007. Taking following medicine .glucobay m 50, repace 25 mg, c...
There are exercises a man can carry out to reduce the effects of ED. The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with Kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis. Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of Kegel exercises. One Kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time. You should be able to notice an improvement after 6 weeks. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion. Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ED in men who have circulation issues.
1 person found this helpful
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My father is 75 years old was having diabetes but since last 2 months he is not taking insulin as sugar is under control. He underwent left hip replacement 2.5 months ago. Please suggest exercises.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My father is 75 years old was having diabetes but since last 2 months he is not taking insulin as sugar is under cont...
HHello, Thanks for the query. I am happy to know that blood glucose is under control. It would have been better if actual values were mentioned. In a well controlled diabetes fasting should be 100 mg or closer to it, PP 160 to 180 mg& HbA1c% < 77 considering the age as well as the recent surgery. As regards the exercise for such a patient, it is the surgeon and associated physiotherapist who should be consulted. Thanks.
7 people found this helpful
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Is it safe to use generic substitute with same API for rozavEl 20 mg praxA 75 volgimac gm2 standing has been done diabetic.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Is it safe to use generic substitute with same API for rozavEl 20 mg praxA 75 volgimac gm2 standing has been done dia...
Hello, Thanks for the query. From your query I understad that you want to know whether generic substitutes are good enough or not. Most often generics manufactured by standard companies are as good as the branded medicines. So you may try those. Thanks.
4 people found this helpful
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Hello doctor, I am a diabetic and just want to know. Is it compulsory for a diabetic patient eating rice before getting sugar test done?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello doctor, I am a diabetic and just want to know. Is it compulsory for a diabetic patient eating rice before getti...
Mr. lybrate-user, Thanks for the query. I am not aware any such instruction given. For checking blood glucose usually two methods are used 1) Fasting, this done about 10 hours of taking dinner, 2) PP (post prandial) that is 2 hours after taking food either breakfast or lunch. Then there is Random test which done any time during the day. But first two are better. Thanks.
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I am 50 years old diabetic last 10 years. Looking diabetes neuropathy doctor in bangalore for proper treatment.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am 50 years old diabetic last 10 years. Looking diabetes neuropathy doctor in bangalore for proper treatment.
Mr. lybrate-user, Thanks for the query. The doctor who is treating your diabetes himself will be able to treat that condition effectively. There is no need to seach any other specialist. Because all the necessary tests are carried out in a diabetes clinic to test the extent of involvement. And a suitable treatment is suggested. Thanks.
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