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Dr. Nilesh Patil

Endocrinologist, Pune

500 at clinic
Dr. Nilesh Patil Endocrinologist, Pune
500 at clinic
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Personal Statement

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 30 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 a 33 years old female, suffering from hypothyroid. I am not losing weight. I weigh 104 kg. Please advice me.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am a 33 years old female, suffering from hypothyroid. I am not losing weight. I weigh 104 kg. Please advice me.
You need a diet control. Follow a 1000kcal diet. No fried, sweets, bakery products, fast food. Take lots of vegetables and fruits.
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I am 47 yrs old female taking istamet 50/500. My blood sugar is not cotrolled fasting sugar is 135. Should I change the medicine? what is the right time to take the medicine empty stomach or after meal.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 47 yrs old female taking istamet 50/500. My blood sugar is not cotrolled fasting sugar is 135. Should I change t...
Change to istamet 50/1000 twice daily AFTER Meals...target blood sugars are <130 fasting and <180 post meals...so its a fairly good control
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Please tell me what is the diet for hypothyroidism. Soya oil and soya milk is or soyabean is cause or affect for hypothyroidism.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Please tell me what is the diet for hypothyroidism. Soya oil and soya milk is or soyabean is cause or affect for hypo...
There is no special diet for hypothyroidism, but certain foods should be avoided or taken sparingly. Soya beans and soya containing products are to be avoided along with vegetables like cabbage, cauliflower, broccoli, mustard and coffee. Other vegetables can be taken, plus whole grain flours and breads made out of that are good. Iodinated salt should be used. Since you also have high bp salt intake also should be less. Soya does not cause the condition but it can aggravate it. Plus prescribed medication must be taken without a break.
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I have blood sugar due to this I can not done any work for my business please give me some suggestion about this thank you.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I have blood sugar due to this I can not done any work for my business please give me some suggestion about this than...
Revert back with blood sugar reports like fasting and post prandial. Also get your hba1c done. We will definitely be able to control it for sure. Meanwhile start dietary restrictions on sugar and high calories and do exercise /walk for 30 minutes daily.
1 person found this helpful
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What preventive measures should a diabetic take in hot and humid conditions, in order to prevent rapid loss of water from the body ?

BAMS, YIC, DEC
Ayurveda,
Hi drink plenty of water don't drink fruits juices or milkshake or cold drink it will increase blood sugar levels use dhahasamani kashya its good for diabetics.
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I am having sugar I don't taking any tablets and now I want to start deit control and exercise but now I am getting headache some dull ness means I am not able to go any were some sick give me any suggestion wat I want to do a clear answer.

MBBS
General Physician, Cuttack
I am having sugar I don't taking any tablets and now I want to start deit control and exercise but now I am getting h...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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Is there a special diet to combat hypothyroidism? Once diagnosed with hypothyroidism is it possible to become normal or is it like diabetes?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Is there a special diet to combat hypothyroidism?
Once diagnosed with hypothyroidism is it possible to become normal ...
Hi. Thankyou for the query. Definitely diet plays a very important role in hypothyroidism. You can reduce the medication by improving your diet and lifestyle. Eating healthy as per your lifestyle is a must along with some physical activity. Do go for a personalised diet consultation.
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I have thyroid problem from 3 years, I have a boll like swelling near neck reason for this problem what I should do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Manishaji, By saying "thyroid problem" are referring to hypothyroidism or hyperthyroidism? Are you on thyroxine tablets? Is your weight constant or increasing over last few months? What is current thyroid assay result? Please provide answers to these queries. Plus is the swelling related to thyroid gland that is it on the gland? Please inform. Then I will be able to provide some guidance.
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*My parents are suffering from diabetes could they eat jaggery or Shakkar? *Is there any homemade remedy to cure diabetes if we don't want to take medicines?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
*My parents are suffering from diabetes could they eat jaggery or Shakkar? *Is there any homemade remedy to cure diab...
They can't eat jaggary. With diet and exercise you can control diabetes for some time, but not permanently. They have to be on medicenes after some time.
10 people found this helpful
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What are the precautions o be taken by diabetes patients and what are their daily food diet to decrease the sugar level.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What are the precautions o be taken by diabetes patients and what are their daily food diet to decrease the sugar level.
DIABETIC DIET ADVICE: ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS : Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour Learn how to live with diabetes: It is common to feel overwhelmed, sad, or angry when you are living with diabetes. You may know the steps you should take to stay healthy, but have trouble sticking with your plan over time. Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favourite music. Eat well: stick to a diabetes meal plan .chose foods that are lower in calories, saturated fat, trans fat, sugar, and salt.Eat foods with more fibre, such as whole grain cereals, crackers, rice, or pasta. Set a goal to be more active most days of the week. Start slow by taking 10 minute walks, 3 times a day.Twice a week, work to increase your muscle strength. Use stretch bands, do yoga, heavy gardening (digging and planting with tools), or try push-ups. Check your feet every day for cuts, blisters, red spots, and swelling. Brush your teeth and floss every day to keep your mouth, teeth, and gums healthy. Stop smoking. Ask for help to quit. Keep track of your blood sugar. Check your blood pressure if your doctor advises and keep a record of it. At each visit, be sure you have a: blood pressure check,foot check,weight check Two times each year, have an: HbA1C test. It may be checked more often if it is over 7. Once each year, be sure you have a: cholesterol test,complete foot exam,dental exam to check teeth and gums,dilated eye exam to check for eye problems,urine and a blood test to check for kidney problems
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Completed 73 years on 30th Dec. Since last 5 years suffering from peripheral diabetic neuropathy where in claudication pain in calf and thies mussels as well as numbness in soles of both the legs. Unable to walk more then 10 steps. Diabetes fully controlled. Hba1c always be! ow 6.0 Taking glynase MF one tab each before launch and dinner. I can send all case papers

