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Dr. Ramesh Pawar

MD - Diabetology, MBBS

Endocrinologist, Mumbai

20 Years Experience
Dr. Ramesh Pawar MD - Diabetology, MBBS Endocrinologist, Mumbai
20 Years Experience ₹ online
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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 20 years. He studied and completed MD - Diabetology, MBBS. 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 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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Specialty
Education
MD - Diabetology - K.E.M. Hospital - 1996
MBBS - J.J. Hospital, Mumbai - 1998
Languages spoken
English
Hindi

Location

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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 44 yrs male suffering from dibetics, cholesterol and high bp. Now taking medicines as follows 1. Dianorm total 60 1. 5 - 0 - 1 2. Eritel 40 1 - 0 -0 3. Rosavel a 0 - 0 - 1 for the last 9 yrs I have been taking these medicines. Prescribe me best medicines having no side effects.

MD - Medicine, MBBS
Cardiologist
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There are no medicines without side effects. If your bp, sugar and lipids are under control continue with these medicines. Get your investigtions periodically to know about the control and side effects.

Sometimes I feel so intensely hungry. Also starts sweating a lot at the same time. And feel totally exhausted. Only after eating something (specifically sweet) immediately and resting for 10-15 min I start to feel totally normal. I had my sugar level checked and it was normal. What else should I be taking care of?

BHMS
Homeopath
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Sometimes I feel so intensely hungry. Also starts sweating a lot at the same time. And feel totally exhausted. Only a...
Hello strictly follow these advices: 1)Take small frequent meals 2 hrs once take salads,cut fruits,,v just have a idea of eating 3 times a day which is really not correct, 2)Always keep some sugar or chocolates with u,whenever u feel weak take them.. 3) Keep a check on ur bp,i feel its low..if low take some extra salt,if high don't.. 4)Take adequate amount of water,if u feel taking plain water is not helping add some salt n lime n some sugar n take it... 5)Never let urself get dehydrated..
1 person found this helpful

I am 66 years old and diabetic and on medication for almost last 16-18 years. However it is moderately in control. I am hypertensive also for last about thirty years. I am taking the following medicines. For BP Tazloc trio 80mg. And amufru, and proponolol 40mg. For Prostrate I am Taking Urimax D for last about six years. For Diabetic I am Taking Glucomet forte BD, Zita OD, Pioz 7.50mg+500 od. For Last Five to six years my sex potency has gone down drastically Now it is almost a case of ED and premature ejaculation or no ejaculation at all despite the urge to have sex. Kindly advise can it be related to disease or the side effects of one of the medicines. Please advise treatment for the problem. Thanks

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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Your sexual problem is because of diabetic neuropathy and irrational combination of antihypertensive drugs.Usually these drugs are not combined n propranolol is contraindicated in diabetes because it disturbs lipid profile and masks symptoms of hypoglycaemia.Consult your treating doctor n get modified your antihypertensive drugs.
2 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician
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Can diabetes be prevented?
========================
Adhering to a Mediterranean diet, rich in fruits and vegetables and low in animal products may protect from developing type 2 diabetes. The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In a study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex–smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.

One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Tips to prevent diabetes
Eat less
Omit refined carbohydrates (white sugar, white rice and white maida)
Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products.
5 people found this helpful

I am 60 years and diabetic for 15 years and on insulin and medicine and want get rid of it how?

BSc
Ayurveda
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I am 60 years and diabetic for 15 years and on insulin and medicine and want get rid of it how?
Only one product in india this product may remove insulin. Noni syrup 10 ml in a glass of normal water stir well and consume in 2to3 minutes after 30 minutes take meals mor and night. Continue your insulin test your sugar after 7 days. If sugar reduce then reduce insulin uites accordingly. Test weekly and reduce insulin it's comes zero then stop insulin and continue noni for long time. Feedback to me monthly.
3 people found this helpful

