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Dr. Parag

Endocrinologist, Pune

300 at clinic
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Dr. Parag Endocrinologist, Pune
300 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Parag
Dr. Parag is an experienced Endocrinologist in Baner, Pune. Doctor is currently practising at Vishwa Multispeciality Clinic And Diagnostic in Baner, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Parag on Lybrate.com.

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Vishwa Multispeciality Clinic And Diagnostic

Yashodhan Complex, Baner Main Road. Landmark: Opposite Prime Mall & Above Milan Medical, PunePune Get Directions
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I am 34 years old male, I am suffering from Thyroid from 1.5 years (TSH Low and T3 high) now I got swelling under eyes & some bags also. Do I need to worry about this.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I am 34 years old male, I am suffering from Thyroid from 1.5 years (TSH Low and T3 high) now I got swelling under eye...
Well this is a common occurrence in patients with thyroid. Regular eye checkup is mandatory. Also one has to understand that smoking in particularly can worsen the eye problems. Also keep your thyroid levels under check.
3 people found this helpful
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I am 72 and getting my legs swollen when give weight on them and also have diabetes.

MBBS, MD - Medicine
General Physician, Delhi
I am 72 and getting my legs swollen when give weight on them and also have diabetes.
1. Do regular exercise for 30 minutes daily like brisk walking 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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How a diabetic patient intake homemade saline water made by sugar r salt when suffering diarrhea. If no then please suggest for any alternative. Regards.

MBBS, CCEBDM
Diabetologist, Bangalore
How a diabetic patient intake homemade saline water made by sugar r salt when suffering diarrhea. If no then please s...
Hi When a diabetic patient is having diarrhoea, hydration and blood sugars need to be carefully watched. You can give lemon water with salt and sugar, but make sure the intake of this homemade ORS is well balanced with your blood sugars. You can also consume rice water if you are unable to eat anything. Avoid milk as this worsens diarrhoea. Keep a constant watch on the blood sugars.
1 person found this helpful
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I am a hyperthyroid patient and am taking propylthiouracil{50microgram) three times daily. I am also taking LUPIVASTIN{500 mg}BD for joint pain. I am 38 years old, female.CAN I TAKE GREEN COFFEE BEANS FOR WEIGHT MANAGEMENT safely.

C.S.C, D.C.H, M.B.B.S
General Physician,
Yes you c take Green Tea and for weight loss the reduction of food intake and exercise are needed and no green coffee of tea alone
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HI I am 44 years old lady with diabetes ii and on medication, From past one week I have itching in vaginal area and I used v-wash and salt water but no relief please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
HI
I am 44 years old lady with diabetes ii and on medication, From past one week I have itching in vaginal area and I...
lybrate-user, Thanks for the query. Diabetes if not well controlled or some times even with fairly well controlled glucose levels, can cause fungal infection leading to vaginitis. Only vaginal wash may not be beneficial. First and foremost is to achieve a strict blood glucose control with FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. I am not aware how good glucose control you have as nothing is mentioned. Plus you may have to take an antifungal drug for some time. Plus looking at your weight and height I notice that with a BMI of 26.41 kgs /M2 you are overweight. That also adds to bad glucose control. In this communication we are supposed to provide only general guidelines, no prescriptions are allowed. So you will have to come in a private conversation for specific treatment advice. Thanks.
1 person found this helpful
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Ayurvedic Remedies - How they Help You Treat Diabetes?

Jiva Ayurveda Clinic
Ayurveda, Faridabad
Ayurvedic Remedies - How they Help You Treat Diabetes?

Are you suffering from diabetes? If yes, then it’s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take efforts to get rid of diabetes as soon as possible. If you have diabetes, then youu are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%. Also, diabetes patients should keep a check on blood pressure and cholesterol levels.

Here’s how diabetes can affect your overall health:
There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.

Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (affects toes, feet, legs, hand, and arms) and Autonomic (affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.

Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.

Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, charcot joint or charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region. Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina.

