Sunita Sayammagaru 🇮🇳🇬🇧 @drsunita02 Twitter profile

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Sunita Sayammagaru 🇮🇳🇬🇧

9 months

I experienced toxicity as a student, in career and in life as well, but the below helped me: 1) Develop thick skin. 2) What others think of me is none of my business. 3) I am not in any race, it's OK to be average. 4) Be kind, cut the chain. 5) My meditation. 6) My loved ones.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Erectile dysfunction in males (aka unable to get or maintain an erection) is an early manifestation of Cardio-Vascular Disease, especially if the males have Diabetes. So if u are having ED, get a cardiac profile done and keep your diabetes, BP and lipid levels under control.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

8 months

As a doctor, I don't advocate for either gender to smoke. But lately I am seeing more and more women across all ages smoking in Hyderabad 😥

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

6 months

I see a worrying trend in Hyderabad. All I see are eateries, right from roadside stalls to swanky restaurants. People have slowly stopped cooking !!! No wonder, metabolic disorders are on the rise. Cooking and nutrition classes should be made mandatory subjects in school.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear diabetic patients, This is a polite request. Kindly, don't keep continuing the same doses of insulin or same tablet doses for YEARS together without getting your blood glucose levels and HBA1C checked. You may be asymptomatic but there is the risk of your diabetes

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

What are the routine baseline tests that need to be done by a patient with Diabetes? 1) Hba1c : every 3 months. If one is a financially difficult position, a good doctor can still control the pt's blood glucose levels even if the test is done once every 4-5 months. Ofcourse,

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

It's 9 years now since I started my small clinic in Hyderabad. And I feel the biggest victory I have achieved is when medical representatives seek my help for both themselves and their family members to help with their diabetes or metabolic problems. Initially, I was extremely

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Sweltering heat wave in Telangana. Yesterday, was approached by quite a few mothers who seems to think their kids' under the neck regions had sun-tan and were asking me to give them creams to reduce the darkening. An important funding was all these children were overweight or

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Dear diabetic patients, This is a polite request. Don't just depend just on medicines for your glucose control. I as a doctor don't have indefinite supply of medicines to prescribe. The brands are in thousands but the pharmaceutical molecules which are the base of these brands

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

As a sex med doctor, all I can say is this - Make love when both you and your partner are relaxed. Quite a few of my consultations are for failure in enjoying sex. How can one enjoy making love when either one or both partners are physically tired due to their day's work??

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetes patients, A polite request to u all. Please don't eat all those breakfast cereals which are now so much in vogue. Every big super market to every small Kirana shop sells all those breakfast cereals - corn flakes, wheat flakes, ragi flakes, muesli etc etc etc.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

16 days

1 egg = around 6 gms of protein 100 gms of uncooked legumes = around 20-25 gms of protein (depending on the type of legume/pulses consumed). Legumes are the chickpeas, rajma, blackeye beans, toor dal , Chana dal, masoor dal etc etc. But 100 gms of uncooked legumes, when cooked

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 years

I differ. I am a career woman. Have made it from scratch. I love my role as a doctor. But the greatest happiness I derive is from being a mother to my two daughters, shaping them into responsible and kind humans with good values. A woman can handle both roles well. Period

हवलदार शिंदे 🇮🇳

@Havaldarshinde

2 years

Ever wonder what our moms could have been if they weren't our moms? Hadn't married and had kids? Makes me sad thinking about it. So many lost dreams and ambitions.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

It takes a village to keep an elderly person happy and content. Nearly 60% of my patients are elderly. And a good chunk of them are living alone - either due to the death of a spouse or because their children live far away/ abroad due to employment reasons. Sometimes the

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear diabetes patients, This is a polite suggestion. I am giving you a different viewpoint today. There is so much more you can do to get your blood glucose into control. And you don't need medicines for that, or you may need much lesser medicines than the average diabetic

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

7 days

Firstly, this is a book. And one doesn't disrespect ANY book. Books are the carriers of knowledge. Secondly, if he doesn't like a book, he could have given to someone else, or he could have kept quiet about this. He doesn't need to put a damning post like this. This is only

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear diabetic patients, A polite suggestion. Am going to write something today which goes against popular advise usually given by doctors. A few of you may have elevated serum uric acid levels. You may have got this test done when you may have complained of joint aches or when

