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Dr. Ramesh Pawar

MBBS, MD - Diabetology

Endocrinologist, Mumbai

21 Years Experience
Dr. Ramesh Pawar MBBS, MD - Diabetology Endocrinologist, Mumbai
21 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Pawar
Dr. Ramesh Pawar is one of the best Endocrinologists in Trombay, Mumbai. He has been a successful Endocrinologist for the last 21 years. He studied and completed MBBS, MD - Diabetology . You can consult Dr. Ramesh Pawar at Nova Specialty Surgery - Chembur in Trombay, Mumbai. You can book an instant appointment online with Dr. Ramesh Pawar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 27 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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Specialty
Education
MBBS - J.J. Hospital, Mumbai - 1998
MD - Diabetology - K.E.M. Hospital - 1996
Languages spoken
English
Hindi

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Sunder Baug, Ujagar Compound, Opp. Deonar Bus Depot Main Gate, Off. Sionu00E2U20Acu201Ctrombay Road, Deonar, Chembur. Landmark: Near. Tata Institute Of Social Sciences.Mumbai Get Directions
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I am suffering from diabetes what precautions should I take to over come from it? Please reply fast.

MBBS
General Physician, Ahmedabad
I am suffering from diabetes what precautions should I take to over come from it? Please reply fast.
Dear , let me know your fbs, ppbs and hba1c level. Your height, weight, life style and habit of smoking or tobacco chewing also important to know. Follow strict diet plan like less carb, less fat, high fibers. Avoid fast, junk and fried and packed foods. Also avoid cold drink and juices. Go for regular exercise suitable for you. Regular check up and regular treatment are compulsory. Remain stress free and be happy.
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Hello doctor my wife is upper thyroid she taken daily eltroxin 100 tab for 25 year but her skin turn on black why which is problem and which doctor consult skin problem ya others specialist pls given suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor my wife is upper thyroid she taken daily eltroxin 100 tab for 25 year but her skin turn on black why whi...
Mr. Lybrate-user, if she has hypothyroidism and is on treatment then tsh level should be between 3 to 4 milli units/ml. When tsh is is normal, most of the symptoms do disappear. As regards darkening of the skin you may please consult a competent dermatologist.
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Dear doctor, i am diabetic and my ppps is 187.0 mg/dl. Now i am taking metsmal 1000. Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear doctor, i am diabetic and my ppps is 187.0 mg/dl. Now i am taking metsmal 1000. Please advise.
Blood sugar level (pp 187 mg/100 ml) is fairly ok. However, to bring it down further you have to exercise for more than 1 hour every day, follow the dietary advise meticulously, avoid sweets, direct sugar, fruits like mango, chikkoos, grapes, bananas and aoid smoking and alcohol. If you follow the changed life style meticulously, sugar levels can be brought down further.
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MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Infertility
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Thyroid medicine take 50 mcg daily last 2 years. Reports r always normal. So I take medicine or stop. And thyroid test empty stomach or any time do.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
Hi  First: medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps
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Dear Doctor, My parents are diabetic. If they feel sweating due to low sugar levels then can we give them hydralyte tablets? Hydralyte tablets are soluble in water and are similar to the electral / glucon C powder administered to patients suffering from nausea or diahorrea.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Dear Doctor, My parents are diabetic. If they feel sweating due to low sugar levels then can we give them hydralyte t...
Dear friend if your parents prespire due to low sugar levels then give them sugar or glucose because that is exactly what will save them. We should try to simplify complicated situations and not try to complicate simple situations. Hope I have driven my point clear to you. Regards.
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Have hypo thyroid since 3 years and throxin norm is not suiting. What do you have to treat me. Weight gained 25 kg. Very forgetful memory and sleepy all the time without doing anything. Thank you.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist, Hyderabad
Have hypo thyroid since 3 years and throxin norm is not suiting. What do you have to treat me.
Weight gained 25 kg. V...
Hi, It would have been useful if you mentioned the reasons why Thyronorm was not suiting you? Further you did not mention the results of your thyroid function tests. I feel that based on your symptoms your Thyroid function tests may be abnormal. The symptoms that you are describing are of hypothyroidism, so looks like the dose of Thyronorm was not sufficient. Plan: Please get your TSH, fT3 and fT4 done. See an endocrinologist who can prescribe alternative brands of the thyroxine hormone drug. Thank you.
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What is the symptoms of the hypothyroid ?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
What is the symptoms of the hypothyroid ?
A person having hypothyroidism may have following symptoms - General weakness, lethargy, loss of interest in doing things Weight gain Speech difficulty, slurring Swelling in the neck, legs and feet Slowing down of heart rate etc.
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What precautions should I take if my fasting sugar is 203?

