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Dr. Suhas Gopal Erande

Endocrinologist, Pune

200 at clinic
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Dr. Suhas Gopal Erande Endocrinologist, Pune
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Suhas Gopal Erande
Dr. Suhas Gopal Erande is a renowned Endocrinologist in Karve Road, Pune. You can consult Dr. Suhas Gopal Erande at Akshay Hospital, Erandwane in Karve Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Suhas Gopal Erande on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 38 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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Akshay Hospital, Erandwane

1st Floor, Rama Vasudev Apartments, Behind State Bank Of India, Karve Road, Erandwane. Landmark: Opposite S N D T College, PunePune Get Directions
200 at clinic
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I am 50 years and a diabetic patient. Now I am taking insulin injection glaritus 100 ml /u and diabetes is in control but then too I have problem of frequent urination at night. The dosage I take is 6 units at around 10: 00 PM. So help me out on this! What could be the reason for this? How it can be treated?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 50 years and a diabetic patient. Now I am taking insulin injection glaritus 100 ml /u and diabetes is in control...
Mr. lybrate-user, Thanks for the query. Hello, It is difficult to comment as no blood glucose values have been mentioned. Ideally when diabetes is well controlled fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <6.8, If these kind of levels are maintained, then one would rarely get up for passing urine at night. Secondly are you only on Glargine or are there any oral drugs for controlling glucose? Because in T2 DM (if you are T2 DM patient) usually along with Insulin oral drugs also are given for better control. Thanks.
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Having blurry eyesight What can I do to control or prevent diabetes? How do I know if I have diabetes?

MBBS, DOMS, MS - Ophthalmology, Fellowship In Phacoemusification, Senior Consultant Surgeon
Ophthalmologist, Patna
Having blurry eyesight
What can I do to control or prevent diabetes?
How do I know if I have diabetes?
For blurring vision you should consult ophthmologist for refraction & if prescribed glass you should wear for clear vision , for confirmation of diabetes you should for fasting blood sugar ,post prandial blood sugar & HbA1c.
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My age is 41. I am having heavy bleeding with irregular periods. My doctor suggested me to remove uterus removal and I am suffering with sugar (Diabetes) with PCOD. Suggest me shall I remove uterus at this age, is it preferable.

MD
Gynaecologist, Mumbai
My age is 41. I am having heavy bleeding with irregular periods. My doctor suggested me to remove uterus removal and ...
Agree also whether you desire further child if there is anabnormality in usg like fibroids, v thick endometrium or mass by the side of the uterus and no childbearing is needed it may neadvisable to remove as you havd dm and other issues which makes it a hgier risk to health.
2 people found this helpful
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Diabetes - How It Affects Your Eyes?

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
Diabetes - How It Affects Your Eyes?

Diabetes is a pervading disease as it does not spare any system of your body. The increased sugar level affects everything from circulation to vision to kidneys. Diabetes is the leading cause of blindness in the eyes in the age group of 25 to 75.

Some of the common eye problems caused by diabetes are listed below

  1. Blurred vision: Increased sugar levels can cause blurred vision. While most people might jump to getting a corrective lens, it may not be needed in all cases. Try getting the sugar levels to normal levels and see the vision improve. It may take up to 3 months, but it is definitely possible to do away with the lens.
  2. Cataracts: Clouding of the lens which is known as cataracts can set in early when there is diabetes. Worsening of cataracts also is at a quicker pace with diabetics. The blurring of vision and glare can set in, which would require removal of the clouded lens and placement of an artificial lens.
  3. Glaucoma: There is always a certain amount of pressure on the eyes, known as intraocular pressure. This pressure increases significantly in diabetics, leading to vision changes and damage to nerves and blood vessels. Glaucoma can cause dryness in the eyes, as there is less amount of liquid that the eye makes. There could also be headaches, eye pains, blurred vision, and vision loss. In addition to eye drops, surgery and laser can also be used for correction.
  4. Diabetic retinopathy: The retina is a layer on which image of an object falls, and from there, a message is sent to the brain to identify an object. However, in people with increased sugar levels, the blood vessels in the retina can be damaged, leading to vision problems and even blindness. Greater the sugar levels, greater the damage. There could be people who have lost vision due to this condition. Periodic checkups are advised to ensure that the vision is constantly monitored. There could be black spots or holes in the vision, flashes of light, and even blurring of vision gradually resulting in a complete loss.