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Diabetes management is very simple if a patient understands the basics. I give the example of a table. A table has 4 corners. Similarly, management of diabetes involves 4 aspects: 1) Diet : eat food that is low in carbs and avoid Ultraprocessed foods. Eat a good amount of

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Last patient of the morning. And I don't have any solution to this problem. Male. 32 years. Obese - 140 kgs currently. Pre-diabetic as of today. Getting his bloods done tomorrow. Hypertensive. Hypothyroidism. Fatty liver. Sleep apnea. Consumes gutka Drinks alcohol like a

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Scenario: Diabetic patient, male, 45 years old, lives away from family in a different city, meets family once a month. Diabetes not under control at all, sky high glucose levels. And sky high Triglycerides and LDL, VLDL. Main reason: No home cooked food. Has to depend on hotels

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

8 months

If you have parents in your life, and if you have relation with them, pick that phone, make that call, go visit them and hug them tight. That's all is needed. Parents are precious. Every day with them is precious.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Male sexual dysfunction can occur in any of the phases of sexual response cycle. In males , the sexual response cycle is divided into 4 pahses. 1. Libido or desire phase 2. Arousal phase 3. Orgasm phase 4. Resolution phase A male may complain of loss of libido or having no

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Thanks to everyone who has followed me over the last 2 weeks. I tweet mainly about my pet subjects. Diabetes, Metabolic health, Obesity, Hormonal problems and Sexual Medicine. And I have realised that this twitter is a powerful tool to spread knowledge about Sexual Health.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Conversation between diabetic pt and me: Pt: Is it ok, if I don't eat fruit everyday? Me: Yes. Pt: Is it Ok, if I completely stop eating fruit? Me: Yes Pt: If I completely stop eating fruit, how will get I my minerals and vitamins?? Me: From your vegetables, dry fruits and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

6 months

Have been practicing as a doctor for 2 decades and I can say this with authority - "We doctors still dont know so much about health disorders" And "Pharmacological medicines ALONE CANT cure/manage each and every health condition" The way forward is - holistic care.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

20 days

Porn addiction is real. And it is not sparing anyone. Youngsters - from teens and young men in their 20s to guys upto 50s - I am seeing patients with this addiction. It has got nothing to do with education. I keep getting messages from students studying MBBS, from IITs, other

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear diabetes patients, Today, I want to speak about your medicines. Let us speak some plain facts first. When a person gets diabetes, he is not very far off from getting high BP and high Cholestrol levels. So, when you see your doctor, he would prescribe not only diabetes

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear Thyroid patients A few tips to prevent your TSH from fluctuating 1) Take your Levothyroxine tablet on an empty stomach first thing in the morning. Take it with a little water. 2) Wait for 1 hour before eating or drinking anything. Some people take lemon water or jeera

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

9 months

Numb, shocked, sad. He was an academic achiever and an all-rounder. I follow him on YouTube and Twitter. He was vocal about residency issues and mental health. Never suspected that he himself was suffering. Please, be kind to each other. No one knows what other person is facing

Indian Doctor🇮🇳

@Indian__doctor

9 months

#Heartwrenching India lost a Brilliant mind Doctor! Dr JAI SAVLA 3rd year Medicine PG resident Safdarjung hospital (Delhi) died due to #suicide . He was Top level Black belt martial artist, International rated chess player along with active presence on all the social issues!

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

60-70% of my patients are elderly and I am privy to all the stress that elderly face. Saw a 60 year old woman, belongs to lower socio-economic status. My patient since 3 years. Today, her Hba1c is much high than ever before. Gently asked if she had stress because I know her

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

23 days

Dear people with Diabetes, Low carb diet works quite well to reduce your blood glucose levels. Low carb, adequate protein and healthy fat will help you to reverse your diabetes and also other metabolic disorders. And this is the way forward. But, I get it that some of you may

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Patient progress: Male, 38 years, consulted me 3 weeks back. He has been diabetic since past 4-5 years. And had always controlled it with diet. He was not on medicines. But this time the Hba1c shot up. Hba1c 10.5 % 3 weeks back: initial reports are: Fasting blood glucose:

