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Dr. Ashish Patil

Endocrinologist, Pune

200 at clinic
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Dr. Ashish Patil Endocrinologist, Pune
200 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ashish Patil
Dr. Ashish Patil is an experienced Endocrinologist in Uttam Nagar, Pune. He is currently associated with Shree Swami Samarth poly clinic in Uttam Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ashish Patil on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Shree Swami Samarth poly clinic

NDA Rd, Uttam Nagar-Khadakwasla,Landmark:Above Federal Bank, PunePune Get Directions
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I am vijay suffering from diabetes since last 4-5 years. Please advice for better treatment.

MBBS
General Physician, Cuttack
I am vijay suffering from diabetes since last 4-5 years. Please advice for better treatment.
Go for regular exercise, reduce your weight if overweight,control your diet by avoiding sweets,high calorie and excess carbohydrate diet. Monitor your blood sugar three monthly and consult diabetologist for treatment and advice
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My mother is a patient of thyroid. Last one year he is taking thyrox 75. N the last report saying there is a low tsh 3rd gen. please help what to do? t3 n t4 is normal. Problem is in tsh 3rd gen.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
don't take cold water..take green veg. , iodine diet, continue tab. thyrox 75mcg bbf. do test also vit.D.
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Diabetes mellitus type 1 or type 2.please solve my doubt and which one is dangerous.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Diabetes mellitus type 1 or type 2.please solve my doubt and which one is dangerous.
Mr. lybrate-user, Thanks for the query. Both types of diabetes are dangerous. There is nothing like a safe diabetes. Both conditions need to be properly treated, blood glucose levels and HbA1c% have to be effectively controlled if one wants to live a long life and that to free from from long-term complications of diabetes. Thanks.
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Blood-Sugar Control

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Blood-Sugar Control

Your Take-charge Tool Kit

Blood-sugar control

Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin,  diet  exercise, or some combination of these ,you can cut your risk of complication by anywhere from one  third to three quarters. If you’re diagnosed before you develop complications’ it’s possible

To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and  is now remarkably convenient and relatively pain-free.

Lifestyle

Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.

Drugs

Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.

Do you Have Diabetes?

Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.

According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.

Figure your risk factors.

The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes.  Among the most important factors to evaluate are:

 

Family history

If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).

Ethnic group

The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native  Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.

Weight

Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.

Age

Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.

Keep a sharp eye for symptoms

While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:

  • Excessive thirst

 

  • Increased appetite

 

  • Frequent urination

 

  • Fatigue

 

  • Blurred vision

 

  • Frequent infections

 

  • Tingling in your hands and feet

 

  • Sexual dysfunction

 

Get tested

Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.

What you can expect

When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.

Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.

Where Do you Stand?

Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll  pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.

One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:

  • If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.

 

  • If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.

 

  • Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.

 

  • When fasting  blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.

 

FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT

Prediabetes             -            110-125                -                      Diet Exercise

Diabetes                   -            126-140                -                      Diet Exercise

Diabetes                   -            150-200                -     Diet Exercise Drugs occasional insulin

Diabetes                   -             200+                     -    Diet Exercise Drugs or 24-hour insulin coverage

2 people found this helpful

She is suffering sugar problem from last five years and the level remains always 180 above.

BHMS
Homeopath, Faridabad
She is suffering sugar problem from last five years and the level remains always 180 above.
hello, You can also follow the below along with your recent medication to low down your sugar level. 1. take Karela jamun ras from SWADESHI Brand. 2. Powdered cinnamon has the ability to lower blood sugar levels by stimulating insulin activity. It contains bioactive components that can help prevent and fight diabetes. 3. Soak two tablespoons of fenugreek seeds in water overnight. Drink the water along with the seeds in the morning on an empty stomach. Follow this remedy without fail for a few months to bring down your glucose level. Another option is to eat two tablespoons of powdered fenugreek seeds daily with milk.
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Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking 1 actos 30mg. Still my fasting sugar level is 220. I am not using any sugar food and rice. Kindly advice. My hba1c is 12.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking...
It's cause of concern that your insulin is not acting to neutralize the sugar while you are taking good medicines prescribed by your experience doctor. This is non response of drugs. It's not fault in treatment by your doctor. I would suggest the support of ayurveda medicine as support to your current medicine. Both won't counteract with each other. Observing the response of this integrative approach, further directions would be decided. If you agree, I would mention the first phase of safe, side effect less, easy to take and economic medicines which will prevent complications also.
1 person found this helpful
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How low sugar level affects ? Can consume sweets frequently if has low sugar levels?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
How low sugar level affects ? Can consume sweets frequently if has low sugar levels?
low sugar is very rare without drugs. It has to be investigated thoroughly. Definition of low sugar is below 60 mg %,
2 people found this helpful
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6 Essential Lifestyle Changes Every Diabetic Patient Must Make!

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Fatehpur
6 Essential Lifestyle Changes Every Diabetic Patient Must Make!