tuberculosis trainer of trainers, HIV trainer of trainers , MD - Internal Medicine, Mbbs
General Physician,
Dear, you do have diabetes. You have to be on a diabetic diet, exercise brisk walking for 45 mins at least 5 days a week. In addition to these you will have to be on medications like metformin.
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I am 60 years, diabetic for five years, on Metaforte-500mg, 1-0-1, I do pranayama, sudarshan Kriya yoga, morning my breakfast will be invariably protein shake (herbalife) and my sugar is under control (98 -110) fasting and 140-150 PPBS. HBA1c is 6.5. My problem is foot neuropathy, there is no total numbness, but lot of talking and burning sensation. My doctor says HBA1c should be brought down to 6. My BP will vary from 135/90 to 140/95. Please suggest some remedy for foot neuropathy.

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
I am 60 years, diabetic for five years, on Metaforte-500mg,  1-0-1, I do pranayama, sudarshan Kriya yoga, morning my ...
Vitamin b will definitely help in food neuropathy. Are you a member of herbal life? with diabetes you have to take more fibre, protein, variety of veg, 3-4 fruit servings in a day but in moderate amounts because of diabetes, very sweet fruits like banana, mango, sitaphal, cheeku etc are restricted. Eat dry fruits especially wall nuts & flex seeds for omega 3 & sprouts for fibre etc. In diabetes there are multiple nutrient deficiencies and food cravings. To correct them and feel better, you must take some dietary supplements as diabetic people have more nutritional needs. For in-depth understanding, planning optimum diet to deal with deficiencies & other concerns with weight gain
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I am loosing my weight together with pain constantly in legs despite being blood sugar under control (fasting-105 and pp-144) under medication. I have had a thyroid test too but result is absolutely normal. Serum creatinine, uric acid and urea is also normal. Pl suggest the problem I am facing and the remedies.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
I am loosing my weight together with pain constantly in legs despite being blood sugar under control (fasting-105 and...
This may be a reasion of viral fever because many patient are complaining of these type of problems thay were suffering from fever or viral. So check your blood test dengue, typhoid, malaria.
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TSH value varies between 1.66 and 6.67 inspite of regularly taking Thyronorm 25mg. Also have put on more weight with min amount of carb intake.

Diploma in Naturopathy & Yogic Science (DNYS), M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
TSH value varies between 1.66 and 6.67 inspite of regularly taking Thyronorm 25mg. Also have put on more weight with ...
You have to give me more detail about your hormone problem. There are some yoga technique by which you can control and balance your hormone. With proper diet and yoga you will surely decrease your weight. Do not take stress. All I want is more detail about you.
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Gd afternoon I m 57 year old diabetes patient is all dry fruit is healthy for me ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
No sir, dry fruits increases the blood sugar level. So eat after some days if you desire so otherwise avoid them to maintain yr sugar levels.
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I have been suffering from diabetes since 4 years . There no change even by using proper medicines.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I have been suffering from diabetes since 4 years . There no change even by using proper medicines.
Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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I am a 52 year old female. I am on medication for vitamin d deficiency and for keeping cholesterol and sugar at bay. Regular with medicines, I am trying to exercise/ walk etc regularly and have lost 2.5 kg in the last 45 days. I need to lose at least 12 more kgs. My worries comes from the fact that since last week, my legs have started to pain. A lot at night and when I switch postures. What could the reason be? I am literally dragging my left leg as I walk and the doctor I consult has just changed the medicine for calcium and has started me on multivitamis too. Do I need to meet a specialist, or is this how treatment works, taking this much time? why would the symptoms recur despite medicines? my patience and threshold of tolerating pain are challenged right now. Kindly help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 52 year old female. I am on medication for vitamin d deficiency and for keeping cholesterol and sugar at bay. ...
You are right by saying that you need to loose about 12 more kg weight as your bmi is30.14kg/m2 (23kg/m2 is normal). It will be good if you inform me about your fasting, pp blood sugar levels, hba1c level and lipid profile. The pain that you experience does it come on walking for some distance and if you rest does it subside? which part of the leg pains? knee joint, calf muscle or the whole lower limb? I suggest it would be better you meet a vascular surgeon to rule out any problem with leg blood supply. A colour doppler test may help. Vitamin d and calcium, multivitamins can be continued. But it is better to get the expert opinion.
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My mother is diabetic patient and she is suffering from weakness, memory lost, and hunger problem. I want to ask that is there any permanent treatment to cure from diabetes? Please help me.

