jaydeep shinde

[drjsshinde]

hi there i am Dr. Jaydeep shinde....a Diabetologist....u can send me ur queries regarding diabetes ...would b more then happy to guide u

[shrinivaskul]

Which is the best & easy to oprate,gluco meter in Indian market?

[drjsshinde in reply to shrinivaskul]

The best n easy to use glucometer in todays market is Glucocard mini from nicholas piramal also cost effective n strip.costs are also less compared to the one from accucheck....also the strip life is more as its individually packed

[drjsshinde]

There is no such ADA guideline on what type of carb intake but d general consensus is that your overall carb intake should be low,moderate protein intake, high fibre n low fat intake in all diabetics

[drjsshinde]

As we look at any diabetic today....we r more concerned about the long term complications due to diabetes...n thats why such a diet is recommended as taking a high fat diet may show a low sugar effect momentarily but it leads to extensive atherosclerosis n eventually complications in diabetics at the earliest....here i would like to stress on high fibre diet like having more green leafy vegs,one fruit per day as these give good amount of fibre n helps to maintain sugars more effectively...n low carb diet is stressed more in our country as our indian diet constitutes majorly carbs only

[drjsshinde]

Infact it is so very true as your regulated diet helps more then 50% in overall improvement in diabetes....also daily brisk walk of 20-30 mins also helps a lot....in respect to pio...it is truely a wonderful drug n a boon to every diabetic if used safely n with caution but due to some unfortunate controversies of pharma companies it is banned is certain.countries like france not in all. But there r good indian studies coming up to prove the importance of dis drug in all type 2 diabetics n jalra is a new drug there r no long term safety data of this drug

[rajeev in reply to drjsshinde]

hi

I am pioglucored and jalra. Does it have any long term safety issues?

I take 1 each twice a day and sugar levels r good.

Regards

Rajeev

[drjsshinde in reply to rajeev]

Preferably if we could reduce ur dose of pioglucored forte by some means or d other it would b great as in long term both will make u gain lots of weight....ask for a substitute for it to reduce its dosage especially d drugs glibenclamide n.pioglitazone

[drjsshinde]

As u can see from ur link its currently banned only in european countries....n seriously dis is still very controversial....

As u r saying dat u r pill free...dat ways u may b controllibg ur sugars well but diabetes is just not about bld sugars its about preventing complications due it n dis is d area which is very poorly touched upon....by doing dis u r no where preventing ur complications at all

[drjsshinde]

To prevent complications u should do ur

Urine for microalbuminuria to rule out kidney problems, lipid profile with HDL-c and LDL-c and non-HDL-C levels and your eye checkup from an eye surgeon(fundoscopy)is needed annually atleast if all these reports r normal u r on d right track

[Piyush]

Agreed US Vitamins' Jalra & Jalra M cause frequent loose motions & Diarrhoea! Brisk Walking every morning & evening, Yogasanas (physical exercises), Pranayams (deep breathing) & periodic & regular consumption of raw vegetables & fruits (fibrous content) enables terrific control of sugar levels & healthily burns the calories consumed!

[drjsshinde in reply to Piyush]

Infact we find it very difficult to make our pts compliant for these modalities....d problem is most of them dont follow it in long term.....also jalra per se diesnt cause loose motions but jalra-m can cause it due to metformin in dat

[sursma]

How much Pranayama, yoga helps in controlling/reducing sugar levels?

[drjsshinde in reply to sursma]

Its not about how much? ??? Its about for how many months or yrs u do it as longer d duration better is d beneficial effect of d same

[kuttu]

Hi doctor, I was diagonsed with diabetes in 2006 and since then I have been on insulin novamix pen three. I take drinks. Is it harmful. These days my fasting is in the range of above 200. What to do. please tell me.

[drjsshinde in reply to kuttu]

Wen u take drinks at night it tends to alter your fasting bld sugars....also beer is d one one which hits d liver very badly n also pushes your fasting bld sugars at a very high level...once in 15 days 90ml whisky is permitted but definitely not in excess. ...also if u r on insulin even at.night n at d same time u r having drinks it can cause very low sugars in d middle of d night or early.morning....u hav not.mentioned whether u r type-2 /type-1 diabetic..

[drjsshinde]

Yea u r very right anoop dats why u hav to b on antihyperglycemic drugs like metformin n pioglitazone which reduces your bld sugars by not touching ur pancreas at all....d aim is to preserve ur beta cell of pancreas at d earliest d more time u loose u start getting deficient in insulin...n gradually insulin dependent

[drjsshinde]

Dpp4 Agents r new in market but dey r promising in preserving beta cells same is with pio...pio if used wid caution n a safer dose as all fda's hav given safety warning n hav not banned it as there r not solid studies to prove it completely dat it causes bladder cancer..infact our indian studies r more promising where in a huge group of pts having bladder cancer r assessed n hav found to hav no or negligible. intake of pio as all these things r in.pieline n dats why i cant provide u any weblink for d same

[sweetgirl]

Alcohol causes Hypoglycemia not hyperglycemia. Kuttu, I think its due to "Dawn Phenomenon". When the alcohol brings your sugars down, glucose is released from your liver to keep you alive, this causes high blood sugars in morning.

