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Hello, I am Dr Brij Mohan Makkar, I specialise in management of diabetes and obesity. Jaisa ki aap jante hain ki diabetes bahut hi teji se puri duniya mein aur India may bhi bad rahi hai, aur khaas taur pe ye Indian population mein diabetes jo hai ek younger age pe hoti hai. Agar western population mein diabetes 50 se 55 saal ki age mein hoti hai, toh Indians main dus saal pehle yani ki 40 45 saal ki age me hona shuru ho jati hai aur Jaise Jaise motapa bad raha hai diabetes aur jaldi bardna shuru ho gayi hai. Toh jaise hi patient ko diabetes hoti hai bahut common sawal hamare paas aata hai ki doctor sahab kya isko hum Jad se khatam kar sakte hain, iska answer jo hai kuch had tak han hai aur kuch had tak na bhi hai. Woh patients jinki diabetes abhi bilkul recent onset hai, ya initial char se paanch saal ke andar hai aur young age mein hui hai aur agar unka weight jyada hai, toh agar hum unko aggressively manage kare to unki diabetes kuch hadd tak reverse ho sakti hai. Actually mein usko reversal nahi kahunga, revolution kahunga kyunki hamien ye nahi pata ki woh lifelong rahegi ya nahi rahegi. Ye ho sakta hai ki paanch saal baad, dus saal baad, panrah saal baad unki sugar fir se badd jaye per definitely agar hum aggressively manage kare, toh sugar ko hum bilkul normal level pe la sakte hain aur hamare bahut sare aise patients hain jinka humne sugar normal level pe le aayen hai jinki sugar ki dawaiyan, blood pressure ki dawaiyan sab hum band kar chuke hain, aur teen-teen char-char saal se woh aise hi follow kar rahe hain. Iska jo sabse important factor hota hai ki hame bahut aggressively weight reduced karna padta hai patient ka, jinka weight jyada hai aur uske liye bahut aggressive lifestyle changes aur kuch dawaniya hum use karte hain jo weight kam karne mein madat karti hain. Aur yadi hum yeah aggressively follow karte hain toh kaafi saare hamare patients hain jinki diabetes hum normal stage pe la sakte hain. Iska sabse bada fayda yeh Hai Ki yadi aapki diabetes paanch-dus saal ya pandra saal ke liye bhi tal jati hai, toh aane wale time mein sugar badti hai toh aap ki complication 15 se 20 ya 30 saal ke liye aage khisak jati hain jo ki aapke prime of life mein aap normal healthy life jeete hain aur complications ka risk bilkul aap ke 70, 80 saal ki age pe jake pahunch jata hai jo aapko bahut jyada pareshan nahi karta. Is liye bahut zaroori hai ki agar aap ki diabetes recent onset hai, bahut seriously iska ilaj kare or rivers karne ki bhi koshish kare agar kar sakte hain yadi aap iske baare mein hame contact karna chahte hain toh aap hame ya Lybrate ko contact kar sakte hain.
I have loosing hair quickly I tried all the shampoo but not effect what can I do for hair lose please tell me about hair loosing.
I have tinea crusis from the past 8 months recently I changed my doctor and it is due to his treatment I am feeling good now he prescribed terbinafine and ketocolazone and lulifin I am not healed 100% my question is will I be cured and how much more time it will take should I change my diet.
I am 35 year and my weight is 75kg and height is 174cm but my tummy is not reducing please suggest any method to reduce the tummy size asap.?
I am a vegetarian. After the of two children my weight is increased 70kg. So I want to reduce my weight each month 5kg. My thigh is weight. What kind of food can I eat?
I had sex with my boyfriend on 23th my period were late 6 days I have check pregnancy test in home 4 time it is negative but my period are not starting its 6 days late so what I do? am i pregnant?
I have been trying to conceive frm d past 5months had gone to d doc for a check up. She gt my prolactin and TSH checked up and everything is normal. She did a follicular study and it showed that everything is ok im jus ovulating on d 21st day of d cycle. Bt I dn seem to have d egg white discharge throughout the cycle. Is ths d reason im unable to conceive? Is d egg white discharge necessary for conception? Ths is my second child.
Hi sir, I have some sexual problem. My penis size is 2 inch in normal and erect 3.5 is it ok for sexual life.
Respected doctors, I have severe anxiety due to which I get burning sensations and numbness ,hyperventilation and giddiness. I was prescribed escitalopram 10 mg and carbamazepine 300 mg. How safe is carbamazepine 300 mg for Indians? M so scared to take it..
People who suffer from diabetes follow a strict diet and engage in strenuous exercises to stay healthy. However, most people tend to neglect a serious problem that may arise from diabetes. A condition known as diabetes foot may afflict your feet if proper care is not taken once diabetes is diagnosed. In fact, in severe cases, amputation may be the only way to treat diabetes foot.
How you can prevent diabetes foot
Here are some of the preventive measures you should adopt if you are suffering from diabetes and you want to avoid diabetes foot.
- Check your feet daily to see whether any crack or lesion has appeared. Check the sole of your foot too and around the ankles as well.
- Always keep your feet clean and free of dirt. The best way to do this is by using a soap and warm water. Apply a moisturizer once you are done cleaning them.
- Make sure that your shoes and footwear are appropriate. This means that they should not be too tight and neither should they be too loose. Ensure that your toes are not crammed into the shoe and that you can move them freely.
- Avoid smoking because cigarette smoke reduces blood circulation in the body. If the blood does not circulate properly, it may cause diabetes foot.
- Now that you know the preventative measures for the condition, you should also be aware of the treatment for the same.
Treatment for diabetes foot
Treatment for foot diabetes ulcers should be started as soon as the first symptoms appear or as soon as a qualified physician diagnoses the same. If left untreated, the disease can lead to further complication or even amputation of the limb. Here is a look at the viable ways of treating foot ulcers.
- Keep the ulcer region dry and covered at all times, in order to minimize the infection.
- Blood glucose levels must be regulated so that healing occurs naturally.
- Doctors may suggest topical ointments which must be applied daily to the wound.
- Soft and loose-fitting shoes should be worn, in case you are suffering from foot diabetes ulcers. This will prevent the wound from getting damaged.
- Patients are also advised to avoid walking too much before the ulcer has healed completely.
Consult a physician immediately if you feel some damage in your feet and you think that you may be afflicted with the ulcer in the feet. In case you have a concern or query you can always consult an expert & get answers to your questions!