Tag - Diabetologist in nashik

What does my thyroid gland do?

The thyroid gland is an important hormone gland: It performs a major role in the metabolism, growth, and development of the human body. It helps to control many body functions by constantly releasing a steady amount of thyroid hormones into the bloodstream. This organ (medical term: glandula thyreoidea) is located at the front of the neck, under the voice box.

This fuel is iodine. Iodine is located in such foods as iodized table salt, seafood, bread, and milk. When you eat these foods, the iodine moves into your bloodstream. Your thyroid then removes this essential ingredient from your blood and uses it to make two kinds of thyroid hormone: thyroxine, called T4 because it contains four iodine atoms, and triiodothyronine, or T3, which contains three iodine particles. The thyroid’s output consists primarily of T4. Most of the T3 the body needs is generated outside the thyroid in organs and tissues that use T3, such as the liver, kidneys, and brain. These tissues change T4 from the thyroid into T3 by removing an iodine atom.

When the body requires thyroid hormone, the thyroid secretes it into your bloodstream in quantities needed for the metabolic needs of your cells. The hormone simply slips into cells and attaches to special receptors. The thyroid also requires being told what to do. To make the accurate amount of hormones, the thyroid gland needs the help of another gland: the pituitary gland. The pituitary gland “tells” the thyroid gland whether to release more or fewer hormones into the bloodstream. TSH levels in your bloodstream increase or decline depending on whether there is enough thyroid hormone in your system. Higher levels of TSH prompt the thyroid to generate more hormones until T4 levels come down to a constant level. Conversely, low TSH levels signal the thyroid to slow down creation.

How are thyroid problems diagnosed?

Blood tests are used to find hypothyroidism and hyperthyroidism. Your Thyroid Doctor in Nashik may want to measure your amount of TSH or T4 (or both), and sometimes T3. You also may have a blood examination for certain antibodies. This can determine if your body’s immune system is attacking your thyroid gland. In some situations, you may have other tests—such as an ultrasound or a radioactive scan—to look for problems with your thyroid.

How are thyroid problems treated?

If you have too little thyroid hormone, you can take thyroid replacement medicine. After starting treatment, you will have routine appointments with your physician to make sure you have the right dose of medicine. If you have extremely thyroid hormone, you may take antithyroid medicine to lower your hormone level or radioactive iodine to destroy the thyroid gland. During and after treatment, you will have a routine blood check-up to check your thyroid hormones to see if the treatment is working. In rare cases, surgery may be done.


About Diabetes: Are You At Risk?

What is diabetes?

Diabetes is a disorder in which your body cannot adjust sugar. It happens if your body does not make insulin or cannot use it very well. Insulin is a hormone that manages how much sugar is in your blood. Blood sugar is also called “glucose.” A high blood sugar level can create problems in various parts of your body.

Diabetes cannot be healed, but it can be well maintained with diet, exercise, and medications. 


Diabetologist in Nashik


Are there different types of diabetes?

There are two main types of diabetes — type 1 and type 2.

Type 1 diabetes

With type 1 diabetes, your body does not make enough insulin. Type 1 normally rises when you are a child or young adult, but it can happen at any age. Approximately 5 to 10 percent of all people with diabetes have type 1. It is treated with: 

  • Taking everyday insulin shots or using an insulin pump
  • Healthful eating
  • Physical activity

Type 2 diabetes

With type 2 diabetes, your body makes insulin but cannot utilize it well. Type 2 normally begins when you are over age 40, but it is becoming more popular in younger people. Many young people and children are improving type 2 nowadays. 

About 90 to 95 percent of people with diabetes have type 2. It is the most common type of diabetes. It is often connected with being overweight and tends to run in families.

Initially, type 2 diabetes may be managed with exercise, weight control, and a healthier diet. If these are not sufficient to manage blood sugar, pills or insulin may be needed.


Am I at risk for diabetes?

