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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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Urinary Incontinence (Ui) Treatment
Submit a review for Dr. Hemlata HankareYour feedback matters!
Mastrubtion is healthy to health or effective to health pls gv me advantage n disadvantage of it? N how may times in week we can do? Or nt!
From 2-6-2015 I taken 5 times unwanted 72 .but before 4 months I hadn't taken tablet. I want to keep pregnancy in this month .but is any side effects of that tablets effect now ?please tell me. Thanks and regards.
Sir/mam my weight is 80 kgs now. Is that's the reason for PCO? IF YES THEN HOW CAN I REDUCE MY WEIGHT?
I want make pregnant to my wife but four month I spent with her and positive result did not come pls tell what I do.
Hi I am 25 year old .I got married a month ago. I want to reduce weight have pcod.Can anyone guide for weight loss ?
hello mam. I am very stressed because my monthly cycle is not in its proper form. Last month I had taken pills prescribed by my doctor then I got my periods but again this month my periods are not proper I got only one day period. Pls help me my age is 24.
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
If you like my article please share it with your friends and family.
Awareness is prevention!
Although the cause of over 60% of birth defects are not known, there are things that you can do to help ensure optimal health for your baby.
There are a number of things you can do to increase the probability of having a healthy pregnancy and a healthy baby. Some are more challenging than others because they may require that you break bad habits, but it is worth your effort.
Here are a variety of tips you can use to prevent birth defects as you contemplate starting or adding to your family:
- The first and foremost tip is maintaining preconception health; eating well balanced and nutritional meals, and taking a multivitamin daily that includes the recommended 400 mcg of folic acid.
- If you are sexually active and pregnancy is a possibility, make sure you take a multivitamin daily, which includes the recommended 400 mcg of folic acid and other essential B vitamins.
- Avoid all activities that could potentially lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.
- Seek an annual gynecological and wellness exam.
- Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects or if you are 35 years of age or older. If you wish to discuss about any specific problem, you can consult a Gynaecologist.