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Shree Clinic

Endocrinologist Clinic

Laxmi Terrace, 49/99 Shop, Daily, Karvenagar , Pune Pune
1 Doctor
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Shree Clinic Endocrinologist Clinic Laxmi Terrace, 49/99 Shop, Daily, Karvenagar , Pune Pune
1 Doctor
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About

We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Shree Clinic
Shree Clinic is known for housing experienced Endocrinologists. Dr. Narendra S Javadekar, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 54 patients.

Timings

MON-FRI
01:30 PM - 02:00 PM 12:30 PM - 01:00 PM

Location

Laxmi Terrace, 49/99 Shop, Daily, Karvenagar , Pune
Karve Nagar Pune, Maharashtra
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Hi please tell me what are the thyroid symptoms I & have lot of tense about that.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist,
Hi please tell me what are the thyroid symptoms I & have lot of tense about that.
Symptoms depend on whether it's hypothyroidism or hyperthyroidism. Hypothyroidism causes symptoms of tiredness poor appetite cold feeling little weight gain constipation etc and opposite happens in hyperthyroidism. Irregular menstrual bleeding and infertility can occur both in hypothyroidism and hyperthyroidism.
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Hi good morning my father is a diabetic patient 75 years his fore skin is tightened doctor told me that surgery have to do is any infection comes after surgery is it major surgery if the surgery has done it is good or bad.

MD
General Physician, Mohali
Hi good morning my father is a diabetic patient 75 years his fore skin is tightened doctor told me that surgery have ...
Dear lybrate-user. If this problem has recently developed than you may need to consider your doctor's advise. Surgery for this problem is a very simple and short one. If your doctor has tried medications and it's not working or he feels that surgery is the only option. Than you must consider. As it is in diabetic patients infections can be problematic.
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My father has large amount of uric acid. How to reduce it and what are its symptoms.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My father has large amount of uric acid. How to reduce it and what are its symptoms.
pain in finger joint, swelling some time with fever. take reduce amount of protein. 0.5per kg, body weight. take papaya and anar.
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I am Severe LVD patient, also insulin dependent diabetic can I use deemark shilajit gold capsules? Please clarify Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am Severe LVD patient, also insulin dependent diabetic can I use deemark shilajit gold capsules? Please clarify
Tha...
Mr. lybrate-user Mahaboob, Thanks for the query. With LVD, it is better to avoid such medications, because there is no clarity whether all the given ingredients are safe, particularly in compromised cardiac condition. Thanks.
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I'm 20 years college girl I have thyroid stimulating hormone chemiluminescence as 7.95mcIU/mL is it hypothyroid or normal please do suggest me sum treatment cause I'm getting married very soon it seems it becomes complicated at the time of conserving I'm pissed off please do suggest me sum good treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 20 years college girl I have thyroid stimulating hormone chemiluminescence as 7.95mcIU/mL is it hypothyroid or no...
lybrate-user, Thanks for the query. TSH 7.95 mU/L, is considered as sub-clinical hypothyroidism. This normally does not any treatment. In cases where patient has some troublesome symptoms of hypothyroidism then only treatment is considered. I did not understand what are trying to convey by saying "it becomes complicated at the time of conserving" Please clarify that. Also please do comeback with details of any specific symptoms. Otherwise no treatment is needed at present. Thanks.
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Sir, my grandson is suffering from Type-1 Diabetes and we are giving him Humalog Mix50 twice a day. He is 14 years old. He was born with Downsyndrom and still unable to speak. Can you suggest the substitute of Humalog insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my grandson is suffering from Type-1 Diabetes and we are giving him Humalog Mix50 twice a day. He is 14 years ol...
Mr. lybrate-user, Thanks for the query. In a patient with T1 diabetes only treatment is taking Insulin Injections for lifetime. Even if I suggest it will another type of Insulin only. No Other Drugs Can Used. Thanks.
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I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch linagliptin 20 .mg At dinner sitagliptin 50 mg with metformin 1000 mg. Is it correct to take both gluttons. please suggest.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch ...
Linagliptin does not come in 20 mg power. It must be teneligliptin. There would be no additional benefits of taking 2 gliptins. It is not recommended.
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Steps You Should Follow To Control Hypoglycemia!

