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(Chowpatty Medical Centre) CMC

Endocrinologist Clinic

Mumbai
1 Doctor
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(Chowpatty Medical Centre) CMC Endocrinologist Clinic Mumbai
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about (Chowpatty Medical Centre) CMC
(Chowpatty Medical Centre) CMC is known for housing experienced Endocrinologists. Dr. Nadeem Rais, a well-reputed Endocrinologist, practices in Mumbai. Visit this medical health centre for Endocrinologists recommended by 61 patients.

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Dr. Nadeem Rais

Endocrinologist
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Diabetic Nephropathy - Ways That Can Help You Manage It!

MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Diabetic Nephropathy - Ways That Can Help You Manage It!

Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.

What Causes Diabetic Nephropathy?

Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.

Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-

  1. Smoking

  2. Poor control of blood glucose

  3. High blood pressure

  4. History of kidney diseases

What are the symptoms of diabetic nephropathy?

In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-

  1. Severe malaise

  2. Headaches

  3. Nausea

  4. Lack of appetite

  5. Frequent voiding

  6. Itchiness of skin

  7. General feeling of illness

Diagnostic tests that can confirm diabetic nephropathy are-

Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-

  1. Blood pressure

  2. Cholesterol levels in your blood

How can you treat/ manage diabetic nephropathy?

If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-

  1. Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.

  2. Glycemic Control: Monitor your blood glucose levels regularly

  3. Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body

  4. Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.

2 people found this helpful

What diet is best for diabetic patients? What fruits are best for dietetic patients?

MBBS, MD
Endocrinologist, Delhi
What diet is best for diabetic patients?
What fruits are best for dietetic patients?
A diabetic person should avoid sweets, sugar,jaggery, honey,sweet fruits like mangoe, grapes,cheekoo, banana etc. He can take papaya, guava,khomani, kivi,jamun, apple etc in moderation.
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I am having type 1 diabetes from last 13 years. I am female and my age is 28. I want to know what are the chances of getting diabetes to my kids in future? Is it true if one of the parent has type 1 diabetes, children will also suffer from same?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am having type 1 diabetes from last 13 years. I am female and my age is 28. I want to know what are the chances of ...
lybrate-user, Thanks for the query. Risk of getting T1 diabetes does increase if parents have it. If father has T1 DM then child developing T1 diabetes is 1 in 17. Where as If a woman with type 1 diabetes and your child was born before you were 25, your child's risk is 1 in 25; if the child was born after the woman turns 25 years, the risk is 1 in 100. These are the statistics. It is very difficult to predict what may happen. Thanks.
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Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical treatment doctor diagnosis him some tablets. My question is when he took Telvas 40 tablet he feel low BP at same moment. What is its side affect after taken this tablet?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical...
unless bp below 100 /80 mm hg no worry also if nò chakkar giddiness vertigo no need to worry but with above complaìnts or if no is less than 100 / 60 mm. in this case reduce dose of telvas to 20 mg.and give some fruit juìce alone and make him lie down till ok.
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Since last 6 months my TSH is above 5 and below 10. T3/T4 being normal. Ultrasound of thyroid also normal. Last 15 days having chronic constipation, fatigue and cold feeling. Are the above due to hypothyroidism. Male 46, Weight 90 kgs, Height, 177 cms. BP 150/100 Medicines taking: cilnidipine 10 mg twice daily. Do I need further medical evaluation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, thanks for the query. Usually with TSH < 10 mU/L, no treatment is advocated. However, if there are troublesome symptoms are present then treatment is given. In your case symptoms like constipation, fatigue and cold intolerance as well as weight increase are indicating that there is a need for treatment. Your BP is also not in good control (ideally with treatment it should be 120 to 130 / 70 to 80 mmHg). Thanks.
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From one and half year (Since Aug-16) I'm taking TB medicine. 1.mycobutol 750 2.pyrazinamide 750 3.Rifampin 600. Now I having join pain due to uric acid (aug-17 blood checkup uric acid is 7.2),so please suggest now what I do.

