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KEM Hospital - Pune

Endocrinologist Clinic

#489, Rasta Peth, Sardar Moodliar Road, Pune Pune
1 Doctor · ₹100
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KEM Hospital - Pune Endocrinologist Clinic #489, Rasta Peth, Sardar Moodliar Road, Pune Pune
1 Doctor · ₹100
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about KEM Hospital - Pune
KEM Hospital - Pune is known for housing experienced Endocrinologists. Dr. C S Yajnik, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 87 patients.

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MON-SAT
08:00 AM - 12:00 PM

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#489, Rasta Peth, Sardar Moodliar Road, Pune
Rasta peth Pune, Maharashtra
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The Diabetes-Depression Connection

MD - Diabetology, MBBS
Diabetologist, Surat
The Diabetes-Depression Connection

According to most experts, Depression and Diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How Diabetes and Depression Correlated?                    
There are myriad ways in which diabetes affects depression and vice versa.

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment: Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping Yourself.

If you suspect you might have depression, take control of your health by:

  • Going to a doctor or other health professional
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Very particular about medicines prescribed for Diabetes
  • Eating healthily and including a wide variety of nutritious foods
  • Achieving and maintaining healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
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My age 41 years sir my random blood sugar is 117 check through finger. Can I eat anything or any precaution my father and mother also diabetic

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
My age 41 years sir my random blood sugar is 117 check through finger. Can I eat anything or any precaution
my father...
Dear Lybrate user, though it is normal now but bcoz of family history of diabetes, I ll advice a blood sugar level test both fasting and 2 hrs after lunch. As your parents r diabetic you should check your blood sugar level frequently.
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Diabetes - How it Affects Your Skin?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Diabetes - How it Affects Your Skin?

Diabetes is a serious disease, but if properly managed is not life threatening. Diabetes can be explained as the body’s inability to regulate insulin production. This leads to fluctuations in blood sugar levels. This disease affects every part of the body including the skin. For some people, a rash is among the first few symptoms of diabetes. Most diabetic patients suffer from a skin condition at some point or the other. Here are a few common skin ailments that affect diabetic patients.

  1. Bacterial infections: A weakened immune system makes diabetics more vulnerable to bacterial infections than normal. These bacterial infections can be typically seen in the form of styles on the eyelid, boils, carbuncles and nail infections. They usually make the skin around the infected area red, inflamed and painful. Most skin bacterial skin ailments can be treated with antibiotic creams and pills.
  2. Fungal infections: One of the most common fungal infections that diabetic patients suffer from is known as Candida albicans. This ailment is characterised by a red, itchy rash that is surrounded by small blisters. It is caused by yeast-like fungus and usually found in moist areas like the armpits or between the toes. Other fungal infections that affect diabetic patients include ringworm, jock itch, athlete’s foot and vaginal yeast infections.
  3. Itchy skin: Diabetics often suffer from itchiness that could be triggered by yeast infections, dry skin and poor circulation. People with poor circulation will find their calves and feet to be the itchiest part of the body, While poor circulation and yeast infections may need medical attention, dry skin can be easily treated by keeping the skin internally and externally hydrated along with the use of a mild moisturising soap.
  4. Vitiligo: This is a skin condition where the melanin producing cells in the skin are destroyed. This leads to a patchy appearance that can be typically seen on the hands, face and chest. Vitiligo is considered to be an autoimmune disease like diabetes and has no known cause or cure. Sunscreen is a must for diabetic patients suffering from vitiligo as the unpigmented skin has no protection from UV radiation.
  5. Diabetic blisters: Patients with severe diabetes may also suffer from diabetic blisters. These blisters usually occur on the extremities of the body and resemble blisters caused by burns. They are usually pain-free and heal on their own.
  6. Disseminated granuloma annular: This condition is characterised by a ring or arc shaped areas on the skin. They can usually be seen on the fingers and ears but may also occur in the chest and abdomen. This rash may be reddish or skin coloured. Medical treatment is not generally required for this condition.
9 people found this helpful

I am male 65 yrs. BP 130/84 after taking TELMIKIND 40. BLOOD SUGAR 132/147. After detection of sugar in blood, I am walking for 1 hr and no sugar in my diet. Any further advice?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD (AM), PGDPPHC, ACLS
Alternative Medicine Specialist, Chandigarh
I am male 65 yrs. BP 130/84 after taking TELMIKIND 40. BLOOD SUGAR 132/147. After detection of sugar in blood, I am w...
It is good that you are motivated for a walk and also are on medication for High BP as well as on no sugar diet. Still, you need a better control on sugar levels & there are other factors as well such as cholesterol etc. Which pre-dispose a diabetic patient to premature heart disease. High protein & low carbohydrate diet needs to be taken. Some herbal medication to start with may help along with 3-4 times of a specific yoga regime may help.
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I am 68 years old my Blood Sugar levels are 114 PP 88 HOW TO bring FF Sugar level within Range.

