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Dr. Chaitanya Kabra

Endocrinologist, omerga

Dr. Chaitanya Kabra Endocrinologist, omerga
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Hi. I'm a diabetes patient. And now suddenly my blood pressure also increased by 288. What should I do for reducing it.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi. I'm a diabetes patient. And now suddenly my blood pressure also increased by 288. What should I do for reducing it.
Mr. Lybrate-user, the figure mentioned is 288, what is it related to blood sugar (fasting or pp). Bp can not 288 mm hg. Please clarify all the readings properly, like fasting & pp sugar levels and hba1c% as well as bp readings like systolic / diastolic. Also mention if you are on any treatment for either of these conditions.

I am 48 years old, I suffering diabetes, what should I take diet? Pl`z give me diet chart, sugar level 200 fasting.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 48 years old, I suffering diabetes, what should I take diet? Pl`z give me diet chart, sugar level 200 fasting.
DIET CHART FOR DIABETES 1200 PER DAY FOOD ITEM AMOUNT PROTEIN (g) CALORIES (kcal) EARLY MORNING Fenugreek seeds with 1 cup of water - - - Tea (without sugar) 1 cup 4 35 Marie Biscuits 2 1 56 BREAKFAST Stuffed methi or palak or 2 small 7 200 lauki paratha Curd 1 cup 3 30 OR Egg white or Paneer Bhurji 1 medium bowl 6 130 Plain roti 2 small 3 150 OR Vegetable poha or upmarket or oats or daliya 1 soup bowl 4.5 230 MIDMORNING Apple or guava or orange 1 - 40 LUNCH Salad 10 mins before lunch 1 medium bowl 1 30 Capsicum+gobhi veg 1 medium bowl 1 85 Dal 1 soup bowl 6 130 Phulka without ghee 2 6 175 EVENING Milk or green tea or herbal tea or lemon water 1 cup 2 35 Roasted chana or Muri 1 cup 5 85 DINNER Salad 10 min before meal Phulka without ghee 2 Lauki veg 1 cup 2 85 Curd 1 cup 3 30 LATENIGHT Skim milk (no sugar) 1 glass 4 120 This sample 1200 Calorie Indian Diet Plan For Diabetes, will provide you with an idea of what an ideal 1200 Calorie Indian Diet Plan For Diabetes looks like. Although you must understand that this is just a generalized 1200 calorie Indian diet plan for diabetes, it may or may not suit your  goal as there are chances your body requirements will be different.
2 people found this helpful

My wife is suffering from Diabetes. First detected 11 years ago when she was pregnant. After a Child Birth she is completely normal. But since last 3-4 years again she has this problem. Her HBA1C is 12.5%. She is not taking Insulin. Presently is taking "Glymipride-2 mg-BD. But it is not in control. Pls. Suggest some medicine which is affordable for us and Diabetes should be in control.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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My wife is suffering from Diabetes. First detected 11 years ago when she was pregnant. After a Child Birth she is com...
I would suggest to go to a good doctor. Insulin will not harm her in any way in fact it will control her sugar levels. With regular insulin and proper diet where she should divide her meals in 4-6, times a day.
1 person found this helpful

I have blood sugar 130-170. Of late I have developed rashes in the body from scratching. In my thigh the spread is bigger. If it is due to sugar how many sugar patients get it. Remedy and reason please. Also my knee pains while climbing.

C.S.C, D.C.H, M.B.B.S
General Physician
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It is not as easy 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) 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. For sugar 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 privately with all details like your daily eating pattern and medicines you take.

Earlier 2 days mine maternal uncle age 38-40 reported to diabetes. Then what will be the initial steps to cure the diabetes as it is in first stage? What types of precautions should he hv to take? Is diabetes curable? What are the causes of diabetes? Explain all this plz.

MBBS, PG Diploma in HIV Medicine
General Physician
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Earlier 2 days mine maternal uncle age 38-40 reported to diabetes. Then what will be the initial steps to cure the di...
Everything we eat will convert into sugars, protein and fats by body. Sugars breakdown inside the body and produce energy for which insulin is necessary. Whenever the pancreas stops producing insulin. Sugar levels tend to raise in the blood and alters several body metabolism and prone to infection. This condition is known as diabetes. There is no cure for diabetes yet. Strict diet, physical activity and medication will improve the quality of life and prolong life time. Check his sugar levels regularly both fasting and 2 hours after breakfast. Take anti diabetic medication prescribed by a physician regularly. Contact if need further assistance.
1 person found this helpful

Triolocity injection is safe for sugar control .is there any after effect of this injection and what is the substitute of this.

