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Dr. Nilesh Dagade

Endocrinologist, Pune

150 at clinic
Dr. Nilesh Dagade Endocrinologist, Pune
150 at clinic  ·  ₹ online
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nilesh Dagade
Dr. Nilesh Dagade is one of the best Endocrinologists in Pawna Nagar, Pune. He is currently associated with Minerva Hospital in Pawna Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Nilesh Dagade on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 36 years of experience on Lybrate.com. You can find Endocrinologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Plot 74 Pawna Nagar, Chinchwad, Landmark: Near Chafekar Chowk Next To Jain School, PunePune Get Directions
150 at clinic
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I'm diabetic for the past 15 years. I get fatigue in the morning and yawn too often. What could be the reason.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I'm diabetic for the past 15 years. I get fatigue in the morning and yawn too often. What could be the reason.
Mr. Prem kumar, if diabetes is not in control then early fatigue or tiredness occurs. Yawning is a reflection being overtly tired or having had sleeplessness. If diabetes is in good control then fasting sugar should be around 100 mg and pp 150 to 160 mg and hba1c%<7. If this achieved all your symptoms will go away.

Hi I am 19 years old female. I have thyroid and my weight is increasing. What should I do to loss my weight. And I have also maintained many diets. But that diet maintaining is not working. Can you suggest me how to loose my weight please.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hi I am 19 years old female. I have thyroid and my weight is increasing. What should I do to loss my weight. And I ha...
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight also. also take medicines for it with consulting doctor. pl. post your reports.

Dear sir I am suffering sugar problem in last 4 months. After examination fasting 111 and pp 152, without any medicine. please suggest me about control and treatment thanking you pran.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician
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Dear sir I am suffering sugar problem in last 4 months. After examination fasting 111 and pp 152, without any medicin...
Thanks for your query. Your sugar is very much under control. Try taking a balanced and healthy diet as per your customs and traditions, For more details contact me in private section.

I a a thyroid patient from last 4 years. From last 3 months I am working very hard to loose my weight. I was 82 kgs & now I am 75 kgs. Reduced 7 kgs. But from last 3 weeks my weight z not reducing. Don't known d reason, please help me out bcoz still I am overweight by almost 8kgs. I used to spend 1 hour cycling early in d morning & 2 hours at gym in d evening. I ve also stopped junk food. please help me out.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I a a thyroid patient from last 4 years. From last 3 months I am working very hard to loose my weight. I was 82 kgs &...
Mr. Lybrate-user, since you have hypothyroidism, please let me know the tsh andt4 levels. If treatment is adequate, then tsh is maintained around 3 to 4 mill units/ml. If tsh levels are higher then symptoms of hypothyroidism are difficult to control also efforts to reduce weight will not be successful.

I am 28 years old. I am having sugar but I did not maintained for diet. Please give me suggestions for food control.

MBBS, Diploma in Cardiac Emergencies in General Practice
General Physician
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I am 28 years old. I am having sugar but I did not maintained for diet. Please give me suggestions for food control.
Diet details that you might want to consider: A registered dietitian can help you put together a diet based on your health goals, tastes and lifestyle and can provide valuable information on how to change your eating habits. Anyways this is simplified version of diet. Recommended foods: Healthy carbohydrates. During digestion, sugars (simple carbohydrates) and starches (complex carbohydrates) break down into blood glucose. Focus on the healthiest carbohydrates, such as fruits, vegetables, whole grains, legumes (beans, peas and lentils) and low-fat dairy products. Fiber-rich foods. Dietary fiber includes all parts of plant foods that your body can't digest or absorb. Fiber can decrease the risk of heart disease and help control blood sugar levels. Foods high in fiber include vegetables, fruits, nuts, legumes (beans, peas and lentils), whole-wheat flour and wheat bran. Heart-healthy fish. Eat heart-healthy fish at least twice a week. Fish can be a good alternative to high-fat meats. For example, cod, tuna and halibut have less total fat, saturated fat and cholesterol than do meat and poultry. Fish such as salmon, mackerel, tuna, sardines and bluefish are rich in omega-3 fatty acids, which promote heart health by lowering blood fats called triglycerides. However, avoid fried fish and fish with high levels of mercury, such as tilefish, swordfish and king mackerel.'Good' fats. Foods containing monounsaturated and polyunsaturated fats — such as avocados, almonds, pecans, walnuts, olives, and canola, olive and peanut oils — can help lower your cholesterol levels. Eat them sparingly, however, as all fats are high in calories. Foods to avoid Diabetes increases your risk of heart disease and stroke by accelerating the development of clogged and hardened arteries. Foods containing the following can work against your goal of a heart-healthy diet. Saturated fats. High-fat dairy products and animal proteins such as beef, hot dogs, sausage and bacon contain saturated fats. Get no more than 7 percent of your daily calories from saturated fat. Trans fats. These types of fats are found in processed snacks, baked goods, shortening and stick margarines and should be avoided completely. Cholesterol. Sources of cholesterol include high-fat dairy products and high-fat animal proteins, egg yolks, shellfish, liver, and other organ meats. Aim for no more than 300 milligrams (mg) of cholesterol a day. Sodium. Aim for less than 2,300 mg of sodium a day.

