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Dr. Kudalkar

Endocrinologist, Pune

100 at clinic
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Dr. Kudalkar Endocrinologist, Pune
100 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Kudalkar
Dr. Kudalkar is a renowned Endocrinologist in Rasta peth, Pune. You can visit him/her at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. Kudalkar 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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Respected doctors kind please advise me ki agar thyroid ho to calcium supplement lene chaheye ki nhi? Kya calcium supplement lene se thyroid badta hai? Kyu ki mera thyroid 4 month phele 9.3 ml tha or main thyroix25 tablets le rhe hu but fir bhi mera thyroid ab bad ki 13. 2ho gya hai. Is ke ilawa main ashokarist or ashwaghandharist bhi daily do time lete hu. Kindly advise me ki in me se kise dwai ka koi role to nhi thyroid ko increase karne me.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
There are 2 issues here. Either your Thyroid tablet dose is inadequate or if you are taking your Thyroid & calcium tablets together then it will reduce the effect of your Thyroid tablet. Make sure that your calcium is taken in the afternoon or evening so that it does not interfere with your Thyroid tablet absorption. This is also the case with iron. So make sure that all these tablets are taken at different times to avoid any interference in absorption.
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I am suffering from diabetes and high blood pressure for last 10 years and have been taking medicine also now am feeling heavily exhausted and get tired very soon.

pg general medicene
Ayurveda, Hyderabad
I am suffering from diabetes and high blood pressure for last 10 years and have been taking medicine also now am feel...
Dear Ashokji Do Pranayama meditation regularly with exercise.take following Allah powder and turmeric powder equal quantity mix well.and take 3 to 4 gms with water empty stomach and evening before food along withyour routine medicines. Take Muktha vati 2tabs morning and evening(Baba Ramdev..Review after one month.
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I am suffering from Diabetic since last 2 years, till date not taken any English medicines, Neem Karela juice , Pranayam.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from Diabetic since last 2 years, till date not taken any English medicines, Neem Karela juice , Prana...
Mr. Lybrate-user, following are the criteria for deciding whether a person has diabetes: 1) normal: fbs 70 to 100 mg, pp <140 mg, hba1c% <5.9 2) pre-diabetes: fbs 108 to 125 mg, pp 141 to 199 mg, hba1c% 5.9 to 6.4. 3) diabetes: fbs 126 mg and more, pp200 mg and more, hba1c% 6.5 and more. A person with pre-diabetes can remain free of diabetes if he reduces weight, exercises regularly and takes a restricted diet, avoids junk food, pastries and deep fried food. Once a person gets diabetes it is absolutely necessary to start treatment, otherwise there can be serious complications. Please remember only modern medicine can help control diabetes. No other drugs can help. Plus diet control and exercise are a must. Thanks.
1 person found this helpful
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I have uric acid level 9mg and my CRP test shows reactive. I have swelling on my left leg pad pain. Treatment is going on. I have visited one orthopedics for pain but then he asked for uric acid and CRP tests. Is there any special doctor for this with specialty in this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have uric acid level 9mg and my CRP test shows reactive. I have swelling on my left leg pad pain. Treatment is goin...
Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints. Tab. Bencid 500 mg once a day.
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I am 37 year old and diabetic. Sugar is normal. Also taking uric acid tablets. Daily I have too much body pain. Thyroid and calcium test also normal. Please suggest me what is the problem.