Diabetes is very restrictive - living with the disease however does not imply that you stop enjoying. By bringing about certain changes in your lifestyle, you can still live your life to the fullest. For better management of your disease, these are some of the changes that you can make to improve your blood sugar levels and keep your condition under control.

1. Stay fit with physical activity
The first lifestyle change you can make is to increase your level of physical activity. This can help you in burning extra calories, thereby keeping your blood sugar levels in check. Spending 30 minutes a day exercising is ideal.
If you’re not fond of exercising or don’t have the time for it, even performing simple activities like walking, vacuuming or doing your laundry can help to lower glucose levels while burning calories.

2. Maintain a healthy BMI
Likewise, try to lose those extra kilos that may be weighing you down and increasing your sugar levels. You don’t have to lose all the weight in one go, you can do so little by little. To lose weight gradually and consequently achieve a healthy BMI, you must have more of fruit and vegetables and less of sugary items and processed food along with exercising regularly.

3. Make the right food choices
When it comes to food, you should consume whole grain foods instead of refined carbohydrate alternatives. Make every meal a balanced one with starches, fats and proteins included in the right amount. Furthermore, avoid beverages that come with high sucrose or fructose content, as they don’t offer much in terms of nutrition, and instead just add to your calorie count. Some of the foods you can include in your diet are bitter gourd, cinnamon, green tea, amla, jamun etc.

4. Have a fixed quantity of food
Apart from knowing the right foods to eat and the balance that you need to maintain between the different types, it is also important to know about portion sizes and carbohydrate count. This is because among the different food classes, it’s chiefly carbohydrates that influence your blood glucose levels. So, you need to keep track of the amount of carbohydrates that you’ve consumed in order to arrive at the right insulin dosage.
In addition to keeping count of your carbohydrate consumption, understanding the right portion sizes for the different types of food is also extremely vital for better management of your ailment. Measuring cups and spoons should be employed to arrive at the right quantities of food.

5. Eat your meals at fixed timings
As a diabetic, you should not go longer than 5 hours without eating as it can cause your blood sugar levels to fall dramatically, making you feel weak and faint. Instead you should have your meals at fixed hours, spacing them out at regular intervals. This will ensure your blood sugar levels are always at an optimum point.

6. Control your stress
Stress is a risk factor for Type 2 diabetes. When you’re under stress, your body produces stress hormones (cortisol) that can cause your blood sugar levels (and even blood pressure)to rise. So, preventing or controlling stress becomes necessary to keep your diabetes under control.
Let not your diabetes get in the way of enjoying life! If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3467 people found this helpful

Hypoglycemia: Going Lower Is Not Always Good

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypoglycemia: Going Lower Is Not Always Good

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia:

  1. Keep away from the practices, which lead to hyperglycemia: The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.
  2. Discuss problems with the patient: Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.
  3. Use glucagon: Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately.

3779 people found this helpful

What are the serious side effects of Diabetes in our body. Why insulin Secretion by pancreas decreases over Long period of age. Why it cannot produce Sufficient insulin. When insulin deficiency Becomes fatal.

MBBS, MD
Endocrinologist, Delhi
What are the serious side effects of
Diabetes in our body. Why insulin
Secretion by pancreas decreases over
Long peri...
Diabetes is a syndrome which can affect each and every organ system of our body. Most commonly affected organs are kidneys, Heart,Eyes, Feet,and brain. Beside it makes our body more prone to infections. Actually in type 2 diabetes Insulin resistance is more important than absolute levels of Insulin. Insulin deficiency may be fatal in type 1 diabetes and in few cases of type 2.
4 people found this helpful
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Dear doctors. Can a pridibatic person drink a cup of red wine once a week. Is glucerna. Shake good for pridibatic person. please suggest coz I want to gain about 15 pounds more that I lost recently after getting diagnosed as pridibatic. please suggest. Thanx.

M.D. Internal Medicine
Endocrinologist, Mumbai
Dear doctors. Can a pridibatic person drink a cup of red wine once a week. Is glucerna. Shake good for pridibatic per...
Prediabetes is condition when your Hba1C is more than 5.7 but less than 6.4% .Normally you should not have weight loss in this condition but if you have you have to look for other medical conditions like, thyroid dysfunction, tuberculosis. You can drink small quantity of red wine once a week. Glucerna shake can be taken by prediabetic but if you already have weight loss then first diagnose the cause reason for same with help of doctors.
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Hello Doctor, I am a diabetic. I am 44 years old man and height is 5' 6" Just want to know what weight should I maintain in this situation.

