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Dr. Alpana Sowani

Endocrinologist, Mumbai

1250 at clinic
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Dr. Alpana Sowani Endocrinologist, Mumbai
1250 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Alpana Sowani
Dr. Alpana Sowani is one of the best Endocrinologists in Mumbai, Mumbai. She is currently practising at Raheja Hospitals in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Alpana Sowani on Lybrate.com.

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Raheja Hospitals

Raheja Rugnalaya Marg,Mahim. Landmark: Near Police Quarters Colony, MumbaiMumbai Get Directions
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My thyroid profile total is. T3 is 1.48, T3 is 11.50 & TSH is 0.16.as my TSH level is low. Its first time I got my test done. What do you suggest now?

BHMS, PhD Arthritis
Homeopath, Chennai
My thyroid profile total is. T3 is 1.48, T3 is 11.50 & TSH is 0.16.as my TSH level is low. Its first time I got my te...
Hi, Nothing to worry about your results now your results is normal only. But after 6 weeks you can repeat the the thyroid function test. TSH level less than 0.1 may be due to hyperthyroidism and goiter. So do not worry avoid iodized salt. Take more water 4-5 liters per day. Thank you.
2 people found this helpful
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How Diabetes and Depression Correlated?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How Diabetes and Depression Correlated?

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How Diabetes and Depression Correlated?                    
There are myriad ways in which diabetes affects depression and vice versa.

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment: Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping Yourself.

If you suspect you might have depression, take control of your health by:

  • Going to a doctor or other health professional
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Very particular about medicines prescribed for Diabetes
  • Eating healthily and including a wide variety of nutritious foods
  • Achieving and maintaining healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels. If you wish to discuss about any specific problem, you can ask a free question.
2923 people found this helpful

I' m a 45yo insulin dependent diabetic male. Am on lantus (once a day, 18 units) and lispro (humalog) pre-meals. Also, take a blood thinner-statin combo (ecosprin av 75). My question: should I take my insulin shots (lantus, lispro or both) before my exercise or after? what should be the target blood sugar before exercise? I play badminton or squash for 40 min every morning. I ask this because I find my blood sugar high even an hour after exercise. I don' t take insulin before exercise and have a light meal half hour before it. An egg and two toast or an egg and a banana. Let me know. Thanks.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Take your insulin in routine. Homolog before meals n lantus bedtime. What is more important you should check your sugar before n after exercise. If it is persistently high you can increase the dose of lantus by 4. 6 units. That won't increase the risk of hypoglycemia but if add homolog before exercise, chances of hypo will increase.
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For thyroid patient it is difficult to loose weight. Is that correct and she wnt to loose what she has to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
For thyroid patient it is difficult to loose weight. Is that correct and she wnt to loose what she has to do.
Lybrate-user, if hypothyroidism is not well controlled, if tsh levels are not in the normal range, then efforts to control weight do not succeed. So first thing is bring tsh levels down to 3 to 4 milli units, then work on reducing weight. So please check tsh levels and come back. Thanks.
1 person found this helpful
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I am 43 years old I have diabetic and sexual erection diffusion problem what can I do for erection improvement?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 43 years old I have diabetic and sexual erection diffusion problem
what can I do for erection improvement?
White Onions Onions are well known to have aphrodisiac properties and also help in enhancing libidos. ? Peel white onion, crush it and make it a smooth paste. ? Fry this paste in a teaspoon of butter and then add this mixture to a spoonful of honey. ? You need to take this medicine on an empty stomach or you should not eat for at least two hours before taking this medicine. ? With regular use, you will find remarkable changes in your attitude towards sex. Sex is the most precious gift given by nature to human beings. It is the integral part of one?s life. It creates a strong bond between husband and wife, gives pleasure and reduces anxiety, anger, depression and tension. Hence it is necessary to keep the sex power alive to enjoy sex life to the fullest. Moderate exercise can help in increasing sex energy to a great extent. Simple push-ups or 30 minutes of regularly walking or jogging can work wonders in building sex power.Sex and exercise both make a person sweat, increase blood circulation, diminish stress and burn calories. They make one feel better and confident. Exercise helps in making sex more enjoyable and satisfying. The exercises of the legs, backs and chest enhance the release of testosterone in men and women. It also increases the flexibility in one?s body in order to accommodate in different positions.Men need cardio exercises in order to have a sustained erection? Certain foods are loaded with nutrients that boost sex drive and increase one?s staying power. Eating these foods help in increasing bedroom power. They help in increasing the production of sex hormones. Vitamins and minerals keep one sexually healthy. The diet that provides energy to sex contains vitamins, minerals and other nutrients required for a healthy body. Zinc is one of the most important ingredients for the proper functioning of the prostate glands of a man. It helps in prostate infections, prostate cancer and help sperm production. ? Dates ? Eat 5 ? 7 dates everyday for a week to see surprising sexual stamina. ? Aswagandha ? It is a gift for Indians. Consume Aswagandha for instant sexual stamina. You can find the result in few hours. You can find aswagandha in the nearest ayurvedic shop. For further assistance you can concern me privately.
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I have to know yesterday lam in sugar when I will tested for sugar result was positive this is after meal 188mg. Now what I do for control the sugar. Please tell me of some medicine control the symptoms.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have to know yesterday lam in sugar when I will tested for sugar result was positive this is after meal 188mg. Now ...
Mr. Lybrate-user, after food blood sugar level of 188 mg, means" impaired glucose tolerance" (igt), which is called as pre diabetic state. This mean any time soon you may develop diabetes. At this stage usually no drug treatment is recommended. However, I suggest that you should get a complete diabetes profile done. That is get fasting, pp sugar and hba1c% tested. That will give a clearer picture then we will be able to decide whether there is any need for treatment. T2 diabetes even though a hereditary disease, it is also a preventable condition, provided one controls weight (bmi <23 kg/m2), (your bmi is 27.77kg/m2), takes balnced restricted diet, avoids too much sweets, deep fried foods, junk foods, sweetened aerated drinks, fructose corn syrup containing foods and refrains from smoking and alcohol. Therefore, now start exercising daily for 1 hour and try to reduce your weight to about 71 kgs. (bmi 23kg/m2).
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I am 39 year old lady. Thyroid from last 6 to 7 year. Highest tsh in 2008 is 102 but now my tsh 5.2 & ra +20. I have pain lower side stomach like stone but not stone seen in sonography report. Body swelling & scratches on face seen continuously. What can I do give me advice.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
U need t o do acupressure regulary this can only help you to solve all your prob eat less drink more water you can take flaxseed daily.
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If I take thyronorm tablet. How much mg I need per tablet and for how long I have to take this and at what time. Thanx.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If I take thyronorm tablet. How much mg I need per tablet and for how long I have to take this and at what time. Thanx.
Mr Kapil, Thanks for the query. Dosage of levothyroxine depends on persons body weight, TSH & T4 levels. Since there is no mention about TSH and T4 levels, it is difficult to give any opinion. Hypothyroidism is thyroxine hormone deficiency disorder. This hormone is required every day in the body for almost every single metabolic function, hence needs to be supplemented daily for lifetime. Thanks
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I am an diabetic patient and I just wanted to know about insulin pump my aunty says its very expensive it cost almost 2 lakhs is it true?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am an diabetic patient and I just wanted to know about insulin pump my aunty says its very expensive it cost almost...
Mr. Lybrate-user, yes insulin pump is expensive, may cost 1 to1.5 lacs. But these are also available on rental basis.
8 people found this helpful
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Diabetes problem. I am 62 years old. Any ayurvedic medicine which will keep it well under control and normal.

