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Dr. Sunil Mishra

MD - Medicine, DM - Endocrinology

Endocrinologist, Gurgaon

14 Years Experience  ·  800 at clinic
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Dr. Sunil Mishra MD - Medicine, DM - Endocrinology Endocrinologist, Gurgaon
14 Years Experience  ·  800 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sunil Mishra
Dr. Sunil Mishra is a popular Endocrinologist in Sector-38, Gurgaon. He has over 14 years of experience as a Endocrinologist. He is a qualified MD - Medicine, DM - Endocrinology . You can consult Dr. Sunil Mishra at Medanta-The Medicity in Sector-38, Gurgaon. You can book an instant appointment online with Dr. Sunil Mishra on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 38 years of experience on Lybrate.com. You can find Endocrinologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD - Medicine - King George's Medical College, - 2003
DM - Endocrinology - All India Institute of Medical Sciences, New Delhi, - 2007
Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)

Location

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Medanta-The Medicity

Rajeev Chowk, Gurgaon Sector-38. Landmark: Near Cafe Coffee Day, GurgaonGurgaon Get Directions
800 at clinic
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I'm thyroid secreting hormone range at 8.8 and suddenly I started putting on more weight for about 10 kg so I done which doctor to consult and how serious it cud be for future. Any how I want to get rid of this so that I achieve my ideal weight.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm thyroid secreting hormone range at 8.8 and suddenly I started putting on more weight for about 10 kg so I done wh...
Thanks for the query. Thyroid hormone deficiencey called as hypothyroidism is is a well known problem leading to excess weight gain. To over come this one needs to star treatment with the hormone levothyroxine. Since you have complained about weight gain during last few months, it is essential for you to start treatment right away. Hence if interested come back with following details like T4, T3 & TSH values, weight and height and any other symptoms being felt. Based on those details I will be able to guide in controlling the condition and regaining your original weight. You will have to come in a private conversation so that I will be able to prescribe the drugs needed and to give other specific advise. In this communication only general guidelines can be given. Do not neglect as you are very young and not treating this condition can cause multiple problems including infertility. Thanks.
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I am 62 years old diabetic for 22 years still type 2 (demicronSR 60mg +Janu met 50/500 twice. Earlier was well controlled as was taking 15mg Pioglitazone but dropped due to side effect, but now ranging 7.5- 9.5 should I switch to insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 62 years old diabetic for 22 years still type 2 (demicronSR  60mg +Janu met 50/500  twice. Earlier was well cont...
Hi looking at your medications for controlling blood sugar there are enough oral anti daibetics. If still control is not achieved, then it is better to switch or add insulin to the therapy. That will help you to attain much better control of diabetes.
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Hello. My grandmom is 65 years old. She is suffering diabetes with sugar level of 155 (fasting) and 255 (after meal) She is also suffering from severe joint pain please suggest some good diet and any other preventions or exercise for her.

