Tag - Best diabetologist in Nashik

Thyroid Specialist – When Should You Look for One?

As far as hypothyroidism is concerned, there may be individuals around you that help you monitor the condition regularly. However, the best way is always to be in touch with a thyroid specialist. It is common for hypothyroid patients to be under medication required for producing the thyroid hormone of which there is a shortage in the body. Though a regular physician may be able to help you in this condition, it is best to seek the help of the best Thyroid Doctor in Nashik

 

A thyroid specialist is knowledgeable about the physical structure of the gland and also in dealing with its functions. They would also know the hormones that are required in the body and how all of them interact with one another. This will help you to manage the long-term condition in a better manner. 

When Should You See a Thyroid Specialist?

You should contact a thyroid doctor specialized in the treatment of thyroid disorders as soon as you are diagnosed with a thyroid condition the first time. The thyroid is a gland that is located in your throat. Soon after your initial diagnosis, you can discuss an appointment with an ENT doctor about the test results and finalize the treatment plan. There are other times when you need to consult a thyroid specialist. They are listed below for your reference.

When you are pregnant or are trying to conceive

Hormones in the body are greatly affected when you are pregnant. Hypothyroidism can affect your body during this time. If you are trying to conceive, then you must consult a thyroid specialist. It is important to monitor the medication closely during these times because of changing hormonal levels. During pregnancy, some women require more medication. However, the correct dosage for you can only be suggested by the thyroid specialist.

Unchanged Symptoms

Normally, symptoms should subside when taking medication for thyroid conditions. However, if the symptoms remain unchanged, it is important to revisit the thyroid specialist who may give you a changed dosage to make the medication more effective. Medication should never be changed without a recommendation from the thyroid specialist. 

Pituitary-related Issues

The gland at the base of the brain, the pituitary, is the one that controls the thyroid gland and its production of hormones. In the case of pituitary gland dysfunction, the thyroid medication will not be producing the desired result. The inability to release TRH (thyrotropin-releasing hormone) will cause a lowering in the production of hormones and give rise to related complications.

Enlarged Thyroid

An enlarged thyroid is also called a ‘goiter’ and this necessitates a trip to the thyroid specialist. This will enable the doctor to make you understand the reason for the enlargement and find out if you have hypothyroidism. In such a case, an immediate appointment can help the doctor treat the condition with the right medication at the earliest. 

Nodules/Lumps on the Thyroid Gland

The thyroid gland is located in the front of your neck below the voice box. You should visit a thyroid specialist in case of the appearance of lumps or nodules on the gland. They will conduct the necessary tests and examinations to determine the cause and nature of the nodules/lumps. In a majority of cases, the nodules/lumps turn out to be harmless. However, this may not be true for every case. 

Maintaining a healthy thyroid gland may be challenging but it is required to maintain a healthy body. 

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What does my thyroid gland do?

The thyroid gland is an important hormone gland: It performs a major role in the metabolism, growth, and development of the human body. It helps to control many body functions by constantly releasing a steady amount of thyroid hormones into the bloodstream. This organ (medical term: glandula thyreoidea) is located at the front of the neck, under the voice box.

This fuel is iodine. Iodine is located in such foods as iodized table salt, seafood, bread, and milk. When you eat these foods, the iodine moves into your bloodstream. Your thyroid then removes this essential ingredient from your blood and uses it to make two kinds of thyroid hormone: thyroxine, called T4 because it contains four iodine atoms, and triiodothyronine, or T3, which contains three iodine particles. The thyroid’s output consists primarily of T4. Most of the T3 the body needs is generated outside the thyroid in organs and tissues that use T3, such as the liver, kidneys, and brain. These tissues change T4 from the thyroid into T3 by removing an iodine atom.

When the body requires thyroid hormone, the thyroid secretes it into your bloodstream in quantities needed for the metabolic needs of your cells. The hormone simply slips into cells and attaches to special receptors. The thyroid also requires being told what to do. To make the accurate amount of hormones, the thyroid gland needs the help of another gland: the pituitary gland. The pituitary gland “tells” the thyroid gland whether to release more or fewer hormones into the bloodstream. TSH levels in your bloodstream increase or decline depending on whether there is enough thyroid hormone in your system. Higher levels of TSH prompt the thyroid to generate more hormones until T4 levels come down to a constant level. Conversely, low TSH levels signal the thyroid to slow down creation.

How are thyroid problems diagnosed?

Blood tests are used to find hypothyroidism and hyperthyroidism. Your Thyroid Doctor in Nashik may want to measure your amount of TSH or T4 (or both), and sometimes T3. You also may have a blood examination for certain antibodies. This can determine if your body’s immune system is attacking your thyroid gland. In some situations, you may have other tests—such as an ultrasound or a radioactive scan—to look for problems with your thyroid.

