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Dr. Narendra S Javadekar

Endocrinologist, Pune

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Dr. Narendra S Javadekar Endocrinologist, Pune
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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. Narendra S Javadekar
Dr. Narendra S Javadekar is a popular Endocrinologist in Karve Nagar, Pune. He is currently associated with Shree Clinic in Karve Nagar, Pune. Book an appointment online with Dr. Narendra S Javadekar and consult privately on Lybrate.com.

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Shree Clinic

Laxmi Terrace, 49/99 Shop, Daily, Karvenagar , PunePune Get Directions
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My daughter is now in 8th month pregnancy. Her fasting sugar is 85 mg/dl, and 135 mg/dl after 2 hours of eating. Is it dangerous condition.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My daughter is now in 8th month pregnancy. Her fasting sugar is 85 mg/dl, and 135 mg/dl after 2 hours of eating. Is i...
Ideal sugar level during pregnancy should be maintained between 90 - 120 mg through out the day. Hence, 135 mg after food is high. Is she on any treatment? if not then she must start on minimal dosage of insulin (4 - 6 units a day) and bring the levels below 120 mg. In pregnancy high sugar is dangerous for the fetus as it may trigger macrosomia (large baby).
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First time recently I checked t3, t4, tsh, tests t3, t4, are normal, tsh is12.3 which dose I to use to control. Life long i am compulsory use medicines and which test is for conformation of I have thyroid or not please because of first time getting that result and I have no symptoms of thyroid .Please clarify problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
First time recently I checked t3, t4, tsh, tests t3, t4, are normal, tsh is12.3 which dose I to use to control. Life ...
Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement can help,
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I am 22 years. I tested my thyroid my TSH level is 4.47. Is it high? How can I reduce it?

DHMS (Hons.)
Homeopath, Patna
I am 22 years. I tested my thyroid my TSH level is 4.47. Is it high?
How can I reduce it?
Hello, tk, homoeo medicine: @ thyroidinum 30-6 pills, thrice a day. Tk plenty of water to eliminate toxins and to regulate your metabolism to ease your problem. Go for meditation to reduce your stress, to nourish endocrine glands. Your diet b easily digestible on time. Avoid, caffien, alcohol, junkfood, dust, ensure, sound sleep for 7/8 hrs in d night.
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Last month I had a thyroid test and my thyroid level is 4.6 How can we reduce the thyroid level? Does thyroid level have any impact in conceiving?

BHMS
Homeopath, Delhi
Last month I had a thyroid test and my thyroid level is 4.6
How can we reduce the thyroid level? Does thyroid level h...
Yes thyroid level plays important role in pregnancy as any change in thyroid level effects other hormones too. You may take homoeopathic treatment for the same.
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Hi I'm a 35 year old female. I'm a diabetic patient. I read from Lybrate that lady's finger can reduce blood sugar level to an extent. But I heard that having lady's finger will increase the cholesterol level. Is that true?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm a 35 year old female. I'm a diabetic patient. I read from Lybrate that lady's finger can reduce blood sugar le...
Hi, as mentioned there are some reports suggesting that using ladies finger (okra) does help in reducing blood sugar, but these are only studies in rats in laboratory. So extrapolating that effect on to human being is not good. It is a good green vegetable, gives vitamins, potassium and fibers etc. But as a treatment for diabetes it is not supported by any clinical studies. One can consume it in good quantity because it is a good vegetable.
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How to control sugar and what was the things tht she do not eat who cntrl her sugar.

Diploma in Diabetology, MBBS
General Physician, Warangal
How to control sugar and what was the things tht she do not eat who cntrl her sugar.
Maintain ibw take balance d diet walk daily avoid sugary items fat food take high fibre low calorie food plenty vegetables and fruits in 2 / 3 servings update with report s.
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I am a healthy male of 48 years and have no medical problem as such but my fasting sugar (self prescribed) shows reading of 131 and 109 while hba1c is 6.9. Please tell me am I a diabetic?

PDDM, MHA, MBBS
General Physician, Nashik
Fasting sugar more than 110 means you are a diabetic. Kindly consult privately for personalised assessment and management.
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Res. Doc. I am 54 yrs. Old. I got blood tested for my TSH which is 11.70. I also tested Hemogram. My hb is 14 all other tests are normal except my platelets are 98.00. I ask my physician and he told me that nothing to worry. Take some healthy diet. I have no fever no any infection. I checked in a routine way. My health is good. I feeling good. No sickness. No tiredness. Pl. Advise me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If hemogram is normal, then it is quite good. Platelets 98000/cc, is fine. That does not show any problem. But TSH value is definitely high. It has to be below 4.5 mU/L. It is showing there is hypothyroidism, it needs to be treated. Otherwise, it can cause multiple problems due to thyroxine hormone deficiency. Thanks.
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Diabetes is diagnosed. Is it curable? what precautions have to taken from the beginning to come out of it?

