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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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Do cycling gives benefit to diabetic patients At entry level of diabetes how cycling gives benefit.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Do cycling gives benefit to diabetic patients
At entry level of diabetes how cycling gives benefit.
Cycling is a very good exercise. It will help to tone up your body, thereby reducing insulin resistance.
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I am 34 years and I am suffering from gout with severe pains in joints and heals in joints and my uric acid levels is 7.8 I am using medicines medicines any problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 34 years and I am suffering from gout with severe pains in joints and heals in joints and my uric acid levels is...
Hi. What medicine you are taking for reducing uric acid. Avoid more protein foods, avoid cold drinks. You can send reports kft, urine r/m, cbc, r a factor, s. Calcium and do pvt consultation for better advise. Drink 6 glass of water in a day.
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How Diabetes Impact Your Kidney?

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Impact Your Kidney?

At the point when our bodies process the protein we eat, the procedure creates waste products. In the kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amount of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose levels high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

  1. Shedding pounds
  2. Eating less salt
  3. Maintaining a strategic distance from liquor and tobacco
  4. Exercising regularly

A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. If you wish to discuss about any specific problem, you can ask a free question.

687 people found this helpful

Hello doctor, I have a doubt, Is first dnc leads to infertility or create any problem to getting pregnant for second time.. Please clarify my doubt..

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello doctor, I have a doubt, Is first dnc leads to infertility or create any problem to getting pregnant for second ...
Probably not. However, in rare cases, multiple d&c can cause scarring at the top of the cervix or inside the uterus. It is indeed likely that following an abortion the main risk to fertility is the development of pelvic inflammatory disease (pid), which is an inflammation uterus, fallopian tubes and ovaries. Any use of instruments on the cervix, such as during a d&c, can lead to a greater spread of these organisms and, therefore, the risk of pid.
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I've very recently been diagnosed as diabetic and the my FBS and PPBS readings are 261 and 301 respectively in the OGTT test. I'm not taking any medicines right now. Can I get beck to normally with proper exercise and control of diet? If so, could you please suggest me the vegetarian diet only to get rid of diabetes?

MBBS, MD
Endocrinologist, Delhi
I've very recently been diagnosed as diabetic and the my FBS and PPBS readings are 261 and 301 respectively in the OG...
You should avoid sugar, jagary,honey, sweets,sweet fruits, exercise regularly, yoga will also be helpful. Het your blood sugar testiung regularly and if it still remains high consult a physician who will start some medicine after clinical evaluation and looking at co morbidities.
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How to reduce thyroid and how to maintain the thyroid level in body and what are the symptoms of it.

MS - ENT,MBBS
ENT Specialist, Kolkata
How to reduce thyroid and how to maintain the thyroid level in body and what are the symptoms of it.
Hi  First: medicines are mandatory.  Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Take care
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I am diabetic since 9 year without sugar control around fasting 350 taking medicines regularly and don't want to take insulin injection. I control my diet to some extent. Is these medicine ok or need to change.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I am diabetic since 9 year without sugar control around fasting 350 taking medicines regularly and don't want to take...
Hello lybrate user, if in spite of taking oral medicine to the optimum and also making some dietary changes-your fasting blood sugar is 350, then you are highly uncontrolled. You are delaying the possibility of the start of insulin but believe me the kind of sugar levels that you have currently -insulin is the only reality for you. As days pass with this high sugar level even the small capacity that your body has for this production of insulin will also keep on decreasing. There is a thing called glucose toxicity which basically means that the exposure of high amount of sugar is toxic to the body cells that produce insulin. Your attitude and commitment should complement your doctor's efforts to save you from a bad situation later in your life. I totally agree that you have a choice in the decision-making of your treatment but when that decision starts to endanger your health and life - then you should let your Dr. Take the better decision for you. Help your doctor help you. Regards.
4 people found this helpful
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My mom suffering from diabetic. And treat with insulin. She is 55. What precaution should take for her.

