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Dr. Subhash Sonawalas

MD

Endocrinologist, Mumbai

27 Years Experience
Dr. Subhash Sonawalas MD Endocrinologist, Mumbai
27 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. Subhash Sonawalas
Dr. Subhash Sonawalas is an experienced Endocrinologist in Santacruz East, Mumbai. He has been a practicing Endocrinologist for 27 years. He has completed MD . You can consult Dr. Subhash Sonawalas at Dr Sonawalas Clinics in Santacruz East, Mumbai. Book an appointment online with Dr. Subhash Sonawalas 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 44 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 - Grant Medical College and Sir Jamshedjee Jeejebhoy Group of Hospitals - 1990
Languages spoken
English
Hindi

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3/7 Happy House Vakola Market Opp Vakola Market Santacruz East Mumbai - 400055Mumbai Get Directions
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I am 39 my uric acid gives me pain. please suggest.?

MD - Internal Medicine, MBBS
Endocrinologist,
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Take tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain in joints. Doctor may be give corticosteroid oral or inject direct in to joint.
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What is the cure for infertility? What is the main causes of infertility in women and how best can a person overcome infertility.

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
What is the cure for infertility? What is the main causes of infertility in women and how best can a person overcome ...
Cure for infertility depends upon its cause. Best way is proper checkups n follow up with good gynaec
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My mother has a diabetes from 10 years. Currently she has been taking below medicines from 6 months: Istamet 50/500 Mitovit Rosuvin 10 Mclazide M proper 15 Her last 3 months reports are: June - Before fasting - 160 & after fasting - 288 May - Before fasting - 240 & after fasting - 326 April - Before fasting - 190 & after fasting - 282 Please guide us if we can continue with the same medicines? Or can we start ayurvedic medicines? Thank you, Ankur.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother has a diabetes from 10 years. Currently she has been taking below medicines from 6 months:
Istamet 50/500
M...
Mr. lybrate-user By looking at blood glucose levels, it is clear that her diabetes is uncontrolled. There's no mention of HbA1c%, that gives a much better idea of long term control. Her treatment needs to be properly calibrated with glucose levels. We may have to add some additional drug/s. As regards ayurvedic drugs, there's no real benefit. Those drugs at best can be supportive therapy. If you come in a private conversation with all details like current fasting, PP& HbA1c%, dietary habits & extent of daily exercise then I will be able to guide specifically. Thanks.
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I am 46 years old & I am diabetic. My sugar levels is 183 (f) 323 (pp). I am taking metformin ip 850 mg 1 tablet each after breakfast, lunch & after dinner. I am also taking gliclazide er tablet 30 mg before meal (one time only). Before taking this I used to take glykind m. When it did not work then my doctor suggested above medecines. Still my sugar is still not in control. Kindly advice me what to do. Kindly suggest better medecine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Looking at the details I suggest you should shift to long acting basal analogue insulin like injection basalog, start with 6 units once a day and increase the dose based on daily blood sugar levels. You will have to do self monitoring of sugar levels. One of the oral medications namely metformin with glimepiride to be continued.
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I am a 25 yrs old male, suffering from hypothyroid, taking thyronorm 150 daily but m not feeling well my tsh is 7.1 now.

DM - Endocrinology
Endocrinologist, Gurgaon
There is something wrong. Probably there is miss dose for few days or not taking medication properly. 150 itself is too much. Please review privately or seek consultation with your endocrinologist near by.
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I got checked up for three months diabetes and it is 6. 6 should I start medicine.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
It reflects sugar status of past 3 months. Which is borderline. To check current status, check fasting and postprandial sugar levels. And also check your blood pressure, cholesterol - lipid profile.
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74 years old lady, diabetic has blood pressure 160/100. Please advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Hopefully you are under observation of a physician that treatment has to continue. Please inform whether treatment is responding or not? so that we can suggest some supportive herbal combo.
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Sir I am 31 yrs old, from 13 yrs suffering from diabetes, doctors advised insulin of latex & novo rapid. Which are costly can I use any cheap alternatives, kindly advise.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir I am 31 yrs old, from 13 yrs suffering from diabetes, doctors advised insulin of latex & novo rapid. Which are co...
yes cheaper alternatives are available..like huminsulin regular and NPH insulin..but lantus and novorapid are better ones if u can afford
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My mother's name is sreeja. She is 41 years old and she has blood sugar level 230. Blood sugar level increased above normal after she got admitted in hospital for dengue fever. Dr. told that it came from medicine. How it will be normal again without taking any medicines. Can you please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother's name is sreeja. She is 41 years old and she has blood sugar level 230. Blood sugar level increased above ...
If diabetes has developed following certain drugs as mentioned, some times when the drug which has caused it, if discontinued, sugar levels may be reduced or even become normal. So it is very difficult to tell whether the diabetes can be controlled without drug or not. It will be good if a complete diabetic profile is done - fasting, pp hba1c% and even lipid profile. Report the same then I will be able to guide. In the mean time she should avoid sweets, deep fried foods, junk foods and pastries and sweetened aerated drinks. Consume more of green leafy vegetables and salads. Take care with regards.
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I am 38 years old suffering type 2 diabetic from last 8 years my blood sugar is frequently up anddown gap of two or 3 month. I have to use 4 mg glimepiride tab 1000 mg metformin daily. Please give me a food suggestion and life style.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 38 years old suffering type 2 diabetic from last 8 years my blood sugar is frequently up anddown gap of two or 3...
Mr. lybrate-user , You have mentioned about the drugs being taken for diabetes, but no dosage. There is no mention about fasting, PP glucose level and HbA1c%, so it is not clear whether diabetes is well controlled at all. At your age it is very essential to achieve a very strict blood glucose control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. If not then you are inviting long term complications of diabetes much early. As regards dietary advice, unless all the details are known, it is difficult to suggest a specific diet. However, please avoid sweets, deep fried foods, junk foods, pastries, bakery items, sweetened aerated drinks, sweet corn syrup containing products and food stuff made up of maida. Avoid alcohol and smoking completely. As regards lifestyle regular one hour exercise a day is most important. Brisk walking is good enough. But if you can jog or run please do. Thanks.
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What I gt to know that someone can take any fruit of low to moderate GI even if he or she is diabetic. Like mango, banana etc. Is it true?

