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Dr. Rupesh Khandelwal

Pediatrician, Pune

350 at clinic
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Dr. Rupesh Khandelwal Pediatrician, Pune
350 at clinic
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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. Rupesh Khandelwal
Dr. Rupesh Khandelwal is a trusted Pediatrician in Nagar Road, Pune. You can meet Dr. Rupesh Khandelwal personally at Shree Hospital - Nagar Road in Nagar Road, Pune. Book an appointment online with Dr. Rupesh Khandelwal and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 30 years of experience on Lybrate.com. You can find Pediatricians 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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Hindi

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Shree Hospital - Nagar Road

Pune - Nagar Road. Landmark: Opposite AgaKhan Palace, PunePune Get Directions
350 at clinic
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Test and Devices for Diabetes Patient

Homeopath,
Test and Devices for Diabetes Patient

Home management
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:

Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.

Finger-prick test. A typical blood sugar test includes the following:

A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.


To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:

Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:

Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Glycosylated hemoglobin
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.

Urine tests
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.

type diabetes
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Hi I am 24 years I am feeding milk to my child from the next day of delivery ,after 2 months the milk is not coming what shall I do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
There should be any reason of decreasing of milk if you had been exclusively breast milk to the satisfaction of baby. Continue exclusive breast feeding till either breast is emptied or baby is satisfied. In case if after emptying of breast, baby remains hungry, give him top feed kept ready in hand. This practice may increase milk production provided you are taking good nourishing diet. Else you may consult obstetrician.
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Hey doc We are planning to go somewhere by train. Journey will be overnight. I am worried about my 1.5 years baby because he used to drink milk 2-3 times in night and there is no milk available on the way. What should I do? In what ways I can prevent milk?

C.S.C, D.C.H, M.B.B.S
General Physician,
1.5 year baby need not necessarily drink milk and other foods can be given or milk powder and boiled water in flask can be carried with you
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Sir my son is 3 year old. HE IS ill and testing testing of blood shows CRP IS 89. ADVICE POSSIBLE HAZARDS IF ANY AND MEASURES TO PROTECT.

M.D.( Pediatrics), DCH
Pediatrician,
Sir my son is 3 year old. HE IS ill and testing testing of blood shows CRP IS 89. ADVICE POSSIBLE HAZARDS IF ANY AND ...
CRP is a diagnostic aid to physicians, along with clinical examination it helps to come to a diagnosis. Isolated finding of blood tests is really of no use. Abnormal finding may at the most suggest there may be some underlying cause. Very high level of CRP is found in rheumatic illnesses. If febrile for long time it is worth while to rule out Kawasaki disease, but it is better to leave it to professional treating the child and avoid unnecessary parental anxiety.
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My grandson is 12yrs old he is diebtic type one takes insulin twice a day tell any other remedy.

ICMR Training. in. clinical. Genetics and Metabolism, Fellowship in Pediatric And Adolescent Endocrinology
Pediatrician, Jalandhar
Insulin is only treatment and best treatment. No side effects. Also you should go for better regimes than this twice a day adult type regime. Give pediatric regimes of three times a day if you want to avoid long term complications. Dont get fooled with anything other than insulin. There is nothing else consult a pediatric endocrinologist.
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Hi doctor. My 8 month old daughter has a running nose and due to that she can't breath properly during night time and hence she cries a lot. We give nose drops but it doesn't help much. Please advice what to do. Thank u.

C.S.C, D.C.H, M.B.B.S
General Physician,
Try giving t-minic drops 0.25 ml thrice daily and report online privately. He may need antibiotics if there is fever and he refuses to feed and is looking sick. Where are you living, so as to suggest l local foods. Ask me privately and remain in touch. Regards.
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My baby girl is one month old. She is on formula milk. Her stools are green in colour. She is on lactogen1. Is it normal.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby girl is one month old. She is on formula milk. Her stools are green in colour. She is on lactogen1. Is it nor...
You have to to stop bottle and give breast milk. If not, feed from a cup with spoon and the bottle is causing the problem
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