How are thyroid problems treated?

If you have too little thyroid hormone, you can take thyroid replacement medicine. After starting treatment, you will have routine appointments with your physician to make sure you have the right dose of medicine. If you have extremely thyroid hormone, you may take antithyroid medicine to lower your hormone level or radioactive iodine to destroy the thyroid gland. During and after treatment, you will have a routine blood check-up to check your thyroid hormones to see if the treatment is working. In rare cases, surgery may be done.

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About Diabetes: Are You At Risk?

What is diabetes?

Diabetes is a disorder in which your body cannot adjust sugar. It happens if your body does not make insulin or cannot use it very well. Insulin is a hormone that manages how much sugar is in your blood. Blood sugar is also called “glucose.” A high blood sugar level can create problems in various parts of your body.

Diabetes cannot be healed, but it can be well maintained with diet, exercise, and medications. 

 

Diabetologist in Nashik

 

Are there different types of diabetes?

There are two main types of diabetes — type 1 and type 2.

Type 1 diabetes

With type 1 diabetes, your body does not make enough insulin. Type 1 normally rises when you are a child or young adult, but it can happen at any age. Approximately 5 to 10 percent of all people with diabetes have type 1. It is treated with: 

  • Taking everyday insulin shots or using an insulin pump
  • Healthful eating
  • Physical activity

Type 2 diabetes

With type 2 diabetes, your body makes insulin but cannot utilize it well. Type 2 normally begins when you are over age 40, but it is becoming more popular in younger people. Many young people and children are improving type 2 nowadays. 

About 90 to 95 percent of people with diabetes have type 2. It is the most common type of diabetes. It is often connected with being overweight and tends to run in families.

Initially, type 2 diabetes may be managed with exercise, weight control, and a healthier diet. If these are not sufficient to manage blood sugar, pills or insulin may be needed.

CALCULATE YOUR DIABETES RISK 

Am I at risk for diabetes?

Anyone can get diabetes.

  • Overweight
  • Lazy (exercise less than three times a week)
  • African-American/Black, American Indian, Alaskan Native, Hispanic, Pacific Islander, or Asian
  • Age 45 or older
  • Have a family history of diabetes
  • Have high blood pressure
  • Have abnormal blood fats (cholesterol or triglycerides)

Any of these risk factors are things you cannot replace, like your ethnic background or age. But others are things you can change, like being overweight or having a lazy lifestyle.

What are the “warning signs” of diabetes?

Not everyone has notice signs. Diabetes is called a “silent infection” because numerous people do not have any. You may have some indication signs, or you may not. Some of the warning signs are:

  • Being very thirsty
  • Urinating often (especially at night)
  • Feeling very hungry or tired
  • Losing weight without trying
  • Having sores that heal slowly
  • Having dry, itchy skin
  • Losing the feeling in your feet.
  • Having blurry eyesight

How will I know if I have diabetes?

The best method to know if you have diabetes is to get examined for it. This is done with a normal blood test to check your blood sugar levels. If you are at risk for diabetes, talk to your Diabetologist. Ask to be tested for it. 

 

What can I do if I am at risk for diabetes?

  • Be physically active regularly
  • Lose weight, if you need to
  • Eat less fat
  • Manage your blood sugar, blood pressure, and blood fats under control
  • Get tested for diabetes

What if I already have diabetes?

Talk to us. we will work with you to create a treatment plan to manage your diabetes. Your treatment program may include diet, exercise, and medication. By managing your blood sugar, blood pressure, and cholesterol under control, you can stop or slow down other health problems caused by diabetes. Learn all you can and take an active role in your healthcare.

Where can I get more information?

The SARTHAK HEALTH CLINIC provides more information about diabetes. Call /what’s an app at our helpline number: 91 8828226607 or message us through our website https://www.ashutoshsonawane.com/

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Women and Diabetes

Men are from Mars and Women are from Venus. They have diverse roles to perform. Man the “protector” and woman the “child bearer”. Since their biology is another, they fare differently in disorder states particularly chronic illnesses like diabetes, hypercholesterolemia, and heart disease.

 

In childhood, girls normally have type1 DM while type2 DM is generally present in adults. PCOS – Polycystic Ovarian Syndrome, an insulin-resistant state can adversely influence body image and menstrual cycles during adolescence. Young girls become overweight, sad, and have altered metabolic profiles. This can affect their fertility and married life.

Marriage itself is taboo, particularly in India. Brides with diabetes are seen upon as liable partners in marriage. The overall feeling is that all the next generation will have diabetes. This is not true. Further, mood swings through hyper and hypoglycemia can give an increase to stress in married life. This needs a lot of understanding to stay together.

