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Pinnacle Super speciality Clinic, Gurgaon

Pinnacle Super speciality Clinic

  4.5  (88 ratings)

Endocrinologist Clinic

C-395, Near Golden Bricks, Sushant Lok Road, Sector 43, Gurgaon Gurgaon
1 Doctor · ₹1000 · 1 Reviews
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Pinnacle Super speciality Clinic   4.5  (88 ratings) Endocrinologist Clinic C-395, Near Golden Bricks, Sushant Lok Road, Sector 43, Gurgaon Gurgaon
1 Doctor · ₹1000 · 1 Reviews
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About

Our medical care facility offers treatments from the best doctors in the field of Endocrinologist.Our mission is to blend state-of-the-art medical technology & research with a dedication ......more
Our medical care facility offers treatments from the best doctors in the field of Endocrinologist.Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Pinnacle Super speciality Clinic
Pinnacle Super speciality Clinic is known for housing experienced Endocrinologists. Dr. Neelam Pandey Kukreti, a well-reputed Endocrinologist, practices in Gurgaon. Visit this medical health centre for Endocrinologists recommended by 83 patients.

Timings

MON-SAT
09:00 AM - 10:30 AM 05:30 PM - 08:00 PM

Location

C-395, Near Golden Bricks, Sushant Lok Road, Sector 43, Gurgaon
Sector-43 Gurgaon, Haryana - 122022
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Videos (2)

Here are prevention and management of diabetes.<br/>

Here are prevention and management of diabetes.

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Here are types, symptoms and diagnosis of diabetes.<br/><br/>Hi viewers I am Dr. Neelum. I am con...

Here are types, symptoms and diagnosis of diabetes.

Hi viewers I am Dr. Neelum. I am consultant in endocrinology and diabetology. Today I will be briefing you regarding diabetes because it’s a major it’s a big public health problem and it is spreading like an epidemic Diabetes is basically a disorder in which our glucose is not able to get utilized by the body for lack of insulin either or when the insulin is not able to act the way it should act in the body tissues. And in that case we have two major types of diabetes. That is type-1 Diabetes and type-2 Diabetes. In type-1 diabetes there is absolute depletion of insulin and the patients are usually lean and they are requiring insulin for their diabetes control for entire life. And type-2 diabetes patients are usually obese and they have family history of diabetes, diabetes run in their family and they usually have insulin resistance.

They can be well controlled initially with diet, lifestyle modifications and medicines. And subsequently in the late stages or maybe, when it is not controlled with the medicines, they may require insulin. Now there is another variant of diabetes that is GDM; Gestational Diabetes Mellitus which is seen in pregnant females. And why it is important to know that? Because nowadays. Due to screening of diabetes and during pregnancy it is picked and sugar controls have to be in target range because there is fetal development and metabolic programming is done so it is important to have a healthy baby for which sugars should be adequately controlled via lifestyle modification, diet, if not then insulin is also given.

Then the other less type of diabetes are also known which are syndromic diabetes, which I am going to discuss here, because the important ones and the major ones are type-1 and type-2 And the cause of concern is that initially it was thought that type-2 diabetes is seen after 40, but it is not the picture. It was always there in kids, now it is increasing in alarming proportions. The kids are more glued to the screen and gadgets and they are having more type-2 diabetes because they have sedentary lifestyle, their food choices are little, they are more into binging, snacking and they are not that much physically active. And even younger kids in their teens and, adolescence and young adults, they are also having type-2 diabetes. So all this has to be picked because they develop complications first than adults. So how do we pick whether you have diabetes or not? So the symptoms are polyphagia, osmotic symptom typically these may not be in all the patients. You have to have a high index of suspicion.  If you have family members who are diabetic or obesity or hypothyroid or hypertension, their blood sugar should be checked.

Now how do we diagnose diabetes? Well blood tests which are done to detect diabetes are very simple. They are fasting blood sugar and 2 hours pp. we have sudden cutoff. And there is one more test which is called HPA1C. So HPA1C tells you monthly average blood glucose which comes in percentage. If it is above 6.5% and fasting blood glucose is above than 126mg/dl then you are labelled as diabetes. So in this part I’ll be speaking about the diagnosis which I have just spoken and in the next part I’ll be telling you once are diagnosed with diabetes, how can you have control over the diabetes and how can you follow up to have a good glycemic control?

If you want to have online consultation, you can contact me via lybrate website or you can see me in my clinic which is located in Sushant Lok, Gurgaon.

