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Dr. R.P.Anand

Endocrinologist, Navi Mumbai

300 at clinic
Dr. R.P.Anand Endocrinologist, Navi Mumbai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R.P.Anand
Dr. R.P.Anand is an experienced Endocrinologist in Panvel, Navi Mumbai. You can meet Dr. R.P.Anand personally at Dr. R.P.Anand@Birmole Hospital in Panvel, Navi Mumbai. Save your time and book an appointment online with Dr. R.P.Anand on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 38 years of experience on Lybrate.com. Find the best Endocrinologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Birmole Hospital

Plot No 118/1, Vastu Society , Thana Naka, Panvel,Landmark:Opposite Royal Cosmo Club .Navi Mumbai Get Directions
300 at clinic
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Hello mam, Meri age 30 hai mujhe 3 sal se sugar hai. Hamesa lagbhag 110/150 rhi hai .main wonride M2 fort teblet 1/2 dono time leta hu .pichle 5 dino se 200 se upar hai subah dopahr sam rat jab bhi chek karta hu 200 ke par hi nikali hai kam kyo nhi ho rhi plese help.

MBBS
General Physician, Cuttack
Hello mam,
Meri age 30 hai mujhe 3 sal se sugar hai. Hamesa lagbhag 110/150 rhi hai .main wonride M2 fort teblet 1/2 ...
1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 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 6.Consult diabetologist for advice and treatment.
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What precautions should I take to maintain blood sugar level so that I can avoid diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What precautions should I take to maintain blood sugar level so that I can avoid diabetes?
Mr. Lybrate-user, diabetes t2, is a preventable disease. To avoid that one needs to adapt a modified life style. Which means: 1) maintain near normal weight, exercise regularly for at least 1 hour a day. 2) avoid too much of sweets, deep fried foods, junk foods, sweetened aerated drinks, pastries, fructose corn syrup containing products and high fat milk products. 3) consume more of green leafy vegetables and salads and fruits. 4) avoid alcohol and smoking. Your caloric intake should be just exact to the need based on ideal body weight and extent of daily exercise.
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I m 32 year's old suffering from high sugar I m using glycomet trio 2 tablets. Also suffering from constipation or gas.

MBBS, cc USG
General Physician, Gurgaon
I m 32 year's old suffering from high sugar I m using glycomet trio 2 tablets. Also suffering from constipation or gas.
Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT I am giving you some tips to prevent constipation: 1. take 6-8 glass of water in a day 2.Regular Physical activity Keeping mobile and active will greatly reduce your risk of getting constipation. Ideally do at least 150 minutes of physical activity every week. 3.You should have about 30 g of fibre a day. You can increase your fibre intake by eating more: I am giving you list of some fibre containing food vegetables wholegrain rice whole wheat pasta wholemeal bread seeds oats 4.Toilet habits Never ignore the urge to go to the toilet Consult Physician/me for further Management
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I am a diabetic for the last 15 years - type II. But of late my sugar lever increased during the past fortnight. How to reduce the same without insulin.

MSc
Dietitian/Nutritionist, Chandigarh
I am a diabetic for the last 15 years - type II. But of late my sugar lever increased during the past fortnight. How ...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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Sir my mom have regularly acidity problem and have high bp also. What will I do for her acidity prob.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir my mom have regularly acidity problem and have high bp also. What will I do for her acidity prob.
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.
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My wife is 30 years old. Yesterday we got her thyroid profile done. Her T3 and T4 are normal but TSH is elevated. It is 8.58. What should we do? Homeopathy or allopathy? Pls help!

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Dear Lybrate user, these reports points towards hypothyroidism. Homoeopathy acting upon endocrine system regulates release of TSH, which ultimately will normalise, but this will not happen in 1 or 2 days, you ll need to ve patience. I ll advise you to go for homoeopathy.
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I am Sr. Ctzn. 77 yrs. I am a diabetic. From yesterday night I am having hiccups and it has not stopped. Please advise me what to do. At quoted by mistake. Rajkumar.