B H M S, MD
Homeopath, Thrissur
I am 37 year old and diabetic. Sugar is normal. Also taking uric acid tablets. Daily I have too much body pain. Thyro...
Dear lybrate-user your body pain may be due to some causes which has to be found and treatment has to be done. Despite taking treatment for uric acid if you are having body pain the cause has to be found out after going through a holistic study of your case as per homoeopathic method. In homoeopathy we will not be seeing your diabetes and Gout as seperate as both of this along with your body pain is caused by loss of immunomodulation. So in Homoeopathy the cause of this is studied and along with this your genetic make up which makes you prone to disease is studied and a apt remedy which can keep your immunity balanced is given which will cure the condition.
2 people found this helpful
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Getting fat day by day. Dont have any thyroid problems or anything. My inner thighs are quite heavy. Please help by proper medication.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Getting fat day by day. Dont have any thyroid problems or anything. My inner thighs are quite heavy. Please help by p...
Hi, you should go for brisk walk in the morning and evening. Do regular exercise atleast 15 minutes daily. Take lukewarm water with lemon in the morning. Take salad before meals. Drink more water in a day. Don't take rice at night and don't skip breakfast. Avoid junk food and oily food. Avoid soya products. Take frequent meals instead of 3 big meals.
3 people found this helpful
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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.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch ...
doctor must have prescribed depending on level of sugar and sugar control . just follow medicine diet chart and regular exercise.
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Everyone in my family have complete hair, so its not a hairditry, I have been taking eltroxin since childhood- half capsule daily morning empty stomach. But if I forget to take for some days lot of hairfall starts. I apply oil everyday. But from the past 6 months-1 year excessive hairfall started, density of hair has reduced a lot, hair has become thin and less, I removed hair for 30 days every week for 1 month still did not help. Recently I did my T3-T4-TSH Test but it shows normal. please suggest medicine to stop hair loss and regrowth of hair and also suggest blood test to identify the cause of hair loss.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1. Apply mahabhringraj oil on your scalp and massage follow by giving hot water fomentation. You can put 1 drop of cow ghee in both nostrils before going to bed. 2. Take pranacharya allergen capsule twice a day. Increase the intake of proteins such as soybean and egg white. It is advisable to avoid tea, coffee, spicy food, fermented food and junk food. Only use ayurvedic shampoo on your scalp and avoid synthetic shampoos. Do pranayama early morning.
1 person found this helpful
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I am 34 years old female suffering from hypothyroidism taking thyroxine tablets 100 mcg in the morning. Now it is under control but unable to reduce my weight. Feeling fatigue with body ache unable to do exercise. Kindly help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 34 years old female suffering from hypothyroidism taking thyroxine tablets 100 mcg in the morning. Now it is und...
lybrate-user, If hypothyroidism is in control (TSH between 3 to 4 mU/L), then efforts to control weight can be successful. Only way to reduce weight is exercise and take a restricted diet. Your caloric intake has to be based on ideal body weight (60 kgs X 25 calories = 1500 cals, since you want to reduce weight, then the intake has to be cut by another 500 cals per day. So daily food intake should give only 1000 calories. Plus at least 45 minutes of walking also is required. Without this there is no other way to reduce weight. Thanks.
1 person found this helpful
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How is Diabetes realted to Cinnamon?

MD - Medicine
Endocrinologist, Ahmedabad
How is Diabetes realted to Cinnamon?
Did you know Cinnamon is good enough to find a place in your medicine box as well as in your spice rack?
The popular spice may help prevent and combat diabetes by acting as an insulin substitute for people with type 2 diabetes. Cinnamon itself has insulin-like activity and also can potentiate the activity of insulin. Cinnamon has a bio-active component that we believe has the potential to prevent or overcome diabetes.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones."
555 people found this helpful

Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.
Mr. lybrate-user, Thanks for the query. Both the brands mentioned are having same drugs, both are equally good.
1 person found this helpful
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Hi I am insulin dependent diabetic taking lupisulin m50 25 unit before lunch and 10 unit before dinner and taking Janumet 50/1000 2 time. My sugar lever is normal. From past 5-6 Month I have started strength training and now my strength has increased so I want to know can I take whey protein or protein supplements to gain muscle. Thank you.

MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)
Dietitian/Nutritionist, Bangalore
Hi I am insulin dependent diabetic taking lupisulin m50 25 unit before lunch and 10 unit before dinner and taking Jan...
Dear lybrate-user, There is no harm in taking whey protein or protein supplements to gain muscle. But it depends on quality and quantity of strength trainning. Protein is very essential to keep the sugar levels under control. Do go for a personalized diet plan for best results. Warm Regards,
1 person found this helpful
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I have primitive diabetes and I have started feeling loss in libido & loss of stiffness in genital.

