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Dr. Mihar Shah

Endocrinologist, Mumbai

500 at clinic
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Dr. Mihar Shah Endocrinologist, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Mihar Shah is a trusted Endocrinologist in Andheri East, Mumbai. You can meet Dr. Mihar Shah personally at SevenHills Healthcare Limited in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Mihar Shah on Lybrate.com.

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Near Marol Maroshi Bus Depot, Marol Maroshi Road, Andheri East,Landmark: Near Marol Maroshi Bus Depot, MumbaiMumbai Get Directions
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Diabetes - How Exercise Can Help Keep It In Check?

MD - Internal Medicine, MBBS
General Physician, Delhi
Diabetes - How Exercise Can Help Keep It In Check?

Obesity and diabetes usually go hand in hand and both of them have one common solution - physical exercise. It is a known solution to obesity related problems and after fat loss, many people have stated reduction in health problems caused by it.

However diabetes, whether caused by obesity or not can also be kept in check by regular physical exercise. Let's see how it does so:

1. Keeps body insulin in check - Exercising regularly ensures that insulin levels within your body are kept in check. Insulin is what makes the blood sugar get absorbed into the muscles for energy in the form of glucose. Thus this reduces blood sugar levels within the body and keeps the levels within the body under control for patients who have higher blood sugar counts.

2. Exercising helps reduce depression and stress - Exercising is known to have a very positive effect mentally as endorphins are released after a workout. This makes you feel happier and better about yourself and reduces stress or depression. Both depression and stress are known to have triggered Diabetes related issues in the long run and exercising can definitely help keep them in check.

3. Exercise can actually correct insulin resistance - It is a myth that people who suffer from insulin resistance cant benefit from exercise and it helps regulate resistance. If you start exercising and working out, then the insulin resistance is checked and regulated where in the capacity of the body to absorb blood sugar in the form of glucose actually increases.

4. Reduces the chance of heart problems caused by diabetes - Diabetes increases the chances of heart problems and also the blocking of arteries through arteriosclerosis. These blockages could result in a heart attack or other related problems and exercising can help reduce their possibilities as well.

5. Exercising also helps to keep your appetite in check - it is known that proper exercising works as a hunger killer and thus will help control your appetite. This is good in two ways:

  • A controlled appetite will helps you lose weight which may be a contributing factor to your diabetes
  • If you have non obesity related diabetes, then appetite suppression will help you eat better and stop you from eating foods or untimely snacks that may contribute to blood sugar issues.

However, it is prudent to visit your doctor and discuss how you can optimize your exercise routine to get the best results. If you wish to discuss about any specific problem, you can consult a General Physician.

3232 people found this helpful

Diabetes: Types and Symptoms

MD, DTDC , MBBS
General Physician, Delhi
Diabetes: Types and Symptoms

Diabetes is often referred to as diabetes mellitus by physicians, which is used for describing a group of metabolic-related diseases. Diabetic patients have high blood sugar (blood glucose) in the blood, the cause of which might be either the inadequate production of insulin or because the body is unable to use the insulin properly. Diabetes might also be a result of the combination of both.

There are three types of diabetes:

  1. Type 1 diabetes which was formerly known as insulin-dependent diabetes or juvenile onset diabetes due to the fact that the symptoms are typically diagnosed in young children and children in their teens. Approximately 10%diabetic patients are Type 1 diabetic where the body is unable to produce insulin.
  2. Type 2 diabetes was also known as non-insulin-dependent diabetes or adult onset diabetes, as it occurs mostly in adults. Approximately 90%diabetic patients worldwide are Type 2 diabetes, which occurs because the body is unable to produce the required amount of insulin for proper functioning. Overweight and obese people suffering from central obesity or abdominal obesity are more at risk of developing Type 2 diabetes than people who have a healthy body weight, as obesity forces the release of chemicals which may destabilize the cardiovascular and metabolic systems of the body. The risks of developing Type 2 diabetes also increases as one grows older.
  3. Another type of diabetes is gestational diabetes, which mainly affects pregnant women who have high glucose levels in their blood. The bodies of these women are unable to produce the required amount of insulin to transport all the glucose to their cells leading to the progressive increase of glucose. Studies have revealed that women who have animal fat and cholesterol-rich diet before pregnancy are at more risk of developing this type of diabetes.

