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Dr. Shashank Joshi  - Endocrinologist, Mumbai

Dr. Shashank Joshi

MBBS

Endocrinologist, Mumbai

19 Years Experience
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Dr. Shashank Joshi MBBS Endocrinologist, Mumbai
19 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shashank Joshi
Dr. Shashank Joshi is a popular Endocrinologist in Bandra West, Mumbai. He has over 19 years of experience as a Endocrinologist. He has completed MBBS . You can consult Dr. Shashank Joshi at Joshi Clinic in Bandra West, Mumbai. Book an appointment online with Dr. Shashank Joshi and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 36 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.

Info

Specialty
Education
MBBS - Mumbai University - 1998
Languages spoken
English
Hindi
Awards and Recognitions
Award of Padma Shri
Professional Memberships
Association of Physicians of India (API)

Location

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Joshi Clinic

Joshi Clinic, 12, Golden Palace, Turner Road, Bandra West, Behind Union Bank Of India Mumbai Get Directions
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I am 36 YO female. I have this weird problem of swelled foot. Which mostly occurred while I am on periods and that too in summer. Winters are fine for me. It's been 4-5 years now that I am facing this problem. The thyroid test came clear. Please help.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I am 36 YO female. I have this weird problem of swelled foot. Which mostly occurred while I am on periods and that to...
Pls check your haemoglobin, if low, take iron. Hwever in some women fluid retention is maximum during this specific time. Use foot rest while sitting/ lying, dnt stand for too long.
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My friends body temperature gets up and down she had pain in her throat continuously can she do the thyroid test.

MS - ENT
ENT Specialist,
My friends body temperature gets up and down she had pain in her throat continuously can she do the thyroid test.
Pain in front of neck with tenderness needs thyroid evaluation to rule out viral thyroiditis but inside throat no need. Jus it can be pharyngitis. You need treatment it it's disturbing routine.
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I just have diagnosed diabetes. After blood sugar test the report is 190 on fasting 248 pp. I am scared. What to do?

MBBS, MD - Medicine
General Physician, Delhi
I just have diagnosed diabetes. After blood sugar test the report is 190 on fasting 248 pp. I am scared. What to do?
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 usually in adults due to insulin resistance and treated with oral medicines.
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Hi am 27 woman, 14 weeks of pregnancy. Recently I supposed to do blood test and every thing is normal expect thyroid result its shows range of 3.606 which is above range doctor advised me to take tablets but before marriage when I do regular check up my thyroid range is 2.5. Why it has been increased now and will it continue even after delivery, is there any food to avoid for these, please advise.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Hi am 27 woman, 14 weeks of pregnancy. Recently I supposed to do blood test and every thing is normal expect thyroid ...
Hi lybrate-user, thyroid levels may change in pregnancy & it is advisable to take proper medications to control them as they may affect the baby's brain & other organ development. Please follow your doctor's advise.
77 people found this helpful
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I have thyroid value 13. I am taking medicine thyrox 50. What I will do to maintain my thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
DEAR SIR YOUR MEDICINES DISAGE IS NOT PROPER..PL. TAKE TAB. THYROX 125 MCG BEFORE MEAL. TAKE DIET...Walnuts Soybean flour Cottonseed meal Iron supplements or multivitamins containing iron Calcium supplements Antacids that contain aluminum or magnesium Some ulcer medications, such as sucralfate (Carafate) Some cholesterol-lowering drugs, such as those containing cholestyramine (Questran) and colestipol (Colestid) To avoid potential interactions, eat these foods or use these products several hours before or after you take your thyroid medication.
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I am 41 years old. Whenever I go for dieting I become constipated. I'm suffering from high b. P. High triglyceride and hypothyroidism too. Please guide me with proper diet chart. Should I remove oil and eat boiled vegetables? Can I con sattu? It helps in bowl movement. I'm 5 ft in height and weigh 65 kg, female.

Diploma in Cardiology, MBBS
Cardiologist, Delhi
I am 41 years old. Whenever I go for dieting I become constipated. I'm suffering from high b. P. High triglyceride an...
Probably it's your hypothyroidism which is causing constipation. Drink as much of fluid yu can and add salads n fruits. N walk daily for some time.
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Diabulima - Should You Be Worried About It?

