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Dr. Shailaj Kale

Endocrinologist, Pune

100 - 400 at clinic
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Dr. Shailaj Kale Endocrinologist, Pune
100 - 400 at clinic
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To provide my patients with the highest quality dental care, 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 dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shailaj Kale
Dr. Shailaj Kale is a trusted Endocrinologist in Pune Railway Station, Pune. You can meet Dr. Shailaj Kale personally at Sahyadri Hospital - Bibwewadi in Pune Railway Station, Pune. Book an appointment online with Dr. Shailaj Kale on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 34 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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Sahyadri Hospital - Bibwewadi

Plot No.13, S.No. 573, City No.281, Swami Vivekananda Marg, Bibwewadi. Near Suhag Mangal Karyalaya & Pune Railway Station, Pune Get Directions
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Kale Hospital

Vasantbag Society, Siddhivinayak Towers, Opposite Kothari Bus Stop, 1, Swami Vivekanand Marg, Near Mahavir Electronics,Pune Get Directions
400 at clinic
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KEM Hospital - Pune

489, Rasta Peth, Sardar Moodliar Road, Pune Get Directions
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Again can a diabetic patient take vitamin B12? If not what is the natural alternative? And that too for a vegetarian.

MBBS
General Physician, Jalgaon
Again can a diabetic patient take vitamin B12? If not what is the natural alternative? And that too for a vegetarian.
Please Diabetics should take b12 supplements regularly, to avoid diabetic neuropathy It is not available naturally in veg sources It available in fortified dairy products It is available in milk in lesser quantities
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I live in gujarat, baroda. Before two months I check my blood. I got diabetic 115/130 my mother 85 year old now she has diabetic mujhe thyroid hai. Mera waight pahle 73kg tha. Abhi do mahine se mai meditation and exersice karti hu. Abhi mera weight 66 hua hai. Mai diabetic ki koi medicine nahi leti. Please guide me. Muje kya karna chahi e. Abhi thyronom 87.5 leti hu. Hb mera11 hai. Fenuric cids aur karela leti hu.

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes affects all organs in the body? eyes, kidneys, nerves, reproductive system all are affected, infact, from from toe to hair. 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.
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She is 40 years old. A thyroid patient but other wise healthy and active. Last four five months she had a very severe skin problem where the entire body becomes red and lot of irritation and itchiness was there. Later in few minutes it got corrected on its own. Now she was suggested for anti nuclear that is ANA TEST. The reports show positive for it. Is it curable or is life threatening.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
She is 40 years old. A thyroid patient but other wise healthy and active. Last four five months she had a very severe...
The ana test is not specific. More tests are needed to know what is causing high ana. Lupus and scleroderma can both cause skin irritation, but so can a lot of other autoimmune diseases. If a diagnosis can be pinpointed, it can be adequately treated as well, and it's prognosis clarified. Meet a good rheumatologist.
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I am a diabetic patient from 8 years. What is my routine diet for the minimize for diabetic control.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
I am a diabetic patient from 8 years. What is my routine diet for the minimize for diabetic control.
Diet control and exercise are equally important for diabetes person. Diet high in protein for the health of diabetes because it supplies the essential amino acids needed for tissue repair. Pulsese are rich in protein and fibre. Take lukewarm water with half spoon methidana powder in the morning. Complex carbohydrates and fibre should be included in diet. You should avoid fasting and feasting. Timely and balanced diet is as important as regular medicine intake to control diabetes. Use sufficient amount of given onion, garlic, coriander, lemon, greenchilli, black paper, fenugreek seeds, cinnamon, bay leaves in food items. No long gapes and skipping of meals. Chapatis of bran flour (unrefined) is given to diabetes patients and to increase the nutritional value add gram and soyabean flour to it.
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My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye side is down as nerves become dead (Not sure in technical / medical language) due to diabetes. But Mom never had diabetes . Also suggested to take one injection but not guarantee of recovery of eye side. Kindly suggest.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye sid...
Your mom seems to have some disease pathology involving back of the eye. Either her retina or optic nerve. Since she has been advised an intra-ocular injection, it is likely she has some disease affecting her retinal blood vessels. The visual recovery depends upon the status of the central retina- known as macula. This is best evaluated by a test called the oct and a retinal or fundus angiography. I will be better able to help if you can share her reports. Also important is to find thee systemic cause in the body which predisposed to the eye disease. It can be hight sugar. Hight blood pressure. High cholesterol or triglycerides in body. Kidney dysfunction etc. A examination by physician is hence also important.
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What are the uses of Armotraz, siphene M, Ferteez in treatment of male fertility. And can it be used for long time and have any side effects. What is the success rate. Kindly provide details of each medicine individual that how it works.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
All these medicines are use to enhance male fertility. In males it improves sperm count, motility and morphology. No medicine should be taken & continued without doctors advice. Success rate is good depending on persons habits and lifestyle.
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Can a 3x4 mm thyroid cyst cause dysphagia and hoarseness I have inflammation in lrynx asnseen in laryngoscopy. Or this thyroid nodule is metastasis of another thyroid cancer may be oeaophaegal or laryngeal. What test/scan can confirm if metastasis has occurred? Please suggest.