MBBS, MD
Endocrinologist, Delhi
Hello Doctor,
I am a diabetic. I am 44 years old man and height is 5' 6" Just want to know what weight should I maint...
You have not mention your present weight to calculate your BMI. Since your height is 167. 64 cm.you maintain your wt around 67 kg.
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How to control border line diabetes, below 100 prefered, it is 116 2. Cholosterol, prefered level below 200, it is 220 3. Liver and kidney good and healthy what is the home medicine can be taken every day for above.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hello start moving more. Physical activity for 45 min daily will help a lot. A balanced meal that includes whole grains, fruits or vegetables, and healthy sources of protein like sprouts eggs will keep you satisfied for longer and make you less likely to nibble. Never skip any meals. Keep sipping water include more of veggies.
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In my complete blood test following deficiency or efficiency was observed. Apolipoprotien - a1 - 92 mg/dl hscrp 5.54 mg/l homocysteine. - 38.8 umol/l uric acid 7.5 mg/dl chloride 106.6 mmol/l hdl cholestrol direct 28 mg/dl tc/hdl cholestrol ratio 5.5 sgot 83.2 u/i sgpt 134.6 u/i ggt 80.4 u/i serum globulin 2.4 gm/dl tsh 6.87 vit d 6.79 ng/ml monocytes absolute. 18 basophils absolute. 01 mchc 30.5 rdw sd 47.9 rdw cv 14.1 my doc told me stay away from protien and fat. Please help me. I am not able to stay away from fat. I can manage to stay away from protein and milk products. Please explain me what is going on in my body and if any medicine I should take. I am taking thyroxin 50 mg. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
In my complete blood test following deficiency or efficiency was observed.
Apolipoprotien - a1 - 92 mg/dl
hscrp 5.54 ...
IN 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 a diabetic person can I take coffee prepared by gree coffee beans once in a day. I understand coffee is not good for diabetic persons.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I am a diabetic person can I take coffee prepared by gree coffee beans once in a day. I understand coffee is not good...
Coffee is not bad .It depends whether you are taking with milk or without milk and the quantity and the time you are consuming it. Whether you are adding sugar or any sweeteners is also important.
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Ways to Treat PCOS Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Ways to Treat PCOS Infertility
PCOS infertility is the most common cause of infertility today.
Polycystic Ovarian Syndrome also known as Polycystic Ovarian Disease manifests in multiple cysts covering the ovaries, filled with immature follicles (eggs) accompanied by hormonal abnormalities and irregularities in ovulation and menstruation.
While PCOS falls into a group of conditions which don’t have a cure as such, there are natural ways to manage this condition so you don’t experience any symptoms and can get pregnant if you choose to.
What to do?
1. Avoid coffee, alcohol, soft drinks, sugar and juices containing sugar, refined
carbs (white bread, biscuits, chocolate, lollies etc…).
2. Eat small protein rich meals every 3 hours to balance your blood sugar.
3. Exercise regularly – cardio and weights (the more muscles you have the
more fat you’ll burn).
4. Add cinnamon to your cooking. It has been found to improve insulin
sensitivity in women with PCOS.
5. Excess androgen production has been shown to favorably react to intake of
licorice so include some fresh licorice from an organic store.
6. Reduce stress with yoga, mediation, breathing exercises, 8 hours of sleep,
regular exercise, lavender, lemon balm and chamomile tea.
7. Take a good quality multivitamin and fish oil (make sure it’s been tested for
mercury and stabilized with vitamin E).
8. Eat more: adzuki beans, basil, cayenne, chestnut, chives, eggplant, garlic,
ginger, kohlrabi, leek, nutmeg, pepper, rice, rosemary, spearmint and
turmeric.

31 people found this helpful

Squint in my right eye. It started about three years back after being diagnosed diabetes type 2. Please suggest suitable treatment. If it is surgery whether it is painful. Suggest suitable treatment to be undergone.

M.S. Ophthalmology
Ophthalmologist, Vadodara
Squint in my right eye. It started about three years back after being diagnosed diabetes type 2. Please suggest suita...
It is necessary to examine you for the type and cause of your squint and whether it is related to diabetes or not. Suitable anesthesia will ensure it is painless.
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He is a diabetic patient. He. Is 45 years. And we know ten day ago he is a fatty liver patient. So this incident is very worry issue for us. So how can we reduce this problem.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
He is a diabetic patient. He. Is 45 years. And we know ten day ago he is a fatty liver patient. So this incident is v...
mam fatty liver is very much commonly associated with diabetes.controlly sugar and lipids is must.tab metformin will be helpful for both diabetes and fatty liver....get his liver function test done and review with results
1 person found this helpful
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I am suffering from hypo thyroid. And my THS is 9.3, how to reduce it and how to normal permanently. Please give proper solution.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from hypo thyroid. And my THS is 9.3, how to reduce it and how to normal permanently.
Please give prop...
Mr Hirdyesh, TSH 9.3 milli units is high, shows you have hypothyroidism. This needs to be treated with thyroxine tablets, dose depends on body weight and TSH levels. In addition you will have to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Consume more green leafy vegetables, salads, fruits and low fat milk products. Exercise regularly to avoid weight gain
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