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Dr. Vijay.K.Panikar

MBBS

Endocrinologist, Mumbai

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Dr. Vijay.K.Panikar MBBS Endocrinologist, Mumbai
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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. Vijay.K.Panikar
Dr. Vijay.K.Panikar is one of the best Endocrinologists in Bandra West, Mumbai. He is a qualified MBBS . You can visit him at Dr. Vijay.K.Panikar@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 43 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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MBBS - - -

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#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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Can a diabetic patient consume Luke warm water with lemon and honey (since honey is sweet).

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can a diabetic patient consume Luke warm water with lemon and honey (since honey is sweet).
Mr. lybrate-user, Honey contains mainly or only sucrose (as in sugar), plus it has some vitamins and a few anti-oxidants. But since it is sucrose, it will increase blood glucose level almost immediately. It will depend upon the quantity taken. Thanks.
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From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test Thyroid, creatine and sugar test all turn out to be normal. Currently I am taking supracal pro tablets. My doctor suggested me this as lifestyle disorder and prescribed Etizolam 0.5 mg and zincovit tablets however I don't want to take sleeping pills as I heard it had lots of side effects. Please advise.

MBBS, cc USG
General Physician, Gurgaon
From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test T...
Some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity, you can go for daily morning walk 3. Regular meditation/ yoga, it will help you alot 4. Avoid tea coffee after 7 pm 5. You can take bath at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes 8. Avoid watching TV and reading news paper at bedtime, you can listen some soft music Consult if symptom persist
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What happens if type 2 diabetes is not controlled and the sugar levels are very high? What happens when the blood sugar is suddenly decreased or increased? Do the sugar levels increase by stress or tension or unbalanced food is the only cause? What could a person do to maintain a normal sugar level?

MBBS, MD - General Medicine
Endocrinologist, Faridabad
What happens if type 2 diabetes is not controlled and the sugar levels are very high? What happens when the blood sug...
High sugar can damage heart nerves kidney eyes etc. Low sugar can cause convulsions and loss of consciousness. Keep sugar under proper control.
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Hello doctor one day l'm checked own sugar in monitoring system and show result'low'9-14. It means that hypoglycemia. It's a beginning sugar? I'm worried. My age 30 homemaker & two kids. 55kg w. 5'4" h& thyroid patient.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor one day l'm checked own sugar in monitoring system and show result'low'9-14. It means that hypoglycemia....
It is better if you get your blood sugar checked in a close by laboratory, that will give a clear idea. If diabetes is present then readings are: fasting >126 mg and pp >200 mg /100ml. If fasting sugar is between 100 to 125 mg it is known as fasting glucose intolerance. If pp is between 140 to 199 mg it is impaired glucose tolerance. Both these conditions are also referred as pre diabetic stage. Normal glucose is - fasting 70 to 110 mg and pp <140 mg.
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my mom age 51 suffering from Diabetes since 6 month. Now her left leg paining at night what to do ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
my mom age 51 suffering from Diabetes since 6 month. Now her left leg paining at night what to do ?
Hello, first and formost important thing is to have excellent blood glucose control with fasting around 100 mg, pp 150 to 160 mg & hba1c% <6.8. If pain is persisting or related reduced blood supply, then certain investigations may have to be done, like colour doppler or ngiography. Then suitable treatment can be under taken.
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My wife's tsh level is 12. We take homeopathy for that. Also we want to be parents. Which medicine is best?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife's tsh level is 12. We take homeopathy for that. Also we want to be parents. Which medicine is best?
when your wife's tsh normal she can conceive ..pl. tell us your all reports. after that we can advice .
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I am 60 and my post pp blood sugar is 145. Should I start taking medicines? Subhash.

MBBS
General Physician, Cuttack
I am 60 and my post pp blood sugar is 145. Should I start taking medicines? Subhash.
No it is not required. However you can go for regular walk, control your diet by avoiding excess sugar, sweet, high calorie and carbohydrate rich diet. Monitor your blood sugar three monthly and consult physician if required
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Can cinnamon helps to reduce blood sugar level? If yes, pse tell me how to take cinnamon and what its dose. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can cinnamon helps to reduce blood sugar level? If yes, pse tell me how to take cinnamon and what its dose. Thank you.
Mr. lybrate-user, There a few studies which have shown that cinnamon does help in reducing blood glucose. But there other studies which show that there is hardly any benefit. It may be helpful in giving some additional benefit. About 4 g (1 tea spoonful) powder may be taken 2 or 3 times a day. But do not stop the anti-diabetic treatment. Thanks.
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I am a blood sugar patient and taken insulin in 2 times daily with one metformin tab (Citapin XR 500mg). Even though, it was not controlled. Although I am running restricted life. Please. Give your opinion.

MBBS, DGO (cal)
General Physician,
Control of Diabetes is a is therapy done by a combined and serious team consisting of The Patient and the physician. Physician advises. Unless the recipient, I mean the patient seriously asks Physician is also can not give you the fullest. Its a psychological bond which is above all a professional advice only. Your uncontrolled diabetes may due to either your non compliance to the advice of physician or incompetent advice of the physician. I have no reason to believe the second part of the statement. I may believe at this juncture to stick to the following part and retest your BS fter 15 days. If you see any improvement, go back to your doctor and listen list him and follow his advice. If he is not giving your satisfactory attention, I know you know what to do. A patent always choose he physician not the physician choose his patient. He may love him with empathy. 1) Brisk Walking 5 Km daily - whether over weight or not, of course if it is not contraindicated by your treating physician. 2) Keep your Body Mass Index within 24 Kg / Meter Square of your body surface area, that is your healthy weight - by exercise and dietary management. 3) Diets - STOP the following - Sweet, Sugar, Potato, Fried substances, Starchy foods, Sweet drinks, Canned juices, Ice creams, Processed juice of any type. Butter, Cheese Avoid rice (if at all never more than one leveled Tea Plateful / day) Normal or high protein. Low fat. High fibre - Leafy vegetables + Vegetables (particularly less starchy and coloured one, which contains more antioxidants) 4) Meditation for 20 mins daily Hope its OK for the time being.
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Sir I have sugar since 2 year. So, please suggest me a good medicine to this problem?

