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Dr. Vijay.K.Panikar

Endocrinologist, Mumbai

at clinic
Dr. Vijay.K.Panikar Endocrinologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vijay.K.Panikar
Dr. Vijay.K.Panikar is one of the best Endocrinologists in Bandra West, Mumbai. You can visit him at Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Vijay.K.Panikar on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 32 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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#A - 791, Bandra Reclamation, Bandra West. Landmark:Opposite Mumbai Educational Trust, MumbaiMumbai Get Directions
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Hi Resently I checked first time t3, t4, tsh, in 2 different labs 1st lab report t3, t4 nnormal tsh-13. 2, 2nd lab report t3, t4 normal tsh-6. 2. What I to do after this result iam compulsory take to medicine or not. What are the thyrode symptoms my result is high or low.

PDDM, MHA, MBBS
General Physician
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You have hypothyroidism. And you need to be on medications. Please consult privately for personalised management.

I am 67 years old m.Iam diabetic for last 11 years with hyper tension under control. I take triopil II and covance 25 one tab daily. For the last few weeks when I go to sleep I do not get good slip, when woke up in the morning feel heaviness in head and tendency to slip again. Why it is happening so and what should I do so that I can feel comfortable and pull on my life peacefully.

MD, BAMS
Ayurveda
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I am 67 years old m.Iam diabetic for last 11 years with hyper tension under control. I take triopil II and covance 25...
hello... Plz start practicing pranayam everyday... it gives good peace of mind. As medication u can start with Medha vati tablet 1 tablets twice a day.

Sir my father is having diabities and repirts before fasting is 115 and after is 198 please refer some medicine

M.D in Panchakarma
Ayurveda
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Need to know age of patient and any medicine using presently regarding diabetes? [Automatically added by Lybrate] Click "Consult Dr. Chaitanya" below to consult privately with the doctor.

What is permanent solution of diabetic disease?

PGDD, RD
Dietitian/Nutritionist
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What is permanent solution of diabetic disease?
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 - Have small frequent meals. Do not fast for long hours. 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. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.

My wife is diabetic and presently on insulin morning 21u and evening 17u along with one oral tablet in afternoon. She has recently started taking BGR 34one tablet twice (morning /evening. Please advise me if BGR34 will be effective or other medicine which would help to reduce insulin dose thanks.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My wife is diabetic and presently on insulin morning 21u and evening 17u
along with one oral tablet in afternoon. She...
Hello, Insulin is the best treatment for diabetes. It helps in better blood glucose control. About BGR 34, a so called combination of some herbal medicines based on ancient literature, without any new research. Plus it was tried only on few lab rats, where its efficacy was said to be 67%, which is just like a placebo. No human studies, no clinical trials, so best is to avoid it. Thanks.
4 people found this helpful

Some allopathic medicines are to be taken before food for diabetes. Before how many minutes they should be taken? Thanks K Shanmugam.

MD - Medicine, Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Some allopathic medicines are to be taken before food for diabetes. Before how many minutes they should be taken?
Tha...
Hello There, 15 minute before food with 1/2 cup of water. If forgot you can take after food also but do not miss your dose. Please follow these food & life style modification advise for better results:- -On time food :- Breakfast 7-8 am, Lunch 12-1 pm & Dinner 7-8 pm -Fresh Seasonal Fruits daily twice at 10-11 am & 4-5 pm -Pomegranate very good. -Lot of Cooked Vegetable – 1 bowl full in each meal -1 Bowl Full Dal (Pulses) in each meal -Boiled water. -Increase Natural Proteins intake by 20% in each meal. -Reduce 25% quantity of Rice, Idly, Chapati OR Roti in each meal -Healthy life Style, Only Healthy Homemade Food -No Raw, Oily, Maid, Chana, Rajma, Potato, Brinjal, Fried, Chat, Bhel, Junk, Fermented, Tinned, Packed Food. -Sleep time 10 pm to 6 am (daily 6 to 8 hrs sleep is good) -No Day time sleep & night working. -NAP Therapy - Advance Panchkarm is very fast effective & you will experience good effects - good control in 1-2 week. -NAP Therapy will also prevent future complication For further proper treatment Consult.
8 people found this helpful

My uric acid is 6.1 what should I do?

MD - Internal Medicine, MBBS
Endocrinologist
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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 or tab. Naprosyn 500 mg once a day or sos for pain in joints.

I am 70years old and is diabetic for the last one week my feet are swollen.

Ph.D, M.D in Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Dear, you are at this age of 70 years you have to use this only AYURVEDIC medicine only.so send me your Diabetic blood report. Send reports using private consultation feature of Lybrate's Mobile App.

Diabetes - The rising epidemic

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician
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India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 percent of cases are lifestyle-induced.

Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack.

A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase in cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.

Health promotion strategies

Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [INTERNATIONAL] Diabetes Prevention Program (DPP) shows that small reductions in weight by the moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 percent among those with prediabetes.

In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.

Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high-fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.

Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus, India has a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.

Early diagnosis and prevention is the key to controlling the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.
Diabetes - The rising epidemic
8 people found this helpful

I am suffering from high BP and blood sugar, scan report normal condition. Please help me.

