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Dr. K Hymakar

MBBS, Diploma in Diabetology

Endocrinologist, Visakhapatnam

25 Years Experience  ·  100 at clinic
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Dr. K Hymakar MBBS, Diploma in Diabetology Endocrinologist, Visakhapatnam
25 Years Experience  ·  100 at clinic
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Personal Statement

To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. K Hymakar
Dr. K Hymakar is a trusted Endocrinologist in Daba Gardens, Visakhapatnam. He has had many happy patients in his 25 years of journey as a Endocrinologist. He has completed MBBS, Diploma in Diabetology . You can meet Dr. K Hymakar personally at Nageshwar Clinic in Daba Gardens, Visakhapatnam. Book an appointment online with Dr. K Hymakar on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 39 years of experience on Lybrate.com. You can find Endocrinologists online in Visakhapatnam and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Andhra Medical College, Visakhapatnam - 1992
Diploma in Diabetology - Dr. MGR University - 2000
Languages spoken
English
Hindi

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Nageshwar Clinic

31 - 32 - 45, Near Leelamahal Junction, Daba Gardens, AllipuramVisakhapatnam Get Directions
100 at clinic
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I am 41 years old I have sugar problem from last 10 years. I am taking tablet Glycomet trio 2/.3 for three times in a day. But still my sugar level is high. Fasting 170 and after food 220. Can you suggest any other medicine or combination.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS, MRCP (UK)
Internal Medicine Specialist, Kolkata
I am 41 years old I have sugar problem from last 10 years. I am taking tablet Glycomet trio 2/.3 for three times in a...
Thank you for the query. From your question I gather that you are already on glycomet trio (2 mg/500 mg/0.3 mg) thrice a day. This implies that you are on quite a high dose of oral anti diabetic agents. However, your sugar levels tend to remain high. I would like to enquire about your hbaic as that will give a better picture about your control. At this stage I would advice you to modify your diet (1400-1500 kcal) per day and opt for a exercise regimen (30 min per day for 5 days a week). Please get your eyes and renal functions checked. I would also advise you to monitor your blood sugar levels at home with a glucometer if possible.
1 person found this helpful
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What to do in asymptomatic gall stone disease?

MS - General Surgery, MBBS
General Surgeon, Ghaziabad
What to do in asymptomatic gall stone disease?

If gallstones are detected incidentally, always go for surgery. As in diabetic patients, gallstones are not symptomatic. But it can cause complication in future. As stone can slip forward into common bile duct or it can cause pancreatitis (inflammation of the pancreas).

Hi, doctor I am 68 i am diabetic since 14 years height 63 inch weight 75kg active I feel mild knee pain while walking do I need some medicine or excercise I walk 3/4 km every day please help.

MS Orth, Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist, Vadodara
you must continue your level of walking. But use a hinged knee cap and soft cushion sports shoes. Take a break after each 1km walk. Apply ice pack at the end. Your knee will be fine.
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Is there any such medicine which can cure long diabetes disease without much physical activity?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is there any such medicine which can cure long diabetes disease without much physical activity?
No diabetes can be well controlled with diet, exercise and medicines and insulin. Ask me with reports of fbs, 2 hr ppbs and hba1c.
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C.S.C, D.C.H, M.B.B.S
General Physician,
4 Simple Ways To Manage Diabetic Peripheral Neuropathy (DPN)

If you?re one of the 26 million Americans living with diabetes, then you?re probably familiar with diabetic peripheral neuropathy (DPN), which is nerve damage that?s caused by chronic high blood sugar. DPN tends to be the most common complication of diabetes. Some of its symptoms include a tingling or burning sensation, difficulty walking, and numbness, especially in your feet and toes. If left untreated, DPN can eventually lead to amputation.
While DPN seems to be a growing problem within the African-American community, here are four ways to keep your DPN under control.

