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Dr. Mitali Joshi

Endocrinologist, Mumbai

750 at clinic
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 37 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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Seagull Villa, Sir Abdul Gaffar Khan Road, Worli Sea Face (North), Landmark: Opp. Indian Coast Guard, MumbaiMumbai Get Directions
750 at clinic
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I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopathic) medication?

BHMS
Homeopath, Solan
I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopat...
Thuja 1m 3 doses. 1 acid phos q 10 drops in half luke water. 2 syzygium jambolanumq 10 drops in luke warm water. 3 sanicula q 10 drops in luke water 10 drops daily twice aday. And biocombination number 7. Remove sugary things and do exercise, yoga daily.
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How safe is invokana 100mg for a diabetic with sugar values 120-130 on fasting and 250-270 on pp? do you suggest external insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How safe is invokana 100mg for a diabetic with sugar values 120-130 on fasting and 250-270 on pp?
do you suggest exte...
Invokana is very new drug in india, its safety in clinical studies is good, however, we are yet to use it regularly. It has definite advantages some of the existing treatments. Taking insulin injections is in fact really good for you as it can bring sugar levels rapidly under control.
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One month back my father having chest pain and fever. Blood samples analysed and Echo carried out. In that heavy pericardial effusion seen. For next 3 days water evacuated from chest and around 1000 ml water evacuate. Its sample analysed and ADA 63 reported in forms of tuberculosis and no malignant cells seen. CT scan also carried out. And tuberculosis treatment started. In start, His blood sugar increased to 450 and now its normal to 150-200. At present he is taking R Cinex and Benadon tablets. I want to know if this treatment is OK or should I walk to other doctors. I can share all reports if you need. Is there any chances of any other disease apart from tuberculosis. At present his right hand paining very much and its almost one month but he is still feeling weak.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
One month back my father having chest pain and fever. Blood samples analysed and Echo carried out. In that heavy peri...
Thanks for the question in our country tuberculosis is a common cause for pericardial effusion. As per the reports that you have provided your father's pericardiocentesis was done and fluid analysis was suggestive of tuberculosis (with high ada). The treatment he has been put on is fine. Presently, he is on rcinex and benadon, hence I presume that his initial intensive phase of anti-tubercular drugs is over. The management duration is usually 6-9 months in respondent cases. You can get a check xray chest done to note for the current status. I would advise you to continue with your present doctor since the treatment provided is as per guidelines of management. Regards.
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Dr. I had checked my sugar level it is FBS- 170 and RBS is 180. Why is my blood sugar level is more in FBS. I have a habit of walking around half an hour and exercising for 15 min. I am aged 53 years. Kindly advise as I am not in any type of medication and want to avoid medication. Kindly advise.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Dr. I had checked my sugar level it is FBS- 170 and RBS is 180. Why is my blood sugar level is more in FBS. I have a ...
Dear lybrate-user! Your fasting sugar is in diabetes in range. Please get your HbA1c done (3 monthly blood glucose average) and get in touch with an endocrinologist immediately. Uncontrolled diabetes damages all major organs of the body including heart brain kidneys and nerves. Simple medicines are needed to keep blood glucose in control and avoid major complications of diabetes. These medicines are perfectly safe.
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I am 54 years old male. I have recently discovered my sugar level has gone up to 200 but I was able to bring it down to 150 with exercise and diet control. My parents too had diabetes. I don't want to get hooked on to regular allopathic diabetes medicines. I can maintain any exercise and diet schedule however strict. Any remedy to stay healthy?

BHMS
Homeopath, Faridabad
I am 54 years old male. I have recently discovered my sugar level has gone up to 200 but I was able to bring it down ...
Hello, maintain the same diet schedule and exercises you are following and along with them you should take Sygyzium 1X, 2 tabs twice daily before meals.This is a Homoeopathic medicine and quite safe for you. Consult for further guidance if required.Take care , thank you.
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I am a diabetic with sugar ranging from180 to 280 fasting and PP ranges from 280 to 310. I am taking huminsuln 30/70 40 units in the morning and 40 in the evening. I am a female weighing 90 plus and have a stressful life. What should I do ?

PDDM, MHA, MBBS
General Physician, Nashik
You should also receive insulin sensitising drugs along with insulin. And your bsl is also not controlled. Kindly consult for proper management. Dr Surbhi agrawal consultant physician and diabetologist
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My mother is suffering from diabetes since last 24 years. I am having burning sensation in my feet. Please provide some medical help for the same.

PGDHHM, MBBS
General Physician, Delhi
My mother is suffering from diabetes since last 24 years. I am having burning sensation in my feet. Please provide so...
Thx for the query. This is due to diabetic neuropathy. Treatment includes keeping blood sugar levels in the normal range. Proper diet control. Have diabetic diet. Take tan mecobal-od daily for neuropathy. Get your vit b12, vit d, sr tsh and iron profile done. Monitor your sugar level by hb1ac every three monthly. Hope this helps you.
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I am 56 years old diabetic and bp patient suffering with pain at lower back side what could be problem.