B H M S, MD
Homeopath, Thrissur
I have primitive diabetes and I have started feeling loss in libido & loss of stiffness in genital.
Usually diabetes will cause thickening of blood vessels loosing its flexibility and it will limit the blood flow when needed to the organs and sexual organ is one of them. So the diabetes has to be managed effectively to make your erection o. K. Yoga will be an accessary measure to increase the circulation and control diabetes.
2 people found this helpful
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Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar level, I use 15 ml insulin at night and 26 ml at morning and also takes some medicines like zomat-th , please tell me what would be best medication and diets from me if nothing else my sugar can be controlled.

MBBS
General Physician, Cuttack
Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar l...
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.
2 people found this helpful
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I have diabetes. Which is very high. How to control it. Please give me some suggestions.

MSc
Dietitian/Nutritionist, Hyderabad
I have diabetes. Which is very high. How to control it. Please give me some suggestions.
Dear user avoid fried foods sweets, pkgd foods, colas, juices, ice creams use skim milk n its products if non vegetarian den stick to chicken n fish, avoid red meats use of whole grains n pulses will help you in keeping sugar levels in control root veggies like aloo should be taken in moderation minimize use of fat, use refined oil go for exercise or walk daily try various types of veggies in salad form. Fasting n feasting should be avoided.
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I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include for fiber intake & can they be taken in morning after 1 hour of thyroid medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include ...
In hypothyroidism it is good to consume whole grain flour made bread (chapatis). Gram flour is good enough. Nuts which are good in hypothyroidism are brazil nut, macadamia & hazelnut. Peanut (ground nut to be avoided). Fresh fruits and green vegetables are good. (to restrict use of cabbage, cauliflower, broccoli). Whole grain cereal foods mus be taken several hours after taking the medication. Tha gap between medicine and chapati has to be more than 3 - 4 hrs.
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I am a girl age 21 my weight is just 44. I am suffering from thyroid from last 3 years n my weight is decreasing rapidly. What kind of diet should I take which can increase my weight. N I have hair loss problem. What steps should I take.

B.Sc. - Dietitics / Nutrition, msc in dietetics & food service management
Dietitian/Nutritionist, Indore
I am a girl age 21 my weight is just 44. I am suffering from thyroid from last 3 years n my weight is decreasing rapi...
Take high calorie and high protein diet do excercise or walk regularly. Don't skip brkfst. With brkfst take 1 glass of milk n add 2 badam n 2 anjeer.
8 people found this helpful
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Diabetes - A Major Risk Factor for Kidney Disease!

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Diabetes - A Major Risk Factor for Kidney Disease!

Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.

Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.

In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.

How can diabetes affect your kidneys?

Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.

Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.

Signs of Kidney Disease in Patients with Diabetes

  1. Albumin/protein in the urine
  2. High blood pressure
  3. Ankle and leg swelling, leg cramps
  4. Going to the bathroom more often at night
  5. High levels of BUN and creatinine in blood
  6. Less need for insulin or antidiabetic medications
  7. Morning sickness, nausea and vomiting
  8. Weakness, paleness and anemia
  9. Itching

What are the possible complications?

  1. End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
  2. Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further. 
  3. High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.

What to do?

  1. It is essential to get your urine checked at least once every year to detect signs of kidney damage.
  2. Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
  3. The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
  4. You should also avoid consuming medications that can cause damage to the kidneys.
  5. A kidney transplant or dialysis may be advised if the damage to kidneys is significant. If you wish to discuss about any specific problem, you can consult a Nephrologist.
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I am taking sitagliptin 100mg on one time a day, volix m 0. 3 alongwith breakfast or dinner time, gp4 before breakfast, or gp2 before diiner from one month but after one month checkups of my bs fasting is 170 and bs pp is 260 now. My age is 39 years male. Ecg and other lipid profile serum cretenine reports are normal. What should I do ?

MBBS
General Physician, Mumbai
I am taking sitagliptin 100mg on one time a day, volix m 0. 3 alongwith breakfast or dinner time, gp4 before breakfas...
For your diabetic drugs-- stop previous treatment and in consultation with your treating Dr. Change it to tablet daonil 1-1-1 before breakfast, before lunch, before dinner and tab glycomet 500 mg 1-1-1 after breakfast after lunch and after dinner and also take tablet folvite once a day and eat food with low glycemic index and check your sugar levels after a week and revert back to us.
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