1. Don?t smoke.
Ever notice how ?don?t smoke? is always somewhere on these types of lists? Well, there?s a good reason for it. When you smoke, your arteries narrow and harden, reducing the amount of blood flow to your legs and feet, which makes it more difficult for wounds to heal.
2. Keep your blood sugar levels in check.
If you?re a diabetic, then you already know how important it is to monitor your blood sugar levels. When you have DPN, inconsistent blood sugar levels put you at risk for nerve damage, which can ultimately lead to amputation.
3. Take good care of your feet.
When you have DPN, it?s a definite must that you thoroughly wash and dry your feet on a daily basis. Also, always make sure that your shoes are well-fitted and that your socks are clean and dry. Be sure to trim your toenails straight across ? or have them trimmed by a professional. Lastly, stay away from any antiseptic products and sharp tools, including nail files, as they may cause injury and further damage
4. Communicate with your doctor.
Inspect your feet regularly. If you notice anything unusual, such as a foot injury that?s taking longer to heal than normal, inform your doctor right away! ASK PRIVATLEY
9 people found this helpful

I am 59 years old and recently when I tested my blood sugar on fasting was 126and after break fast it was 238. What should I do? please advise.

MBBS
General Physician, Delhi
I am 59 years old and recently when I tested my blood sugar on fasting was 126and after break fast it was 238. What s...
It appears you have become diabetic. Pl. 1. Avoid all types of sugar in any form. 2. Start brisk walking 4-5km/day 3. Lose weight. Do it for 10days. If ok continue. Otherwise consult.
1 person found this helpful
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Are nuts like walnuts and cashews okay for diabetes patients or are there Better nuts.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
Are nuts like walnuts and cashews okay for diabetes patients or are there Better nuts.
Almond and walnuts are good for diabetes patient but cashews not not too good, once a while yes you can give 3-5 ps.
2 people found this helpful
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My baby is 2 months old so can I drink warm water with lemon and sugar empty stomach.Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My baby is 2 months old so can I drink warm water with lemon and sugar empty stomach.Please tell.
Yes you can take warm water with lemon and sugar or honey if wish. There will be absolutely no problem with that. It does not affect the baby.
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My grand father is suffering from diabetes 140-150 on fasting and he had a minor heart attack few months ago . What diet we should follow ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My grand father is suffering from diabetes 140-150 on fasting and he had a minor heart attack few months ago . What d...
Give up sugar and sweets if not done so far, only healthy fats like a katori of assorted nuts to get good fats + proteins. Lots of seasonal vegetables and fruits but eating according to constitution e g it is not a must to eat sprouts if it leads to distention. Clear soups of pulses like moong, kale chane. Besan is good and it can be mixed with wheat flour to add on proteins and to reduce calories. Fresh juice of a lemon + 1 spoon of honey with warm water, if taken on empty stomach does reduce weight, bad fats and sugar in blood. Calories of honey can be compensated by taking 1 chapati less. Reduce carbs anyway but do take whole fruits, never mind the sugar content in whole fruits, look at the fresh vitamins & minerals. No juices or fizzy drinks. Light exercises loke walking helps the heart and burns extra sugar. Level of sugar is on borderline at 140 for fasting, upper limit is 120- it means that you are already taking good care of him. Keep it up and be careful about other factors responsible for a good heart- no smoking or exposure to pollution, no bad fats like transfats even occassionally for a party.
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I am 29 years old. I am taking medicine for bipolar disorder for 18 months. operate chrono 300 mg, dipwell 10 mg. I am 92 kg unable to loose weight. Kindly tell me way and how can I stop medicine. I have thyroid also taking eltroxin 50th mg.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am 29 years old. I am taking medicine for bipolar disorder for 18 months. operate chrono 300 mg, dipwell 10 mg. I a...
Hye. Apart from just loosing weight, you must concentrate on improving your hormonal balance and improve your thyroid health. In order to lose weight you must either eat sensibly and exercise to burn off calories. Eat as per the body's needs. Food that is not used to fuel the body is stored as fat. A major component of losing weight is to make smarter food choices. Here's how: limit non-nutritious foods, such as: sugar, honey, syrups and candy, pastries, donuts, pies, cakes and cookies, soft drinks, sweetened juices and alcoholic beverages cut down on high-fat foods by: choosing poultry, fish or lean red meat. Choosing low-fat cooking methods, such as baking, broiling, steaming, grilling and boiling. Avoiding high-fat snacks like chips and chocolate. Avoiding fried foods. Using less margarine and mayonnaise. Avoiding high-fat gravies, cream sauces and cream-based dishes. Eat a variety of foods, including: fruit and vegetables, whole grains, breads, cereal, rice and pasta, dairy products, such as low-fat or non-fat milk or yogurt, low-fat cottage cheese and low-fat cheese, protein-rich foods like chicken, fish, dals and legumes, or beans should be included in your diet. Change your eating habits: eat three balanced meals a day to help control your hunger. Watch portion sizes and eat small servings of a variety of foods. Choose low-calorie snacks. Eat only when you are hungry and stop when you are satisfied. Eat slowly and try not to perform other tasks while eating. Find other activities to distract you from food, such as walking, taking up a hobby or being involved in the community. Include regular exercise in your daily routine.
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Symptoms of blood sugar and it's prevention. In case of Low BP. Pl suggest what can I do.