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Completed 73 years on 30th Dec. Since last 5 years suffering from peripheral diabetic neuropathy where in claudicatio...
You should take Acupressure therapy and take Biochemic Kali phos 200x + Mag phos 200x +Nat mur 200x .4 tab each thrice a day with warm water and take it 7 days than consult private online.
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Recently I have body pain in general and feeling tired. I am 63 years old and at home. I am a diabetic and BP under control.

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist, Gurgaon
Recently I have body pain in general and feeling tired. I am 63 years old and at home. I am a diabetic and BP under c...
you weight needs to be reduced by 10 kilos so that you feel energized. I can guide on food and nutrition to improve energy
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Hi home made sugar test for pregnancy is really accurate? Some websites is written home made sugar and bleach tests are accurate. Is it true?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Hi home made sugar test for pregnancy is really accurate? Some websites is written home made sugar and bleach tests a...
If using standard glucometer and one follows the proper procedure advised like storage, expiry, pricking technique, periodical test for control (standardisation) expiry norm self monitoring glucometer is accurate and reliable. By personal experience I found much better than old laboratory colorimetry method. Some books may differ.
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Now my fasting sugar is 183 and post launch sugar is 175 what precautions to be taken to keep normal sugar levels.

MBBS, cc USG
General Physician, Gurgaon
Now my fasting sugar is 183 and post launch sugar is 175 what precautions to be taken to keep normal sugar levels.
Holistic approach In Management of Diabetes are as follows Self-management education Nutrition Physical activity Smoking cessation Psychosocial care Therapeutic targets Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available Goals in diabetes mellitus are to eliminate symptoms and to prevent, or at least slow, the development of complications. Microvascular (ie, eye and kidney disease) risk reduction is accomplished through control of glycemia macrovascular (ie, coronary, cerebrovascular, peripheral vascular) risk reduction, through control of lipids and hypertension consult Diabetologist for further management
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Under Active Thyroid - 5 Causes Behind it

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Under Active Thyroid - 5 Causes Behind it

Do you have an extremely low reading of thyroxine or T4, it means that you are suffering from an under active thyroid disease called hypothyroidism. With this condition, your thyroid glands fail to make sufficient thyroid hormones. The thyroid gland releases hormones, which travel all over your bloodstream and affect all parts of the body. Thyroid controls how the cells of the body use energy from food via the metabolism process, which in turn affects the body’s temperature, heartbeat and burning of calories. Lack of thyroid hormones slows down the body’s functions, reduces your energy and the metabolism is disrupted.

Causes of hypothyroidism
The primary cause of this condition is Hashimoto’s thyroiditis. Thyroiditis refers to an inflammation of your thyroid gland. Hashimoto’s thyroiditis is an autoimmune disorder in which extra antibodies are produced which destroy the thyroid gland. Viral infections may also lead to thyroiditis.

