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About Us

Welcome to official website of SHRI SWAMI DIABETES, THYROID AND ENDOCRINE SUPERSPECIALITY CENTRE. Dr Milind Patil best endocrinologist in Pune is assisted by expert and supportive staff who believe in providing care which is personalized to each patient's unique needs.

We specialize in providing quality services in Endocrinology and Diabetology in Arora Tower, Pune. Highly skilled, experienced and specialist by training Dr. Milind Patil strives to offer best & consistent patient care services. Some of our treatments and procedures include Diet Counseling, Oral Glucose Tolerance Test, Growth Hormones Studies, Dexamethasone Suppression Test, Continuous Glucose Monitoring, Endocrine consultation, ACTH Stimulation Test and Ambulatory BP Monitoring.

Explore our site to know more about our facilities, get reliable health information & connect with us instantly. You can ask us health questions or consult with us remotely & securely. We look forward to meeting, inform and serve you dedicatedly in your health & well-being needs.
Download our app that gives practical & helpful tools to manage your health & communications with SHRI SWAMI DIABETES, THYROID AND ENDOCRINE SUPERSPECIALITY CENTRE.
Should you not find answer to your specific question, simply ask the same to your favorite care team at SHRI SWAMI DIABETES, THYROID AND ENDOCRINE SUPERSPECIALITY CENTRE and converse with them securely.

OurTeam

Dr. Milind Patil|Endocrinology and Diabetology|Camp, Pune

Dr. Milind Patil

Endocrinologist
Endocrinology and Diabetology
MBBS, MD, DM, DNB
Practicing Since 2011
Languages English, Hindi, Marathi, Tamil, Telugu
Monday
5:30 PM - 8:00 PM
Tuesday
5:30 PM - 8:00 PM
Wednesday
5:30 PM - 8:00 PM
Thursday
5:30 PM - 8:00 PM
Friday
5:30 PM - 8:00 PM
Saturday
5:30 PM - 8:00 PM
Monday
10:00 AM - 1:00 PM
Wednesday
10:00 AM - 1:00 PM
Friday
10:00 AM - 1:00 PM
Saturday
2:00 PM - 4:00 PM
Thursday
10:00 AM - 1:00 PM
Saturday
10:00 AM - 1:00 PM
Thursday
2:00 PM - 4:00 PM

Procedures & Treatments

We diagnose various ailments and diseases and offer specialized treatments or perform procedures to help you tackle your condition better or recover faster.

Send us enquiry to know more about any specific treatment or procedure that you are looking for.
Some of the procedures routinely done at our clinic are listed below.

Ambulatory BP Monitoring
ACTH Stimulation Test
Bone Density Test
Continuous Glucose Monitoring
Dexamethasone Suppression Test
Story of growth hormone part 1 For an Endocrinologist like me who commonly deals with height related issues in children, growth hormone is just another hormone. It is essential for...Read More
Oral Glucose Tolerance Test
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Facilities & Services

Health Info

We believe in providing high quality health information to all our patients. Have a look at our health information repository which has been built keeping your information needs in mind. Find numerous health topics written in simple & easy to read language. Increase your understanding of specific health topics with FAQs, videos &other patient-friendly resources. Click below to explore various health topics you may find helpful.

