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Dr. R.P.Anand

Endocrinologist, Navi Mumbai

300 at clinic
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Dr. R.P.Anand Endocrinologist, Navi Mumbai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R.P.Anand
Dr. R.P.Anand is an experienced Endocrinologist in Panvel, Navi Mumbai. You can meet Dr. R.P.Anand personally at Dr. R.P.Anand@Birmole Hospital in Panvel, Navi Mumbai. Save your time and book an appointment online with Dr. R.P.Anand on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 38 years of experience on Lybrate.com. Find the best Endocrinologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Birmole Hospital

Plot No 118/1, Vastu Society , Thana Naka, Panvel,Landmark:Opposite Royal Cosmo Club .Navi Mumbai Get Directions
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I am 44 years old. Already I have been taken Glycomet 500 mg twice a day. From today morning to till the time I feel drowsy and not able to due the routine work actively. I want your suggestions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 44 years old. Already I have been taken Glycomet 500 mg twice a day. From today morning to till the time I feel ...
Mr Manickam, Looking at the details provided your BMI is 28 kg/M2, which means you are over weight, your ideal body weight should be 60 kg, so there is 18 kg extra weight. This is a major contributor for diabetes. You have not mentioned about blood sugar levels, HbA1c% and whether you do any exercise. It is important in the treatment of diabetes apart from taking drugs exercise and restricted diet giving exact calories matching the needs based on Ideal Body Weight, blood sugar level and extent of physical activity. Plus one should avoid sweets, deep fried foods, junk foods, pastries, alcohol, red meat and smoking. If you want any specific guidelines please come in a private conversation with details which I have asked, where I will be able to givve specific advice.
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Beat Infertility

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
Beat Infertility

Infertility is the term usually described to a condition when a “woman” who is unable to conceive even after 6 months of unprotected sex. Its usually a self diagnosable condition which is treated by medical professional. A woman should seek a medical treatment when she is 35 or above by trying more than 6 months of unprotected sex. There are several treatments like “invitro” fertilization that provides good results for the infertile couples.
The main cause may include irregular periods, thyroid problems, diabetes, or hormonal imbalances. 

As a dietitian, I would extend my hands and request you all people reading this to join my hands and lets begin to beat infertility through dietary modifications and lifestyle pattern changes.

 Here are the foods to be avoided while you are trying to conceive.

Red meat since it possess high ammonia, that would interfere in the implantation of uterus. Its high acidic content, reduces the sperm cell count and lead to infertile condition.

Avoid trans fats in baked foods, processed foods, fried foods, in simple avoid eating out. Have a healthy foods prepared in home with less oils. The consumption may decrease your insulin and so makes you diabetic.

Avoid refined sugars instead take honey, jaggery, for sweetness. 

It’s good to avoid non organic chicken that may produce imbalance in your hormones and thus leading to infertility. 

Complete avoidance of alcohol

So, its not about the complete avoidance, you can have it occasionally. So be chill that you wont be pushed to that extreme of total abstinence to these foods. But there are some foods that I would prefer you to consume often or even daily. Here is the list

Beans, the vegetable with full of vitamins and minerals, provides you all healthy beneficiaries, as it aids in the digestion, keeps your body toxic free, so that the sperms that enters have a healthy atmosphere for development. 

Leafy vegetables the essential food in all healthy diet plan, since it contains folate the vitamin, that is required for improving ovulation. 

Pumpkin, specially its seeds, for the iron it provides.

Take complex carbs like whole wheat, brown rice, etc. As it may protect you from getting diabetes.

Olive oil possessing good amount of monounsaturated oil, helps in lowering the inflammation if there is any.

2 people found this helpful

My serum creatinine is 1.8.my diabetes is now fasting 100 and pp 170. Bp is now 150/90. I take telma am 1-0-1 and for diabetes maclazid 80 2-2-2.kindly suggest the measures to reduce serum creatinine.