PDDM, MHA, MBBS
General Physician, Nashik
Symptoms of blood sugar and it's prevention. In case of Low BP. Pl suggest what can I do.
People with diabetes should undergo regular physical examination, which includes consultation with a doctor; fundus examination; electrocardiogram, stress test (treadmill test); foot examination for blood circulation, sensation and vibration perception, ulcer prone areas; along with necessary laboratory investigations. 30% of people with type 2 diabetes can control diabetes by proper diet, regular exercise and yoga alone. In other cases medicines and in some cases, insulin may be required. No restriction in diet is required in diabetes. Patients with diabetes should be advised to take a healthy and balanced diet. Sweet substance and fatty foods such as ice cream, sweets, cakes, biscuits, chocolate, etc. Should be avoided. Green vegetables and salads can be taken freely. Meals should be divided 4 to 6 times a day. Eating fruits are beneficial for diabetes patients. More sweet and ripe fruits like mango, sapodilla, custard apple, banana, etc. Should not be taken, if your diabetes is not under control. Diabetic patients should make regular exercise and physical activity or yoga as a routine part of their life. Generally, exercise should be done early in the morning. One should keep sweet handy during exercise for any emergency conditions like hypoglycemia. Patient education program and counseling is a must for every person with diabetes for total management of diabetes. It helps the patient to comply with drugs and lifestyle modification more effectively. The clinical management of diabetes now has significantly more options than ever before and every year new molecule and technologies are coming in the market for better diabetes management. But, everything will fail if the lifestyle is not adhered. With proper diagnosis and appropriate treatment, one can live long, healthy and cheerful life without developing diabetes complications.
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I am 50 years old. I am having discomfort in both my calf muscles off and on especially in the evening. I feel better in raised lower limb position during lying down. My blood pressure is normal. My blood sugar is within normal limits. Lipid profile too is within normal limits. I take meals 4 times a day but the time is irregular. Please tell me the causes of discomfort in calf muscle.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
I am 50 years old. I am having discomfort in both my calf muscles off and on especially in the evening. I feel better...
could be due to varicose veins as the pain gets worse on dependent position. other causes could include myopathy or lumbar spine pathology
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Iam a diabetic. Before breakfast blood sugar is 125 and post prandial it is 150. I am on medication. I have lost 4 kgs in the last four months. I walk a lot, daily. Is my weight loss a matter of concern?

C.S.C, D.C.H, M.B.B.S
General Physician,
Iam a diabetic. Before breakfast blood sugar is 125 and post prandial it is 150. I am on medication. I have lost 4 kg...
Please tell your weight. Possibly it is not fully controlled please check your bc, tft & hba1c ans send me the report. You take glyciphage sr twice daily and send the reports.
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Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
The Physical Activity ( Exercise) has an Important Therapeutic Effects in the People with Diabetes.
1 person found this helpful

I am a student. My parents started to control my sugar consumption as I eat cake, wafers, ice creams. I don't consume sugar any other way like coffee or milk. Is this will cause diabetics? How much should I consume my items?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a student. My parents started to control my sugar consumption as I eat cake, wafers, ice creams. I don't consume...
Mr Vinay, By consuming sweets or sugar a person does not get diabetes. However, if you have a family history of diabetes and have excess weight, central obesity (waist more than 90 cms), having an inactive lifestyle, also habituated to alcohol or smoking, then there is a possibility of getting diabetes type 2. So if you any of the above things it is better to be cautious. To keep free from T2DM, adapt a healthy lifestyle.
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My age: 26 years, height 5'3. Suffering with HYPOTHYROIDISM. Please suggest a treatment for permanent cure.?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
You need complete evaluation. Thyroid is gland and its disorders are usually lifelong. However we need to evaluate you completely before giving you any final outcome.
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Health Tips For Thyroid Health!