Other causes of the condition are as follows:

  1. Radiation therapy to the neck region for the treatment of several cancers like lymphoma may damage the cells present in the thyroid gland. Hence, the gland cannot secrete hormones properly.
  2. Radioactive iodine treatment is undertaken by people having an overactive thyroid gland. Radiation destroys the thyroid gland cells and leads to hypothyroidism.
  3. Certain medicines used to treat heart problems, cancer and psychiatric diseases may affect the thyroid gland and lead to hypothyroidism.
  4. Surgeries undertaken for removing the thyroid also lead to hypothyroidism.
  5. Iodine is required by the thyroid gland to produce hormones. A low amount of iodine in your diet and body may lead to hypothyroidism.

Risks factors of hypothyroidism
Usually women, especially older women are more likely to get hypothyroidism than men. The factors which determine if you are at a risk of acquiring the condition are as follows:

  1. Race
  2. Age
  3. Premature graying of hair
  4. Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison’s disease and many more.
  5. Bipolar disorder
  6. Turner’s syndrome
  7. Down’s syndrome

The symptoms of hypothyroidism are as follows:

  1. Changes in menstrual cycle
  2. Constipation
  3. Hair loss and dry hair
  4. Fatigue and tiredness
  5. A slow heart rate
  6. Depression
  7. An increased sensitivity towards cold
  8. Swelling of the thyroid gland or goiter
  9. Gaining weight unusually or great difficulty in losing weight
  10. Carpal tunnel syndrome

If you observe the symptoms of hypothyroidism, you should consult a doctor who will prescribe several blood tests, such as the thyroid stimulating hormone test and the T4 or thyroxine test. Based on the results, a treatment method is adopted.

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My wife after marriage with in 4 months weight gained? And before normal periods are upto 5 days but now only 3 days. Is it symptoms of thyroid? if it is yes how to identify thyroid?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife after marriage with in 4 months weight gained? And before normal periods are upto 5 days but now only 3 days....
Hi get a thyroid assay done which will reveal if there is any problem with thyroid gland. If tsh levels come higher than normal range then it is hypothyroidism.
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I am 43 year old diabetic patient from last 15 years. We have one child. Trying second child from last 5-6 years but not conceive because I have semen very low quantity and quality. hormones are normal. Please give best advise to me.

BHMS
Homeopath, Raebareli
I am 43 year old diabetic patient from last 15 years. We have one child. Trying second child from last 5-6 years but ...
Maca root of the black variety can help improve sperm production and motility. It is a popular fertility herb that helps balance the hormones. Take 1 to 3 teaspoons of maca root in 2 divided doses for a few months daily. You can add it to a glass of water, a healthy smoothie or protein shake, or just sprinkle it on cereal. As maca root is high in fiber, start by taking ½ teaspoon and gradually increase the dosage over a few weeks.
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I am 45 years old n I am diabetic patient from last 9 years. Now sugar level of fasting 170 .I am continuing Aliphatic but I don't want to take any more and want to continue Homeopathy. please suggest is it fruitful .

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am 45 years old n I am diabetic patient from last 9 years. Now sugar level of fasting 170 .I am continuing Aliphati...
Dear lybrate-user, since diabetes is a life long illness, the treatment also has to be lifelong. Allopathy has proved to be very effective for controlling diabetes. I am not sure about homoeopathy and it also depends greatly on the treating doctor. Any ways, it will have to be taken lifelong. Please understand that in homoeopathy if given wrong medicine can cause a permanent side effect which might be impossible to rectify. In allopathy, atleast a lot of research evidence is available for all the existing medications. & the effects & side effects are all documented.
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I am 46 year old male, I have underactive thyroid problem what can I do? it has affected my eyesight, my gums, my weight has increased, and digestive system is not working well.

PDDM, MHA, MBBS
General Physician, Nashik
Kindly mention your thyroid profile and ongoing treatment and revert back to me for further assistance.
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I am a 53 years old lady taking medicine for hypothyroid. Before 7 months back have trigger thumb and take injection for it and fully cured. Now before 8 days again I have trigger thumb on the same thumb and doctor give me injection. Is it safe to take steroid injections, and what should be the time interval between two? have not been cured after 4 days, how many days it will take? can I take one more dose if it will not cure in 1 dose. I am also suffering from joint pain in all joints in my body.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 53 years old lady taking medicine for hypothyroid. Before 7 months back have trigger thumb and take injection ...
do not take injection of steroid for thyroid. Go for walk daily . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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,
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