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Overnite my diabetes issue aggravated. The Akshar Diabetes Centre is decorated very nicely and doesn't look like a hospital. Even after my treatmentwith my old doctor, I never felt so much relief, but Sushil Patel has treated me completely. Thanks to him I am much better now. The overall atmosphere in the Akshar Diabetes Centre is very soothing. He is a very practical doctor.
I read about Dr Sushil Patel on one of the social media platform. i consulted him for Hepatitis A. He is quite knowledgeable. He is not just friendly, but also is very motivating. His has helped me immensely and I didnt need to consult any other doctor for the treatment. They took very nice care of me, i never felt that I am in a Akshar Diabetes Centre.
I searched this Sushil Patel online and saw his reviews. Sushil Patel has so much knowledge that for everything my family takes his reference. I must say the hygiene was maintained very nicely in the Akshar Diabetes CentreSushil Patel has a very positive attitude towards all the patients. I was shocked to experience the symptoms of vomiting
I consulted Dr Sushil as I was suffering from sudden weight gain and was feeling lethargic. He prescribed me some blood tests in order to know the problem. And I was shocked to know that I am suffering from underactive thyroid. I thank Dr Rakesh for treating me so well. I am perfectly fine post treatment.
Due to my high diabetes problem I was diagnosed with Amebic Liver Abscess (Liver Abscess). dr Sushil Patel from Akshar Diabetes Centre in Vadodra. By chance, I approached him for second opinion and thank god, i did because, he treated me without any surgery and all. Thanks Much to him!
I was searching from diabetes and I consulted Dr Sushil for this. He traeted me very patiently and also provided me some tips to stay healthy. which benefitted me to great extent.
I found the answers provided by the Dr. Sushil Patel to be well-reasoned. Thanks
Keeping the blood sugar level within the accepted level can be a challenging at times. This is because the blood sugar is affected by a range of factors including lifestyle factors. Here is a brief roadmap to manage diabetes by following simple lifestyle changes:
Healthy eating is an art. It is one of the cornerstones of healthy living with or without high blood sugar. People suffering from blood sugar has more reasons to be specific about food to keep the blood sugar level under control.
- Portion size and carbohydrate counting: Carbohydrates play a key role in managing diabetes. It is, therefore, necessary to keep a close count of carbohydrates. People consuming insulin need to be more careful in this regard. One good way to ensure that carbohydrates consumption is under control is to ensure that the portion size is controlled.
- A balanced meal: A good meal should be a mixture of fruits, proteins, fats, starches, and vegetables. Few carbohydrates such as those found in vegetables, starch and whole grains serve a diabetic person better.
- Track your medication and meal: Too little consumption of food can lead to a sharp fall in blood sugar level. Too much food, on the other hand, can lead to high blood sugar. It makes sense to maintain a balance between food and medication.
Physical activity goes a long way in managing blood sugar level. Regular exercise consumes sugar in the form of energy and helps to maintain diabetes. Daily exercise along with certain household chores such as gardening can help to maintain diabetes:
- Make an exercise plan: It makes sense to consult the doctor or a healthcare professional before starting to exercise. Depending on the level of blood sugar, an exercise plan should be chosen. One should maintain a minimum of half an hour exercise schedule daily.
- Be prepared: Sudden change in lifestyle such as starting an exercise regimen can take a toll on the body. It is therefore advised that a person prepares himself by taking short snacks before starting to exercise. Staying hydrated is another crucial thing. Checking the blood sugar level before and after working out is a good habit.
Stress plays the devil in shooting up the blood sugar level. It becomes extremely difficult to manage diabetes with stress. Here is a list of important things to stay away from stress:
- Find a pattern: Logging stress within a scale of 1 to 10 can help to find a pattern. If the blood sugar levels are found to be high under stressful days, a person would know what should be skipped to cut down stress.
- Get help: Getting professional help to cut down stress is a good idea. Consulting a psychiatrist/psychologist can prove to be helpful in cutting down stress. Once the stress levels are down, blood sugar level automatically comes down. If you wish to discuss about any specific problem, you can ask a free question.
In case you do not notice or treat the injuries, they can turn out to be deeply infected and might need operation / amputation. Diabetic peripheral neuropathy can likewise bring about a sharp pain in your feet. You may turn out to be extremely sensitive to the lightest touch, like the sheets on your bed.
Here are a few precautions you should take in order to avoid foot pain during diabetes:
- Check both feet every day: Look over both feet precisely every day and make certain you check between the all of your toes. Blisters and infections can begin between your toes, and with diabetic neuropathy, you may not feel them until they have become aggravated or infected. In case a physical test keeps you from checking your own particular feet, request that a family member or a relative help.