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

Thyroid is an important endocrine gland which is located in the neck. It produces triiodothyronine and thyroxine hormones which are known as t3 and t4 respectively. Iodine is necessary for the production of these hormones. These hormones are necessary for the proper working of our body. They increase the cholesterol, fat, protein and carbohydrate metabolism. Common problems of the thyroid gland are over activity or hyperthyroidism and under activity or hypothyroidism. The important causes of thyroid disorders are graves’ disease and hashimoto’s disease. Enlargement of the thyroid gland is known as goiter.

Foods for hyperthyroidism

When the thyroid gland starts producing excessive hormones, it is known as hyperthyroidism. This has various symptoms like increased heart rate, sudden weight loss, irregular heartbeat, anxiety, bulging eyes, sensitivity to heat and sweating, goiter etc. Hyperthyroidism can be controlled by using certain particular foods.

1. Foods belonging to brassica family
Consume foods like cauliflower, brussels sprouts, peanuts, cabbage, broccoli, kale, mustard greens, turnips, rutabagas, soybeans, spinach etc which contains goitrogens.
• goitrogens helps to block the ability of thyroid to use iodine and hence slows down the activity of the thyroid.
• eat raw cruciferous vegetables to get maximum benefit as goitrogens are active in the raw state.

2. Include more berries
Add at least one serving of berries in your diet plan to control hyperthyroidism.
• blueberries, raspberries, strawberries contain anti-oxidants which improves your immune system.

3. Omega -3- fatty acid and proteins
Omega -3- fatty acid helps to control the hyper stimulated thyroid gland. Proteins are necessary for the building of muscles and to provide energy for the body. Protein sources also contain l-glutamine which helps in rebuilding the gut and de-inflaming the body.
• eat cold water fish, flaxseed oil and nuts to get the omega-3-fatty acid necessary for the body.
• include soy, turkey, walnuts, salmon, tuna and trout in your hyperthyroidism diet.

4. Dairy products
Hyperactivity of the thyroid gland can remove the calcium from your blood. The body compensates this loss by leaching calcium from the bones. This can cause osteoporosis.
• include three servings of yoghurt, cheese, milk or cottage cheese in your daily diet. 

5. Spinach and collard greens
If you are allergic to dairy products, you can get your daily supply of calcium from vegetable sources like spinach collard greens etc.
• figs, prunes and sesame seeds are also excellent hyperthyroidism foods.

6. Zinc
This is another vital component of hyperthyroidism diet. The hyperactive thyroid gland can deplete the zinc.
• include almonds, walnuts, pumpkin seeds, peanuts which are rich in zinc in your diet.

7. Fiber rich foods and anti inflammatory foods
Fiber rich foods are beneficial for the proper working of the thyroid gland. Anti inflammatory herbs help to reduce the inflammation of the thyroid which is the reason for hyperthyroidism.
• include whole grain foods, like oatmeal, whole grain breads, brown rice etc in your food.
• the anti inflammatory herbs to be included in your diet are turmeric, ginger, rosemary, cinnamon and oregano.

8. Antioxidant rich foods and vitamin d
It is also necessary to consume antioxidants and vitamin d rich foods in the diet. This will reduce the oxidative stress caused by hyperthyroidism. Vitamin d can reduce the inflammation and auto- immune reactions of the body.
• avocados, olive oil broccoli etc contain antioxidants.
• salmon is a good source of vitamin d. You can get your daily dose of vitamin d from eggs, mushrooms etc.
• spend 20- 30 minutes in the sun to get the necessary vitamin d for the body.

