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Dr. N.Y Kachwalla

MBBS

Cardiologist, Mumbai

550 at clinic
Dr. N.Y Kachwalla MBBS Cardiologist, Mumbai
550 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. N.Y Kachwalla
Dr. N.Y Kachwalla is one of the best Cardiologists in Mumbai, Mumbai. She studied and completed MBBS . You can meet Dr. N.Y Kachwalla personally at S.R Mehta Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. N.Y Kachwalla on Lybrate.com.

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S.R Mehta Hospital

#96, Road # 31, King's Circle, sion (E). Landmark: Near Gandhi Market, MumbaiMumbai Get Directions
550 at clinic
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S.R Mehta Hospital

#96, Road # 31, King's Circle, sion (E). Landmark: Near Gandhi Market.Mumbai Get Directions
550 at clinic
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Blood-Sugar Control

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Blood-Sugar Control

Your Take-charge Tool Kit

Blood-sugar control

Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin,  diet  exercise, or some combination of these ,you can cut your risk of complication by anywhere from one  third to three quarters. If you’re diagnosed before you develop complications’ it’s possible

To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and  is now remarkably convenient and relatively pain-free.

Lifestyle

Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.

Drugs

Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.

Do you Have Diabetes?

Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.

According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.

Figure your risk factors.

The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes.  Among the most important factors to evaluate are:

 

Family history

If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).

Ethnic group

The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native  Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.

Weight

Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.

Age

Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.

Keep a sharp eye for symptoms

While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:

  • Excessive thirst

 

  • Increased appetite

 

  • Frequent urination

 

  • Fatigue

 

  • Blurred vision

 

  • Frequent infections

 

  • Tingling in your hands and feet

 

  • Sexual dysfunction

 

Get tested

Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.

What you can expect

When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.

Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.

Where Do you Stand?

Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll  pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.

One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:

  • If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.

 

  • If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.

 

  • Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.

 

  • When fasting  blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.

 

FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT

Prediabetes             -            110-125                -                      Diet Exercise

Diabetes                   -            126-140                -                      Diet Exercise

Diabetes                   -            150-200                -     Diet Exercise Drugs occasional insulin

Diabetes                   -             200+                     -    Diet Exercise Drugs or 24-hour insulin coverage

2 people found this helpful

I did engioplasty two times 2 years back. Now I fill some time minor chest pain. what to do?

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
IF YOU TRUST ME JUST GO FOR ART OF LIVING WORKSHOP FOR 6 DAYS 3 HRS PER DAY WILL CURE YOUR PROBLEMS JUST EXPERIENCE AND LET ME KNOW.
1 person found this helpful
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Hello sir, My name is hiren pithva and I am 18 years old. I study mechanical engineering and I am affecting a higher than low And my problem is I am a very angry when any talk with mand I am a heart pressure and heart attack student please cconder my application and solve it.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate-user, welcome to lybrate. Anger and aggression are emotions. Anger comes when you become irritated. Irritation happens when you don't like something, or when something is repeated. As anger is an emotion, it should be vent out. You should be able to throw anger out instead of controlling it. But more perfect will be, know the frustrating situations and stop being emotional. If practiced properly, you will not get irritated at those circumstances at all. Those techniques are much easier to understand. I suggest anger management therapy. Take care.
7 people found this helpful
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Can the heart block be solved properly without operation, if its possible please reply, its urgent for my grand father,

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I can try to solved your heart block problems without operation. You can take crat. Oxy. Q / 10 drops in little water thrice a day for one month. Revert back after one month with feedback.
5 people found this helpful
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I am 61 years old and suffering from high bp and excess weight. Taking medicines for bp regularly.what should i do to decrease my weight.

BAMS, YIC, DEC
Ayurveda,
Hi, first you can start with diet avoid oily food, sweet, non veg, panner and go for brisk walk and watch for 2 week still you don't reduce den you can meet me.
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My friend has pain in her chest. She think that she has a tumor in her left side. She already consulted to her family doctor but hasn't satisfied. Please do respond as soon as. Thank you.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi. There are many cause of chest pain. Tell us which side pain is present. Left or right side. Take tab. Dolo 650 mg sos after meal. Tab. Pantorazole 40 mg once a day. Avoid spicy foods. Take plenty of water. Do morning walk daily. If symptoms persist pl. Go for tests cbc, ecg, x-ray chest, blood sugar, urine r/m. She thinks that she have tumor in her chest. Pl. Go for c. T. Scan for chest for confirm it. And consult again.
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For the last one year my HBA1c levels were high from 8.0 to 9.4. Last 3 months I am on severe diet and would like to check the readings shortly. My glucose reading were between fasting 130 - 230 and PP 188 - 330 in this period. What is the best lifestyle method to decrease HBA1c levels. I work in night shifts, could it be because of this !

MBBS
General Physician, Mumbai
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I am a 57 yr old male and have leg- ache for last 01 year and 6 month. My operation. Of heart (by-pass surgery) done january 2013. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Dear patient, kindly describe the character of pain and exact location. What all other associated complaints do you have? this case requires detailed case taking. Homeopathy can cure this problem without further chances of recurrence and side effects. You can consult privately with all your reports till date.
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I am 30 year old boy. I am having chest pain while drinking water. What should I do?

