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Dr. Mitali Joshi

Endocrinologist, Mumbai

750 at clinic
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Dr. Mitali Joshi Endocrinologist, Mumbai
750 at clinic
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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. Mitali Joshi
Dr. Mitali Joshi is a trusted Endocrinologist in Worli, Mumbai. You can visit her at Lifespan Diabetes Clinic - Worli in Worli, Mumbai. Book an appointment online with Dr. Mitali Joshi on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Lifespan Diabetes Clinic - Worli

Seagull Villa, Sir Abdul Gaffar Khan Road, Worli Sea Face (North), Landmark: Opp. Indian Coast Guard, MumbaiMumbai Get Directions
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M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
DIET IDEAS FOR PEOPLE SUFFERING FROM HYPO AND HYPERTHYROIDISM!

Its really alarming to see ever 20th person suffering from hypothyroidism. We can not treat the cause in most of the cases but surly can manage the condition by making changes in diet and lifestyle.
Click on consult privately to join my healthy online weight loss diet program and get assured result.


I am diabetic and etching has started since last 1 year. Taking medicine glycinorm but no improved on Internet ayurvedic medicine including cow urine is suggested and want to consult ayurvedic doctor.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I am diabetic and etching has started since last 1 year. Taking medicine glycinorm but no improved on Internet ayurve...
Taking medicines is not enough. Is your diabetes (blood sugar) in control? what is your hba1c level? localized itching is often caused by uncontrolled diabetes. It can be caused by a yeast (fungal) infection, dry skin, or poor circulation. When poor circulation is the cause of itching, the itchiest areas may be the lower parts of the legs. You may be able to treat itching yourself. First, control your blood sugar levels. Second, limit your showers or baths to no more than 10 minutes, pat dry, and moisturize while your skin is still damp.
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CGMS - Continuous Glucose Monitoring system

Non-invasive Cardiology
Cardiologist, Thane
CGMS - Continuous Glucose Monitoring system

With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy. 

What is CGMS: 

Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis. 

Whom is it for?

If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes

The Usage 

Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows. 

Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team. 

If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels. If you wish to discuss about any specific problem, you can consult a Cardiologist.

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Please suggest the Name of medicines to control sugaar level, fasting 194, pp 293.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicines to take along with for better results. diabonil drops (sbl) 20 drops in 20 ml water 10 minutes before meals 3 times a aday vincetoxicum (adel lab) 20 drops empty stomach in 1 glass fresh water report after 2 months.
2 people found this helpful
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My wife have diabetic and pregnant now with 8 weeks her weight is 73 kg. Now my question is what meal chart is good and when and what she should have in meals? What are the free foods, vegs, fruits? How she can maintain her weight? Any other suggestion? Also she is taking insulin three times in a day.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
My wife have  diabetic and pregnant now with 8 weeks her weight is 73 kg. Now my question is what meal chart is good ...
Hye. For her present condition she needs to take a personalised diet plan which has to be planned keeping in mind her pregnancy, gestational diabetes and hypothyroidism along with her present intake.
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How to control the thyroid level? As I have not much time for workouts due to my college timing suggest some measures to control it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
10 milli units, then treatment with thyroxine hormone is needed. Workout or exercise is to avoid weight gain which occurs as a consequence of hypothyroidism. So if you do not want add extra weight, then there is no option, but to find time for exercise. You should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, broccoli, radish, peanuts, mustard and coffee. Also consume more of green leafy vegetables salads and fruits. Should use whole grain flour for chapati and roti. These precautions in addition to thyroxine in adequate dose will help in controlling tsh level in turn hypothyroidism">dipaliji, by mentioning" thyroid level" are you talking about high tsh levels? because there is nothing like thyroid levels. If tsh is high > 10 milli units, then treatment with thyroxine hormone is needed. Workout or exercise is to avoid weight gain which occurs as a consequence of hypothyroidism. So if you do not want add extra weight, then there is no option, but to find time for exercise. You should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, broccoli, radish, peanuts, mustard and coffee. Also consume more of green leafy vegetables salads and fruits. Should use whole grain flour for chapati and roti. These precautions in addition to thyroxine in adequate dose will help in controlling tsh level in turn hypothyroidism.
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Is born babies effected by diabetes If father is already suffering with diabetes? If yes give me some tips for this problem? Thank you.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is born babies effected by diabetes If father is already suffering with diabetes? If yes give me some tips for this p...
It is not happening as a rule and there is increased chance if nor cared when they grow up and a check up now is needed
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Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened is she has reduced her sugar dosages n feeling great? What should I do to loose her weight, her body is not responding.