My fasting sugar 130. Pp after 2h is 185. Am I diabetic. If yes, how serious or level it is. Should I need to take medicine or exercise and food control can help. Can it damage my organs if I maintain this level by exercise and food control ?

M.D. Internal Medicine
Endocrinologist
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My fasting sugar 130. Pp after 2h is 185. Am I diabetic. If yes, how serious or level it is. Should I need to take me...
Yes you are diabetic and you can control initially with food control and minimum 45 minutes exercise. It is always advisable to do some basic check up of liver kidney and heart.

My blood report says my TSH is 8.15 I. E. It is hyperthyroidism, please suggested allopathic drug with its brand name and MCG.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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tsh is 8.15 means you have hypothyroidism. take tab. thyronorm 100 mcg before meal in morning. and Take diet in hypothyroidism:- 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, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and control weight also. welcome.

I am 40 years old male and have back pain and neck pain, uric acid increases when I eat like chicken, paneer etc what should I do, I am suffering last 3 years.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist
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I am 40 years old male and have back pain and neck pain, uric acid increases when I eat like chicken, paneer etc what...
Being 40 your backache and neckache may need not to be due to your high uric acid only. That may be because of other reasons too. Treat your hyper uric acid level by an ortho. Doc's and a dietician's advice. Meanwhile, sleep on a hard bed with thin mattress, use commode, local heat with a pain gel after fomentation, pain killers for 5 days and rest for 3-5 days if your problem is bothering your routine life.

My dad and mom having diabetes for past 10 years and I just turned to 24. Am afraid I'll get diabetes in my early age. Is there any chance to avoid. Because am going to get married soon.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My dad and mom having diabetes for past 10 years and I just turned to 24. Am afraid I'll get diabetes in my early age...
Lybrate-user, your concern about developing t2 dm is quite right. Because this is a disease which does show familial trait. If both parents have diabetes then 75 % chance of children getting it. (3 out of 4 children may get). However, one thing good about t2dm is that it is a preventable disease. So if you do following things: 1) maintain normal weight, (height in cms - 100 = kgs), by regular exercise for more than 1 hour a day. 2) take a balanced diet that provides exact amount of calories needed based on ideal body weight and extent of daily exercise. 3) avoid excess sweets, deep fried foods, junk foods and pastries. Also avoid sweetened aerated drinks and fructose corn syrup containing products, high fat cheese, ghee and butter. 4) refrain from alcohol and smoking. 5) consume good deal of green leafy vegetables and salads and fruits. Also take a good deal of fiber containing foods mainly whole grain foods. If you stick these things then you can delay the onset of t2 dm or be free from it. All the best.

How to know my body suffering in diabetes? Please tell me any simple and free methods to know diabetes.

MBBS
General Physician
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How to know my body suffering in diabetes? Please tell me any simple and free methods to know diabetes.
If there is a non healing wound or if there is increased urination or if there is increased appetite than you can suspect that you have diabetes.

2 years back it was detected that I do have hypothyroidism. I continued ayurvedice treatment for almost 2 years however I have discontinued the treatment as the medicine was making me very lethargic and was also affecting my decision making skills. Is there a way I can control thyroid without medicine ?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello if one has hypothyroidism only treatment is taking thyroid hormone tables. There's no ayurvedic treatment. If you want to live normal then no option but to take tab thyronorm dosage will depend on your tsh levels.