DPT
Physiotherapist, Delhi
I am 56 years old diabetic and bp patient suffering with pain at lower back side what could be problem.
Beside your diabetes problem ther must be muscular imbalance for which you must learn exercises frpm a physio and must walk for at least half an hour per day. Walking itself will take care your back problems.
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How to know my body suffering in diabetes? Please tell me any simple and free methods to know diabetes.

MBBS
General Physician, Mumbai
How to know my body suffering in diabetes? Please tell me any simple and free methods to know diabetes.
If there is a non healing wound or if there is increased urination or if there is increased appetite than you can suspect that you have diabetes.
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Hi doctor, my father is facing uric acid problem in urine kindly suggest a good suggestion to him how to reduce this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.
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Hello doctor I have blood sugar how to decrease give some idea and give some medicine name.

MBBS
General Physician, Cuttack
Hello doctor I have blood sugar how to decrease give some idea and give some medicine name.
1.Do regular aerobic exercise for 1 hour daily (brisk walking,jogging,running,swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a)Avoid sweets, sugar/honey, milk, excess calorie and carbohydrate rich diet like white bread, cereal,rice, pasta b)avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food,. c)include more fiber like pulse,green leafy vegetable, legume. d)Avoid sweetened fruit like banana,mango,litchi, chickoo,sapota, seethaphal jack fruit,grape etc. can have fruits like guava, pineapple,papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato e)Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. f)Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. g)Avoid red meat.take fish/chicken. h)Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment
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Thyroid profiles T3 is 9 T4 is 44 Tsh is 0.001 This means And what about the risk factors in my life.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Thyroid profiles T3 is 9
T4 is 44
Tsh is 0.001
This means
And what about the risk factors in my life.
lybrate-user, please consult an endocrinologist. Once the medication begins there is not too much of risk. It is hyperthyroidism. Get under treatment asap.
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I am ckd patient since 5 years, please tell me how to control please my uric acid ?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Avoid alcohol and non vegetarian diet. If still high, then try medicines. Safe medicines are available now which can be used in ckd.
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My creatinine is 1.9. How I control that level. I'm diabetic. And also have taken cardiac medicines.

Master in Clinical Nutririon
Dietitian/Nutritionist, Ahmedabad
My creatinine is 1.9. How I control that level. I'm diabetic. And also have taken cardiac medicines.
Hey take a proper balanced diet at regular intervals. Stop taking any protein supplements if taking any. Try taking chamomile tea, add cinnamon to your foods, keep low fat, moderate protein moderate carbs. Eat fibrous foods to control sugar, reduce sea foods consumption very high in proteins. Donot have processed foods high in msg and potassium. Avoid strenous exercises. You can take a further consulation for a diet plan from me.
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My father is diabetic and he is 74 years old, he is on insulin but his sugar level flactuates maximum it goes low. So please help me that when sugar level continously getting low on that case can we decrease the units of insulin.

C.S.C, D.C.H, M.B.B.S
General Physician,
My father is diabetic and he is 74 years old, he is on insulin but his sugar level flactuates maximum it goes low. So...
Send me the reports of FBS, 2HR PPS and HbA1C and the dose of insulin you take now. Send the reports to me privately.
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My T3 is 232 and T4 is 15.6. Also TSH is 0.008. What can I do. Which doctor I have to consult. My LDL is 186. I refer to General physician and he recommended oncologist. Please suggest what to do.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
My T3 is 232 and T4 is 15.6. Also TSH is 0.008. What can I do. Which doctor I have to consult. My LDL is 186. I refer...
You first go for sonography of thyroid gland for any nodule, if yes then fnac thyroid. You go to endocrinoilogist or to me. For lipid profile cardiologist or you can discuss on line with me. I am specialised thyroid, cardiovascular and diabetes.
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My wife has thyroid. Her tsh is 7.7 she is taking" eltroxin 50mg" daily. May she have to increase or decrease her dose, if yes then how much dose she have to take. Or any better medicine from it to control her thyroid.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
If this is the value of tsh on regular treatment. Then yes. Dose adjustment is needed. For which latest t3 t4 tsh reports are must.
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Am 62/m. Blood sugar level 85/110 and in the pm around 106. Three months results show non diabetic. I feel tired very often.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Am 62/m. Blood sugar level 85/110 and in the pm around 106. Three months results show non diabetic. I feel tired very...
Dear lybrate-user, your weakness isn't related to your blood sugar levels. At your age ageing, poor heart function, muscular atrophy, nutritional insufficiency and mental stress or depression are common but overlooked causes of weaknesses. Visit a doctor in your area, get necessary tests done and treat the cause. Don't worry. Regards.
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DIABETES: How Homeopathy can Cure?