C.S.C, D.C.H, M.B.B.S
General Physician,
Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened i...
You need to have diet plan based on your bmi & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. To burn off fat. Some tips 1) drink three or four cups of water whenever you feel hungry and just before eating food 2) take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 kms and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests.
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Weight Management for Diabetics

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Weight Management for Diabetics

Type 2 diabetes, the type of diabetes which is common in adults, is a disease of insulin resistance, a condition in which the body produces insulin but does not use it effectively. When people have insulin resistance, glucose builds up in the blood instead of being absorbed by the cells, leading to type 2 diabetes or prediabetes. Insulin resistance is associated with excess body weight and often gives rise to metabolic syndrome, also called insulin resistance syndrome, is a group of traits and medical conditions linked to overweight and obesity that puts people at risk for both CVD and type 2 diabetes.

Losing excess body weight,therefore helps people with diabetes and prediabetes in several ways

-Weight loss results in less insulin resistance in the body so that blood sugar is better controlled
-Weight loss also results in decreased blood pressure and better blood lipid profile thus reducing the heart risk
-Weight loss results in positive changes in mood and behavior and gives a sense of control over the disease

Therefore, the guidelines, by expert agencies in diabetes care, recommend that

-Overweight/obese people should try to lose weight and get their BMI< 23; this target is suitable for people with less burden of excess weight (BMI up to ~ 25)
-For people who are morbidly obese (BMI greater than 27.5 or more in people of Indian subcontinent), initial target is to lose 5-10% of body weight within six months to year
-Gradual weight loss is recommended, for which a moderate calorie restriction of 500 calories is advised, but in severely obese people a calorie restriction of up to 1000 calories
-The radically restrictive diets such as low carb, low fat, Atkins etc. have not been found to be superior for either weight loss or sugar/cholesterol control over other diets
-Adherence to the calorie restricted diet is single most important factor for weight loss maintenance
-Recommended level of exercise for all adults (150 minutes/week of moderate-intensity exercise and 2-3 sessions of resistance exercise/week) help in greater weight loss when combined with a dietary calorie restriction of 500 calorie/day. But, for exercise alone to produce weight loss, 225-400 minutes of moderate intensity exercise is needed
-Drugs or surgery for weight loss may help in people with higher BMI (greater than 27.5 for drugs and greater than 32.5 for weight loss surgery), if you fall in these groups, you should discuss the use of these measures with your doctor

Thus, if you are diabetic or prediabetic and are overweight, you should get into a weight loss program to reduce your health risk.

7 people found this helpful

I'm having diabetes for last 12 years and I'm 42 years old, should I shift to human insulin from pills ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm having diabetes for last 12 years and I'm 42 years old, should I shift to human insulin from pills ?
Mr vivek, may I know why you are interested in shifting to insulin injections? usually in t2 dm people shit to insulin when the sugar control is not good with oral anti diabetic drugs. Hence please give details about current fasting, pp sugar levels and hba1c% and your physical activity. If you feel shifting is needed, it can be done any time and will help in better control.
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Role of Hysteroscopy Diagnosing of Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Role of Hysteroscopy Diagnosing of Infertility

Hysteroscopy is considered as a therapeutic modality and a valuable detection in the management or treatment of infertility. It is a process whereby a doctor checks the uterus cavity to treat the cause of abnormal menstrual bleeding which may be impeding chances of conception. It is performed with the help of a hysteroscope (a thin tube) inserted in the uterus to detect and examine the cervix (lower end of the uterus). Its role has changed and modified overtime.

Hysteroscopy is performed to find out certain causes of infertility; which may be:

  1. Problem in the size or shape of the uterus.

  2. Repeated miscarriages.

  3. Endometrial cancer (a cancer of the uterus).

  4. Scar tissue in the uterus.

How and when to prepare for hysteroscopy?

  1. The best time for hysteroscopy to be carried out is when one is not on her menstruating cycle.

  2. Make sure not to insert tampons or use vaginal medicines 24 hours prior to the surgery.

  3. An anesthetic will be given to relax you before hysteroscopy.

How is it performed?

The procedure begins with the administration of anesthesia.

  1. The cervix will be widened (dilated) by the doctor to insert the hysteroscope.

  2. The hysteroscope is then inserted into the uterus through the vaginal tract and the cervix.

  3. The uterine cavity is expanded by the usage of carbon dioxide gas. The blood and mucus is then cleared. This is done once the hysteroscope is put into the uterine cavity.

  4. The hysteroscope light allows the doctor to see and diagnose the problem in the uterine cavity by observing the openings of the fallopian tubes (tubes through which the eggs travel from ovaries to the uterus).

Expectations after the procedure:

  1. You will have to be observed for a few hours before you are allowed to go home.

  2. Post-surgery vaginal bleeding or cramping is also common.

  3. In case carbon dioxide gas is used in the surgery, mild shoulder pain might be another botheration. However, it should subside within a day or two.

