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Dr. R. S Kiwalkar

Endocrinologist, Pune

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Dr. R. S Kiwalkar Endocrinologist, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. R. S Kiwalkar
Dr. R. S Kiwalkar is a renowned Endocrinologist in Shivaji Nagar, Pune. He is currently practising at DR Ravindra Kiwalkar Diabetes Care Centre in Shivaji Nagar, Pune. You can book an instant appointment online with Dr. R. S Kiwalkar on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 37 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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DR Ravindra Kiwalkar Diabetes Care Centre

JN Road,Sambaji Park,Shivaji Nagar,Landmark: Near Shubham Hotel, PunePune Get Directions
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Out of six main symptoms for diabetic patient, I do not have a single symptom, even though, blood test report indicates BSF between 103 ---127 and PP remains constant i.e between 130--140. My consultant Dr. is MD (Medicine) MD (Path) suggested me to start Cetapin XR 1000 OD. Should I continue?

Diploma In Diet & Nutrition
Dietitian/Nutritionist, Hyderabad
Out of six main symptoms for diabetic patient,
I do not have a single symptom, even though, blood test report indicat...
Right now you are in 'Pre-Diabetic' stage. You are not even a Diabetic Patient. Taking medicines now will actually make you dependant on medicines for life. It is better to avoid medicines and rely on diet-cure and exercise cure to bring your Sugar levels down. You are currently just on the borderline and you can control your Sugar levels through lifestyle interventions. FBS- 100-126 is considered pre-diabetic. Its only after 126 that medicine can be considered. Even your PP is in normal range. You must always remember that medicine should be the last resort when everything else fails. Trust your instincts. You are the master of your body and not any doctor. Take care of yourself. Health is precious.
1 person found this helpful
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Hi doctor. I am 25 year old, I have autoimmune thyroid disease. so, please tell what to do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi doctor. I am 25 year old, I have autoimmune thyroid disease. so, please tell what to do.?
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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. flax oil, 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. Do Tests every 3 to 6 months. And consult doctor on time.
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My sugar level fasting is 100 to 113 how can I prevent diabetese my father and gfather both had pl advice

MBBS, DCP
Pathologist, Delhi
Yes although you have a family history of diabetes in the family but you should control sugar levels by eating right kind of food and by excercising.
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I am 20 years old. I have hypothyroid (weight loss problem) from last 8 years. I use medicines since last 8 years but no effect. I have too much weight loss problem please help me. What is good for me? What can I do to get normal good life?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 20 years old. I have hypothyroid (weight loss problem) from last 8 years. I use medicines since last 8 years but...
Hi to increase weight you should improve your digestive system. By digesting your indigested food with the help of remedy and medicines will ultimately increase your appetite and digestive system. Take chitrakadi vati after meal. Take ashwagandha churna with water twice a day. Take banana milk shake. Drink lots of milk and eat lots of milk products. Like butter. Ghee.
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I am a diabetic patient recently I checked Hba1c found that 9.5 which medicine I have to take now am taking medicine Glycomet 250 twice a day. Pls suggest any other medicine. I have cholesterol also.

BHMS
Homeopath, Murshidabad
I am a diabetic patient recently I checked Hba1c found that 9.5 which medicine I have to take now am taking medicine ...
Dear Lybrate User, One of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as DIABETES MELLITUS. Once a patient is diagnosed with Diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her Post. Prandial Blood Sugar level reaches 200. If Post. Prandial Blood Sugar level reaches 200 then patient can take Homoeopathic Mother Tincture GYMNEMA SYLVESTRA Q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc
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Sir, I want to clarify a small doubt on diabetes. What is the effect of beer/ alcohol on sugar level if a diabetic patent takes it? Can a diabetic patent take beer/alcohol weekly.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
Sir, I want to clarify a small doubt on diabetes. What is the effect of beer/ alcohol on sugar level if a diabetic pa...
Can take 60 ml alchohal and 200 ml beer daily. More alchohal tend to lower sugar where as more beer tend to raise sugar.
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Pregnancy and Fertility in Thyroid Disorders!

MBBS, DNB (Obstetrics and Gynecology), FNB
Gynaecologist, Delhi
Pregnancy and Fertility in Thyroid Disorders!

