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Dr. A Joshi

Endocrinologist, Pune

100 at clinic
Dr. A Joshi Endocrinologist, Pune
100 at clinic
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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. A Joshi
Dr. A Joshi is an experienced Endocrinologist in Rasta peth, Pune. You can meet Dr. A Joshi personally at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. A Joshi and consult privately on Lybrate.com.

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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She is adiabatic patient. And sugar level is high. What is the procedure its normal range.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Syedji, If patient has diabetes then immediate treatment initiation is a must. To bring diabetes in control patient should maintain fasting sugar nearer 100 mg and PP around 150 to 160 mg and HbA1c<7%. This can be achieved by proper drug treatment, diet control and exercise. plus time to time blood sugar check up also needs to be done like initially once a week or once in 15 days. If you are looking foe specific guidance it will be better if you come ina private conversation, where I can be very specific.
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I am 32 week pregnant and on my legs so much ankle swelling. My all tests are normal like BP, thyroid, urine etc. What can I do for relief by this ankle swelling.

C.S.C, D.C.H, M.B.B.S
General Physician,
If all tests are normal no need to worry and this swelling seen in many women is due to poor venous return as the uterus enlarges and avoid long time standing
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Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my sugar level. I'll be waiting for your rpy.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. But, the evidence based medical advice, on diet for diabetics, is not that restrictive and allows a lot of room for having fun with food! All the expert agencies on diabetes in the world, such as ADA, AACE, IDF and our own ICMR, have published guidelines on managing your diet in diabetes, which we at FWI analyzed to formulate our advice for diabetics, which you will find below: The three most important considerations in diet management in diabetic people are: Managing the carbohydrate intake to control blood sugar Managing the overall calorie intake to lose weight or to maintain a healthy weight Keeping the intake bad fats and salt in check to reduce the risk of CVD 1. Managing the carbohydrate intake to control blood sugar Diabetes is a primarily a disease of insulin resistance or insulin deficiency, in which the physiological action of insulin, that of helping in uptake of blood glucose by body cells and thereby keeping the blood sugar levels in control, is less than adequate. All dietary carbohydrates are broken down by our digestive system into glucose, which then is added to the blood. Therefore, the most important consideration to prevent or delay complications of diabetes is keeping the blood sugar levels in control Diabetics have to know their carb containing food very well and monitor their carb intake on regular basis, but they are not required to give up totally on sugar, rice or sweets, contrary to what is the general notion! Same amount of carbs whether as whole grains or table sugar, will raise the Post Prandial (two hours post meal) blood sugar to nearly the same level, so substituting regular roti with say a laddoo, once in a while is OK, provided you make sure that laddoo gives the same amount of carbs as the rotis you have given up and your overall calorie intake in the meal is constant as well. This you can manage by portion size control and carb counting But having laddoos instead of roti regularly is not a good idea because good sources of carbohydrates such as whole grains have proteins, dietary fiber, vitamins and minerals in addition, whereas bad sources such as table sugar or laddoo will not have these and will give you empty calories. Also, these sweets will be more calorie-dense (1 tablespoon sugar gives 60 calories whereas one roti gives nearly 80 calories) and will not be very filling! So, if you want to have simple sugar or sweets occasionally, make sure that you replace the healthy carbs with these sweets, such that same amount of calories and carbs are provided by them and don’t just add sweets to your regular meal Remember, quantity control and moderation are absolutely imperative! 2. Managing the overall calorie intake to lose or maintain a healthy weight Losing excess body weight helps in patients with diabetes in several ways. Besides this will help you in controlling your risk of heart diseases and a host of other diseases at the same time! In diabetes, even losing 3-5% of your existing body weight will result in better blood sugar levels, but losing up to 10% results in better blood lipid profile and reduced risk of heart disease To know more, go to ‘weight loss for diabetics’ and read your way into fitness! 3. Keeping the intake of ‘bad’ fats and salt in check to reduce the risk of CVD The complications of CVD, include heart attack, stroke (brain attack), foot gangrene etc. All complications of CVD, which is the biggest cause of death in diabetics Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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How Homeopathy can Help Manage Diabetes?

DM & S
Homeopath, Akola
How Homeopathy can Help Manage Diabetes?

