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Dr. Ram Lakhani

Endocrinologist, Navi Mumbai

500 at clinic
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Dr. Ram Lakhani Endocrinologist, Navi Mumbai
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ram Lakhani
Dr. Ram Lakhani is a popular Endocrinologist in Vashi, Navi Mumbai. You can meet Dr. Ram Lakhani personally at Lakshdeep Hospital in Vashi, Navi Mumbai. Save your time and book an appointment online with Dr. Ram Lakhani on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 35 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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Lakshdeep Hospital

Plot 1B, Sector 9A, Vashi, Landmark: Near Jain Temple, Navi MumbaiNavi Mumbai Get Directions
500 at clinic
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I am taking insulin 55 units daily + glimy 2 mg =2 tablets+ 2 tablets galvusmet 50/500. My sugar is pp 147. Can i stop taking insulin ?

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM, Certificate course in management of Thyroid disorders-CCMTD
Diabetologist, Bangalore
Yes you can do it, but with strict monitoring, u please contact me back on private questions for further guidance - it requires follow up.

Obesity And Diabetes - Know The Connection!

MBBS, MDRC (Diabetology), M.D.R.F.A.D.A
Diabetologist, Hyderabad
Obesity And Diabetes - Know The Connection!

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.

Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes-

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk-

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.

2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.

3. Tune Up Your DietFour dietary changes can have a big impact on the risk of type 2 diabetes-

  • a. Choose whole grains and whole grain products over highly processed carbohydrates.
  • b. Skip the sugary drinks, and choose water, coffee, or tea instead.
  • c. Choose good fats instead of bad fats.
  • d. Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor.  In case you have a concern or query you can always consult an expert & get answers to your questions!

4740 people found this helpful

Ian 54 .sugar today is fasting. 199 pp 273. Hba1c 7.6. After taking Janumet 50/500 evening and amaryl M2 from Last 15 days. Pl suggest how to control. Regards. R.S.BOHRA.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Ian 54 .sugar today is fasting. 199 pp 273. Hba1c 7.6. After taking Janumet 50/500 evening and amaryl M2 from Last 15...
Hello Sir, According to your reports, your sugar levels are still high. FPG should be less than 110 and PPG should be less than 160-170, and HbA1C should be less than 6.5 % for good control. It is not clear from your question whether you are taking Amaryl M2 both in the morning and evening or only in the evening. Janumet dose can be increased provided your kidney and liver function tests are normal. You could also take Amaryl, but it depends whether you should be prescribed 1 mg or 2 mg in the morning. In addition there are other drugs too that can reduce your glucose levels like alpha-glucosidase inhibitors, pioglitazones etc. Is it possible for you to consult me online as a private consultation? Alternatively please see a good diabetologist. Thank you
2 people found this helpful

I check my sugar level on weekly basis. It is normally 103-108 in fasting and 96-105 range 6 hours after lunch / meals. Yesterday I touched a leaking benadryl bottle and I just wiped with cotton and checked sugar level. It was showing 192 (6 hours after meal ). Then I washed my hands and tested in my little finger of left hand. It was showing 108. Which one is true. Does a touch of benadryl syrup increases reading with error? Please let me know (I am 35 aged, Male)

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
I check my sugar level on weekly basis. It is normally 103-108 in fasting and 96-105 range 6 hours after lunch / meal...
Hi sir, The wrong reading might be due to the sugar present in the Benadryl syrup. You are advised to repeat the tests after three days.
1 person found this helpful

Hello, Just wanted to know that, can we consume boiled eggs at the stage of diabetics. My age is 49.

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
Hello, Just wanted to know that, can we consume boiled eggs at the stage of diabetics.
My age is 49.
Hi sir this is Dr. Verma here. Yes can be taken provided your blood sugar, chole strol levels & body wt are in no normal normal range.

I am 22 years old. I tested thyroid in which T3 and T4 levels are under control but TSH level is 4.47. Is it high? How to reduce it?

