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Om Diabetes Research Centres& Clinics  (Mulund), Mumbai

Om Diabetes Research Centres& Clinics (Mulund)

  4.5  (309 ratings)

Endocrinologist Clinic

No-1, Keshav Bhuvan, M.G. Road, Above Suvernaplaza Jewellers Showroom, Mulund West Mumbai
1 Doctor · ₹1500 · 7 Reviews
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Om Diabetes Research Centres& Clinics (Mulund)   4.5  (309 ratings) Endocrinologist Clinic No-1, Keshav Bhuvan, M.G. Road, Above Suvernaplaza Jewellers Showroom, Mulund West Mumbai
1 Doctor · ₹1500 · 7 Reviews
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Has Popularized concept of PREVENTIVE DIABETOLOGY through various seminars, workshop for Pharma companies, Doctors and all persons with diabetes in India. ......more
Has Popularized concept of PREVENTIVE DIABETOLOGY through various seminars, workshop for Pharma companies, Doctors and all persons with diabetes in India. On the basis of Evidence Based Medicine and Research has strongly emphasized on primary prevention, secondary prevention and tertiary prevention with life style modification and supporting treatment to maintain quality of life in all persons with diabetes Is Life member of prestigious International Diabetes Federation. Has participated in more than 30 international and national conferences organized by American Diabetes Association ( ADA ), International Diabetes federation ( IDF ), European Association for study of Diabetes ( EASD ), Research Society for Study of Diabetes in India ( RSSDI ) , National congress on Diabetes ( Raheja Hospital ) on regular basis. Has written articles, and abstracts on Diabetes in various national and International publications. Has an active interest and involvement in Epidemiological Studies and Research in all persons with Diabetes in INDIA.
More about Om Diabetes Research Centres& Clinics (Mulund)
Om Diabetes Research Centres& Clinics (Mulund) is known for housing experienced Endocrinologists. Dr. Jagruti Parikh, a well-reputed Endocrinologist, practices in Mumbai. Visit this medical health centre for Endocrinologists recommended by 93 patients.

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MON, WED, FRI
12:00 PM - 08:00 PM

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No-1, Keshav Bhuvan, M.G. Road, Above Suvernaplaza Jewellers Showroom, Mulund West
Mulund Mumbai, Maharashtra - 400080
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Hello,<br/><br/>I am Dr. Jagruti Parikh practicing Endocrinologist, concentrating on diabetes and...

Hello,

I am Dr. Jagruti Parikh practicing Endocrinologist, concentrating on diabetes and thyroid in Mulund and Thane at Om Diabetes Research Centres.

Today I am going to talk on diabetes in childhood, there are two types of childhood diabetes in childhood one is Type 1 and one is Type 2. Previously we thought Type 1 is the only or the most commonest variety of diabetes in childhood well the presentation is normally excessive hunger, excessive thirst, excessive urination children going to washroom very frequently in the school that is the commonest complaint. Bedwetting ends around child sleeping area or ends around child playing area, falling frequently sick or requiring medical attention very frequently are the commonest presentation of Type 1 Diabetes in children. The other variety that is what we see now very often in last 10 to 15 years is the Type 2 variety which was not seen 15 years back. Why sudden change, the changes because of change in Lifestyle in last 10 to 15 years and as a change in Lifestyle that means there is a change in eating habits children are eating more junk food, a fast food they need to make they need to serve food with a lot of preservatives and food with a lot of processing. In addition to that there is lack of daily routine exercise, increase in sitting timing or increase in the tuition timings, lack of external sports activity, more concentration on TV, television, computer games, mobile games all that reducing the regular activities or exercise in day to day life of children resulting into the insulin resistance, obesity and resulting into Type 2 diabetes or term which we face diabesity. Many times in Type 2 diabetes presentation is not similar to Type 1 diabetes that means very often, it is very very difficult for parents or doctors to suspect that because most of the time the investigations are done are CBC, urine routine or subjective relation testing. However, if blood sugar fasting post lunch is also including in the children who are having a frequent sickness, frequent illness or acquiring medical attention very regularly then possibilities said that this Type 2 diabetes can be detected earlier in absence of classical symptoms of diabetes. How to differentiate whether a child is having Type 1 Diabetes or Type 2, there are some special investigations done which can rule out whether the child is having Type 1 Diabetes or type 2. This investigation is C peptide, serum insulin testing, anti-insulin antibody test and Islet Cell antibody test, these are the test which is very common in Type 1 Diabetes and sometimes you can extract history of childhood measles, mumps rubella or somewhere infection in early childhood. So if a child is a sonography or CT scan of the abdomen is normal and one of this parameter that is C- Peptide or serum insulin levels are abnormal then the possibility of Type 1 Diabetes is there and it can be confirmed by doing additional testing. But if a sonography or a CT scan of the abdomen is normal and blood sugar fasting, PP are abnormal and C peptide levels are normal then in that situation we usually label that child to having Type 2 Diabetes and this Type 2 Diabetes can be treated with Lifestyle modification and if required oral antidiabetic drugs and sometimes even insulin can be given for a short period. However, if a diagnosis is Type 1 Diabetes then probably these children are required insulin lifelong at least as on today. So today I have discussed the presentation of Type 1 Diabetes and type 2 diabetes in early childhood, how to investigate and diagnose and what are the different modalities of treatment.

