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Meadowlark Clinic

Diabetologist Clinic

Beside fatima convent church,In front of diamond Bakery,Fatima Nagar. Pune
1 Doctor · ₹400
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Meadowlark Clinic Diabetologist Clinic Beside fatima convent church,In front of diamond Bakery,Fatima Nagar. Pune
1 Doctor · ₹400
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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 Meadowlark Clinic
Meadowlark Clinic is known for housing experienced Diabetologists. Dr. Laxmikant Kaotekwar, a well-reputed Diabetologist, practices in Pune. Visit this medical health centre for Diabetologists recommended by 100 patients.

Timings

MON-SAT
10:00 AM - 12:00 PM 06:00 PM - 08:00 PM

Location

Beside fatima convent church,In front of diamond Bakery,Fatima Nagar.
Fatima Nagar Pune, Maharashtra - 411013
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Doctor in Meadowlark Clinic

Dr. Laxmikant Kaotekwar

MBBS, DNB (Pulmonary medicine), PGC Diabetology
Diabetologist
15 Years experience
400 at clinic
₹300 online
Unavailable today
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Pre-Diabetes Stage - How To Diagnose It?

MBBS, Diploma In Diabetology
Diabetologist, Mumbai
Pre-Diabetes Stage - How To Diagnose It?

Before you are affected by diabetes, a condition known as pre-diabetes is experienced, which indicates that a person might develop diabetes soon. In case you have pre-diabetes, your blood sugar level will be higher than the usual, but not as much as during diabetes. The condition is called borderline diabetes. During pre-diabetes, the production of insulin hormone gets decreased. You are more likely to get heart diseases and a stroke because of pre-diabetes. 

Diagnosis There are three primary blood tests, which are used for the diagnosis of pre-diabetes: 

  1. Fasting plasma glucose test
    • You should not eat anything for eight hours before this blood test.
    • Blood sugar level is considered normal when it is less than 100.
    • If your blood sugar level is between 100 and 125, you are in the pre-diabetes stage.
    • If your blood sugar level is above 125, you are diagnosed with diabetes. 
  2. Oral glucose tolerance test
    • First, you need to have a fasting glucose test done and drink a sugary solution (75 gm glucose dissolve in water) after it.  After two hours, another blood test is taken. 
    • Blood sugar level is considered normal when it is lesser than 140. 
    • If your blood sugar level is between 140 and 199, you are in the pre-diabetes stage. 
    • If your blood sugar level is above 200, you are diagnosed with diabetes. 
  3. Hemoglobin A1C 
    • This blood test shows the average blood sugar level for three to four months in the past. It helps to check whether pre-diabetes is in control or not. 
    • Blood sugar level is considered normal when it is 5.6%. 
    • If your blood sugar level is between 5.7% and 6.4%, you are in the pre-diabetes stage. 
    • If your blood sugar level is 6.5% or above, you are diagnosed with diabetes. 
    • The test should be redone for checking or verifying the results. 

Lifestyle changes required for managing pre-diabetes Lifestyle changes may help people in managing pre-diabetes and for preventing it from developing into diabetes. Here are some changes and habits you need to practice: 

  1. Weight control: If you are obese and overweight, the pre-diabetes may turn into diabetes. Hence, losing some amount of body weight, at least 5% to 10%, makes quite a difference. 
  2. Exercise: You should perform moderate exercises regularly, such as swimming, cycling or walking briskly. This helps in the management of pre-diabetes. Aerobic exercise increases the heart rate and should be carried out for better benefits. 
  3. Nutrition: You must make some dietary changes as well. Consume food items, which contain low-fat protein. Eat a lot of vegetables and whole grains, limit your calorie intake and reduce the amount of sugar and starchy carbohydrates. Increase your intake of fiber-rich food. 

If you experience a rise in your blood sugar levels, you must consult a doctor immediately. With early diagnosis, you can take preventive measures and will be able to prevent pre-diabetes from developing into diabetes.

Lifestyle And Diabetes - Know The Link!

M.Sc - Dietitics / Nutrition, Diploma in Diet and Nutrition, B.Sc. - Dietitics / Nutrition, National Diabetic Educator Program
Dietitian/Nutritionist, Pune
Lifestyle And Diabetes - Know The Link!

Diabetes is a chronic disorder that is gradually gripping a vast majority of the world population. Various etiological factors ranging from an inactive sedentary lifestyle to improper food habits can cause diabetes. It is not a single disease, but a group of multiple metabolic disorders that affect various systems of the body.

Commonly presenting symptoms of diabetes include polyuria – excessive urination, polydipsia – excessive thirst and polyphagia – excessive hunger.

Complications of a hyperglycemic state can be acute or long term. Acute complications include a serious condition called as diabetic ketoacidosis. Long term complications include diseases of the cardiovascular system, nephropathy, neuropathy, skin infections etc.

Sedentary lifestyle has a huge effect on the development of this disease. Lack of exercise or any active movement, prolonged office hours, stress, over eating, especially junk food consumption cause an overall increase in the prevalence rate of diabetes.