Ayurvedic remedies for diabetes:

  1. Plan your diet as it is one of the most important thing in order to manage your diabetes. One must take balanced diet. But avoid foods increasing the Kapha Dosha. These include sugar, fats, potatoes, rice. You must avoid alcohol
  2. Take the help of physical exercises or yoga to stay fit.
  3. Check your weight.
  4. Don’t sleep during daytime.

Here is a list of useful herbs for diabetes management–

  1. Jambhul (Eugenia jambolana) powder from jamun core.
  2. Gurmar(gymnema sylvestre)
  3. Bitter Gourd/bitter melon (Momordica charantia)
  4. Bel (Aegle marmelos).
  5. Fenugreek (Trigonella foenum graecum)
  6. Turmeric
  7. Neem
  8. Triphala
  9. Shilajit

Apart from these basic natural foods, you must contact an Ayuvedic practitioner, who will help you not just in planning your diet, but will suggest certain specific Ayurvedic medicines which will boost you efforts to get rid of diabetes. 

5344 people found this helpful

I am 42 years old male suffering from blood sugar. I want to know that what kind of fruits I can eat. Also my calfskin and thigh of right leg feeling cool sometimes. Please tell me what should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 42 years old male suffering from blood sugar. I want to know that what kind of fruits I can eat. Also my calfski...
Mr. lybrate-user, If you have diabetes it is absolutely essential to get blood glucose under strict control with fasting closer to 100 mg, PP 150 to 160 mg and HbA1c% <6.8. If these levels are achieved, then your general health will remain in very good shape. Apart from taking appropriate treatment you will have to exercise regularly for at least 1 hour a day plus take a balanced and restricted diet. Avoid sweets, deep fried foods, junk foods, pastries, bakery items, foods made out of maida, sweetened aerated drinks, sweet corn syrup containing products and highly processed packaged foods. Consume more of green leafy vegetables and salads. Fruits like water melon, orange, sweet lime, pomegranate, papaya, apple, pear and guava can be taken. But with good glucose control and only about 100 g a day.
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My fasting blood sugar is220 mg, glimer2 and cetapinxr 500 mg both twice daily are of no use, recommend other drugs, age 52,taking diabetic diet, exercise.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
My fasting blood sugar is220 mg, glimer2 and cetapinxr 500 mg both twice daily are of no use, recommend other drugs, ...
Instead of cetapin take Galvusmet 1000 twice a day after meals. Continue glimer 2 twice a day before meals. Repeat test after one month.
1 person found this helpful
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I have a thyroid of tsh 5.27 uiu/ml level. from last 10-15 days i am feeling too much low energy, depressed, and not willing to do any work. recently check my eye power so detected power of -0.25 in left eyes.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
I have a thyroid of tsh 5.27 uiu/ml level. from last 10-15 days i am feeling too much low energy, depressed, and not ...
The eye power is neglible and it is not necessary for u to wear glasses for that power. as for us systemic complaints, it will help u to take some nutrients supplememts - multi vitamin, multi mineral n omega 3 fatty acids. Some physical exercises and meditation will improve ur mood.
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Pregnancy & Thyroid - How They Are Independent?

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Pregnancy & Thyroid - How They Are Independent?

It is important for you to know how pregnancy affects your thyroid gland. The thyroid hormone plays an important role during pregnancy in the development of the baby and also regarding the health of the mother. If you suffer from thyroid problems during pregnancy, you should take medicines and certain thyroid function tests.

How pregnancy affects normal thyroid function?
The pregnancy hormones known as human chorionic gonadotropin or hCG and estrogen lead to increased thyroid hormone levels in your blood. The hCG made by the placenta stimulates the thyroid to produce excessive hormones. Increased estrogen leads to higher levels of the thyroxine binding globulin, which transports the thyroid hormone in the blood.

Because of these normal hormonal changes, thyroid function tests are difficult to perceive during pregnancy. The thyroid hormone is very important for the normal development of a baby’s nervous system and brain. During the first trimester of pregnancy, the foetus depends on the supply of thyroid from the mother via the placenta.