If you wish to know further you can log on to Lybrate.com or you can contact me through lybrate.com.

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Doctor in Om Diabetes Research Centres& Clinics (Mulund)

Dr. Jagruti Parikh

M.D. Internal Medicine
Endocrinologist
89%  (309 ratings)
28 Years experience
1500 at clinic
₹500 online
Unavailable today
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Maintanence of Glucose Level

M.D. Internal Medicine
Endocrinologist, Mumbai

Fasting plasma Glucose is defined as no caloric intake for at least 8 hrs.
Normal Values < 100mg/dl
Impaired Fasting Glucose is defined as plasma Glucose between 100 to 126 mg/dl
In Diabetes fasting plasma glucose is > 126mg/dl 
Post Prandial (post lunch) plasma glucose is 2hrs after beginning of meal .Normal Values <140 mg/dl
Impaired glucose tolerance is defined when plasma glucose values are between 140 to 200mg/dl.

At present post prandial blood sugar values  after 1 hr and 1and ½  hrs also are being evaluated for change in treatment .For diagnosis of Diabetes post-meal or post 75gm glucose challenge values >200mg/dl.

Fasting and post Prandial plasma glucose on the different days are also accepted for diagnosis and treatment of diabetes .

1 person found this helpful

Diet In Diabetes

M.D. Internal Medicine
Endocrinologist, Mumbai

Diet in Diabetes has undergone lots of changes in concepts in last one decade, from calories restricted diet to nutritionally rich diet. The traditional Lacto-vegetarian diet with changing outlook towards consumption of fat, fibre, & fruits can not only help in primary prevention of diabetes but also in reduction of micro & macro-vascular complications and hence morbidity & mortality.

I am 48 years old, with diabetes, but sugar Is under control, taking medicine, my problem is two middle fingers of both the hand joints getting pain since last 2 months and right hand thumb is having naminess since last 2 years. Kindly advise.

M.D. Internal Medicine
Endocrinologist, Mumbai
I am 48 years old, with diabetes, but sugar Is under control, taking medicine, my problem is two middle fingers of bo...
You could be having diabetic neuropathy or nutritional neuropathy. You can take simple painkiller like metacin for few days and mean while plan for investigations like cbc-ESR/ Vit B12/ Vit D, S ca/HBa1c etc .EMG /NC also may help in diagnosing and differentiating the cause.
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Hypothyroidism - Know Everything About It!

M.D. Internal Medicine
Endocrinologist, Mumbai
Hypothyroidism - Know Everything About It!

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition. 

What is thyroid gland? 

The thyroid gland is a small butterfly-shaped gland located just below Adam’s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs. 

What are the hormones produced by the thyroid gland and what do they do?

The thyroid hormones are of two types – T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body’s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below: 

  • Heartbeat 
  • Body temperature 
  • Breathing 
  • Body weight 
  • Metabolism of fat 
  • Menstrual cycles in females 
  • Functioning of Nervous system 
  • Digestion Burning calories etc. 

What is Hypothyroidism? 
Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates. 

What are the causes of Hypothyroidism? 
Hypothyroidism can be caused by a number of factors: 

  1. Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it. 
  2. Iodine deficiency in diet: For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine. 
  3. Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.) 
  4. Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation. 
  5. Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism. 
  6. Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha. 
  7. Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis. 
  8. Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone). The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone. 
  9. Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly affect the production and secretion of Thyroid hormones. These are very rare disorders. 
  10. Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel. 