MBBS
General Physician, Greater Noida
From one and half year (Since Aug-16) I'm taking TB medicine.
1.mycobutol 750
2.pyrazinamide 750
3.Rifampin 600.
Now ...
Your uric acid is marginally on the upper side. Continue with ATT for few more days and after 2 months it will be only 2 drug therapy.
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I am 60 yes male. Non diabetic. Dr. prescribed tonacttg tabs 1 per day. By mistake I have taken 1 in morning and 1 at night for 6 months. My sugar level gone up to 300 from 100 in 6 months. Is it due to this over dosage?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 60 yes male. Non diabetic. Dr. prescribed tonacttg tabs 1 per day. By mistake I have taken 1 in morning and 1 at...
Mr. lybrate-user, Thanks for the query. By taking Atorvastatin 2 tablets a day (20 mg per day), is unlikely to cause any such problem of increase in blood glucose. It is possible that you were earlier in a pre-diabetes state and that condition has now changed to overt diabetes. Please tell me the earlier Fasting, PP levels if you remember. In any case if present level is showing 300 mg, then it needs to be treated. So please check fasting, PP and HbA1c% and come back. Also inform details like your height, dietary pattern, extent of daily exercise. Also check the lipid profile. 300 mg (whether fasting or after food) is a very high glucose level, demanding urgent correction. Thanks.
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I am recently diagnosed with TSH 6.45 Will my mental ability, brain function memory degrade for sure? I am doing my PhD and I will remain in research field in electronics engineering. But this diagnosis really made me frustrated. Should I change my domain. I mean is it still possible for me to remain in research field where my brain function is highly required? Please help me please. I am 28 years old male. Weight 71 kg height 5 feet 7 inch. Sugar normal.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am recently diagnosed with TSH 6.45 Will my mental ability, brain function memory degrade for sure? I am doing my P...
1. You are perfectly normal and you can do every time of physical or mental activity without any hindrance. 2. TSH high - indicates Hypothyroidism - which means you will have to take Thyroxine to compensate for lack of it being produced by your body. 3. It is a very common problem with no impact on your health. 4. Please visit a physician with test results who will guide you further. 5. Be relaxed, no need for worry.
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I AM diabetic patient. WHICH MEDICINE I SHOULD TAKE. Would I TAKE MEDICINE regularly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I AM diabetic patient. WHICH MEDICINE I SHOULD TAKE. Would I TAKE MEDICINE regularly.
Hello, Thanks for the query. For treating diabetes there are many different medications both oral and injectable. The drug selection is done on the basis of individual patients needs. One has to look at blood glucose levels, HbA1c%, weight, height, dietary pattern and extent of daily exercise. Without those details drug/s can not be decided. Hence, my suggestion is please come in a private conversation (paid consultation) with all the above mentioned details, then I will be able to give the specific prescriptions and much needed instructions to be followed for stricter glucose control. Or else consult a close by diabetologist and start treatment early. Neglecting the condition is detrimental to your health. Thanks.
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I was diagnosed with hypothyroidism on October 2016 with TSH level 5.12 I consulted with endocrinologists. They suggested me not to start medicine and keep on checking TSH, T3, T4 level once in 2 months. I did so. My TSH level in the mean time came as 2.49, 2.21, 3.09 and also normal T3, T4 levels. But now 10 days ago my TSH level came as 6.45 I am extremely worried. I am preparing for civil services exam (IAS) which is the toughest exam. If I am diagnosed with hypo thyroid, my brain power will surely get diminished. Then is it possible for me to crack the exam? Many of my friends and family members suggested me to forget the IAS exam as it may not be possible anymore. I am worried. Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was diagnosed with hypothyroidism on October 2016 with TSH level 5.12 I consulted with endocrinologists. They sugge...
Mr. lybrate-user, Thanks for the query. The TSH levels earlier and current both are in sub-clinical hypothyroidism level. Usually at this level no treatment is advised. When level crosses 10 mU/L, hypothyroidism is confirmed and treatment is initiated. However, occasionally in some patients even at the sub-clinical level, if there are troublesome symptoms of hypothyroidism present then treatment is initiated with a minimal dose. Please tell me why was the test done? Was there any specific reason for getting the test done? If there is no specific problem, then there is absolutely no reason to worry. But if you have any specific issue, then treatment can be started. As regards your preparation for civil service exam and clearing it, if you are confident of your preparation and capabilities, then nothing will stop you from clearing it with flying colours. Low thyroid levels affect clear thinking and intelligence etc only when it is uncontrolled hypothyroidism. Still if you have any doubts please come back with answers to my few queries mentioned above, then I will be able to guide. Thanks.
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I have thyroid bp and diabetes along with bipolar disorder because of nicotine abuse. Will my disorders reverse if I leave nicotine.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
I have thyroid bp and diabetes along with bipolar disorder because of nicotine abuse. Will my disorders reverse if I ...
The fact is that there is a high correlation between nicotine abuse and bipolar disorder. This is merely an association and association does not prove causation. Hence, while stopping nicotine will definitely impact your health in a positive manner, you will need to do much more to reverse your disorders. In a case such as yours, I would include other positive lifestyle changes and plan a comprehensive management of metabolic and Hormonal imbalances.
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My wife's T3=89 T4 =5.1 TSH=57.08 Is it hypothyroidism? Taking 100 mg thyroxine tablet, is it ok?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife's T3=89
T4 =5.1
TSH=57.08
Is it hypothyroidism? Taking 100 mg thyroxine tablet, is it ok?
Hello, Thanks for the query. TSH 57.08 mU/L, shows it is confirmed hypothyroidism. Hence the treatment is also correct. Please ensure that TSH level is maintained between 3 to 4 mU/L, with adequate dosage of thyroxine. So please check TSH after 6 to 8 weeks, if the level is still above the recommended range, then there is a need to increase the dose further. Plus it is necessary to take the drug early morning on empty stomach, then nothing to be taken for at least 1 to 1 and half hour. Plus she should avoid soy beans, soy containing products and consume more of green leafy vegetables, salads and fruits. Avoid bakery items and foods made of maida completely. Thanks.
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I am 34 years old n i am 100 kgs. I delivered a baby a year bck n was diagnose wid diabetes on the 9th month. Nw I simply chkd at home my sugar level on fasting shows 400. I panicked. Pls advice wt shld I do.