MBBS
General Physician, Cuttack
My serum creatinine is 1.8.my diabetes is now fasting 100 and pp 170. Bp is now 150/90. I take telma am 1-0-1 and for...
A) Drink Herbal/green tea (2 glass daily), drink 6-8 glasses of water (not excess), b) Restrict salt intake, Reduce protein intake like meat/fish/chicken/egg, diary product (cheese/milk/yogurt/butter), white bread, white flour, sweet/tea/coffee/ beer/wine. C) Avoid strenuous physical activity/Exercise (Go for light exercise like Yoga, Walking instead of strenuous exercise like running/playing basket ball/foot ball), d) sleep well (7-8) hours daily e) Avoid nephro toxic drugs like Ibuprufen/Ace inhibitor, cyclosporine, f) Control Diabetes/Hypertension, g) Do thyroid function test to rule out hypothyroidism, h) Avoid potassium containing food like orange, banana, potato, brocoli, spinach, bean, peas dry fruits. I) Take low potassium containing fruits like apple, blue berry, corn, cucumber, J) Avoid excess salt/salty food, excess protein like Red meat/ Diary product. K) Avoid phosphorous rich food like cheese/fish/pumpkin/soybeans. L) Take cabbage, cauli flower, carrot cucumber, omega 3 rich food, raw onion, garlic, turnip, raddish, m) Consult physician for medicine if the creatine level is still high……
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I have sugar since last 15 year. I am taking insulin from few month. During past one month some time my sugar level come down to very low 40-50 and sweat heavily. After taking one teaspoon of sugar /candy it improves. I have consulted doctor but still problem is there. Sometime sugar level increase beyond 250. What is the reason ?it is related to heart stroke.

MD - Homeopathy, BHMS
Homeopath, Mumbai
I have sugar since last 15 year. I am taking insulin from few month. During past one month some time my sugar level c...
Not related to heart stroke basically you need to regulate your diet. As your sugar levels are varying. As you take insulin the units needs to be managed according. Keep check of your sugar levels on glucometer before and after every meal for 3 days. You will get the average fluctuations in blood sugar levels.
1 person found this helpful
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Hello Dr. .mujhe thyriod h tsh 5.8 hai weight 67 hai .aur ovary me toda swelling hai .mai last 4 month se baby plan kar rahi hu .but nai ho pa rah h .mai thyriod k liye 25 mg ki medicine le rahi hu .mujhe period regular aate h .dr ne harmony F medicine lene ko kaha h .dr kya meri problm bahut badi h jisse mujhe baby concieve nai ho payega.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Dr. .mujhe thyriod h tsh 5.8 hai weight 67 hai .aur ovary me toda swelling hai .mai last 4 month se baby plan k...
Thanks for the query. It is good to know that you are looking for a baby. For that please understand that it is absolutely essential to achieve a very good control of hypothyroidism. Your TSh should be maintained around 2 mU/L, for conception to occur and even during the pregnancy too TSH has to be maintained around that, for proper development of the fetus and healthy expected out come of the pregnancy. So you will have to increase the dose of thyroxine to 50 mcg, then check TSH after 6 weeks. If it has come down o the level mentioned above, then it is good. If not there has to be a further increase in the dose. Simultaneously you need to exercise and take a restricted diet, so that you are able to loos at least 5 to 7 kgs of weight, before conception sets in. If you have any doubts please do come back. Thanks.
2 people found this helpful
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My dandruff is not going. I use antidandruff shampoo (given by doctor) and take b-complex and zinc supplements but even then my dandruff is not going. My thyroid levels r also normal. How to cure it (dandruff)? Age-19, male.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My dandruff is not going. I use antidandruff shampoo (given by doctor) and take b-complex and zinc supplements but ev...
Homoeopathic treatment b. C.-20 (adel) chew 4 tab 3 times daily a. C.-4 tabs (bakson) anti dandruff oil (wilmar schwabe india) apply atleast twice weekly. Leave overnight- venome shampoo (biovalley) apply twice weekly (if you do not get this shampoo im mkt then 2nd option is anti-dandruff shampoo (wilmar schwabe india) bloome -201 soap (bioforce) use on face report me back positively after 15 days there we will take a review for any changes getting rid of seborrhic dermatitis 1. Use less shampoo. If you use too much shampoo, you increase the chances that residue will be left behind. Failure to thoroughly rinse out shampoo of the hair causes scalp irritation and flakiness. 2. Exfoliate your scalp. Getting rid of dry, dead skin cells is just as good for your dry scalp as it is for your face. Mix a tablespoon or two of sugar with your shampoo and gently work it into your scalp with the pads of your fingers. Avoid using your fingernails when lathering up, which can cause nicks or cuts. 3. Avoid extremely hot water. Hot water can dry out the skin and aggravate a dry, flaky scalp. The same is true for heat styling products such as a blow-dryer. Excessive heat can cause the scalp to become irritated and dry. 4. Give yourself a scalp massage. A scalp massage causes blood to flow to the scalp, and helps clear any blocked pores that may be interfering with sebum production. Sebum is the oil produced in the sebaceous glands of the scalp. Massaging the scalp also loosens excess dead skin and dandruff, making it easier to wash away. Give yourself a scalp massage before or during your shampoo, or even when you're relaxing in front of the tv. Putting olive oil on your fingertips before the massage gives your scalp added benefits. After the massage, continue with an olive oil treatment.
1 person found this helpful
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I had done blood test for thyroid on Sep 11 2017 .the results r as below: T3: 139.2 ng/DL T4: 8.64 ugh/DL Ultra TSH: 15.49 IU/ml, Kindly provide some guidance related to my report what medications should I do and is it serious.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. TSH 15.49 mU/L is suggestive of hypothyroidism. This needs to be treated with adequate dose of levothyroxine. TSH should be maintained between 3 to 4 mU/L, then only all the symptoms of hypothyroidism are in check. Plus looking at your weight and height it is clear that with a BMI of 28.125 kgs/M2, you are overweight. Your ideal body weight should be 60 kg. Hypothyroidism causes rapid weight gain. So you will have to exercise daily for over 1 hour and also take a restricted diet. You will have to avoid soy beans and soy containing products. Consume more of green leafy vegetables, salads and fruits. Use whole grain flour for making chapati and roti. If you have any doubts please do come back. Thanks.
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Infertility - A Social Stigma!

