Diabetes threatens the feet to have serious effects, even with a minor cut. The lack of proper foot treatment typically contributes to nerve impairment or to diabetic neuropathy. The nerve wound will endlessly carry the feeling through your feet that a wound or even a slight cut cannot be seen. Therefore, every day before accidents become polluted, you have to look at your foot to establish significant complexities – such as amputation or gangrene.

The conditions will restrict blood flow through the limbs and make it more difficult to combat or cure the infection. Due to the barriers, in your footwear, you could not even perceive a foreign goal which would be able to start an amputation or blister if that did not change. You must properly care for your feet if you are a diabetic. In the self-care routine every day, you can add diabetic foot care.

Diabetic Foot Care: Daily Foot Examination Checklist

In view of diabetic feet, the top and back of your feet must be examined. You can check it, use a mirror, or request a colleague to check it for yourself. Also, ensure at each doctor’s appointment, that your limbs are tested.

When Working For Your Diabetes Foot Care, Watch For:

Cut Or Scratches: Wash with warm soap and liquid if you find a cut or injury. Then use your diabetes doctor’s antibiotic Lotions and use antiseptic Bandages to protect the wounds. In the event that you think the cut is bleeding, red, or scentless, get in touch immediately with your doctor.

Ulcers: Slowly improve cuts or insignificant scrapes or injuries caused by poorly-fitting footwear can end up contaminated in ulcers. You need to handle cutting or scratching immediately to prevent foot ulcers. Ask your doctor about your foot pain to make sure it is the right way.

Dry Skin: Diabetic feet ought to be properly cared for. In the event of dehydration of the feet, use moisturizers and the best diabetic foot cream to preserve a smooth surface. Garantie, however, that the lotion is not implemented in the toes as the moisture will stop the fungal germination. Diabetic skin and foot care is a very good subject to be researched further to keep your skin healthy.

Blisters: Feet and diabetes are bent and the feet are hurt. You should wear diabetic shoes that fit properly to prevent accidents. Never sever clear blister because it increases infection confusion. Only clean the blister with antibacterial cream and put a dressing on it.

Cracking, Red Surface, And Itching Within The Toes: The subsequent foot problems are fungal symptoms and you need to treat them promptly to prevent further infections. A cosmetic or a pill can be prescribed by the doctor.

Calluses/Corns: For corns and calluses, don’t seek to eliminate or cut a callus or corn. We suggest that you discuss with your doctor to prescribe the best way to abolish the corns.

Plantar Warts: They are tender, viral-induced callus looks and grow on the foot. They are tender. Take care of your circumstance with a doctor.

Ingrown Toenails: Make sure you regularly trim your toenails just to the top to reduce incoming toenails. Toenail and diabetes are a critical concern when skin-cutting stone eyes are damaged, contaminated, and reddened. See a physician for control of the issue of a cloven toenail.


Foot care is a vital element when one is suffering from Diabetes of any kind and needs special care and precaution. Try Meeting Dr. Ashutosh Sonawane, The best Diabetologist in Nashik if you have some complication related to your foot.


Childhood Diabetes

The incidence of type 2 diabetes, formerly considered a disease of middle and old age, has been regularly developing among children and teenagers. Data from developed nations shows that this increase parallels a similar rise in the ubiquity of childhood and teenage obesity. While type 2 diabetes in kids and teenagers is as yet not a major common health problem in our country, new reports revealing rising levels of obesity among youngsters especially in our metropolitan cities give cause for attention.


Overweight and obesity are big risk factors for type 2 diabetes at all ages. This is all the more so among Indians who tend to improve diabetes at younger ages and lower levels of obesity than white Caucasians. The continuous rise in childhood obesity in our country has the potential to explode into an epidemic of youth-onset diabetes unless coordinated and concrete action is taken by health professionals, policymakers, parents, and the society at large.


Reasons and some symptoms that may help to determine if the child has or is at risk for childhood obesity:


  • Family records of obesity-related fitness risks such as early cardiovascular disease, high cholesterol, high blood pressure levels and type 2 diabetes.
  • Family history of cigarette smoking and sedentary behavior.
  • Skin diseases acanthosis nigricans (ugly or dirty skin on the neck and axilla region) or skin tags.
  • Psychological / Psychiatric Issues like poor self-esteem, negative self-image, depression, and withdrawal from peers have been associated with obesity.
  • Models of sedentary behavior (such as too much television viewing) and low physical activity levels.
  • Low self-confidence and inferiority complex may lead to overeating, anorexia nervosa, etc.,

A healthy well-balanced diet for children

Parents concerned about their kid’s weight should support a variety of fresh, nutritious foods in his or her diet.


