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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 26 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 34 years old and diabetic from last one and half year feeling weakness some times.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am 34 years old and diabetic from last one and half year feeling weakness some times.
Hello , hope you are doing good. Please follow the doctor prescribed medicine. Which controls the diabetics and will not allow you increase. But along with medication, you need to concentrate on food also. Make sure you food must have high protein, fiber and omega-3 nutrition. For a diabetics, its good to have more protein rather than carbohydrates, which converts into glucose and may have a chance to increase the diabetes. What we suggest is the nutrigemoic protein, who certified, with 9 essential amino acids. This will help you cure your diabetics. But you will definitely have a result, if you can use protein with vitamins and minerals, fiber and omega-3 supplement .
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My husband's blood sugar is on range means his fasting b. Sugar is 87, PP is 143mg/dl so what kind of food and fruits he should have. please specify.

MBBS
General Physician, Cuttack
My husband's blood sugar is on range means his fasting b. Sugar is 87, PP is 143mg/dl so what kind of food and fruits...
His fasting blood sugar is within normal limit, post prandial blood sugar should be less than 140. It is within normal limit. How ever follow the advice given below 1.Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes),bakery item processed food 2.Avoid sweetened fruit like banana,mango,litchi,chickoo,sapota,seethaphal,jackfruit,grape etc.Can haveapple/pear/ papaya/guava/ jamun/ mausami 3.Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. 4.Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat.take fish/chicken. 5.Avoid alcohol and carbonated drinks like soft drink,include more fiber in the diet like pulse/green leafy vegetables, legume 6.Consult me for further advice
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Can a diabetic patient have fruits on daily basis? if yes what fruit he /she can consume?

BAMS, YIC, DEC
Ayurveda,
Hi , yes but not more than 1-2 piece s you can have plenty of jamun fruit, one piece of apple and one piece of banana any other fruits, amla, take more of fluids,
5 people found this helpful
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I'm a diabetes since 6 yrs. Recent test shows vit d deficiency @ 11.6. Sugar is ok. M taking insulin 3 times a day. Need some medicine to boost overall strength.

M.D. Internal Medicine
Endocrinologist, Mumbai
I'm a diabetes since 6 yrs. Recent test shows vit d deficiency @ 11.6. Sugar is ok. M taking insulin 3 times a day. N...
You need vitamin-D in higher dosages for maybe few months along with Ca supplements. All diabetic patients do not require insulin injections 3 times in a day. I am sure your S. C.peptide and S. Insulin levels are low. If not then oral diabetic drugs can be given along with healthy nutritious diet.
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Joint pain problems in knees, back pain, am suffering from diabetes from last three months, also from hypertension.what to do

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Joint pain problems in knees, back pain, am suffering from diabetes from last three months, also from hypertension.wh...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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veins of hole body are stretching BP is high in upwards it is 170 and lower 100 any special opinion.

