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Dr Rahul Baxi
Diabetologist
31 Answers | 15 FollowersFollow
Dr Rahul Baxi is an honorary consultant diabetologist at the Bombay Hospital and Medical Research Centre, Mumbai.
He specialises in the management of diabetes, diabetes prevention, diagnosis, management and remission. He consults patients in Mumbai and online via video and telephonic calls.
Dr Baxi has a master’s degree in general medicine from Nagpur University and a diploma in medicine from the Academy of Medicine, Singapore. He has a post-doctoral fellowship in diabetes from CMC, Vellore, and has completed his MBBS from the Maharashtra University of Health Sciences, Nashik.... more
He specialises in the management of diabetes, diabetes prevention, diagnosis, management and remission. He consults patients in Mumbai and online via video and telephonic calls.
Dr Baxi has a master’s degree in general medicine from Nagpur University and a diploma in medicine from the Academy of Medicine, Singapore. He has a post-doctoral fellowship in diabetes from CMC, Vellore, and has completed his MBBS from the Maharashtra University of Health Sciences, Nashik.... more
Answered on Jun 08, 2023
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Sir, i am 61-A hypertensive and diabetic patient-Currently i am on glimisave M2 1-0-1 and Zomelitis 50/500 AL.I walk 1nhr a day-never taste sweety stuff,my fasting is 110-120 and PP is 147-166- Is this ok Sir?
Ans: You should check your HbA1c test also. Maintain healthy diet and lifestyle/ daily walk. Do review with your Dr.
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Answered on Jun 08, 2023
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Greetings Sir
I am M 55 and diabetes under control. why at time I feel hungry after 2 hours of Break fast? Is it because I take less quantity of BF?
Ans: This can depend on the glucose levels, your breakfast and more importantly the medicines you are on (if any). You must check your glucose levels when you feel hungry, it may guide. Do consult your Dr.
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Answered on Jun 08, 2023
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I am 58 year old male and very much active.Three months back my HbA1c was recorded at 8.8 my doctor presccribed Glycomet GP3/850 before BF and Dapasech-S(10/100) after dinner. I regularly measure Glucose level on Glucometer and I find both PP and FBS well within range even after taking sweets at times. Am I taking too much medicine?
Ans: You need to monitor HbA1c and review with your Dr. Based on the results, medications can be titrated.
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Answered on May 14, 2023
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Answered on Apr 28, 2023
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Sir, My age is 49 yrs.I have blood pressure and i am diabetic also . I take glucorly M1 and olkaem 20 CT. My blood pressure 120/80 but sugar after meal 175. Please tell me my medicine is ok ?
Ans: Depending on HbA1c and fasting glucose, some modifications in treatment may help, especially if diet and daily exercise/ walking is already done.
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Answered on Apr 28, 2023
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Checked my sugar level few days back and it was Fasting 93 and PP 141. My age is 49 years male. Is it very alarming and what precautions should I take?
Ans: You may do HbA1c tests also. PP 141 is just in the range for impaired glucose tolerance. Appropriate diet, daily exercise/ walking and weight reduction if needed- this should be the plan.
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Answered on Apr 28, 2023
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I am diabetic patients for last thirty two years, I take Pregabin tablet every day to go to sleep, with this tab I go for sleep 3 to 4 hours, I do anulom and Kapalbati everyday in the morning. I have neuropathy in legs,await for your solution
Ans: You may need workup and tests for neuropathy and then treatment accordingly. Diabetes levels should be under control to start with. Do discuss with your Dr.
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Answered on Apr 28, 2023
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My age is 63 yrs and am diabetic since 7 yrs. My fasting sugar varies between 120-130 and PP 170-180. HBa1c is 7.5. Am taking Glycomet 500 SR twice and Omen 20 once for BP. My doctor has advised control the HBa1c within 7. Please advise how I would maintain the same
Secondly for tooth ache the Dentist has prescribed RR Sensofrom gel. Should I use the same toothpaste as it contains glycerine?
Thanks and regards
Ans: Yes getting HbA1c to 7% or below would be ideal. Diet, daily walk/ exercise are the key, along with appropriate medicines. Dental Surgeons will be the best to advice regarding the right paste.
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Answered on Apr 28, 2023
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I am 65 yrs old and diabetic since last 21 yrs. I am on medication ie Metformin SR 1gm, Glimpirde 2mg, and sitaglyptin 50mg. with some multivit. Sugar level remain always around 150 to 190 ( F & PP )latest diagnostic for Hb1AC is 7.6 and creatinine 1.1 . these 2 reading never fall below this level. My Physician has not prescribed any more medicine. Is it OK or anything is better suggestive at your end.
Ans: We should aim for a better HbA1c. Diet and exercise are the key. Medications may be adjusted as per the doctor to optimise glucose levels further. Need to watch for low glucose levels also, if caused by medicines.
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Answered on Apr 28, 2023
Asked by Anonymous - Apr 08, 2023Hindi
Listen best medicine for sugar level less then 200.. approx. ..generally
Ans: Need to assess patient and look at lifestyle, weight and other boood reports. Difficult to answe this without all information and understanding the patients issues. There is no one size fits all treatment in diabetes and treatment is always customised as per individual patient.