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

This is wrong. Very wrong. I wish people stop posting such type of silly messages which misleads the public. People in South India have been taking curd during night and day time since ages, without any problems. My advise: - Eat plenty of curd everyday - at any time of the

Dr. Kavitha Dev

@DrKavithadev

4 months

Don't take your #curd this way :- 📍Do not consume curd at night, leads to excess mucous with cold, indigestion 📍Don't take curd daily - creates blockages of body channels So how to have curd :- - once or twice a week - afternoon time - less quantity - without heating

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Viagra!! Whoever is reading this post, would know about Viagra. And for those minority few who don't, I will tell you that Viagra is a tablet which males use when they have erection problems. Viagra is a brand name, the actual pharmaceutical drug is Sildenafil. This belongs

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Sometimes, I wonder, did we do more harm than good, by bringing out all these newer diabetic medicines?? Before any doctor, wants to comment on me saying that all "allopathic" medicines are evidence based and that I am speaking like a quack, I want to politely ask them to

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetic and pre-diabetic patients, Will ask u a question. Is there something called Carb addiction, sugar addiction? Interestingly, a few months back when I wrote about carb addiction here, an endocrinologist from USA and a few diabetes educators from UK lashed out at

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

I don't know why #LowCarb #LCHF Low Carb diet for diabetic patients is hard to understand for both lay public and doctors too. In simple words, diabetes is excess glucose in blood. This glucose is in excess if there isn't any production of insulin (happens in type-1 diabetes) or

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetic patients and also their family members/care givers, I have been receiving queries lately about what should a diabetic patient eat? They write "If patient can't eat rice or roti or idli or dosa or millets or oats, then what should they eat. You say, everything is a

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

6 months

A doctor should lead by example is what I believe in. For e.g. even though I dont have diabetes, I follow the same low carb diet that I recommend to my patients. And when a patient comes to know of this, after the initial surprise, they feel motivated to continue the same.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Thanks to everyone who followed me y'day.I am humbled🙏 I tweet about health-mainly Diabetes, Sexual health, Hormone stuff. I also tweet funny,inspiring stuff. And above all, there are no negative vibes in my tweets because I believe WE ALL have goodness & kindness in us.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Going to write something that is close to my heart and may be some so called "woke" people may find it offensive....but hey, this needs to be written. In Hyderabad, I see more and more young Telugu parents, especially in IT sector part of Hyderabad, speak English with their

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Polite request to the 1% of males who want to waste my time: (To the other 99% of males - you are good human beings. This post is not for you. You can ignore this) And to those 1%: Please, I am not interested in seeing your penis. There is no point in asking if you can send

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Dear diabetes and overweight people, Giving u a scenario which is becoming too common in Metro cities. Shift worker, 30 year old woman, works in place nearly 1.5 hours from home, and goes by office cab. Unmarried. Has been in this job since 2 years. Now diabetic since 1 year.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetes patients, We shall talk today about Hypoglycemia, in other words - low blood glucose levels. Textbook definition of low blood glucose is when the levels drop to less than 70 mg/dl. Hypoglycemia happens when there is a mismatch between the intake of food (mainly

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetes patients, A polite suggestion. You have to control that stress that u have ! How much ever you eat a good, healthy, low carb diet your glucose levels won't reduce if you have stress in life. How much ever you exercise, spend long hours in the gym, you won't see

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

30 days

Where are we heading??? It's scary to see the number of young children with obesity. And I am not a person who gets easily scared. In just last 2 weeks, I saw 3 children aged 13 -15 years with a weight between 80-100 kg, in my clinic. Today, was my fourth patient. All

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Food heals! This is something I am writing straight from my heart, and I am pretty sure, I will receive quite a few brickbrats from fellow doctors of modern medicine, aka, "allopathic doctors". But, I would request every modern medicine doctor to reflect on what I write.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Happy Ugadi to everyone. I thought I should clear the doubt of this gentleman and may be other males have this same doubt but are hesitant to express. "In India, men would not go to a female doctor for such problems" And what are these problems ?? Sexual Problems!! And now

Pankaj

@Pankaj34342525

5 months

@drsunita02 Maam In India , at least ,Men would not go to a Female Doctor for Such problems 🤣

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Conversation between patient and me: This happened 3 months back. Patient, male, 52 years, diabetic since 3 years. Hba1c 8.4%. Seeing me for the first time. And is on Sitagliptin and Metformin combination of medicines. Patient: Doc, my Hba1c is little high. What can I do??

