Lybrate.com has top trusted Ayurvedas from across India. You will find Ayurvedas with more than 25 years of experience on Lybrate.com. You can find Ayurvedas online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Santosh M. Kale
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Skin Care Treatment
Treatment of Migraine Treatment
Treatment Of Female Sexual Problems
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Chronic Skin Allergy Treatment
Treatment Of Pregnancy Problems
Submit a review for Dr. Santosh M. KaleYour feedback matters!
Hello my friend 23 year old n unmarried girl she got irritation near to her vagina its really irritated please suggest me any medicine or home remedy for relief.
With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy.
What is CGMS:
Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis.
Whom is it for?
If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes.
Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows.
Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team.
If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diet in ckd in non dialysis patients:
- We suggest the following dietary guidelines for most patients with egfr 60 ml/min/1.73 who are not on dialysis:
- A daily protein intake of 0.8 g/kg. We do not recommend very-low-protein intake (0.6 g/kg/day).
- A diet rich in vegetables.
The sodium intake varies depending on individual patient clinical features. Among individuals who are hypertensive, volume overloaded, or proteinuric, we suggest a sodium intake of 2 g/day (ie, 5 g/day of salt [nacl]).
For patients who are not hypertensive, volume overloaded, or proteinuric, sodium restriction to 2.3 g/day (5.75 g/day of salt [nacl]) may be of benefit. There are no convincing studies of the general population that have proven that lowering sodium intake to less than 2.3 g per day lowers cardiovascular outcomes or all-cause mortality. The institute of medicine has concluded that there is insufficient evidence to recommend a different sodium intake for ckd patients as compared with the general us population .
- The potassium intake should be guided by serum potassium levels. If the potassium concentration is normal, we do not restrict dietary potassium. If the potassium concentration is high, dietary potassium intake should be restricted.
- Some clinicians target a total calcium intake (both dietary and medication sources) ≤1500 mg/day, whereas others prefer a more stringent goal of ≤1000 mg/day.
- Maximum phosphorus intake of 0.8 to 1 g/day, even if the serum phosphorus concentration is normal; this is because some studies suggest that dietary phosphorus intake may alter circulating fibroblast growth factor (fgf)-23 concentration. The dietary phosphorus should be derived from sources of high biologic value, such as meats and eggs.
- Maximum caloric intake of 30 to 35 kcal/kg/day.
- Maximum fat intake - 30 percent of daily energy intake, with saturated fat limited to 10 percent energy.
- Daily dietary fiber intake for 25 to 38 g/day.