[sunil11630]

HELLO SIR, I MR. SUNIL AM 43YRS OLD AND I AM WORKING FOR A TRANSPORT COMP. AND MOST OF THE TIME I AM SITTING IN MY JOB AND NEARLY FOR ABOUT 3-4 TIMES I AM DEPENDING ON THE FOOD STUFF FROM OUTSIDE MOSTLY I PREFER BREAD IN MY BREAKFAST EVERYDAY MORNING I EAT BREAD AND I HAVE RICE AND GEMINOR M-I 500 MG IS THE TABLET WHICH I TAKE STILL MY SUGAR LEVEL IS 270 RANDOM IN THE MORNING SO I WANT TO KNOW THAT MY MEDICINE HAS TO BE CHANGED OR THE SAME SHOULD BE CONT.THANK YOU

[drjsshinde in reply to sunil11630]

Actually speaking u.need to make changes in ur diet first...stop eating bread so frequently...as it will pushup ur sugars more...rice u can hav both d times but i moderate....hav more fresh fruits n vegatables n make ur self more active. ...n eat on time n surely u need a change in ur medications as well

[arn4u]

Hello Doc, I was recently diagnosed with DM type 2 at the age of 38 and have been prescribed Diabend-MR (Gliclazide) once in morning and Metformin tablets before lunch and dinner. My blood sugar is under control now. I wish to know if there are any side-effects of these drugs, and if so, how to avoid them. Is it possible to control blood sugar with diet and exercise only without taking these meds? Please advise. Thanks in advance.

[drjsshinde in reply to arn4u]

The medications which u r having r really good....side effects of these drugs r almost negligible....only gastric irritation due to metformin....to avoid it have it after meal immediately....diet n exercise definitely helps in a long way in diabetes but these dont preserve ur beta cells in d pancreas that effectively n dis is wat helps to prevent complications as well...so medications,diet n exercise should go hand in hand

[arn4u in reply to drjsshinde]

Thank you very much.

[sursma in reply to drjsshinde]

which medicines?

[kuttu]

Friends, How to stop taking this insulin. I am taking Novamix pen3. since 2006. is there any

substitute for insulin.

[waliajay]

i am 44 year old taking Trixer 3 (twice a day)since last three years, and my blood sugar fluctuates between 130 to 250...any side affects of this medicene

[sita]

Hello Doctor,I am 39,recently diagnosed(2.12.2012) to have DM, my FBSL was 160 and PPSL was 225.Dr. also advised a sonography n mild to moderate hepatomegaly was seen.I am on glycomet 500 twice before my meals,Stanlip once a day for my cholestrol levels,and telday 20 for my hypertension.

I do walk for about 20 to 30 min everyday,after which I practice Sudarshankriya,PadmaSadhana and some yogasanas too.After abt a month or so i.e. on January 11th 2013 I got my tests doneFBSL110 n PPBSL 127.Dr advised me to continue with the same medicines.I want to know that with diet moderation,exercise and pranayam if I was able to conquer hypertension than why is it that my BSL keep fluctuating cause my RBSL is 180,137,169 these days.Also I want to know whether I will always be medicine dependent???

[bipin4]

hi doctor

i m diabetec last 30 year and i m taking two time 30/70 insugen , with morning before breakfast volibo m 0.2 before lunch gluconorm-pg2 and before dinner glimison-m2 i want to reduce my tablet with insugen dose i m taking 30unit daily twice a day .i m suffering with so many side effect of medicine and diabetes too.so if u can help me i will be oblise i m 59 year old and nuropathy ratinopathi myopathi almost all side effect of diabetes

[mohan123]

You are not sick-You are thirsty. This is a statement of Dr Batmangheldij, M.D.--student of Dr Alexander Flemming--who discovered penicilin.

Pls read his book--Body's many cries for Water--order through Flipkart--it costs around Rs 700/- After you read the book--your outlook will change

[bijaykumar236]

Sir. I am diabetic from last two year and using exserment gm 501 tables twice in a day for diabetes and divevit plush once in a day but my sexual strength and stamina has been totally reduced. Kindly advise any medicine to improve my saxual strength without harmful for diabetes.

Bijay

[dinkarblr]

Dear Doctor Shinde

I am 38 years old and taking 01 Glycomet GP1 tablet everyday. Blood sugar level is stable most of the times. Please suggest me any ayurvedic medicine to have better control

Thanks,

Dinkar

[dinkarblr in reply to dinkarblr]

Any updates ?

[nitin3]

I'm 75 year old male living a basic life still working as a prof conducting 2-3 hrs lectures / day ....ive papaya in d mornings with tea & rusk, 2 chapati in d noon. Wth veggies & same in d evening, however I sip on 330 ml bee in the nite before dinner....no exercise. , no rice, no separate proteins or meds meds improve vitamins

[nitin3]

Can zita 100 b replaced by januvia 100 as zita isn't available since a month

[krishnanunni]

Generally I had controlled diabatic last

30 years,after a brain stroke 2 years

back,suspected as hypo my sugar control is getting unmanageable

Taking insulin mixtard 50:50 16-0-12

Diamicron 60. 1-0-1/2

Any adv