Symptoms:
Symptoms of diabetes include excessive thirst, dehydration, increased urination and hunger. Symptoms may also include fatigue, skin problems, slow healing wounds, blurred vision and tingling in the feet.  
Solutions

  1. Patients who are afflicted with Type 1 diabetes will have to take insulin injections for life. Proper blood glucose levels have to be maintained throughout by following a strict diet and regular blood tests need to be carried out.
  2. Patients with Type 2 diabetes need to keep their weight in check. They are generally treated with tablets, but sometimes insulin injections are recommended. These diabetic patients need to follow a healthy diet strictly, exercise regularly and keep monitoring their blood glucose levels. Another option for obese people to reduce symptoms is Bariatric surgery.
  3. While gestational diabetes can be controlled with proper diet and regular exercise, there are 10 - 20%of diabetics who will need medications to control blood-glucose. Undiagnosed and untreated gestational diabetes raises the risks of complications during childbirth and may result in a baby who is bigger than he / she should be.

Acute complications of diabetes may include hyperglycemia or hypoglycemia while chronic complications may include diseases of the blood vessels which could damage the eyes, nerves, kidneys and the heart. If you think you have symptoms which suggest diabetes, consulting a doctor at the earliest would be your best option.

3145 people found this helpful

Hey hii my name is Aravind My dad has diabetes and what are the food my dad has to take daily.

MBBS, MD, Fellowship in Diabetes, Diploma in emergency medicine
General Physician, Pune
Hey hii my name is Aravind
My dad has diabetes and what are the food my dad has to take daily.
Hello lybrate-user in diabetes there is increased blood sugar level which affect heart, kidneys, eyes and feet. So first of all blood sugar need to be kept under control by diet and medication. Diet and activity is v important here. He cannot eat non-veg, rice, fried food, fast food. He can eat chappati, green vegetables, pulses, fruits like banana, apple (once a day), avoid sugar. He needs to increase his activity like walks n avoid lifts. Regards.
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My tsh value is 4.28 so I want to know that is this value is abnormal from normal tsh value? if so. Than what should I do for further precuation?

C.S.C, D.C.H, M.B.B.S
General Physician,
My tsh value is 4.28 so I want to know that is this value is abnormal from normal tsh value? if so. Than what should ...
It is in normal range. Why did you do? any other problem? tsh alone is not enough. You check t3 t4 and inform me detailing any other trouble you have.
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I am suffering from thyroid and this time I am taking thyrox 125mg. I was checked my blood before 3 months. That time my T4 was exceeded.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from thyroid and this time I am taking thyrox 125mg. I was checked my blood before 3 months. That time...
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight.
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Is ime 9 tablets is best for diabetes or specially sugar please give me answer shortly, thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is ime 9 tablets is best for diabetes or specially sugar please give me answer shortly, thank you.
Mr. lybrate-user, The particular tablet which is being advertised heavily in TV, is just a combination of some herbal remedies, based on encient ayurvedic texts. There is very little scientific evidence to support. Unless a patient is on modern medicine to treat diabetes or to control blood glucose, there is no way to control it. The medicine mentioned by you can be at best can be taken as a supportive therapy. I have absolutely no belief on the various claims made. Thanks.
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I am 61 years diabetic as well as having bp. Have got boils on lower part of feet and walking becomes difficult. Also find difficulty in locating feet in chappals. Advise remedy ?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
You have got complication of dm known as diabetic neuropathy. Very difficult to treat. We have medicines that may recover you. Consult if possible.
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What about glucofage, is it mandatory to assist me to reduce blood sugar? My fasting b. S. Is normal, but p. P.B.S is around 200mg/dlMy hba1c is normal also.