MBBS
General Physician, Cuttack
veins of hole body are stretching BP is high in upwards it is 170 and lower 100 any special opinion.
1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2. Reduce your weight if overweight 3. Reduce salt intake 4. Drink plenty of water 5. Take bland diet, avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, fruits, 6. Avoid stress, anxiety, physical and mental exertion 7. Do yoga, meditation, and deep breathing exercise 8. Monitor your bp regularly and consult physician for treatment 9. Have adequate sleep for 7-8 hours daily.
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Sir, My age is 67 years, suffering with B.P, sugar past 25 years, 10 years back kidney profile was creatine 3.5 ,potassium 4.9, protien ratio was 8.5, my doctor admitted in the hospital for one day studied my case ,and asked me to stop glynase 1 mg as I was taking 3 tablets per day ,along with Reclide 80 mg twice, doctor stopped the tablets and now I am on insulin 25 ml twice. Since then for every six months under going kidney profile test, now it is under normal range. Sir why it happened like that.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir,
My age is 67 years, suffering with B.P, sugar past 25 years, 10 years back kidney profile was creatine 3.5 ,pota...
It is very difficult to give a clear answer why it happened. But it appears the earlier treatment of giving two sulfonylureas (SU) together was a wrong approach. Ideally one of the SUs is given along with metformin most often. Secondly diabetes itself damages glomerular filtering membrane in the kidney, this leads deterioration of kidney function. That leads to increase in creatinine level, protein excretion etc. In such situation Insulin is the best medication for blood glucose control. Ideally fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c%<7, then only all the long term complications of diabetes can either be postponed or prevented. Thanks.
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Hi. I'm 32 years old 17 weeks pregnant. This is my second baby. I tested my blood sugar levels Two days before and the results are fasting blood sugar 108 and postprandial 105. Do I have diabetes? Is this normal or abnormal during pregnancy? I'm confused pls explain. My thyroid levels during third month were free t4 0.92 ,tsh 3.20. Do I have thyroid? Pls explain.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi. I'm 32 years old 17 weeks pregnant. This is my second baby. I tested my blood sugar levels Two days before and th...
lybrate-user, Your blood glucose levels are normal. There is no pregnancy related diabetes. Your TSH is slightly high. Ideally TSH should be between 0.1 to 2mU/L in first trimester, 0.3 to 3 mU/L in second and third trimester. There may be a need to take hormonal supplement for the period of pregnancy. Thanks.
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How to control diabetes in daily life. Which food is best and which are wrong. Please tell me.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
How to control diabetes in daily life. Which food is best and which are wrong. Please tell me.
Simple homely diet comprising wheat, rice, pulses,vegetables and fruits. Avoid sugar, fried food, junk food and fruit juice s.
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I have diabetes type 2.fasting sugar is 221 & pp is 268. Kindly suggest me what medicines take.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have diabetes type 2.fasting sugar is 221 & pp is 268. Kindly suggest me what medicines take.
Mr. Lybrate-user kumar, yes you do have t2 diabetes. This needs immediate treatment. You need to start on oral anti diabetes drugs plus drugs that help in reducing insulin resistance. In addition there has to be diet restriction, with intake matching exact caloric need based on ideal body weight (80 kgs), extent of daily physical exercise and blood glucose levels. Plus daily exercise of more than 1 hour, brisk walking can be a good option. If you need specific treatment advise / prescriptions please come in a private conversation with details like currnt fasting, pp glucose levels, hba1c%, dietary pattern and extent of daily exercise. Thanks.
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My husband was a thyroid cancer patient (pappilary carcinoma). He was undergone thyroid gland removal surgery on 2013 september. And then radiation two times for the complete removal of the gland parts which cant be done by surgery. Now his doctor says he has completely recovered and the scanning report also shows this. He is fine now. Some days ago I had read a story of another cancer patient through facebook. She had lymph node cancer and doctor suggested her chemotherapy. She says that she recommend patients radiation not to be done. Radiation may cause some other cancer in the future. Is this true? I m tensed after reading this. My husband had undergone radiation treatment two time in regional cancer centre, trivandrum. Is there any chance to cause some other cancer in future due to radiation?

