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Thyroid Disorder Treatment
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Adult Diabetes Treatment
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Excellent. Sweet doctor who gave me wonderful diabetea control.
Dear Dr.Tanvi, You have done a remarkable service by putting all these facts for People in general/patits too to read.I simply liked your Humane gesture of helpig,guiding people..Reall at a loss of words,but,Thanks a millione Ton!! Jalal Rizvi.
Highly satisfying... She looks into all aspects before prescribing any medicine..doesn't give over dosage for the sake of Quick results. I am happy with her overall approach to my medical issue.
very good. had visited her for my wife's uncontrolled thyroid. excellent treatment and explanation given by doctor. strongly recommended.
She is very good at her work. She controlled my blood sugar from 300 to 400 to amazing 100 to 150 in one week time. Strongly recommended
I have visited the doctor for my thyroid fluctuations. She guided me in detail and gave me comfort and ease to tackle it.
Consulted Dr Tanvi chopda regarding my friend's diabetic problems......she is excellent
I went to her for my brothers diabetes. Bought under good control with complete guidance
I went to consult her for my blood sugar levels. Came under excellent control.
She is very professional. Very gentle in explaining the issue to patients.
Very helpful and pleasant experience. Very good control of diabetes
Very good. Highly recommended doctor.
She is a magician
she is very good
An iron deficiency can mean that you aren’t able to produce enough oxygen-carrying red blood cells — therefore your body struggles to transport oxygen to your brain, tissues, muscles and cells, leaving you feeling exhausted and weak.
2. Muscle function
Iron is needed for muscle movement because it helps store the oxygen in muscles that allows them to move and strengthen. About 70 percent of your body’s iron can found in the red blood cells of your blood called hemoglobin along with muscle cells called myoglobin. It accepts, stores, transports and releases oxygen.
3. Brain function
The brain is very dependent on oxygen for proper function. If iron is not present, the brain does not receive the oxygen it needs, resulting in poor memory, decreased productivity and apathy. Children with iron deficiency tend to become irritable, restless and are unable to pay attention in class. These symptoms typically disappear once iron levels are restored.
Pregnant women should consume more iron-rich foods than anyone else since not only do they require iron, but they also need to meet the needs of the fetus and placenta. Pregnant women’s iron needs are around 27 milligrams daily, and this is often covered in a prenatal multivitamin.
According to the world health organization, iron deficiency during a pregnancy can increase the risk of maternal and infant mortality, premature birth, and low birthweight.
5. Restless leg syndrome
Restless leg syndrome is a condition characterized by uncomfortable feelings in your legs, giving you a strong urge to move them in order to find relief. Low iron levels are known to play a role in the occurrence of restless leg syndrome.
For last few days I observe that my left forearm gets senseless often, sometimes with mild pain also. Lam 66 and DM2 on medication with last Hb1Ac reading as 7.4.Is it due to diabetes or early warning for heart problem?
I am 70 years old normal health with out any complications like BP, Diabetes etc. .Recently, I am feeling uneasiness, exertion after walking for 5-10 minutes & small chest pain on the left side, which is disappearing after the walk. Please tell me what precautions I have to take & why the exertion after few minutes walk? Thanks in advance!
Ramadan fasting myths that you should avoid!
The spirit of ramadan has taken over the city and along with the surge of spirituality, the air filled with the sweet aroma of ramadan special foods. Even as the harsh summer has come to an end with breezy evenings, people are lining up to enjoy the treats of ramadan food. However, for those diabetics who are fasting, there is still a bit of apprehension.
Though many diabetics are aware of their condition, most of them approach ramadan fasting without a proper ramadan meal plan. The fear of hypoglycemia haunts them, but their fervor to fast in this holy month has renewed.
Be it due to lack of awareness or misinformation, fasting in diabetes can cause serious complications. Many people tend to have some dangerous preconceived notions regarding their disease condition and often have to stop midway to end their fasting.
I found that people have these three common myths on fasting in the month of ramadan.
1. Can a type2 diabetes fast?
This is another question that constantly crops up. It all depends upon the blood glucose control a patient has along with other factors including the prevalence of complications including retinopathy, nephropathy, and neuropathy. However, patients who have been admitted to the hospital for hypoglycemia in the past six months should not fast.