Diploma in Diabetology, MBBS
Endocrinologist, Amravati
Steps You Should Follow To Control Hypoglycemia!

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia:

  1. Keep away from the practices, which lead to hyperglycemia: The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.
  2. Discuss problems with the patient: Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.
  3. Use glucagon: Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3 people found this helpful

Female Infertility - Why the rise, and what goes wrong?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Female Infertility - Why the rise, and what goes wrong?

Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.

  1. Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
  2. Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
  3. Premature menopauseEarly menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
  4. Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
  5. Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2 people found this helpful

I am diabetic and using insulin. My Serum creatinine is 2.2. How can I reduce to reference level. I am aged 59+. Had 3 Angioplasty and A CABG.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic and using insulin. My Serum creatinine is 2.2. How can I reduce to reference level. I am aged 59+. Had ...
Thanks for the query. Creatinine can be reduced back to normal provided blood glucose levels are maintained with in normal limits like FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Plus reduce the daily protein intake and take a healthy diet. Thanks.
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Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 100. Y there is such deviation in measuring sugar levels. Kindly revert.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 1...
The criteria set by ADA mentions values as below Normal FBS <100 mg% & PLBS < 140 mg% Borderline or prediabetes FBS 101- 125 mg% & PLBS - 141 - 199 mg% Diabetes - FBS-126 & above.& PLBS 200 & above. HbA1C levels Normal < 5.5 Borderline- 5.5- 6.5 Diabetes- > 6.5.
3 people found this helpful
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I am suffering from Infertility. I have done lots of medicine but can, t improvement. I have tried throw IUI and with donor sperm 2nd time got the success. But miscarriage in 3rd month. After we try 3 times more but can, t success. Please advise I am very upset. Marriage years 7 has been past. My husband has 18 Million count and motility 49% can we get naturally urgency. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am suffering from Infertility. I have done lots of medicine but can, t improvement. I have tried throw IUI and with...
Patience will give you fruits. Resolve any stress you have. You should take pushpdhanva ras 1 tablet twice daily. And ashwagandharista 15 ml bid with equal amount of water after food. And when you become pregnant you should take garbhpal ras 2 tab twice daily with water after food. Avoid food with hot potency after you become pregnant.
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I am 37 years old last 5 years I have sugar. Last week I check my thyroid test. This is my results T3 - 1.06 ng/ml, T4 - 13. 67 mg/dl TSH - 1.39mIU/ml If there is thyroid tell me what to do? Any tablet your suggest? your advice please thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 37 years old last 5 years I have sugar. Last week I check my thyroid test. This is my results T3 - 1.06 ng/ml, T...
Mr. lybrate-user, Thanks for the query. Your thyroid test results are normal. There is no reason to worry. It is important to control your blood glucose effectively with FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. That will help in keeping fit and fine. Thanks.
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I am male 26. Meri 2 majors problems he 1. Hair lose 5-6 year se 2. Constipation 5 year se. To kya muje thyroid ho sakta he? Or thyroid ke lakshan kya he? Please help me. Mene is problems ke liye bahut doctor ko dikhaya. Bahut sari medicine try ki he lekin koi fayda nahi hua.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am male 26.
Meri 2 majors problems he 1. Hair lose 5-6 year se 2. Constipation 5 year se.
To kya muje thyroid ho sa...
Mr. lybrate-user, Thanks for the query. Please give details of Thyroid function test if that has been done. If not then get it done and come back with the results. Then looking at the results I will be able to guide. Results (values of TSH, T4 7 T3) IAap thyroid test kara lijiye aur result jaldi post kariye. Thanks.
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Thyroid Surgery: Types and Its Benefit!