Diploma in Diabetology, MBBS
Endocrinologist
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Triolocity injection is safe for sugar control .is there any after effect of this injection and what is the substitut...
Trulicity is basically once a week glp-1 analogue injection. Its a very new concept introduced in india. It is supposed to have a lesser gastrointestinal side effects like nausea & vomitting as compared to the ones which are available for daily injections like victoza.
1 person found this helpful

I have a diabetes. Pls suggest me what to eat or not give me advice to prevent from it.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I have a diabetes. Pls suggest me what to eat or not give me advice to prevent from it.
Mr. Lybrate-user, prevention of diabetes is possible when diabetes has not developed. Once it has been diagnosed, then it can only be controlled with appropriate treatment. So if you already have diabetes then take care and control sugar levels as normal as possible. To achieve good control fasting should be closer to 100 mg, pp 150 to 160 mg and hba1c%<6.8. Diet has to be every individual specific, depending upon blood sugar level, hba1c%, extent of daily exercise and weight of the patient. Your diet should provide exact calories based on the details mentioned above. In the mean time, avoid sweets completely, also direct sugar and gur, no deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat milk products, sweet corn syrup containing products and highly processed food products. Consume more of green leafy vegetables, salads, permitted fruits (100 g a day). Use whole grain flour, for chapati and rot. Do not use refined flour like maida. Avoid alcohol and smoking, adapting this modified lifestyle will help in controlling blood sugar better.

My wife is suffering with diabetes and hypertension since 2004 at present average blood glucose is 191. 51 mg/dl hba1c 8. 3 creatinine 2. 8 cholesterol 260 medicine she takes metaglez, bp cure 25 minipress xl 5mg when bp is <145/90 . suggest me medicine for lowering creatinine.

FDRC (2 years full time Fellowship in Diabetes), PG in Family Medicine, MBBS
Endocrinologist
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Please stop metaglez. Reduce salt intake. Keep blood sugar and bp under control. This action may tend to reduce serum creatinine level. To control sugar, please consult a good diabetologist.
1 person found this helpful

Infertility - 4 Causes Behind It

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist
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Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes

  1. Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

  2. Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

  3. Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

  4. Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

Treatments

Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

  1. Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

  2. Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy).
Infertility - 4 Causes Behind It
4395 people found this helpful

I am having cervical spondylosis . My right hand is paining seriously . Tell me proper medicine that can cure it . I am diabetic . Doctor has prescribed me to check (MRI of cervical spine with screening of brain ) is it necessary to check it. Doctor has prescribed this medicine are they perfect : Medicine are as follows Defical -os capsule MyCo -folio acid, B-complex & lipoic Acid tablets HD3 softgel capsule Pregalin x Dr. 75. REMARKS OF MY MRI SCAN REPORT The C6/7 disc shows an asymmetric left bulge with prominent left paracentral and posture-lateral and foramina components indenting the ventral thecal sac and causing severe left and causing severe left and along with the uncovertebral hypertrophy causing severe left exit foramina narrowing impinging on the existing left C7 nerve root The C5/6 disc shows an asymmetric right bulge with prominent uncovertebral hypertrophy contributing to severe right exit foramina narrowing and impinging on the existing right C6 nerve root Milder changes at C3/4 and C4/5 Any serious problem tell me any options and Dr. told me to be admitted to hospital is it needed for me let me know and any other medicine needed tell me.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am having cervical spondylosis . My right hand is paining seriously . Tell me proper medicine that can cure it . I ...
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
1 person found this helpful

I am 42 years old and burning at back since almost 5 to 6 years now. Also want to reduce my weight that is 92 now. But no BP, no Sugar. No health issues other than thyroid. Any medicine for piles as well.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 42 years old and burning at back since almost 5 to 6 years now. Also want to reduce my weight that is 92 now. Bu...
Your main problem is thyroid that is cause of obesity and piles also burning at back. If you are taking medicine for thyroid then continue it and is it controlled with medication or not? some ayurvedic medicine you can use but needs proper consultation. Triphala choorn 2 tsf with leukworm water at bed time after meal. This medicine is reduces your weight and also helpful in piles.

I am patient of uric acid . Plz suggestion

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician
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In gout uric acid levels are high.Since how long you are suffering? To help you I need more details of tests done & treatment details

Sugar pp 200 hai 1 week se kabj tha or kal se toilt baut ho raha 4-5 hua PR baut hua or ulti v hua or gas baut Jada ban raha bhuk saf khtm ho gaya gala ke pas lag raha pura bhara hai baut kamjor ho gaya.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Sugar pp 200 hai 1 week se kabj tha or kal se toilt baut ho raha 4-5 hua PR baut hua or ulti v hua or gas baut Jada b...
You should consult a local doctor in person. Meanwhile I suggest diarex tablet from himalaya, 2 tablet twice daily .with plain water and vomitab from charak 1 tablet twice a day for 2-3 days.

