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Deep Eye Hospital

Endocrinologist Clinic

B-3, Sushila Apartment, Nal Stop, Karve Road. landmark: Near to K R Homoeo Pharmay, Pune Pune
1 Doctor · ₹500
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Deep Eye Hospital Endocrinologist Clinic B-3, Sushila Apartment, Nal Stop, Karve Road. landmark: Near to K R Homoeo Pharmay, Pune Pune
1 Doctor · ₹500
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Deep Eye Hospital
Deep Eye Hospital is known for housing experienced Endocrinologists. Dr. K M Shelgikar, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 46 patients.

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MON-FRI
04:30 PM - 08:00 PM

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B-3, Sushila Apartment, Nal Stop, Karve Road. landmark: Near to K R Homoeo Pharmay, Pune
Sus Pune, Maharashtra
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500 at clinic
Available today
04:30 PM - 08:00 PM
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What are the side effects of Tab Metformin? Does a dose of 500 mg is good at the start. Do I require to take this tablet throughout my life after starting the dose? What things will naturally control my blood sugar level? Are there alternatives for allopathy medicines?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
The common side effect of Metformin is gastritis. Metformin alao depletes Vit B12 and hence can have long term hematological and neurologicsl side effects. This can easily be mitigated by appropriate Vit B12 supplementation. 500 mg is a good start. Can go upto 2gm per day under supervision of a physician. I prefer the "SR twice daily" option. Many need to take it life long. Diet, exercise and nutrient supplement in appropriate dose will help. Yes, there are alternatives to allopathy. But why look outside Allopathy? A more progressive, holostic Allopathic approach is what I advocate for my patients and it works very well.
1 person found this helpful
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Can a diabetic patient take zincovit multi vitamin capsules. Does this medicine help to cure any diseases?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Yes, diabetics can take zincovit multivitamin. Multivitamins play a small supportive role in all metabolic diseases including diabetes. I do not expect them to be curative in any way.
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I am 40 years old l have sugar and bp. I get 1 year sugar leave bp for 15 years I want normal personality what l should do now please tell me.

B.H.M.S
Homeopath, Patna
Lycopodium cm one drop only in a cup of water once in a month. 2 Gymnema Q take 10 drop in a cup of water once in a week. 3. Raulfia Q take 10 drop in a cup of water once daily for one month.
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About my father. My father is a diabetic patient since from 25 years. He is 51 years old. His sugar levels is about 220 before breakfast. He uses insulin dose of 12points morning and evening. Can you help us how to reduce sugar levels.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Yes please add third Insulin at night at time of sleeping. Lantus start with 10 units. Then tell after 3 days.
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How Gestational Diabetes Can Be Treated?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How Gestational Diabetes Can Be Treated?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan. If you wish to discuss about any specific problem, you can ask a free question.

620 people found this helpful

Cardiovascular Disease & Diabetes - Know Everything About It!!

MBBS, CCEBDM
Diabetologist, Bangalore
Cardiovascular Disease & Diabetes - Know Everything About It!!

Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

  1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.
  3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
  5. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease. If you wish to discuss about any specific problem, you can ask a free question.

570 people found this helpful

Infertility Treatment - 4 Parameters To Consider

MBBS, DGO
Gynaecologist, Gurgaon
Infertility Treatment - 4 Parameters To Consider

The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.

Treatment of infertility depends on:

  1. Cause of Infertility
  2. Duration of Infertility
  3. Age of both partners
  4. Personal preferences

Causes:
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following

2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:

3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.
Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments.
In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:

  1. Medications
  2. Surgery
  3. Change in lifestyle
  4. Sperm retrieval

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI)
  2. Stimulation of ovulation with fertility drugs
  3. Surgery to restore fertility

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:

  1. Intracytoplasmic sperm injection (ICSI)
  2. Assisted hatching
  3. Donor eggs or sperm
  4. Gestational carrier

Some complications that may occur during the treatment of infertility are:

  1. Multiple pregnancy
  2. Ovarian hyperstimulation syndrome (OHSS)

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

492 people found this helpful

Thyroid Diseases During Pregnancy

MS, MBBS
Gynaecologist, Delhi
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Causes, symptoms and diagnosis of Thyroid

1 person found this helpful

According to Diabetic that is 1st Stage to control on them what should be eaten in diet or not?

