FAQ`s

How do I book an appointment?

We work from Monday to Friday, 10am to 1pm.

Kindly give us a Call on 022 26146001, our Receptionist will guide you with the timings of your visit.

How do I know if I am a diabetic?

To know if you are diabetic, simply check your blood sugar (Fasting and 2 Hours post meal) & HbA1C

Diabetes is diagnosed when

  • HbA1C of greater than or equal to 6.5%
  • Fasting blood glucose of greater than or equal to 126 mg/dl
  • 2-hour blood glucose or random blood sugar of greater than or equal to 200 mg/dl

The same tests are used to both screen for and diagnose diabetes.

There are 2 main types of Diabetes.

In type 1 diabetes, the body’s own immune system which normally fights harmful bacteria and viruses mistakenly destroys the insulin-producing cells in the pancreas. Genetics may play a role in this process, and exposure to certain environmental factors, such as viruses, may trigger the disease. In this situation insulin injection must be taken lifelong.

Type 2 Diabetes is a disease of fat overload i.e. when the body becomes resistant to insulin due to excess fat, chokes the insulin receptors leading to overwork to pancreas and at last the pancreas stops producing enough insulin and diabetes begins. Lifestyle, obesity, stress, genetics and age being major reason for the disease.

When do I take my thyroid medications?

Thyroid medicines are to be take on empty stomach, first thing in the morning and gap of minimum 30mins to be maintained between food and the medications.

E.g. 6.30am: Thyroid Tablet

7.00am: Breakfast

If you have to take other tablets before breakfast, then have them at 7.00 am followed by breakfast at 7.30am.

Are Insulin Injections Painful?

Years before the insulin needle for taking insulin injection, were long and thick. Today the needles are super thin and Short. If the insulin injecting technique is properly followed, insulin injection needles are virtually painless. They hurt mentally and not physically.

Does insulin once started has to be taken for life long?

With continuous lifestyle modification and correct dosage of insulin if following results are achieved and maintained forever, then insulin can be stopped in Type 2 Diabetes forever.

However, in type 1 Diabetes mellitus, insulin injections are for life long

  • Waist :
    Male less than 90 cms
    Female less than 80 cms
  • Weight :
    Male : Height in cms – 100 =_____ kg
    Female : Height in cms – 105 =_____  kg
  • Blood Pressure :
    < 140 / 80 mmHg
  • Blood Sugar:
    HbA1c : <7 %
    Fasting Blood sugar: < 120mg/dl
    Post Lunch Blood sugar: <  160 mg/dl
    Post Dinner Blood sugar:  <<160 mg/dl
  • Fat:       
    Cholesterol: <200mg/dl
    Triglycerides:  <150mg/dl
    LDL : < 100mg/dl
    HDL: > 45mg/dl

Rice can never be eaten by diabetics?

Rice- Wheat-Jowar-Bajra-Nachni all are more or less same as far as carbohydrates are concerned. In every meal amount of intake of nutrients have to be considered. You can replace a chapati/ bhakri / paratha (30gms) with 1 cup of rice and relish it daily with each meal. Preferably high fibre rice i.e. brown rice or red rice to be considered along with thick dal and a bowl full of raw vegetable salad. This reduced carb content of total meal.

How do I carry my Insulin while Travelling? Or should I stop travelling because of my diabetes?

Diabetes shouldn’t stop you from doing the things you want to do. If you want to travel, and you have diabetes, you must plan ahead carefully. Although you can’t avoid the odd surprise, preparing before you leave can help avoid undue stress.

Before a long trip, have a medical check-up to make sure your diabetes is in good control and get your insulin dosages adjusted to your blood sugar levels. Plan your diet as per availability of food or carry healthy food. Insulin becomes ineffective when exposed to extreme temperature (low or high) hence carry insulin in your hand luggage and not in checked luggage which is stored in extreme cold temperature, sometimes freezing temperatures. Carry insulin injection in coolant pouch and keep injection in butter compartment once you reach your hotel.

Commercially insulin coolant pouches are available which can keep the insulin cool up to 48 hours or more depending upon the make. You can even invest in a quality insulated wide-neck thermos bottle with at least a one-liter capacity and 18 to 24-hour cooling/heating duration.

If you inject insulin while in flight, be careful not to inject air into the insulin bottle. In the pressurized cabin, pressure differences can cause the plunger to “fight you.” This can make it hard to measure insulin accurately.

Keep proper medical prescription and travelling certificate with you during your travel.

I am sick and unable to eat anything; Do I stop talking insulin?