- Wash with lukewarm water: Wash both of your feet every day with warm - not hot - water. You will most likely be unable to feel the heat with your feet, so test the water with your hands first. Do not absorb water for too long since waterlogged wounds have a harder time recovering. Dry your feet immediately, and remember to dry them softly especially between your toes.
- Ensure your shoes fit well: Even the smallest rubbing or misfit shoe can bring about blisters that transform into a sore and have to be removed since it never heals.
- Do not walk barefoot: Never walk barefoot. Wear shoes or footwear. Continuously wear socks with your shoes, since calfskin, plastics, and synthetic shoe materials can bother your skin and rapidly bring on blisters.
- Stay soft, yet dry: Your skin might be dry and teary due to the high glucose levels and split skin means it is very easy for the bacteria to get under your skin. This makes it harder for the infection to heal. Use a little skin salve every day. Also make certain your feet feel dry, not soggy or sticky, a while later. Make an effort not to get the cream in the middle of your toes.
- Attempt light exercise: Swimming, cycling, yoga are good exercises, with negligible effect on your feet. Speak with your specialist before beginning an activity or a program.
- Control your glucose: The best counteractive action for foot pain, eventually, is to deal with your diabetes well under control. If you wish to discuss about any specific problem, you can ask a free question.
What is Type 1 Diabetes?
Type 1 diabetes develops when your immune system destroys the cells in your pancreas called beta cells. They are the ones that make insulin. Insulin helps to maintain glucose level in the blood. Glucose does not move into your cells if insulin is not present Because of insulin deficiency glucose remain non-utilized and its level built up in the blood. There is no particular cure for type 1 diabetes. Although, with proper treatment, individuals can live long and healthy lives.
Type 1 diabetes is more common in young age, but can happen at any age. Symptoms of Type 1 Diabetes: Symptoms of type1 diabetes are ordinarily progressive and become obvious rapidly, over a couple days to weeks, and are brought on by high glucose. High glucose or high blood sugar can hurt numerous parts of the body, for example, the eyes, heart, blood vessels, nerves, and kidneys.
Symptoms of type 1 diabetes include:
- Urinating a considerable measure; this might be more noticeable around the evening time. The kidneys are attempting to dispose off the overabundant sugar in the blood. To do that, they need to dispose off more water. More water means more urine.
- Being extremely thirsty is very common. This happens if you urinate so frequently that you lose enough water to wind up dehydrated.
- Unnecessary reduction weight without attempting. This happens in light of the fact that you are dehydrated. Weight reduction may likewise happen in the event that you are losing those sugar calories in your urine as opposed to using them.
- Increased appetite is another symptom. You feel hungry on the grounds that your body is not utilizing all the calories that it can. A large number of them leave your body in your urine.
- Hazy vision. At the point when sugar develops in the focal point of your eye, it sucks additional water into your eye. This changes the state of the focal point and makes your vision hazy.
- Feeling extremely tired. You feel tired for the same reason you feel hungry. Your body is not utilizing the calories you are eating, and your body is not getting the energy it needs.
- Youngsters may lack enthusiasm for their normal exercises.
- Flushed, hot, dry skin.
- Loss of appetite, stomach pain, and nausea.
- Quick and heavy breathing.
- Anxiety, sleepiness, trouble waking up or coma.
If you wish to discuss about any specific problem, you can ask a free question.
There are numerous conditions that can arise when the body does not process the dietary glucose properly. Hypoglycemia, otherwise called as low blood sugar, is when the blood sugar level in a person’s body decreases than normal value. Individuals with diabetes can get hypoglycemia (low blood sugar) when their bodies do not have enough sugar to use as fuel. It can happen for a few reasons, including diet, few medications and conditions, and exercise.
In case you get hypoglycemia, record the date and time when it happened and what you did. Give the record to your specialist, so he or she can search for a pattern and adjust your medications accordingly. The most widely recognized reason for hypoglycemia includes medicines used to treat diabetes mellitus, for example, insulin and sulfonylureas.
The risk is more noteworthy in diabetics who have eaten very less than what is required, exercised more than expected, or have had excessive alcohol. Other reasons for hypoglycemia incorporate kidney failure, certain cancers, for example, insulinoma, liver sickness, hypothyroidism, hunger, an inherent error of digestive system, extreme diseases, receptive hypoglycemia, various medications and liquor. The vast majority feels the symptoms of hypoglycemia when their glucose is 70 milligrams per deciliter (mg/dL) or lower. Every individual with diabetes may have distinctive symptoms of hypoglycemia depending on their age, stage and other factors. You will figure out how to recognize yours.
