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Dr. Amit Sakaria

MD

Endocrinologist, Pune

Dr. Amit Sakaria MD Endocrinologist, Pune
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Amit Sakaria
He studied and completed MD . Book an appointment online with Dr. Amit Sakaria on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 28 years of experience on Lybrate.com. Find the best Endocrinologists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I am 54 year old male My weight is 63 kgs. And height is 5'6" and my sugar level is 126 fasting and 136 pp. I don't take allopathic medicine. I am experiencing headache and jaw bone ache at the left side of the face and it gets severe at night for 10 - 12 days. What would you advise.

Diploma in Diabetology
Endocrinologist, Bangalore
I am 54 year old male My weight is 63 kgs. And height is 5'6" and my sugar level is 126 fasting and 136 pp. I don't t...
Your sugar is normal. You will have to go for consultation for your problems for headache and jaw bone ache
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My mom is 35 years old and is a teacher by profession she is having thyroid but from a couple of years she is suffering from heel pain she had undergone physiotherapy and kerala treatment also and used many medicines after an x-ray v got to know that the bone backside her feet has grown but now her other foot had so started paining. Her uric acid levels are 5.4.

Diploma in Radio-Diagnosis
Radiologist, Shimla
Kindly get x-ray both foot ap and lateral view send the scan copy of x-ray to me, as per history it is not related to thyroid, or uric acid. It is most likely---spur of calcanium--advised x-ray both calcanium (heal) review after x-ray.
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Hello I want to know is Himalaya Tagara safe for a diabetic patient. Age is 53 and diabetes on the border line. Is it ok to have the pill?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello I want to know is Himalaya Tagara safe for a diabetic patient. Age is 53 and diabetes on the border line. Is it...
Mr. Lybrate-user, tagara, is supposed to be helping in calming down the mind and also inducing sleep. It seems to be fairly safe, from various reports that are published. But my advise is better not to go in for any medication for sleep induction. If one exercises regularly for over 1 hour a day, maintains blood glucose levels well with in normal limits, practices pranayam and simple relaxation techniques, then there is no need for such medications. Thanks.
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I am having diabetes for the past 2 years my blood glucose (f)-120 mg/dl and blood glucose (pp)- 205 and hba1c is 806 b gm the doctor has suggested me glycozide m tablet-1-0-1 and vogldase 0.2 mg 1-1-1 and methico od 1-0-0 is this the right medicine the doctor has suggested.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
I am having diabetes for the past 2 years my blood glucose (f)-120 mg/dl and blood glucose (pp)- 205 and hba1c is 806...
Good morning as per the information provided you are suffering from diabetes for the past 2 years. Presently your fasting blood glucose is 120 mg% and pp blood glucose is 205 mg%. The hbaic is 8.6 I assume (806 is not possible). From these values it is evident that blood sugar is not very well controlled as your hbaic is 8.6 (it should be preferably below 7.5, if not 7). The medications that you have been provided are fine. It's a combination of glimeperide, metformin and voglibose (which are standard drugs). Methycobal has been added since you are diabetic who can develop neuropathy also. However, your blood glucose needs to be monitored. Preferably you should purchase a glucometer and keep a record of your blood sugar. Persistent high sugar level may be harmful for your eye, kidneys, nerves and heart. Recheck you hbaic after 3 months. If it remains more than 8.5 insulin may be needed. Get your eyes checked and urine for spot acr checked. Hope this helps
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Causes and Prevention of Diabetes

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Prevention of Diabetes

Diabetes features as one of the most common ailments in the contemporary times. Mostly assumed as a congenital disease, diabetes is growingly targeting different age groups and often the outburst of diabetes is mostly unmapped. Diabetes is mainly spurred by the presence of high blood sugar content in the patient's blood. In cases where insulin, the sugar absorbing hormone, is not produced normally, the patient becomes more prone to diabetes. Many attribute this phenomenon to the changing lifestyles of the people and their food choices. In clinical terms, however, diabetes is said to be triggered off by the destruction of insulin-producing beta cells in the body.

Besides the genetic susceptibility, there are a variety of causes that result in diabetes:

  1. Obesity and physical inactivity: An imbalance between calorie intake and the burning of the same often results in the storage of excess sugar. This aggravates the risks of cardiovascular diseases. The food and lifestyle choices are directly related to the phenomenon.
  2. Abnormal glucose production by the liver: Normally the pancreas secretes glucagon when the natural percentage of insulin is low and stimulates the liver to produce glucose which is then released into the bloodstream. But under certain conditions, the glucagon level is already high in some people. In such cases, the liver produces glucose thus increasing the risk of diabetes.
  3. Beta cell dysfunction: The beta cells are responsible for the secretion insulin in your body. In case the beta cells stop functioning normally, a medical condition called insulin resistance arises. Under this condition, your body cells stop responding to the insulins secreted and consequently, the glucose content increases thus causing diabetes. Various endocrine diseases contribute to the malfunctioning of the beta cells.
  4. Medicines and chemical toxins: Often certain medications like diuretics, anti-seizure drugs, psychiatric drugs, and drugs to treat HIV may lead to the worsening of the beta cell functions and cause diabetes.