In healthy women, the thyroid enlarges during pregnancy. An enlarged thyroid can indicate a thyroid disease, which should be diagnosed immediately. Thyroid problems are difficult to diagnose during pregnancy because of the increased hormone levels, increased thyroid size, fatigue and other factors.

Hyperthyroidism in pregnancy
Hyperthyroidism may occur in pregnancy because of Graves’ disease where enough thyroid hormones are not produced. Graves’ disease is an autoimmune disorder in which the immune system attacks the cells and organs of the body instead of fighting bacteria or viruses. With Graves’ disease, an antibody is released by the immune system called the thyroid stimulating immunoglobulin or TSI. This causes the thyroid gland to produce excess thyroid hormone. In many cases, the antibody is also associated with eye problems like bulging, irritation and puffiness. Graves’ disease commonly appears during pregnancy, but women with this disease from before may actually observe improvements in the symptoms during the second and third pregnancy trimesters. The remission or the disappearance of the symptoms of Graves’ disease may occur due to the general suppression of the immune system, which occurs during early pregnancy. The disease is likely to recur and worsen in a few months after the delivery. It is important for pregnant women with Graves’ disease to be monitored carefully.

Hypothyroidism during pregnancy may lead to a developmental delay in the child. Sometimes, hormone therapy is given to women who are at the borderline stage in thyroid function during pregnancy or just before pregnancy. The treatment of the condition aims at maintaining a proper and balanced thyroid hormone level in the body. If you wish to discuss about any specific problem, you can consult an endocrinologist.

3303 people found this helpful

Recently I got know I am suffering from sugar. I am taking glyciphage g1 forte tablet daily after Breakfast. I want to built my muscles through Zym. Please suggest me protein diet. For it. Or supplement.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Recently I got know I am suffering from sugar.
I am taking glyciphage g1 forte tablet daily after
Breakfast. I want t...
Dear lybrate user, You must take boiled eggs only white portion daily. Protein is also in grams, sprouts, cheese, soya products etc. you may take peanuts also.
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Im chalapathi naidu! I need to know the details regarding surgery for diabetes which I have seen in few newschanels! I had some queries regarding surgery like my glycosylated hemoglobin is 7.6 and sugar level is 171 mg/dl tell me regarding surgery.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Im chalapathi naidu! I need to know the details regarding surgery for diabetes which I have seen in few newschanels! ...
Mr. lybrate-user, Thanks for the query. The surgery being talked about is actually for treating excess obesity. Thsese procedures are called as "Bariatric surgery" Usually performed in patients who are excessively obese (BMI above 40 kgs/M2).In some of these patients following the operation there is a major weight loss, which could be 30 to 50 kgs or even more depending upon earlier weight. This results in the cure of diabetes if the disease about 5 years old or less at the time of surgery. In others there is a better control achieved on blood glucose, because of loss of aft there is reduced insulin resistance. Plus the procedure reduces total food intake to a fraction of what was earlier. This itself helps blood glucose reduction. Thanks.
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Hyperglycemia - 10 Tips to Manage it

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Hyperglycemia - 10 Tips to Manage it

In simple terms, hyperglycemia is the medical term for abnormally high levels of sugar in the blood stream. The blood sugar level range is 65-110 mg/dl and can extend up to 120-140 mg/dl a few hours after eating. However, when a person has eaten no food, but has a blood sugar level of more than 126 mg/dl, that may be a symptom of diabetes mellitus.

Reasons Behind it

A person who is hyperglycemic is most likely to be diagnosed with diabetes, which may be type 1 or type 2.

Type 1 diabetes is caused when the immune system destroys the insulin secreting cells in the pancreas. The insulin production in the body stops, thereby, causing an enormous increase in the sugar levels. In such a situation, nothing, but external dose of insulin will be required to survive.