MBBS, MD, Fellowship in Diabetes, Diploma in emergency medicine
General Physician, Pune
What about glucofage, is it mandatory to assist me to reduce blood sugar? My fasting b. S. Is normal, but p. P.B.S is...
Hello lybrate-user taking glycophage (metformin) even wen your blood sugar levels are normal is not mandatory. If you have a family history of diabetes or you r over weight, or habit of smoking and alcohol, you need to work out on your diet n activity. Increase your daily walks n avoid lifts. Avoid alcohol, no-veg, fried food, rice. You can start with glycophage if risk factors r there. Regards.
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My uric acid level is 9.2 and urea creating level shows 32 & 1.4 respectively. Are these results showing symptoms of any future disease. How is it going to affect me. What precautions and medicines should I have to go through. Please guide.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Uric acid is heterocyclic compounds of carbon, nitrogen, oxygen, and hydrogen. Which cause gout. In high uric acid avoid few diets i. E. High purine-rich foods, milk products, protein foods, meat, dried beans, dried peas, mushrooms, whey proteins which are used in zym, alcohol, diuretic medicines. Eat balanced diet, eat banana, take amino acid rich diets, l- glutamine like supplements, whole grain, oats, green veg, low cholesterol foods, plenty of water in day time, do test kidney function test every 6 months to monitor levels of uric acid. Consult doctor always for medicines. Do not take medicines by self. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain.
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Hi, I am 67 years old male diagnosed with diabetes in december 2016. BS levels have been as below since then: Fasting 2 hrs. Post Prandial 5.12. 2015 158 196 16.1. 2016 152 165 5.03. 2016 176 243 7.03. 2016 169 258 10.04. 2016 157 205 Hb a1c level was 7.4% as on 12.03. 2016. Very particular about diet control and exercise but taking no medication. Is this enough or metformin may be required.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Hi, I am 67 years old male diagnosed with diabetes in december 2016. BS levels have been as below since then:
Fasting...
Your sugars are definitely on a higher side. You have tried exercise and diet modification but no medicine yet. I suggest this is the time to add medicine. Delaying this will postpone your diabetes related complications by significant extent. Any confusion then feel free to revert.
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Hi, I am suffering with thyroid problem with last seven years, Please suggest me to control the thyroid in limit. And last month it is 26. Or Any tips regarding the taking foods.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, The level mentioned (26) is I think TSH is it true? If correct, then it shows totally uncontrolled hypothyroidism. When on treatment TSH should be between 3 to 4 mU/L, then only all the symptoms are in check. It appears the current treatment is grossly inadequate. First and foremost is treatment has to be upgraded. Thanks.
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Hello a person suffering from diabetes 2 since 10 year.He is 65 year old.Now doctor put him on metformin 500 and novo mix 30. But still fasting is 280 mg/dl and pp is 423mg/dl. What should he do now. Please help me out.

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
Put him on basal-bolus regimen or add a long lasting basal insulin to the above mentioned medications
4 people found this helpful
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Sir I am abdurahiman I sugar patient I will usu capsule name Glinil ml 1 mg .said effect in the medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I am abdurahiman I sugar patient I will usu capsule name Glinil ml 1 mg .said effect in the medicine.
Hello, Thanks for the query. As I understand you are asking what are the side effects of the medicine that you are taking, is it? Well most of the drugs currently used in treating diabetes are very safe. There are hardly any problematic side effects. People take them for a number of years like 25 to 30 years. So you need not worry. Thanks.
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My father is suffering with high uric acid which cause gaut. What should he take in food and what should be avoided?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
High uric acid level can be caused when human body either produces too much uric acid or your kidneys do not eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease. Factors that may cause a high uric acid level in your blood include: Diuretic medications , Drinking too much alcohol, Genetics disorder , hypothyroidism , Immune-suppressing drugs, Niacin, or vitamin B-3, obesity, psoriasis, Purine-rich diet — organ meat, dried beans, driedpeas, mushrooms and other foods Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Do test KFT every 6 months to monitor levels of it. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints .
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My sugar level 150 to 180 after taking food please advice me what medicine I have to take and what kind of food I take I am 62 year.

MBBS
General Physician, Faridabad
My sugar level 150 to 180 after taking food please advice me what medicine I have to take and what kind of food I tak...
take tab metformin 500 1tab bd before food, avoid sugar, sweets and frie food like samosa, pkora, pratha etc intake of food shoulld be less. it help in reducing your blood sugar level.
2 people found this helpful
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Hi! My mom's age is 40 recently in a check up of thyroid test doctor confirmed she have a thyroid and also sugar level is 10 points more than the normal counting what are steps to be followed to control sugar can she become normal 10 points more?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi! My mom's age is 40 recently in a check up of thyroid test doctor confirmed she have a thyroid and also sugar leve...
Mr. lybrate-user, Thanks for the query. Your query is very nonspecific, therefore it is very difficult to give any opinion. You should have given following details to understand the situation clearly: Fasting, PP glucose levels, HbA1c%, TSH, T3 & T4. Plus her weight, height, dietary pattern and extent of daily exercise. So if you want a clear guidance please come back with these details. Thanks.
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6 Things That Can Possibly Help In Reducing Blood Sugar Level!