Some of the most common symptoms are:
Early indications include:
- Shivering or shaking
- Pounding heart
- Racing pulse
- Pale skin
Anxiety Without treatment, you may get more serious side effects, including:
- Poor coordination
- Concentration issues
- Numbness in mouth and tongue
- Trouble talking, impaired speech
- Ataxia, incoordination, mistaken up for being drunk
- Central or general motor deficiency, loss of motion, hemiparesis
- Trance, coma like state, strange breathing
- Seizures Individuals with hypoglycemia unawareness do not have any idea about their glucose level drops.
In case you have this condition, your glucose can drop without you noticing it. Without quick treatment, you can pass out, encounter a seizure, or even go into a state of extreme coma. In case somebody is having an extreme reaction, for example, unconsciousness, it is imperative to inject a drug called glucagon and contact the hospital quickly. People who are at danger for low glucose need to speak with their specialist about getting a solution for glucagon. You should never give an unconscious individual anything by mouth, as it could make them choke. Hypoglycemia should not be ignored. Depending upon the type of symptoms you are witnessing, you should immediately rectify or consult with you specialist before it gets severe.
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.
Your nourishment decisions matter a great deal when you have diabetes. Some are superior to anything others. Nothing is totally beyond reach. Indeed, even things that you may consider as 'the most exceedingly bad' could be periodic treats, in minor sums. Yet, they won't help you nutrition wise and it's least demanding to deal with your diabetes on the off chance that you for the most part adhere to the 'best' choices.
- Dark chocolate: Chocolate happens to be rich in flavonoids and examination demonstrates that these supplements lessen insulin resistance, enhance insulin affectability and gruff yearnings. Be that as it may, not all chocolate is made equivalent. In a recent report from the Copenhagen University, individuals who ate dim chocolate made the report that they had the feeling more or less like eating some sweets and salty, or greasy foods contrasted with volunteers given milk chocolate, with its lower levels of useful flavonoids (and, regularly, more sugar and fat, as well).
- Broccoli: Broccoli is hostile to diabetes. Likewise with different cruciferous veggies, similar to cauliflower and kale, it has one compound that is called as sulforaphane, which triggers a few calming forms that enhance blood sugar control and shield blood vessels from the cardiovascular harm that is regularly a result of diabetes.
- Blueberries: Blueberries truly standout, they have both fiber that is insoluble (that 'flushes' out fat of the framework you have) and solvent fiber (which backs off the purging of your stomach and enhances blood sugar control).
- Oats: You may not consider oatmeal a superfood, but rather it can lessen the danger of creating sort 2 diabetes. Oatmeal contains high measures of magnesium, which helps the body use glucose and discharge insulin appropriately. An eight-year trial demonstrated a 19 percent decrease in sort 2 diabetes' danger in ladies with a magnesium-rich diet, and a 31 percent decreased danger in ladies who consistently ate entire grains.
- Fish: Fish is a thinning star, rich in protein, it will keep you fulfilled; additionally, it contains an extraordinary kind of fat that cools inflammation. Thousands of studies demonstrate that individuals with the most astounding blood levels of omega-3 unsaturated fats have less extensive inflammation, the very inflammation that prompts and compounds diabetes and weight issues. If you wish to discuss about any specific problem, you can consult a doctor.
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control. If you wish to discuss about any specific problem, you can consult a doctor.
Type 2 diabetes is commonly seen in adults, but nowadays its prevalence is rapidly increasing in young adults and even teenagers. It is a chronic disorder that adversely affects the way your body processes and metabolizes the glucose (blood sugar).
In Type 2 Diabetes, your body either resist the effects of insulin, a hormone that controls the sugar flow into the cells or does not produce adequate insulin to maintain a normal glucose level. Incorporating a healthy living, with the focus being on eating healthy and exercising regularly (for about 30-45 minutes) can help keep Diabetes Type 2 in check.
- Take small and frequent meals i.e. 4-6 times a day spread across regular time intervals. Also, carry a quick fix of carbs that can come to aid when the sugar levels drop.
- Foods rich in fiber and complex carbohydrates, such as bread, vegetables, fruits and whole grain cereals should be at the top of the priority food list. Stay away from fatty or fried food.
- Keep a check on your glucose level regularly at home with the help of a blood glucose meter.
- A three monthly HBA1C test (three-month average blood sugar) can help to know overall blood sugar control.
- Limit consumption of alcohol and completely cut down on tobacco.
- Get up from your couch and hit the nearest jog course or do the exercise of your choice. There is no substitute to physical activities if you are on your way to control Diabetes; be if any type.
