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Dr. Manoj Agrawal

Diabetologist, Raipur

500 at clinic
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Dr. Manoj Agrawal Diabetologist, Raipur
500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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PARIDHI DIABETES AND RESEARCH CENTRE RAIPUR

MIG 4 CANAL ROAD INDRAVATI COLONY RAJATALABRaipur Get Directions
500 at clinic
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PARIDHI DIABETES AND RESEARCH CENTRE RAIPUR

MIG 4 CANAL ROAD INDRAVATI COLONY RAJATALABRaipur Get Directions
500 at clinic
...more
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Is diabetes is curable disease. I want to get rid of this I am diabetic for last 20 years and on tab metformin 500.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Is diabetes is curable disease. I want to get rid of this I am diabetic for last 20 years and on tab metformin 500.
Yes, type 2 diabetes is definitely a curable disease, especially in the early stages. Ie, during the first 2-3 years. In fact, it can be fully reversed without any surgery. All that the patient needs to do is meticulously control both the body weight & diet. Easy to say, but difficult to do. But definitely possible. However, after 20 years, as in your case, it might be very difficult.
1 person found this helpful

Gestational Diabetes - 3 Associated Complications

Doctor of Medicine, DGO
Gynaecologist,
Gestational Diabetes - 3 Associated Complications

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby’s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

  1. Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

  2. If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.

Complications:

  1. Increase in Birth Weight – Extra glucose crosses through the placenta which instigates the baby’s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

  2. Premature Birth and Respiratory Diseases – High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

  3. High Blood Pressure Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby’s health.

Treatment:

  1. Follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

  2. Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

  3. Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition. If you wish to discuss about any specific problem, you can ask a free question.
2688 people found this helpful

Pre-surgery Testing - Know The Importance!

MBBS, MS
Ophthalmologist, Navi Mumbai
Pre-surgery Testing - Know The Importance!

Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.

The preoperative assessment consists of--

A test for your existing glasses prescription:

It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.

A full ocular examination: This includes looking at-

  • The eyelid anatomy and inflammation.
  • The state of the tear film, dry eye changes could make surgery difficult
  • The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
  • The amount of dilation the iris undergoes with dilating drops.

The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule.

The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.

Biometry Tests

This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.

Corneal Topography

This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.

Optical Coherence Tomography (OCT)

This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.

Blood Pressure Measurements

It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.

Blood Sugar Measurements in Diabetic Patients

Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher. In case you have a concern or query you can always consult an expert & get answers to your questions!

4340 people found this helpful

Why hypertension and diabetes are not permanently curable. When we have lot many doctors in this world, why we cannot prepared the medicine for this, is that a curse for humankind coz I have seen many people who are suffering with these disease.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Why hypertension and diabetes are not permanently curable. When we have lot many doctors in this world, why we cannot...
Mr. Lybrate-user. Diabetes is occurring either due to lack of insulin or resistance to its action, mainly because of being over weight and secondly due inactivity and junk foods. This true incase of t2 dm. In t1 insulin producing beta cells in pancreas are destroyed due antibodies. T1 is an autoimmune disease. These are two main types of diabetes. In both types insulin has to be provided (t1 by injections of insulin) in t2 stimulating insulin secretion. Since this hormone is required every single moment in our body, there is no way of curing the condition. It can only be controlled. Similarly in high bp also there are multiple triggers involved, each can not exactly identified and removed. So cure is not possible. Here too over weight, obesity, inactivity, high fat, excess salt plus various other triggers are active, and the process continues for lifetime, hence only control is possible. Similarly there a host of diseases where ther is no cure available in spite of great advances in medicine. I understand your concern, but that is the fact. May some time later science will be able to find a cure for all diseases, let us hope. Thanks.
1 person found this helpful
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I have a dibaties or sugar so what is a precautions of this disease so and it can make my improved by fast.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
I have a dibaties or sugar so what is a precautions of this disease so and it can make my improved by fast.
Avoid sugar, spicy , oily food. Take, small meal at small interval of time. Avoid potato, sweet potato, rice, mango, chikoo, banana, litchi, refined flour, sweet potato etc. One should avoid eatables with high glycemic index. Do regular exercises and yoga meditation. Add besan in your chapati. Have a plate of salad before meal.
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How can I control sugar legal 284. Any medicine? Or ayurvedic medicine? at now I walk every day 5km.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS, Masters in endocrinology
Endocrinologist, Mumbai
How can I control sugar legal 284. Any medicine? Or ayurvedic medicine? at now I walk every day 5km.
Hello Best you can do about your diabetes is controlling it to prevent any early complications. Following this tips would be helpful. Regular medication (you may need to modify your medicines for diabetes for better control) regular exercise (minimum 30 to 45 minutes of brisk walking) following healthy diet plan avoiding alcohol avoiding smoking reduce stress regular blood sugar test. Regular follow up with diabetologist doctor timely screening for diabetes complication such as of eye, kidney, heart, nerves
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All About Type 2 Diabetes

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Diabetologist, Thane
All About Type 2 Diabetes

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring and
  4. Blood sugar medication along with insulin therapy, if necessary
type diabetes
4026 people found this helpful

I am a diabetic since last 2 years and dr has prescribed me 1-gluformin xl 500 mg 2-cardace am 5 mg my hba1c was 6. 15 and fasting sugar was 90 p. P was 160. My microalbumin was 9. 26. Mg./dl- creatinine was 69. 9 mg/dl. Acr ratio was also 13. 3 against a limit of <30 mg /g and my doctor told me its ok. Kft-report 1-blood urea 30. 0 mg/ ref range 10-50 mg /dl 2-serum creatinine 1. 15 mg /dl ref range 0. 70 -1. 40 3-serum uric acid- 2. 9. Mg/dl ref -3. 5 - 7. 2 4-sodium -131. 6 mmol/l ref range 135-155 5-potassium-4. 11mmol/l ref -3. 5 - 5. 5 6-chloride-102. 8mmol/l ref -98 - 106. I am also diagnosed with mild prostrate problem. My problem I am suffering from excessive urination during day time from morning 10 am till 8 pm after that its normal during night sometime I go for urination once only that too if I had taken more then 2 glasses of waterbefore going to sleep. Now my question is. Am I suffering from any kind of kidney problem or its because of prostrate problem I have also noticed foam in my urine but not always. Please tell me how to check. Please advice some medicine for controlling my excessive urination which happens after 2 hour. I am also suffering for penis erectile dysfunction. Please help me and advice suitably to over come these problems and also tell me how to check the kidney functions.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
The symptoms you have suggest lut involvement. You have already developed early triopathy. Please send me all your reports for further advice
2 people found this helpful
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He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?
Hello having diabetes and losing weight might be one reason, other reason could be irregular spacing in meals lack of protein and carbohydrate deficient in certain nutrients a detail diet plan with meeting the rda must help.
2 people found this helpful
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I am 54 year. Old and have type 2 diebtese since last one year. Now it is under control. Metformin 1000 tablet once daily after dinner was taken. Now it has been reduced to 500 mg once daily with dinner. The sugar levels are 100-110 fasting and 125-150 pp after two hrs I have severe heel pain in one foot since last three months. Is it because of diebtese? any remedy for it. Regards.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 54 year. Old and have type 2 diebtese since last one year. Now it is under control. Metformin 1000 tablet once d...
Your sugar levels appear in good control with present medication that is on. The pain in heel is possibly a condition called plantar fasciaitis. For this there are few specific exercises which an orthopedician can advise you. Plus apply ice twice a day for about 10 minutes / twice a day. Also use soft foot wear (with cushuned heel) at home and outside.
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