Diploma in Diabetology
Endocrinologist, Mumbai
Diabulima - Should You Be Worried About It?

Diabulimia is an eating disorder often associated with Type-1 Diabetes. Also referred to as ED-DMT1, not many people are aware of this non-clinical term. It is a well known fact that many people with Type-1 diabetes require the daily administration of insulin. In the case of Diabulimia, a person having Type-1 diabetes purposely manipulates with the insulin dosage in an endeavour to lose weight. In some extreme cases, a person may completely avoid the use of insulin.

You need no rocket science to understand the impact diabulimia will have on a diabetic patient (Type-1) who is entirely dependent on insulin. Some of the lethal consequences of diabulimia include

  1. Yeast infections: Manipulating with the appropriate dosage of insulin can trigger an abnormal rise in the blood glucose level (Hyperglycemia), some of which gets eliminated out through the urine, thereby enabling a person to lose weight. However, the high glucose level is just the ideal and favorable condition for yeast growth. The hyperglycemic condition will result in increased yeast infections. The infection can be very uncomfortable and annoying. In fact, there will be repeated yeast infections until the blood glucose level comes down to the normal range.
  2. Ketoacidosis: As already mentioned, diabulimia devoids the body of insulin. As a result, glucose is unable to enter the body cells (glucose is an important fuel for the muscles and the other cells and tissues of the body). In its absence, the body starts looking for alternate sources. Gradually the body starts breaking down fats to get the desired energy. Increased breakdown of fats results in accumulation of ketone bodies in the bloodstream, a condition medically termed as Ketoacidosis or Diabetic Ketoacidosis. The condition if left untreated can be harmful triggering Cerebral Edema (a condition characterized by a swelling of the brain), Hypokalemia (low potassium level) or even Hypoglycemia.
  3. Diabetic retinopathy: Hyperglycemia can spell doom for your eyes. The accumulation and buildup of high levels of glucose in the eyes often damage the retinal blood vessels, a condition known as Diabetic Retinopathy. There may not be any early signs associated with the condition. However, diabetic retinopathy can give rise to many serious complications such as Glaucoma (characterized by severe damage to the optic nerve), Vitreous Hemorrhage (the blood leaks into the areas adjacent to the vitreous humor of the eye), or even Blindness. There may also be a Retinal Detachment.
  4. Renal failure: One of the common and harmful consequences of diabulimia is the kidney failure. Increased concentration of glucose in the kidneys often damages the filtration units of the kidneys called the Glomeruli (increased glucose blocks the capillaries of the kidney) leading to kidney damage and failure.
1 person found this helpful

1.Can sugar patients use safi? 2.Can 11 years {mechured girl} use safi, suffering from pimples.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
1.Can sugar patients use safi? 2.Can 11 years {mechured girl} use safi, suffering from pimples.
Hello, Thanks for the query. If Safi has a syrupy base, then it will contain a good amount of sugar. So better to be careful with it. As regards its benefits I have really no idea. Basically according to modern science human blood is always pure form. If blood gets toxins then that would result in multiple complications and various diseases. This concept of blood purification is typically a traditional medical practice one. So I will not be able to comment on it. According to me our blood can contain any toxins or say "it becomes impure" Thanks.
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Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 254 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years) patient. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. And he told this is a rheumatic arthritis. He gave Wysolone 10 mg for 45 days followed by wysolone 5 mg for 30 days. HCQ (Hydroxychloroquine) 300 mg, ARAVA (Leflunomide) 20 mg, INJ. Folitrax 20 mg once on sundays. Folvite 5 mg mondays to saturdays. Wysolone is now completely stopped. When I take wysolone there is no pain in fingers. Here is the test reports at a glance, Uric Acid 3.69 (range 2.6-6.0), RF 7.15 (<14), CRP 3.02 (<5) vit D (25 oh D) 36.12 (30 -100. AntiCCP Anti Body 5.61 (<20). CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5),Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), CRP 1.20 (range <10), amylase 78.2 (range 30 -110) Test was done in SERUM, Kolkata in 15th june 2017. Many doctors are telling me that this is rheumatic arthritis, But after 6 months of taking medicines for the same pain the still there, only fingers does not get deformed in afternoon. Please tell me is the diagnosis is right? Am I on right treatment? Or there is any other problem? Is there any bad action for taking panlipase 25000 for last 5 years? One more question for RA CRP & RF should be positive, but for my case it is negative, so how can it be RA?