MBBS, MD
Endocrinologist, Delhi
Diabetic patients should avoid sugar, jagary,honey, sweets,sweet fruits like banana, mangoe,grapes, cheeku,dates etc. Do regular exercise, walk,yoga. Take your medicine (if you taking) as per advice of your physician. Regularly check your blood sugar.
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How to control Blood sugar level. I am a diabetic patient having Fasting as 145 and PP as 193 currently. I have started going to Gym and do exercise for 1 hour 15 mins from last 2 weeks. I have diabetes detected from last 1 year. Prior to that I had gestational diabetes during pregnancy which was in 2011 and was taking insulin. But post delivery my blood sugar level got normal. And then after 5 years I tested again and found I have diabetes.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
1. If you take care of diet, do daily exercise, and bring your weight down, you can bring down sugar levels and lead a healthy life. >> >> 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, barley, instead of refined grains like maida/ sooji/ white bread, white rice etc.>> 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.  .>> 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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Diabetes - Know Its Ayurvedic Remedies!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Diabetes - Know Its Ayurvedic Remedies!

When the sugar concentration in the blood increases suddenly and unreasonably, the resulting condition is known as diabetes. Sugar or glucose is generally used in order to provide much needed energy to our bodies. But when the pancreas dysfunctions, it leads to a problem in the insulin production. As a result, glucose or sugar gets directly absorbed into the blood, instead of getting absorbed by insulin. And this leads to the condition of diabetes.

Diabetes Treatment in Ayurveda
For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produces insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

As an ancient science based on lifestyle related treatment methods that include herbs, massages and life changing tweaks, Ayurveda also provides various methods of managing this ailment. Here's how!

  1. Bitter Gourd: Known as an ingredient that is rich in antioxidants, this can be consumed to take care of diabetes. You will need to first remove the peel of at least four to five bitter gourds before crushing them to create a paste. This paste has to be put through a sieve so that the juice of the gourds can be extracted. You will then have to drink this juice every morning, on an empty stomach.
  2. Cinnamon: From treating coughs and colds to diabetes and other serious ailments, this is a wonder spice that can be found in most Indian kitchens. You can start by boiling a litre of water and letting it simmer on the gas for about twenty minutes. Thereafter, you can add three teaspoons of cinnamon powder to this simmering water. Strain this mixture and drink the entire batch every day to clear out the toxins.
  3. Fenugreek Seeds: For this, you will need to take about four to five tablespoons of fenugreek seeds. These will have to be soaked in a glass of water or about 250ml of water, overnight. In the morning, the softened seeds will need to be crushed before the mixture is strained. The water that escapes should be collected and ingested every day for a period of two months.
  4. Turmeric: Turmeric is a powerful and well-known ingredient that is used for curing and managing many ailments. You will need to mix about half a teaspoon of turmeric powder with one teaspoon of amla powder as well as half a tablespoon of methi seeds or fenugreek seeds powder. This concoction will have to mixed in half a glass of water and taken daily on an empty stomach. This can be used by patients suffering from heart ailments as well.
  5. Diet: Cereals like ragi, corn, kulit, green millet, and barley are known to beneficial for patients suffering from diabetes. Leafy greens are also a must for such patients along with protein-rich foods like soya beans. If you wish to discuss about any specific problem, you can consult an Ayurveda.
2172 people found this helpful

Hello. my age is 32. I have type-2 diabetes. I take regularly insulin (human mixtard. Apart from all these I also have so many another problems that 1. My stool is not normal I.e oily, smelly and not satisfactory, 2.regularly I take food in adequate amount but still I feel weakness and constantly weight loss occurs. 3.acidity and gas problem (nausea and vomiting) 4.some time backache is also happens. So kindly tell me sir/mam is there is any problem at my pancreas. And if any problem what should I do?

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
hello there is no problem in ur pancreas . u should take high fiber diet. have small and frequent diet. take milk and milk products. take dry fruits, paneer, veg. sandwich, almonds, walnuts,coconut water,coffee, tea without sugar, oats, cornflakes, musalie,. take one fruit daily.don't skip your breakfast specially . take always healthy food in your breakfast.take meals on fix time.do walk daily atleast 45 min.
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I am newly diagnosed with diabetes. At that time my sugar comes 506 and HbA1c 14. Now after 20 days my sugar comes 83 after meal and 103 fasting sugar. I was taking insulin 5 unit in night. But now Dr. Told don't take insulin. I just want to Can I reverse it completely anyhow. Is it true that obese people reduce weight than diabetes type 2 can be reversed or cured.