When you’re sick, you’re under stress. To deal with this stress, your body releases hormones that help it fight disease. These hormones raise blood glucose levels and interfere with the blood glucose-lowering effects of insulin. As a result, when you are sick, it is harder to keep your blood glucose in your target range and you must take extra food, keep monitoring and take extra insulin as per blood sugar level.

When you have a cold or flu, or if you have a fever for a day or two, your body needs extra sugar for energy to help fight the illness. If you’re feeling too sick to eat, your body will get its energy by releasing blood sugar from stored supplies in the liver, making your blood sugar level rise. That’s why you need to keep taking your insulin or diabetes medication on when you’re sick to control your blood glucose levels even though you may not be eating or may be eating less than normal.

I am pregnant and I have diabetes; will my child also be born with Diabetes?

If a woman has poor control of her diabetes during pregnancy, which means that her blood sugar levels are often above normal, this increases the chances for problems for her baby like,

  • Still birth or miscarriage
  • Birth Defects
  • Very high or very low birth weight
  • Injury during birth if the baby is very large
  • Low blood sugar after birth
  • Yellow skin and eyes (jaundice) during the first 28 days of life
  • Potential metabolic disorders (problems converting food into energy; i.e., diabetes) later in life.

A woman can work to keep her blood sugar in control before and during pregnancy.

  • Plan your pregnancy (if possible)
  • Work to achieve and maintain a healthy body weight before pregnancy
  • Eat healthy foods
  • Be physically active 150 minutes per week (10 minutes at a time is fine, such as a brisk walk)
  • Talk with your doctor about whether your current medications will be appropriate if you become pregnant
  • Monitor your blood sugar often
  • Control and treat low blood sugar right away (e.g., eating a glucose tablet or 15gms powdered sugar or table sugar)
  • Limit excess weight gain during pregnancy
  • Follow up with your doctor regularly

As your child grows, things like eating a healthy diet, maintaining a healthy weight, and getting regular, moderate physical activity may help to reduce this risk.

What to do if I miss taking my diabetes or thyroid tablets once in a while?

If you have missed thyroid tablet in morning, do not eat for 4 hours, after breakfast take thyroid tablet and have lunch after 30 mins.

E.g. 8.00 am breakfast,

8.30 am to 12.30 pm empty stomach.

12.30 pm take tablet and

1.00 pm lunch.

If you have missed diabetes medicine before meals take it after meals. If you are on metformin, pioglitazone, glipizide you can take it 2-4 hours after food also. If you are taking glimepiride, gliclazide take immediately after food or with next meal but do check blood sugar 2 hours after meal.

If you are on a long-acting medication that you take once a day, take your medication if you are within 12 hours of the missed dose. Otherwise, wait until the next scheduled time to resume taking your medication.

You may want to try a simple memory tool such as a weekly pill box. These boxes come with once-a-day, twice-a-day, or three-times-a-day containers where you can place a day’s worth of pills. Also there are some great smartphone apps that allow you to set up notifications or text messages to help you remember your medication. Set up an alarm. If you don’t have or use a mobile phone, you could use a portable alarm clock or set an alarm on your watch.

Do I have to take thyroid medication for lifelong?

Thyroid tablets are not medicines; they are hormone supplements. it fulfils the deficit created in the body due to absence of thyroid hormone, for condition called hypothyroidism. Take it in optimal amount (not more not less) has no side effect, if taken in lower amount than required or not taken or stopped in between (without doctor’s advice) than it causes irreversible damage to heart, kidney brain and other organs. If taken excess, it can lead to weight loss, palpitations and tremors. Regular monitoring of TSH is required for dose adjustment of thyroid supplement.

Why there is always difference in lab blood sugar reading and glucometer reading and which one to rely?

  1. Worldwide all the emergencies are handled on basis of glucometer reading.
  2. The method used in lab and in glucometer are different and hence the variation is bound to occur. Changes in food, exercise, stress, medications also show effect on sugar level.
  3. To check accuracy of your glucometer, carry your meter to the lab when you go for blood test. When the technician collects blood sample for test, ask him/her to put a drop of same blood sample on your meter and note the reading.
  4. The ISO guidelines recommend that the accuracy criteria for values <100 mg/dl to ±10 mg/dl and ±20% for values ≥100 mg/dl. However, the ADA recommends a ±5% variation for all values. Glucometer fulfilling this criteria are 100% reliable.
  5. For simple understanding fasting blood sugar level between 80 and 120, post meal blood sugar level between 140 and 160 are to be considered as normal. Any reading which is not in this range needs to be worked on.

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