The human body works as directed by the various hormones released by the endocrine system. These hormones are essential for coordination of various body functions. From the height a person achieves to the metabolic reactions in the body to the reproductive cycle to the stress levels a person can handle, all are hormone controlled.

Pregnancy is another critical, complicated phase that a woman goes through. It is one of the most awaited phases in a woman’s life; however, it is not very simple either. The above-noted hormones play a major role in this pregnancy, as the baby is dependent on the mother for its initial supply of hormones until it can start producing its own hormones. If the baby does not receive the require amounts, there could be various detrimental effects during development and post birth.

Hypothyroidism or an underactive thyroid is extremely common in women and there are multiple theories about how hypothyroidism can affect a woman’s chances of getting pregnant. While the correlation between hypothyroidism and pregnancy are quite well researched, a strong connection stating hypothyroid women being not able to be pregnant is yet to be proven.

The following are some correlations between hypothyroidism and pregnancy.

Increased chance of miscarriage: Women with reduced thyroid functions have double the chances of having a miscarriage. Women suffering from thyroid are at a risk of recurrent miscarriages during the first trimester. The chances of miscarriages during the second trimester are also about 40% higher in hypothyroid women. These women are also at a risk of:

  1. Premature labour
  2. Low birth weight
  3. Increased chances of stillbirth
  4. Maternal anemia
  5. Postpartum hemorrhage
  6. Developmental defects and/or delays in the newborn
  7. Placental abruption
  8. High blood pressure

One of the reasons identified for infertility in women is hypothyroidism. This range varies from 1% to 40% and so remains to be proven still. In addition, the hypothyroid mother will have a set of symptoms to live through, which may be further complicated given the pregnancy. Thyroid replacement should be religiously done and monitored to ensure TSH levels are at the optimal required levels (2.5 to 3 mIU/L) during the entire duration of pregnancy.

If you have the following, be sure to go through a comprehensive thyroid screening before and during pregnancy.

  1. Family history of thyroid
  2. History of thyroid dysfunction or goitre or thyroid antibodies
  3. Clinical signs and symptoms suggestive of hypothyroidism
  4. History of repeated miscarriages
  5. History of head and neck radiation
  6. Family/personal history of autoimmune disorders

While it still remains to be proven that hypothyroidism per se can stop a woman from being pregnant, there are definitely effects of hypothyroidism on the developing child and the mother. A comprehensive screening and close monitoring through pregnancy are extremely essential. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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My mother have high sugar level since many years. Recently she was hospitalized and put under insulin for brief period. Though sugar is in control but medicines are on. I want to ask whether D- protein powder would be suitable to take in her case. As she still do not have food properly.

DHMS (Hons.)
Homeopath, Patna
My mother have high sugar level since many years. Recently she was hospitalized and put under insulin for brief perio...
Hello, she needs proteins, fats & carbohydrates, proportionately to maintain her energy level. D- protein powder might be continued with all sorts of anti diabetics. She should sit for meditation for 40 mnts to reduce her stress to generate appetite. Should go for a walk in the morning to regulate blood circulation in order to nourish her body. Avoid, junkfood, direct sweets & alcoholic intake. Tk, care.
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There is burning problem in stomach after meal. And then burning starts in leg and hand. Every type of gas controlling capsules I have tried nothing works. And I also suffering from thyroid.

MD-Ayurveda
Ayurveda, Patiala
There is burning problem in stomach after meal. And then burning starts in leg and hand. Every type of gas controllin...
take amlapitta mishrana syrup, 2 tsf ,three times a day in a glass of warm water, before meals. Take kamadudha rasa, 1 tab, three times a day empty stomach. Stop tea, coffee, spci food, fried food, balery products in your diet. Stop red chilly powder. Continue the regime for 21 days. good luck
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I have infertility problem. My age 25 years. Doctor has done my endometrial biopsy. My report is endometrium is in proliferative phase. What is this my report is normal or not .am I get get pregnant in this phase.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I have infertility problem. My age 25 years. Doctor has done my endometrial biopsy. My report is endometrium is in pr...
Hi lybrate-user. What other tests have been done. Just doing a d&c does not have any bearing on fertility. The cause has to be first diagnosed. Please tell me the deails of the tests done so far for you and your husband. Once I get to see the reports we can have a detailed discussion on further course of action. Do not worry so much. If the right treatment is followed you shall conceive soon.
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