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Doctor in Pinnacle Super speciality Clinic

Dr. Neelam Pandey Kukreti

DM - Endocrinology, MD Medicine
Endocrinologist
90%  (88 ratings)
12 Years experience
1000 at clinic
₹1000 online
Available today
09:00 AM - 10:30 AM
05:30 PM - 08:00 PM
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Thyroid Disorders: Symptoms, Treatment and Types

DM - Endocrinology, MD Medicine
Endocrinologist, Gurgaon
Thyroid Disorders: Symptoms, Treatment and Types

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one’s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

  1. Weight loss and weight gain

  2. Changes in heart rate (arrhythmia)

  3. Hair loss

  4. Frequent mood swings

  5. Swollen neck

  6. Sudden bouts of moderate to high fever

Other symptoms include:

  1. Numbness or a tingling sensation in the hands

  2. Constipation

  3. Abnormalities or irregularities in menstruation

  4. Brittle nails and dry skin

  5. Blurred vision

  6. Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.

Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

  1. Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

  2. Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

  3. Thyroid cancer: It is a type of cancer of the thyroid gland.

  4. Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

  5. Thyroid nodules: This is marked by swelling of the thyroid gland. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.

3313 people found this helpful

Hypopituitarism: Causes, Symptoms and Treatment

DM - Endocrinology, MD Medicine
Endocrinologist, Gurgaon
Hypopituitarism: Causes, Symptoms and Treatment

Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.

The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.

In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.

Few Causes:

  1. Head injury

  2. Tuberculosis

  3. Radiation treatment

  4. Stroke

  5. Brain tumors

  6. Brain surgery

  7. Meningitis (brain infection)

  8. Hypophysitis (autoimmune inflammatory disorder)

  9. Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.

  10. Impaired hormone secretion by the pituitary gland is caused by genetic mutations.

  11. Sheehan’s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.

  12. Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.

Symptoms:

  1. Fatigue

  2. Reduced sex drive

  3. Decreased appetite

  4. Anemia

  5. Irregular menstruation, pubic hair loss, hot flashes (feverish heat), and inability to breast-feed properly because of low breast milk production).

  6. Dwarfism in children

  7. Weight loss

  8. Increased sensitivity to cold temperature

  9. Infertility

  10. Facial puffiness

  11. Reduction in body hair or facial hair

Treatment Options:

  1. Hormone replacement drugs include:

    • Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.

    • Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.

  2. Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.

  3. Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2751 people found this helpful

I am 19 years old student. I want to know about hyperthyroidism because I feel that I am suffering from this problem. I need some serious help.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Hyperthyroidism is a state of excess thyroid hormone production Pt has typical symptoms like profuse sweating ,palpitation, wt loss despite good appetite, increased bowel frequency, goitre and bulging eyes often. If one is suspected this condition they shd get a thyroid blood test ie. T4 andTSH done.
1 person found this helpful
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Sir/mam I am suffering with thyroid and bp main 4-5 month month se tablets le rhe hu mera bp to ab control me hai but mera thyroid (tsh) 4 month phele 9.3 ml tha or ab 13. 2 ml ho gya hai main thyrox 25 tablets le rhe hu but mera thyroid theek nhi hua balke bad gya hai. Mujhe kya karna chahiye ke mera thyroid jalde se jalde theek ho jaye.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
First see that you are regular with medication and was taking it empty stomach keeping 45 minutes gap between thyroxine and breakfast. If everything was correct even then Tsh increased on thyroxine 25 ug, then increase dose to 50 ug daily especially if married and planning pregnancy.
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If artificial sweeteners contain much more sugar, how come that doctors are recommending them to diabetic patients?

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
If artificial sweeteners contain much more sugar, how come that doctors are recommending them to diabetic patients?
No sensible doctors do that ;as artificial sweeteners increases insulin resistance it might worsen your glycemic control too. So regular use never endorsed. There is immense data on this. And a recent study published in nature on sweeteners whether caloric or noncaloric should not routinely be taken .it also alters gut microbiome (gud bacteria replaced with bad ones)
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Diabetes

DM - Endocrinology, MD Medicine
Endocrinologist, Gurgaon
Play video

Here are prevention and management of diabetes.

3014 people found this helpful

Diabetes

DM - Endocrinology, MD Medicine
Endocrinologist, Gurgaon
Play video

Here are types, symptoms and diagnosis of diabetes.