Diabetes can be medically treated as well as its adverse effects can be assuaged by ushering in a few lifestyle changes:

  1. Periodically checking your blood sugar levels
  2. Taking adequate dental care often keeps the blood sugar levels in control
  3. Regularly exercising and being physically active
  4. Avoiding junk food and food with high glucose content
  5. Consuming relevant drugs prescribed by the doctors
  6. Being wary of the side-effects in cases of organ transplantations.
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Weight Loss With Hypothyroidism

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
Weight Loss With Hypothyroidism

Thyroid and weight loss

Losing weight with hypothyroidism is a challenging task. All those with hypo thyroid and weight loss on their mind, go for a very low calorie diet which can further lower the body’s metabolism, worsening the problem. Hence the correct approach is needed.
 
Keep a check on your thyroid levels: remember the answer to your weight loss question is solving the reason for weight gain. If you have a thyroid problem and weight loss is your goal, you must keep a check on your thyroid levels. Take your medications regularly and keep your levels as close to the normal range as possible. And you will see your weight coming to normal. Check your thyroid levels every 3-4 months, or at least once in 6 months.

Increase your activity: lowered metabolism is the main hurdle for those struggling with thyroid and weight loss. Increasing the activity levels through exercise will help in increasing the metabolism. Increase your activity levels by including a 30-45 minutes exercise session, be it walking, yoga, tai chi, swimming, cycling or gymming. Take the stairs every time you have to climb up or down. Short medium paced walks after your meals will be beneficial too.

Increase your water and fibre intake:

Hypothyroidism can cause chronic constipation, water retention and edema. Increasing water and fibre intake will help in regularizing bowel movements. Increased water consumption will also help in flushing out your lymphatic system, further helping water retention problems.

Increase selenium intake: to supplement selenium in your diet, include bran, whole wheat, tuna, onions and tomatoes in your diet.

Increase iodine intake: increasing iodine intake will help in improving the thyroid functions. Eat iodized salt. If your doctor advises, go in for iodine supplements as well.

Increase your metabolism: the key for thyroid and weight loss is increasing your metabolism. Here are some tips on how you can do that.

i] Have 5-6 mini meals – Small and frequent meals helps in reducing the sugar spikes and balance the blood sugar level. This will help in avoiding hunger pangs. Small frequent meals help by keeping the digestive system on the go. It helps in burning more involuntary calories and prevents storage of fat.

ii] Green tea – Drinking green tea will increase the metabolic rate and your energy levels. Hypothyroidism makes you feel tired and fatigued all the time. Green tea will help in decreasing the stress levels and will give you the most needed energy kick.

iii] Warm water and lemon – A glass of warm water and lemon early in the morning and after your main meals will help you in keeping the metabolism rate up through out the day.

Thyroid and weight loss:-

Foods to eat: Include a lot of carrots, whole grain cereals, avocado, apricots, fish, asparagus, olive oil and sunflower seeds.

Foods to avoid: Eat less of broccoli, lima beans, cabbage, peanuts, sweet potato, mustard, kale, kohlrabi, linseed and soy products. These foods may interfere with iodine uptake in the body. Don’t cut these foods out completely, just keep these to a minimum.

Whether the excess weight comes from thyroid or other hormonal issues, the key to weight loss is to correct the underlying condition while monitoring your diet, eating the right things and avoiding what’s wrong and exercising. A healthy lifestyle since the very beginning is the solution to every weight related problem, including thyroid and weight loss.

15 people found this helpful

Please advise whether Aspartame, the sugar substitute is good or bad. I am diabetic and using three or four cubes a day.

MBBS, cc USG
General Physician, Gurgaon
Please advise whether Aspartame, the sugar substitute is good or bad. I am diabetic and using three or four cubes a day.
Better to avoid artificial sugar substitute Natural sugar substitute are available in market you can use this 1-2 times in day Do not heat sugar substitute directly
1 person found this helpful
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Hello I am suffering from diabetes tell me sum good medicine and it have from last 1 yr.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello I am suffering from diabetes tell me sum good medicine and it have from last 1 yr.
Take pranacharya diabeto and shilajeet capsule twice a day with water....take vasant kusumakar ras twice a day...avoid sweets....take small meals in less time interval....do pranayama early morning....avoid alcohol consumption...
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Is vigra safe for sex. My sugar level is 155 fasting and bp 90/130.=if yes than which medicine you would recommend. My age is 43 yrs.