BHMS
Homeopath, Delhi
Yes, a large cyst can cause problem in swallowing. But thyroid cyst and inflammation in larynx are two different things. If you have inflammation at larynx, it will cause difficulties in the things you have mentioned. Biopsy can be done if it to know if its cancerous or not. If its cancerous, you may go for ct scan too.
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I am 52 years old and having prickling in tip of my fingers. My uric acid is 10.5. I am also having symptoms of cervical spodylitis. I am getting problem in passing urine sometime.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Take tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain in joints. Doctor may be give corticosteroid oral or inject direct in to joint.
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I am diabetic and aged about 62 years for the past one month my finger joints leg are paining what is the treatment.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am diabetic and aged about 62 years for the past one month my finger joints leg are paining what is the treatment.
You should take acupressure treatment and take biochemic mag phos200x + Nat phos200x 4 tab each thrice a day with warm water and take it 5 day's and consult private online.
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My SGPT level is 73, SGOT is 34, Bilirubin is 1.20 , Triglycerides level is 180. Are these level are very abnormal and please suggest how to lower down the SGPT and Triglycerides level.

General Physician, Hyderabad
My SGPT level is 73, SGOT is 34, Bilirubin is 1.20 , Triglycerides level is 180. Are these level are very abnormal an...
Normal sgpt level ranges from 7 to 56 units. High levels of sgpt in the blood may indicate liver problems and damage, but they may also be elevated due to strenuous activity. Please do the following 1. Stop drinking alcohol 2. Reduce salt intake 3. Eat fresh friuts and vegetables 4. Exercise daily 5. Quit smoking 6. Stop taking medicataion not prescribed by doctor 7. Get few more blood test and consult doctor for proper treatment of what is causing these condition. High triglycerides can also be manged by changing your life style by the above advise and losing weight, if not reduced consult to get treatment for high triglyceride level. Take care.
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How Obesity Can Put You At Risk of Diabetes?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
How Obesity Can Put You At Risk of Diabetes?

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control your weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get moving and turn off the television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune up your diet: Four dietary changes can have a big impact on the risk of type 2 diabetes:
    • Choose whole grains and whole grain products over highly processed carbohydrates.
    • Skip the sugary drinks, and choose water, coffee, or tea instead.
    • Choose good fats instead of bad fats.
    • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. If you wish to discuss about any specific problem, you can consult a General Physician.