MBBS
General Physician, Cuttack
1. Drink the water slowly and avoid taking cold water. 2.if you have recurrnt chest pain while drinking water,get yourself physically examined by Doctor
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I am 46 years male and have back pain and chest bone pains for last 2 months and feeling weak also what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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She is suffering from chest pain for 10 days. Please suggest her an appropriate instructions. She has a history of inguinal hernia. She has COPD.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
chest pain may due to 1) acidity 2) continues cough i'll reccomend you to start proper ayurvedic treatment here is some tips for her Do's 1) close windows at night to avoid pollens 2) take regular medicines 3) do exercise and pranayama daily 4) diet should be healthy 5) keep bedroom clean and dust free 6) regular checkup at clinic 7) use a light color to wall as well curtains.(especially bedroom) 8) dinner should be taken before sunset. 9) Use mask while going out or apply coconut oil to nostrils 10) carry inhaler all the time (emergency) 11) massage to the chest and back warm with oil, afterward take hot fomentation. DON'TS 1) smoking -active or passive 2) exposure to allergens air pollution 3) avoid visit to gardens 4) stop the self medication. Paracetamol also increases the risk of asthma by 27 %. 5) Avoid outside food 6) avoid preserved packed food 7) oily food should be avoided 8) cold drinks and ice-creams.
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During the day I am fine But at mid night suddenly palpitation starts. What should i do?

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user,  •Tk, plenty of water to eliminate toxins, dilute acid in stomach ,regulate metabolism & soften faeces (stool) to b evacuated smoothly to avoid constipation, piles &fissure.   •go for a brisk walk in d morning to restore your blood circulation & to activate peristaltic movement to complete digestion to ease gastric disorder.   • go for meditation & yoga to nourish your whole body to complete the digestion by stimulating edequate  digestive enzymes and to calm down stress ,being, one of d  main reasons of gastritis & peptic ulcer.   •  your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines ,gentle & repaid in administration without any side effect, there of. @ Nux vom 30-6 pills thrice a day. @ China 200-6 pills, thrice   • ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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My mom age 45 years old. Frequently complains that she feels as if something is pinching in her legs. She is heart patient. Thank you.

MBBS
General Physician, Mumbai
Dear Lybrateuser, -Get her blood sugar done & also Doppler test for any problem in blood vessels of the limbs -she should do regular exercises like walking for 30 min a day if it is not painful, avoid sitting for too long in one place, mobility will help in better circulation in the legs -consult a doctor for proper medication.
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Doctors are saying that she is having some heart problem so they have to insert pace maker in her heart. So I want to know about pace marker with detail and charges for the surgery in gurgaon's hospital. Please reply fast.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Over the years there has been lots of improvements in the device called pacemaker, recently it was shown on tv, pacemaker is as small as a capsule, fitting is done through a major blood vessel, person is discharged on same day. Cost is 1 lakh plus.
2 people found this helpful
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Please recommend me how to manage our cholesterol without medication in which only ldl is slightly high around 140 rest all is normal and feel acidic all the time.

Fellowship in Cardiology, MD, MBBS
General Physician, Delhi
Hello there I understand your concern and will help you in best possible way first of all do not be alarmed by the figures! a slightly elevated ldl is in no way harmful. Try to incorporate the missings in your life. A little bit of diet exchange and a bit of exercise. Rest continue with your work and eat with family a normal family kitchen meal! you will be fine
1 person found this helpful
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What is pericardial effusion? Why it is caused and how it can be treated. Angiogram of my heart is normal. If Thairod TSH is positive, will it make any problem of pericardial effusion?

MBBS
General Physician, Cuttack
It is due to collection of water below the covering of heart.It could be due to many reason like tuberculosis.due to accumulation of fluid the heart is compressed and unable to pump blood properly.Consult cardiologist for advice
4 people found this helpful
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Do's And Don'ts For High Blood Pressure

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
Do's And Don'ts For High Blood Pressure

Making few dietary changes and losing weight are effective treatments for reducing blood pressure. 
Do's: 
1) lose weight if you are overweight or obese. 
2) eat a healthy diet, including more fruits, vegetables, low fat dairy products, less saturated fats.
3) exercise regularly. 

Don'ts:
1) avoid canned, packaged or processed foods. 
2) avoid smoking.
3) avoid alcohol. 
4) avoid fried foods.

I have had 2 bypass operations and am slightly diabetic- is it good to eat cashewnuts - how much?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
It is good. There is no prescription for it. You can take different kinds of nuts in convenient proportions. Just don't stuff yourself with it.
6 people found this helpful
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I am 18 year old male and have many type of acne like -1. Black headed acne on my forehead, chicks, and some on chest. 2. White headed acne on my chicks and neck. 3. Sometime pustules are also appear on my chick and chest. I am not able to tolerate that acne any more I am so much tired from it since almost 1 year. Please help me for curing my face and other part from acne.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
Pimples are due to hormonal changes, pollution, excess sweating on face, application of cosmetics, Wash ur face 4 times daily with Face washes meant for acne Stop applying any creams on face Except pimples ointment Take dr. Prescribed tablets depending on severity Avoid junk foods Avoid milk foods Getting pimples in teenage is normal for any person But not taking treatment modifies ur face with lot of problems like marks and scars To correct these problems it needs peels, dermaroller and lasers
3 people found this helpful

I am 55 years facing diabetes, hair fall, skin eruptions, cholestrol little, backpain, and pain below neck, shoulders please suggest medicine.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have got multiple problems for which you actually need to see a general physician. For your spine pain, - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc in case you are having back pain. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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