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Ruby Hall Clinic

Endocrinologist Clinic

40, Sassoon Road Pune
1 Doctor · ₹800 · 2 Reviews
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Ruby Hall Clinic Endocrinologist Clinic 40, Sassoon Road Pune
1 Doctor · ₹800 · 2 Reviews
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Ruby Hall Clinic
Ruby Hall Clinic is known for housing experienced Endocrinologists. Dr. Meghna Chawla, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 71 patients.

Timings

TUE-WED, FRI
05:30 PM - 07:30 PM

Location

40, Sassoon Road
Pune, Maharashtra - 411001

Doctor in Ruby Hall Clinic

Dr. Meghna Chawla

DNB (Pediatrics), Fellowship in Paediatric Endocrinology
Endocrinologist
7 Years experience
800 at clinic
₹500 online
Unavailable today
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No Sugar, No Worries!

Dietitian/Nutritionist, Jammu
No Sugar, No Worries!

Say no to sugar to lose weight
Added sugar is one of the worst ingredients in the modern diet. Most people consume way too much.

Studies show that sugar (and high-fructose corn syrup) consumption is strongly associated with an increased risk of obesity, as well as conditions including type 2 diabetes and heart disease 

If you want to lose weight, cut back on added sugar. Just make sure to read labels, because even so-called health foods can be loaded with sugar.

Diabetes - 360 Degree Approach To Manage It!

B.Sc.D.S.M.S., M.D.,(Acu) D.T.M., D.Varma,C.H.M.,, CHM, M.D., (Acu)
Alternative Medicine Specialist, Madurai
Diabetes - 360 Degree Approach To Manage It!

Diabetes is a very common lifestyle disease, which happens when your body is not able to produce the insulin hormone or does not know how to use it in the right way. In such a scenario the glucose remains in the blood, and causes your blood sugar level to shoot up. It is a common knowledge that diabetes is a home for other diseases. Therefore managing it or preventing it is of utmost importance and in order to the same, one has to focus on the overall health and fitness of your body. 

But managing diabetes is a challenge that most patients face every day. This is because there are so many aspects to be kept in mind right from workout to food to stress and general health, all of which work together to help you maintain the right blood sugar levels.

Here goes a holistic approach to aid you manage diabetes: 

  1. Keep a record of the food you consume: When you are learning to control the level of blood sugar in your body, it would be very helpful if you maintain a journal of what food items you are eating every day. This will make it easier for you to monitor your diet and even if you indulge in some delicious savory, you can easily bring about a balance by eating the right amount of healthy fruits & vegetables for the following days.
  2. Exercise daily: Make exercise a part of your daily routine and empower yourself to fight diabetes. Types of exercises you can follow are brisk walking, basic weight training to boost your strength, swimming and yoga. Yoga postures which are highly beneficial in managing diabetes are Pranayam (deep breathing exercises), vajrasana, chakrasana, etc. which either enhance the insulin secretion or glucose utilisation.
  3. Be careful about your feet: Diabetes can lead to neuropathy and in the worst case, it may cause injuries in feet that go in-noticed because low pain sensation. Therefore, proper foot care is critical. You should wash your feet regularly with cold water and pat dry with a clean, dry towel & do make it a point to inspect the feet in front of a mirror. If there is a nerve damage along with numbness, you may notice blisters, sores, bruising, swelling, calluses or skin breakage. Thus, you will have to be very careful while inspecting your feet every day.
  4. Get rid of extra belly fat to reduce insulin resistance: It is a vicious circle, as extra belly fat can eventually lead to insulin resistance and insulin resistance can eventually lead to weight gain, but in order to manage and control diabetes it is important that this chain must be broken. Therefore, daily exercise of minimum 20 - 30 mins is very much required. to help you get rid of belly fat and control diabetes. 
  5. Control Blood Pressure & Cholesterol if high: Diabetes is a host of diseases and diabetic people will eventually suffer from high blood pressure and cholesterol problem. Diabetes is a major reason of artery damage, which in turn leads to high blood pressure. In order to, maintain a healthy heart and to prevent yourself against any cardiovascular diseases it is important that you keep you cholesterol and blood pressure in check. 
  6. Get the right treatment for sleep apnea and sleepiness during the day: Sleep apnea refers to a condition that causes breathing interruptions numerous times in a day. It is triggered by faulty signals coming from your brain or due to blocking of the airway by soft tissues present in your throat. People affected with sleep apnea are more likely to have this disorder, which leads to insulin resistance and may also be called a roadblock for controlling diabetes.
  7. Brush and floss on a daily basis: When you are not able to control your diabetes level, it can lead to high level of glucose in the blood. Also, it can increase the level of glucose in the saliva, which in turn paves the way for a surge in tooth decay. Also, having diabetes makes it difficult for an infection to heal and thus, if you develop a gum disease, it may become very hard for you to get rid of it. So, if you make a habit of brushing and flossing regularly, you would be able to maintain good oral hygiene and save your teeth and gums from developing any disease.

