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Dr. P.L. Tiwari

Cardiologist, Mumbai

Dr. P.L. Tiwari Cardiologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. P.L. Tiwari
Dr. P.L. Tiwari is an experienced Cardiologist in Mumbai, Mumbai. You can meet Dr. P.L. Tiwari personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. P.L. Tiwari on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 40 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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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

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I have fatty liver. Sgot and sgpt level is high. And high cholesterol. Uric acid high level. What should i do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have fatty liver. Sgot and sgpt level is high. And high cholesterol. Uric acid high level. What should i do?
high cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines . take anti uric acid medicines.and medicines for liver .
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I am 65 male with diabetic n hyper tension. Having drug for both n insulin. What drug would you suggest for ED? Can you pls send me a prescription on years L/H to help me buy from a pharmacy? FYI my diabetic nbr (hba1c) was 7 last time checked. BP is also under control absolutely. Looking forward for years help.

BHMS
Homeopath, Faridabad
I am 65 male with diabetic n hyper tension. Having drug for both n insulin. What drug would you suggest for ED? Can y...
Hi. Erectile dysfunction, often referred to as ed, is characterized by a persistent and recurring inability to achieve or maintain an erection sufficient for sexual intercourse. Psychological (like stress and anxiety, poor communication with your partner, unrealistic sexual expectations, negative feelings about non performance, depression), physical and lifestyle (smoking, alcohol and sometimes illicit drugs and medical conditions like diabetes, high blood pressure, heart or thyroid conditions, poor circulation, low testosterone) or neurologic disorders (such as multiple sclerosis or parkinson's disease) issues can all cause ed, as can trauma to nerves and arteries (for example, from prostate surgery). The incidence of erectile dysfunction increases with age, but young men can also experience it. So, will have to find out the exact cause in your case. Medication: take homoeopathic medicine - schwabe's damiaplant/ thrice daily for 4 weeks. Management: regular exercising keeps you fit and healthy, so don't forget to do it. Practice pranayam regularly for half an hour preferably in a garden early in the morning. Not to do these exercises within 4 hours after meals. One can have meals not within 15 minutes after finishing these exercises. These exercises are good for gaining and maintaining good health. Also, practice pelvic floor exercise or kegel exercise, consists of repeatedly contracting and relaxing the muscles that form part of the pelvic floor. In order to locate your pelvic muscles try to stop and begin the flow of urine as using the bathroom. You can perform kegel exercises with the empty bladder as exercising pelvic muscle with the full bladder might result in urinary tract infections. Erectile.
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I m suffering from hyperacidity and severe constipation. Also patient of thyriodand high bp. My uterus was removed 11trs back due to multiple fibroids. Pls tell me something for acidity and constipation.

BHMS
Homeopath, Sindhudurg
I m suffering from hyperacidity and severe constipation. Also patient of thyriodand high bp. My uterus was removed 11...
Homoeopathy Calc fluor 6x 4pills 3times Nat phos 6x 4pills 3times Digestone syrup 1spoonful 3times after meals
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I am 55yr old male I am using tab amlace 5mg bpcontrol and diabcon-ds for sugar control when I penetrate within few seconds I ejaculate my wife get frustrated please help me my bp and sugar in control in morning I get hard erection.

DGO, MBBS
Sexologist,
Your bp and sugar are controlled. Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety. However it is sometimes associated with infection of male accessory glands, which is treatable. In case you want a prescription from me now then ask at private question.
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My father and grandfather are passed away by heart attack and now I am also scared is this will affect me too. can it be genetic

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
My father and grandfather are passed away by heart attack and now I am also scared is this will affect me too. can it...
Ya its genetic. You should avoid lazy lifestyle. Do exercise n walk daily. Eat healthy n simple food. Avoid junk food.
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I am SUFFERING FROM pain in my heart. I have no sugar. My pressure is 110/70. Always. It is happening for the last 6 months. Once in a month. While taking deep breath there seems like a congestion. Is it something serious? How can I be sure without any test that it is heart problem. Please guide me.

MD - General Medicine
Internal Medicine Specialist, Jaipur
I am SUFFERING FROM pain in my heart. I have no sugar. My pressure is 110/70. Always. It is happening for the last 6 ...
Dear sir pain from chest is due to insufficient supply of blood to heart muscles, this is called angina which occurred when heart rate increases and on exertion. The other one is due to total occlusion of vessel which is causing sudden severe pain. It is shown that your bp is normal and no sugar. You do not have major risk but you must under go testing to see that heart is ok.
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I am 25. I am from ludhiana. I have blood pressure problem. I am not eating outdoor things. But my blood pressure rises very high. What should o do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 25. I am from ludhiana. I have blood pressure problem. I am not eating outdoor things. But my blood pressure ris...
Try to control your weight by 10 kg and undergo blood lipid profile test and discuss the reports with me---------------there I will guide you with your daily diet and medicines according to your reports--------------
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How to control high blood pressure and blood sugar in case of fat body? tell some simple home based methods.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How to control high blood pressure and blood sugar in case of fat body? tell some simple home based methods.
to control high blood pressure and high blood sugar specific drug treatment is essential. Other remedies are additional support. No" simple home remedy" can control these conditions. If some one is over weight, then weight reduction has to be done by exercise and diet restriction, avoiding deep fried foods, junk food, pastries, alcohol, red meat, egg yolk etc.
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What all cares should be given to a patient after bypass surgery? And how long it takes to cure the internal parts?

