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Dr. Nilesh Patil

Endocrinologist, Pune

500 at clinic
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Dr. Nilesh Patil Endocrinologist, Pune
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nilesh Patil
Dr. Nilesh Patil is a trusted Endocrinologist in Fatima Nagar, Pune. You can meet Dr. Nilesh Patil personally at Inamdar Multispeciality Hospital in Fatima Nagar, Pune. Book an appointment online with Dr. Nilesh Patil on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 31 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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Inamdar Multispeciality Hospital

15,KPCT Mall, Fatima Nagar,Pune Get Directions
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I am 40 yrs old. My height is 163cm and weighs 80 kgs. I find my sugar level high in my blood tests. But some times when I check its normal. I do have very less physical activity. Please advice.

PG Hom, London, BHMS
Homeopath, Mumbai
Hi, in order to be sure that you dont have diabetes, you can get yourself checked for hba1c test. This test gives the readings of blood sugar levels of the past three months. With this test, you can be sure of whether you do or dont have diabetes.
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My uncle is suffering from high sugar. Please suggest me the best way to control sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My uncle is suffering from high sugar. Please suggest me the best way to control sugar.
Mr. lybrate-user, Thanks for the query. Best way to control blood glucose is: 1) take appropriate medications as prescribed, regularly without fail, 2) Take a restricted diet that gives exact amount of calories based on ideal body weight, extent of daily exercise and glucose levels. 3) Exercise regularly for at least 1 hour a day, brisk walking is the best option. 4) Do periodic check up to see if everything is in proper shape. There is nothing like "best" treatment, it depends upon the patient and blood glucose levels. Thanks.
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Why Do Diabetic People Need to Eat Fat?

PG Diploma Nutrition and Dietetics, B.Sc - Home Science
Dietitian/Nutritionist, Delhi
Why Do Diabetic People Need to Eat Fat?

Diabetes is a condition that affects the pancreas to the extent that they do not release the required quantity of insulin, which can lead to a high blood sugar level as the body starts to absorb excess glucose from the food that it ingests. This can be of various types and have different implications for different patients. While many experts insist that keeping a low cholesterol level and low weight is a primary requirement for treatment of diabetes patients, there are a number of myths in this regard. Not eating fat is one such myth that we are out to prove wrong today.

So read on to find out why diabetic people need to eat fat:

  1. Saturated Fats and Trans Fats: There are studies that demonstrate how saturated fats can actually prove to be beneficial for diabetes patients. These can be found in various sources like fish and nuts. This releases heptadecanoic acids, which can normalise the blood sugar levels as well as the insulin and triglyceride levels in the body.
  2. Dairy Fat: The use of milk and yogurt as well as butter can actually be help in bringing the blood sugar levels down. It also shows up favourably on the lipoprotein markers. Butter in particular is known to have clarifying properties that can bring down the risk of diabetes as well. One must take care to use dairy products that are fat free. 
  3. Animal Fat: Having meat which releases fat and having dairy products like cheese and milk which releases healthy saturated fats are two different things. One can replace carbs and meat with these kinds of products so that there is better absorption and creation of quality animal fats which can actually help the insulin levels.
  4. Monounsaturated and Polyunsaturated Fats: Food items like fish and nuts that carry high levels of Omega-3 fatty acids as well as monounsaturated and polyunsaturated fats can help patients suffering from diabetes by clearing the bloodstream of cholesterol and high lipid levels. This also prevents the risk of heart disease and arterial blockages. These kinds of fats are also found in flax seeds, soya products and walnuts. 

Going low on carbohydrates and avoiding sugar is usually recommended for patients suffering from diabetes. Yet, it is important to have your fill of essential fats as mentioned above with the help of dairy products, clarified better, omega three fatty acids, dry fruits, soya products and some amount of vegetable oils, as these actually have a number of benefits for these patients. These kinds of fats are not known to cause heart disease or high cholesterol.

4224 people found this helpful

I am a sugar patient and I do some yoga only till date. Is this enough or take tablet?