For more information on maintaining your blood sugar levels, consult a medical practitioner near you.

1 person found this helpful

Diabetes In Pregnancy - Everything You Should Know About It!

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Diabetes In Pregnancy - Everything You Should Know About It!

Diabetes is a health condition that occurs due to the lack of insulin and when the body fails to regulate the blood sugar levels. It has been observed that it is a medical complication for many women during their pregnancy. It is best to follow some course of action in order to have a healthy pregnancy and avoid any complications. Diabetes is an autoimmune disease and it can be classed in to 2 categories or types. The type 1 diabetes requires use of insulin on daily basis and its symptoms include weight loss, blurred vision and increased urination. The symptoms of type 2 diabetes include kidney or bladder infection and it is the most common form of diabetes.

Do the babies also develop diabetes?
It is not necessary that babies who are born to diabetic mothers are also diabetic, but if diabetes is not controlled during pregnancy, there are chances that the baby will produce a large quantity of insulin while they are still in the womb. It is quite possible that the sugar levels would be low immediately after birth and a close watch of the newborn is a must till the body adjusts to the amount of insulin it makes.
It has been observed that large babies develop diabetes later in life, mostly type 2 diabetes, and are likely to become obese. It is very important that children are encouraged to develop regular exercise habits and healthy eating habits to reduce the chances of obesity.

Effect of Diabetes on Pregnant Women
There are chances that if a pregnant woman has diabetes, there are fluctuations in her blood sugar levels, this is because of the hormones that are associated with the pregnancy. It is very important that sugar levels are controlled at the time of conception as there is a greater risk of miscarriage or certain birth defectsoccuring. The pregnant woman is also at a higher risk of blood pressure which can result in premature birth and complications to the mother. The cause for concern for expectant mothers with diabetes is that the baby grows too large, especially if the diabetes is uncontrolled.

Normal Blood Sugar For Pregnant Women
The healthy blood sugar levels in a pregnant woman for fasting sugar should be less than 95mg/dL and the blood sugar level after one hour of eating should be 140mg/dL. The blood sugar level after 2 hours of eating should be 120mg/dL.

Gestational diabetes that begins during pregnancy has become very common and can lead to defects in the infant. If the blood sugar level is high, then it can lead to complications during labor due to excessive growth of the fetus. It is therefore best to maintain blood sugar levels to avoid risks for the child such as respiratory distress, low glucose levels and jaundice

Thyroid Dysfunction - How To Treat It Effectively?

MBBS, MD
General Physician, Lucknow
Thyroid Dysfunction - How To Treat It Effectively?

Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your Adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 

Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue, all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:

How does the thyroid gland work: About 85% of the hormone produced by our thyroid gland is T4, which is an inactive form of the hormone. After T4 is made, a small amount of is converted into T3, which is the active form of thyroid hormone. T3 is then converted to free T3 or reverse T3. It is the free T3 that forms the base of thyroid functions. 