MBBS
General Surgeon, Guwahati
Thyroid Surgery: Types and Its Benefit!

Thyroid is a small butterfly shaped gland, which  is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.
3 people found this helpful

If fasting sugar between 70 to 110 is considered as normal .then why lab test mentioned 70 to 100 as normal category and 101 to 125 as prediabetes and 125 and above as confirmed diabetic. .kindly revert n confirmed what is correct version.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If fasting sugar between 70 to 110 is considered as normal .then why lab test mentioned 70 to 100 as normal category ...
Hello, Thanks for the query. Blood glucose 70 to 110 mg is considered as normal level. However some guidelines recently have mentioned that glucose above 100 mg that is 101 to 125 mg (some other guidelines consider 108 to 125 mg) as pre-diabetes. All the guidelines state fasting > 126 mg and above as diabetes. We consider 108 mg to 125 mg as prediabetes and PP 141 to 199 mg as pre-diabetes. Those variations are minor. Thanks.
2 people found this helpful
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Respected sir/mam. My father is 48 year old and he is diabetic although father have no cardio problem but they take medicine ECOSPRIN-AV 75 for precaution to prevent heart's problems. Is it beneficial for him to take above medicine or not and their BP is also normal (130/80. So give better advices.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Respected sir/mam. My father is 48 year old and he is diabetic although father have no cardio problem but they take m...
Mr. lybrate-user, Thanks for the query. Ecosprin is given to reduce aggregation of platelets so that blood flow in the coronary arteries is not affected. So taking ecosprin is advantageous to every person with diabetes as in diabetes along with glucose lipid metabolism is also deranged. Thanks.
2 people found this helpful
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I am diabetic for 32 years and on insulin 30/70 along with tabs. My HbA1c remains below 7%. I have no problem of diabetic related organs. Kindly suggest how many life can I expect. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic for 32 years and on insulin 30/70 along with tabs. My HbA1c remains below 7%. I have no problem of diab...
Mr. lybrate-user, Thanks for the query. It is very difficult rather impossible to predict life expectancy of any body, including a totally healthy person. It is generally said with diagnosis of diabetes about 10 years of life are reduced. But if one takes excellent care and maintains near normal blood glucose levels then one might expect almost normal life expectancy. However, with diabetes is good control also some of the organs do get damaged, which is not noticeable. So no one can predict. Thanks.
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Hi What dose of Thyronorm should be taken as detail below TSH 6.62 on 5th Mar 2017 and dose 125 mg of Thyronorm TSH 1.98 on 9th June 2017 and dose 125 mg of Thyronorm TSH 2.50 on 20th Aug 2017 and what dose of Thyronorm should be taken?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi
What dose of Thyronorm should be taken as detail below
TSH 6.62 on 5th Mar 2017 and dose 125 mg of Thyronorm
TSH 1...
lybrate-user, Thanks for the query. When on treatment ideally TSH should be maintained < 3 mU/L. Hence current dose of 125 mcg is fine. It should be continued. To be free from all the symptoms of hypothyroidism it is essential to maintain TSH < 3 mu/L. Once well stabilised you can check TSH one in 6 months to a year. But do not make frequent changes in Thyroxine dosage. Thanks.
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My age is 45 my blood sugar fasting around 135 what I have to do for level control.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), certificate in panchkarma
Ayurveda, Haldwani
My age is 45 my blood sugar fasting around 135 what I have to do for level control.
Have Alma jamun methi karela lauki touri parwal tinda in your diet. Avoid heavy oily junk maida food drink lukewarm water boiled with few seeds of jeera n methi. Use barley (juan) flour for chapati. Do yoga pranayam n morning walk 2-3 kms. Walk at least 1000 steps after every meal. Lifestyle modification will help you alot.
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