MBBS, MD - Obstetrtics & Gynaecology
IVF Specialist, Delhi
Infertility - A Social Stigma!

Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities.

Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers.

Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out.

Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or In-vitro fertilization (IVF). If you wish to discuss about any specific problem, you can consult a gynaecologist.

3373 people found this helpful

I am 45 year old. I am diabetic patient. I've had surgery 2 years ago. I have serious pain in both the leg. Which doctor should I prefer?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Plese do an arterial dopler of both the legs. If doppler shows some obstruction. You need to visit a vascular surgeon.
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I have done health check up. Ast (liver) came 54 Fbs (sugar) came 102 Sugar is slight more. Am I diabetic.

MBBS, MD
Endocrinologist, Delhi
I have done health check up.
Ast (liver) came 54
Fbs (sugar) came 102
Sugar is slight more. Am I diabetic.
This fasting blood sugar is not in diabetic range. And AST is only mildly high. Do not worry, repeat your fasting blood sugar and also get pp blood sugar and HbA1c if abnormal consult a Physician.
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What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?

Diploma in Diabetology, MBBS
General Physician, Amritsar
What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?
Life style modification and walk for 150 minutes a week or other mild exercise will be of great help.
1 person found this helpful
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What are the symptoms of thyroid gland Coz I roommate has a problem if throat, sometime she can't drink water also, but she always wants cold drinks and coldcoffee, I do not know exactly what she is suffering from thyroid or typhoid pls reply me soon.

MS - ENT, MBBS
ENT Specialist, Hyderabad
What are the symptoms of thyroid gland
Coz I roommate has a problem if throat, sometime she can't drink water also, b...
Keeping in view of your roommate problem, she needs urgent evaluation by gastroenterologist. She needs to get ugi endoscopy done.
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I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opinion to know about the medicines and other general advice.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opi...
Pls message your questions about medicines for diabetes and other general information. Will be glad to answer your questions.
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Diabetes - Can It Affect Your Kidneys?

MBBS, CCEBDM
Diabetologist, Bangalore
Diabetes - Can It Affect Your Kidneys?

Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.

When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.

A few features of this disorder are as follows:

  1. The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
  2. Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
  3. A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.

In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results. If you wish to discuss about any specific problem, you can ask a free question.

4047 people found this helpful

I have a diabetes problem before 3 years and some times it goes to high so tell me that how I can remove this problem from my life.

MSc
Dietitian/Nutritionist, Hyderabad
I have a diabetes problem before 3 years and some times it goes to high so tell me that how I can remove this problem...
Diabetes is a very diverse condition and eery diabetic differs from other diabetics in one or many ways. However, the good thing about diabetes is that it can be controlled in an effective manner. You just need proper guidance on diet, exercises and lifestyle changes. Connect with me on lybrate to know more about the carb-intake, insulin monitoring and other important things.
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Why Reading A Label Is Important For Diabetic Patients?

Non-invasive Cardiology
Cardiologist, Thane
Why Reading A Label Is Important For Diabetic Patients?

From core ingredients used in your day to day cooking like salt and flour to biscuits and snacks, a lot of the food we eat comes pre-packaged. It is only by reading the labels does one find out the nutritional value of the food. Diabetics need to be much more aware of what they are eating as compared to others. Hence it is best to avoid processed and packaged foods. If you must snack on them, do not skip reading the label. Here are a few things you should take notice of.