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Answered on Apr 28, 2023
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I am 48 years old. My fasting blood sugar is 110 but PP comes to 90-100. The Hb1A is 5.8. What should I do
Ans: HbA1c and fasting levels suggest prediabetes. Would be good to consult a Doctor for further guidance. Some more tests may be required for metabolic workup. Appropriate diet and daily walk/ exercise will be the key.
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Answered on Apr 28, 2023
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Greetings
How does someone know that sugar levels are under control or not control?
Ans: By doing blood tests and regular follow with their doctor. Also, when diabetes is well controlled, patient would generally feel healthy, more energetic and active as compared to when levels are suboptimal.
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Answered on Apr 28, 2023
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Sir I have been asked to take Remylin D after dinner along with daily diabetic medicines? Is this enough or do you have take any other vitamins? My age 54 and diabetic for the past 7 years. My diabetes is under control
Ans: Would be good to check Vit D, Vit B12 levels and then the course of vitamin replacement and doses may be decided.
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Answered on Apr 28, 2023
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Now a days we are hearing a lot on reversal of diabetes. We hear stories of chronic diabetic patient who were insulin dependant for many years getting free of diabetic medicine in a year's time and also of people who have landed up in ICU's after starting the programme. Can these stories be believed and weather reversal is really possible . Being a diabetic since the last 2 years would like to get a clarity from an expert like you.
Ans: Diabetes remission is a better term than reversal. Patient selection is important and it may not be possible in all. Diet and lifestyle changes are the key, with weight reduction if required. Need guidance with a team of a Doctor and a Registered Dietitan. Initially some medicines may also help with weight and then gradually tapered. Even after remission, regular monitoring may be needed as advised.
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Answered on Apr 28, 2023
Asked by Anonymous - Apr 26, 2023Hindi
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Hello Doctor, I am 46 yrs Old & I found my HbA1c 5.8 & TSH Level 7.94 in test report. what should I do ? please advise
Ans: You should get an oral glucose tolerance test done. Also, a free T4 test would be required. Basic metabolic workup along with lipid profile too. Consult a Doctor to guide you further. HbA1c of 5.8% suggests prediabetes and lifestyle changes and weight optimisation needed based on BMI.
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Answered on Apr 24, 2023
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My wife aged 61 years is a diabetic since 1994.She is weighing 83 kgs and ht is 5.5 ft. Now we are using Insulin Tresiba (20-0-20 units), Insulin Fiasp(18-16-18units ) , Jardiance 25mg-1 daily in the morning , Istamet 50/500 - 1 dialy in the morning , Carbophage XR500-1 in the night as diabetic medicines. Her HbA1c was ranging from 7.5- 8.5. Her last Serum creatinine level in January 2023 is 1.2. The Fasting sugar level is ranging between 110 - 145 in this month sofar. Random sugar in the other time of the day is 140- 210. She is also a BP patient taking Telma 40, Telma CT6.25/40 and Praxopress XL 2.5 - each one daily. Bp readings are 140 -145 / 60-68.
Thyroid(taking Thyronorm 75mcg daily) and cholestrol( Rosuvas CV10 daily) are under control .
Please advise how to decrease HbA1C to a level of 6-7 . Is these medicines are helpful in maintaining her health staedily?. she is south indian and taking rice normally and wheat onec in 2 days in the night time.
Is the creatinine level indicates any deterioration in Kidney function? The medicines indicated above are kidney friendly?
Your advise to maintain a safe healthy life is required please
Ans: Further evaluation for kidney function may be required. She will benefit with some weight loss. Diet and daily exercise/ walking will be important. Seeing a Dietitian will help. You will need to discuss in detail with your Doctor.
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Answered on Apr 24, 2023
Asked by Anonymous - Apr 21, 2023Hindi
Listen Hi. I'm 64 yrs young, an insurance agent by profession. my fasting sugar is 117.36 and PP is 164.22. Report is dated 20 Apr 2023. Blood pressure reading is 139/83. My LDL cholestrol level is 161.35. CHOL/HDL CHOL RATIO is 4.97.All above report dated 20 April 2023. I'm taking Amlip-5 one tablet a day. Yesterday my physician who is BAMS suggested Arjunarisht kadha 20 ML-2 times a day. I do exercise on OPen gym equipments and walk about 2kms a day. I'm non-smoker. My weight is 94.5 KG. Please guide.
Ans: LDL a cholesterol is high and you may benefit with treatment, apart from diet and exercise. HbA1c test needs to be done. I won’t be able to comment on Ayurvedic medicine as I have no experience of using it, it’s side effects etc. If your BMI is high, you will benefit with weight loss too.
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Answered on Apr 23, 2023
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Answered on Apr 23, 2023
Asked by Anonymous - Apr 21, 2023Hindi
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Fasting and post sugar levels do not matter only H1BAC matters. Fasting and post sugar levels range depends up on the age?
