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Dr. Shashank.R.Joshi

Endocrinologist, Mumbai

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Dr. Shashank.R.Joshi Endocrinologist, Mumbai
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shashank.R.Joshi
Dr. Shashank.R.Joshi is a renowned Endocrinologist in Bandra West, Mumbai. You can visit him at Dr. Shashank.R.Joshi@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Shashank.R.Joshi on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 26 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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Awards and Recognitions
International Clinician Award, received at the 21st American Association of Clinical Endocrinologists (AACE) Annual Scientific and Clinical Congress, Philadelphia
Award of Padma Shri
Professional Memberships
Indian Academy of Diabetes
Association of Physicians of India (API)

Location

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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
  4.3  (22 ratings)
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Hi I have pre diabetes which measures 144 before breakfast n after after breakfast is 191 kindly advice how to remove this forever as I have already started eating veg foods like ragi balls dry chapathi n veg salads n have stopped non veg foods completely and started brisk walking too kindly advice to remove this completely.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I have pre diabetes which measures 144 before breakfast n after after breakfast is 191 kindly advice how to remove...
Mr. lybrate-user, Thanks for the query. Your fasting glucose shows you are having diabetes. Even PP 191 mg is too close to comfort. For diagnosis following are the numbers: Fasting > 126 mg & PP > 200 mg/ 100 ml. Plus HbA1c% >6.5, which is not mentioned. Please get it checked. I have a feeling you are already a diabetic. Stopping non-vegetarian food is not required at all. What is needed is to control your overall food intake to match your daily need based on actual body weight. Plus you will have to a good amount of regular exercise, at least 1 hour a day. Better to join a gym and do work outs under the guidance. Reduce intake of carbohydrates. Totally stop sweets, deep fried foods, pastries, junk foods and food made from maida. Also avoid colas, alcohol and smoking. If you any doubts please come back. If diabetes has already developed then it can only be controlled. There is no way to CURE it completely. Thanks.
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I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently since last 10 days I find itching and burning in the anus and irregular passing f stools with little difficlty. I am afraid it may leead to piles problem. Please suggest me how to overcome this poblem.

MD - General Medicine, Diploma in Diabetology
General Physician,
I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently sin...
Deae, you have not mentioned whether there is any skin changes around the anus? please check it and get back to me. For now I could say just enhance the hygiene of anus avoid sweat, keep the anal region dry, you can apply - enderm gm cream twice a day for 5 days.
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How can I check myself that I am diabetes patient and what is the solution for decreasing the sugar rate?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How can I check myself that I am diabetes patient and what is the solution for decreasing the sugar rate?
Mr Pranjul, If you get a fasting and after food blood sugar check, it is easy to find out whether diabetes is there. If is present then only option is to start treatment with proper anti diabetic drugs either oral or with insulin injections. Plus diet control and regular exercise also are required.
1 person found this helpful
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I gave birth to a baby on 20/07/2017 through C-section, I am using 50 mg thyroxine tablet per day. When I check my thyroid levels? I rid a bike to the office before the day of delivery, when I start riding bike? I also had tubal ligation in C-section. How much it will take to recovery? When I start exercise and inter course? Please suggest me.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
I gave birth to a baby on 20/07/2017 through C-section, I am using 50 mg thyroxine tablet per day. When I check my th...
You should check your thyroid levels 6 weeks after caeserian, till then continue taking 50 mg thyroxine, you can start light exercises and walks after 6 weeks ,wt lifting exercises and strenous exercises should be started after 3 months. Abstinence is advised for 6 weeks.
1 person found this helpful
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MD - Medicine
Endocrinologist, Ahmedabad
Association of physical activity with lower type 2 diabetes incidence is weaker among individuals at high genetic risk
6 people found this helpful

Im pre diabetic patient. IS MELON, WATERMELON, OR MANGO SHAKE good for me? PLEASE ADVISE ME.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Im pre diabetic patient. IS MELON, WATERMELON, OR MANGO SHAKE good for me? PLEASE ADVISE ME.
In diabetes fruits like mango, banana, chikkoo and grapes are to be avoided, as they increase blood sugar rapidly. Watermelon, other melons, pomegranate, apple, orange, sweet lime, pear, guava and papaya. In pre diabetes there is such strict restriction, still taking mango milk shake is not advisable. Once a while 1/2 a cup may be taken.
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I am diabitic,hypertensive,aged 64,male. I am having constant numbness in my toes.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Hello, Diabetes - a condition where the levels of sugar in your blood are too high is a serious condition that affects numerous parts of your body. When it comes to the legs and feet, high blood sugar levels can cause damage to the nerves which leads to numbness in your legs and feet. This nerve condition is called "diabetic peripheral neuropathy. This condition affects up to 30% of all diabetics, Heat Therapy: Apply a hot compress on to the area that is numb, in order to relax the muscles and nerves there. You could use a heating pad, a hot water bottle or a piece of cloth dipped in hot water. Make sure that the heat is not too strong or you could burn your skin Herbs: Gingko Biloba can help to increase the circulation of blood all over your body, thereby reducing the problem of numbness. FOR ANY HELP CONTACT US
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What are the symptoms of diabetes and sugar in old age and what is the symptoms of dengue.

C.S.C, D.C.H, M.B.B.S
General Physician,
What are the symptoms of diabetes and sugar in old age and what is the symptoms of dengue.
Symptoms include increased thirst, frequent urination, hunger, fatigue and blurred vision. In some cases, there may be no symptoms. Symptoms of dengue include high fever, headache, rash and muscle and joint pain. In severe cases there is serious bleeding and shock, which can be life threatening.
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My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.
Mr. Lybrate-user, in case of increasing insulin resistance there is darkening of skin on the neck including back of neck, under arms and groin. It is call as acanthosis nigricans. It is also a major sign in t2 diabetes particularly in overweight and obese patients.
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Endometriosis - Can It Lead to Infertility?

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Endometriosis - Can It Lead to Infertility?

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.  Here is everything you need to know about this ailment.

Symptoms: Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

Stages:

There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

  1. Minimal stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
  2. Mild stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
  3. Moderate stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
  4. Severe stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

Treatment: There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone,  Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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