Type 2 diabetes is caused when the body stops responding to the insulin produced by the body and in a desperate attempt to maintain blood sugar level, the pancreas produce excess insulin. In this case, changing lifestyle, food-habits and taking proper medication can be the only way out for a healthy life.

Therefore, the major causes leading to increase in blood sugar level might be:

  • Inadequate supply of insulin

  • Slow or no reaction of the body to the insulin produced by the body

Tips to manage hyperglycemia

Here are some important tips that could help individuals regulate their blood sugar levels:

  1. As we know, the carbohydrates break down into glucose, which is absorbed by the body cells with the help of insulin. So, in case of hyperglycemia, individuals should manage or better, cut off, carbohydrate intake in their meals.

  2. Another important element to be highly monitored is the blood cholesterol level. For this, you must curb eating oily and spicy food.

  3. It is very important that individuals limit their alcohol intake because alcohol contains huge amount of calories and carbs, which might lead to sky-rocketing blood-sugar levels.

  4. The diet should contain adequate portions of nuts and olive oil.

  5. Eating fatty milk products and fatty food should be strictly avoided.

  6. Each and every food should be inspected for sugar because even a slight bit of sugar can mess up the entire process of managing the sugar level.

  7. Individuals should try stress-free mild work out, as heavy work out could cause the blood-sugar level to rise in case of type 2 diabetes.

  8. Anxiety, tension and stress would not help the process in anyway.

Proper medication and check-ups are necessary. It is important to be fit and healthy. If you wish to discuss any specific problem, you can consult an endocrinologist.

2136 people found this helpful

Dear sir I want to know how to decrease our body pressure during high blood pressure and sugar.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Dear sir I want to know how to decrease our body pressure during high blood pressure and sugar.
Hye, Thanks for the query. For a diabetic with hypertension it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - The sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid excess salt in foods. Avoid packeted, processed foods. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Avoid foods that say fat free or sugar free. They are not as healthy as they are made out to be. Exercise and stay active. Avoid exercise if sugar levels are above 250mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well.            It's all a matter of discipline.
1 person found this helpful
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Cupping therapy in High blood pressure

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Cupping therapy in High blood pressure
Hypertension is very common, that needs a lifelong management once diagnosed. All adults should know their blood pressure; regular monitoring can reduce the risk of having heart disease, stroke, kidney failure and blood vessel problems. Though anti-hypertensive medications and lifestyle changes are effective to bring down the blood pressure, some natural remedies help control the blood pressure more efficiently.
Cupping is an ancient treatment remedy that has been used for many centuries in many parts of the world for high blood pressure (hypertension) treatment. In the middle east, wet cupping" hijama" is still a popular treatment. Wet cupping is the process of using a vacuum at different points on the body in order to gather the blood in that area. Then apply few superficial incisions (small, light scratches using a razor) on those areas, followed by repeating the vacuum on the same areas in order to remove'harmful' blood which lies just beneath the surface of the skin.

Diploma in Diabetology
Endocrinologist, Mumbai
Management of Diabetes is now the treatment of a Metabolic Syndrome.
3 people found this helpful

I am blood sugar n chronic pancreatitis since 30 years. Shall I take capsule neorovit mc total.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am blood sugar n chronic pancreatitis since 30 years. Shall I take capsule neorovit mc total.
Mr. lybrate-user, Thanks for the query. The capsule mentioned if contains some multivitamins, then you can take it. Thanks.
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Can a diabetic patient eat 5 raisins or big munnakka daily. My mother ia a diabetic patient and has frequent constipation problems so she takes trifala powder daily. Can she include munnaka in her diet.

B.A.M.S
Ayurveda,
Can a diabetic patient eat 5 raisins or big munnakka daily. My mother ia a diabetic patient and has frequent constipa...
Boil half glass milk with half glass water and add 7-8 small onions. It will relive your mothers constipation. Munnaka. Yes you can include.
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My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please help me.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please hel...
You should consult your doctor locally, for glossitis... please keep her sugar level in control, it helps in recovery from glossitis..
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