What are the different types of hypothyroidism? 

One classification is based on whether the defect is with the thyroid gland or not: 

  1. Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones. 
  2. Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in an abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones. 

Another classification is based on the symptoms and levels of the thyroid hormones and TSH: 

  1. Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high 
  2. Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing. 

Who are at risk of developing Hypothyroidism? 

  1. Women have a higher risk of suffering from hypothyroidism than men. 
  2. Older people are at increased risk. 
  3. People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc. 
  4. People with psychiatric conditions such as bipolar disorder 
  5. People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism. 

What are the symptoms of hypothyroidism? 
Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are: 

  1. Depression 
  2. Constipation 
  3. Hair loss 
  4. Dry hair 
  5. Dryness of the skin 
  6. Tiredness Body pains 
  7. Fluid retention in the body 
  8. Irregular menstrual cycle 
  9. Increased sensitivity to cold 
  10. Reduced heart rate 
  11. Increase in size of the thyroid gland – called Goitre
  12. This is due to constant stimulation of the thyroid gland by TSH.
  13. Weight gain 
  14. Carpal tunnel syndrome 
  15. Hoarse voice 
  16. Infertility
  17. Loss of libido/sex drive 
  18. Confusion or memory problems especially in the elderly 

What are the symptoms to look for in a baby if you suspect hypothyroidism? 
Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice

How to diagnose hypothyroidism? 

  1. Blood tests: Regular blood test can easily help you diagnose the problem.
  2. TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism. 
  3. T4: A low level of thyroxine indicates hypothyroidism. 
  4. T3: these levels are generally not needed to diagnose hypothyroidism Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis. 
  5. Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc. 
  6. Ultrasound of the neck is done if the patient presents with a thyroid swelling

What is the treatment of hypothyroidism? 
Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective. Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high. 

What are the side-effects of thyroxine medication? 
There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains. 

Side-effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations increased heart beat), weight loss, profuse sweating, anxiety, irritability etc. There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc. 

What are the complications of hypothyroidism? 
If untreated hypothyroidism can lead to: 

  1. heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention 
  2. obesity 
  3. infertility 
  4. joint pains 
  5. depression 
  6. A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc. 
  7. Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
3 people found this helpful

Debunking Stroke Myths - Know The Facts!

M.D. Internal Medicine
Endocrinologist, Mumbai
Debunking Stroke Myths - Know The Facts!

Strokes occur when blood to the brain gets interrupted or reduced. When this occurs, brain cells begin to die as they don't get enough nutrients and oxygen. Such life-threatening episodes can strike you anytime.

Many myths surround this medical condition:

Myth 1: Women don't suffer from strokes

The opposite is true. It is women who suffer strokes more often than men. This is because women tend to live longer than men whose longevity gets affected by heart disease. Since they live longer than men, they tend to be more vulnerable to strokes.

Myth 2: Strokes aren't easy to recognise

Strokes can be easily diagnosed through the face, arm, Speech and Time test (FAST). If you suffer from slurred speech, facial droop or numbness on one side of the body, you're said to suffer from a stroke.

Myth 3: Strokes are a form of heart attack

Although strokes and heart attacks are closely related, they are not the same. In strokes, blood supply to the brain gets interrupted; on the other hand, in heart attacks, blood supply to the heart gets severely affected.

Myth 4: Only older people suffer from strokes

This isn't true young people can experience strokes as well. About a quarter of stroke cases are reported by people aged 65 and below. More importantly, irrespective of the age group, the warning signs are the same; it is only in response that differences can be found between younger and older people.

Myth 5: Strokes can't be prevented

Through changes in your lifestyle, strokes can easily be prevented. You can reduce your chances of getting a stroke by having a balanced diet, exercising, keeping an optimum body weight and limiting alcohol consumption as well as quitting smoking. Moreover, up to 80% stroke cases can be prevented by leading a healthy lifestyle.

4 people found this helpful

Why Insulin Is Important?

M.D. Internal Medicine
Endocrinologist, Mumbai
Why Insulin Is Important?

Insulin is a hormone that is important for metabolism and utilization of energy from the ingested nutrients like carbohydrate, fat and protein. Insulin is synthesized in significant quantities only in beta cells in the pancreas. It is secreted primarily in response to elevated blood concentrations of glucose. Insulin thus can regulate blood glucose and the body senses and responds to rise in blood glucose by secreting insulin. 