DM - Endocrinology
Endocrinologist, Hyderabad
It is kind of safe if you dont have heart problem or not having chest pain. But before that improve your sugar level that itself will lead to better sexual performance.
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I am diabetic for last 15 years and taking Trimetaday 2 twice a day I.e. 1 morning and one evening for last one year. My sugar level is not under control for 1 month . The fasting is 180 mg/dl and pp is 250 mg/dl. Please suggest what to do.

MBBS, DNB (General Medicine)
General Physician, Delhi
what is your hb1ac level ,you can start DPP4 inhibitors ,please come to private section for more details
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I do feel to sleep even at the time of working hours of my duty. I do take a rest of more than 8 hrs then also it feel sleepy. Is it a sign of diabetes . Kindly suggest what to do. Do I need to go through any medical treatment for the same.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I do feel to sleep even at the time of working hours of my duty. I do take a rest of more than 8 hrs then also it fee...
Mr. Lybrate-user, feeling sleepy need not be related to diabetes. But some times undetected diabetes can lead to a considerable unexplained tiredness and fatigue. So it is better if you get a blod test done like fasting and pp sugar levels. That will confirm whether there is any problem existing. Thanks for the question.
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I am 26 year old & I am having diabetes problem. please tell me how can I control it?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 26 year old & I am having diabetes problem. please tell me how can I control it?
Diet & exercise is key to control sugars along with medication. Check your hba1c value. At your age we try to keep it near normal i. E. 6.5. Regular blood sugar check up is imp. Do you have family history of diabetes? what is your weight, height? fbs / ppbs. Insulin fasting?
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My brother, 62 years old, a type 2 diabetic, who is taking medicine for the last ten years is feeling burning sensation on his both legs most of the time.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
My brother, 62 years old, a type 2 diabetic, who is taking medicine for the last ten years is feeling burning sensati...
Hi I am here to help you burning sensation on his both legs most of the time. Is due to diabetic neuropathy. For this, he needs to do three things 1. Control diabetes 2. Take drugs for neuropathic pain 3. Take supplements for nerve regeneration generally, walking for minimum 45 minutes a day + strict diet control can reduce your blood sugar if you can share your (a) fasting glucose (b) post prandial glucose (c) hba1c (d) blood urea (e) serum creatinine (f) lipid profile reports at lybrate. Com/bruno I can tailor make the prescription (exercise schedule + diet chart + drugs) for you also mention your (a) age (b) weight (c) height (d) whether you take non vegetarian food.
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I am 57 yrs old and when tested for uric acid in blood count was 8.7, is it possible to bring this level down to safe level by controlling food intake and other methods, kindly elaborate.

MBBS
General Physician, Mumbai
As of now we need to take medication to reduce the level and for maintaining it we need to control our dietary intake
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Will a person with Type 2 diabetes under control end up with the need for insulin?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Will a person with Type 2 diabetes under control end up with the need for insulin?
Yes, it is possible. If the diabetes cannot be controlled with medicines, then insulin is necessary. But if it under control, then it is okay. Regular exercises especially walking helps to keep diabetes under control.
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I am of 50 age. Having diabetes, high bp, having dust allergy. Eating medicines since last 15 years. Now a days my foot ankle is swelling. What are these symtoms. Cant reduce my weight. Suggest me how to reduce my weight ?

MD - Pathology, MBBS
Pathologist, Ahmedabad
Reduction of weight is not an overnight procedure. There cannot be a fix formula. To suggest you consult dietitian, good physician, get some basic reports and then only suggestion can be made.
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My mother has sugar. She is taking medicine regularly, but still she has no control its always fluctuate. What to do?

MBBS
General Physician,
My mother has sugar. She is taking medicine regularly, but still she has no control its always fluctuate. What to do?
Along with taking regular medicine you have to maintain wt according to wt of the body bmr. Go for regular morning walk followed by free hand exercise and you have to balanced healthy leafy vegetables and nutritious diet.
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I'm the patient of thyroid, i'm taking thyronorm 50MCG and now it's control, but my symptoms same before like weight loss, hair fall, hungerness etc. Why this and what I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm the patient of thyroid, i'm taking thyronorm 50MCG and now it's control, but my symptoms same before like weight ...
when hypothyroidism is controlled, tsh levels are back to normal, the symptoms of hypothyroidism take some time to completely disappear.
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I am a 30 years old and I have thyroid & hypertension from last 1 years. How I recover myself without lifelong medicine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 30 years old and I have thyroid & hypertension from last 1 years. How I recover myself without lifelong medicine?
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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I am 47 years old lady having subclinical hypothyroidism, was on med (thyronorm100), a week back I stopped taking medicine and started yoga, and ayurvedic tablets, I started having fever ranging 99.5-101f please advise. Tsh levels are on normal range for the last three years.

Ear-Nose-Throat (ENT) Specialist, Bangalore
I am 47 years old lady having subclinical hypothyroidism, was on med (thyronorm100), a week back I stopped taking med...
It might not be related to thyronorm tablets. Incidentally you might be having infection and fever. Please don't stop thyroid tablets without proper consultation.
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