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
6 Things That Can Possibly Help In Reducing Blood Sugar Level!

People who suffer from high blood sugar can find it quite hard to keep their sugar levels in check. While the common practice is to maintain a low carbohydrate diet that is useful on the whole, there are other alternative diet options as well. The food items mentioned below either help by lowering sugar level or by increasing insulin sensitivity.

Items to include in your diet

  1. Starch: One of the items that help lower sugar levels is resistant starch. Starches are long chains of glucose and are found in food items such as bananas, potatoes, oats and various others. There are a few varieties that pass through digestion unchanged and are not absorbed as glucose in the blood. They are known as resistant starch. This type of starch is also known to increase insulin sensitivity significantly. They help in transfering glucose from the bloodstream into cells thus lowering sugar level and offering energy to the individual after meals. It is advised to not consume potatoes, but take a resistant starch supplement since potatoes contain digestible carbohydrates that increase sugar level.
  2. Ceylon Cinnamon: This is another great ancient remedy that has many compounds that prevent sugar from entering the bloodstream. It also enhances insulin sensitivity. Other great alternatives include cashews and almonds. These dry fruits are rich in Magnesium which is a mineral that ensures blood sugar regulation.
  3. Fenugreek: A powerful herb that is also a good source of soluble fiber. It has several compounds that are known to improve blood sugar control.
  4. Shirataki noodles: They are very low in carbohydrates and high in fiber. Keeping your carbohydrate consumption low is very important for diabetes management. So, these Japanese noodles help in doing so. Since they contain mostly glucomannan, an indigestible fiber, Shirataki noodles help in reducing blood sugar levels after meals while improving other metabolic health factors in diabetics.
  5. Dark Chocolate: Another good option is cocoa in dark chocolate. The cocoa comes from the cocoa plant and contains flavanols. Cocoa is known to improve insulin resistance and overall blood sugar regulation. However, dark chocolate does contain a little sugar so you would want to go in for 85% cocoa or more. Treat this item as a cheat item for those days when you need to cheat with your diet since this has a neutral effect. Switching to dark chocolate immediately is best for those who are addicted to chocolate. It will serve as a neutral item at worst and will help with blood sugar regulation at best.
  6. Apple cider vinegar: Another beneficial item to add to your diet is apple cider vinegar. It is an ancient folk remedy that is known to increase glucose metabolism by increasing the sugar uptake from blood into cells.

These items are known to be very helpful for lowering blood sugar levels and keeping it in check. It is advised to consult your doctor and seek his approval before you add any of these items to your regular diet.

From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test Thyroid, creatine and sugar test all turn out to be normal. Currently I am taking supracal pro tablets. My doctor suggested me this as lifestyle disorder and prescribed Etizolam 0.5 mg and zincovit tablets however I don't want to take sleeping pills as I heard it had lots of side effects. Please advise.

MBBS, cc USG
General Physician, Gurgaon
From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test T...
Some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity, you can go for daily morning walk 3. Regular meditation/ yoga, it will help you alot 4. Avoid tea coffee after 7 pm 5. You can take bath at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes 8. Avoid watching TV and reading news paper at bedtime, you can listen some soft music Consult if symptom persist
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Hi. I am 27 weeks pregnant. Having gestational diabetics. Not taking pills or insulin. Manage to keep sugar level between 120 and 140 one hour after breakfast. After lunch and dinner below 130. Can I have mothers horlicks. Is it safe. Will baby be over weight. Till last checkup, everything is fine.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi. I am 27 weeks pregnant. Having gestational diabetics. Not taking pills or insulin. Manage to keep sugar level bet...
Hello, Go for protein powder without added sugar. Baby weight has to be monitored through serial scans because in diabetes, Macrosomia is quite common. Monitor your blood sugar levels and go for regular antenatal care.
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My mother is 39 years old. She had sugar. What is their diet? I don't know how to control sugar. please suggest me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My mother is 39 years old. She had sugar. What is their diet? I don't know how to control sugar. please suggest me.
DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits , salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 5:00 p.m : salads/coconut water/lemon water(without sugar)or tea with roasted chana/bhelpuri 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS:  Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods/groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil  ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●Limit intake of sugar and sugary foods like sweets
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