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) ...
RA is a autoimmune disease which is related to diet which needs to be radically changed for reversal of disease. Rheumatologist Drs in India only know to give pills for any illness .They do not know that there is natural treatment available because nutrition is not taught in the medical curriculum. They do not think outside the box. Change your diet and reduce the medicines. I think you were getting too many drugs for RA .Were they all given at the same time or at different periods. What was the dietary advise given by your Dr. for RA A detailed history is needed to advise you. Take a consult. Remember you cannot fix your health without fixing your diet.
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Hello doctor Happy independence day I want to know which is better cycling or brisk walking for a diabetic. Please tell me.

BHMS
Homeopath, Chennai
Hello doctor
Happy independence day
I want to know which is better cycling or brisk walking for a diabetic. Please te...
Walking tends to cause more strain on the knees every time you step forward, while cycling keeps the knee intact and works only on movement. You could also try some strength training exercises along with the above.
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Iam suffered from diabetics & BP. Last few days and still i m suffered with cold. Headache too. Please give the right advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Iam suffered from diabetics & BP. Last few days and still i m suffered with  cold. Headache too. Please give the righ...
Mr Gopalkrishnan, If you are having diabetes and hypertension it necessary to get them effectively treated with appropriate drugs, diet control and exercise. Then routine problems like cold and headache can be conveniently handled. So please get both those conditions under control. That will help in reducing other problems better. If required you may take anticold remedies and pain killer.
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I have diabetic type 1 I do walk 5 km per day except sunday I have not proper diet plan I want diet plan and should I do more exercise or 5 km walking is enough?

MBBS
General Physician, Jalgaon
I have diabetic type 1 I do walk 5 km per day except sunday I have not proper diet plan I want diet plan and should I...
Please Avoid white sugars only Take your insulin doses regularly Take All kinds of fruits in small quantities regularly as vitamins minerals and fibres in them are good for health Take small and frequent feeds
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Dear Doctor, I am 55 years old male. Having diabetics. Last month my BP was 160/100 and doctor advised medicines. I have reduced intake of salts and also walking 30 minutes. What else i can do keep BP in check . Like anybody my wish is to avoid medicines

MBBS
General Physician, Mumbai
First now make it a point to check your bp daily with and without medicine And try to know the cause of your high bp.
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I am a diabetic patient my post lunch sugar level is 220 mg I have taken insulin 15 units and Glycomet trio 2 tablet how can I control my sugar level? I went to morning walk for one hour.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic patient my post lunch sugar level is 220 mg I have taken insulin 15 units and Glycomet trio 2 tablet ...
Mr. lybrate-user, Thanks for the query. To control blood glucose apart from taking Insulin and tablets, dietary control and regular exercise are equally important. The reason blood gkucose goes up is because the food intake is high or there are foods which get converted to glucose quickly are more in your diet. Plus there needs to be a proper adjustment of dosage of the medicines being taken. Thanks.
2 people found this helpful
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Hi I am 40 years old suffering from diabetes. The medicine that I take contains glimipride 2 mg and metformin 500. But I am unable to control diabetes. Blood sugar(f)- 180, pp- 240. Please help.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear, are you on a diabetic diet and exercising? how many tablets are you taking per day and at what time. We will be able to help you better if you can answer the above questions.
1 person found this helpful
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Laptops can cause Male Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Laptops can cause Male Infertility
Laptops overheat the genital area and have been linked to male infertility. When the testicles overheat, they tend to produce less sperm. Studies have shown that laptop computers that we hold on our laps for extended periods of time are enough to cause damage to sperm. We recommend placing laptops on a table or desk to avoid these issues plus it's better for posture.
61 people found this helpful

I am now age of 52. No have b. P./ sugar problem. Good health & aptitude. Sex will also good. What treatment needed to be good sex life in my age? Also suggest healthy food. Thanks!