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
I am Sr. Ctzn. 77 yrs. I am a diabetic. From yesterday night I am having hiccups and it has not stopped.
Please advis...
I hope by this time your hiccups might have stopped. First of all you have to deal with your weight. There are many other ways to get fit. First correct your diet and life style, taking more fiber, protein rich foods, green tea, essential fatty acids etc, better you should schedule an appointment where I will do your nutritional health assessment with a machine, make you understand your readings, will take your diet history, explain you what you can do to achieve your health goal, improving & customising your existing diet & deal with the deficiencies. All this would take one hour. You will see the results from 5 days onwards.
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I have been suffering from Thyroid since last seven years. At present my TSH reading is 0.36 and I am taking Thyronorm 100 mg daily. Can I reduce the dose to 75 mg because of low TSH reading. Sometime back the dose was increased to 100 mg from 75 mg because of high TSH.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. TSH 0.36 mU/ L is fine, there is no need to reduce the dosage. If one changes the dosage often then that will lead to a considerable variation in TSH levels and there will be proper control on hypothyroidism. One can look at reducing the dose only when TSH levels go <0.1 mU/L. Thanks.
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Hi. My husband is 29 years of age. N he got blood test recently. N knew as diabetic. Can you please suggest d diet n care to b taken as he is working in a software field.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Hi. My husband is 29 years of age. N he got blood test recently. N knew as diabetic. Can you please suggest d diet n ...
You should go for brisk walk in the morning. Do regular exercise atleast 15 minutes. Take lukewarm water with half spoon methidana powder in the morning. Complex carbohydrates and fibre should be included. Diet in high in protein for health of diabetes. Junk food should be avoided. Timely and balanced diet is as important as regular medicine intake to control diabetes. Loose your extra weight this will not only lower your blood but also helps lowering your blood pressure, cholesterol too. Take small and frequent meals.
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Sir I have thyroid problem and taking thyroxine sodium tablet. 150 mg and 100 mg on alternate day. Now my latest thyroid test show as follows T3 is 1.04 T4 is 13.12 (high) TSH is 0.036 (low) Please advice me how it will become normal.

MBBS, MD
General Physician, Bangalore
Sir I have thyroid problem and taking thyroxine sodium tablet. 150 mg and 100 mg on alternate day. Now my latest thyr...
Mr. lybrate-user you are over dosing your self. Please stop medication for 15 days. Repeat t3 t4 TSH after 20 days. And revert back via private conversation.
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My urine protein and uric acid is a little high. Now I am walking 1 hour a day. Can I take protein diet.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My urine protein and uric acid is a little high. Now I am walking 1 hour a day. Can I take protein diet.
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. Do test KFT every 6 months to monitor levels of it.
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I am 40 years old male, I have pain in my some finger joints and groins from 2 years. I am diabetic from last 24 years and thyroid from 1 year. What should i do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 40 years old male, I have pain in my some finger joints and groins from 2 years. I am diabetic from last 24 year...
exercise must and tk physiotherapy treatment for few day and maintain diabetes and thyroid by medicine
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My aunt having diabites she is 40 years old and having one child she having diabitirs after when she gave birth a child is that child ok chid having any chansese of daibites.

MBBS
General Physician, Delhi
You did not tell me about the age of the child. Why I ask this is because children born of diabetic mothers have a higher chance of having congenital heart disease and various other congenital diseases. As far as your specific query is concerned, there again you data is incomplete. You did not tell whether your aunt has type 1 diabetes or type 2. However, generally diabetes has a strong genetic predisposition. If one or both of the parents suffer from diabetes, chance of the same in the child increases manifold. Thanks.
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I am 37 years old. And also diabetes and enlarged fatty liver . I consumed alcohol twice or thrice daily. What I should do.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I am 37 years old. And also diabetes and enlarged fatty liver . I consumed alcohol twice or thrice daily. What I shou...
Enlarged fatty liver with diabetes and high alcohol consumption will lead to liver failure sooner than you can imagine. So first, get a handle on the situation by cutting your alcohol consumption. Alcohol is going to stress out your liver and its going to become more and more enlarged and then will shrink itself to cirrhosis. You are 36 years- there is still a lot in your hands to change. Sadly, once liver failure will set in- it will be point of no return.
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What kind of diet should a diabetic patient follow. My sugar level is 102 is this safe.