Ans: Not true. Glucose levels throughout the day matter. A combination of high and low glucose levels on some days will still give a good HbA1c. We need to avoid both highs and lows. “Time in range” is the latest concept and you need a CGM (continuous glucose monitor) device to estimate that.
Yes the targets for glucose levels have to be set based on age, comorbidities, other reports etc.
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Yes the targets for glucose levels have to be set based on age, comorbidities, other reports etc.
Answered on Apr 23, 2023
Asked by Anonymous - Apr 21, 2023Hindi
Listen Pre and post sugar levels do not matter all we need to keep H1BAC below 7 is true
Ans: Not true. Glucose levels throughout the day matter. A combination of high and low glucose levels on some days will still give a good HbA1c. We need to avoid both highs and lows. “Time in range” is the latest concept and you need a CGM (continuous glucose monitor) device to estimate that.
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Answered on Apr 23, 2023
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Answered on Apr 23, 2023
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I am 76 years old Male.
I have diabetes Type 2 for the last about 10 years although there is no physical symptom. Apart from other medication I am on INSULIN twice a day, but there is no relief. I carry on my normal activities without hindrance.
Is there any treatment to this ailment or should I live with it?
Biswajit Sengupta
Ans: First goal of diabetes management should be an HbA1c report in the normal range for your age. Optimal diet, walking/ exercise and medicines/ Insulin as required. Once achieved, then dose/ medicines can be titrated/ adjusted.
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Answered on Apr 23, 2023
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hi, i am 49 year old, diabetic since 2005. though taking regular physical excercises i am not able to control diabetes and gradually lost weight. what is the solution to bring back myself to diabetes free and weight as per BMI
Ans: Optimal diet, daily exercise and medications as required- this should be the plan. You will need to check with your doctor how to approach and optimise further.
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Answered on Apr 23, 2023
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I am LADA patient since 2010. Taking Bosul n Basel insulin doses. Am having good diet control, however sugar doesn't remain under control. Insulin dose need to be increased every few quarters particularity during winter. Please suggest better ways. Apurva Rughani
Ans: If confirmed LADA, basal bolus is one of the best regimens to optimise the glucose levels. Diet and exercise/ walking also needs to be followed well. You neeed to discuss with your Dr in detail which part of the management plan needs modification.
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Answered on Apr 20, 2023
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Hello Sir,
Nilesh here, I am 48 male and my diabities level remian between 180-210 form last 10years, walking is my excercise and do yoga 3times a week, having job of stock market , sitting for 8.30am to 4pm. would like to here from your a affordable suggestion.
Ans: Dietary and lifestyle changes, daily exercise, maintaining optimal weight and medications as required- this should be the plan. Do consult your Dr for advice and detailed management.
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Answered on Apr 20, 2023
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Answered on Apr 20, 2023
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GOOD AFTERNOON DOCTOR
I am 55 years old retired airforce pilot
My fasting sugar 110, PP 124, GTT normal, Hb1C normal
taken lot of advices and did exercise, change in diet, sugar cutting down to 20% to lower my fasting below 96 but could not get even below 110
Habits social drinker, loves ice-cream, fish and non veg delicacies
Ans: Sometimes it may be difficult to get the levels down with age. You may consider consulting a Dietitian and continue regular walk/ exercise.
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Answered on Apr 20, 2023
Asked by Anonymous - Apr 08, 2023Hindi
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Answered on Apr 20, 2023
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I am a 37 year old guy , height 5.7 ft
I weight 78 kilo and going to gym regularly to reduce weight by atleast 10 kg but there is hardly any improvement .
I take allergy medicine and high BP and cholesterol control pill daily and maintain a balance diet but not losing weight ,please help me lose weight
Ans: You may need to get your blood tests done for glucose levels, HbA1c and see your Dr. Seeing a Dietitian will help. There are some medications that may be considered based on your glucose levels.
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Answered on Apr 20, 2023
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I am 46+ years with height 5 ft 5 in and weight currently 79 Kg. I reduced my weight with controlled eating by 5 Kg after i was tested Diabetic. Currently i eat a mild medicine a day to control diabetes. The last 2 fasting results have been 88 and 110. I love sweets, having a tough time staying away from it...dont drink alcohol, eat outside food once in 2 weeks (pizza, chinese etc.)...any suggestions or recommendations for me to stay healthy?
Ans: For your height, you may need to still work to reduce weight. Indulging once in a while is ok, but important to work on a balanced diet and daily walking/ exercise. Seeing a Dietitian will help you. Check HbA1c also. Stay in touch with your Dr.
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Answered on Apr 20, 2023
Asked by Anonymous - Mar 23, 2023Hindi
Listen I am 70 years old diabetic and cholestrol patient since last more than 10 years and on medicines to control both. These are under controll since then. I had observed Erectile Disfuntion since last 10 yeras and used Penagra 25/50 and noe 100. Recently I donot have Erection with Penagra 100 even. Please suggest the remedy to get my ED problem resolved. Thanks
Ans: Would be good to consult your Dr. Primarily diabetes, blood pressure, cholesterol levels need to be under control. Weight reduction(if overweight or obese) , diet and exercise also needs to be optimised. Then we can consider and optimise the available drugs for ED.
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