MBBS
General Physician, Jalgaon
I am now age of 52. No have b. P./ sugar problem. Good health & aptitude. Sex will also good. What treatment needed t...
Daily yoga pranayam and morning walk is the best treatment. Use salads and fruits more Daily meditation is must No need to take any medicine
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Sir/mam. I am pridibatic person and I take couple of apples. Sometimes banana and grapes. Buy my question is. These fruits contains natural fruit sugar. So will this effect my sugar level and push me close to diabetic phase later in life. I am confused please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir/mam. I am pridibatic person and I take couple of apples. Sometimes banana and grapes. Buy my question is. These f...
Mr. lybrate-user, All fruits contain fructose. But in persons with diabetes usually following fruits are to be avoided like banana, mango, grapes & Chikkoo. The reason the quantity of sugar is much higher. Other fruits are good enough. But in a person with diabete, fruit intake is permitted only when the blood glucose control is really very good. Fruits mentioned by you particularly grapes and banana are to be avoided. But occasionally a small quantity can be taken. Thanks.
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Non Communicable Disease

MBBS, D.P.H
General Physician, Gurgaon
Non Communicable Disease

NCD's are emerging as a major global problem which can controlled by taking certain measures. It's a non infectious disease resulted from hereditary factors, lifestyle factors (diseases of affluence) e. g. Hypertension, Diabetes, Cardiovascular diseases, Cancer and mental health problems, Asthma, Atherosclerosis allergy. It is responsible for almost 60% of World deaths and constitute 43% of the Global burden of diseases.

If we see Rising Chronic Disease Burdens of following Diseases in India, the data are alarming and requires urgent intervention in policy matter.

Disease

Year 2007

Year 2025

Hypertension

125 Million

214 Million

Diabetes

41 Million

69 Million+

Tobacco

1 Million

2 Million+

Can I prevent CVD? Yes by evaluating overself

Risk Factors Associated With Heart Disease

 

 

 

 

S. No

Risk Factors

High Risk

Low Risk

No Risk

1

Walk(Minimum 35 Minutes)

Nil

3-4 days/week

5-7 days / week

2

Obesity(BMI)

>26

<25

<24

3

Smoking(Tobacco)

>1 / day

1/ day

Nil

4

Yoga

Nil

3 -4 days/ week

5-7 days/week

5

Stress

150%

100%

50%

6

Meditation

Nil

3 -4 days/week

5-7 days/week

7

Zero Oil

70%

90%

100%

8

Vegetarianism

>6 days

<6 days

100%

9

Fruits, Salad and Vegetable Intake

Nil

15%

>50%

10

Milk and Dairy(Double Toned Milk)

>300 ml

300 ml

200 ml

11

Serum Cholesterol

180 ml/dll

150 ml/dll

130 ml/dll

12

Serum Triglycerides

160 ml/dll

130 ml/dll

100 ml/dll

13

HDL

<40 mg/ dll

<50 mg/dll

>60 mg/dll

14

LDL

>190 mg/dll

>130 mg/dll

<100 mg/dll

15

Cholesterol HDL Ratio

>6:1

> 5:1

<4:1

16

BP Systolic/ Diastolic

>140/ >100mm/hg

>130/ >190 mm/hg

120 / 80 mm/hg

17

Blood Sugar Fasting / PP

>110/ >200

<110/ <160

<100/ <140

Regular blood tests are recommended for people who are at higher risk of developing high cholesterol. Routine cholesterol testing may be necessary if you:

  1. Are a man over 40
  2. Are a woman over 50
  3. Are a postmenopausal woman
  4. Have heart disease or have had a stroke
  5. Have diabetes
  6. Have a close relative (mother, father, sister, brother) with heart disease or high cholesterol
  7. Are overweight, physically inactive, smoke and/or drink excessively
  8. Have physical signs of high cholesterol such as fatty deposits on your skin or tendons
  9. Have high blood pressure
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