MBBS, CCEBDM
Diabetologist, Bangalore
I am 68 years old my Blood Sugar levels are 114 PP 88 HOW TO bring FF Sugar level within Range.
Hi FBS of 114 is normal. PP of 88 is low.Fasting blood sugars always depend on what you eat the previous night. Have an early dinner. Do not eat high calorie food. Have a cup of milk with some protein powder at bedtime. Apart from this medication dose adjustment is needed.
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Can diabetic patient use apple cider vinegar before bed to control diabetes. Is there any side effects of using ACV for diabetes.

MBBS, CCEBDM
Diabetologist, Bangalore
Can diabetic patient use apple cider vinegar before bed to control diabetes. Is there any side effects of using ACV f...
Hi Apple cider vinegar has lot of good effects on the body. It reduces weight, lowers cholesterol thereby reducing risk of heart disease and also has glucose lowering effect hence reduces blood sugar. 2 tsps of apple cider vinegar at bedtime reduces fasting blood sugar. Watch for low blood sugars.
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46 years female having hypothyroidism frm last 10 yrs. In between took homeopathy treatment n once had allopathic medicine for 2 months. Now sometimes I feel tat my tongue swollen or enlarged n I feel like chocking. Asked abt this frm Doctor bt did nt satisfactory answer. Wt is this n y it is happening? Weight is nearly 80 kg, too much Hair fall, dry skin n high appetite with depressed looks. Wt to do.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
46 years female having hypothyroidism frm last 10 yrs. In between took homeopathy treatment n once had allopathic med...
Write what nnd how much medicine you r taking now with latest tsh level good luck do no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water.
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I have hyperthyroid. Putting on weight. Acne and delay menses. Irritation is also the big reason of my face's dullness. Body fat is increasing very fast. Need help.

MBBS
General Physician, Mumbai
Apart from taking symptomatic treatment follow few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I was on wysolone for 14 days and total wysolone taken was 410 mg. My PPBS shot up to 210. I never had sugar. After another 10 days PPBS has come down to 142. Is it due to wysolone and will normally passage of time. When should I do another PPBS test to know normal posn.

MBBS
General Physician, Mumbai
I was on wysolone for 14 days and total wysolone taken was 410 mg. My PPBS shot up to 210. I never had sugar. After a...
Dear lybrateuser, - Your increase in blood sugar is due to wysolone , since it is reducing gradually repeat it after another ten days.
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I am a sugar patient ,I ve been taking cetapin 500xr from past 2 years I am a very pious lady and I do fasting every month Is it OK if I continue this. Or will it impact on my health in future. please suggest Thanks in advance.

MD, DYA, PGDCR
Ayurveda, Nashik
I am a sugar patient ,I ve been taking cetapin 500xr from past 2 years I am a very pious lady and I do fasting every ...
Dear lybrate-user need to know some basics. How is your status of sugar. If its fluctuating/ you suffering from hypoglycemia in between then fasting not good for u.if you r perfectly fine then you must fast once a month in which you shud take only warm water and rice flakes. This type of Langhan is very good for diabetics. please consult me in person on Lybrate for details.
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Hi! I'm suffering from thyroid last month (December) conformed. My TSH >100.00 doctor prescription 50 mg tablet. Now recently (January 7th) thyroid test TSH 6.94 so please suggest how much mg tablet I have to use?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
It is very good control .continue the same medicine for one month more. Its normal should be about 3 .take iodised salt.
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I am 52 female, fasting sugar is 128, pp is 135, right now no medicine for sugar. Suggest me how can I control my fasting level.

MBBS
General Physician, Mumbai
I am 52 female, fasting sugar is 128, pp is 135, right now no medicine for sugar. Suggest me how can I control my fas...
Dear Lybrateuser, - To bring down your fasting level sugar decrease carbohydrates & increase protein & healthy fats in your dinner - do regular exercise like brisk walking for 30-40 min, also do yoga for 5-10 min daily in the morning, also take a 10 min walk after dinner for better digestion & control of sugar - sleep well for 7-8 hours in the night.
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My wife is 34 and she underwent a total thyroidectomy recently. Diagnosis was papillary thyroid carcinoma. The tissue has been sent for biopsy. The doc has advised Radio Iodine after some time. What precautions should she take to maintain good health and to avoid recurrence in addition to regular checkups. What is your advice as life seems to have come to a standstill for us.