Fellowship in Endocrinology, DNB (FM),National Board of Examinations, MD Physician
General Physician, Delhi
My mom suffering from diabetic. And treat with insulin. She is 55. What precaution should take for her.
Hello lybrate user precaution in diabetes is to control the blood sugar level by the mean of management by insulin or medication along with diet and exercise and scanning of the early complication such as retinopathy, neuropathy& nephropathy and foot care.
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I am diabetic since 18 years and am now on insulin from past 3 years and the dosage is high from past 1 year. Still my fbs and ppbs readings are very high I have a 45 minute game exercise and not very strictly controlled diet how do I get the readings to acceptable limits?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Strict adherence to suggested diet and exercise regimen is absolutely necessary. Insulin dosage may have to titrate up wards by checking sugar levels daily.
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Can jaggery (gur) be consumed by person on medication for blood sugar in the range of 120+10 on fasting?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can jaggery (gur) be consumed by person on medication for blood sugar in the range of 120+10 on fasting?
Mr. lybrate-user, Thanks for the query. Sugar and jaggery both are made from sugar cane juice only. Both are containing sucrose. There is no difference between them in terms of glucose contents. Only difference is in the process of making, jaggery has some anti-oxidants and may be some vitamins. But both are bad for a diabetic person. Thanks.
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My TSH level was around 7 about 2 years back. I was advised to take Thyroxine /Eltroxin 50 mg tablet. Recent test shows it has gone down to 0, 29 level which is below the normal level. Please advice whether I should continue with the tablet? What other measures suggested.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Tsh coming to lower levels is good. But depending upode t4 and t3 levels thyroxine does may have to be decreased one step down. But please do not stop talking your medications by yourself. Complete thyroid profile will help in deciding next step.
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Hai, my name is santhosh. I checked blood sugar it was 161 is this normal or high.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hai, my name is santhosh. I checked blood sugar it was 161 is this normal or high.
Mr. lybrate-user Kumar, Blood glucose 161 mg is high, but it is not clear whether it is fasting or after food. Please clarify that. If it is fasting then it is very high. Thanks.
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For diabetic Dr. has proscribed Galvus met 50/500 mg tablet to me Which is the substitute in generic medicine for Galvus met 50/500 mg tablet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
For diabetic Dr. has proscribed Galvus met 50/500 mg tablet to me
Which is the substitute in generic medicine for Gal...
Mr. lybrate-user, thanks for the query. There is no generic substitute for that combination. Most of the other brands (branded generics) all are priced around the same. Thanks.
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I am 35 years old I have diabetes last 4 years right fasting 180 after food 270 tell me medicine.

CDIABT, MBBS
Endocrinologist, Mumbai
I am 35 years old I have diabetes last 4 years right fasting 180 after food 270 tell me medicine.
For diabetes and blood pressure follow a diet low in carbohydrate,low in salt, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Medicine will depend upon what you are taking currently. Get your HbA1c and S Creatinine level also done.
4 people found this helpful
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Which is ideal diabetic medicine I am having diabetes since last 16 years I am having Galvus Met 50/500 mg twice daily. Please advise.

MBBS
General Physician, Cuttack
Which is ideal diabetic medicine I am having diabetes since last 16 years I am having Galvus Met 50/500 mg twice dail...
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.
1 person found this helpful
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What are the symptoms of diabetes And what should I take medicine for that disease.

CDIABT, MBBS
Endocrinologist, Mumbai
What are the symptoms of diabetes And what should I take medicine for that disease.
Symptoms are increased urination, increased thirst, hunger, weakness, tiredness, weight loss etc. For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life. Medicine will depend upon blood sugar report.
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I am 32 male, weight: 105, height: 6ft, having high bp, and also taking metmorphin for blood gulucose control, problem: having many boils with puss in head.

PDDM, MHA, MBBS
General Physician, Nashik
This is a fungal infection and this has occurred because your sugar level is not well controlled. Kindly consult further with your bsl reports. Dr. Surbhi agrawal consultant physician and diabetologist
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My friend is having thyroid using 3.75 mcg tablet now, getting married soon. Which stage is she suffering. And will that impact in future for her new family. I mean in pregnancy of born babies. Is thyroid totally curable.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
37.5 not 3.75. In pregnancy and before pregnancy tight control of Thyroid is required.Thyroid is not curable It is usually life long disease.
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