Anyone can get diabetes.

  • Overweight
  • Lazy (exercise less than three times a week)
  • African-American/Black, American Indian, Alaskan Native, Hispanic, Pacific Islander, or Asian
  • Age 45 or older
  • Have a family history of diabetes
  • Have high blood pressure
  • Have abnormal blood fats (cholesterol or triglycerides)

Any of these risk factors are things you cannot replace, like your ethnic background or age. But others are things you can change, like being overweight or having a lazy lifestyle.

What are the “warning signs” of diabetes?

Not everyone has notice signs. Diabetes is called a “silent infection” because numerous people do not have any. You may have some indication signs, or you may not. Some of the warning signs are:

  • Being very thirsty
  • Urinating often (especially at night)
  • Feeling very hungry or tired
  • Losing weight without trying
  • Having sores that heal slowly
  • Having dry, itchy skin
  • Losing the feeling in your feet.
  • Having blurry eyesight

How will I know if I have diabetes?

The best method to know if you have diabetes is to get examined for it. This is done with a normal blood test to check your blood sugar levels. If you are at risk for diabetes, talk to your Diabetologist. Ask to be tested for it. 


What can I do if I am at risk for diabetes?

  • Be physically active regularly
  • Lose weight, if you need to
  • Eat less fat
  • Manage your blood sugar, blood pressure, and blood fats under control
  • Get tested for diabetes

What if I already have diabetes?

Talk to us. we will work with you to create a treatment plan to manage your diabetes. Your treatment program may include diet, exercise, and medication. By managing your blood sugar, blood pressure, and cholesterol under control, you can stop or slow down other health problems caused by diabetes. Learn all you can and take an active role in your healthcare.

Where can I get more information?

The SARTHAK HEALTH CLINIC provides more information about diabetes. Call /what’s an app at our helpline number: 91 8828226607 or message us through our website https://www.ashutoshsonawane.com/


Women and Diabetes

Men are from Mars and Women are from Venus. They have diverse roles to perform. Man the “protector” and woman the “child bearer”. Since their biology is another, they fare differently in disorder states particularly chronic illnesses like diabetes, hypercholesterolemia, and heart disease.


In childhood, girls normally have type1 DM while type2 DM is generally present in adults. PCOS – Polycystic Ovarian Syndrome, an insulin-resistant state can adversely influence body image and menstrual cycles during adolescence. Young girls become overweight, sad, and have altered metabolic profiles. This can affect their fertility and married life.

Marriage itself is taboo, particularly in India. Brides with diabetes are seen upon as liable partners in marriage. The overall feeling is that all the next generation will have diabetes. This is not true. Further, mood swings through hyper and hypoglycemia can give an increase to stress in married life. This needs a lot of understanding to stay together.

Infertility is on the increase, essentially because of insulin resistance. Women in childbearing age require to take proper care both in reducing body weight and maintaining sugars.

Gestational diabetes ie women who become diabetic for the earliest time during pregnancy and those already having diabetes, who become pregnant require frequent monitoring to keep optimum sugar control. Maternal difficulties like pre-eclampsia, hypertension, stillbirth, miscarriages, and preterm delivery are normal. Difficulties in newborns like large-to-weight children and natural abnormalities are to be avoided. Then again the women are put on Insulin treatment, with the withdrawal of tablets, which can give rise to marked fluctuations of blood glucose.

Cardiovascular disease & atherosclerosis is on the increase in diabetes women, while there is a decline in the same in diabetic men. Women tend to have lipid abnormalities that are more atherogenic. They have a larger number of small dense low-density lipoproteins, which pass through the arteries easily increasing the burden of occlusive artery disease and then increasing the rate of heart attack and cardiac failure which is more popular in women than men more so after menopause.

Menopause itself is an extremely insulin resistant and atherogenic state. The female hormones like estrogen and progesterone which have a protective action on blood vessels and metabolism are suddenly decreased. This enhances the already existing abnormalities and makes them susceptible to cardiovascular and metabolic complications.