CDIABT, MBBS
Endocrinologist, Mumbai
Hello. My grandmom is 65 years old.
She is suffering diabetes with sugar level of 155 (fasting) and 255 (after meal)
...
For diabetes follow a diet low in carbohydrate, low in salt, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise.
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I am diabetic from last seven years I am taking medicine daily and I am fifty two year old. What precautions I have to take in future and my blood sugar level is 140.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
What's your last 2 fbs pp2bs level? last hba1c level? precautions you need is to regular followup as diabetes in long run can affect other organs. So get baseline serum creatinine, urine albumin, get fundus examination by opthalmologist, check your blood. Pressure, lipid profile for cholesterol level. And compliance to medicine and diet plus exercise. Consult me if any query yet.
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Im 20 years old and I have serious problem related to my weight. I gained 29 kg in last 6 months. My thyroid test came negative. Do I need to worry?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Im 20 years old and I have serious problem related to my weight. I gained 29 kg in last 6 months. My thyroid test cam...
Hi firstly believe that you have the power to solve your problem. Right now your bmi is 32.8 which comes in obese category. And definitely you need to worry. But worry should lead to immediate action. Next point to note is that'weight' is not the problem. The problem is'habits' which lead to weight gain. Poor eating habits coupled with no exercise. So if you change your habits, then the weight wil change. Start doing 45 mins exercise daily. Cut down fried foods and junk food. Cut down oil, ghee, butter etc. Start taking more fruits and cucumber daily. Drink more water. Reduce portion size of meals. Take charge today else tomorrow it will become more difficult. Try it for 20 days and you will see improvement. For further advice you can take private consultations. Stay fit stay healthy health is wealth.
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Mother age is 58. Removed her thyroid completely, her keratin level is high & low haemoglobin level.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Mother age is 58. Removed her thyroid completely, her keratin level is high & low haemoglobin level.
do test kft if creatinine is high.and tell us what is level of that. In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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I am having hypo thyroid and goiter. I want to conceive. Which type precautions I will be take? Please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having hypo thyroid and goiter. I want to conceive. Which type precautions I will be take? Please tell me.
Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement can help, for conceive go for all hormones tests with usg pelvis. if all normals you can conceive .
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I am 34years old mother of 4year old and 19months old suffering from thyroid, BP fluctuation, cold, headache, restless and sleep deprived and irritated easy having mood swings, I was diagnosed thyroid during my second pregnancy in 4th month. Please suggest I have been taking early morning tablet of THYROX-25 everyone.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Take diet in hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and control weight also. welcome.
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Res. Doc. I am 54 yrs. Old. I got blood tested for my TSH which is 11.70. I also tested Hemogram. My hb is 14 all other tests are normal except my platelets are 98.00. I ask my physician and he told me that nothing to worry. Take some healthy diet. I have no fever no any infection. I checked in a routine way. My health is good. I feeling good. No sickness. No tiredness. Pl. Advise me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If hemogram is normal, then it is quite good. Platelets 98000/cc, is fine. That does not show any problem. But TSH value is definitely high. It has to be below 4.5 mU/L. It is showing there is hypothyroidism, it needs to be treated. Otherwise, it can cause multiple problems due to thyroxine hormone deficiency. Thanks.
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I am 24 years old. Now my thyroid report is here TOTAL TRIIODOTHYRONINE (T3) =122 ng/dl TOTAL THYROXINE (T4) C.L.I.A 7.4 μg/dl TSH level is 24.54 μIU/ml. What can I do. I am very afraid about my TSH level.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Do no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat tsh after one month and report good luck.
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Respected Dr, Sub:-Regd: Thyroid test values are TSH 19, T3 1.02, T4 5.43. I am 80 kg weight. I am using Thyro 50 mg. Is the dose sufficient or not pl advice me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. When a person is on treatment for hypothyroidism with adequate dose of levothyroxine, then TSH is maintained around 3 to 4 mU/L. That will make one free from all the symptoms of hypothyroidism. You have a very high TSH, which means that the disease is not in control. To reach the desired level of TSH you will have to take a higher dose of levothyroxine. Then test the TSH level after 6 to 8 weeks. If then level is in the above mentioned range, then the condition is considered as well controlled. Uncontrolled hypothyroidism leads to considerable weight gain. You have mentioned only your weight, but no height is given to find out your BMI. Please see that your TSH levels are maintained in the above mentioned range. Thanks.
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Good afternoon doctor, My age 29yrs, my TSH level is 5.87 (normal range 0.34-5.6 mIU/L) 1year back in my 1st pregnancy I got abortion becoz of baby heart undeveloped) in 1st pregnancy I have TSH level is 7.5. Now my tsh level is 5.87. Im using 50mcg thyroid tablets. Can I plan for pregnancy while using thyroid tablets? This is right time to plan for pregnancy?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
It is a bit surprising that you not been briefed about need to maintain optimum tsh levels for getting conception, development of fetus and successful completion of pregnancy. It is necessary to maintain a level of tsh between 0.3 to 2.0 milli units before conception and throughout first trimester. Later levels recommended are 0.3 to 3.0 milli units through out the pregnancy. It is better if levels are nearer 2 milli units/ml. Higher levels are not conducive for successful development and good outcome of pregnancy.
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I am diabetic for last 9 years I am on victoza1.2 with 4 mg glimipride & 1000mg metformin twice daily. Still my pp remains around 200, what to do ?

