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Dr. Vijay Shankar Agarwal

MBBS, M.D. (Medicine)

Endocrinologist, Nagpur

Dr. Vijay Shankar Agarwal MBBS, M.D. (Medicine) Endocrinologist, Nagpur
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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. Vijay Shankar Agarwal
Dr. Vijay Shankar Agarwal is an experienced Endocrinologist in Bajaj Nagar, Nagpur. He is a MBBS, M.D. (Medicine) . He is currently associated with CIIMS Hospital in Bajaj Nagar, Nagpur. Book an appointment online with Dr. Vijay Shankar Agarwal on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 43 years of experience on Lybrate.com. Find the best Endocrinologists online in Nagpur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - Nagpur University -
M.D. (Medicine) - Nagpur University -
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English
Hindi

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I am taking ayurvedic medicines for diabeties, cholestrol and it has come to normal should I continue because I am getting bubbles with pus and pain.

MBBS
General Physician, Delhi
Immediately get a blood sugar fasting and pp. After results consult with mbbs or md medicine nearby you.
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Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my sugar level. I'll be waiting for your rpy.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my suga...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. But, the evidence based medical advice, on diet for diabetics, is not that restrictive and allows a lot of room for having fun with food! All the expert agencies on diabetes in the world, such as ADA, AACE, IDF and our own ICMR, have published guidelines on managing your diet in diabetes, which we at FWI analyzed to formulate our advice for diabetics, which you will find below: The three most important considerations in diet management in diabetic people are: Managing the carbohydrate intake to control blood sugar Managing the overall calorie intake to lose weight or to maintain a healthy weight Keeping the intake bad fats and salt in check to reduce the risk of CVD 1. Managing the carbohydrate intake to control blood sugar Diabetes is a primarily a disease of insulin resistance or insulin deficiency, in which the physiological action of insulin, that of helping in uptake of blood glucose by body cells and thereby keeping the blood sugar levels in control, is less than adequate. All dietary carbohydrates are broken down by our digestive system into glucose, which then is added to the blood. Therefore, the most important consideration to prevent or delay complications of diabetes is keeping the blood sugar levels in control Diabetics have to know their carb containing food very well and monitor their carb intake on regular basis, but they are not required to give up totally on sugar, rice or sweets, contrary to what is the general notion! Same amount of carbs whether as whole grains or table sugar, will raise the Post Prandial (two hours post meal) blood sugar to nearly the same level, so substituting regular roti with say a laddoo, once in a while is OK, provided you make sure that laddoo gives the same amount of carbs as the rotis you have given up and your overall calorie intake in the meal is constant as well. This you can manage by portion size control and carb counting But having laddoos instead of roti regularly is not a good idea because good sources of carbohydrates such as whole grains have proteins, dietary fiber, vitamins and minerals in addition, whereas bad sources such as table sugar or laddoo will not have these and will give you empty calories. Also, these sweets will be more calorie-dense (1 tablespoon sugar gives 60 calories whereas one roti gives nearly 80 calories) and will not be very filling! So, if you want to have simple sugar or sweets occasionally, make sure that you replace the healthy carbs with these sweets, such that same amount of calories and carbs are provided by them and don’t just add sweets to your regular meal Remember, quantity control and moderation are absolutely imperative! 2. Managing the overall calorie intake to lose or maintain a healthy weight Losing excess body weight helps in patients with diabetes in several ways. Besides this will help you in controlling your risk of heart diseases and a host of other diseases at the same time! In diabetes, even losing 3-5% of your existing body weight will result in better blood sugar levels, but losing up to 10% results in better blood lipid profile and reduced risk of heart disease To know more, go to ‘weight loss for diabetics’ and read your way into fitness! 3. Keeping the intake of ‘bad’ fats and salt in check to reduce the risk of CVD The complications of CVD, include heart attack, stroke (brain attack), foot gangrene etc. All complications of CVD, which is the biggest cause of death in diabetics Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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I am 45 years old, I am suffering from thyroid from 2 years and they suggested me to have thyronorm 25 mg but after taking it continuously also the thyroid has increased and now doctors have told me to take 50 mg I need your opinion.