Women biologically live large than men raising the burden of the single elderly.


Each cell in the body is either male or female (XX or XY). The defects in genes in XX is shown in women but is protected by the Y genes in men. Hereditary defective genes causing disease therefore will manifest in women simply. When compounded with a sedentary lifestyle and caloric rich foods causing obesity, lifestyle disorders like diabetes, hypertension, heart disease are more aggressive. Metabolic changes are secondary to the above produce inequality of thyroid, adrenal, pituitary, and sex hormonal requirements.


  1. Diabetes prevention procedures must focus on maternal health and nutrition and health behaviors prioritising specific needs of women.
  2. Promote opportunities for physical exercise in adolescent girls to adopt a healthy lifestyle.

Looking for Diabetologist in Nashik? Contact Dr. Ashutosh Sonawane he is one of the best Diabetologist in Nashik.



Diabetes is a complex disease that requires everyday self-management which includes making healthy food, staying physically active, keeping the blood sugar levels, and taking medicines as directed. It is also necessary to talk regularly with your diabetologist or care team to sort a solution to decrease risks for difficulties and cope with lifestyle alterations. Encouraging self-management will help you to feel strongly and can lessen your uncertainty of developing complexities like heart disease, dental disease, eye ailments, kidney disorder, nerve damage, and lower leg amputation.


The Fear Factor Associated With Diabetes Complication

Diabetes is likewise a very personal disease. Upon being diagnosed, it’s not rare to feel a particular amount of worry. Panic of the hidden and fear about how your lifestyle may vary. Fear that you will encounter life-threatening complexities.

Your Diabetic expert or a key member of the diabetes management team at the hospital from the diabetes department will help you discover how to take care of yourself —


Talking About The Diabetic Education Program

If you have diabetes, you know how challenging it can be to handle your disease. Healthy consumption, workout, observing your condition, taking medicine, and lessening the risk for complexities are seemingly components of the daily routine.

But with the help of diabetes care managing your diabetes could be made easier. They struggle with you to reveal a plan to keep healthy and give you the instruments and continuous assistance to make that program a regular part of your life. Diabetes learning is an essential part of your diabetes problem and is offered through an accredited diabetes education program, which has met vigorous criteria set by the Health Ministry in India

The Association of Diabetes Educators (ADE) is based in India and the association has a set of health care professionals operating in the area of diabetes with a specific focus on diabetes instructors. The Purpose of the program is to educate and train students and health care experts such as certified diabetes educators, doctors, and paramedical staff including dieticians, nurses, pharmacists, and physiotherapists. Not only that the program also promises to encourage the study of the causes and treatment of diabetes and the dissemination of information regarding diabetes.

The Association of Diabetes Educators (ADE) also guarantees to make, sponsor, develop, build or conduct scientific research in diabetes. It also improves lectures, workshops, and conferences on diabetes and related diseases. The team is also included in making the study material for diabetes education. The association also researches the educational methods in diabetes teaching and assesses the consequences of diabetes education in preventing diabetes.



Diabetes has already become a major epidemic in the country and in such a situation diabetes education and Dr. Ashutosh Sonawane, Diabetologist in Nashik have been the major contributor by imbibing such traits in their day to day patient management.


Childhood Diabetes

The incidence of type 2 diabetes, formerly considered a disease of middle and old age, has been regularly developing among children and teenagers. Data from developed nations shows that this increase parallels a similar rise in the ubiquity of childhood and teenage obesity. While type 2 diabetes in kids and teenagers is as yet not a major common health problem in our country, new reports revealing rising levels of obesity among youngsters especially in our metropolitan cities give cause for attention.