MBBS, MD
Endocrinologist, Delhi
I am 34 years old n i am 100 kgs. I delivered a baby a year bck n was diagnose wid diabetes on the 9th month. Nw I si...
Fasting blood sugar 400 is indicative of diabetes. Get your fasting, pp blood sugar, HbA1c done and consult a physician with reports. He will evaluate you clinically, look for other associated problems after which he will suggest diet restrictions, exercise and medicine which are suitable for you.
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Today I Tested fast sugar &H1Abc and random sugar Results are Fast sugar 100.6 Hiabc 5.1 7& random sugar is 111 doctor advised me to go for glucose tolerance test. Is I am diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Today I Tested fast sugar &H1Abc and random sugar Results are Fast sugar 100.6 Hiabc 5.1 7& random sugar is 111
docto...
Mr. lybrate-user, Thanks for the query. The blood glucose levels and HbA1c% shown all confirm that there is no diabetes. I do not see any reason for doing a OGTT. Thanks.
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I 67 yrs, Type 2 Diabetes since 6 years .On 5 July 17 - Amylase -207 U/L, Lipase- 285.(method- Enzymatic Colorimetric Assay, by Thyrocare) but by SRL Diagnostics on 25 July 17 -Amylase-90 U/L & Lipase -242 (method- spectrophotometry - Ref. Interval units- 73-393? By thyrocare report range is 13-60 U/L? In ultrasound my pancreas is normal, I have no physical symptoms of pancreatitis. What I should do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I 67 yrs, Type 2 Diabetes since 6 years .On 5 July 17 - Amylase -207 U/L, Lipase- 285.(method- Enzymatic Colorimetric...
Mr. lybrate-user, Thanks for the query. Please tell me why did you go for those enzyme tests? Is there any problem or just because the offer was there from Thyrocare? Most important is to keep your blood glucose in good control with fasting < 100 mg, PP 160 to 180 mg & HbA1c% <7. If you have no symptoms bothering please ignore those results. Another important thing to remember is to reduce your weight, with a BMI of 26.95 kgs/M2, you are overweight. Your ideal body should be about 55 kgs. Therefore, please look at your diet and exercise. Do not worry about other things. Thanks.
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I am 62 years old, diabetic since 20 yrs. Took oral allopathic medicines till July 6th. Had an heart attack and standing was done due to a 100% block. As my hbA1c was 11.4 I have been asked to take 40 units of insulin and blood thinners, statins and thyronorm for thyroid problem. My glucose readings vary from 115 to 400. BP normal, TSH is 5.93. Creatinine is 1.7. Now along with present allopathic medicines Can I take Ayurvedic medicines (Divya kit). Will it be helpful. Does insulin taken for long create any further complications? Pl advice.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am 62 years old, diabetic since 20 yrs. Took oral allopathic medicines till July 6th. Had an heart attack and stand...
Please understand that because of longstanding uncontrolled diabetes, you were already at a high risk of complications like heart attack and kidney dysfunction, and after the heart attack now that risk has come true and also your kidneys are already show impact of diabetes because creatinine is 1.7, So in your case it is ABSOLUTELY NECESSARY that you have good sugar control as well as take all necessary medication timely to prevent any new heart blockage or further worsening of kidney problem. Insulin is a very safe and effective medication and you should take it as advised, also please remain in close follow up of a endocrinologist to keep your hbA1c around 6.5%. And I will advise you against mixing of allopathic and ayurvedic medicine because of two reasons - 1) it can lead to drug interactions with blood thinners and stains and side-effects due to those interactions. The blood thinners and statins are absolutely essential for your stent to function normally. 2) Because quite a lot of ayurvedic medications are excreted from kidneys and can cause further damage to your already damaged kidney function. So it will be best if you take your allopathic medication and insulun and lifestyle precautions and proper diet to stay helathy and please keep in close touch with your endocrinologist for proper sugar control.
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M suffering from thyroid. Don't know which type of. But very early age mai muje hua ye in 15 years. Why what are the causes of thyroid? Kya ye kabhi thik nahi hoga.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. Diseases related to thyroid gland are usually either hypothyroidism where the gland is producing less or nil thyroxine and second common problem is hyperthyroidism where there is excess activity of thyroxine. It would have been better if you had given the thyroid test results and the medicine that is being taken. Above mentioned conditions can only be controlled by proper medication and one can live a very normal life. There is no cure. Isake saath hi rehana padata hai. Thanks.
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My blood sugar level (fasting )is 95 mg/dl. Is it normal .any precautions. Please reply.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood sugar level (fasting )is 95 mg/dl. Is it normal .any precautions. Please reply.
Mr. lybrate-user, Thanks for the query. The blood glucose value given is very much normal. There is no reason to worry. Thanks.
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Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