Other stimuli like sight and taste of food, nerve stimulation and increased blood concentrations of other fuel molecules, including amino acids and fatty acids, also promote insulin secretion. Insulin has several broad actions including: 

  1. It causes the cells in the liver, muscle, and fat tissue to take up glucose from blood and convert it to glycogen that can be stored in the liver and muscles 
  2. Insulin also prevents the utilization of fat as an energy source. In absence of insulin or in conditions where insulin is low glucose is not taken up by body cells, and the body begins to use fat as an energy source 
  3. Insulin also controls other body systems and regulates the amino acid uptake by body cells 
  4. It has several other anabolic effects throughout the body as well Since insulin controls the central metabolic processes, failure of insulin production leads to a condition called diabetes mellitus. 

There are two major types of diabetes – type 1 and type 2. 

Type 1 diabetes, occurs when there is no or very low production of insulin from the pancreatic beta cells. Patients with Type 1 diabetes mellitus depend on external insulin (most commonly injected subcutaneously) for their survival. 

In type 2 diabetes, mellitus the demands of insulin are not met by the amount produced by the pancreatic beta cells. This is termed insulin resistance or ''relative'' insulin deficiency. These patients may be treated with drugs to reduce their blood sugar or may eventually require externally supplied insulin if other medications fail to control blood glucose levels adequately.

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

3243 people found this helpful

The Heart To Deliver Oxygen To Working Muscles

M.D. Internal Medicine
Endocrinologist, Mumbai
The Heart To Deliver Oxygen To Working Muscles

The heart to deliver oxygen to working muscles.

  • Aerobic exercise stimulates the heart rate and breathing rate to increase in a way that can be sustained for the exercise session. In contrast, anaerobic ("without oxygen") exercise is activity that causes you to be quickly out of breath, like sprinting or lifting a heavy weight.
  • Aerobic exercises include cardio machines, spinning, runningswimmingwalking, hiking, dancing, cross country skiing, and kickboxing. There are many other types.
  • Aerobic exercises can become anaerobic exercises if performed at a level of intensity that is too high.
  • Aerobic exercise not only improves fitness; it also has known benefits for both physical and emotional health.
  • Aerobic exercise can help prevent or reduce the chance of developing some cancersdiabetesdepressioncardiovascular disease, and osteoporosis.

 

4 people found this helpful

M.D. Internal Medicine
Endocrinologist, Mumbai

Pioneer in Preventive Diabetology in India more than 26 years experience exclusively in Preventive Diabetology.

 

Has experience of treating more than 10,850 persons with diabetes and their two generations. Complications rate significantly less than world’s best Diabetes Centres.

 

Internationally and Nationally acclaimed Research and Abstract thinking with path breaking approach towards Management of DM.

 

Founder of Diabetes Welfare Trust DOSTI organized more than 70 lectures workshops with help of experts in various fields for creating awareness regarding positive Health approach. Attended by more than 8000 persons with Diabetes and their Relatives.

 

FACILITIES AVAILABLE AT HER OM DIABETES RESEARCH CENTRES

  1. Complete Thorough checkup and workup of Diabetic Patients- Computerized up to date recording of patients for data based analysis.

 Education for

              a)Primary Prevention of DM in Families of Diabetics.

         b)Secondary Prevention of DM related complications in Eyes, Kidneys,

           Brain, Heart, Legs Joints, skin.

   c)Tertiary Prevention reducing Morbidity and Mortality of DM and         associated Diseases.

  1. US – FDA approved Colin Vascular Profiler for arterial stiffness Atherosclerosis scanning in DM Obesity, HT, Smokers, Lipid Abnormalities.
  2. Specialized foot analysis systems like Vascular Doppler and Biothesiometry for prevention and early detection of Diabetic Foot.
  3. Counseling of Patients and Relatives regarding
  1. Social Life, Marriage, Pregnancy
  2. Nutrition, Exercise, Weight Reduction
  3. Occupation Related Problems Like Job Adjustments and Disability Overcome Training
  1. Epidemiological Studies and Retrospective and Prospective Research on Various Aspects of Diabetes.

Pioneer in Preventive Diabetology in India more than 26 years experience exclusively in Preventive Diabetology.