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Hi, I am having Hba1c 5.7 .I am exercising n following diet but after every two hrs I feel hungry, start sweating and feel thirsty. I any long term solution go stay fit throughout day is to maintain sugar normal through out day .can I have spinach carrot juice in mrng or protein to keep sugar normal.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hi, I am having Hba1c 5.7 .I am exercising n following diet but after every two hrs I feel hungry, start sweating and...
Your sugar is already normal at 5.7. Why are you worrying about Sugar, its not clear. Eat a fruit / light snack like veg sandwich, poha, oats, fruit chat, dhokla, sprouts every 2-3 hours. That way you will not feel hungry. Take a healthy balanced diet else you will remain hungry and then look for junk food.
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I am sugar patient and under control. My fast sugar is around 130-140 and post breakfast is 180-200. I am getting some kind of numbness and pinching feeling on my both foot. This may be some kind of diabetic neuropathy or otherwise I need your advise and medication .

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
I am sugar patient and under control. My fast sugar is around 130-140 and post breakfast is 180-200. I am getting som...
yes,its typical diabetic neuropathy,mostly affecting both legs.. keep watch on your legs regularly during going to sleep..as it will help to find any injury happened to legs left unchecked due to loss of sensation.. use medicated oil for massage, use proper footware, Take some ayurvedic medications.
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My age is 27 , I hv backpain problem since one year .recently found that my uric acid level is high I.e 8.5 .please advise us about diet and exercises or any important fact.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My age is 27 , I hv backpain problem since one year .recently found that my uric acid level is high I.e 8.5 .please a...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappels which would help you to have less weight falling in the painful back.
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Hi My mother is patient of diabetes and high BP. She is feeling that aunts and monkeys are walking around near by. But is not im actual. She is feeling. So please tell what is thi?

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Hi
My mother is patient of diabetes and high BP. She is feeling that aunts and monkeys are walking around near by. Bu...
Hi. The problem could be related to diabetes related ear nerve damage or could be a brain or thinking related problem. Household remedies don't work good in this situation. The care.
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My wife is suffering from Hypothyroidism with TSH value 9.94 and having AMA antibody test positive with value more than 600. Is there any medicine which will reduce value of AMA test in normal range of below 24 ? AMA test is Antibody test.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Hello Her Tsh values are not within the normal range. you can consult with me regarding her accurate thyroid hormone level. uncontrolled tsh in woman further leads to other heart and brain complications.
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In may age 45 male diabetic actually 180 to 380 and use medican glum ate sr 500mg twice daily.

MBBS
General Physician, Ahmedabad
You need to reduce your weight. Get hbaic test. Will have to add glipizide 5mg//or gimipride 2 mg daily. And statin tab.
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I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently since last 10 days I find itching and burning in the anus and irregular passing f stools with little difficlty. I am afraid it may leead to piles problem. Please suggest me how to overcome this poblem.

MD - General Medicine, Diploma in Diabetology
General Physician,
I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently sin...
Deae, you have not mentioned whether there is any skin changes around the anus? please check it and get back to me. For now I could say just enhance the hygiene of anus avoid sweat, keep the anal region dry, you can apply - enderm gm cream twice a day for 5 days.
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My total cholesterol---248, ldl--172 ,hdl--45, tgl---187, I take thyrox 37.5 for my hypothyroid problem which is in normal limit, may I take cod lever oil .please advise.

MD
Yoga & Naturopathy Specialist, Delhi
My total cholesterol---248, ldl--172 ,hdl--45, tgl---187, I take thyrox 37.5 for my hypothyroid problem which is in n...
Do not take any additional oil. Take 200 gms of salad with every meal. Eat only fruits in breakfast. Go for a brisk walk for 40 minutes.
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I am 53 years old .one time my blood sugar was 230 at night (i've eaten sweets and so much things made of sugar) next day I found it was 95 after 6 hours of taking meals. I will have the HbA1c test. If I find the results positive then will I have to completely rely on medicines all the time or it will be controlled by eating proper diet and exercise? Thanks.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am 53 years old .one time my blood sugar was 230 at night (i've eaten sweets and so much things made of sugar) next...
Hba1c test is not about it being positive or negative. It provides an estimate of your average sugar levels over the past 3 months. Based on the level and other factors like blood pressure, cholesterol, heart problems etc, it is decided whether you will require medicines.
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