MBBS
General Physician
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I am suffering from high BP and blood sugar, scan report normal condition. Please help me.
We need to control your sugar and bp levels with medication, exercise and following a diabetic diet with low salt.

What is the symptoms of diabetes? Because I am feeling like diabetes why please as soon reply doctors.

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What is the symptoms of diabetes? Because I am feeling like diabetes why please as soon reply doctors.
Hi, The following are the symptoms of diabetes: - excessive thirst - excessive hunger - excessive urination - sudden weight loss - tiredness - burning sensation in the palms and soles - unhealing wounds - itching in the genital areas in females.

I tried many doctor´s medicine for thyroid but no result. I seriously suffered the swelling during winter season. But in other season I am having only swelling.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello, it is better if you give details of thyroid test results, like t3, t4 & tsh. Because if a person gets hypothyroidism, it will not go away. Hence, treatment has to be continued for lifetime. Symptoms of hypothyroidism are swelling of face & lower limbs, slow heart rate, early fatigue, tired feeling, intolerance to cold, joint pains, dry hair, dry skin, hair fall, menstrual irregularities, excess flow, difficulty in speech, inability to concentrate, inability to conceive, bad pregnancy outcomes and weight gain. So my advise to check thyroid hormones once again and report the same and if tsh levels are high, then treatment has to be restarted. Thanks.
2 people found this helpful

What is the cause for the thyroid. I am taking thyrox 75 daily I really want a baby what should I do for it. Is any thing which I have to be avoided. Kya thyroid patients ko baby conceiving nhi hoti h. Agr ho v gya to baby ko koi problem to nhi hoti h na.

MBBS, Dnb gynaecology
Gynaecologist
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What is the cause for the thyroid.
I am taking thyrox 75 daily
I really want a baby what should I do for it.
Is any t...
Aap ko baby ho sakta hai but thyroid hormone normal hona chahiye if you get pregnant thyrox medicine should not be stopped and thyroid profile should be done every 3 monthly.
3 people found this helpful

What is the best food for diabetic patient?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician
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What is the best food for diabetic patient?
DIABETIC DIET ADVICE: ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour

What is period time for daily health checkup and mostly third person is get affected with diabetic and third person have hair loss problem why this happen to people what was the way to take precaution and care before happening this all.

PDDM, MHA, MBBS
General Physician
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What is period time for daily health checkup and mostly third person is get affected with diabetic and third person h...
You should eat a balanced diet and exercise daily for at least 30 minutes. Get check up every 6 months.
1 person found this helpful

I'm suffering from lot of pain in my body and I've thyroid and my legs are paining and swelling from so many days please suggest me something to get rid of it very quickly.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist
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I'm suffering from lot of pain in my body and I've thyroid and my legs are paining and swelling from so many days ple...
Apply hot fomentation Do stretching of legs Avoid long standing While sleeping/lying keep your legs on high pillow Avoid overexertion Take bath with warm water adding salt to it

I am having thyroid problem. Taken madication for 1 year. I exercise daily on an elliptical trainer. My skin near hands became loose and seems flabby. Is there any solution to become thin? please suggest. Thank you.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Flbby skin not due to thyroid. But although any one can develop flabby skin. After age 40, live in dry, cold or low humidity climates. And have a job that requires you to immerse your skin in water. And swim frequently in chlorinated pools. For prevention you can wash your hand with hot water or bath with hot water. Use lactic acid + urea cream to your hand.

How brain gets effected due to hypoglycaemia? Is there any test to detect insulin overdose as cause of hypoglycaemia? Is the effect to brain fatal?Please tell.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist
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How brain gets effected due to hypoglycaemia? Is there any test to detect insulin overdose as cause of hypoglycaemia?...
Dear lybrate-user, low sugar or hypoglycemia is defined as blood sugar less than 72 mg% it is mainly diagnosed based on symptoms of low sugar. Brain use glucose only as it's food so when sugar goes low brain definitely feels hurt! palpitation, shakiness of hands, sweating and giddiness or sleepiness followed by coma or unconsciousness is a sequence of symptoms seen with progressive low sugar. We routinely never ask for serum insulin levels to diagnose hypoglycemia. Hope this helps you.
2 people found this helpful

The uric acid of my body is increased. How to reduce it? Will walking help in this case?

MBBS
General Physician
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Drink plenty of water. No need to reduce your diet very much. Take everything in moderate quantity. Uric acid if increased levels are found cause problem when it crystallize in joints. To reduce this chance you need to hydrate yourself. I. E. Drink plenty of water. Take medicine to reduce uric acid only after consulting a physician.

My tsh level us 9.3 t3 and t4 is normal. But my weight is going to up and joints pain and feeling tired always. Please suggest some tips and medicine.

D.P.T
Physiotherapist
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My tsh level us 9.3 t3 and t4 is normal. But my weight is going to up and joints pain and feeling tired always. Pleas...
Dear user, take medicines for thyroid problem, to reduce weight drink two glasses of warm water every morning. Do some regular excercises to avoid pains.
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