I am diabitic from last 30 years till now all parameters are good but suger is increasing say 7.2 HBA1C ALREADY ON HUMAN INSULINE 50:50 ,34 UNITS MORNING &38UNITS AT NIGHT, WITH METPHORMINE 1GRAM SR BD .NOW WHICH ORAL MEDICEN SHOULD BE ADDED SO AS TO BRING DOWN MY SUGAR LEVEL ,I TAKE ONLY TWO MEALS, GO FOR WALK 4.5KM,BODY WT92 KG KINDLY ADVISE

MD - General Medicine, MBBS
General Physician
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Your HBA1c only tells you the blood sugar control over 3 months. So if your blood sugars are normal and only your HBA1c is high I would recommend you to continue the same medications and repeat HBA1c after 3 months. About your weight, I would definetly recommend weight loss. Because the weight itself can increase your blood sugars.

Hello sir or madam? My father was check in hospital report shows tht he is suffering frm beginning SUGAR. So I want to know tht can we stop or remove tht disease.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello sir or madam? My father was check in hospital report shows tht he is suffering frm beginning SUGAR. So I want t...
Mr. lybrate-user, If diabetes is diagnosed, the treatment with appropriate drugs has to be started immediately. Diabetes is a condition which can only be controlled very well, there is no cure. Treatment has to be for lifetime. There is no other option. If you want me to guide specifically about which treatment to take and what other precautions to be taken, please come in a private conversation with following details: Fasting, Pp blood glucose levels, HbA1c%, present drugs being taken if any, dietary pattern and extent of daily exercise. Based on those details I will be able to give specific guidelines. Thanks.

MD - Medicine, MBBS
Endocrinologist
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Diabetes runs because no one runs in the family!

Sir I have thyroid problem and taking thyroxine sodium tablet. 150 mg and 100 mg on alternate day. Now my latest thyroid test show as follows T3 is 1.04 T4 is 13.12 (high) TSH is 0.036 (low) Please advice me how it will become normal.

MBBS, MD
General Physician
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Sir I have thyroid problem and taking thyroxine sodium tablet. 150 mg and 100 mg on alternate day. Now my latest thyr...
Mr. lybrate-user you are over dosing your self. Please stop medication for 15 days. Repeat t3 t4 TSH after 20 days. And revert back via private conversation.

I am 32 years old male. I have autoimmune thyroid disease from last 3 months.

MD - Internal Medicine, MBBS
Endocrinologist
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I am 32 years old male. I have autoimmune thyroid disease
from last 3 months.
IN HYPOTHYROIDISM:--- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

My father is a Diabetic patient. He is very weak, but I am continue his D-protein powder. It is right or wrong? please sir/madam tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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My father is a Diabetic patient. He is very weak, but I am continue his D-protein powder. It is right or wrong?
pleas...
in diabetes protein is also good for health.....it is continue ...for your father. pl. do test at time to time

when people suffering from diabetic there is a kind of weakness occur in the body . what should we take in this situation ?

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist
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when people suffering from diabetic there is a kind of weakness occur in the body . what should we take in this situa...
If you manage your diet well and eat proteins like egg, fish, chicken or paneer or beans, then your protein requirements will be taken care off. With every meal eat a little bit of protein. Lower the amount of starches from your meals and add healthy oils like ghee, cold pressed coconut oil, cold pressed til oil. If at all you want to supplement then you can use whey protein powder.

My mother has been suffering from thyroid from over 3 years. Also she has a skin problem which develops a pinkish red coloured patch on her skin with a little bit touch.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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My mother has been suffering from thyroid from over 3 years. Also she has a skin problem which develops a pinkish red...
for red patches tests IgG, IgM . IN HYPOTHYROIDISM:--- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

What Causes Infertility in Men?

M.D.MEDICINE , Diploma in Diabetology
Sexologist
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Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.

The various reasons for infertility in men are:
1. If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
2. Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
3. Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
4. Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
5. Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.

The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

Symptoms of infertility in men are:
1. You may experience low libido
2. Your sperm count may be low
3. You may experience lumps or swellings in the testicles
4. Chromosomal complications such as reduced body hair
5. You may have chronic respiratory problems.
What Causes Infertility in Men?
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