MBBS
General Physician, Cuttack
Sir I have sugar since 2 year. So, please suggest me a good medicine to this problem?
you have to get your fasting, PP blood sugar examined and consult diabetologist. In addition to this, you have to go for regular exercise, reduce weight and control diet
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I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other hormonal tests are fine. I am not taking any sugar medicine but has family history of diabetes. Why this happens to me? What can I do pls help.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other...
Hello You need not worry. You need to take precautions as you have family history. Low sugar levels can be due to improper meal timing. Take 3 main meals and 2 side meals. Don't skip breakfast. Sleep for 7-9 hours per night. Exercise regularly. Avoid fried foods, sweets, carbonated drinks and processed foods. Include whole grains, sprouts, seasonal fruits and vegetables. Avoid mango, cheeku, banana, arbi and zimikand. Take flaxseed powder 1 tsp with lukewarm water on empty stomach. Take green tea 3-4 cups a day. Drink plenty of water. Thank you
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I am a type 2 diabetic. My fasting is 165 mg and pp 286 mg. My doctor prescribed invokana. Is it safe to take. I read this medicine is not yet approved. Please advice.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I am a type 2 diabetic. My fasting is 165 mg and pp 286 mg. My doctor prescribed invokana. Is it safe to take. I read...
Don't use. Use your previous medicines or send your details of height body weight age etc will suggest you.
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I am 75 years old diabetic and bp also. I suffer constipation in spite of consuming plenty of food contains fibre. I do not get the urge to go to toilet. I feel my muscle in the rectum is not pushing the stool and water is absorbed and solid mass stool comes out after lot of effort. Lease let me know what is the real problem.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hello sir try being physically active. Walk for 45 min. Drink lots of fluids. A glass of veg juice with flaxseed powder can help you. Always establish a routine.
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She has. Recently.gained wait all of sudden. Since she came to she has thyroid. N also she has uric acid problem now she is. started taking medicine fr thyroid doing bit yoga. N also using ayur slim capsule. Though she lost 4 kg. But yet she want loose more weight. Nw current 31w 5.5 height 75 kg somewhere approx can anyone suggest diet to loose tummy fat. Other area ruled fr fat.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
She has. Recently.gained wait all of sudden. Since she came to she has thyroid. N also she has uric acid problem now ...
Hello, If a person develops hypothyroidism then weight gain is very common, particularly if it is uncontrolled. If efforts to reduce weight should succeed then TSH levels should be maintained between 3 to 4 mU/L. Plus there has to be a strict diet control, with food intake giving calories based on ideal body weight (Height in Cms - 100 = IBW). IBW X20 = calories per day. Plus daily exercise of at least 1 hour is needed. The tablet being taken to reduce weight is unlikely to help. High uric acid is seen in many people, but only a few there is a problem related to joint pains. Thanks.
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I want to conceive. I had got 6.5% glycosylated haemoglobin in blood report but if I checked my blood sugar levels it never exceeded 90 in fasting so I want to know am I diabetic or not. I have to cut off sugar totally or l can have some.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to conceive. I had got 6.5% glycosylated haemoglobin in blood report but if I checked my blood sugar levels it...
Hi. Lybrate user. You have pcod disease also mention in condition option on your question. It can create problem to conceive pregnancy. Avoid over weight. Avoid spicy and oily meal. Avoid non-veg. Take green veg.
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My mother is 43 years old and she is suffering from diabetes and wanted to know What is the reason behind getting diabetes other than eating sweets. And what to eat and what not to eat in diabetes?

MBBS
General Physician, Cuttack
My mother is 43 years old and she is suffering from diabetes and wanted to know What is the reason behind getting dia...
1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. The risk factors for diabetes are a) heredity, b) obesity, c) stress, d) lack of exercise, e) lack of diet control, f) sedentary life style 1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat. Take fish/chicken. 5. Avoid carbonated drinks like soft drink, include more fiber in the diet like pulse/green leafy vegetables, legume
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For Diabetics, whch one is the best Treatment -Allopathy or Homeopathy or ayurveda or others?

MBBS, MD - Medicine
General Physician, Delhi
For Diabetics, whch one is the best Treatment -Allopathy or Homeopathy or ayurveda or others?
None. 1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block injection is effective for six months
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DIABETIC FOOT CARE

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
DIABETIC FOOT CARE

1. Keep the feet clean and dry

2. Wear well fitting soft shoes- keep one for outdoors and one for indoors

3. Never walk barefooted

4. Avoid injuries and burns

5. Nails should be cut properly with nail cutter only, avoid nail pairing

6. Good glycemic control

7. Daily inspection of a foot by self or a responsible relative/helper daily

8. Prompt consultation with a good surgeon/ chiropodist whenever any lesion or injury detected

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