  4. It is also completely normal to feel slightly sick or even have a few bouts of fainting.

Certain complications which might require medical attention are:

  1. Heavy vaginal discharge or bleeding

  2. Acute fever

  3. Acute abdominal pain
1 person found this helpful

I am diabetic since last years. My present age is 55 years with 65 kgs. Weight. I take (last 1 year) cetapin 500 two times and aztor 20 one time. At present I dont take any medicine and take green tea tulsi in original and I am walking for 45-60 minutes weekly 5 days. My present fasting glucose level is normally 115-120 and pp is 170-200 without medicine. Please suggest if I take medicine or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, great this is called reversal but u've to constant monitor n on exercise mode, get investigated for hba1c n all base line so it'll add value in future, like ecg, 2-d-eco, lipid profile, microalbuminurea, usg full abd'n+ pelvis. Lets consider for ayurveda seasonal detox to add value n rasayan therapy to boost health n fitness with well being by yoga, cardio,
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I m taking thyrox50 dose everyday will tha thyroid ever be cured or I have to take it lifetime

SENIOR RESIDENCY-ENDOCRINOLOGY, FELLOWSHIP IN DIABETES AND ENDOCRINOLOGY, MD, MEDICINE
Endocrinologist, Bangalore
There is no cure . But it can be nicely controlled. Whether or not u need it life time for that u need to do a test called anti tpo. Kindly do that test along with tsh and revert back.
1 person found this helpful

Very often irritation in throat leading to cough and spasm. A Bronchitis patient, allergic to cold, season change. Taking Montair LC and Foracort 200 inhaler. Suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Very often irritation in throat leading to cough and spasm. A Bronchitis patient, allergic to cold, season change. Ta...
Mr. Lybrate-user, what is the query? you seem to have asthmatic condition probably due to allergy. The remedy for such a condition is to take prescribed drugs regularly, avoid exposure to known allergen and avoid excess physical strain as that also is likely to precipitate an attack. I have noticed in a few of my patients practicing pranayam (breathing exercises) regularly does help in overcoming the severity of the condition. The seven pranayams: bhastrika, kapalbhati, bahya, agnisar, anulom vilom, bhramari and udgit (om). Thse are really helpful.
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My wife Sunita singh age 46 years old suffering from thyroid since 2008. Her TSH is 20, 71, TV is 6.5 and TV is 1.04. And previous TSH is 5.83 To is 84.4 and TV is 1.28. She is taking 100 mg and next day 150 mg. Please advice the permanent cure of this disease. In homeopathic or other method.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
My wife Sunita singh age 46 years old suffering from thyroid since 2008. Her TSH is 20, 71, TV is 6.5 and TV is 1.04....
Dear lybrate user with the limited amount of information provided it appears that your wife is hypothyroid. If could had been better if you had provided us with your tsh, ft4 levels in a proper format as some data is missing. Advise - please continue with thyroid hormone replacement as advised as this hormone is now deficient in her body and nothing else other than these tablets can replace it. Hope this solves your query anything more then please feel free to revert.
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Few days my mum. Is suffering from swelling and joints pain we do the rest her hb level is 12.5 gms% ESR IS 34 MM Blood urea is 32 mg/dl Serum creatinine is 0.7 R A FACTOR IS NEGATIVE EQUITY 1: 1 wht shall we do is the report normal. Shall she hv to tk any medicine plzzz suggest us she is already hypothyroidism patient her tsh is 7 she is taking thyronorm 75.

MD - Homeopathy, BHMS
Homeopath, Lucknow
Few days my mum. Is suffering from swelling and joints pain we do the rest her hb level is 12.5 gms%
ESR IS 34 MM
Blo...
Dear user, your mom is suffering from seronegatve arthritis, will suggest to take homeopathic medicines after full case taking of your mom. I need more symptoms like when pain and swelling increases and decreases, what's the constitution, height and weight and age, hows thirst of her, whats the position of bowel movement/ stool. Please do a followup with the answers of these queries. I will advice till any medicine, do yoga in morning, drink plenty of water, use fresh fruits and vegetables. And a few minutes of meditation. Thanks.
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I am 48 years male living in vellore District and working as HR-Manager. Due to stress, got diabetic in the year 2007 and taking medicine from M. V. Diabetic center, Chennai. My question is how long I should take these medicines.

BAMS
Ayurveda, Bangalore
I am 48 years male living in vellore District and working as HR-Manager. Due to stress, got diabetic in the year 2007...
Hi, Diabetes is not a curable disease, it can only be controlled. So, you have to be on these medications for life long. Only the dosage can be adjusted according to the blood sugar values.
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I am 38 year old. I am diabetic from last 5 year. My blood sugar level is 250 pp.

International Academy of Classical Homeopathy, BHMS
Homeopath,
I am 38 year old. I am diabetic from last 5 year. My blood sugar level is 250 pp.
mother tinc.sygi.jambo. 10 drops 2tims day for 2months along with 1glass of warm water indat water take 1table spoon of tumeric early in d moring forever
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I am 56 year man suffering from diabedites with range of 300 mg. Sugar level empty stomach, please advise.

MD - General Medicine
General Physician, Balasore
Get fasting n post prandial sugar level along with hba1c check your weight n kidney function test you have to be on insulin or oral anti diabetic drugs for controlling sugars.
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