Homeopath,
DIABETES: How Homeopathy can Cure?

Diabetes is a long term disease. Homeopaths resorts to different approaches towards diabetes. When the blood sugar level is very high, the priority is to control it. There are homeopathic remedies that could reduce the sugar. Another approach is to understand the patient’s profile through a patho- physiological profiling and resort to treatment of his illness. There is yet another approach to understand the patient in depth through a detailed case taking, crate a profile at his physical, mental, social and spiritual level (holistic approach) and then select a constitutional remedy. Each of these approach has its own scope and limitations. The physician has to take a decision as to what approach is needed on a patient depending on his general health, progress of disease, complications, the organs affected etc. Here’s discussing the four approaches:

1) Management of blood sugar
The commonly used remedies are uranium nitricum, phosphoric acid, syzygium jambolanum, cephalandra indica etc. These are classical homeopathic remedies. These are used in physiologically active doses such as mother tincture, 3x etc. Depending up on the level of the blood sugar and the requirement of the patient.

Several pharmaceutical companies have also brought in propriety medicines with a combination of the few homeopathic medicines. Biochemic remedies which is a part of homeopathy advocates biocombination no 7 as a specific for diabetes. Another biochemic medicine natrum phos 3x is widely used with a reasonable success in controlling the blood sugar. Scientific studies on the impact of homeopathic medicines in bringing down blood sugar are limited, but many of the above remedies have some positive effects either as a stand-alone remedy or as an adjunct along with other medications.

2) Holistic as well as individualistic approach in medicine through homeopathy

This is a unique concept in homeopathy. Even though it may sound strange, homeopathy does not treat pathological effect of the disease per se. A homoeopath treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is afflicted with pathological state. He considers diseases are a mere deviation in life force and make efforts to correct this aberration. Homeopathy regards health as a state of balancing the equilibrium of the life force and the physicians’ duty is to support the individual to maintain a harmony in health (promotive health), restore the sick to health through a rational medication (curative health) and prevent diseases whereever needed (preventive health). There is a defined philosophical approach in each of the above areas and therefore homeopathy in true sense is called holistic system of medicine. It is also known as experienced medicine because all the medicines that are used on the patients are subjected to human trial and assured of its safety even in infants. The medicines are being used for over two centuries and not even one instance of adverse drug reaction has ever been reported.

3) Constitutional treatment
Hahnemann who published his work on chronic diseases and its cure advises to give more importance to the patients past and family history to understand the genesis of illness and to prescribe constitutional medication. In the modern terminology this could be said as the genetic preponderance or modification due to the patient’s life style or circumstances or due to suppression of illness in the past. The homeopaths, therefore take long hours to understand the patient’s history to understand the constitution, temperament, history of suppression etc to arrive on a constitutional medication. This approach is unique to homeopathy and a little time consuming. It also require extreme skill, perseverance, knowledge and experience. Constitutional remedies acts deeper into the system and correct the inherent disorder of the individual. Thus the constitutional remedy not only cures the disease, but improves individual’s health in general. If patients with diabetes take his constitutional remedy, it will not only help to control his sugar metabolic process, but also the tissue to absorb and assimilate the sugar and try to make other organs function perfectly.

4) Promotive approach to diabetes.
Type 2 diabetes can be prevented by lifestyle modifications. Some of the easy tips are:

Eat small meals every 2-3 hours regularly instead of consuming large meals. Prefer to steam your vegetables rather than fry them. Reduce the consumption of sugar, alcohol and fatty foods in your diet

Eat fiber rich foods like whole grains, pulses and reduce your intake of oil. Avoid fried foods.

The lifestyle modifications that can be followed by everyone are regular exercise for at least half an hour. Prefer to climb stairs rather than using elevators or escalators unless there is any heart ailments. Avoid sitting in same position for longer duration at your workplaces. Take short breaks. Practice yoga at home in case it is not possible to go outdoors and indulge in household chores in order to keep yourself active and fit.

Even a patient who is suffering from type ii diabetes can follow life style medications and resort to regular medications under strict supervision of a qualified homeopath, will escape the serious complications of diabetes and keep his disease under control.

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My blood sugar level after meal is 202 is it normal or not? I have facing itching problem and dryness in my skin. Kindly suggest me.

PG Hom, London, BHMS
Homeopath, Mumbai
My blood sugar level after meal is 202 is it normal or not? I have facing itching problem and dryness in my skin. Kin...
Hello madam, blood sugar level of 202 post lunch is not normal and you must undergo further testing. You have to undergo a test named hba1c which will help to determine your blood sugar level over past three months and in turn help to understand if you are suffering from diabetes. For itching and dryness, you can apply hydramost lotion all over your body or only on the area where you get itching. Dryness causes itching which in turn increases the dryness and further increases itching.
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