Overweight and obesity are big risk factors for type 2 diabetes at all ages. This is all the more so among Indians who tend to improve diabetes at younger ages and lower levels of obesity than white Caucasians. The continuous rise in childhood obesity in our country has the potential to explode into an epidemic of youth-onset diabetes unless coordinated and concrete action is taken by health professionals, policymakers, parents, and the society at large.


Reasons and some symptoms that may help to determine if the child has or is at risk for childhood obesity:


  • Family records of obesity-related fitness risks such as early cardiovascular disease, high cholesterol, high blood pressure levels and type 2 diabetes.
  • Family history of cigarette smoking and sedentary behavior.
  • Skin diseases acanthosis nigricans (ugly or dirty skin on the neck and axilla region) or skin tags.
  • Psychological / Psychiatric Issues like poor self-esteem, negative self-image, depression, and withdrawal from peers have been associated with obesity.
  • Models of sedentary behavior (such as too much television viewing) and low physical activity levels.
  • Low self-confidence and inferiority complex may lead to overeating, anorexia nervosa, etc.,

A healthy well-balanced diet for children

Parents concerned about their kid’s weight should support a variety of fresh, nutritious foods in his or her diet.


The following tips may be useful:

  • Foods rich in “complex carbohydrates”, are bulky relative to the number of calories they contain. This makes them fulfilling and nutritious.
  • Sources such as bread, potatoes, pasta, rice, and chapatti produce half the energy in a child’s diet.
  • Rather than high-fat foods like chocolate, biscuits, cakes and crisps, try healthfuller alternatives such as fresh fruit, crusty bread, or crackers.
  • Try to cook foods instead of frying. Burgers, fingers, and sausages are just as tasty when grilled, but have a lower fat content. Oven chips are below in fat than deep-fried chips.
  • Avoid fizzy beverages that are high in sugar. Replace them with fresh juices diluted with water or sugar-free options.
  • A healthful breakfast of low-sugar cereal (e.g. wholemeal wheat biscuits) milk, plus a piece of fruit is a great start to the day.
  • Instead of desserts, offer dried fruit or tinned fruit in natural juice. Frozen yogurt is an alternative to ice cream.


Healthy Eating Environment

A well-planned meal with vegetables that contribute to a kid’s well-being can be one of life’s biggest pleasures. To make mealtime pleasant, build a healthy food environment. When children are exposed to healthy foods early, they are more likely to improve habits that support healthy weight as they grow. fixed meal times, choose the foods offered, and encourage an inviting place to eat. Inspirit eating slowly, with enjoyment. Avoid pushing children to eat. Help the children join in the meal by serving themselves and provide wholesome choices and allow them to pick which food and how much to eat. Totally avoid TV watching and computer games while eating


Consult Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


Three Main Nutrients For Diabetic Diet

Diabetes is a condition characterized by improved blood sugar levels. It is currently one of the best metabolic ailments around the world. The 2 Type Diabetes could be completed and checked by eating a healthful diet and leading a healthy lifestyle. Food has an immediate influence on blood glucose. Some diets raise blood glucose more than others. An important part of managing diabetes is understanding what and how much to utilize, and following a consumption plan that suits your lifestyle while assisting to control blood glucose. The 3 important nutrients found in foods are carbohydrates (carbs), proteins, and fats.

Speaking About All The Three Main Nutrients For Diabetic Diet


Carbs are the carbohydrates, sugar, and fiber in foods before-mentioned as grains, fruits, greens, milk products, and sweets. They raise blood glucose faster and bigger than other nutrients in fruits, proteins, and fats. Knowing what foods contain carbs and the number of carbs in a meal is vital for blood glucose control. Choosing carbs from healthful origins like greens, fruits, and whole grains (high fiber) is fancied over carbs from reservoirs with added sugars, fat, and salt.


Proteins are a vital part of a well-balanced diet and can stop you from feeling starved. They do not quickly increase your glucose like carbs. Nevertheless, to counterweight gain, use part control with proteins. In the Type 2 diabetic population protein makes insulin work faster, so it may not be a good idea to treat low blood sugar with different types of protein shakes available in the market.