M.D. Internal Medicine
Endocrinologist, Mumbai
Diabetes is diagnosed. Is it curable? what precautions have to taken from the beginning to come out of it?
At the moment either type -1 type -2 none of the type of diabetes is curable. But if you follow proper dietary restrictions, lifestyle modifications with exercise then it is possible that you may not require any medicine to control diabetes for years type -2 variety- some patients if overweight reduce their weight to ideal body weight and maintain that for years together can control their diabetes lifelong without medications.
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Hello ma'am /sir. Please advise I am 5thmonth 1 week (21 week) pregnant lady nd hypothyroid patient. So I am taking thyronorm 50 mcg as advised by doctor. But now also in second trimester my tsh level is 5.24.my sugar fasting is 115nd random130. Hemoglobin is 10.4.according the ultrasound my baby weight is 415gram in 21 week. Please advise everything is normal. We are enclosing report for better understanding.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
You need to increase the dose of thyronorm since upper normal level of TSH during pregnancy is 2.5. Kindly do so under the supervision of the Endocrinologists. Beyond 12 weeks of pregnancy fetus's thyroid functions independent of mother's thyroid. So fetus is not likely to be harmed due to present dose that the patient is taking.
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My mother is 35 and having sugar. What she must do to be in control and have a healthy life. Some times she sleeps more. Is thus because of sugar? Please give any suggestions.

C.S.C, D.C.H, M.B.B.S
General Physician,
My mother is 35 and having sugar. What she must do to be in control and have a healthy life. Some times she sleeps mo...
Excess sleep can be from sugar not controlled well. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance... if you keep in touch personally.
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I am 34 yrs male, last 5 days am suffering Back pain, when I consult a doctor, checked blood and told uric acid problem (7.8) what is the remedy, and what are the items I have to avoid. Please replay.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
I am 34 yrs male, last 5 days am suffering Back pain, when I consult a doctor, checked blood and told uric acid probl...
Hello you can follow these advice- 1. Take plenty of luke warm water (8-10 glasses per day). 2. Add some baking soda in the water, it will decrease your uric acid level so that you will get relief in backache spontaneously. 3. Brisk walk in the morning is must. 4. Perform some back strengthening exercises, which i'll explain you in the next session. Till then you have to modify you life style. Wish you a happy life.
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Maine sugar check karwaya tha aur ye breakfast me 70 tha to kya mujhe mitha khana chahiye aur mujhe thyroid v hai weight bhi badh raha hai.

BHMS
Homeopath, Faridabad
Maine sugar check karwaya tha aur ye breakfast me 70 tha to kya mujhe mitha khana chahiye aur mujhe thyroid v hai wei...
Hello, your sugar level is normal , so can have sweets.Take Proper treatment for thyroid and follow the below tips to lose weight:- 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the evening daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits.
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Having acidity and bloated feeling aversion towards food diabetic,smoker,having heart problems . On medication for BP and diabetes

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ghaziabad
Avoid all spicy n fried food , quit smoking .Take avipattikar churna twice after meals.Also send blood sugar report.
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I am a 24 years old girl, I have a weight issue my lower body is increasing fastly my calves curves are going to be straight, my calcaneus part area are swollen for a long time my hip cellulite are also increasing day by day. I have already tested my blood test and thyroid test all are ok. My upper body is lean but my lower is not. Please tell me what is the problem.