MS - ENT
ENT Specialist, Bangalore
My husband was a thyroid cancer patient (pappilary carcinoma). He was undergone thyroid gland removal surgery on 2013...
First of all I want you to understand that thyroid cancers are not like other cancers in the head and neck are and have best prognosis among all cancers I think already treatment is done for your husband which usually includes thyroidectomy and post operative radio iodine ablation. Chances of recurrence are very very minimal with 20 year survival rate of more than 90 percent in other words very rarely we see patient of papillary carcinoma of thyroid dying because of papillary carcinoma of thyroid. So you need not worry and go for regular follow up as per your doctors instructions.
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What food we have to eat during dinner, our dinner timing keep changes, how it will effect for diabetes patient, our dinner timing keep changes from 8 pm to 11 pm depend upon the work load, If we eat late night, when can we go for sleep, some doctor suggest , after late night dinner don't go sleep at least 1 to 2 hours and walk 10 to 15 minutes before sleep, this will control sugar, is it doctor advice is correct.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
What food we have to eat during dinner, our dinner timing keep changes, how it will effect for diabetes patient, our ...
Hye. Thankyou for the query. For a diabetic it is important to understand that you don't have to just randomly restrict foods. You need to learn how to eat more sensibly. The body needs nutrients as per the activity levels or the work you have indulged in. You cannot just not eat dinner or skip eating a certain food randomly. You must eat as per the body's needs. So if dinner is late have a lighter dinner. Avoid fried foods, heavy non vegetarian foods. Stick to whole grains, vegetables and salads. Try to take a mid meal of salads, dairy two hours or so prior to dinner so you don't overeat dinner. If it's very late try to take a small stroll of 15 minutes after dinner to avoid sluggish digestion. Avoid lying down as soon as you have eaten your meal.
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I am aged 59 years male person. I am not diabetic. My serum creatine is 1.2. For the last two months I am passing urine in yellow to dark yellow. I am not seen the symptoms of jaundice. Please advise. Reddygarivinod@gmail. Com.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am aged 59 years male person. I am not diabetic. My serum creatine is 1.2. For the last two months I am passing uri...
There are many normal or abnormal causes of dark yellow urine. Commonest is insufficient water intake, hot weather or sweating etc. Hence you should take about 3 litres of water daily in summer conditions. Urine infection, jaundice etc may be some causes. But there will be associated complaints hence you should see your doctor for proper clinical examination, related investigations of urine for any abnormalities and proper diagnosis.
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I am 41 years old male. I have autoimmune thyroid disease from last 5 months. What to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Autoimmune thyroiditis can lead to reduced function of thyroid gland (hypothyroidism), in such case thyroxine hormone has to be given daily for lifetime. Tsh, t3, t4 should be tested every 6 weeks to adjust the dosage of thyroxine till it is stabilised. So you have to start on thyroxine tablets dose depending on weight and tsh levels.
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Dear Dr. my Glucose fasting 110 mg/dL andPP 149 mg/dL. Shall I take dates/jam/honey.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Dr. my Glucose fasting 110 mg/dL andPP 149 mg/dL. Shall I take dates/jam/honey.
Mr. lybrate-user, FBS 110 mg & PP149 mg /100 ml, is referred as pre-diabetes level. It means you have a tendency to develop diabetes any time during coming years, unless precautions are taken. A modified lifestyle is needed to be adapted to prevent or postpone developing of diabetes. Which means avoiding sweets, deep fried foods, junk foods, pastries and other bakery items sweetened aerated drinks, sweet corn syrup containing food products and high fat milk products. Plus daily exercise of 1 hour and refraining from smoking and alcohol. Thanks.
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I am suffering from thyroid and pcod and taking 50 mcg thyronorm now my tsh is under control that is 2. But I feel very tired all the time sum time I face pain in my back if I keep standing for long time for work. How to feel energetic and active.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from thyroid and pcod and taking 50 mcg thyronorm now my tsh is under control that  is 2. But I feel v...
Lybrate-user, it is good to know that hypothyroidism is in good control. Usually all symptoms like tiredness and fatigue disappear on good control of hypothyroidism. Since you still feel tired and less energetic, it better to get hb checked. Get a cbc done, which will give full blood cell details. Plus take healthy diet and exercise daily for 1 hour. Also do pranayam. Most often tiredness is more a mental problem. Once you start exercising you will start feeling better. For back pain to there are specific exercises to strengthen those muscles, I am sure once you start doing it you will feel better. Thanks.
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I'm a type 2 diabetic women. I'm 2 months pregnant. Kya baby ko diabetes ho sakti hai?

