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Dr. Nilesh Patil

Endocrinologist, Pune

500 at clinic
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 32 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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15,KPCT Mall, Fatima Nagar,Pune Get Directions
500 at clinic
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I am diabetic since last 5 years, what is the best medicine and precautions to it?

MSc
Dietitian/Nutritionist, Chandigarh
I am diabetic since last 5 years, what is the best medicine and precautions to it?
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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What should a diabetes paishent do?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
What should a diabetes paishent do?
Just take medicines regularly Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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I am prabhakar males 46 years. I am suffering from diabetics from last 1 year. I am using metformin 500 mg 1 tablet. Daily. Having panic healing with others. My hba1c 8% average 192. Today rbs222. Is there permanent cure for diabetes.

DHMS (Hons.)
Homeopath, Patna
I am prabhakar males 46 years. I am suffering from diabetics from last 1 year. I am using metformin 500 mg 1 tablet. ...
Hello, diabetes is a disease to b managed rather, than to b cured, completely. * go, for a brisk walk in d morning to restore blood circulation to nourish the cells & tissues of your body. * tk, plenty of water to eliminate toxins, regulate metabolism. * go, for meditation, yoga to reduce your stress, anxiety to nourish the whole body including your pancreas to monitor, beta cells to maintain your sugar level. * go, for either of cycling, swimming, gardening, dancing, playing badminton. * maintain 1200-1600 calories, through dietary regulation. * tk, 4 marie, biscuits with a cup of tea, morning at 7.00 am. * 3 sliced bread with one cup of milk, 1/2 bowl of sprouts at 9.00 am. * tk 3 breads, 1 small bowl of pulses, 1 bowl of green veg. 1/2 bowel of diluted curds, at 10.00 pm. * tk, 4 nos of marie biscuits with one cup of tea at 4.00 pm. * 3 breads, small bowl of pulses, green vegetable, curds small bowl in dinner at 9.00. * finally, one cup of milk at bed time. * ensure, sound sleep for 7 hrs. In d night. * avoid, direct sweets, junk food, caffeine, smoking, dust, smoke, spicy, fried -intake. Beverage, alcohol. * follow all d instruction of your diebetologist along with desired medications for your condition. Stay fit & fine.
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I am 57years old. I am suffering from diabetes and bp. Please inform me perfect remedy.

MD - Medicine
Endocrinologist, Ahmedabad
I am 57years old. I am suffering from diabetes and bp. Please inform me perfect remedy.
Diet restriction, daily exercise like walking for 40 min and various medicines - oral - according to your levels of fbs and ppbs with hba1c is ideal remedy. There is no treatment to cure permanently but one can control level of diabetes mellitus. Consult doctor at your city in person.
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My problem is related to infertility. What should I do?

MBBS
General Physician,
get semen test of your husband and back with report, if it is normal, consult gynacologist for you, it will help. welcome.
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I am a patient of diabetes and my sugar level is 260. What should I do?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
I am a patient of diabetes and my sugar level is 260. What should I do?
Follow diabetic diet and exercising daily for atleast half an hour and consult further for detailed medical management.
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Hi I'm 21years old female. Wat wud b the normal range of thyroid stimulating hormone? If I'm a 1st trimester pregnancy? please answer me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm 21years old female. Wat wud b the normal range of thyroid stimulating hormone? If I'm a 1st trimester pregnanc...
Hi, normal range of tsh is said to be 0.6 to 6 milli units /ml. However, in pregnancy it is advised that tsh levels should be maintained between! st trimester 0.1 - 2.5 milli units. 2nd trimester 0.2 -3 and 3rd trimester 0.3 - 3 milli units. If tsh levels anytime during pregnancy go over 2.5 milli units/ml, t4 levels should be checked to see if hypothyroidism is subclinical or overt. If t4 level is low, diagnosis is overt hypothyroidism which can impair infant's neurocognitive development. There are also risks of premature birth, low birth weight and miscarriage. So in the first trimester you should maintain tsh level closer to 2 milli units. So proportionate increase in thyroxine is needed.
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My father aged 77 years has leg swelling in day which improves on sleeping. The swelling has increased. He has bp since25 years and diabetes since15 years. He has scattered ulcers in stomach. As a result doctors have stopped ecosprin. What is the alternative. (he takes losar and atorva).

MD - General Medicine
Internal Medicine Specialist, Jaipur
My father aged 77 years has leg swelling in day which improves on sleeping. The swelling has increased. He has bp sin...
Dear sir your father is diabetic and he may have albumuniria which can decrease the albumin in blood. This decrease lead decreased oncoming pressure is cause of swelling leg which decreases in morning and visible as day passes. There are other causes like varicose vein or right sided heart failure.
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I'm a Kidney Transplant patient 51 yrs. Male, veg. Having DM HTN. Is it advisable / safe to have Honey Warm water Lemon? Will it affect my Electrolytes. create, Uric Acid, etc. Levels. Suggest proportion to be consumed?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm a Kidney Transplant patient 51 yrs. Male, veg. Having DM HTN. Is it advisable / safe to have Honey Warm water Lem...
Mr. lybrate-user, If you have diabetes then it is not advisable to have honey as it is mainly sucrose. It is really not much different from sugar, but does contain some additional substances like antioxidents and a few vitamins. Taking it in larger quantity is going to affect blood glucose. Thanks.
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What a symptoms for thyroid.