When speaking about a well-balanced diet, fat particularly healthy fats from fatty fish, nuts, and seeds. They do not increase blood glucose but are high in calories and can produce weight gain. Strive to include all 3 nutrients to measure your meals.

What Should You Utilize Less While Planning Your Diabetes Diet?

Diabetic nutrition doesn’t have to be complex and you don’t want to give up all your selected foods. Below we have discussed a few health tips for developing an ideal Diabetic diet. To keep a well-balanced diet what you require to eat less is Trans fats from partially hydrogenated or deep-fried foods, packaged and fast foods, particularly those which are high in sugar, baked goods, sweets, chips, sweets, foods made from processed flour like bread, noodles or pasta. You should also curtail the consumption of prepared meat and red meat and also low-fat materials that have substituted fat with combined sugar, such as fat-free yogurt.

Do not underestimate the calories and carbs in addicts’ drinks including beer and wine. Cocktails mixed with soda and juice can be stuffed with sugar. Fluid calories can also fasten up your blood sugar levels. Having a diabetic diet doesn’t mean killing sugar altogether, but like most of us, the possibilities are you eat more sugar than is healthy. If you have diabetes, you can still experience a little piece of your favorite cake now and then. The key is balance. Tricks for cutting down on sugar is by decreasing soft drinks, soda, and juice. You should not substitute saturated fat with sugar and should check labels and look for commodities with hidden sugar, avoid prepared or packaged foods.

Contact Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


Tackling Diabetes During Pregnancy

Diabetes is one of the common medical diseases during pregnancy. Irrespective of the kind of diabetes, it is essential to learn control and obtain guidance on your diabetic journey. Women that are preparing to conceive must be careful because the consequences of high blood glucose levels are harmful to the baby. Conceiving babies as a pregnant woman can be difficult and asking however, it is not abnormal for diabetic women to birth healthy children provided they are dedicated to a diet and work hard towards it.


Here are some tips before deciding to get pregnant.

  •  Build a health care team
  •  Create a plan to manage blood sugar levels
  •  Frequent contact with a health care provider to monitor the baby’s health
  •  Take advice for a healthy meal plan
  •  Ensure proper nutrition to balance blood sugar levels
  •  Discuss the type of medications
  •  Seek guidance from high-risk specialists

Here are some preconception meodificans to one’s lifestyle


Reach ideal body weight: it is essential to work towards maintaining a specific bodyweight to reduce the risk of diabetes complications. It is also important to gain weight in case the mother to be is underweight to decrease the risk of delivering a child of low weight.


Blood Sugar screening:: A stable blood sugar level defines the health of the mother during pregnancy. Particularly before becoming pregnant, one must consult with an expert doctor to assure steady blood sugar levels. High Blood sugar levels in the initial stages of pregnancy can cause birth defects and if it goes out of control can also cause a miscarriage. It is advisable to be screened to identify diabetic complications.


Lifestyle Modifications: for those that consume alcohol and smoke, these would be two habits that are a big no during pregnancy especially with diabetes as an already damaging condition. Nicotine, carbon monoxide, and other such dangerous things breathed through a cigarette or carried in one’s bloodstream will further disrupt the growth of the fetus. It raises the risk of failure, stillbirth, respiratory difficulties, and other such abnormalities.


Meal planning: Consult with a diabetologist to keep stable blood sugar levels and avoid low or high blood sugar problems that worsen during the pregnancy stage. Balance your carbohydrate consumption and plan a nutrition filled diet to manage blood sugar levels.

These are some of the methods to help women conceive healthily even if diabetes poses a threat.



Thyroid Disease: Hypothyroidism & Hyperthyroidism

What is Thyroid?