MBBS
General Physician, Jalgaon
Please Keep atmosphere at home healthy and happy. Give her Dates, jaggery, beet root, green leafy vegetables regularly Take her for morning and evening walk in greenery daily Continue her current medicine Take second opinion from oncosurgen.
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Hello. Has diabetes from past 5-6 years no family background has diabetes. He is suffering from Muscular dystrophy from past 10-12 years he can't walk or stand only sitting and sleeping no exercise has more he will control in food and also from past 3-4 months he is not using white rice for his food he is intaking (foxtail Millet) and also taking tab Glynase MF morning and night from past 2-3 years approx please suggest him to control the sugar level correctly food items to in take not to intake. Sugar level (Fasting Blood 181 mg/dl- Urine Trace. Post Blood 297 mg/dl- Urine 0.5%) In this test the post sugar level has increased on last tests it was post <200.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Hello. Has diabetes from past 5-6 years no family background has diabetes. He is suffering from Muscular dystrophy fr...
He can take Jawar rotis&Pulkas daily with large Q of Vegetables curry. Let him take more water. That too in morning with empty stomach, 2-4glasses of luke warm water&in whole day minimum 3 litres suggested. Sprouts without salt but pepper powder can b added. Avoid red chillies or that powder&Use green chillies in that place. Let him take daily 10-12 Soaked Fenu greek seeds in morning with empty stomach, which shows good effect on Sugar levels. &in the same way, Consumption of Methi leaves also should be increased. These are all few tips. In Homeo, There r good remedies. For further help, try to consult.
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Foot Care & Eye Care In Diabetes

MBBS
General Physician, Mumbai
Foot Care & Eye Care In Diabetes

Diabetes can wreak havoc on the eye and the foot. Proper care is necessary in order to refrain from any serious consequences. It can damage the blood vessels and the nerves of the feet resulting in numbness and permanent disability. Some of the alarming foot symptoms include bruises, cuts, cracked skin and hard spots. Some of the common measures that need to be taken for foot include checking the temperature sensation of the foot by immersing it in hot water, drying the feet gently in between the toes and using agents such as lotion, lanolin, and petroleum jelly.

Some of the other preventive measure includes cutting the nails when they are young and straight to ensure no injury to the foot takes place. It should be ensured the toe is not touched by the nail of the toe. A pumice stone can be used to get rid of the corns immediately after a bath. No medicated pads or sharp razors should be utilised to cut corns. The feet should be soaked in warm water before trimming nails.

A shoe should be put on at all times to save the feet. The shoe sole should be thoroughly checked for foreign objects such as stones and nails to ensure that the foot is not hurt. Tight shoes should be strictly avoided in order to refrain from soreness and blisters. Dry and clean socks should be put up to ensure the foot is clean. For people living in cold area, wearing thick socks should be practised. This will help the foot protect from cold. Finally, a doctor should be called in case there are any visible signs of swelling, redness, cracks, pain or sensation of burning.

Too much blood sugar can cause harm to the eye in four ways: It can cause damage to the retina, lens, optic nerve and vitreous gel. There could be serious repercussions of diabetes to the eye including low vision and complete loss of vision. Diabetes blocks the retina and is capable of cutting off the total supply of oxygen.

Some of the common symptoms of retina related problems include double vision, a pressure in one eye, problems in corner vision, flashing lights, pain in the eye, blank spots etc. A simple check up by an oculist can reveal any eye problems related to diabetes.

An ophthalmologist can treat the diabetes-related eye problem by medicine that blocks the protein responsible for fluid leakage and blood vessel growth. He can also go for laser treatment to treat macular edema. Even scatter laser treatments are also used for this purpose. If all else fails a doctor chooses to perform a procedure known as vitrectomy.

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Infertility - 5 Ayurvedic Remedies for it!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
Infertility - 5 Ayurvedic Remedies for it!

Not everyone can conceive a baby easily. The inability to conceive a baby despite having intercourse during the fertile window in a woman’s menstrual cycle for over a year is termed as infertility. Infertility does not affect only the physical health of a woman, but also her mental and emotional well-being as well as the couple’s social health.