CCEBDM , CCGDM, CCDR, CCMTD
Diabetologist, Delhi
Dear lybrate-user, diabetes is a chronic disease where your body lack a healthy mechanism to maintain your blood sugar under controlled range. You need medication throughout to keep your glycemic target under control to avoid any future complication. Good luck. Remember your HbA1c was 14 which warrants a good control.
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My mother is suffering from child's A liver cirrhosis and type 2 diabetes mellitus. For the last few months her feet from ankle to fingers are swollen and it pains a lot. Is it due to cirrhosis?

MPT - Orthopedic Physiotherapy
Physiotherapist, Bahadurgarh
Yes it is because of cirrhosis, and diabetes Advised to wear stockings day time, avoid long duration sitting, walking, chair sitting Put legs upright posture while sleeping.
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What r the thing need to take precaution from sugar And to take healthy food and want to made bone healthy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post-Graduate Certificate in KAYACHIKITSA
Ayurveda, Beed
Keep ghee intake daily in morning along with milk for six months Use simple balanced diet Eat much more fibrous food AVOID SPICY intake If any suggestions required do contact me.
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My 32 year old son suffering from diabetes since 3 years. Sugar not came normal range from starting. All remedies and afferds failed. Ayurvedic and alophaty both treatments are running but still sugar not in normal range. What should I do.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for your query. It very unlikely that all efforts to control blood glucose would fail. Since there is no mention about current blood glucose levels, HbA1c%, drugs with dosage and also about diet and exercise, it is very difficult to comment anything. If you and your son are keen on getting appropriate treatment then please come back with following details: Fasting, PP glucose lvels, HbA1c%, weight, height, present drugs with dosage, dietary pattern and extent of daily exercise. Then based on those details I will be able to give specific guidamce. Thanks.
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My random sugar level is 160. I finished lunch at 1.50 pm & blood taken for test at 2.16 pm. Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the query. RBG of 160 mg is high. It points out that there is a problem. But to decide whether one has diabetes or not can only be decided by doing - Fasting, PP and HbA1c%. So please get these tests and then only a correct advise can be given. To confirm diabetes - FBG has to be 126 mg and above, PP 200 mg and above & HbA1c% 6.5 and above. So my suggestion is please get these tests at the earliest and come back with details. Thanks.
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Healthy Snacks To Manage Blood Sugar!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthy Snacks To Manage Blood Sugar!

Healthy snacks to manage blood sugar are here:

1. Whole grain crackers: Made of oats, cracked wheat, rye and quinoa; this is a healthy option for people who like a little crunch while snacking. To give it a more delicious spin, serve it with a little curd and cottage cheese dressing. The overall nutrition value of this snack is excellent. It does good to your cholesterol and glucose levels.
 
2. Fruits for snacks: This might be the oldest trick in the book but always the best. Go for mixed fruit salads with a tangy orange juice, honey and fresh mint dressing. This should add a new punch to those who are tired of eating fruits. This is a friendly snack for people who have both diabetes and a sweet tooth.

3. Steamed sprouts salad: Steamed sprouts might sound a little boring but make a salad with finely chopped tomatoes, cucumber and boiled beans along with sprouts. Add a dressing with cottage cheese, one tsp of lemon juice and a little salt for a twist. This a great combination of protein and fiber, which helps in controlling blood sugar.


4. Yogurt with fresh vegetables: Add yogurt to a fresh mix of celery, tomatoes, broccoli and carrot. This is a combination that is not only healthy but will also keep you full for a long time. It is rich in enzymes, proteins, vitamins and calcium which are highly essential for your body.


5. Nuts: Nuts are rich in healthy fats which are required for our body. They are also very rich in protein and have a low carbohydrate content. The only catch is the quantity in which they have to be used. A couple of walnuts a day and around 5 to 6 almonds should do it.
 

6. Healthy smoothie: Smoothies are easy to make and a healthy option for an on-the-go snack. Blending refreshing coconut milk to a hand-picked combination of amla, spinach, cucumber and tomatoes should do the trick.


 7. Eggs: When we say eggs, we only mean egg whites. It is a snack that can be had round the clock. It is quick and easy to cook and is good for diabetic patients too.

5 people found this helpful

Is it OK to give insulin (Lantus) after meal if somehow the dose before meal gets missed?

MBBS, MD Internal Medicine
Internal Medicine Specialist, Karnal
No. It should be before meal only. It can precipitate certain conditions if sugar is already high. Thanks.
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