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Unpopular opinion, and may be a controversial opinion. I keep getting asked this question by young parents "My son/daughter, who is a teenager, is giving me grief. I am stressed. What to do"? My observations are based on my working with children and employed couples both in

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

13 days

To everyone who is reading this Let me tell you something. I work as an independent doctor in my own clinic and I work in field of Diabetes which doesn't have too many emergencies. Yet, quite a lot of times, I see patients who come to me when things have gone really bad. An

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

So, I have received quite a few queries yesterday in my DM. Also my clinic patients keep asking me the same questions. So thought will write them here. 1) What is Low carb diet? What is LCHF? Ans: Both are synonymous. When we decrease carb, we have to increase fat. LCHF is low

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Conversation between patients and me: Patient 1 : Diagnosed with diabetes about 5 years back and seeing me for the first time. He is 55 years old. He is on medicines for his diabetes and his Hba1c is 8.8%. (He doesn't eat any high carb/fast acting carb/junk food) Pt: Doc, I am

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Unpopular opinion: Disclaimer 1: what I am writing below is based on my observation as a doctor when young people visit me and also based on what is happening in the society now-a-days. Disclaimer 2: This post is only for couples. I have no intention to stress any single

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

28 days

What is it with Indians and fasting?? I see so many people fasting on Ekadashi. And then they break the fast with lots of carb rich food. They say they shouldn't consume grains on the day of fasting, so there is no roti or rice. But they break the fast with food items made

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Dear Men, It's always worthwhile to check serum Vitamin B12 levels. Especially if any of you are suffering with Erectile problems. There have been quite a few studies available in medical literature that show a positive association between Serum folate , Serum Vitamin B12 and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Unpopular opinion: It's the duty of the parents to make a child self- sufficient and self-reliant. He/she should be able to stand on their legs by adulthood and be able to earn an income to atleast feed themselves. Seeing more and more instances across all classes where adult

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Dear diabetic patients, Many a time patients come with a normal FPG and PPG, but the HBA1C is high. Once you have confirmed that there is no lab error, you now have to find why or how your Hba1c has risen. May be in the last 3 months, you have attended lot of parties and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Dear hypothyroid patients, I am going to write something which goes against the popular belief. Hypothyrodism by itself doesn't cause weight gain beyond 4-5 kgs. So, if you have gained say 10-20 kgs, it's NOT JUST ONLY because of your thyroid disorder. And once the

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

I was speaking to my bestie in USA yesterday. She is a family medicine doctor in USA. And we were speaking about Ozempic, or Semaglutide, the new wonder drug in USA for diabetes and obesity. What she said made me a bit concerned. There is so much prescription for Ozempic that

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Conversation in clinic today: Patient: "Doc, which is the healthiest late night snack I can have? That doesn't make me gain weight or increase my sugar levels?" Doctor aka me: "Water" Patient: 😨 Seriously speaking now, water is the best snack one can have. The internet is

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

18 days

Diabetes Remission is a reality. It's not a myth. For lay people , it also goes by the term Diabetes Reversal. My first Diabetes Remission patient in India was in 2016, after I moved back from UK. And the first is always memorable, be it your first girlfriend/boyfriend, first

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

17 days

Dear everyone who ever is reading this, Imagine you are old, your children are away and busy in their lives, you have the usual age old infirmities for which u need a doctor. Then suddenly, one day, you encounter a more serious health issue. And you need to be hospitalized and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

This is exactly how I learned to swim when I was about 7 years old. A log tied to my back, the well in a small village in Telanagana and my father throwing me !!! Nostalgia.

zenrainman

@zenrainman

4 months

Swimming lessons in summer

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Thanks once again to everyone who followed me 🙏 I mainly tweet health related stuff - diabetes, hormones, sexual health. I also tweet lots of positive stuff, because I believe we ALL have goodness and kindness in us. And my tweets are short, and hopefully sweet 😊

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

5000 followers. I feel humbled. Thanks to each and every one of you who follow me. When I joined Twitter few years back, it was just for time-pass. So reaching 5000 followers is a big milestone for me. Over the years, I have realised that twitter can used as a powerful