Hi viewers I am Dr. Neelum. I am consultant in endocrinology and diabetology. Today I will be briefing you regarding diabetes because it’s a major it’s a big public health problem and it is spreading like an epidemic Diabetes is basically a disorder in which our glucose is not able to get utilized by the body for lack of insulin either or when the insulin is not able to act the way it should act in the body tissues. And in that case we have two major types of diabetes. That is type-1 Diabetes and type-2 Diabetes. In type-1 diabetes there is absolute depletion of insulin and the patients are usually lean and they are requiring insulin for their diabetes control for entire life. And type-2 diabetes patients are usually obese and they have family history of diabetes, diabetes run in their family and they usually have insulin resistance.

They can be well controlled initially with diet, lifestyle modifications and medicines. And subsequently in the late stages or maybe, when it is not controlled with the medicines, they may require insulin. Now there is another variant of diabetes that is GDM; Gestational Diabetes Mellitus which is seen in pregnant females. And why it is important to know that? Because nowadays. Due to screening of diabetes and during pregnancy it is picked and sugar controls have to be in target range because there is fetal development and metabolic programming is done so it is important to have a healthy baby for which sugars should be adequately controlled via lifestyle modification, diet, if not then insulin is also given.

Then the other less type of diabetes are also known which are syndromic diabetes, which I am going to discuss here, because the important ones and the major ones are type-1 and type-2 And the cause of concern is that initially it was thought that type-2 diabetes is seen after 40, but it is not the picture. It was always there in kids, now it is increasing in alarming proportions. The kids are more glued to the screen and gadgets and they are having more type-2 diabetes because they have sedentary lifestyle, their food choices are little, they are more into binging, snacking and they are not that much physically active. And even younger kids in their teens and, adolescence and young adults, they are also having type-2 diabetes. So all this has to be picked because they develop complications first than adults. So how do we pick whether you have diabetes or not? So the symptoms are polyphagia, osmotic symptom typically these may not be in all the patients. You have to have a high index of suspicion.  If you have family members who are diabetic or obesity or hypothyroid or hypertension, their blood sugar should be checked.

Now how do we diagnose diabetes? Well blood tests which are done to detect diabetes are very simple. They are fasting blood sugar and 2 hours pp. we have sudden cutoff. And there is one more test which is called HPA1C. So HPA1C tells you monthly average blood glucose which comes in percentage. If it is above 6.5% and fasting blood glucose is above than 126mg/dl then you are labelled as diabetes. So in this part I’ll be speaking about the diagnosis which I have just spoken and in the next part I’ll be telling you once are diagnosed with diabetes, how can you have control over the diabetes and how can you follow up to have a good glycemic control?

If you want to have online consultation, you can contact me via lybrate website or you can see me in my clinic which is located in Sushant Lok, Gurgaon.

3420 people found this helpful

Respected doc. I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bleeds on 10 may to 15 may. Now, I do jogging, walking, running squatting regularly about 30 mins. I avoid junk food, soft drinks, sugars, chips, I eat only home food. I studied about thyroid effects on menses. Pls prescribe me way how to keep healthy thyroid. Do I avoid rice and potato too. Thankyou.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Respected doc.
I am obese, and in April, I miss my cycle too. Doc prescribed me medroxyprogesterone acetate and it bl...
Firstly get urself checked for thyroid. Get t4 and tsh. It s blood test. If it deranged then medicine is started. If it is already normal you can relax. But there is nothing one could do to prevent it from not having in future.
2 people found this helpful
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She has diabetes nd she even takes medicine nd rarely she eats any sweet thng or sugar thn why it is so tht he blood sugar level is high like 215 or 169 nd so. Also he blood pressure goes down to 170.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
She has diabetes nd she even takes medicine nd rarely she eats any sweet thng or sugar thn why it is so tht he blood ...
Sugar control depends on optimum treatment and strict adherence to diabetic diet and regular walk. If anything not optimum outof above 3 things you will not achieve gud sugar control. Also regular follow up with your doctor with advised sugar reports mandatory for treatment revision. As diabetes advances in time your treatment need be adequate and may require optimisation.
1 person found this helpful
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As a sugar patient I am doing yoga and walking daily. Without medicine is it enough.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
As a sugar patient I am doing yoga and walking daily. Without medicine is it enough.
Enough or not will depend on your sugar targets acheived or not, meaning your hba1c less than 7%and fasting and pp blood sugar within control.
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