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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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English
Hindi

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Vishwa Multispeciality Clinic And Diagnostic

Yashodhan Complex, Baner Main Road. Landmark: Opposite Prime Mall & Above Milan Medical, PunePune Get Directions
300 at clinic
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I am a diabetic for the last four years. Intake of direct sugar can be avoided. What seasonal fruit can be taken and in what quantity?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take.
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I test my tsh level today and yesterday. Yesterday it was 9.5 and today it is 6.9. Why so much of variation. My t3 and t4 is in normal range. In june also my tsh level was 6.49 that time I was taking thyronorm 100 but after this I increase my dose to 125 but still my tsh level is not in control. In december 2016 I tested my tsh that time it was 7.5 but t4 was normal that time also. Why tsh level is not getting control? I was taking thyroid medicine since 2011 my first pregnancy. As I want to conceive again but not able to due to this thyroid problem. I started morning walk also. Im gaining weight 70 kg and height 5 feet 3 inches. My face also looks very dull.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I test my tsh level today and yesterday. Yesterday it was 9.5 and today it is 6.9. Why so much of variation. My t3 an...
Lybrate-user, Thanks for the query. For being free from all the symptoms of hypothyroidism TSH should be maintained around 3 to 4 mU/L. Your present level is too high, hence swelling, weight gaiin is being seen. It means the current dosage is not adequate. Secondly if a lady wants to become pregnant then TSH has to be maintained < 2 mU/L. Plus through out the pregnancy levels have to be as follows: 1st Trimester: 0.1 to 2.5 mU/L, 2nd Trimester: 0.2 to 3.0 mU/L & 3rd Trimester: 0.3 to 3.0 mU/l. For weight reduction efforts to be effective TSH has to be < 3 mU/l. If you have any doubts please do come back. Thanks.
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What are the criteria for getting fit from diabetes pls tell me I am afraid of it pls.

MBBS
General Physician, Cuttack
What are the criteria for getting fit from diabetes pls tell me I am afraid of it pls.
1. Do regular exercise 2. Reduce weight if over weight 3. Control diet. 4. Avoid excess sweets, sugar, fried food, fast food like pizza/burger/cookies, maida biscuits. Oily, fatty, excess calorie, saturated fat and cholesterol rich diet, take high fiber diet like whole grain rice, mult igrain chapati/bread, green leafy vegetables/fruits 6. Monitor your fasting, pp blood sugar 6monthly if you have a family history 7. Consult diabetologist/physician for advice and treatment.
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My age is 67 years old.I am diabetic from 2003. Last week my fasting blood sugar is 132 mg. Pp bs is 190 mg hb1ac is 8.3. My present complaints are neuritis and numbness of both legs since 2 years. I am taking zoryl 1 twice daily/please advise line of treatment for me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Better to shift to basal analogue insulin like injection basal. Start with 6 units to begin and up titrate with self monitoring of blood glucose.
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I am a diabetic since last 20 years, but my sugars are not in control till dates. Was monitoring since last 1 week but average is 300, whether fasting, after/before lunch and dinner. How do i get it into control ?

Vaidya Visharad
Sexologist, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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Dear sir mujhe thyriod ki problem hai meri thyriod test report mei tsh high aaya hai sir mujhe thik hone k liye kya karna chahiye.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Nidhiji, What is the TSH level? If the level is above 10 milli units/ml, then it is confirmed hypothyroidism, if level is between 5 to 10 milli units/ml then it is subclinical condition. Plus do you experience any symptoms related to it? Please answer these queries. If confirmed hypothyroidism is there then treatment with thyroxine has to be started. Dosage will depend upon your body weight and TSH levels.
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I am diabetic can l have have one teaspoon of honey with black lemon tea in morning my diabetes is under control.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Trivandrum
I am diabetic can l have have one teaspoon of honey with black lemon tea in morning my diabetes is under control.
Hello. Yes you can have if the honey is pure. As per ayurveda honey can be used by a diabetic patient.
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Sir I have jus checked my routine sugar check up. Today I got test result .my fasting blood sugar level is 94 mg/dl. Is it normal. please suggest me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Sir I have jus checked my routine sugar check up. Today I got test result .my fasting blood sugar level is 94 mg/dl. ...
Mr. lybrate-user, Thanks for the query. Blood glucose fasting 94 mg is within the normal range. Thanks.
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I am a 62 year old man, had a MI in January 2007, got a stent in my LAD in Feb 2007. I have arthritis, ankylosing spondlytis, incontinence, ED, and sugar levels of 93 pre fasting and 250 after a meal. I am trying to get my sugar levels down by diet and exercise. Do let me know if it is possible to get my sugar levels down by diet and exercise.

PGC Diabetology, MBBS
General Physician, Hyderabad
I am a 62 year old man, had a MI in January 2007, got a stent in my LAD in Feb 2007. I have arthritis, ankylosing spo...
The levels of blood sugar you are telling look good. But let me know you hba1c level. Some people can control diabetes by diet and exercise. I can guide in detail. Please do a paid consultation.
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I am 28 years old female and am suffering from Thyroid (normal level of thyroid should be between 0.25 mg-5.50mg, but mine is 8.50mg. Can you please me the foods to be avoided and foods to be taken. I mean the diet.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
you are very right about normal range of tsh levels. At 8.5 milli units/ml, with normal t4, the condition is classified as sub- clinical hypothyroidism. This normally is not treated with any drugs. Treatment is advised only once the levels cross 10 milli units or there are troublesome symptoms with lower tsh levels. As regards food intake you have to have a balanced diet, but avoid certain foods like - soy beans, soy containing products, cabbage, cauliflower, broccoli, peanuts, radish, mustard and coffee. Consume good deal of green leafy vegetables, salads and fruits. Use whole grain flour for making chapati or roti. Do not use refined flour like maida. If you are taking non- vegetarian diet then take lean meat, skinned chicken and fish. Exercise regularly, that is important. Further, if one is desirous of having conception, then before conception tsh levels have to be brought down to around 2 mill units/ml. Keep that in mind. Thanks for the question.
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