DNB, DGO, MBBS
Gynaecologist, Ghaziabad
I'm a type 2 diabetic women. I'm 2 months pregnant. Kya baby ko diabetes ho sakti hai?
Diabetes in the mother does not get transmitted directly to the baby. However, being the child of a diabetic parent, your child will have a higher chance of developing diabetes later in life. In pregnancy, however, one needs to control the sugars very strictly, otherwise the baby can have many problems including congenital anomalies, hypoglycemia, metabolic problems and growth problems etc.
24 people found this helpful
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Ways to Increase Fertility after Miscarriage

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist,
Ways to Increase Fertility after Miscarriage

It's normal to be concerned with your fertility after early miscarriage. Many couples want to try to conceive again right away, while others need time to heal. Ultimately, though, fertility following a miscarriage is an issue of concern for most couples.

Once you are ready to start trying for a child again, there are a number of things you can do to increase your chances of having a successful pregnancy.

  1. Rest and Recuperate- Many women want to hurry and start trying to get pregnant again right away after their miscarriage. This is a perfectly normal response, but may not be the best way to guarantee a healthy pregnancy. Give your body a chance to rest so your menstrual cycle can get back to normal. You also want to give yourself plenty of time for your mental balance to return so you are ready to take on the trials of trying to become pregnant. Be gentle and give yourself time to rest and focus on taking care of your physical and emotional needs until you are ready to try again.
  2. Change Lifestyle- Eliminating unhealthy habits can help increase your chances of conceiving later. Eliminate alcohol or drug use and quit smoking before you start trying for pregnancy. Cutting down or eliminating caffeine can also help you conceive a healthy pregnancy.
  3. Eliminate Stress- Eliminating stress can also make conceiving easier. Stress can reduce fertility levels, making it harder to get pregnant. Practicing meditation, yoga or taking time to relax after dealing with tough issues in your life can make it much easier to conceive.
  4. Eat Healthy- Eating a healthy diet is also essential to having a healthy pregnancy. This can also help women manage the depression caused by their miscarriage. Getting a variety of vitamins and minerals and cutting down on saturated fats and processed foods can help you get pregnant and maintain a healthy pregnancy.
  5. Take Fertility Drugs or Therapies- There are various fertility drugs and therapies on the market today. Your doctor will prescribe different medications based on your overall health and age.
  6. Use an Ovulation Predictor- An ovulation predictor can help you map out your cycle. This will allow you to determine which days in your cycle will be the most likely for you to conceive. 
  7. Support the Uterus and Liver- Performing a fertility cleanse after your period has stopped can help support the uterus and liver, promoting overall fertility health. Sometimes stagnant blood can get left behind after your period which can cause discomfort or health issues. Following a fertility diet to help rid your body of the excess blood and hormones in your system can help your conceive more easily.
  8. Massage the Uterus- When you have stopped bleeding after your miscarriage, performing a uterus massage can help your body relax. This massage will help bring fresh blood to the area and soothe the body so you can relax. 

If you have been having trouble conceiving it may be time to talk to a fertility expert. Your doctor can perform fertility tests on you and your partner to determine if there are any underlying issues present. Then you can work together to determine if any additional medical treatment is necessary to help you get pregnant.

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What is the reason of joint pains? How can I reduce fat? What's the reason of diabetes?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Homeopath,
What is the reason of joint pains? How can I reduce fat? What's the reason of diabetes?
Ur question not clear. walk for 1hr daily avoid fatty and oily ,junk food avoid maida and softdrinks,chocolate cakes etc eat half stomach. cause Diabetes is genetic plus environmental plus lifestyle.problem any where or all three can lead to diabetes
2 people found this helpful
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Whether feeling too much hunger after waking up I in the morning is a symptom of diabetes or it is natural because i'm thin?

MD - Kayachikitsa, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Whether feeling too much hunger after waking up I in the morning is a symptom of diabetes or it is natural because i'...
There r many reasons for getting hungry. May be your eating your dinner very early. Since you r thin your appetite is very strong.
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