C.S.C, D.C.H, M.B.B.S
General Physician,
What all cares should be given to a patient after bypass surgery? And how long it takes to cure the internal parts?
He can take minum activity for personal needs and should have normal diet and other medicines as advised.
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Sir I m suffering from cholesterol problem. How could I control it through diet? Please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir I m suffering from cholesterol problem. How could I control it through diet? Please tell me.
hello prem ji You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. Welcome in lybrate.
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My dad underwent a medical check up yesterday I was going through the report. He is 54 years of age.in the physical examination in abnormalities LIPIDS-N/ABN was highlighted. On asking him about it he said that it's regular cholesterol and he has has been given medication for it. His cholesterol is 227 mg/dl and S.LDL-cholesterol is 164.4 mg/dl. These were highlighted as well. If you could just help me out to know what it is.in the report it was also highlighted to test this abnormality after every 4-6 weeks. Thank you. He does this checkup every year and it was the first time this was highlighted. Please help. THANK YOU.

B.A.M.S
Ayurveda, Banaskantha
My dad underwent a medical check up yesterday I was going through the report. He is 54 years of age.in the physical e...
Dear lybrate-user, Cholesterol is both our friend and foe - at normal levels, it is an essential substance for the body's normal functioning, but if levels in the blood get too high, it becomes a silent danger that puts us at risk of a heart attack. Its quit high as per present control range guidelines. But it can be come under control with Healthy steps of Life style modification. Cholesterol medications main adverse effect is Muscles pain, Live damage. Several Advice to Control 1) Do regular Yog, Pranayam, Exercise 35-45 mins 2) Take diet on regular time 3) Drink plenty of boiled water. 4) Add organic til tail & Indian breed Desi cow's traditional made ghee in regular diet. 5) Diet pattern will be 2 Part solid food, 1part Liquid food, 1 part empty to digest food in stomach. For proper line of treatment consult nearest Ayurveda physician.
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I am heart patient ,using medicine regularly. Wt should I use mustard oil or olive oil?

MBBS
General Physician, Mumbai
I am heart patient ,using medicine regularly. Wt should I use mustard oil or olive oil?
Dear lybrateuser, -Both are heart healthy oils, olive oil contains more monounsaturated fats & antioxidents as compared to mustard oil, do not use olive oil for deep frying as its burning point is low -whichever oil you use, consume not more than 1-2 teaspoon a day as they have saturated fats which are harmful for the body if taken in large quantities & are also calorie dense which addlot of calories to the diet -the healthier heart friendly methods are, baking, grilling, boiling, steaming.
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I am a female 31 years old. I experience occasional tinnitus with ear fullness which lasts for a few seconds and once after cold once I had tinnitus for a week about 6 months back which was not troublesome after taking medicines it went away. My hearing is proper but I get anxious and stressed very soon. And I have low BP 90/60 most of the times. Should I be concerned.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am a female 31 years old. I experience occasional tinnitus with ear fullness which lasts for a few seconds and once...
As per your concern I would suggest you to do following remedy 1. Crush 15 thoroughly washed basil leaves 2. Place it on a sieve and extract its juice 3. Add 1 tsp of honey to this juice 4. Mix well 5. Drink 2 times a day Causes: • Stress • Faulty diet or malnutrition • Loss of blood due to any injury or during the menstruation cycle • Slow bleeding in the gastrointestinal tract, kidneys or bladder It will surely help you.
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Hello sir please advise me fast time heart attack and what any injection control of second heart attack or more time.

MBBS
General Physician, Trivandrum
Hello sir please advise me fast time heart attack and what any injection control of second heart attack or more time.
Heart attack can be prevented by adopting a healthy lifestyle. It includes: a balanced diet regular exercise avoid smoking and drinking stress free life avoiding processed foods, sugars regular checkups yoga, meditation and paranayam.
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If cow milk has More cholesterol, why should it be preferred by heart patients as compared to Buffalo's milk? Does it contain more HDL than LDL and VLDL.Please tell.

MBBS
General Physician, Mumbai
If cow milk has More cholesterol, why should it be preferred by heart patients as compared to Buffalo's milk? Does it...
In my opinion buffalo milk is a rich source to increase the value of LDL cholesterol and hence it should be avoided
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I am 54 having BP and sugar since 8 years in the morning feel very weak to get up do you have remedy for this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 54 having BP and sugar since 8 years in the morning feel very weak to get up do you have remedy for this.
Mr Shakeel, If your blood sugar level and BP are well controlled then you are unlikely to feel weak in the morning. Please give me following details : fasting and PP sugar levels, HbA1c%, BP readings, drugs being taken with dosage, dietary pattern and daily exercise level. With those details I may be able to give some guidance.
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My skin start itching after shower with cold water. I need to take bath with hot water always. I am having BP 140/90. Can you suggest some treatment.

BHMS
Homeopath, Raebareli
My skin start itching after shower with cold water.
I need to take bath with hot water always. I am having BP 140/90....
You should always bath in normal room temperature water - no cold water It can make your skin dry and itching due to the effect of cold. Take Antim crud 30 - once daily for few days and revert back.
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I am recently diagnosed with diabetic 8.8 scale (3 months) test. With having cholesterol 332. From past few months I became very tired and restless. What should I do? Can you please suggest? I am having medicines for that but I don't want to continue same for life long. What should I do?

BAMS, Diploma in Skin Aesthetics, Cosmetology and Trichology, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning, MDscholar
Trichologist, Mumbai
I am recently diagnosed with diabetic 8.8 scale (3 months) test. With having cholesterol 332. From past few months I ...
Dear lybrate-user, you should strictly follow your doctor's advice. At the same time you should make some positive changes in your lifestyle by exercising regularly and practicing strict diet control to get your hba1c levels in healthy limits. You may go for some ayurveda medication as an adjuvant therapy for better results. Don't stop the medication without your doctor's advice.
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