Some eye care tips:

Now that we know diabetes affects the eyes adversely, the following are some effective tips to ensure good eye health is maintained.

  1. If sugar levels are not well controlled, more frequent checkups are advised, else, annual checkup should suffice.
  2. Monitor and control the blood sugar and A1c levels
  3. Monitor and control blood pressure levels, as combined with higher blood sugar levels, the damage is exponential
  4. Quit smoking
  5. Monitor and control cholesterol levels
  6. Healthy diet with lots of vitamins, minerals, and protein
  7. Exercise to help in improving overall quality of life. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.
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I am 44 years old. My name akshay shah. I have diabetes last 4 years. Last 2 years I have take one medicine name glimisec 1 mf. My fasting is 115. Ppbs @ 180 to 200. Please suggest some other way without medicine dose hike I have control my diabetes.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 44 years old. My name akshay shah.
I have diabetes last 4 years. Last 2 years I have take one medicine name glim...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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My wife TSH is 0.05 Age 33 pls give advise. Weight 51 Kg. Which type of food, salt can she take.

BHMS
Homeopath, Secunderabad
She should eat a nutritious, healthy and balanced diet. If she has any health problems then she should visit a doctor for review. Adapting a healthy lifestyle is important to keep one fit and healthy. Read more about the subject (and health and wellbeing) from the internet and take good care of the health. If there is any specific health problem then she can also take Homeopathy as it is safe and effective. You can contact me if needed for further advise.
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1) Blood test in january 2018 reveals that Albumin Creatinine ratio is 93. 2) Fasting and PP sugar level is well under control 3) BP is 140/80 4) Hb1ac is 6.3 5) pls suggest what to do since I am worried about ARC being 93.

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma In Diabetology (PGDD), Middlesex university London, Stanley Medical college Chennai
Diabetologist, Chennai
1) Blood test in january 2018 reveals that Albumin Creatinine ratio is 93.
2) Fasting and PP sugar level is well unde...
ARC increase indicates onset of diabetic nephropathy your blood pressure should be Just around 130/80 to prevent kidney damage consult your doctor for diet adjustment and addition of medications to prevent albuminurea.
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I am 69 years suffering from diabetics for last 5 years. Both parents were diabetic. Now a days I am taking euglim 3m. G. Both the times and my b. S. L. Is 150 fasting and 185 post meal. What should I do. I do not do any exercise. Found of sweets but do not take.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hello you must try doing physical activity atleast for 30 min a day. Include salads in every meal possible include soups, veggie juice for mid day meal keep sipping water supplement glucose health and fiber can help you.
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List of 10 Foods High in Uric Acid to Avoid

INSTITUTE OF ALTERNATIVE MEDICINES
Ayurveda, Delhi
List of 10 Foods High in Uric Acid to Avoid

List of 10 foods high in uric acid to avoid

1. Red meat: Red meat is one of the certain foods that deliver more uric acid than other foods in your diet. However, poultry and white meats, like pork are also high in the uric acid, so it is best to keep your intake of meats and wild meat to an overall minimum. If you’ve high uric acid levels or gout, you should avoid these meats or at least limit to 4 – 6 ounces per day. Instead, you can maintain a steady mix of fruits and vegetables to go with your meals and snacks.

2. Organ meats: Like white and red meat, organ meats also deliver a high amount of the uric acid. Though you can enjoy having onions or livers for dinner, it is best to cut down on this meal as well as other foods which include organ meats such as sweetbreads, tongue, tripe, and pate.