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
I am a sugar patient and I do some yoga only till date. Is this enough or take tablet?
Check your fasting and postprandial sugar level frequently. Add some sesame seeds and flax seeds in your diet.
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Hi, I am 67 years old male diagnosed with diabetes in december 2016. BS levels have been as below since then: Fasting 2 hrs. Post Prandial 5.12. 2015 158 196 16.1. 2016 152 165 5.03. 2016 176 243 7.03. 2016 169 258 10.04. 2016 157 205 Hb a1c level was 7.4% as on 12.03. 2016. Very particular about diet control and exercise but taking no medication. Is this enough or metformin may be required.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Hi, I am 67 years old male diagnosed with diabetes in december 2016. BS levels have been as below since then:
Fasting...
Your sugars are definitely on a higher side. You have tried exercise and diet modification but no medicine yet. I suggest this is the time to add medicine. Delaying this will postpone your diabetes related complications by significant extent. Any confusion then feel free to revert.
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My mother (age 44 years) has very high sugar level. When to use a GP-0.5 tablet and Tenglyn M 1000 tablet in a day? Is it before or after taking meal?

MD - Homeopathy, BHMS
Homeopath, Vadodara
My mother (age 44 years) has very high sugar level. When to use a GP-0.5 tablet and Tenglyn M 1000 tablet in a day? I...
GP with the diet and Tenglyn before taking meals. You may try giving her homoeoapthic medicine. Which is very effective and no side effects.
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I am 60 years old man. Recently have done blood test and my sugar level is 93 and triglyceride level is 360 which is more than twice of normal level after 12 hours empty stomach. Please suggest what should I do now?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am 60 years old man. Recently have done blood test and my sugar level is 93 and triglyceride level is 360 which is ...
You should decrease your weight by diabetic diet and dibetic exercises. Also take fibrates drugs to control triglycerides. In india high triglyceride is more responsible for heart diseases. You can further ask on line.
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Dear SIr/Madam, My Mother age is 60 Years and height is 5.1 and her weight is 60-65 kgs. She is a diabetic from last 25-30 years and taking insulin 3 times before meals. Last month on dated 15.09.16 she had pains in all her body and mouth was curving to one side like paralyzed and she stopped some time while talking. We immediately rush to hospital at that time her BP was 95/180 and sugar level at 210 at home. Doctor took tests and CT all was in normal and discharged after 3 days once stabled. But she was not well and weaken after discharge and she was on medicines MEGATRON 10 MG CAP GABAVAL 1 TAB plagerine A TAB ZYCIOL 500 MG CAP ELREB DSR 1 TAB ELDO 30 MG TAB AMLONG 5 MG she was again admitted in hospital on dated 22.09.16 due to Electrolytes imbalanced after analyse thru tests but why electrolytes imbalanced after discharge. Please advice if you can this is due to medicines and was there in observation for 10 days. Now a days from 1.5 months she is taking DIVINE OD 500, BETA CAP 40, PREGABA 75 MG CAP PGM 75, ECOSPRIN AV 75/10. This was the whole story but I am not convinced with the treatment I want to know what happened 1st time when she admitted and why electrolytes suddenly gone to lower side. Please advice because my mother do not want to continue the medicines.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Dear SIr/Madam, My Mother age is 60 Years and height is 5.1 and her weight is 60-65 kgs. She is a diabetic from last ...
To know the whole things you have to understand basics of medical science. As of stopping medicine, pl do not think of it. Having been dependent on such drugs for three decades, you can't switch to other things suddenly and that too at this stage. When chemical diuretics are given (in HTN/ oedema/ renal problems etc), electrolyte depletion takes place as a side effect such as potassium depletion etc which is again supplied through potassium drugs. This vicious cycle goes in. Here Ayurveda is different. SLOW but natural. Diuretics are such that there would not be electrolyte imbalance/ depletion. But this doesn't mean that allopathy is bad. It has wonderful life saving developments to its credit. On the other hand Ayurveda's stress on lifestyle and natural medicine has wonderful results but its limited too esp in critical life conditions. Need is to respect both approaches where needed. It has to be understood by both ailing humanity and medical fraternity. I would suggest you to gradually supplement your mother's treatment with herbals for introducing little comfortable life ahead without compromising on medical facilities. If agree, pl consult with more details.
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My father is having diabetes. Kindly suggest the tips to reduce the sugar. These are the present reports: Fasting blood sugar - 97 mg/DL Post prandial blood sugar - 165 mg/dl Urine sugar: 2 (+)

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
My father is having diabetes. Kindly suggest the tips to reduce the sugar.
These are the present reports: Fasting blo...
Sweets. No sugar in tea or milk. No cold drinks. He Should have green vegetable in diet, each meal should have at least 50% of green vegetable and fruits which has less of sugar. Likeplease check your fathers HBA1C. This is the blood test which tells you about average 3 month sugar. Ask you father to do brisk walking every day at least 30 to 45 minutes. Eats no papaya. Guava etc,
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I am diabetic & my fasting yesterday was 152. I take glocoryl m1 fort before break fast & 1 tab zyoral m4 forte before dinner. I am now experiencing pain in my right ankle joint. Please advise.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear . As per most guidelines a fasting blood sugar of less than 140mg/dl is desired. However I would not panic on one reading above 140. What is your latest hba1c levels? is the ankle pain less than 4 weeks? in that case the ankle pain can be due to any of the three conditions- trauma -infectious arthritis or gout.
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Hi doctor, please suggest me, how can I control high uric acid in my body by diet.