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology, Certified Diabetic Educator, Diploma in Nutrition & Health Education (DNHE), Certificate in food Nutrition (CFN), Bachelor of Education, Bachelor of Arts (Physical Education)
Dietitian/Nutritionist, Agra
I am 22 years old. I tested thyroid in which T3 and T4 levels are under control but TSH level is 4.47. Is it high? Ho...
The best natural remedy to cure thyroid is coriander leaves, what you have to do you have to take 20 to 30 grams of coriander and boil in 200 ml water after boiling for 7 to 8 minutes you can drink this coriander herbal tea, you have to drink this herbal tea in morning empty stomach regularly for 3 months, along with this start doing kapal bharti and alom vilom regularly without any fail, make a habit of walking 60 minutes in a day, you have to avoid refined oil in your cooking and use mustard oil cow ghee or any other pure oil, drink 3 to 4 litres water everyday but make sure your not drinking water right after your meals give a gap of 90 minutes.
5 people found this helpful

My wife want to loose the weight n tried with lemon honey n its nt effective. She is suffering frm thyroid suggest suggest me.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
My wife want to loose the weight n tried with lemon honey n its nt effective. She is suffering frm thyroid suggest su...
Burn fats and calories healthy diet to lose weight leave carbonated beverages eating vegetables to lose weight eating fruits to lose weight stop eating sugar lose weight fast reduce sodium lose weight herbal tea to lose weight eat low calorie foods drink plenty of water avoid sweets eat more vegetables you need to take a balanced diet.
4 people found this helpful

Hi Tsh of the 11.5 for a 67 year old male, i am taking thyronorm 50 mcg. What is the solution now .

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi Tsh of the 11.5 for a 67 year old male, i am taking thyronorm 50 mcg. What is the solution now .
Hello, The solution is to bring TSH level down to 3 to 4 mU/L, then only all the symptoms related to hypothyroidism are in control. You will have to check TSH level after 6 to 8 weeks of starting treatment with thyroxine or the current dose that is being taken. If TSH level is not as mentioned above then dose may have to be increased. Thanks.
1 person found this helpful

what is diabetic ?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
what is diabetic ?

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerves throughout your body. Diabetic neuropathy most often damages nerves in your legs and feet.

Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your legs and feet to problems with your digestive system, urinary tract, blood vessels and heart. Some people have mild symptoms. But for others, diabetic neuropathy can be quite painful and disabling.

Diabetic neuropathy is a common and serious complication of diabetes. But you can often prevent diabetic neuropathy or slow its progress with tight blood sugar control and a healthy lifestyle.

Signs and symptoms :

Peripheral Neuropathy symptoms:

Numbness or reduced ability to feel pain or temperature changes.
Tingling or burning sensation.
Sharp pains or cramps.
Increased sensitivity to touch — for some people, even the weight of a bedsheet can be painful.
Muscle weakness.

Autonomic Neuropathy symptoms :

This type usually affects the digestive system, especially the stomach. It can also affect the blood vessels, urinary system, and sex organs.

Bloating
Diarrhea
Constipation
Heartburn
Nausea
Vomiting
Feeling full after small meals

Radiculoplexus neuropathy :
Severe pain in a hip and thigh or buttock that occurs in a day or more
Eventual weak and shrinking thigh muscles
Difficulty rising from a sitting position
Abdominal swelling, if the abdomen is affected
Weight loss

Mononeuropathy:

Shin or foot
Lower back or pelvis
Front of thigh
Chest or abdomen
Difficulty focusing
Double vision
Aching behind one eye
Paralysis on one side of your face (Bell's palsy)

Causes:

Damage to nerves and blood vessels
The exact cause likely differs for each type of neuropathy. Researchers think that over time, uncontrolled high blood sugar damages nerves and interferes with their ability to send signals, leading to diabetic neuropathy. High blood sugar also weakens the walls of the small blood vessels (capillaries) that supply the nerves with oxygen and nutrients.