MBBS
General Physician, Mumbai
Diabetes problem. I am 62 years old. Any ayurvedic medicine which will keep it well under control and normal.
We need to control sugar levels with medication exercise and following a diabetic diet and for ayurvedic medication you will have to give us your reading
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My father is a diabetic for last 25 year. As per his test report urea 83.5 creatinine 2.2 uric acid 6.1 total protein 6.3 alkaline phosphate 135 calcium 8.6 phosphorus 4.3 sodium 134. 6 and other ok.

MD - Homeopathy, BHMS
Homeopath, Ahmedabad
My father is a diabetic for last 25 year. As per his test report urea 83.5 creatinine 2.2 uric acid 6.1 total protein...
Dear Rajiv , After going through your reports it seems the diabetes has attacked to kidney.the creatinine level is high, the uric acid is high.rest of reports seems normal. long standing diabetes definitely attacks your whole body slowly but if diabetes is in control you can avoid consequences. I will advise you to see me after doing two blood investigation 1. FBS, PPBS 2. HbA1c You must be familiar with both of these investigation. first one will show us current status of diabetes and second will show past 3 months status.
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Dr. fenugreek n karela juice is. Gd. Fr diabetic patient daily I gave thz thng to my mthr n alomd 5 mrng wth walnut.

PG Dip (Dietetics n Applied nutrition), Msc.in Nutrition n dietetics, Post graduate Certificate (Diabetes Education)
Dietitian/Nutritionist, Jamnagar
Dr. fenugreek n karela juice is. Gd. Fr diabetic patient daily I gave thz thng to my mthr n alomd 5 mrng wth walnut.
Hello! fenugreek seed is good for diabetic. But one need to know one single food can't manage glucose level. Diabetes can be well managed by a good diet chart. Take small meals in every 3-4 hr. Regular interval. Avoid sweet n sugar also honey n jaggery, fried foods, ready to eat foods, preserved foods n simple carb like maida. Take whole grain cereals in limitation, lot of veggies, 150-200gm fruit (not juice. Don't skip breakfast n take a small portion of milk or product or any whole grain cereal before bed time. Do 30 min of exercise a day. Best to visit a dietician with all reports for personalized diet plan.
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I'm diabetic from past five years. I'm taking 10 units insugen-r morning and night. In the night 14 units of lantus. But past one month I'm suffering with feet burning and cramps. I suffered with pancreatic problem from my 9th standard.in my family nobody with diabetic. History. So please help me out.