M.D
General Physician, Vellore
Hello lybrate-user, your doctor is doing right thing he will be increasing dose till it gets normalcy. It's double edge sword you know hypo and hyper thyroid both are problem.
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I am a diabetic & take glimepiride 2 mg + Metformin 500 mg daily before breakfast. Daily I measure my sugar after 2 hours of dinner and it is around 210-220 and next day fasting is 110-120. Means it falls near about 100 in night automatically. My query is that yesterday after dinner my sugar was 235 and today fasting is also 238, why it has not fallen automatically today? Kindly guide.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic & take glimepiride 2 mg + Metformin 500 mg daily before breakfast. Daily I measure my sugar after 2 h...
Mr. lybrate-user, Thanks for the query. As you have observed correctly fasting glucose levels are usually lower by almost 100 plus mg or even more. The reason is glucose is utilised during the night. Plus drugs being used also help in removing it from the blood to tissues. However, why the level is same as it was post dinner, is difficult to explain. Please check your HbA1c%, that will give a better idea of long term control of blood glucose. I am not able to give any explanation. Please check another day and see if similar results are shown. Thanks.
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My knees are paining severely everyday as I am suffering from hypothyroid and I am obese also so please kindly suggest good medicines to get rid from this knee pain.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
My knees are paining severely everyday as I am suffering from hypothyroid and I am obese also so please kindly sugges...
Gentle massage over knees with lukewarm herbal pain relieving oils daily for about 15-20 minutes and hot fomentation afterwards will greatly help in subsiding the pain. These procedures would give strength to your knee and reduce the pain and stiffness. Regular oiling the joint will improve the lubrication also. Use knee caps over the joints and avoid over exertion of the joint. This will greatly help. Although some herbal medicines might also help you but after proper history taking.
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What are the causes of diabetes. Is it hereditary? What are the chances of it being inherited from parents?

MBBS, MD - Medicine
General Physician, Delhi
What are the causes of diabetes. Is it hereditary? What are the chances of it being inherited from parents?
Type 1 diabetes occurs sporadically and usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 can be hereditary if your parents are disbetic and it occurs usually in adults due to insulin resistance and treated with oral medicines. There is 50% risk if both your parents are diabetic. It can't be cured completely but you can keep it controlled by taking dietary precautions n regular exercise along wid medications.
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I am 24 years, recently dignosed from pcos and thyroid(tsh 6. 16). Irregular menstrual cycles, weight gain(currently 63kgs), acne problem, sleep disorder. Please suggest me with natural ways to cure it and to loose weight. Thanks

CCH (Wa.,DC), BHMS
Homeopath,
Hello , you have hormonal disorders which is the cause of menstrual problems, weight gain. Proper case history followed by constitutional homeopathic treatment would be highly beneficial & it will take 1-2 yrs to completely treat you effectively. Thanks
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I have been feeling always fatigue, don't have lot of energy and cough. Could it be thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
for confirm it do tests for it i.e. thyroid profile, x ray chest, cbc, vit.B12, then you consult again. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
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I am urinating frequently. After drinking one glass of water I am urinating after 40-60 mins and then I am again drinking water this cycle is going on. I also feel lazy in doing work and my legs and hands are not supporting me .i am affected with diabetes if I am affected what type of food I should take to get relief from diabetes. And how many years I will live my age is 23 now.

MBBS, M D General Medicine, DNB (General Medicine), MNAMS
Internal Medicine Specialist, Kottayam
I am urinating frequently. After drinking one glass of water I am urinating after 40-60 mins and then I am again drin...
U have to get screened for diabetes. The treatment depends on what type of diabetes you have. With adequate control of sugars you can have a near normal life expectancy. Dieting otherwise called Medical nutritional therapy depends on the glycemic index of the common food you consume which can be tailored according to your diet.
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Which food is the best for diabetic for maintain the good sugar levels and my father is using trivolib is it good medicine or not.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Which food is the best for diabetic for maintain the good sugar levels and my father is using trivolib is it good med...
Diabetes can be controlled/managed by a proper regulated diet and exercise. Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal. Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc. Reduce foods with high GI Index like potato, white rice, banana, mango. Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc. Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour. Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal. These steps can help reduce sugar levels.
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