The following tips may be useful:

  • Foods rich in “complex carbohydrates”, are bulky relative to the number of calories they contain. This makes them fulfilling and nutritious.
  • Sources such as bread, potatoes, pasta, rice, and chapatti produce half the energy in a child’s diet.
  • Rather than high-fat foods like chocolate, biscuits, cakes and crisps, try healthfuller alternatives such as fresh fruit, crusty bread, or crackers.
  • Try to cook foods instead of frying. Burgers, fingers, and sausages are just as tasty when grilled, but have a lower fat content. Oven chips are below in fat than deep-fried chips.
  • Avoid fizzy beverages that are high in sugar. Replace them with fresh juices diluted with water or sugar-free options.
  • A healthful breakfast of low-sugar cereal (e.g. wholemeal wheat biscuits) milk, plus a piece of fruit is a great start to the day.
  • Instead of desserts, offer dried fruit or tinned fruit in natural juice. Frozen yogurt is an alternative to ice cream.


Healthy Eating Environment

A well-planned meal with vegetables that contribute to a kid’s well-being can be one of life’s biggest pleasures. To make mealtime pleasant, build a healthy food environment. When children are exposed to healthy foods early, they are more likely to improve habits that support healthy weight as they grow. fixed meal times, choose the foods offered, and encourage an inviting place to eat. Inspirit eating slowly, with enjoyment. Avoid pushing children to eat. Help the children join in the meal by serving themselves and provide wholesome choices and allow them to pick which food and how much to eat. Totally avoid TV watching and computer games while eating


Consult Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


Three Main Nutrients For Diabetic Diet

Diabetes is a condition characterized by improved blood sugar levels. It is currently one of the best metabolic ailments around the world. The 2 Type Diabetes could be completed and checked by eating a healthful diet and leading a healthy lifestyle. Food has an immediate influence on blood glucose. Some diets raise blood glucose more than others. An important part of managing diabetes is understanding what and how much to utilize, and following a consumption plan that suits your lifestyle while assisting to control blood glucose. The 3 important nutrients found in foods are carbohydrates (carbs), proteins, and fats.

Speaking About All The Three Main Nutrients For Diabetic Diet


Carbs are the carbohydrates, sugar, and fiber in foods before-mentioned as grains, fruits, greens, milk products, and sweets. They raise blood glucose faster and bigger than other nutrients in fruits, proteins, and fats. Knowing what foods contain carbs and the number of carbs in a meal is vital for blood glucose control. Choosing carbs from healthful origins like greens, fruits, and whole grains (high fiber) is fancied over carbs from reservoirs with added sugars, fat, and salt.


Proteins are a vital part of a well-balanced diet and can stop you from feeling starved. They do not quickly increase your glucose like carbs. Nevertheless, to counterweight gain, use part control with proteins. In the Type 2 diabetic population protein makes insulin work faster, so it may not be a good idea to treat low blood sugar with different types of protein shakes available in the market.


When speaking about a well-balanced diet, fat particularly healthy fats from fatty fish, nuts, and seeds. They do not increase blood glucose but are high in calories and can produce weight gain. Strive to include all 3 nutrients to measure your meals.

What Should You Utilize Less While Planning Your Diabetes Diet?

Diabetic nutrition doesn’t have to be complex and you don’t want to give up all your selected foods. Below we have discussed a few health tips for developing an ideal Diabetic diet. To keep a well-balanced diet what you require to eat less is Trans fats from partially hydrogenated or deep-fried foods, packaged and fast foods, particularly those which are high in sugar, baked goods, sweets, chips, sweets, foods made from processed flour like bread, noodles or pasta. You should also curtail the consumption of prepared meat and red meat and also low-fat materials that have substituted fat with combined sugar, such as fat-free yogurt.

Do not underestimate the calories and carbs in addicts’ drinks including beer and wine. Cocktails mixed with soda and juice can be stuffed with sugar. Fluid calories can also fasten up your blood sugar levels. Having a diabetic diet doesn’t mean killing sugar altogether, but like most of us, the possibilities are you eat more sugar than is healthy. If you have diabetes, you can still experience a little piece of your favorite cake now and then. The key is balance. Tricks for cutting down on sugar is by decreasing soft drinks, soda, and juice. You should not substitute saturated fat with sugar and should check labels and look for commodities with hidden sugar, avoid prepared or packaged foods.

Contact Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


Tackling Diabetes During Pregnancy

Diabetes is one of the common medical diseases during pregnancy. Irrespective of the kind of diabetes, it is essential to learn control and obtain guidance on your diabetic journey. Women that are preparing to conceive must be careful because the consequences of high blood glucose levels are harmful to the baby. Conceiving babies as a pregnant woman can be difficult and asking however, it is not abnormal for diabetic women to birth healthy children provided they are dedicated to a diet and work hard towards it.


Here are some tips before deciding to get pregnant.

  •  Build a health care team
  •  Create a plan to manage blood sugar levels
  •  Frequent contact with a health care provider to monitor the baby’s health
  •  Take advice for a healthy meal plan
  •  Ensure proper nutrition to balance blood sugar levels
  •  Discuss the type of medications
  •  Seek guidance from high-risk specialists

Here are some preconception meodificans to one’s lifestyle


Reach ideal body weight: it is essential to work towards maintaining a specific bodyweight to reduce the risk of diabetes complications. It is also important to gain weight in case the mother to be is underweight to decrease the risk of delivering a child of low weight.