Diabetes is basically a disorder of the metabolism causing excessive thirst and the production of large amounts of urine. To further elaborate one need to understand the role of insulin in the body. While eating, the body turns food into sugar or glucose. At that time pancreas is supposed to produce the right amount of insulin to move the glucose from our blood into our cells. In diabetics, the pancreas either produces little or no insulin, or the body cells do not respond to the insulin that is produced. Due to this, glucose levels rise in the blood, floods into the urine and passes out of the body, making the body lose its main source of fuel. Diabetes is of many types, but the most common are Type 1 and Type 2.

How to treat Diabetes:

Controlling blood sugar level is the major goal of diabetes treatment, in order to prevent complications of the disease. Treatment may be in Allopathy or Homeopathy, conventional medicine often uses insulin itself in the treatment of diabetes. Since this is kind of replacement, so diabetes becomes a life-long disease. Homeopathy can be used effectively in the treatment. Let’s see how diabetes can be worked with Homeopathy.

Diabetes & Homeopathy

In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopathic treatment can help improve the general health of a person with diabetes:

  1. If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.
  2. If the general health is poor, it can be very difficult to achieve good control.  

Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar. The commonly used remedies are Uranium Nitricum, Phosphoric Acid etc. These are classical homeopathic remedies.

Depending on the level of the blood sugar and the requirement of the patient, doses are given with doctor’s consultation. It’s a holistic approach in medicine. This treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is affected with this state. In this, it is considered that the disease is a mere deviation in life force and hence all the efforts are to correct this disorder. The treatment will be to bring into balance the various systems involved in diabetes, for example, pancreas, hormones, and your immune system. Treatment will again be different if you have other ailments along with diabetes.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it’s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor. If you wish to discuss about any specific problem, you can consult a homeopath.

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Meri mumy ko blood sugar hai. Khane se pahele 350. Aur khane ke baad 490. Bohat dawa leye magar blood sugar kam nahi hota hai. Aap koi acchi dawa ka naam bataye naa jis se blood sugar kam ho jaye.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the question. Aapne jo blood glucose levels bataye hai, woh bahut hi jyada hai. Isase bahut serious bemariya ho sakati hai. (complications of diabetes). To control that level of blood glucose only Insulin Injection along with oral drugs is the requirement. Only on oral medication it is difficult to control. Plus she has to take a very strict restricted diet. 1) No sweets, no deep fried foods, no red meat. 2) No pastries, and bakery items, no sweetened aerated drinks (colas). Plus no items made of maida. 4) She should consume more of green leafy vegetables and salads and some fruits. (about 100 g a day). Blood glucose should be fasting: 100 mg and PP 160 to 170 mg and HbA1c%<7. If you are really willing to get proper treatment please come in a private conversation with all details like her weight, height, diet pattern HbA1c% and extent of daily exercise, then I will be able to help. Or else consult a local doctor and start Insulin injections along with oral drugs. Thanks.
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52 yr. Male. diabetic control blood sugar. I got hypopigmentation of prepuce. Which is slowly increasing.

BHMS
Homeopath, Faridabad
Hi, Take homoeopathic medicine - Ars. Sulph. Flavum 30/ thrice daily for 4 weeks, but go to a Dermatologist for proper diagnosis!
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I AM 26 YR OLD LADY. SUFFERING FROM THYROID. USING MEDICINE SINCE 2 YEAR. HOW CAN I CHECK MY THYROID. NOW I AM SUFFERING FROM KNEE JOINT PAIN. PLEASE SUGGEST THE MEDICINE.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
You can check simple tsh blood test for thyroid. Do some knee exercises. Avoid prolong standing and sitting. For short time you can take any anti inflammatory and analgesic. Otherwise you can consult me.
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Having dm type 2 even agter taking lentus insulin+anti hypertrnsive+oral anti dm (metgormin+glimpride) not nenifitted. They say resistance developed for taking lengthy duration. Ihave had angioplasty 8 years back. What should I do ?