I am having sugar. what precaution should I take and how to reduce weight? Please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am having sugar. what precaution should I take and how to reduce weight? Please help  me.
The biggest risk factor for developing diabetes is being overweight, but not all body fat is created equal. Your risk is higher if you tend to carry your weight around your abdomen?the so-called ?spare tire??as opposed to your hips and thighs. So why are ?apple? shaped people more at risk than ?pears?? ?Pears? store most of their fat close below the skin. ?Apples? store their weight around their middle, much of it deep within the belly surrounding their abdominal organs and liver. This type of deep fat is closely linked to insulin resistance and diabetes. In fact, many studies show that waist size is a better predictor of diabetes risk than BMI (body mass index). You are at an increased risk of developing diabetes if you are: ? A woman with a waist circumference of 35 inches or more ? A man with a waist circumference of 40 inches or more To measure your waist circumference, place a tape measure around your bare abdomen just above your hip bone. Be sure that the tape is snug (but does not compress your skin) and that it is parallel to the floor. Relax, exhale, and measure your waist. Eating right is vital if you?re trying to prevent or control diabetes. While exercise is also important, what you eat has the biggest impact when it comes to weight loss. But what does eating right for diabetes mean? You may be surprised to hear that your nutritional needs are virtually the same everyone else: no special foods or complicated diets are necessary. Diabetes diet for Indians should have the ratio of 60:20:20 for carbs, fats and proteins. "Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively." He adds that a diabetes diet should "have at least two seasonal fruits and three vegetables in a diet plan." Though dry fruits may seem like a healthy snack, it is not a good option for diabetics, as the fructose can spike your sugar level. Go for fresh fruits rather than dry fruits for diabetes control (but there are some restrictions... we'll come to it). But you can still opt for nuts as a healthy snack. Recipe for diabetes diet for Indians: - One teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes. - Drink tomato juice with salt and pepper every morning on an empty stomach. - Intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes. Whole grains, oats, channa atta, millets and other high fibre foods should be included in the meals. If one feels like consuming pasta or noodles, it should always be accompanied with vegetable/sprouts. Milk is the right combination of carbohydrates and proteins and helps control blood sugar levels. Two servings of milk in a daily diet is a good option. High fibre vegetables such as peas, beans, broccoli and spinach /leafy vegetables should be included in one's diet. Also, pulses with husk and sprouts are a healthy option and should be part of the diet. Pulses are important in the diet as their effect on blood glucose is less than that of most other carbohydrate containing foods. Vegetables rich in fibre help lowering down the blood sugar levels and thus are healthy. Good fats such as Omega-3 and monounsaturated fats (MUFA) should be consumed as they are good for the body. Natural sources for these are canola oil, flax seed oil, fatty fish and nuts. These are also low in cholesterol and are trans fat free. Fruits high in fibre such as papaya, apple, orange, pear and guava should be consumed. Mangoes, bananas, and grapes contain high sugar; therefore these fruits should be consumed lesser than the others. Small frequent meals: A large meal gives rise to higher blood sugar in one's body, therefore it is essential to take small frequent meals to prevent both higher and very low blood sugar values and keep them constant. Small in between snacks can be dhokla, fruit, high fibre cookies, butter milk, yogurt, upma/poha with vegetables etc. A person with diabetes should follow a diet which is low in carbohydrates, high in fibre and contains adequate amounts of proteins, vitamins and minerals; and avoid fatty foods and sweets. He/she should also take frequent small meals (5 meals pattern). What not to do: Artificial sweeteners can be used in cakes and sweets for diabetic people (in moderation). Have lots of fluid. Limit intake of alcohol. Should you have non-veg? In non-vegetarian diet, seafood and chicken can be taken rather than red meat as red meat contains higher amount of saturated fats. Also, patients with high cholesterol should avoid egg yolk and red meat. The diabetes diet for Indians includes carbohydrates, proteins and fats. As always, a balanced and planned diet can build and improve personal health. A controlled diabetes diet may seem like a drag and bore, but a good cook can add life to a diet. Time to call up mom and experiment with diabetes diets!

My wife got thyroid /lack of vitamin D WHILE pregnancy due to which her full body swollen while pregnancy, after pregnancy after takin vit D tablets vit D recovered but still thyroid is there she is taking since after delivery (7 months) still she suffering pain in her joints /legs some days.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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My wife got thyroid /lack of vitamin D WHILE pregnancy due to which her full body swollen while pregnancy, after preg...
where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving THYROXINE tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time. you can take tab. dolo 650mg sos for pain.

Can you please tell me what is the best diet for sugar patient.

MBBS
General Physician
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Can you please tell me  what is the best diet for sugar patient.
Best diet for sugar patient bhajji of green vegetables with rumali roti with one katori of rice with dal.
1 person found this helpful

If a 68 year old male is prediabetic Will exercise and changes in diet be enough to control the onset of diabetes?

MD - Pathology, MBBS
Pathologist
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Yes. You should control diet strict and pay full attention on exercise. Do not gain weight. Get your blood tested regularly
1 person found this helpful

How often should I visit you for checkups in order to stay as healthy as possible and avoid diabetic complications?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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How often should I visit you for checkups in order to stay as healthy as possible and avoid diabetic complications?
Mr. Lybrate-user, visiting a doctor often is not required, what is needed is to follow instructions and treatment advised by him. For a diabetes patient following few things are important: 1) take all the prescribed drugs reguarly as advised, do not stop or change on your own or listening to unprofessional advise. 2) take restricted diet again as advised by the physician, in diabetes the dictum is" no feasting or no fasting" 3) consume more of green leafy vegetables, salads and permitted fruits (100 ga day). 4) always use whole grain products, do not use refined flours, highly processed foods, junk foods, sweets, sweetened aerated drinks and pastries. 5) avoid alcohol and smoking 6) exercise daily for at least 1 hour, brisk walk is a good option. Joining a gym also is good. Plus a periodic check up of blood sugar is necessary. If you have t1 diabetes then insulin is the only option in such a situation blood glucose testing is to be done more often. Initially vists to doctor may be more often.
3 people found this helpful