An increase in the normal sitting time has also been found to be linked with an incidence of type 2 diabetes. In an individual with a routine exercise schedule of 2-3 hours, if the sitting time is more than 4-5 hours, then the risk of diabetes is high.

Since the human body needs to spend more active time in breaking down and absorbing sugars, increased sitting time exerts more pressure on the insulin producing cells. This leads to an increased risk of developing diabetes.

The main contributor to development of the insulin resistance and a defective glucose intolerance is obesity. When the insulin secretion becomes insufficient to overcome the insulin resistance, glucose intolerance further progresses to cause type – 2 form of diabetes.

Sleep deprivation is also known to cause a pre-diabetic state. When the body is deprived o sufficient amount of sleep, then an insulin-resistance like state can develop. Insulin facilitates the absorption of glucose in the body. In case of insulin resistance, the normal functioning of the hormone is hampered, which results in a high blood sugar.

Chronic stress levels can also interfere with the body’s ability of regulating blood sugar. This condition occurs due to the increase the hormone cortisol. This hormone’s rise in the body can trigger a high blood sugar response. Hence, in a high stress condition, the body is unable to decrease its blood sugar level back to normal.

Also, during stress, a person may tend to over eat. Commonly in an anxious state, an individual tends to consume high calorie foods. Simultaneously, the physical activity levels of the body are also reduced. This behavior can invariably lead to cause insulin resistance.

Diabetes can be controlled by adapting various lifestyle modification techniques, with regular exercise and consuming an appropriate diet being the primary measures. Exercising control on stress, appropriate sleep and an active lifestyle can help in overcoming the risk of complications and living a normal life.

Diabetes - How Ayurveda Can Help?

B.A.M.S, Dietetics & Food Services Management Services, Panchkarma, Sports Nutrition, Clinical & Therapeutic Yoga
Ayurveda, Panchkula
Diabetes - How Ayurveda Can Help?

Diabetes is an abnormal condition where the sugar-level in humans are higher than usual. Ayurveda can be used efficiently in treating this condition. Madhumeha is the Ayurvedic term for diabetes. In Indian terms, diabetes is known to the common man as Prameha, which is said to be divided into 3 major types – Kapha, Pitta and Vata. Lack of exercise and intake of food having excess of snigdha, ushna and guru types are said to be the chief cause of prameha.

Along with drugs and medications, Ayurveda stresses on the importance of a balanced diet and exercise. The management modules that can be categorized are:

  1. Vyaayam (Exercise)
  2. Panchakarma (Procedures for Bio-purification)
  3. Pathya (Regulation in diet)
  4. The use of therapy (Medications)

The individual’s constitution highly affects the ayurvedic treatment of prameha. Some of them are:

  1. Obstruction in srothus
  2. Ahara and Vihara
  3. Dosha predominance of disease
  4. Hereditary factors
  5. The prakrithi of the patient
  6. Manasika Prakrithi
  7. Dooshya vitiation

Management of diabetes can be done using a variety of herbs. Some of them are:

  1. Vjaysar
  2. Eugenia jambolana (Jamun beej churna)
  3. Pterocarpus marsupium (Vijaysar churna)
  4. Ficus bengalensis (Nyagrodha twaka churna – banyan tree bark)
  5. Shilajeet
  6. Momordica chirantia Karvellaka (Karella – Bitter Gourd)
  7. Kirat tikata (Chirayata)
  8. Emblica officinalis (Amla)

It is possible that certain patients are unable to respond to insulin or hypoglemic medicines. In this case, an ayurvedic physician may prescribe some ayurvedic drugs such as:

  1. Dhatri Nisha
  2. Chandraprabha vati
  3. Vasant kusumakar rasa

Diabetes is not just a lack of insulin. It is the most probable cause is plain poor maintenance of your body. Its cure will need to include all of these things discussed. By doing all, diet, herbs, exercise and stress management, you can certainly take care of your Diabetes.

I have fasting sugar 165. Then after breakfast and having okamet 500 (metformin) it is pp 250 after 1 hr 45 minutes. Pls suggest what else can I do to lower it?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I have fasting sugar 165. Then after breakfast and having okamet 500 (metformin) it is pp 250 after 1 hr 45 minutes. ...
Mr. lybrate-user, thanks for the query. Both fasting and pp glucose levels are quite high. Ideally fbg should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.8%(not mentioned). It is clear that current treatment is not adequate, needs to be upgraded. Additional medication/s are needed, plus there is a need to give a re-look at your diet pattern and the extent of daily exercise being done. So please consult your concerned physician or diabetologist and get the necessary improvement in treatment done. Or if you want online help, please come back with all the above mentioned details in a private conversation (paid consultation), then I will be able to give specific guidelines and even prescribe the necessary medications. In this communications we are supposed to give only general guidelines. Thanks.