3. Seafood and fish: If you are a seafood lover, you will be really disappointed to know that seafood and fish are off limits during gout flare-ups because they are other main sources of the uric acid (purines) in your diet. Besides, herring, anchovies, tuna, sardines and other oily fishes should also cut back on your dinner table because they not only aggravate gout symptoms but also trigger one. However, when your gout can be under control, it’s ok to indulge in scallops, shrimp, lobster, crab salmon, or eel. You need to be sure that you do not eat more than 4 to 6 ounces per day of whatever kind of seafood and fish you choose to eat.

4. Beer and alcohol: In fact, beer is twice as bad for people with gout than seafood and meats. That is because it will raise the production of the uric acid levels in the body and make the body more difficult to remove the excess uric acid. Although alcohol does not have much harm compared with beer, it can still raise uric acid levels. Hence, most doctors always recommend avoiding all beer and alcohol if you suffer from gout.

5. Drinks high in sugarYou should not reach for both soda and fruit juice with fruit sugar. These drinks deliver high fructose&nbsp;corn syrup that will stimulate the production of uric acid. According to studies, women and men who consume a lot of fructose and take many drinks with fructose corn syrup will get a higher risk of having gout. Instead of sugary beverages, you can stick with water, coffee, tea or pure, fresh-squeezed juice.

6. Asparagus and spinach: In fact, animal products aren't the only foods which are high in uric acid.

Certain vegetables such as asparagus and spinach can also trigger a gout flare-up. However, they do not seem to cause much harm compared with animal-based foods. Uric acid from vegetables is also excreted from your body more easily than uric acid that comes from seafood and meats.

7. Cauliflower: Cauliflower is a bland vegetable and is rich in the uric acid. However, vegetables can help your body get rid of the uric acid and purines, so you need not cut them out of the diet completely. Besides, they also have nutrients that can reduce insulin resistance that plays an important role in controlling the gout flare-ups.

8. Beans, peas, and other legumes: Beans, peas, and other legumes also have good sources of uric acid, which can make them become poor food sources for people who have gout. According to world’s healthiest foods, peas have a moderately high amount of uric acid, which is 5 – 100 milligrams of uric acid per 3.5-ounce serving. However, when peas, spinach, and asparagus are eaten in raw form, they will cause less damage than in cooked form, as long as you consume a small portion.

9. Mushrooms: If you’re thinking of eating mushrooms as a replacement source for meat, you should think of something else. Actually, like legumes, mushrooms are considered to contain a moderately high amount of uric acid.

10. Oats: Though there has been some discussion about the exact amount of uric acid that oats contain, oatmeal and other foods which contain oats deliver a moderate amount of the uric acid. Most doctors recommend that those who suffer from gout should limit their consumption of oatmeal as well as other oat-based foods.

Although this list can seem discouraging if you suffer from gout, many of these above foods can still be consumed, provided, as long as you only take the small portions and only have them when you aren't having a gout flare-up. Besides, other foods such as coffee, tea, citrus fruits, foods rich in complex carbohydrates, and foods rich in dairy can really prevent gout flare-ups and therefore, are recommended for those who have gout.

If you want to know more about super foods or other vitamins and minerals go to our main super foods&nbsp;page. After reading the article of top ten foods high in uric acid, hope that it can help you identify uric acid-rich foods to avoid eating them for your good health. If you have any question, or you know other foods high in uric acid, please leave them below.

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My grandmother is 80 years old now. Three months ago high TSH was detected and it was 113.4.Doctor prescribed eltroxin 100 for that. After one month the TSH level dropped to 0.19. Then eltroxin 50 was prescribed. Now after two months her tsh has again dropped to 0.059. Her T3 and T4 are 69.72 and 7.2 respectively. Now what should be the exact power of medicine for her? Besides due to low Hb (two months ago it was 7.1), she is taking feronia XT from last two months. Now her Hb level is 8.7. Should I continue the medicine for one month more?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
lybrate-user ji, Thanks for the query. In elderly a slightly higher TSH value (around 6 mU/L) is acceptable. In fact a slightly higher TSH is considered to be cardio protective. Bringing down is not advisable. Since present TSH is 0.095 mU/L, better to reduce the dosage to 12.5 mcg, then check TSH level after 6 weeks. If you have any doubts please come back. Thanks.
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