Certified Diabetes Educator , Sports Nutritionist, Registered Clinical Dietician
Dietitian/Nutritionist, Mumbai
Insulin is d most natural medicine for diabetes. Insulin resistance can occur if d fat content is high. Kindly get your diet evaluation by a certified diabetes educator.
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My sugar level is 225 Fasting at this time I am loosing my weight and pressure level is 204/110 I am taking medicine for sugar GP1 & diabetone and for blood pressure tazloc 80 please suggest.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
Dear lybrate-user, time to visit your doctor. Your sugar and bp both are uncontrolled. If they remain so, it's going to have long term consequences. You need to up your medication. After examining you your doctor may make a proper plan. Besides rigorous diet and exercise program should complement your medication.
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I am srinivasan age 53 having diabetic past 7 years regularly taking medicine but this month it is F -223 PP - 414 and urine sugar is F - + PP - +++ I want to know the meaning of +

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
urine sugar is not measured quantitatively. 1 + stands for mild (roughly more than 180 mg%) and so on. During our MD days, we would rely upon urine sugar estimation as blood glucometers were not freely available. but, in present days, urine sugar has become nearly obselete . you have very high blood sugar levels, which can be dangerous. consult with a good physician immediately and take proper medicines.
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I am 64 years. Man with diabetes for 24 years. But under control. Regulatorly checked. Suffering severe preejaculation problem. Tell me whether it can be cured. If yes how ?

FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
How is your erection level, if your erection is weak you will tend to ejaculate faster, and also long history of diabetes can surely cause premature ejaculation and erectile dysfunction, you need to take safe herbal ayurvedic speciality treatment based on rasayana, rasashastra and vakeekarana speciality, consult me private for further details
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Sir I have the problem of headache and stomach pain regularly please suggest me any medicine. Or tell me the symptoms of the above mentioned disease. And I have the problem of diabetes sometimes. Please suggest any medicine.

BAMS, MD Ayurveda
Sexologist, Lonavala
i would recommend you to follow the following home remedy Natural home remedy using green tea and lemon: 1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief surely you will get results, if it dosent work then you must consult ayurvedic doctor.
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My weight is 90 kgs, age 30 female and my thyroid tsh report is 8.30. Please advice how much thyroxine mg should I take.

Anesthesiologist,
You are overweight start initially with tab. Thyronorm. 50. One /day early morning in empty stomach. Do not consume anything for 1 hour. Supplement with calcium.
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I do treadmill 20 minutes every day. I do avoid sweet contents. Morning 32 and night 28 of nova mix 30. Janumet 50/1000 mg in the morning and glemsave m2 fort at night. Yet my sugar values are 150 and PP 220. Why kindly be advised.

MBBS
General Physician,
You ate having diabetes mellitus you should consult a diabetic specialist for assessment and further management. Your blood sugar level is still on the highervside it shoulbe fasting 90 to 110mgm/d l and pp 120 to 130 mgm/dl.
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Hi I am a diabetic since last 20 years, my blood sugar normally remains between 90 to120 as fasting and 140 to 180 as p p I try to maintain my normal diabetic diet as suggested by the physician. Some times the blood sugar level goes up to 190 or so as p p. At present I am taking metformin 500mg +glimipride. 5 mg in the morning along with ayurvedic 2 tablets of madhu nashini in the morning 1/2 hrs before breakfast and 500mg with 2 tabs of chandraprabha wati 1/2 hrs after dinner. Lastly I take about 250 gms of cowmilk at about 10. 30 pm. I consume sufficient quantity of water.--more than a liter early morning immediately after wakeup and not less than 1/2 liters at a time 3-4 times during the day. My body sweating is on the higher side. Frther, I go for the morning walk for 45 minutes about 4. 5 kms daily and also spend 30 to 40 minutes on yoga and prayanam before breakfast. Thereis no any considerable change in my body weight which remains between 74 to 75 kgs. Since lst 10 years. I do not feel any symptoms as stated normally for the diabetics, now I would like to have your good opinion as to what more I should do to exactly maintain my bloodsugar level at 90-100 (fasting ) and within 140 ( p p )

MBBS, DNB (General Medicine)
General Physician, Delhi
Your history tells that you are taking ayurvedic treatment, please stop that treatment, switch to other class of drugs like sitagliptn, linagliptin, maintain good diet, any question get back to me.
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I have a breathing problem while taking food I can't swallow l have thyroid problem and my hemoglobin is 8.7.

PDDM, MHA, MBBS
General Physician, Nashik
Include food which are rich in iron in your regular meals. Such foods include: dark green leafy vegetables, dates, jaggery, raisins, nuts, legumes, pulses, etc. Increase your intake of vitamin C rich foods such as berries, sweet lime, orange, etc. Vitamin C help is increasing absorption rate of iron in body. Kindly upload your reports and revert.
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