However, a combination of factors may lead to nerve damage, including:

Inflammation in the nerves caused by an autoimmune response. The immune system mistakes nerves as foreign and attacks them.
Genetic factors unrelated to diabetes may make some people more likely to develop nerve damage.
Smoking and alcohol abuse damage both nerves and blood vessels and significantly increase the risk of infection.

Diagnosis:

A doctor can usually diagnose diabetic neuropathy by performing a physical exam and carefully reviewing your symptoms and medical history.

Your doctor will check your:

Overall muscle strength and tone
Tendon reflexes
Sensitivity to touch and vibration
Also at every visit, your doctor should check your feet for sores, cracked skin, blisters, and bone and joint problems. The American Diabetes Association recommends that all people with diabetes have a comprehensive foot exam at least once a year.

Along with the physical exam, your doctor may perform or order specific tests to help diagnose diabetic neuropathy, such as:

Filament test. Your doctor will brush a soft nylon fiber (monofilament) over areas of your skin to test your sensitivity to touch.
Quantitative sensory testing. This noninvasive test is used to tell how your nerves respond to vibration and changes in temperature.
Nerve conduction studies. This test measures how quickly the nerves in your arms and legs conduct electrical signals. It's often used to diagnose carpal tunnel syndrome.
Electromyography (EMG). Often performed along with nerve conduction studies, EMG measures the electrical discharges produced in your muscles.
Autonomic testing. If you have symptoms of autonomic neuropathy, special tests may be done to determine how your blood pressure changes while you are in different positions, and whether you sweat normally.

Prevention:

You can prevent or delay diabetic neuropathy and its complications by keeping tight control of your blood sugar and taking good care of your feet.

Blood sugar control
Use an at-home blood sugar monitor to check your blood sugar and make sure it consistently stays within target range. It's important to do this on schedule. Shifts in blood sugar levels can accelerate nerve damage.

The American Diabetes Association recommends that people with diabetes have the A1C test at least twice a year. This blood test indicates your average blood sugar level for the past two to three months. If your blood sugar isn't well-controlled or you change medications, you may need to get tested more often.

Foot care
Follow your doctor's recommendations for good foot care.

Foot problems, including sores that don't heal, ulcers and even amputation, are a common complication of diabetic neuropathy. But you can prevent many of these problems by having a comprehensive foot exam at least once a year, having your doctor check your feet at each office visit and taking good care of your feet at home.

To protect the health of your feet:

Check your feet every day. Look for blisters, cuts, bruises, cracked and peeling skin, redness, and swelling. Use a mirror or ask a friend or family member to help examine parts of your feet that are hard to see.
Keep your feet clean and dry. Wash your feet every day with lukewarm water and mild soap. Avoid soaking your feet. Dry your feet and between your toes carefully by blotting or patting with a soft towel.

Moisturize your feet thoroughly to prevent cracking. Avoid getting lotion between your toes, however, as this can encourage fungal growth.

Trim your toenails carefully. Cut your toenails straight across, and file the edges carefully so there are no sharp edges.
Wear clean, dry socks. Look for socks made of cotton or moisture-wicking fibers that don't have tight bands or thick seams.
Wear cushioned shoes that fit well. Always wear shoes or slippers to protect your feet from injury. Make sure that your shoes fit properly and allow your toes to move. A podiatrist (foot doctor) can teach you how to buy properly fitted shoes and to prevent problems such as corns and calluses.

If problems do occur, your doctor can help treat them to prevent more-serious conditions. Even small sores can quickly turn into severe infections if left untreated.

1 person found this helpful

Dear sir, Is its any complication or no effect of a woman body (age 34) she is thyroid patient 100 cmg and she looking for again conceived after 7 year gap. Its good decision or not.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. I am not able to understand what are you trying to convey. Any ways, I am giving this explanation, hope it clears your doubt. If the lady wants to have a pregnancy again after a gap of 7 years, it is fine. Since she has Hypothyroidism, it is necessary for her to maintain TSH level < 2mU/L. So first get her TSH level checked and if needed dosage of thyroxine needs to be adjusted. Thanks.
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