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Conversation between an educated 35 year old male diabetic pt and I: Doc: See my reports. Me: I am seeing you after 3 months. Your Hba1c has improved superbly from 11.5 % to 7.5% . Your fasting glucose which was around 200 and PPG which was around 380 has dropped down nicely to

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

6 months

Every single patient who walks into my clinic is important to me. When their diabetes or obesity reduces, their overall health improves, I rejoice. And when a patient struggles to get his diabetes or weight under control, it motivates me more to make them reach their targets.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

8 days

Relationships are so fickle sometimes. The purest bond that between a mother and child, the so called unconditional love , is it really unconditional??? I have seen so many instances with my patients where, it is conditional. A few mothers are selfish, a few children are

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Conversation a few days back in my clinic with a nearly 60 year old man. He had come with his wife. This was the second time I was seeing him. The first time I saw him was 4 months back for his diabetes. Patient: Doc, u have written very costly drugs last time for me. I can't

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

I have noticed something lately as my elderly patients freely discuss their issues with me. And I think it needs to be told. Because thisntrend worries me. I am seeing women who want to get married, but don't want to do anything after marriage. Neither do they want to hold a

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

1 month

Today's tweet is about gratitude, a heartfelt thanks. Thanks to not only my clinic patients, but to my online patients too. Gratitude to all the people who follow me here on twitter, and take time out of their busy schedules to like or comment on my posts. I learn from these

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

The most common sexual disorder that occurs in males are Ejaculatory disorders. These are of 4 types: Premature Ejaculation Delayed Ejaculation Retrograde Ejaculation Anejaculation Among this - Premature Ejaculation is the commonest. PE as the name suggests, is a condition

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

When a person wants to lose weight or when a patient wants to control his/her diabetes or metabolic disorders by lifestyle methods, they are in a hurry to achieve the end result. Kindly remember that it took you months or years to reach this current worsened state of weight

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

21 days

Conversation with patients a couple of days back: Patient 1: 45 year old Male, diabetic, obese, high Hba1c. I am explaining about low carb diet. Me: Do you eat non-veg? Pt: No Me: Do you eat eggs? Pt: Yes. Me Great. So you can add eggs to your........ Patient interrupts

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

A doctor's perspective: Real life medicine is so difficult, especially for chronic health conditions. Acute medical problems are sometimes more easier to deal with. For e.g, a patient suffers a heart attack, he is rushed to hospital and he is put on the "Heart attack protocol"

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Everyone is addicted to carbs these days. It's not only the ultraprocessed junk that most of us are aware of - the usual - chips, crisps, maggie noodles, burgers, pizzas, cool drinks etc - these are all carb bombs. But most of us don't know that breakfast cereals , breakfast

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Question: Why have the elderly population of Hyderabad start taking cornflakes and muesli for breakfast?? Answer: They think it's healthy. Question: Why are the toddlers and young children of Hyderabd being fed cornflakes, multi-grain flakes and chocolate flavourful cereals for

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

Conversation with a female patient in clinic yesterday. This patient, aged 60 years is having Type-2 diabetes since 25 years. And she is on Insulin since 15 years. And she has been my patient since 2 years. And I know that she likes her sweets and her fruits and carbs. I make a

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

Hundreds of labs have mushroomed all over. And they have grouped investigations into packages - Master Health Check, Diabetes package, Heart package etc etc. These include blood tests and also X-Rays and Ultrasound scans. I can understand patient wanting to get a Master Health

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

A little about Thyroid function tests: We see mainly Hypothyrodism in the general population. This is a condition in which there is underproduction of thyroid hormones. Hyperthyroidism is a condition in which there is over production or over-circulation of thyroid hormones and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Lately seeing more YOUNG males consulting me for their sexual dysfunction in my clinic. And even wives consulting me about their husbands. Is it because of increasing incidence of diabetes,obesity etc? Or is it because young couples now-a-days feel more free to talk about this?