MBBS, MD - Internal Medicine
General Physician, Delhi
What kind of diet should a diabetic patient follow. My sugar level is 102 is this safe.
Dear lybrate-user, Following are the treatment goals. Fasting blood sugar- between 70 and 130 mg/dl Post parandial blood sugar- less than 180 mg/dl Hba1c – less than 7. So yes, your sugar levels do seem tobe fine.
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My uric acid level is 6.2 mg/dl. There is minor pain in my leg and my left hand thumb. Is there any home remedy to lower my uric acid level. If not then please guide me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My uric acid level is 6.2 mg/dl. There is minor pain in my leg and my left hand thumb. Is there any home remedy to lo...
Mix one teaspoon of apple cider vinegar in a glass of water and drink it two to three times daily. If you find this remedy helpful, you can increase the dosage of apple cider vinegar to up to two tablespoons.
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My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her diet and health routine consists of?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her die...
High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines . you should be avoid bad habits . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.
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How Diabetes Can Affect Vision

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Can Affect Vision

Diabetes is the condition where the blood glucose levels in your body tend to be quite high and can have an adverse effect on many of the organs in your body. The eyes are no exception and can be quite adversely affected by diabetes as well.

Let's look at the various problems you could face if you have diabetes:

1. Blurry vision: Diabetes can cause the lens in the eye to swell and this will affect the way you see. Because of the increased lens size, the eyes have difficulty in focusing on objects resulting in blurry vision. You will have to get your blood sugar levels back to normal and only then the vision will begin to correct itself. This will however take time to happen.

2. Cataract: Blurry vision for an extended period of time which progressively gets worse can be a symptom of cataract. Although cataracts can develop even with normal patients, they tend to accelerate and happen earlier in adults who have diabetes. Cataracts are usually fixed with surgery where the natural lens is removed and replaced with an artificial lens.

3. Diabetic retinopathy: Diabetic Retinopathy and Retinal Detachment are one of the leading causes of blindness in adults who suffer from diabetes. The retina is a very important part of the eye which allows us to see the images by capturing light and then sending them to the brain via the optical nerve. With diabetic retinopathy the smaller blood vessels in your retina may get damaged and thus end up causing damage to your vision. This can be of three types:

  1. Proliferative Retinopathy: In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye , and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels.
  2. Background Retinopathy: Background or nonproliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. With this condition, damaged blood vessels in the retina begin to leak extra fluid and small amounts of blood into the eye.
  3. Maculopathy: The macula is the central area of your retina. It is responsible for all your sharp vision, such as used for watching TV or reading. It can become damaged in diabetes, with leaks developing (oedema).

4. Glaucoma: This is a condition where fluids build up inside the eye and it results in the pressure within it building up. This may damage the blood vessels within the eye and cause vision changes. Problems within the eye may not be detected till you experience vision loss. Some of the symptoms of glaucoma may include:

  1. Blurry vision
  2. Watering from Eyes
  3. Difficulty in vision
  4. Pain in the eyes
  5. Lights appear to have halos
  6. Headaches

Treatments: Blurry vision also tends to go away slowly once the level of blood glucose is controlled either via medicines or by diet changes. However, glaucoma or diabetic retinopathy may require a range of medicines to ease the pressure on the eye or to discharge fluid buildup. If none of these works, then relevant surgery may be required to resolve the problems.

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