Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
Submit a review for Dr. Nagendra Sardesh PandeYour feedback matters!
Marriage at the age of 38. Eight months passed not able to conceive. AMH levels fluctuating.in march 16 it was 6.8,june 16 it was 3.2 and now in aug 16 it is 7.2.what it shows? TSH is 3.0 prolactin 11 estradiol 60.
I'm recently married 25 years female. During the first two months of our marriage I experienced orgasm during intercourse. Now it's 5 months since our marriage and I'm not having orgasm for most times. What may be the reason? I've heard tat g spot stimulation helps in getting orgasm. What is the spot? How can I find out the spot?
I had sex with my wife today in the morning. Her menses will start on 15th or 16th February. Is there any chances of pregnancy. We had unprotected sex and we don't want a baby. What should we do to avoid pregnancy?
Foods that help to cleanse the liver
3. Green tea
6. Leafy green vegetables
8. Cold pressed organic oil
Hi doctor I have pcod last 8 months over so taking ayurvedic medicines now 2 months over this month periods came regular weight also reduced 6 kg with 2 months so how much months want for now conceive I have 1 baby now she is 2 years 8 months now trying for 2nd baby height 5.3 and weight 62 kg.
Hi We are blessed with a boy baby 3 months back and my wife feeding him regularly When could be here approximate date for here periods.
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
If you like my article please share it with your friends and family.
Awareness is prevention!