MBBS, MD
General Physician, Bangalore
What I gt to know that someone can take any fruit of low to moderate GI even if he or she is diabetic. Like mango, ba...
mangoes banana sapota jackfruit are of high glycemic index should be avoided. citrus fruits should be avoided in pt of associated kidney disease.
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How many times one should have fasting or after meal sugar above normal range to declare one a diabetic patient.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How many times one should have fasting or after meal sugar above normal range to declare one a diabetic patient.
A diabetic patient if not on any medication will almost have high fasting blood sugar levels and the symptoms of diabetes and increased blood sugar levels will confirm diagnosis.
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There is oain in my legs. Usually. Is it diabetes?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
There is oain in my legs. Usually. Is it diabetes?
Pain in the legs can be due to many reasons, diabetes does not cause that kind of a symptom especially initially for quite a few years. You have not described the nature and location, duration of pain. In any case get your blood sugar levels checked, particularly if there is family history and you are over weight.
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I'm suffering from diabetes melitus, what is causes of diabetes and please suggest me ayurvedic medicine for it.

Ph. D - Gastro & Human Nutrition Unit
Dietitian/Nutritionist, Pune
I'm suffering from diabetes melitus, what is causes of diabetes and please suggest me ayurvedic medicine for it.
Diabetes can be due to many causes hereditary, lifestyle or any other. You don't need ayurveda you need proper diet to maintain sugar levels consult me on personal for proper guidance with lifestyle and sugar management.
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Why Diabetic Patients Develop Eating Disorders?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Why Diabetic Patients Develop Eating Disorders?

Diabulimia is a type of eating disorder in which patients of Type 1 diabetes intake less amount of insulin purposely, in order to lose weight. This disorder, however, is not a formal diagnosis. The disorder may be defined as disturbed eating behavior. 

Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. This causes extra stress on the kidney in getting rid of excess of sugar. The body gets devoid of glucose and the calories associated with it and a rapid loss in weight occurs. Patients develop binge eating, with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.

The symptoms of this disease are:

  1. Occurrence of hyperglycemia
  2. Developing a habit of eating more, but still experiencing weight loss
  3. The shift in weight may be dramatic
  4. The energy level is low
  5. Eating patterns turn unusual
  6. Binge eating
  7. Developing an obsession for food
  8. Enhanced awareness about body image
  9. Feeling anxious about the weight
  10. A delay occurs in sexual maturity or attaining puberty
  11. Occurrence of stress
  12. Hospitalization is required frequently for diabetic patients
  13. Exercising amount increases
  14. The patient tends to hide food
  15. There is a smell of ketones from the breath and urine of the patient
  16. Frequency of urination gets enhanced
  17. Malnutrition occurs signalled by hair loss or drying of skin

Health hazards of Diabulimia

  1. Diabulimia can cause a great amount of permanent effects on the body, irrespective of age.
  2. Patients with diabulimia have a risk of getting early comorbidities.
  3. Health issues similar to issues arising from diabetes are observed, but are more adverse in nature.
  4. Dehydration happens along with excess urination.
  5. The patient experiences fatigue and the level of concentration falls down.
  6. An electrolyte disbalance is caused.
  7. There may be risk of heart attack, stroke, retinopathy, neuropathy, gastroparesis.
  8. Vascular disorders, gum infections and infertility in women may also occur.
  9. In the most extreme cases, death occurs.

Prevention
It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature. Dibulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Diabulimia is an eating disorder which leaves a patient at risk of acquiring many other severe diseases. It is advised not to neglect your insulin. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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I tested my diabetes it was 220 after lunch. Can I take sugar free tab for sweetness in sweet dishes.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I tested my diabetes it was 220 after lunch. Can I take sugar free tab for sweetness in sweet dishes.
You can have sugar free tablet but control your diabetes first. Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take medicene perscribed by your doctor.
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I have a problem of less sleep. Even trying soo hard I am not able to sleep for more than 4 hours. And 8-9 hours sleep is important. Can you please help me out in this problem. I don't smoke or drink. Nor I am addictive to any of the drug. I am a sports person and only take glucose.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I have a problem of less sleep. Even trying soo hard I am not able to sleep for more than 4 hours. And 8-9 hours slee...
As a sports person, you will need your sleep to be normal always. Try these techniques and see how successful you are: In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i.e. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT (check this out either on YouTube or Google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.
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