MD
General Physician, Delhi
Hi , Along with medication ,try dietary , exercise option as well. 1. Consume a low-calorie diet (often less than 1,400-1,800 calories a day). Most people cannot adhere to this kind of low-calorie diet. 2. Consume a Mediterranean diet, with lots of fresh fruits and vegetables, fish and beans as protein sources, and omega-3 and monounsaturated fats (olive oil), while avoiding saturated fats, refined carbohydrates, cholesterol-laden foods, excess omega-6 fats, and most animal products. An increasing percentage of health-conscious Americans are adopting this kind of diet 3. Avoid sugary fruit juices (almost all fruit juices contain too many sugars) and beverages spiked with fructose,80-84 sucrose,85-89 and/or high-fructose corn syrup.Consume a low-glycemic index and low-glycemic load diet. Brisk walks for 20-30 mins at lest 5 times a week

Blood pressure 146/88, glucose level 102 fasting, bp tabs to be prescribe? age 38, since 2 - 3 months bp range.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Do regular walking, reduce salt intake, avoid papad and pickles. Do meditation. This should help you to reduce bp. If you know proper pranayam please practice, that too will help.
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Sir, I am a diabetic patient and before someday my sugar level is not good it is not recovered by insulin too. please give me suggestion fast.

BHMS
Homeopath,
Sir, I am a diabetic patient and before someday my sugar level is not good it is not recovered by insulin too. please...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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My mothers age is 50 years and she is suffering from diabetes. While fasting her glucose level is 247 and she has leg ache and she has totally dried up and became more thin. She gets burning sensation in her feet and hand. and she has feet ache. and has more pain in the right side of her back.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mothers age is 50 years and she is suffering from diabetes. While fasting her glucose level is 247 and she has leg...
Lybrate-user, fasting blood glucose level of 247 mg/100 ml is too high. That means after food it will go close to 350 to 400 mg/100 ml. This high level of glucose leads to excess of glucose being excreted from the urine, leading to a great degree of weight loss, tiredness, lethargy, no energy to do work and a host of other symptoms. It will also affect her eyes (retina), small blood vessels, nerves, kidney and heart. So rapid blood glucose control is the only option. She has to be put on appropriate medication and blood glucose levels should be brought down to fasting closer to 100 mg, pp 150 to 160 mg & hba1c%<7. Otherwise situation can be dangerous. Please initiate proper treatment, plus diet control and some physical exercise. Thanks.
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I am a 45 years old. I am diabetic as well as have sugar problem. Can you suggest some foods or medicine so there will be less problems.

Bachelor of Naturopathy & Yogic Sciences (BNYS), M.Sc. - Nutrition
Dietitian/Nutritionist, Bangalore
I am a 45 years old. I am diabetic as well as have sugar problem. Can you suggest some foods or medicine so there wil...
Eat high fibre foods like oats, whole grains, whole pulses (pulses with husk), sprouts, green leafy vegetables, you can add soy flour to your wheat flour in the ratio of 1: 3. Do away with refined flours, polished rice (you can have brown rice sometimes), junk foods, sweets, fried foods.
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Sir me ek diabities patient hu mujhe kise ne btyaha ki iski medicine after some time chaneg kar deni chaiye.Please suggest

MD - Pathology, MBBS
Pathologist, Ahmedabad
Not necessary. If the dose of the medicine is well set in controlling sugar level no need to change.
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Sir mera sugar normal Uriya lable 26 Christine 1.31 Hai mai kya karu Pesab se jhag aaraha hai.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Sir mera sugar normal
Uriya lable 26
Christine 1.31
Hai mai kya karu
Pesab se jhag aaraha hai.
The reports are almost normal and not suggestive of any specific disease. I coukd be more helpful if you would have stated more details like since when, other associated symptoms, frequency and quantity of urine etc. Still you may try taking homoeopathic medicine Kali Carb 200 3 doses, 1 every day for 3 days. Report after 1 week.
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Im suffering of diabetic neuropathy. Foot pain, swelling is there. My sugar level is between 350-400. I know its very high. Im following diet but not strictly . There is no changes in sugar levels. So please suggest me some remedies or treatment for this. Its a humble request. Help me.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Im suffering of diabetic neuropathy. Foot pain, swelling is there. My sugar level is between 350-400. I know its very...
Hi Jobin, I don't want to scare you but diabetic neuropathy should be taken very seriously. Please follow a very strict diet of low sodium and low sugar. So many diabetic diet plans are available. You can follow any. Increase your physical activity. Take Tab Unicorns forte. Once daily for one month. Keep a regular monitoring of your sugar level and if you have any query, do get back.
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