BHMS
Homeopath, Gandhinagar
Hi doctor, please suggest me, how can I control high uric acid in my body by diet.
Hello, take plenty of water small water (half glass) at small interval. Avoid fried food will help you.
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I am 42 years old and I am suffering from uric acid increase our blood. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. 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.
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Her Recent test of hemoglobin is 7.9. She is also a sugar patient. What should she do now for her btr treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Her Recent test of hemoglobin is 7.9. She is also a sugar patient. What should she do now for her btr treatment.
Mr. Lybrate-user, with hemoglobin 7.9 g/100 ml, her anemia is quite severe. This needs to be urgently corrected. If she also has t2 dm, then controlling sugar levels near to normal is equally important. Both these need specific treatment. For anemia improvement, her diet has to be healthy - plenty of green leafy vegetables, salads, organ meats, eggs, fishes and milk products like cheese etc. Please let me know the weight mentioned above (81 kg) is it belonging to the patient? because that shows the person is close to have grade 1 obesity. If that is the case then dietary approach has to change. Blood sugars should be fasting closer to 100 mg, pp 150 to 160 mg and hba1c%<6.8, these levels should be achieved to keep diabetes in control. Apart from healthy diet, necessary drugs, exercise for 1 hour is also required.
1 person found this helpful
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I think I have thyroid problem cause i am not able to father a child.What can i do?

PhD Human Genetics
Sexologist,
I think I have thyroid problem cause i am not able to father a child.What can i do?
Thyroid problems (both hypo- and hyper-thyroidism) can affect the semen parameters but do not rule out pregnancy. By bringing thyroid problem under control and by taking appropriate medicines, sperm parameters can be improved and successful pregnancy achieved.
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My urine protein and uric acid is a little high. Now I am walking 1 hour a day. Can I take protein diet.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My urine protein and uric acid is a little high. Now I am walking 1 hour a day. Can I take protein diet.
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. Do test KFT every 6 months to monitor levels of it.
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Hi doc kindly suggest me some permanent remedy for diabetes which decreases after medication only is there permanent solution to problem to cure diabetes life long.

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
Hi doc kindly suggest me some permanent remedy for diabetes which decreases after medication only is there permanent ...
Hi controlling the diet and walks is the best way to stay off the medicines. Include fibre rich foods, complex carbohydrates, more vegetables and protein rich foods. Walking daily will help the body utilise insulin in a better way thanks.
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I have thyroid and I am getting treatment for this. I get neomercazol 10 mg tablet daily in 2 times. I want to know how Much period should require to get normal level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, You are being treated for hyperthyroidism. Usually anti-thyroid drugs are given for 18 to 24 months, if with in that period thyroid function returns to normal, treatment is discontinued. But invariably hyperactivity tends to come back. Then other measures are employed which include either surgery or radio active iodine usage. After this a person becomes hypothyroid and thyroxine supplements are to be given for life time. Thanks.
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Sir, I am 35 years old and I have diagnosed diabetes recently, my question is that now we are in the morden medical science where we can change almost everything in human body like heart, kidney, lungs, eyes, etc so why we can't replace panceas for relief of diabetic patients? please answer.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
It is still in research stage. But if the diabetes is type-2 and you are obese you can cure it by getting bariatric surgery done.
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Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for diabetes. Does it really exists and how it can be helpful for me? I am taking tablet meantime 500 1 tab twice kindly do needful and advice me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for ...
lybrate-user, I am not aware of any vaccine being developed for treating or preventing diabetes. Normally vaccines are used or developed against infective diseases like - small pox, polio, mumps, measles, hepatitis, HIV etc (all viral infections) or bacterial diseases like pneumonia, TB, typhoid, etc. Diabetes can only be controlled by proper drugs, diet restriction and exercise. Thanks.
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He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?
Hello having diabetes and losing weight might be one reason, other reason could be irregular spacing in meals lack of protein and carbohydrate deficient in certain nutrients a detail diet plan with meeting the rda must help.
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