Infertility is on the increase, essentially because of insulin resistance. Women in childbearing age require to take proper care both in reducing body weight and maintaining sugars.

Gestational diabetes ie women who become diabetic for the earliest time during pregnancy and those already having diabetes, who become pregnant require frequent monitoring to keep optimum sugar control. Maternal difficulties like pre-eclampsia, hypertension, stillbirth, miscarriages, and preterm delivery are normal. Difficulties in newborns like large-to-weight children and natural abnormalities are to be avoided. Then again the women are put on Insulin treatment, with the withdrawal of tablets, which can give rise to marked fluctuations of blood glucose.

Cardiovascular disease & atherosclerosis is on the increase in diabetes women, while there is a decline in the same in diabetic men. Women tend to have lipid abnormalities that are more atherogenic. They have a larger number of small dense low-density lipoproteins, which pass through the arteries easily increasing the burden of occlusive artery disease and then increasing the rate of heart attack and cardiac failure which is more popular in women than men more so after menopause.

Menopause itself is an extremely insulin resistant and atherogenic state. The female hormones like estrogen and progesterone which have a protective action on blood vessels and metabolism are suddenly decreased. This enhances the already existing abnormalities and makes them susceptible to cardiovascular and metabolic complications.

Women biologically live large than men raising the burden of the single elderly.

HOW WOMEN ARE DIFFERENT?

Each cell in the body is either male or female (XX or XY). The defects in genes in XX is shown in women but is protected by the Y genes in men. Hereditary defective genes causing disease therefore will manifest in women simply. When compounded with a sedentary lifestyle and caloric rich foods causing obesity, lifestyle disorders like diabetes, hypertension, heart disease are more aggressive. Metabolic changes are secondary to the above produce inequality of thyroid, adrenal, pituitary, and sex hormonal requirements.

 

WHAT IS TO BE DONE?
  1. Diabetes prevention procedures must focus on maternal health and nutrition and health behaviors prioritising specific needs of women.
  2. Promote opportunities for physical exercise in adolescent girls to adopt a healthy lifestyle.

Looking for Diabetologist in Nashik? Contact Dr. Ashutosh Sonawane he is one of the best Diabetologist in Nashik.

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SELF-MANAGEMENT TO PREVENT DIABETES

Diabetes is a complex disease that requires everyday self-management which includes making healthy food, staying physically active, keeping the blood sugar levels, and taking medicines as directed. It is also necessary to talk regularly with your diabetologist or care team to sort a solution to decrease risks for difficulties and cope with lifestyle alterations. Encouraging self-management will help you to feel strongly and can lessen your uncertainty of developing complexities like heart disease, dental disease, eye ailments, kidney disorder, nerve damage, and lower leg amputation.

 

The Fear Factor Associated With Diabetes Complication

Diabetes is likewise a very personal disease. Upon being diagnosed, it’s not rare to feel a particular amount of worry. Panic of the hidden and fear about how your lifestyle may vary. Fear that you will encounter life-threatening complexities.

Your Diabetic expert or a key member of the diabetes management team at the hospital from the diabetes department will help you discover how to take care of yourself —

 

Talking About The Diabetic Education Program

If you have diabetes, you know how challenging it can be to handle your disease. Healthy consumption, workout, observing your condition, taking medicine, and lessening the risk for complexities are seemingly components of the daily routine.

But with the help of diabetes care managing your diabetes could be made easier. They struggle with you to reveal a plan to keep healthy and give you the instruments and continuous assistance to make that program a regular part of your life. Diabetes learning is an essential part of your diabetes problem and is offered through an accredited diabetes education program, which has met vigorous criteria set by the Health Ministry in India

The Association of Diabetes Educators (ADE) is based in India and the association has a set of health care professionals operating in the area of diabetes with a specific focus on diabetes instructors. The Purpose of the program is to educate and train students and health care experts such as certified diabetes educators, doctors, and paramedical staff including dieticians, nurses, pharmacists, and physiotherapists. Not only that the program also promises to encourage the study of the causes and treatment of diabetes and the dissemination of information regarding diabetes.

The Association of Diabetes Educators (ADE) also guarantees to make, sponsor, develop, build or conduct scientific research in diabetes. It also improves lectures, workshops, and conferences on diabetes and related diseases. The team is also included in making the study material for diabetes education. The association also researches the educational methods in diabetes teaching and assesses the consequences of diabetes education in preventing diabetes.

 

Reference

Diabetes has already become a major epidemic in the country and in such a situation diabetes education and Dr. Ashutosh Sonawane, Diabetologist in Nashik have been the major contributor by imbibing such traits in their day to day patient management.

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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.

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Dr. Ashutosh Sonawane