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Polite request to patients: please help your doctor. Why am I saying this?? Routine diabetic consultations that I see day in and day out in my clinic. Will give a case scenario. Type-2 Diabetic female, say age 50 years, obese and has diabetes since 10 years. Now, her

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

10 days

40 year male patient comes with Pre-diabetes. There's a family history of diabetes. He is obese at 93 kgs. The usual signs of Insulin resistance were there. Hba1c 6.1 % Got his insulin levels checked. Fasting insulin 39 (lab reference range 5-25) and 2 hours post pradial

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Does every Indian need to go on Low Carb Diet? May be not. You can continue your regular diet if you are not metabolically deranged. But please eat in moderation. And watch your weight. Does every Indian need to increase the protein content in their diet? Yes, Yes, Yes.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Most of us are aware about symptoms of diabetes. Not everyone has ALL the symptoms. Sometimes these symptoms may be mild. And a small percentage don't have any symptoms at all despite their blood glucose levels being very high. Symptoms are - Dry mouth - Increased frequency

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Was going through my photo album yesterday. And was looking at photos of myself, my siblings, my cousins, parents and uncles and aunts from the past.... And the difference between then and now is stark. Why doesn't the majority of current 24-25 year olds look like 25 year old

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

22 days

Conversation with patient today: A little background: Male 48, newly diagnosed with diabetes about 3 weeks back. Hba1c 11 %. Rest all blood parameters are normal. He is just a little overweight with a little paunch. Ofcourse, this is an important physical finding. BP and

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

PIED - Porn Induced Erectile Dysfunction Studies have shown that excessive porn watching can cause Erectile Dysfunction. And high porn viewing has also shown to cause decrease in libido especially in young men. Porn viewing impacts dopamine levels in the brain. As porn

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Women who want to have a baby, please check if you have diabetes or not before you conceive. There are so many instances when a woman thinks she is not diabetic. But she discovers to her shock that she indeed has diabetes when she visits the gynecologist as soon as her

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 years

@SatanKiNani I am glad he asked. What's the harm in asking if one doesn't know? If a doctor mocks a fellow colleague just because he asked a doubt, the next time he won't ask anything at all. This is detrimental to patient care. Wish doctors who think they know everything reflect on this.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Lately I am seeing young 40 yr pts diagnosed with Diabetes about 2-3 years back and not taken any care of their DM at all. They are seeing me again after 3 years😭. And I find thier BP, lipids and glucose levels to be sky-high now. Please, don't neglect your DM control

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

19 days

The rape and murder of this young PG resident in a Govt Hospital in West Bengal brings up lots of questions. The most basic one being - no on-call room, and no wash rooms for female students. Nothing has changed from my time to now. When we were medical students and interns,

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Ultraprocessed food are not healthy for anyone - neither for diabetes patients nor for non-diabetes people. These foods are not good for anyone of any age - from babies to elderly people. But what exactly do I mean by Ultraprocessed food? What is the difference between

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

5 months

Received a few DMs about female orgasm, so clearing doubts here. Nearly 60% of women orgasm on stimulation of clitoris alone. Few have vaginal, cervical or combined orgasm - on penetrative intercourse. A few have orgasms on stimulation of erogenous zones - breasts/ears etc.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Its been a while since i wrote about sexual medicine. Let me talk about Night time erections. Also known as Morning Wood or Early morning erections. The medical term for this is Nocturnal Penile Tumescence. Nocturnal erections are common and normal in a male. They occur more

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

2 months

We human beings are animals. And animals move. That's how Nature intended animals to be. We should also be on the move regularly. Period. Ideally, 10000 steps per day is good. Even more than that is super! A sedentary job is not an excuse for not moving. Think of innovative

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

3 months

Feel happy about a patient. She is a 56 year old diabetic patient from a village about 80 kms away. She belonged to the lower socio-economic status group. She works as an agriculture labourer. Her son lives in Hyderabad. And her son brought her to me about 18 months back as

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

9 months

And counting my blessings. Despite life being unfair and toxic at times, and despite feeling that there is no way out, what helped me was having gratitude for the all the other good things life had in store for me. Just stayed put, and took one day at a time. The clouds cleared.

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Sunita Sayammagaru 🇮🇳🇬🇧

@drsunita02

4 months

It's been a while since I tweeted on Sexual Health. So a very short tweet from me: If there is a male, and the male has diabetes, and the diabetes is NOT under control, and the male is also suffering with erectile dysfunction (aka erection problems), then the first and foremost

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