Here are three major ramadan fasting myths busted!
• Fasting in diabetes can be a real challenge. Ramadan fasting can be a daunting task for diabetics if they do not make proper preparations before starting off. It is very important to have a preliminary evaluation by a qualified diabetologist.
• Also, blood sugar levels have to be monitored regularly during this month.
Myth 1: It is okay for diabetics to skip taking their insulin injections during the ramadan month.
Fact: It is dangerous to stop taking your insulin injections as it can lead to serious complications. One should consult a doctor to create an altered plan along with dosages, and timings of the injections. It can be worthwhile to consult a dietician for a ramadan diet plan.
Myth 2: Diabetics need not wake up for suhoor.
Fact: Instead of having all the meals at midnight, it is better for the diabetic to have a meal with low glycemic index early in the morning before sunrise. This is very important as diabetics have to go without meals for long hours and this increases the risk of hypoglycemia.
Myth 3: There is no need to change the current diabetic medications during the ramadan fasting month.
Fact: This can go seriously wrong for some diabetics. It is advised that one should have an assessment before the ramadan month and then start fasting. The timings and dosages of medications might be altered with respect to the blood glucose control of the patient as the meal timings change and there is both fasting and feasting.
It is very important for you to maintain a good blood glucose control in order to successfully complete the fasting during this month.
People who have diabetes know the disease can harm the eyes, nerves, kidneys, heart and other important systems in the body. Did you know diabetes can also cause problems in your mouth?
People with diabetes are at special risk for periodontal (gum) disease, an infection of the gum and bone that hold the teeth in place. Periodontal disease can lead to painful chewing difficulties and even tooth loss. Dry mouth, often a symptom of undetected diabetes, can cause soreness, ulcers, infections, and tooth decay. Smoking makes these problems worse.
Q. What can I do?
1. Good blood glucose control - people with poor blood glucose control get gum disease more often and more severely than people whose diabetes is well controlled.
2. Daily brushing and flossing
3. Regular dental checkup
Q. What happens if I have plaque?
Plaque that is not removed hardens over time into tartar and collects above your gum line. Tartar makes it more difficult to brush and clean between your teeth. Your gums become red and swollen, and bleed easily—signs of unhealthy or inflamed gums, called gingivitis.
When gingivitis is not treated, it can advance to gum disease called periodontitis. In periodontitis, the gums pull away from the teeth and form spaces, called pockets, which slowly become infected. This infection can last a long time. Your body fights the bacteria as the plaque spreads and grows below the gum line. Both the bacteria and your body’s response to this infection start to break down the bone and the tissue that hold the teeth in place. If periodontitis is not treated, the gums, bones, and tissue that support the teeth are destroyed. Teeth may become loose and might need to be removed.
Q. How will I know if I have mouth problems from diabetes?
Meet your dentist.
Some of the first signs of gum disease are swollen, tender, or bleeding
You may need to postpone any nonemergency dental work if your blood glucose is not under control.
Q. How does smoking affect my mouth?
Smoking raises your chances of getting gum disease, oral and throat cancers, and oral fungal infections. Smoking also discolors your teeth and makes your breath smell bad.
Q. How can I keep my mouth healthy?
Follow these steps:
1. Keep your blood glucose numbers as close to your target as possible.
2. Eat healthy meals and follow the meal plan that you and your doctor or dietitian have worked out.
3. Brush your teeth at least twice a day with fluoride toothpaste. Fluoride protects against tooth decay. Aim for brushing first thing in the morning, before going to bed, and after each meal and sugary or starchy snack.
4. Use a soft toothbrush. Gently brush your teeth with the toothbrush angled towards the gum line. Use small, circular motions. Brush the front, back, and top of each tooth. Brush your tongue, too.
5. Change your toothbrush every 3 months or sooner if the toothbrush looks worn or the bristles spread out. A new toothbrush removes more plaque.
6. Use fluoride mouth rinse to prevent tooth decay.
7. Use dental floss to clean between your teeth at least once a day. Flossing helps prevent plaque from building up on your teeth.