I sm 30 yrs old & my creatinine is 8.2% & blood urea is high with haemoglobin 10%. Treatment by a Nephrologist doctor. I am a vegetarian with No diabetics. Kindly advise how to reduce Cretanine & blood urea alongwith increase of haemoglobin %.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,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. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day. take tab. folic acid -5 once a day for hb.
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Hii sir my wife is diabetic insulin injection user. Sexual activity related precautions be told to me plz.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Hii sir my wife is diabetic insulin injection user. Sexual activity related precautions be told to me plz.
There is absolutely no reason for you to worry as far as sexual relations with a Diabetic/Insulin user patient is concerned. Diabetes is not a sexually transmitted disease.
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Since 18 years I have been diabetic. Due to it I suffering erectile dysfunction. Sugar level is fast 110 & post 200 please advise best medicine.

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Since 18 years I have been diabetic. Due to it I suffering erectile dysfunction. Sugar level is fast 110 & post 200 p...
Go for hba1c level and consult me or your diabetologist for proper management. Start tb. Epineuron sr daily in the morning empty stomach that will help in improving. Review with hba1c level, gliptins may help you.
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My father 74 year. He is sugar patient last 5 year. Last 6 month back we check in sugar 104. But today check 349. We are check with doctor, tack madicen 1 month. Pl- told which type of foods avoid.(rice given or not)

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My father 74 year. He is sugar patient last 5 year. Last 6 month back we check in sugar 104. But today check 349. We ...
●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 ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats  ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 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 (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 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
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My wife is having infertility problem one of her report says suggestive of non secretory endometrium. What does it means?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Non secretory endometrium refers to a phase of the menstrual cycle before ovulation. The endometrium becomes secretory after ovulation under the influence of progesterone. There are two phases to the endometrium. The first half of the cycle the endometrium grows under the influence of estrogen only= proliferative phase. The second half of the cycle progesterone is added if ovulation occurs= secretory phase. By definition on your report the endometrium was not secretory. In brief: 2nd phase absent.
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Is bajra roti is good for diabetic people and what is the best time to eat bajra roti for diabetic people. And what is best dry fruit for diabetic people and which time he shall eat dry fruit. Morning noon evening or at night.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is bajra roti is good for diabetic people and what is the best time to eat bajra roti for diabetic people. And what i...
Bajra and all cereals can be taken in limited amount bases on sugar level. Raisin can be taken in small amount . All foods can be but limited to your sugar level monitored
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I am 58 years old. My fasting blood sugar is 100, and pp is 168. My hba1c is 5.5. Average blood sugar for last 3 months as par hba1c report is 111. Am I a diabetic patient? should I take any medicine?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
You have impaired glucose tolerance, a pre-diabetic stage. Start diet and exercise. No need for medications now. Repeat test after 2-3 months of diet and exercise.
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I am diabeties patient for last 10 yrs recently my sugar level in fast 300 to 325 & in rendom 425 to 450 & still I am taking tablet glycomac gp2 in this condtion please you tell me name of another tablet which is best from this

MBBS
General Physician, Mumbai
Stop previous anti diabetic pills and try this tb metatime 500 mg 1-1-1after breakfast, lunch, dinner and tb gliclazide 80 mg 0-1-1 before lunch and dinner and revert back after a week with only fbs
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Hi, I am 42 years old, I take blood pressure medicines since last 8-9 years. Just before 2 years, I was detected with diabetes Type -2, initially I was on insulin and later on, I did diet control, so doctor says, I no longer need medication. But, I still go for blood test on monthly basis. I still follow a strict diet control, but since last 2-3 times, my sugar level has been increasing i. E. Before lunch, it was 145 (approx) and post lunch it was 200 (approx). I still go for ayurvedic medicine, strict diet control, yoga and light exercise on daily basis. Please advise.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
Hi, I am 42 years old, I take blood pressure medicines since last 8-9 years. Just before 2 years, I was detected with...
If your sugar level comes to normal limits, it does not mean that you should stop the medicines. You will still require a small dose of medicines to prevent the sugar from rising back. Ofcourse, your diet and exercise control is very important and should be continued so that the dose of medications that you require will be minimum.
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