Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 28 years of experience on Lybrate.com. Find the best General Physicians online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Amar Raykantiwar
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. Amar RaykantiwarYour feedback matters!
Patient Review Highlights
I found the answers provided by the Dr. Amar Raykantiwar to be very helpful. Thank you doctor
You pass by that cake shop and happen to glance at a sumptuous chocolate cake, and then realization dawns on you that you are not allowed to eat simple sugar. Why? The answer to it is diabetes, for which you only have your pancreas to blame. Situated behind the stomach in your body, the pancreas is an organ whose role is to produce hormones and enzymes that aid in the digestive process. One of the hormones that the pancreas produces is insulin which is required by the body to metabolize sugar that is present in various foods.
So, if your pancreas does not produce the required amount of insulin or fails to utilize insulin effectively, it leads to accumulation of glucose in your blood. The improper functioning of the pancreas leads to diabetes. There are four types of diabetes and they are classified with respect to the manner in which the pancreas mal-functions:
- Type 1 Diabetes: In this type, the immune system of the body wrongly attacks the insulin producing beta cells of the pancreas. This impairs the ability of the pancreas to secrete insulin, thus leading to Type 1 diabetes. However, even after extensive research in this field, the exact triggers haven’t been found yet.
- Type 2 Diabetes: Type 2 Diabetes develops when the body becomes resistant to insulin. It can either mean that the pancreas is producing less than normal insulin or the body is not being able to utilize the produced insulin effectively. Factors such as a poor diet and lack of exercise increase the risks of Type 2 Diabetes.
- Pre-diabetes: Pre-diabetes is a condition wherein the blood sugar levels are higher than normal, but not high enough to be considered as ‘diabetes’. It can again occur due to a reduced secretion of insulin or the inability of the body to utilize the insulin effectively.
- Gestational Diabetes: This type of diabetes can develop only during pregnancy. This occurs primarily as the placenta, that connects the fetus with the body’s blood supply, produces hormones that impair the functioning of insulin. This type of diabetes can affect both the mother and the child.
Another common link
Pancreatitis is a condition that is marked by an inflammation of the pancreatic cells. This inflammation can damage the beta cells that produce insulin, thus resulting in diabetes. Factors that contribute to it are a poor diet, lack of exercise, presence of excessive calcium in the blood or excessive alcohol consumption.
How can you avoid the same?
It is best that you incorporate lifestyle changes if you have any of these disorders, and talk to your doctor about a treatment plan. Making a few simple lifestyle changes such as eating healthy, avoiding smoking and exercising on a regular basis can reduce the chances of you suffering from both diabetes and any other pancreatic problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi sir, I am a Brahmin boy and the girl whom I love is also Brahmin but the problem is we both belong to same gotra. We love each other we want to marry. But due to this reason we are very worried to take this decision and afraid to talk about this with our parents. Apart from this we both are having same blood group B +ve. Is marriage possible between us? Is there any solution to sort out our problem? Is deformity will come in newborn child? I want to marry her & I need a healthy baby too. How it is possible please guide me.
Hi sir my father is a diabetic patient and urinary infection and he is taking insulin morning 10 and night 10 he feels very tired by taking insulin HbA1c is 7 he feeling very tired by taking insulin whether insulin is better or tablet is better please clarify my problem.
Even though you might feel it is impossible to sleep without pillows, you will be surprised to know that sleeping without a pillow is a good way of preventing neck, back, and shoulder pain. Remember when you were a child, you would fall asleep at any place without waiting for a pillow? The human body can thus adapt to any situation owing to its resilience. And as we age, we are still able to rest our body comfortably without needing a pillow or any other form of support.
The Many Benefits Of Sleeping Without A Pillow-
If you have already encountered some signs and symptoms of sleep deprivation, you will need to find the root of the problem. In doing this, you may find that all these health issues may stem from the pillow you sleep on. If you, like many others, believe that pillows are an indispensable part of your sleep, you may be wrong. Your soft and cozy pillow may do you harm without leaving any scope of suspicion. Here are some of the most compelling advantages of not using a pillow while sleeping:
- Neck and Shoulder Benefits: When you don’t have a pillow while sleeping, your back, neck and shoulder muscles will extend naturally without causing any aches or sprains. When you sleep on a pillow that is very soft, it will strain the muscles on the neck while also decreasing the flow of blood to the head. When your head is tilted downwards on any pillow that is not able to provide optimum support for the head, the airflow to the respiratory system is much reduced. If you are already suffering from neck and shoulder pain, you may try sleeping a night without any support to see if the pain subsides.
- Spinal benefits: Sleeping on your back without a pillow allows the spine to rest completely with the natural curves of the body. Sleeping with a thick pillow can displace your spine.
- Sleep Benefits: When you are not having any neck and head support while sleeping, your body would be able to rest optimally. When you sleep on pillows that do not offer good support, your body starts compensating by engaging the back and neck muscles. This causes more strain when the body is supposed to be resting to overcome everyday stress.
- Facial Benefits: Many people tend to bury their face in the pillow while sleeping. This will prevent your face from being able to breathe and perspire. The pores on the skin surface will not have any access to air. This leads to the formation of oil and grease on the face, and it will give way to blackheads as the added dust and impurities on the surface of the pillow will come in contact with your face.
For all these compelling reasons, you can try to forgo your pillows and observe improvement in your general health.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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:
- 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.
- 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.
- 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:
- 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.
- 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.
- 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.