8. Use a dental pick or brush—thin tools designed to clean between the teeth.
9. See your dentist twice a year for a cleaning and checkup.
Your dentist may suggest more visits if you need them.Follow your dentist’s advice. If your dentist tells you about a problem, take care of it.
Located behind the stomach, this relatively small organ, has a big job to do.
looks like a tadpole, weighs about the same as a small apple and is about 15cm long... you guessed it, your pancreas!
Located behind the stomach, this relatively small organ, has a big job to do.
If you have diabetes, you may be aware that it has an important role in the development of this condition.
Let's take a closer look at its main functions to make sense of it all...
1...The pancreas on average weighs 100 g.
2...The pancreas makes up to 2 litres of fluids each day that contain enzymes which break down nutrients in food (such as proteins and fats), and hormones such as insulin.
3... The islets of Langerhans are tiny clusters of several different cells in the pancreas.
4... Each "islet" contains 3,000 to 4,000 cells.
5... There are approximately one million islets of Langerhans
6... They make up only 1% to 2% of the entire organ.
7...Within each islet there are beta cell , alpha-cells and delta-cells .
8...Each islet is only about 0.2 mm wide!
9...Type 1 diabetes occurs when the beta cells no longer make enough insulin because they have been attacked by the body's immune system.
10...Type 2 diabetes occurs when the body becomes resistant to insulin usually due to a combination of genetic and lifestyle factors. The pancreas loses the ability to appropriately produce and release insulin over time.
Let's know all 3 cells in detail now.
1. Beta cells
They store and release the hormone insulin whenever there is a rise in blood glucose levels from food or another hormone response (from exercise, stress, excitement, illness etc.).
Insulin will bring blood glucose levels down by helping to transport glucose from the blood into the cells in muscles and tissues to be used as energy. Beta cells can usually respond quickly to spikes in blood glucose levels at any time of the day by releasing some stored insulin while making more at the same time!
2. Alpha cells
The alpha cells release the hormone glucagon when blood glucose levels drop below the usual range (e.g. between meals and during exercise).
This hormone allows stored glucose (called glycogen) in the liver to be broken back down into glucose, which is then released into the blood stream. When alpha cells are doing their job, the beta cells switch off.
3. Delta cell
The delta cells produce the hormone somatostin, which is responsible for blocking the action of other hormones such as insulin and glucagon.
Your body always needs a certain amount of glucose in the blood stream – not too much or too little.
Normally the alpha and beta cells in the islets of Langerhans talk frequently through out the day to keep blood glucose levels between the ranges of 80 to 140 mg/dl at all times.
Unfortunately when diabetes occurs, this nice balancing act is disrupted, leading to high blood glucose levels.
My father is suffering from Diabetes and he is taking herbal medicines from long time so I want to ask this medicines are good for health?
My father is suffering from diabetes the scale without having food is 350 what steps must be taken for reduce it and is there any specialist for it and what we call it like physician.
Avocados may be fatty, but that doesn't mean they are bad for your health.
In fact, this fruit is a nutritional powerhouse providing numerous potential health benefits. Its creamy texture and rich taste make it a common ingredient in many dishes. It is most well known for being a key ingredient in the Mexican dip 'guacamole'. Because of its high fat content, avocado is also used as a meat substitute in sandwiches and salads. But what makes this fruit so good for you? it is an excellent source of potassium, containing more per weight than bananas. In addition, avocados are rich in vitamin k, vitamin b, vitamin c and vitamin e. They are rich in phytochemicals, which have been reported to help prevent the development of certain cancers. Fats account for around three-quarters of the calorie count of an avocado. Most of it are monounsaturated fat, in the form of oleic acid. Monounsaturated fat is considered to be a 'good fat' which reduces levels of bad cholesterol in your blood and lowers the risk of stroke and heart disease. Keeping cholesterol levels in check is vital for diabetics as they have a much higher risk of cardiovascular disease. The high levels of potassium in avocados is another important nutritional factor for diabetics due to its role in maintaining a healthy heart and regulating blood sugar. Having monounsaturated fats in a diabetic diet is also beneficial for reducing high triglyceride levels and thus improves insulin function and blood glucose levels. All in all, avocado is a very healthy food for those living with diabetes and for people who wish to lower their risk of developing the disease.'