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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 wife is have hypothyroidism. She is on 75 mg thyronorm. Her latest report shows t3 102.48, t 4 8.90 and tsh 2.92. One doctor says to continue the dosage at 75 mg and other doctor recommends to reduce it to 25 mg. She has also developed hypertension and is on olmat 20. What dosage of thyronorm she should take?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife is have hypothyroidism. She is on 75 mg thyronorm. Her latest report shows t3 102.48, t 4 8.90 and tsh 2.92. ...
you should be take dose of tab. thyronorm 12.5mcg according to your reports. 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 may help, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Sir very good morning my mom have a sugar so please tell me what to eating so please tell me sit.

PDDM, MHA, MBBS
General Physician, Nashik
Sir very good morning my mom have a sugar so please tell me what to eating so please tell me sit.
Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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My HbA1c is 5.6 & MBG - is 100.5, is it normal, r still I am pre diabetes? Pls suggest me. Bcoz thinking that I am pre diabetes I stopped coffee, tea, rice and other bakery items, not even oats biscuits. Whether I can take oats biscuits, millets and chappati's in my diet?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My HbA1c is 5.6 & MBG - is 100.5, is it normal, r still I am pre diabetes? Pls suggest me. Bcoz thinking that I am pr...
Bhanushreeji, Thanks for the query. Following are the criteria to decide about diabetes : 1)Normal : Fasting blood glucose :70 to 110 mg/100ml, PP<140 mg, HbA1c%<5.9. 2)Pre-diabetic state: FBG108 to 125 mg, PP 141 to 199 mg & HbA1c%5.9 to 6.4. 3)Diabetes :FBG:126 mg and above, PP 200 mg and above,& HBA1c% 6.5 and above. Hence you are not in a prediabetic state. But it always good to avoid bakery items or other foods made out of maida. Taking healthy diet always pays off. Tea, coffee are fine. Similarly there is no need to avoid rice. What is needed is total moderation in diet. But better to avoid too much of sweets, deep fried foods, jnuk foods and pastries. Increased intake of green leafy vegetables and fruits is healthy. Plus maintaining normal body weight (about 58 kgs) is necessary to prevent becoming diabetic. A daily exercise of 1 hour should also be very good habit. Thanks.
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I am cardiac and diabetic since 1998 and cardiac 2005 which medicine you suggest?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
There are many medicine. It depends on your personal medical history. Your doctor will guide you through it.
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I am 63 years old male. I am diabetic and bp patient. Today I got sever pain in left kidney. It has been scanned. 20-25 mm stone in the lft kidney. Please give your advice for the further treatment without operation.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
1 20-25mm stone will not come down 2. Lithotripsy -- breaking of stone should be done. Without open operation. 3. Consult a urologist in your town and do it before any complications.
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I am dibetic, slight high blood pressure and slight higher collestrol. Dibeic 112/99 pre and post meal, after dibeta sr 500 once in a day, cholestrol 140 after one pill avas 10 daily, bp 120/80 after telma 40 once in a day. I also suffer rehumotide arthrites (ra)) hcqs400 once in a day. All these deases since last one year. My wt. Was 83 kg ht 178 cm wt reduced to 74 kg in one yr with running and excercise for one hr daily. Shall I reduce the medicine or continue ?

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am dibetic, slight high blood pressure and slight higher collestrol. Dibeic 112/99 pre and post meal, after dibeta ...
Hello good to hear you are on physical activity and happy to hear you have reduced weight. Keep up the exercise going. It looks like all are in control when you take medicine. This condition has to be maintained when you stop using medicine. So, I suggest, consult your personal doctor and then based on his recommendation you follow the same. We know heavy medication leads to side effects. Please add protein with green tea, fiber and multivitamins supplements in your diet. Let me help you with more information. Have a nice day.
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What diet has to follow from get in off diabetic and what exercise has to do for thad.

MBBS, MD
Endocrinologist, Delhi
What diet has to follow from get in off diabetic and what exercise has to do for thad.
Diabetic patients should avoid sugar, jagary,honey, sweets,sweet fruits like banana, mangoe,grapes, cheeku,dates etcDo some regular exercise walk, yoga and take medicine as advised by his doctor.
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Can anyone please explain what is the meaning of hba1 level of diabetes patients.

MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS
Gynaecologist, Thane
Can anyone please explain what is the meaning of hba1 level of diabetes patients.
Hba1c is glycosylated hemoglobin which indicates sugar levels over last 3 mths. Whereas fasting, post prandial sugar tests give idea about levels on that particular day only.
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I am a 38 year old male. Three and a half months back, my TSH level was 8.08 micro IU/ml. Since then I have been taking Eltroxin 25 one tab daily. Now my TSH is 2.27 micro IU/ml. What do you advise I should do regarding Eltroxin?

M.D.(A.M.), BAMS
General Physician, Gurgaon
Just continue taking th same in same dose..along with this u can add some nutrition that can prove very healthy for ur thyroid issue.
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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.
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My friend has diabetic since 3years with suppurative otitis media since 3days. What is the management?