The thyroid is a small part that is shaped like a butterfly, that rests in the middle of the lower neck. Its prime function is to control the body’s metabolism (the rate at which cells perform their respective duties which are essential). To control metabolism, the thyroid creates hormones namely T4 and T3, which tell the body cells how much energy to consume.

A properly functioning thyroid will maintain the right amount of hormones necessary to keep the body’s metabolism functioning at a successful rate. As the hormones are used by the body, the thyroid produces replacements.

The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland (which is placed in the center of the skull below the brain) senses a lack of thyroid hormones or a high level of thyroid hormones, it will adjust the hormone (TSH) and send it to the thyroid.

What is thyroid disease?

When the thyroid produces more quantity of hormones, the body uses energy faster which it should not. This condition is called hyperthyroidism. When the thyroid doesn’t create sufficient hormones than the intended, the body uses energy slower which it should be using. This condition is termed as hypothyroidism.

What are the symptoms of hypothyroidism and hyperthyroidism?

The following are symptoms of hypothyroidism:

  • Fatigue
  • Frequent, heavy menstrual periods
  • Forgetfulness
  • Weight gain
  • Dry, coarse skin and hair
  • Hoarse voice
  • Intolerance to cold

The following are symptoms for hyperthyroidism:

  • Irritability/nervousness
  • Muscle weakness/tremors
  • Infrequent, scant menstrual periods
  • Weight loss
  • Sleep disturbances
  • Enlarged thyroid gland
  • Vision problems or eye irritation
  • Heat sensitivity

Complications and Outlook for Thyroid Conditions

The overall outlook varies between hypothyroidism and hyperthyroidism. With hypothyroidism, your levels and all symptoms may develop with medication, but it’s a condition you’ll likely be treating yourself for the rest of your life.

This is not necessarily the case with hyperthyroidism. If antithyroid medicines work, then your thyroid hormone levels will normalize without any additional problems.

Once you have any form of thyroid disorder though, your diabetologist doctor will monitor your condition with occasional blood tests to make sure your thyroid hormones are at optimal levels.

Complications of thyroid disease:

  • Anxiety (seen more in hyperthyroidism)
  • Depression (seen more in hypothyroidism)
  • Weight fluctuations
  • Fertility issues
  • Birth defects
  • Heart problems
  • High blood pressure (seen in hyperthyroidism).

Dr. Ashutosh Sonawane is a Consultant Adult & Pediatric Endocrinologist & Diabetologist at SARTHAK HEALTH CLINIC Nashik.


How to Diagnose Diabetes

How is Diabetes diagnosed?

Numerous blood tests are available to diagnose diabetes. abstinence and 2 hours after lunch blood glucose levels are commonly done. Hb 1 Ac test can help to examine long-term control of diabetes.

What treatment do people receive for diabetes?

People with diabetes can initially manage blood sugar by changing lifestyles. die and exercise. However, not all diabetics would control sugar by lifestyle modification but would need medication in the form of tablets Good control of diabetes is necessary to decrease the risk of diabetes difficulties.


Tips for Managing Diabetes

Controlling diabetes is a challenge every day. There are so many variables to keep in mind – food, exercise, stress, general health, etc. One of the most challenging parts of diabetes management is the fact that patients have to make so many choices — every day — on their own. How many carbohydrates are in this meal? How much should I take? What changes do I need to make? Maintaining blood sugar levels in the desired range is a constant balancing act.



  • Exercise daily
  • See your Diabetologist monthly
  • Test your blood with other work-up periodically
  • Follow the diet as recommended by a nutritionist.
  • Examine the changes as we treat you
  • Mentally prepare yourself




  • Do not change medicines or stop without consulting
  • Do not miss HBA1C
  • Do not continue diet, exercise, or drugs which the body does not permit
  • Do not modify your diets on your own
  • Do not attempt to decrease weight as one may think losing weight can help them get rid of Diabetes easily.
  • Do not feel depressed, it’s not just you in the whole world.



Dr. Ashutosh Sonawane