Diploma in Diabetology
General Physician, Mumbai
My mother is diabetic patient and she is suffering from weakness, memory lost, and hunger problem. I want to ask that...
Hi lybrate-user unfortunately their is no permenant cure for diabetes. Diabetes can be easily kept in control if one follow 4 mantras 1. Keep one self fit by regular excercises and yoga 2. Disciplined food habits 3 regular body check up 4 regular consultation by diabetologist.
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I am patient of ulcerative colitis and diabetics. What should be my diet? and consumption of egg is harmful if not how meny eggs per day I can consume? and in which season? please reply promptly. Thanks.

PDDM, MHA, MBBS
General Physician, Nashik
The white part of an egg can be consumed daily. Kindly mention your recent bsl reports and ongoing treatment and revert back to me for further assistance. Dr. Surbhi agrawal consultant physician and diabetologist
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10 Home Remedies to Control Diabetes

B.Sc. Food & Nutrition, M.Sc. Food & Nutrition
Dietitian/Nutritionist, Bangalore
10 Home Remedies to Control Diabetes

Diabetes is basically caused due to the lack of production of insulin or improper use of the produced insulin, which eventually leads to a deficiency in the blood glucose level. Diabetes is of two types, one where the insulin production is insufficient therefore the glucose level cannot be balanced; two when the body cannot produce insulin at all and therefore patients must inject insulin to maintain close levels. Apart from synthetic drugs, you can use various home remedies to cure or at least improve your diabetic condition. Here are some great home remedies to effectively maintain your blood sugar level:

bitter gourd have juice extracted from bitter gourd every morning on an empty stomach. Having this everyday for a few months will help maintain blood sugar levels.

guava: have guava every day after peeling the skin off. It contains vitamin c and fiber which help maintain the standard blood glucose level. Excessive guava eating is not recommended.

mango leaves- soak fresh mango leaves in water (say a one litre bottle) over night and consume first thing in the morning. You could even let them dry out, powder the leaves and have half a teaspoon everyday.

basil leaves- have 2 tablespoons of juice extracted from basil leaves empty stomach, in the morning. These are loaded with antioxidants that relieve stress and also contain oils that help lower blood sugar levels.

jamun- jamun's leaves, seeds and berries are effective in improving blood sugar levels and they also prevent spikes in the level of insulin. You could eat a handful of the berries or powder the leaves and seeds- which you should consume twice a day.

amla- combine 2 teaspoons of amla juice in water and have it as soon as you wake up. Make this a part of your everyday routine to maintain blood sugar levels.

flaxseeds- eat one tablespoon of flaxseed powder with a glass of warm water every morning, on an empty stomach. Flax seed can bring down your sugar level by almost 28%. But be careful not to have more than 2 tablespoons per day, as that could be bad for health.

neem- neem enhances insulin receptor sensitivity, improves circulation and lowers blood sugar levels thereby reducing your dependency on synthetic drugs. Drink the juice of the need shoot everyday on an empty stomach for best results.

Fruits- fruits are rich in fiber and other minerals which help stabilize blood sugar levels of the body. Consume at least 5 fruits a day! choose fruits like banana's, blackberries, cranberries, grape fruit, blueberries, kiwi and other citrus fruits.

Apple cider vinegar- mix 2 tablespoons of apple cider vinegar in a class water and consume before every large meal. The nutritional components in apple cider will help control the rise in blood sugar levels after eating.


In case of any query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 080 6741 7780 (dial extension: 778)

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I have pain in front portion of my thigh for unknown reason, for past one month. I went to an orthopedic. He prescribed me medicine and x-ray. In x-ray no bony injury was found. Even after one month their is no relief. I am also a diabetic patient for past 12 years. Please help me out.

MD - Homeopathy, BHMS
Homeopath, Ahmedabad
I have pain in front portion of my thigh for unknown reason, for past one month. I went to an orthopedic. He prescrib...
Dear lybrate-user, I may not think about it if you would be non diabetic person. It may be muscle injury or it may be abscess in your thigh which is not seen in x-ray. Go for usg, and if it is normal then take below medicine. Arnica 6x thrice a day. For 3 days.
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I am 61+ age, good health, having sugar, BP & cholesterol in limit with medicine, Recently a month back I found there is inflammation of left thyroid gland. Blood test report is normal of hormone balance, usg test confirms gland inflammation FNAC does not detect, retest is advice. Is there any homeopathy medicine to get cured.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 61+ age, good health, having sugar, BP & cholesterol in limit with medicine, Recently a month back I found there...
Homoeopathic medicine calcarea iod 3x (dr reckeweg) chew 1 tab 3 timess daily for 2 months and report thereafter.
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