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
My friend has diabetic since 3years with suppurative otitis media since 3days. What is the management?
Please consult a good ent specialist. As your friend is a known diabetic, it is better not to wait any further because diabetic patients often have increased chances of severe infection.
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Hello doc. My daughter has hypothyroid. From last 12 years. I too have thyroid. Family history. ANd pcod. Periods are irregular. Age- 25. She is over weight. Height 5.3.weight 75 .i want to get her married. How to loose her weight tried gym. Yoga diet. everything no result at all. Doctor please help. She is mentally disturb now. Due to no result and family pressure.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Hello doc. My daughter has hypothyroid. From last 12 years. I too have thyroid. Family history. ANd pcod. Periods are...
Dear lybrate user, your daughter needs to get rid of her ocd and needs treatment for ocd, pcod and obesity. Marriage is not the solution, it will create more problems in her life, if she gets married without getting treated for her ailments. She probably has low self esteem and may have a few suppressed emotions. It is advisable that you take her to a counsellor. The counsellor will help her to open up and express her feelings. The counsellor will help her to modify her thought processes and thereby will help her have higher self esteem and confidence. This will motivate her to take care of her body and mind and thereby help her in reducing her weight and discard thoughts which are harmful.
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I am 63 years old lady with thyroid n diabetic also can not walk much 86 kgs can you help I hv stopped eating chapati instead hv started 1 med jowar bhakri for lunch n dinner is tht ok diabetes wise?

MBBS, MD
Endocrinologist, Delhi
I am 63 years old lady with thyroid n diabetic also can not walk much 86 kgs can you help I hv stopped eating chapati...
Jowar is good and high fibre food for diabetes. Along with diet restriction exercise is also must for weight reduction. Keep your blood sugar and thyroid hormone controlled.
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Sir, I am 41 years old man, I have suffering from diabtes type 2 from last 9 years 190/240 sugar. I have already taken insulin novomix 18-18 morning/evening and tab met zumil 50/1000 2 times. What I do now after?

C.S.C, D.C.H, M.B.B.S
General Physician,
Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. Www. Lybrate. Com/drsajeev it is not as easy 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) 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. For sugar 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 privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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In my blood uric acid is excess . What can I do. What is uric acid and why it excess our body/blood ?

MBBS, cc USG
General Physician, Gurgaon
In my blood uric acid is excess  . What can I do.
What is uric acid and why it excess our body/blood ?
Tell me your uric acid level? uric acid is controlled by following uric acid diet and medicines drink plenty of fluid esp water take low fat dairy product consume complex carbohydrate reduce saturated fat consumption avoid fish/ meat/ poultry avoid eatable sweetened avoid alcohol consult me/ physcian for further management.
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I am a 39 year old and am suffering from hypertension for more than a decade. The reason is I have a scar on my left kidney due to some issue when I was young which I too didn't know about. I have been taking highest medication. Amlopress vl 160. But no effect. Please help.

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent blood pressure and revert back to me for further assistance. Pls upload usg report if you have it.
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I have diabetes since last November 2016 and had check up with the doctor who has prescribed Glycomet GP1 daily one tablet. Further I have been doing my blood check regularly and my fasting blood sugar is 137 on 05/02/2017 and on full stomach it is 200. Is it OK if I continue with the same medicine or whether you may like to prescribe some other medicine in its place. How is he position of blood sugar whether it is OK, High, Medium. I am having regular walk of 10 kms daily. I have given up all sweet items containing sugar. I have also not eating rice as far as possible. Any good advice Sir from your side.

MBBS
General Physician, Bhubaneswar
I have diabetes since last November 2016 and had check up with the doctor who has prescribed Glycomet GP1 daily one t...
You r absolutely fine sir. Your walking 10 km is a bit too much for your age, but if you r comfortable its fine. Blood sugar is you can say just a borderline medium. Do a blood test after 10-15 days n get bk to me. Glycomet GP 1 is a time tested med. Anytime you csn get in touch wid me for a prepaid chat n advice.
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I am 73 years old man. I don't have sugar or Bloodpressure. Being good sportsman enjoyed good health. A year back I developed constipation. Now I am taking ayurvedic "Ponnavarai Choornam" which gives some relief. Whether I can take it regularly and is there any side effects due To prolonged use?

PDDM, MHA, MBBS
General Physician, Nashik
I am 73 years old man. I don't have sugar or Bloodpressure. Being good sportsman enjoyed good health. A year back I d...
Its habit forming. Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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Hello sir, Having thyroid from 2 ys (Hypothyroidism), below recent thyroid laboratory test results Total T3 - 1.19 Reference Range: 0.60-1.81ng/mL Total T4 -10.7 Reference Range: 4.5 -10.9 µg/dL TSH- 4.92 Reference Range:: 0.35-5.5 µIU/mL Using thyronorm (levothyroxine sodium) 50 mcg, shall I continue the same or change the dose. Feeling tingling effect in both feet, and slight pain in ankle of left leg. Please suggest the best option to be in normal state.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello sir, Having thyroid from 2 ys (Hypothyroidism), below recent thyroid laboratory test results
Total T3 - 1.19 Re...
Although you should continue with the same medicine presently but you should consult your doctor for this--------secondly you should get blood test for vitamin-b12 and vitamin-d for your ankle pain nd tingling sensation as well-------------------
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I am 64 year old. Diabetic. Though under control with the help of medicines and dietary control. Having burning sensation in fingers and feets. What to be done ?

MBBS
General Physician, Delhi
I am 64 year old. Diabetic. Though under control with the help of medicines and dietary control. Having burning sensa...
Dear sir this can be a sign of diabetic peripheral neuropathy you need to have intensive glycemic control and need to undergo ncv test usually I prescribe tab pregabalin 150 mg once a day it takes time usially to resolve this problem.
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