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Know about Prolactinoma

What is prolactinoma?
Prolactinoma is tumor of pituitary  gland located in the brain. It arises due to the growth of cells which secrete prolactin.
It is the most common pituitary tumor (nearly 50%) .
In which age group it is commonly seen?
It usually appears in women aged 20–50 years. However it can occur in children also. It is more common in female but even male get afffected with a female:male ratio of 10:1 in that period.
How do we classify these tumors?
We classify them as microprolactinoma and macroprolactinoma. Microprolactinomas  are less than one cm in diameter while macroprolactinomas are more than one cm in diameter. More than 90% of prolactinomas are microprolactinomas , whereas the rest are macroprolactinomas.
What are the symptoms of prolactinoma?
Symptoms varies according to the age, gender. In children it may present with headache, vision problems, growth disturbances. In female it will present in the form of menstrual irregularities, breast secretion,headache, vision problems, infertility. In male it will present with headache, vision prblem, hypogonadism, erctile dysfunction.
What is the treatment for it?
These tumors are generally treated with medicines called Dopamine agonists like cabergoline and bromocriptine. Cabergoline is being preferred to bromocriptine, because of its better tolerance and feasibility of administration.
Other modality of treatment include- surgery, radiation therapy.
Resistance or intolerance to dopamine agonists are the main indications for transsphenoidal adenomectomy in patients with macroprolactinoma.
External radiation therapy has been used in patients with poor response to medical and surgical procedures.
What is the duration of treatment in case of prolactinoma?
Generally these patients require long term treatment. In patients with microprolactinoma treatment can be stopped after prolactin is normal and MRI is not showing any mass.
Is complete cure possible in case of macroprolactinoma?
Complete remission (normal prolactin levels associated with absence of tumor image) is not easy to achieve.
In 10 yrs follow up by Kars and team in Netherland 85% patients were able to achieve control of prolactin levels with medicine but in only 22% patients prolactin level were normal after stopping medicines. Tumor shrinkage was evident on MRI in 57% of the patients. Surgery was needed in 35% patients.(Ref- Kars M, Pereira AM, Smit JW, Romijn JA. Long-term outcome of patients with macroprolactinomas initially
treated with dopamine agonists. Eur J Intern Med. 2009 Jul;20(4):387-93. doi:
10.1016/j.ejim.2008.11.012. Epub 2008 Dec 30. PMID: 19524180.)
In another study 31% patients have rcurrence in elevation of prolactin after stopping the medicines. (Ref- Colao A, Di Sarno A, Cappabianca P, Di Somma C, Pivonello R, Lombardi G. Withdrawal of long-term cabergoline therapy for tumoral and nontumoral hyperprolactinemia. N Engl J Med. 2003 Nov
20;349(21):2023-33. doi: 10.1056/NEJMoa022657. PMID: 14627787)
Another study showed a recurrence rate of hyperprolactinemia in 43.3% of patients with macroprolactinomas after 5 years of CAB
withdrawal. There are some studies suggesting reduction in prolactin level with long term treatment.
So to conclude majority of patients with a prolactinoma, certainly those with macroadenomas, will require therapy that typically continues for many years.
Why doctor advice you to discontinue the treatment?
According to the guidelines if a patient has normal prolactin levels after therapy with dopamine agonists for at least three years and the tumor volume is markedly reduced, a trial of tapering and discontinuation of these drugs may be initiated.
Such patients need to be carefully followed to detect recurrence of hyperprolactinemia and tumor enlargement so that treatment can be promptly resumed.
When surgery is needed in case of prolactinoma?
The main surgical treatment indications include resistance, intolerance or lack of adherence to medical treatment, cerebrospinal fistulas secondary to a reduction of tumor size after therapy with DA, neuro- ophthalmologic defects such as rapid loss of vision or cranial pars paralysis due to intratumoral hemorrhage or pituitary apoplexy.
What other things need to be checked in prolactinoma patients?
Calcium levels of the patient, prolactin of other family members. These things are need to detect some special type of prolactinoma. in addition other pitutiary hormones need to be checked in the patients.
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Fasting in diabetes- what one should know

People with diabetes observe fast for many religious reasons. In Muslim and Buddhist patients the duration of fast is month-long duration while in Hindu patients it may vary as once in a week( Monday/Saturday), once in a month(Chaturthi) or once in a year like Navratri. Fasting can result in both harmful and good consequences depending upon the patient. Hence patients need to consult their diabetologist regarding fasting. Few generalized precautions 1 Day before fasting has more protein and low glycemic index carbohydrate.

1. Maintain hydration.
2. Modify the medicines as per the doctor's advice. This includes either reduction in the dose, skipping the medicine, or change in the timing of tablets/ insulin.
3. Have healthy choices like fruits, milk during fast.
4. Avoid Sweets, fried foods.
5. Avoid excessive exercise during fast.
6. Do check sugar levels during and after fast. If fasting results in very high or very low glucose levels then you will have to breakfast.

SHRI SWAMI DIABETES, THYROID AND ENDOCRINE SUPER SPECIALITY CENTRE Dr Milind Patil

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News & Events

Diabetes check up camp at Shree Swami Clinic
Camp Register Here

"Diabetes check up camp at Shri Swami Clinic"

18/11/2018
9:00 AM - 1:00 PM
Shop 104, West Wing, Arora Towers, Arora Tower,Pune-411001,Maharashatra,India
Shri Swami Clinic organizing diabetes check up camp on 18th Nov, 2018.
During this camp patients can avail the benefits as follows:
1. Sugar Level Test
2. Retinopathy Test
3. Blood pressure check up
4. NeuropathyTest
5. B.M.D. Checkup 
Time: 9 AM- 1 PM
Contact: 020-26140204
World Thyroid Day- Thyroid Camp
Camp Register Here

"World Thyroid Day- Thyroid Camp"

25/05/2018
9:00 AM - 12:00 PM
Shop 104, West Wing, Arora Towers, Arora Tower,Pune-411001,Maharashatra,India
Limited Entries! Hurry Up!!!
On occasion of WORLD THYROID DAY,SHRI SWAMI CLINIC Organises CAMP inclusive of:
1 THYROID FUNCTION TEST
2 Free Consultation by DR. MILIND M. PATIL M.D. MEDICINE, DM ENDOCRINOLOGY , DNB ENDOCRINOLOGY
For registration contact
SHRI SWAMI CLINIC
SHOP 104 WEST WING ARORA TOWER CAMP PUNE
Contact No 020 26140204
Registration fee -200 only

Address

SHRI SWAMI DIABETES, THYROID AND ENDOCRINE SUPERSPECIALITY CENTRE
Shop 214, 2nd floor, Sterling Tower, Opposite Hotel Arora Towers, Camp, Pune - 411001, Maharashatra, India
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