Hello, I am suffering from the condition called as hypothyroid please is there any solution to cure it or do I have to take tabs of thyroxine for years to come. please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Hello,
I am suffering from the condition called as hypothyroid please is there any solution to cure it or do I have t...
The answer is homoeopathy. I do not force you for it but I will advise you to give it a try so as to get rid of life long medicines and that too with side effects. Although you may find it difficult to take regular doses of homoeo medicines daily as compared to one tablet of allopathic medicine that you are taking but the end with homoeopathic medicines is always fruitful and moreover you will be relieved of life long medicines and will be fully treated in 2-3 years depending upon your thyroid levels and amount of effort that you are putting in, if you get the right treatment in the hands of a right homoeo doctor----------so choice is yours whether to go with life long homoeopathic medicines and its side effects or homoeopathic medicines for 2-3 years without any side effects------------
1 person found this helpful

I am suffering from thyroid. But not confirm. Can you see my test report. please confirm its thyroid or not.

MBBS, DNB
Nuclear Medicine Physician
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Thyroid is a normal gland in the neck region. One can suffer from either less (hypothyroidism) or its more (hyperthyroidism) function. Kindly get ultrasensitive TSH and inform
1 person found this helpful

I have a bit high uric acid (about 7.2). I take complete care regarding food items and take medicine (goutcheck 40) regularly. But still I am suffering from my joint pains and swelling.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I have a bit high uric acid (about 7.2). I take complete care regarding food items and take medicine (goutcheck 40) r...
The best treatment of Gout consists of restoring the balance of Vata(Air element) and detoxifying the blood..High protein diet should be avoided in cases of increased uric acid...take maha rasnadi kwath 2-2 tsf twice a day....take maha yograj guggul 1-1 twice a day....kaishor guggul and chandraprabha vati 1-1 twice a day...avoid junk food....fermented food...spicy food....tea...coffee...do pranayama early morning...avoid alcohol consumption...consult me in private for more details
1 person found this helpful

My father who is 60 yesterday had checked his sugar his rating was 116 actually my question is from past one week suddenly he has pain started in his legs from bottom to top severe pain which he cannot tolerate and only in evening and moreover he is losing weight day by day please advice me correctly as soon as possible can not wait he is in pain?

MBBS, MS - Orthopaedics
Orthopedist
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Kindly consult a physician. Anyway kindly show me a digital x rays ofls spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days. Bio d3 max 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

My dad has diabetes for 4 years, how it can be cure? can it can be cure completely or not?

MD - General Medicine, Diploma in Diabetology
General Physician
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My dad has diabetes for 4 years, how it can be cure? can it can be cure completely or not?
Diabetes complete cure is not there but it can be controlled n prevented. You will have to write to me his details.
3 people found this helpful

My daughter is 27 she has hyper thyroid a tendency of getting fat. She is taking eltroxin regularly. Will she face any problem during her pregnancy? and where we can get best treatment of thyroid in india?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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My daughter is 27 she has hyper thyroid a tendency of getting fat. She is taking eltroxin regularly. Will she face an...
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.

I have 118 pasting and 231 after food how I have to control my height 163 CMS and weight 67 kg and fish can I eat?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I have 118 pasting and 231 after food how I have to control my height 163 CMS and weight 67 kg and fish can I eat?
Mr. Lybrate-user, the sugar levels are ok, only after food is high. To control these levels, you need to take appropriate anti diabetic drugs, plus control the diet and exercise daily for at least 1 hour a day, brisk walking is good. Food to be taken is like every one of us, but no sweets, no direct sugar or gur, no deep fried foods, no junk foods and pastries. Also avoid sweetened aerated drinks, high fat milk products, red meat, egg yolk. Fish is good, but not fried one. Consume good deal of green leafy vegetables and salads.
2 people found this helpful

Hi doctor I am shashi I have bp and sugar so What I do both medicine continue with out fail.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi doctor I am shashi I have bp and sugar so What I do both medicine continue with out fail.
Mr. Lybrate-user, if you are suferring with diabetes and hypertension, then it is a must that drugs for the conditions are taken regularly without fail. Plus you have exercise regularly for at least 1 hour a day and take a restricted diet that gives exact amount of calories based on your ideal body weight, extent of daily exercise and sugar levels. For hypertension reduce you salt intake to about 2.3 g a day.
1 person found this helpful

My fasting Blood sugar is 115 and post meal after 2 hours 170, what is the danger if any.

CDIABT, MBBS
Endocrinologist
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My fasting Blood sugar is 115 and post meal after 2 hours 170, what is the danger if any.
Are you on medication. If yes then your blood sugar are within normal limit. If no then your blood sugar is are above normal limit. Follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week.
2 people found this helpful

Sir I am suffering from hypothyroidism since 1 year ago sir my question is 2 months ago I have tested my thyroid profile and I have seen my tsh level is came to 0.68 and I have avoided my medicine without any doctor advice and I have observed in next 20 days I am not comfortable and I decided to take a test of tsh and I have seen my tsh level is 18.4.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Sir I am suffering from hypothyroidism since 1 year ago sir my question is 2 months ago I have tested my thyroid prof...
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
2 people found this helpful
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