  1. Serving Size: All the nutritional information given on the package is relative to the suggested serving size. For example, a 100gm and 200gm pack of biscuits may have the same nutritional data printed on the packet but the total nutritional value of both packets will be different. This is because the nutritional values printed are likely to be based on a serving size of 10 or 20 gms. Thus, you will need to adjust your calorie calculations on the basis of the amount you eat and the suggested serving size.
  2. Carbohydrates: Carbohydrates are the body’s prime source of energy but excess carbohydrates get stored in the body as fat. Hence, it is important to limit your carbohydrate intake. This is usually mentioned in terms of grams on food packets. 15 grams of carbohydrates is considered equal to 1 serving of carbohydrates.
  3. Fats: For a diabetic, fat intake must be limited to the minimal amount required by the body. Packaged foods mention cholesterol, trans fat and saturated fat content on the label. In case of all three, the lower the amount, the healthier the food item. You should aim at consuming less than 200mg of cholesterol per day and only pick food that has less than 1 gram of saturated fat or 0.5 gram of trans fat per serving.
  4. Protein: Eating a protein rich snack can help keep you satiated for longer and hence reduce your urge to snack on other foods. Foods like meat, eggs, chicken, soy, beans, peas, nuts and seeds are rich sources of proteins. However, if you have kidney damage, your doctor may advise you to limit your protein intake. Hence pay attention to the protein content of packaged foods.
  5. Sodium and potassiumSodium and potassium help regulate blood pressure. Hence both should be consumed in limited amounts. If you suffer from a kidney disease, your doctor may advise you to reduce your potassium intake to prevent cardiac problems.
  6. Read Label: Wwhile reading the label we should also see the ingredients, the calorie content, the presence of preservatives etc.

Special Foods For Diabetics

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
Special Foods For Diabetics

Bitter gourd: There are certain evidences that consumption of bitter gourd in any form in one’s daily menu, may result in the prevention or control of diabetes. Charantin helps in lowering the blood glucose level. Lectin, reduces the blood glucose level by suppressing the appetite and making the stored glucose to be used up by the body. The mechanism behind the activity is that it reduces the amount of glucose by inhibiting the enzymes that breakdown the disaccharides to monosaccharide.

Fenugreek seeds: Fenugreek seeds are high in soluble fiber which helps in lowering the blood glucose level by slowing down the digestion and thus slow absorption of carbohydrates. Consume 1 tsp of fenugreek powder in a warm water everyday early in the morning in the empty stomach.

Amla: The anti oxidant property of amla is responsible for lowering of blood glucose level in the diabetics. The polyphenol rich fruit has the property of assisting in the proper absorption of insulin leading to a drop in the blood sugar level. Consuming 1-3gms of amla powder everyday reduces the blood sugar level.

Curry leaves: Curry leaves affect the insulin activity of the body thus reduces the blood glucose level. Eating 10 fully grown curry leaves every morning for 3 consecutive months will keep away the hereditary diabetes and obesity caused diabetes.

Guava: Guava ids rich in dietary fiber which helps in the reduction of blood glucose level. The fiber present aids in the relief of constipation thus lowering the chance of developing type 2 diabetes. Guava leaves are healthy too. Dry the leaves and crush them and boil them in water to get all the essential inggrediant to the water. Consume it. The leaves can prevent from diabetes and reduce the blood sugar level.

Drumstick leaves: Drumstick leaves are rich in ascorbic acid which leads to the reduction of blood glucose level by increasing the insulin secreation in the body. It maintain the body glucose level and hence display the anti-diabetic property and recognized to be the natural way to manage diabetes.

Cinnamon: Consuming 1-6gms of cinnamon powder for 40 days aids in the reduction of blood glucose level by 18-29%. It may be allergic to some people, stop consuming if you notices any side effects, otherwise continue to enjoy the benefits.

7 people found this helpful

I am BP & sugar patient with cervical sopondyl for the last 16 years. Kindly advice me.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am BP & sugar patient with cervical sopondyl for the last 16 years. Kindly advice me.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286 Spondylosis needs treatment as appropriate by a neurosurgeon.
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Hi Last week I got Kidney panel test done from Lal path lab and results are, pl advise Uric acid. 7.30 Creatinine. 1.07 Urea. 60 Uric acid. 7.30.

DGO
Gynaecologist, Delhi
Hi Last week I got Kidney panel test done from Lal path lab and results are, pl advise
Uric acid. 7.30
Creatinine. 1....
Reveiwed reports, renal function is altered, uric acid is raised, blood urea and serum creatinine are also raised ,need to get a Renal scan, and at the same time improve hydration (2.5-3 litres of water daily for 3 days) and get a repeat KFT test done after 3 days of hydration therapy .Also get started with treatment for raised uric acid from a nephrologist.
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