 

Has experience of treating more than 10,850 persons with diabetes and their two generations. Complications rate significantly less than world’s best Diabetes Centres.

 

Internationally and Nationally acclaimed Research and Abstract thinking with path breaking approach towards Management of DM.

 

Founder of Diabetes Welfare Trust DOSTI organized more than 70 lectures workshops with help of experts in various fields for creating awareness regarding positive Health approach. Attended by more than 8000 persons with Diabetes and their Relatives.

 

FACILITIES AVAILABLE AT HER OM DIABETES RESEARCH CENTRES

  1. Complete Thorough checkup and workup of Diabetic Patients- Computerized up to date recording of patients for data based analysis.

 Education for

              a)Primary Prevention of DM in Families of Diabetics.

         b)Secondary Prevention of DM related complications in Eyes, Kidneys,

           Brain, Heart, Legs Joints, skin.

   c)Tertiary Prevention reducing Morbidity and Mortality of DM and         associated Diseases.

  1. US – FDA approved Colin Vascular Profiler for arterial stiffness Atherosclerosis scanning in DM Obesity, HT, Smokers, Lipid Abnormalities.
  2. Specialized foot analysis systems like Vascular Doppler and Biothesiometry for prevention and early detection of Diabetic Foot.
  3. Counseling of Patients and Relatives regarding
  1. Social Life, Marriage, Pregnancy
  2. Nutrition, Exercise, Weight Reduction
  3. Occupation Related Problems Like Job Adjustments and Disability Overcome Training
  1. Epidemiological Studies and Retrospective and Prospective Research on Various Aspects of Diabetes.

 

Kindly name fruits that contain FRUCTOSE and not glucose so Type II diabetes walas can take only those with Fructose and little or no glucose.

M.D. Internal Medicine
Endocrinologist, Mumbai
Kindly name fruits that contain FRUCTOSE and not glucose so Type II diabetes walas can take only those with Fructose ...
All persons with Type I and Type-2 Diabetes can eat almost all fruits .It is the portion size of the fruits and timings of the fruits decides the glycemic out come. Usually obese diabetic patients are advised to restrict high calories fruits. Fruits when eaten alone 2 hrs before or after meals usually not not affect blood sugars.
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What You Should Eat To Improve Thyroid Health?

M.D. Internal Medicine
Endocrinologist, Mumbai
What You Should Eat To Improve Thyroid Health?

The thyroid gland in your body is responsible for controlling and secreting those hormones that help in your natural growth and development. These hormones are crucial in regulating some of the most important functions of your body such as your heart rate, breathing, your body weight, your menstrual cycle and your muscle power to name a few. 

Problems of the thyroid gland (such as hypothyroidism or hyperthyroidism) can hamper all of these vital functions, and these problems usually arise due to a poor diet. However, your diet can also help in improving the health of your thyroid gland. Here are some diet tips to help you out:

1. Include lots of iodine in your diet

Iodine is that nutritive element without which your thyroid gland will not be able to function at all, being its building block. Therefore iodine rich foods such as fortified salt, eggs, seaweed and other dairy products should be a part of your diet. Along with iodine, zinc, selenium, copper and iron are other very important elements that should be a part of your diet too. 

2. Plenty of B vitamins and antioxidants help

Since stress (blame it on cortisol- the stress hormone that overworks your thyroid in case of chronic stress) plays a major role in hampering the proper functioning of your thyroid gland, eliminating it and detoxifying yourself becomes extremely important. This can be done through including plenty of B vitamins and antioxidants in your diet. White meat, fishes like tuna, peanuts, brown rice and fruits such as goji berries and wild blueberries can be of great help in this regard.

3.  Say no to soy

Soy is one of the main culprits behind the malfunctioning of your thyroid gland as it contains an element known as isoflavones, which can reduce the iodine reserve in the gland. Apart from that, vegetables that belong to the brassica family such as cauliflower, cabbage and Brussels sprouts are linked to causing goitre and must be avoided. Consumption of gluten must be avoided too as it can cause autoimmune thyroid disorders, celiac disease and hormonal imbalances.

4. Enjoy your daily meals

In today's fast paced world a stress-free meal is a thing of the past as most people are in a rush to get done with their breakfast, lunch or dinner. This hampers your digestive function and also puts stress on your thyroid glands. The best way to eat is to sit on a table and relax, enjoying every morsel you swallow. This ensures your thyroid remains healthy.

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

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