9. Cassava, sorghum, and millet
These food items contain cyanogenic glucosides which blocks the iodine availability of the gland.
• these foods increase the immune function and gives protection from osteoporosis

10. Vitamin c and vitamin e
These vitamins are helpful in reducing the oxidative stress caused by the hyperactivity of thyroid glands.
• all the citrus fruits are rich in vitamin c.
• bell peppers, olive oil, wheat etc are a good source of vitamin e.

Foods for hypothyroidism
Underactive thyroid gland releases too little hormones. This condition is known as hypothyroidism. The symptoms include unusual weight gain, feeling cold even on warm days, lethargy and fatigue, puffiness of the face, constipation, depression constipation, dry skin, goiter etc. This is a lifelong condition however the impact of hypothyroidism can be controlled using appropriate diet. Changing the diet and lifestyle prevents the flares of symptoms which could disrupt your daily activities.

1. Iodine rich foods
Make sure that you consume a diet that is rich in iodine. Some of the most common foods that you can think about that is rich in iodine are:
• seaweeds and sea foods
• salt water fish
• nori rolls
• sushi
Be certain to use iodized salt while preparing food as it is found to be very effective for hypothyroidism.

2. Bananas
One of the most commonly found fruits are bananas. Try to include bananas in your daily diet as it is a good food for hypothyroidism.
• take at least two to three bananas a day. Make sure that you eat ripe bananas.
• you can also at times consume a banana milkshake that is prepared with low fat or skimmed milk.

3. Water
One of the best known remedies to treat all kinds of disorders as well as hypothyroidism is pure drinking water.
• make sure that you drink at least 8 to 10 glasses of water a day.
• water will help to flush out all toxins in your body.
• it will also prevent you from getting dehydrated so that your body does not store more fat and hence you do not gain excess weight.

4. Eating more fruits and vegetables
Try to include more fruits and vegetables in your diet. This will help you to stay healthy and is highly recommended to prevent hypothyroidism.
• it would be better for you to choose a complete veg. Meal plan full of greens and vegetables one or two days in a week.
• you also need to follow a strict fruit plan diet for a day in a week to fight hypothyroidism.

5. Selenium rich foods
Going for foods that are rich in selenium will help in fighting hypothyroidism.
• make sure to make onions and dairy products as part of your daily diet.
• you also need to occasionally include chicken, salmon, tuna and meat in your daily diet. Try to use one product a day.
• it is important for you to use a lot of garlic in your food preparation.
• brazil nuts as well as whole unrefined grains also help in fighting hypothyroidism and you need to take them at least once a week.

6. High fiber diet
It is important for you to take a high fiber diet so that you do not gain weight that easily and this will help to prevent hypothyroidism.
• add beans, oatmeal and whole wheat to your daily diet to improve your bowel movement and to reduce the cholesterol levels in your body.
• make sure that you only consume brown rice and not white rice in any form when you suffer from hypothyroidism.

7. Green tea
One of the best foods known to treat hypothyroidism is green tea. It has antioxidants and will help in reducing body weight.
• it is ideal for you to include green tea in your daily diet and try to skip other drinks like coffee and black tea.
• it would be ideal for you to consume thee to four cups of hot green tea to increase body metabolism and to burn fat.

8. Tyrosine rich foods
One of the best methods to increase the production of thyroid hormones in your body is to consume foods that are rich in tyrosine.
• fish
• lentils
• lean meat
• soy products
• almonds
• bananas
• avocados

9. Coconut oil
Take coconut oil cooked food will help in improving the production of thyroid hormone and will help in preventing hypothyroidism.
• add a tablespoon of coconut oil in your diet every day.
• it helps in increasing metabolism and is also an emery booster.
• make sure that you consume it in moderation depending on your age and lifestyle and structure of your body.

10. Vitamin a, zinc and copper foods

It is ideal for you to consume vitamin a, zinc and copper rich foods in order to increase the production of thyroid hormones in your body.

Vitamin a rich foods
• yellow vegetables
• carrots
• dark vegetables
• eggs

Zinc and copper foods

• lean beef
• dried beans
• spinach
• seeds and nuts
• yeast
• legumes
• oatmeal
• raisins
• organ meats that are range free.

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