BAMS, MD (Panchkarma)
Ayurveda, Mumbai
I am a 24 years old girl, I have a weight issue my lower body is increasing fastly my calves curves are going to be s...
Hello lybrate user, thanks for writing, if you want permanent cure for weight loss you can take our research oriented holistic medicines for assures weight loss results, without crush dieting, with out side effect, without gym, without surgery. Tips for you: 1. Eat plenty vegetable and fruits. 2. Drink 10 glass water per day. 3. Have 5 to 6 meal per day. 4. Avoid deep fried, alcohol. If you have any questions you can contact us by lybrate.
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What are the symptoms of diabetes. Can I identify the symptoms from urine by visual observation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
What are the symptoms of diabetes. Can I identify the symptoms from urine by visual observation.
No. You can not identify symptom of diabetes by visual examination of urine. Symptoms are excess thirst, weakness,increased frequency of urination. You can diagnose diabetes by increased sugar levels in urine and blood (lab report).
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I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.
It is good if you are taking appropriate treatment for diabetes and if it is well controlled, then it is appreciable. But looking at your height and weight it is clear that you are having grade 1 obesity with a BMI of 32 .85 kgs/M2. Your ideal body weight should be 60 kgs. Hence you are carrying 32 kgs extra weight. That it self is a major contributor for high blood glucose. Hence, weight reduction is absolutely imperative. Thanks.
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Ayurvedic Approach Towards Hypothyroidism

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Ayurvedic Approach Towards Hypothyroidism

Hypothyroidism is a hormonal disorder caused by reduced amounts of thyroid hormone. It is more common than hyperthyroidism and affects women more than men. Iodine is a main ingredient of the thyroid stimulating hormone (TSH) and iodine deficiency leads to hypothyroidism.

TSH is required for effective metabolism and reduced amount leads to affecting overall metabolism of the body and causing the following symptoms.

  1. Slow pulse
  2. Weight gain
  3. Reduced attention/concentration span
  4. Intolerance to cold
  5. Hoarseness of voice
  6. Irritability
  7. Inability to concentrate
  8. Depression/low mood
  9. Fatigue
  10. Swollen face and droopy eyes
  11. Dry skin
  12. Mental
  13. Premenstrual tension
  14. Muscular pain

Ayurveda believes that this is due to an imbalance between the 3 body systems - vata, pita, and kapha. In hypothyroid people, the pita is supposed to be overpowered by kapha which reduces metabolism. 

Treatment is aimed at bringing out balance between the two.

The various Ayurvedic components include:
Panchakarma and external therapies like Vamana, shirodhara, virechana, basti, udwarthana, Kashaya Seka are shown to play a significant role in managing symptoms of hypothyroidism.

Activities: 

Specific Asanas and Pranayamas that are directed at the thyroid have been proven to be beneficial.

  1. The most effective asana is sarvangasana or the shoulder stand. It improves blood flow to the thyroid and thereby improves its function. Matsyasana, surya namaskara, pavan muktasana, and halasana are also beneficial for hypothyroid patients.
  2. Ujjayi is the most common pranayama which acts on the throat area and stimulates reflexes in this area.  Nadi shodhana pranayama also is proven to have beneficial effects on the metabolism.

Internal remedies:

Appetizers and digestive agents are given to improve metabolism. These include herbs and whole grains and specific food products including dairy products.

Food Changes: 

Food has a major role to play, and some of the do's and don't's are as follows.

  1. Increase water consumption, preferably warm water, to improve digestion
  2. Include more iodine-containing foods like white onions, fish, shellfish
  3. Include more whole fibers like brown rice, barley, green gram, Bengal gram, cucumber, and sugarcane juice
  4. Increase consumption of milk and milk products
  5. Avoid sour food items
  6. Herbal products recommended for hypothyroidism include kanchanara, (purple mountain ebony), jatamansi, shilajita, gokshura, Brahmi, and punarnava
  7. Apply a paste of jalakumbhi which helps by supplying iodine to the goiter directly
  8. Jalakumbhi juice can also be consumed daily (11 to 22 g)
  9. Coconut oil, being rich in medium chain fatty acids, increases the body's metabolism and helps in managing symptoms of hypothyroidism

Lifestyle Changes: In addition to the above, meditation and regular exercises to maintain a healthy lifestyle, reduce stress, and manage weight have shown to help control symptoms to a large extent.

Hypothyroidism is a chronic condition but can be managed with a combination of food, exercise, and lifestyle changes.

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Res sir i am 75 years old and debetic from the last 30 years.I have stomech problem.Every 10 - 15 days i have loose motions. That continue for two three days. In single day i have to go for above 20 times. I have taken several medicines from most senior doctors. But problem is there. I use to take medicines tab glycomet gp 2 1---0----1 and insuline 30/70 30 unit morning and 20 unit evening. Please suggest for stomech loose motions problem.

FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist, Ahmedabad
You need to get throughly evaluated if the problem is recurrent and probably need endoscopy to rule out any potential problem in your intestine, if the diarrhea is recurrent and not subsiding. Any blood in the diarrhea? please send me your detailed reports.
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