In some cases, infertility can be treated with Ayurveda. According to Ayurveda, a couple needs to be both physically and mentally strong and healthy. Ayurveda believes that a lack of nutrition in the shukra dhatu or the person’s reproductive tissue is the cause of infertility. This can be triggered by indigestion, anxiety, depression, insomnia and the presence of toxins in the body. Some of the ways Ayurveda can be used to treat infertility are as follows:

  1. Eat cool foods: Spicy food can affect the quality of shukra dhatu and lower the quality and quantity of both sperm and ovum. This is because shukra dhatu requires a cool environment to promote fertility. Hence, eat food that is easy to digest and which has a cooling effect on the body. Men can benefit from foods like asparagus, dates and almonds, while foods like quinoa and pineapples can help a woman conceive easily.
  2. Shirodhara therapy: Shirodhara involves the movement of liquid over the forehead in a rhythmic manner at specific points. This stimulates the hypothalamus, pituitary and pineal glands and aids in the secretion of hormones including follicle-stimulating hormone (FSH). When it comes to women, FSH stimulates the ovarian follicles into releasing an egg without which it would be impossible to conceive a child.
  3. Fight stress: One of the effects of stress is reduced libido. Prolonged exposure to stress is often a major factor that contributes to infertility. When it comes to women, stress makes a woman ovulate less regularly. In men, stress can affect the sperm production and affect testosterone levels. To fight stress, try deep breathing exercises like alom vilom or keep a little time aside each morning for a walk or light exercise.
  4. Lodhra: This herb is very beneficial in treating women with infertility. It stimulates FSH and luteinising hormones (LH) and lowers the risk of a miscarriage. It also increases chances of conception. Lodhra should be taken twice a day along with honey and milk.
  5. Lifestyle changes: Ayurveda is not only about herbal medicines but also following the right lifestyle. Bad habits like smoking, drug usage and alcohol not only affect a person’s overall health but also interfere with fertility. Hence, when trying to conceive a child, quit these bad habits and try following a healthier lifestyle that involves following a routine, eating right and exercising regularly.
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My son is suffering from thyroid his TSH level was 10.5 before one and half month. After one month recheck the TSH level was 8.45.doctor has prescribed medicine but I am afraid that I f I give him medicine now than he will have to take it throughout his life as he is now only ten years old. Can you please advice any suggestions in lifestyle Chang or food habit which control thyroid without taking medicine.

BHMS
Homeopath, Chennai
Dear lybrate user homoeopathy can cure it permanently ,thus medicines will be in very minute dose and to be taken for very short interval only ,there is no habit formation ,also include more vegetables and whole fruits in his diet,plenty of water
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Is pomegranate, mangoes, bananas bad for diabetics. Which fruits are good for diabetes.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Is pomegranate, mangoes, bananas bad for diabetics. Which fruits are good for diabetes.
All fruits are good for diabetics, they have to be taken in moderate amounts and at proper time. Fruit juices are harmful as they raise sugar suddenly but fruits contain lot of fibre,raise sugar slowly.
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My TSH result is 31.09 MIu/ml. Is it Hypothyroidism or Hyperthyroidism? What is the normal range for a woman above 40 yrs.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-userji, High TSH value means presence of hypothyroidism. Normal range of TSH is 0.5 to 6 mU/L. Some authorities say up to 4.7 mU/L. Your value is too high, requires immediate treatment with thyroxine hormone to overcome the condition. Thanks.
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I was prescribed Insulin Nova Rapid 18-0-0 in a day, now my medical specialist not recommended that and prescribed Jardiance-10 mg (Empagiflozhin Tablets). I have few insulin injection cartridges left with me, shall I continue insulin (till all insulin cartridges over) along with Jardiance. Is it correct? Or will it have some side effect? Or shall follow medical specialist advice? Two. When I urinate, white foam is seen? What is the symptom? Some make me fear that kidney is affected, and some say protein is higher side. What is your opinion and advice?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I was prescribed Insulin Nova Rapid 18-0-0 in a day, now my medical specialist not recommended that and prescribed Ja...
Either you take nova rapid or jardiance because both decreases blood sugar. Yes with nova rapid sugar was not controlled then you can take both simultaneouly. No problem. We can decrease dose of nova rapid accordingly. Regarding foam in urine better you go for urine complete analysis. Then tell the reports. Most probably phosphates are passing in urine. You can ask on line.
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