- Assess cholesterol and blood pressure count periodically.
- Because of nerve damage and poor blood circulation, your foot may have to bear the brunt of this disorder as well. Take good care of your feet. Check your feet for swelling, red spots and blisters; wear special shoes with a soft pair of socks that can keep your feet dry. Get your feet examine by special instruments for blood circulation and sensation in feet.
- Diabetes damages oral health as well. Visit a dentist for a gum and tooth checkup at least a couple of times in a year.
- Get your kidneys and retina tested as diabetes may weaken the blood vessels of these areas.
If you wish to discuss about any specific problem, you can consult an endocrinologist.
In old days, men were working in farm, women were cooking, taking care of animals, going to farms with food, to bring water and other things she used to walk 4-6 miles per day. These were exercises. Youngsters were playing games like kabbadi, gilli danda, kho-kho etc.
Today, we are not doing much physical work due to comforts. Now car and scooter have become essential. We spend spare time to watch tv and work on pc. These things play important role to increase weight. The sedentary lifestyle and overweight is root cause of diseases and so many other diseases.
Therefore, include the exercise as part of your daily life.
For more information visit: www.akshardiabetescentre.com
If you are diabetic, know that high blood sugar level can take a severe toll on your eyes in the form of blurry vision, cataract, glaucoma and retinopathy, if left unchecked. It can even lead to partial/complete blindness in young adults. Nonetheless, a strict control over your blood sugar count would prove effective in preventing such eye complications in the long run.
How does diabetes affect the eyes?
Blurry Vision: Diabetes can cause swelling of the eye and damage to your vision. In case you are already using glasses, it might bring about fluctuations in your optical power. Once your blood sugar count gets back to the normal level; that is within the range of 70 to 130 milligrams per deciliter, your vision would be normal again; though this might take some time (about 3 months).
Cataract: Eye lens works just like a camera, helping you to focus on a particular object. Cataract is a condition wherein this lens gets clouded with debris. Nevertheless, diabetic patients are more vulnerable to cataracts as compared to others. It has to be removed with a surgery wherein an artificial lens replaces the blurry eye lens.
Glaucoma: Pressure starts building up within the eyes when fluids do not get drained out normally. This damages the nerves and blood vessels, thereby causing vision loss, blurred vision, watery eyes and headaches. Generally, glaucoma can be cured with laser, surgery, eye drops or medicines. Medications do help in alleviating eye pressure, reducing excessive fluid production and facilitating drainage. Having said that, diabetics are likely to develop neovascular glaucoma, a rare complication wherein new blood vessels form on the iris (the ring-shaped colored region in the eye), obstructing the normal fluid flow and further increasing the eye pressure.
Diabetic Retinopathy: The retina is a cluster of cells behind the eyes that absorb light and converts them into images which are then transmitted to the brain through the optic nerve. High blood sugar levels damage the tiny blood vessels of the retina, leading to a condition called Diabetic retinopathy.
The stages of diabetic retinopathy
The retina requires a constant blood supply via a network of small blood vessels. In due course of time, a high blood sugar count might damage those blood vessels; primarily across three stages:
Background Retinopathy: This is a condition wherein tiny lumps develop in your blood vessels, causing slight bleeding that usually does not affect your eye sight.
Pre-proliferative Retinopathy: This is a condition characterized by significant bleeding from the eyes as a result of the blood vessels being severely affected.
Proliferative Retinopathy: Proliferative retinopathy is a condition wherein new blood vessels and scar tissues that bleed easily develop on the retina, leading to vision loss.
Are you at risk?
The risks of Diabetic retinopathy increase if one is suffering from diabetes. Apart from this, certain other factors could also aggravate the chances of this disorder:
Rise or fall in blood sugar
Rise in the blood pressure level
Excessive consumption of tobacco
When should you call a doctor?
When you experience spots in your vision
In case of blurred and fluctuating vision
Impaired color vision
Sudden loss of vision
Redness and pain in the eyes
These signs serve as an early wake up call. However, it’s not mandatory for these signs to indicate towards diabetic retinopathy.
How to protect your eyes from diabetes and keep them healthy?
Get your eyes checked periodically and try and maintain a steady blood sugar count.
Take the prescribed medicines on time.
Try to achieve and then maintain optimal weight levels.
Avoid a sedentary lifestyle and engage in some sort of physical activity.
Control your cholesterol levels by picking the right kind of foods.
Abstain from smoking and limit alcohol consumption.
Opt for a healthy diet comprising of green and leafy vegetables, oily fish, tuna, salmon; protein rich foods such as beans, nuts and eggs; citrus fruits such as oranges; pork and oysters.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.