MBBS
General Physician, Jalgaon
I'm diabetic from past five years. I'm taking 10 units insugen-r morning and night. In the night 14 units of lantus. ...
Please Foot burn is due to diabetic neuropathy Take Cap prelica plus. 15 1 at nt Continue your diabetes treatment at present Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads, vegetable juices and soups more regularly Add Tab dibecon d s by Himalaya 1..1. To your current treatment Check your blood sugar levels, reduce the dose of insulin if needed.
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Diabetes - Five Tips To Prevent It!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Diabetes - Five Tips To Prevent It!

Diabetes refers to a medical condition where the glucose level in your blood increases. It usually happens if there is an excess amount of glucose in your body and your body is unable to utilize it efficiently. In this condition your pancreas either stops producing insulin or fails to produce the requisite amount and hence prevents glucose from entering the cells of your body.

This in turn affects your blood glucose level. Millions of people around the globe are affected by diabetes irrespective of their gender or age. For most people diabetes is generally a lifelong medical condition and can affect your health seriously if it gets severe.

There are many stages and types of diabetes, such as Type 1 diabetes, Type 2 diabetes, Gestational diabetes, Pre-diabetes, Diabetes Mellitus and Diabetes Insipidus. Not all diabetes can be prevented but some of the above mentioned ones can be prevented with proper care. Below mentioned are tips to prevent diabetes:

1. Eating the right portion: The primary key for preventing diabetes is choosing the right amount of food. Eating the right portions can help you to stay away from diabetes. Consider seeking advice from a nutritionist or dietician for knowing the exact portion size you should eat according to your age.

2. Exercise on a regular basis: Exercising regularly for at least half an hour a day can help you to prevent diabetes. You may consider walking or running exercises.

3. Choose the right food: Opt for whole grains as this can help you to maintain your blood sugar level and keep diabetes at bay. Also, try and avoid red meat as it contains high levels of iron which can affect insulin production and increase your chances of developing diabetes.

4. Get rid of obesity: If your BMI is more than thirty then you are suffering from obesity. Obesity increases your chances of developing diabetes. So in order to prevent diabetes you should work at maintaining a balanced weight.

5. Avoid carbonated drinks: Carbonated drinks contain high levels of sugar. This can increase your chances of developing diabetes. So you should try and avoid drinks like colas.
Following the above mentioned tips can help you to avert diabetes.

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Sir very good morning sir my mom have sugar so please tell me sir what to eating so please tell me sit.

MBBS
General Physician, Cuttack
Sir very good morning sir my mom have sugar so please tell me sir what to eating so please tell me sit.
1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat. Take fish/chicken. 5. Avoid alcohol and carbonated drinks like soft drink, include more fiber in the diet like pulse/green leafy vegetables, legume 6. Adhere to a proper diabetic diet after consulting dietitian.
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Are Kimia Dates, Coconut Water good for diabetic patients? Which other fruit is good for diabetic and arthritic patient?

MBBS
General Physician, Cuttack
Are Kimia Dates, Coconut Water good for diabetic patients? Which other fruit is good for diabetic and arthritic patient?
1. You can have dates and coconut water 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. 3. You can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato.
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Being a type 2 diabetic, can I have mutton once a week/ fortnight. Or what is preferable. Chicken or fish.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Being a type 2 diabetic, can I have mutton once a week/ fortnight. Or what is preferable. Chicken or fish.
Hello Sir, Chicken and fish both are very good sources of protein. I would advise you to take them instead of mutton if possible. Take skinless chicken. Thank you
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I am 56 old male and have diabetic for the 3 years now my blood sugar random 131 gm hba1c test glycosylated hb 8.99% glucose level 213 mgm over the past 90 days.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, several strategies for better sugar control. Some of them below: 1. Small, frequent meals through the day 2. Physical activity 180 minutes/week 3. Break the pattern of stuffing and starving and eat each meal only till you feel comfortably full as opposed to completely stuffed hope this helps.
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Today when I come from walking I check blood sugar its 112 after take 1 cup tea I checked then its 103 I have a blood sugar or not.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Today when I come from walking I check blood sugar its 112 after take 1 cup tea I checked then its 103 I have a blood...
If so far you do not have diabetes already and not under treatment fasting 112 mg% after 10 hrs of overnight fasting it is a borderline impaired fasting glucose. You should do blood sugar 2 hours after consuming 75 gms of glucose more than 126 mg% upto 140 mg% it is impaired glucose tolerance. You can repeat these tests and above mentioned levels of 126 and 140 are prediabetic states hence diabetes can be prevented or postponed by measures like life style changes of reduction of weight, controlled sugar free diet and daily exercise.
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