What is hypothyroidism: Hypothyroidism, or an underactive thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years, which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 

If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma
This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early, as in severe cases it may lead to mental and / or physical retardation. In children and teens, it can result in stunted growth, and delayed puberty.

What is hyperthyroidismIt's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics are partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.

Treatments: Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multivitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

Thyroid Dysfunction - How To Treat It?

MBBS
General Physician, Delhi
Thyroid Dysfunction - How To Treat It?

Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your Adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 

Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue -all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:

How does the thyroid gland work?

About 85% of the hormone produced by our thyroid gland is T4, which is an inactive form of the hormone. After T4 is made, a small amount of it is converted into T3, which is the active form of thyroid hormone. T3 is then converted to free T3 or reverse T3. It is the free T3 that forms the base of thyroid functions. 

What is hypothyroidism?

Hypothyroidism, or an under-active thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 

If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma

This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early as in severe cases it may lead to mental and / or physical retardation.

In children and teens, it can result in stunted growth, and delayed puberty.

What is hyperthyroidism?

It's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics is partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.

Treatment

Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multi-vitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

 

Why is the insulin mixtard administered during the day and actrapid administered at night?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Why is the insulin mixtard administered during the day and actrapid administered at night?
There are multiple regimens of insulin. So both mixtard and actrapid can be given in morning afternoon and evening.

Infertility

MBBS, MS - Obstetrics and Gynaecology, Advanced Laparoscopy & Hysteroscopy Training Programme, Diploma In Ultrasound, Fellowship In Reproductive Medicine & ART
Gynaecologist, Delhi
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Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.

883 people found this helpful

My TSH levels were 6.21 and I was diagnosed with subclinical hypothyroid. I am prescribed 12. 5 mcg of Thyronorm every day. I still feel a lot lethargic. What should I do?

MBBS, MD
Endocrinologist, Delhi
My TSH levels were 6.21 and I was diagnosed with subclinical hypothyroid. I am prescribed 12. 5 mcg of Thyronorm ever...
Continue the same dose and repeat TSH after one and alf month to adjust the dose of thyronorm. Also get your blood sugar and hemoglobin test done.
1 person found this helpful

Sir my I had complete profile test my T3 and T4 test are normal while TSH is 7.62 and cholesterol level is 240. I'm taking thyrox 25 tablet a day. Suggest can which type of problem I have and can it be permanently cured or I have to take medicine life long. My age is 29 yrs. And my IGE test report is 490. Please suggest me in detail.

MBBS, MD
Endocrinologist, Delhi
Sir my I had complete profile test my T3 and T4 test are normal while TSH is 7.62 and cholesterol level is 240. I'm t...
You need to take increase the dose of thyrox and adjust the dose by monitoring TSH level. You also need to reduce cholesterol by avoiding saturated fats, red meat, egg yolk etc amd by doing exercise regularly.
1 person found this helpful

Why PCOS Patients Suffer From Infertility?

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Why PCOS Patients Suffer From Infertility?

PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.

Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.

Symptoms of PCOS include:

  1. Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.

  2. Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3

  3. Acne. Acne on the face, chest, and upper back

  4. Hair Loss. Thinning hair or hair loss on the scalp; male-pattern baldness

  5. Weight Gain. Weight gain or difficulty losing weight

  6. Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts

  7. Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area

Treatment for PCOS:

The PCOD treatment is tailored as per the symptoms of the condition:

  1. A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise both progestin and estrogen which aid to bring down androgen production.

  2. PCOS along with insulin resistance warrants the use of certain medications such as metformin which is prescribed to enhance insulin sensitivity.

  3. Another solution to the problem can be bringing changes to the lifestyle. Daily exercises and diet modifications help in weight reduction and increase your fertility potential.

  4. For regularisation of cycles, oral contraceptive pills can be used initially followed by OVULATION INDUCTION drugs which will help enhance your chances of conception.

  5. If all treatments of ovulation induction have failed, you should consider IUI or IVF as a next step as more your time increases your PCOS problem increases and lesser the chances of conception. So consult an infertility expert for the right guidance and support.

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