Ovarian cysts are fluid-filled sacs in the ovaries, often in multiples, which are very common in women. This is absolutely different condition from polycystic ovaries. Most of them are benign and not indicative of an underlying problem. They produce no specific symptoms and even if detected, can be watched over a period of time. Treatment may be required only if there are serious symptoms or there is higher possibility of cancerous nature of the cyst. Read on to know more. 

Types 

  1. Functional: There are two types in this. The follicular variety is when the egg that is ready for fertilization does not completely shrink and stays for a few more days before it disappears. Another variety, the luteal ovarian cysts are formed when after the release of the egg, there is blood filling up in the corpus luteum. 
  2. Pathological: There are many types here – dermoid, cystadenomas, endometriomas, cancerous cystadenocarcinomas etc. These are worrisome and need to be treated. Both varieties, once identified, should be monitored. The functional variety, though may not cause a problem, can cause infertility and so necessitate treatment. 

Symptoms 

Any ovarian follicle larger than 2 cm can be called as an ovarian cyst. They are usually benign and do not produce any symptoms. However, if they turn pathologic or grow in size, they can cause various symptoms such as: 

While cysts are often quiet and do not produce any symptoms, they can cause intermittent, nonspecific symptoms like above. If there is a family history of ovarian cancers in mothers, maternal aunt, Sisters, Grandmothers etc then women should have regular Gynaecological checkups to have a check done for ovarian cysts. 

Why go for laparoscopic surgery? 

  1. Laparoscopic surgery is considered to be one of the most effective ways of treating the condition of ovarian cysts. During the surgery, problem causing non-cancerous cyst can be removed without harming the ovaries. In the case of cancer, both ovaries along with uterus etc may have to be removed. This decision is taken by the operating surgeon depending upon age of the patient, characteristics and nature of the cyst and future fertility desires of the patient. 
  2. The patient is given general anesthesia during the surgery. After the surgery, one is suggested to rest for a day and may be permitted to return to normal activities within a day’s time. However, one needs to avoid any strenuous activity for almost a week. 
  3. While some cysts can be watched for years, others need treatment. This would be specifically true in cases where the couple is facing infertility issues or if there is a higher possibility of cancerous cysts. Such cysts need urgent intervention and should be monitored by a gynecologist with an experience in oncology. There are few blood tests that are needed to be done to know the nature of the cyst if it is benign or cancerous.
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