Does a person having irregular eating habits a higher chances of suffering from diabetes?

cc USG, MBBS
General Physician
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Does a person having irregular eating habits a higher chances of suffering from diabetes?
Yes irregular eating habits is a risk factor for Type 2 diabetes as this habit induces unwanted changes in blood sugar levels
1 person found this helpful

As per Hba1c results, if it is 12% then are there any chances in treatment by life style modification.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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As per Hba1c results, if it is 12% then are there any chances in treatment by life style modification.
For a diabetic, it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
2 people found this helpful

My 25 years sister has recently gaining 2-3 KGs unnecessarily. Mostly around the belly and the waistline. She has very active and healthy lifestyle. No recent changes in diet or lifestyle or anything. She did test for thyroid profile. Here are the results: 1. T3 (Tri-iodithyroxine), Serum - 95 ng/DL (Reference range: 70-149) 2. T4 (Thyroxine), Serum - 6.16 ug/DL (Reference range: 4.5-12.0) 3. TSH (Ultrasensitive), Serum - 0.546 uIU/ml (Reference range: 0.49-4.67) How do these results look? What could be the reason of increasing fat belly and weight? Please help. Thanks.

Vaidya Visharad
Ayurveda
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My 25 years sister has recently gaining 2-3 KGs unnecessarily. Mostly around the belly and the waistline. She has ver...
Water And Citrus Juices •Make sure that you consume at least 10 to 12 glasses of pure water every day. •You can also replace one or two glasses of water with citrus fruit juices like lemon juice or orange juice to provide you the natural vitamins that help in losing weight. •Water will help you to flush out the toxins in your body.

I got diabetics as its 110 to 150 I am having gimme1 tablet early morning any medicine by which my sugar will be normal always.

Diploma in Diabetology, MBBS
General Physician
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I got diabetics as its 110 to 150 I am having gimme1 tablet early morning any medicine by which my sugar will be norm...
maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life take plenty vegetables and fruits in 2 / 3 servings take high fibre low calorie food check sugar levels frequently
2 people found this helpful

I am taking insulin of 16 unit per day and glucored fort tab twice daily. What should i do to control my diabetes without insulin. Or do you have better medicine prescribed as generic?

MBBS, DGO (cal)
General Physician
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When your Diabetologist has decided you need Insulin then it is right. Insulin help to prevent complications of diabetes. There is no better or bad medicine. Matter is what is required and giving you good result that is your medicine. Of course that should not cause damage to your health - your consultant definitely knows that. Trust him.

My father is a diabetic patient, he is suffering from edema there is pain in hip joint fom last 3 months so doctor advised him to have a rest for 3 months. But after having a rest of 3 months there is too low recovery In new xray we came to know about that still there is no blood circulation on that particular area (hip joint) So doctor again advised him for rest So please suggest me something better than the best I'll be so thankful to you.

BPTh/BPT, MPTh/MPT
Physiotherapist
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My father is a diabetic patient, he is suffering from edema there is pain in hip joint fom last 3 months so doctor ad...
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.

Thyroid tip

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Selenium deficiency in Hashimoto's Disease(Most Common reason for Hypothyroidism/ underactive Thyroid)
A dosage of 200 mcg per day has been found to reduce thyroid antibodies in clinical trials, Selenium cut the antibodies in half within three months....Curious about the science behind it? Read on

Selenium

Selenium plays a very important role in Thyroid function:

1.Helps to convert the inactive T4 to the biologically active T3
2.Protecting Thyroid cells from oxidative damage .

Selenium deficiency, causes more antibodies to produce resulting in the failure to recognize self from non-self. This is how autoimmunity develops. Thus, selenium deficiency has also been recognized as a risk factor for Hashimoto’s.

Selenium deficiency may also occur in abdominal disease such as celiac disease and other inflammatory bowel disorders due to the malabsorption from damage to the small intestine and Crohn’s disease or surgical removal of the stomach.

Studies have proposed that supplemental selenium could alleviate toxic effect of excessive iodine intake on the thyroid.

Selenium intake protects against Thyroid Autoimmunity by acting as an Antioxidant, and preventing autoimmunity. Furthermore, ultrasounds of the thyroid following selenium supplementation showed reduced lesions in the thyroid gland.

While the RDA of selenium is 200 mcg daily, for TPO antibody reduction,.

Dr.Tanvi recommends taking the pure encapsulations brand of selenium on an empty stomach with vitamin E, which works in synergy with selenium, to ensure proper absorption. (Please note, many Vitamin E brands are made from soy oil, which can be detrimental to thyroid health, so use the one which is derived from sunflower oil ).
While it may be tempting to increase selenium intake by increasing consumption of selenium-rich foods such as Brazil nuts, it is important to realize that over consumption can lead selenium toxicity. Symptoms include GI disturbances, hair loss, changes in hair and nails, peripheral neuropathy, fatigue, irritability, garlic-smelling breath, and a jaundice-like yellow tint to the skin.

Thyroid tip
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