MD - Internal Medicine, MBBS
Endocrinologist,
Symptoms of hypothyroidism:- tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, hair loss, difficulty in concentrating and at times in speech. symptoms of hyperthyroidism:---all metabolic activity increases, heart rate goes up, patient may loose weight, early tiredness, sweating, nervousness, mood swings, palpitations & irregular heart beats, trouble sleeping, dry skin, light menstrual periods or skipping them, increased frequency of bowel movements.
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What is the symptoms of kidney stones and diabetes and what types of precautions.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
What is the symptoms of kidney stones and diabetes and what types of precautions.
Kidney stone pain from back referred to front and then towards penile area. Please donot take palak tomato and leafy vegetables. Low carbohydrate diet.
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I thyroid problem. I got sleep late night, not getup early? What should I do? I am female.

MBBS, MBA (Healthcare)
General Physician, Delhi
I thyroid problem. I got sleep late night, not getup early? What should I do? I am female.
avoid day time sleep, avoid tea coffee cola in late evening and after. take balanced diet, do exercise, avoid stress. inform if not ok.
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Hi I'm from chennai and 38 years of age. I'm a female and my problem is I have more hairfall during summer months. Is this normal cos I faced the same last summer too. After summer I see less amt of hair falling and again in the months of may to June I face it agn. Is this normal or do I hv to seek any medical help cos I'm really worried loosing hair. Besides I have hypothyroid for the past 1 years and I'm under medication of 50 mg thyronorm daily. My thyroid level is within normal range now after the medication and I'm still taking it. So ruling thyroid could my hairfall b seasonal and if s wil my hair grow back. Please looking for you answer asap. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm from chennai and 38 years of age. I'm a female and my problem is I have more hairfall during summer months. Is...
If you have hypothyroidism and if it is not well in control then its symptoms are continuing to appear or remain. On treatment tsh levels should come between 3 to 4 milli units /l, if not then symptoms do remain. Hair fall is a prominent symptom that lasts longer. So please check tsh levels and see that those are maintained as mentioned above. Thanks for the question.
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I am diabetic. Is there any indian medicine siddha or ayurvedha.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet. Get more physical activity by prescription from a registered dietitian maintain a healthy body weight eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I have a problem on my pennis. Its outer skin will bleeding n pain. Am a diabetic. Wat will do?

BHMS
Homeopath, Agra
I have a problem on my pennis. Its outer skin will bleeding n pain. Am a diabetic. Wat will do?
Take damiaplant p, 10 drops 3 times daily, For 1 week then revert me. You can also purchase my package for treatment of penis enlargement. If you want permanent homoeopathic cure, then consult me.
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I am 38 yrs old recently diagnosed with thyroid problem with tsh as 7.40and ft4 0.73 and arthritis problem with aso titre 180 and ra 19.50. Kindly advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 yrs old recently diagnosed with thyroid problem with tsh as 7.40and ft4 0.73 and arthritis problem with aso t...
for pain you can take tab. dolo sos. You can take 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. 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. Tests every 3 to 6 months.i.e. t3,t4,tsh, also do vit.D. and vit. B., s.calcium.
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I have heavy scratching on legs sugar remains around 150 fasting have nose polyps and use natural bath soaps. This problen since around 1 month, what medicine can you prescribe.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I have heavy scratching on legs sugar remains around 150 fasting
have nose polyps and use natural bath soaps. This pr...
Mr. lybrate-user, In the winter months skin becomes dry and there may be increased itching. There may not be any specific problem like infection or allergy. You may consider using moisturising creams or oils or white petroleum jelly applications, to maintain good deal of moisture in the skin. That should help. Fasting glucose should ideally be around 100 mg, for good control. PP should be 1j0 to 180 mg/100 ml. Thanks.
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I am 66 years old male. Not having any family history of Sugar. 3 years back I have tested for Sugar and it was positive. Present Sugar level is fasting 121.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
I am 66 years old male. Not having any family history of Sugar. 3 years back I have tested for Sugar and it was posit...
Hi your sugar levels are ok. Please do daily exercise/walking for atleast 45 minutes and consume less sugar.
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Results of thyroid test is as under: T3 (total): 99.13 T4 (total) : 4.69 TSH (ultrasensitive) : 6.971 Kindly advise medication based on above observed values.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Results of thyroid test is as under:
T3 (total): 99.13
T4 (total) : 4.69
TSH (ultrasensitive) : 6.971
Kindly advise m...
Mr. Lybrate-user, the above values are fairly good, particularly t3 & t4, tsh is marginally high, it falls in to a category as sub- clinical hypothyroidism. At that level no treatment is advocated. Certain precautions like avoiding soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Regular exercise to avoid weight gain and consume more of green leafy vegetables as well as use whole grain flour for chapati nad roti. Avoid maida and products made out of it.
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