Blood Sugar screening:: A stable blood sugar level defines the health of the mother during pregnancy. Particularly before becoming pregnant, one must consult with an expert doctor to assure steady blood sugar levels. High Blood sugar levels in the initial stages of pregnancy can cause birth defects and if it goes out of control can also cause a miscarriage. It is advisable to be screened to identify diabetic complications.


Lifestyle Modifications: for those that consume alcohol and smoke, these would be two habits that are a big no during pregnancy especially with diabetes as an already damaging condition. Nicotine, carbon monoxide, and other such dangerous things breathed through a cigarette or carried in one’s bloodstream will further disrupt the growth of the fetus. It raises the risk of failure, stillbirth, respiratory difficulties, and other such abnormalities.


Meal planning: Consult with a diabetologist to keep stable blood sugar levels and avoid low or high blood sugar problems that worsen during the pregnancy stage. Balance your carbohydrate consumption and plan a nutrition filled diet to manage blood sugar levels.

These are some of the methods to help women conceive healthily even if diabetes poses a threat.



Thyroid Disease: Hypothyroidism & Hyperthyroidism

What is Thyroid?

The thyroid is a small part that is shaped like a butterfly, that rests in the middle of the lower neck. Its prime function is to control the body’s metabolism (the rate at which cells perform their respective duties which are essential). To control metabolism, the thyroid creates hormones namely T4 and T3, which tell the body cells how much energy to consume.

A properly functioning thyroid will maintain the right amount of hormones necessary to keep the body’s metabolism functioning at a successful rate. As the hormones are used by the body, the thyroid produces replacements.

The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland (which is placed in the center of the skull below the brain) senses a lack of thyroid hormones or a high level of thyroid hormones, it will adjust the hormone (TSH) and send it to the thyroid.

What is thyroid disease?

When the thyroid produces more quantity of hormones, the body uses energy faster which it should not. This condition is called hyperthyroidism. When the thyroid doesn’t create sufficient hormones than the intended, the body uses energy slower which it should be using. This condition is termed as hypothyroidism.

What are the symptoms of hypothyroidism and hyperthyroidism?

The following are symptoms of hypothyroidism:

  • Fatigue
  • Frequent, heavy menstrual periods
  • Forgetfulness
  • Weight gain
  • Dry, coarse skin and hair
  • Hoarse voice
  • Intolerance to cold

The following are symptoms for hyperthyroidism:

  • Irritability/nervousness
  • Muscle weakness/tremors
  • Infrequent, scant menstrual periods
  • Weight loss
  • Sleep disturbances
  • Enlarged thyroid gland
  • Vision problems or eye irritation
  • Heat sensitivity

Complications and Outlook for Thyroid Conditions

The overall outlook varies between hypothyroidism and hyperthyroidism. With hypothyroidism, your levels and all symptoms may develop with medication, but it’s a condition you’ll likely be treating yourself for the rest of your life.

This is not necessarily the case with hyperthyroidism. If antithyroid medicines work, then your thyroid hormone levels will normalize without any additional problems.

Once you have any form of thyroid disorder though, your diabetologist doctor will monitor your condition with occasional blood tests to make sure your thyroid hormones are at optimal levels.

Complications of thyroid disease:

  • Anxiety (seen more in hyperthyroidism)
  • Depression (seen more in hypothyroidism)
  • Weight fluctuations
  • Fertility issues
  • Birth defects
  • Heart problems
  • High blood pressure (seen in hyperthyroidism).

Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


How to Diagnose Diabetes

How is Diabetes diagnosed?

Numerous blood tests are available to diagnose diabetes. abstinence and 2 hours after lunch blood glucose levels are commonly done. Hb 1 Ac test can help to examine long-term control of diabetes.

What treatment do people receive for diabetes?

People with diabetes can initially manage blood sugar by changing lifestyles. die and exercise. However, not all diabetics would control sugar by lifestyle modification but would need medication in the form of tablets Good control of diabetes is necessary to decrease the risk of diabetes difficulties.


Tips for Managing Diabetes

Controlling diabetes is a challenge every day. There are so many variables to keep in mind – food, exercise, stress, general health, etc. One of the most challenging parts of diabetes management is the fact that patients have to make so many choices — every day — on their own. How many carbohydrates are in this meal? How much should I take? What changes do I need to make? Maintaining blood sugar levels in the desired range is a constant balancing act.



  • Exercise daily
  • See your Diabetologist monthly
  • Test your blood with other work-up periodically
  • Follow the diet as recommended by a nutritionist.
  • Examine the changes as we treat you
  • Mentally prepare yourself




  • Do not change medicines or stop without consulting
  • Do not miss HBA1C
  • Do not continue diet, exercise, or drugs which the body does not permit
  • Do not modify your diets on your own
  • Do not attempt to decrease weight as one may think losing weight can help them get rid of Diabetes easily.
  • Do not feel depressed, it’s not just you in the whole world.



Dr. Ashutosh Sonawane