I am 81 fasting sugar varies from 120 to 145 pp 2 hrs after b'fast varies from 145 to 180 after 3 hrs it drops to 145 late absorption is always a problem with me I take low doses of gluconorm and semi amaryl mother was detected a diabetic at age 60 I am active is this normal?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am 81 fasting sugar varies from 120 to 145 pp 2 hrs after b'fast varies from 145 to 180 after 3 hrs it drops to 145...
Mr Lybrate-User, Thanks for the query. Your fasting glucose (120 to 145 mg) does cross the limit set for diagnosis of diabetes (126 mg and above). Pp (after 2 hours) is in the pre-diabetic range. Other value has no significance. Please check hba1c%, that will give a clearer idea. Still, the situation is just borderline. Not to worry much. Just take a controlled diet and keep physically active. Thanks.

Diabetes - How Ayurveda Can Help?

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Nashik
Diabetes - How Ayurveda Can Help?

Diabetes or madhumeha, is a serious disease that affects many people worldwide today. Diabetes, which is referred to as maha-roga is the excess of glucose in the blood. As a result, you cannot consume sweetened food, get excess urges to drink water or urinate. However, Ayurveda has the most effective solutions to control diabetes naturally. Read on to know what best natural medications are there to cure diabetes.

1. Gymnema Sylvestre or Gurmar
It is one of the most effective remedies for diabetes. It is a hypoglycemic component, which makes it ideal for treating diabetes. It helps in reducing dependency on insulin by regeneration of residual beta cells of the pancreas.

2. Coccinia indica
It is another herb which regulates diabetes very well. This plant contains components which, after consumption of carbohydrates, prevent the sudden increase in blood glucose level. It can also prevent any adverse effect on other organs of the body due to diabetes. It is found to reduce oxidative stress amongst diabetes patients by surging the Vitamin-C levels in the plasma and also prevents the fluctuations in fatty acid levels amongst diabetes patients.

3. Azadirachta Indica or neem
It is one of the most common household antiseptics and a wonderful cure for diabetes. It enables high glucose tolerance and also prevents diabetic neuropathy, which may cause severe fatalities.

4. Morus Indica or Mulberry
It is a food that is experimentally proven to reduce diabetes. Daily consumption of mulberry leaves for 15 days at a stretch have been beneficial in limiting approximately 38% of diabetes cases among its consumers. It also protects you against oxidative stress by building the antioxidant defence system of the body and is also known to correct any lipid-profile abnormality. It also delays the possibility of the appearance of cataract as a result of diabetes.

5. Momordica Charantia or bitter gourd
It is another common remedy found in most Indian households. Even though it is extremely bitter in taste, its medicinal properties are exemplary and are extensively used in Ayurvedic medicines. It also targets the beta cells of the pancreas to help boost up insulin secretion by increasing their number. Bitter gourd also helps to release more insulin by way of regeneration of the pancreas.

6. Eugenia Jambolana or Indian Jamun
This Ayurvedic cure reduces blood sugar level and increases the release of insulin. The extract of "jamun" seeds help in the healing of wounds quicker, usually impaired by diabetes.

7. Trigonella Foenum or methi
It is another household ingredient that serves medicinal purposes in case of diabetes patients. Even 1gm of fenugreek seeds could reduce diabetes sharply in a short span of 2 months. This benefit is because of the presence of diosgenin, a compound with hypoglycemic properties.

However, all these medicinal plants should be advisably consumed under proper guidance from professional practitioners only.

I am 45 year old and had a blood sugar test done today. My readings are as mentioned below: hba1c: 6.1% blood glucose - fasting: 117 mg/dl glucose, post prandial: 93 mg/ dl mean plasma glucose: 128.4 mg/dl please advise if these readings are normal?

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 am 45 year old and had a blood sugar test done today. My readings are as mentioned below:
hba1c: 6.1%
blood glucose...
Hi Sir, Only fasting blood sugar levels are on the higher side. Rest all the rest are normal. You need to lose your body wt. Adopt a healthy lifestyle.

Hello, I am a diabetic patient and wanna purchase a sugar measuring machine. Would uh please suggest me which ll be best?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hello,
I am a diabetic patient and wanna purchase a sugar measuring machine. Would uh please suggest me which ll be b...
Accucheck blood sugar meter is used commonly and also One Touch glucometer. There are many types available online also

I am 29 years old. During 25 years of age revealed type 2 diabetic. Doctor consulted to get exercised daily I joined gym after 3 months the sugar level showed normal. Leaving gym and blood test again then it showed high sugar level. Sir I want to know it is good to continue with gym?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am 29 years old. During 25 years of age revealed type 2 diabetic. Doctor consulted to get exercised daily I joined ...
The high sugar you saw was the result of temporary rise in blood sugar and can be attributed your food intake . Exercise is the cornerstone of diabetes treatment and should not stop and increase if possible
1 person found this helpful

I am aged 53 and diabetic for the last 11 years .l am using gp2 tab every day half an before food twice a day. In the recent sugar test my sugar levels were: 160 fasting and 220 pp. While getting the test I have not taken any tab. Pl. Suggest me the dosage of tab to be increased or to continue?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am aged 53 and diabetic for the last 11 years .l am using gp2 tab every day half an before food twice a day. In the...
When diabetic patient is under treatment he must continue treatnment even at time of blood check up. Consult Diabetologist
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