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Dr. Madhusudhan R L

Endocrinologist, Bangalore

100 at clinic
Dr. Madhusudhan R L Endocrinologist, Bangalore
100 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Madhusudhan R L
Dr. Madhusudhan R L is an experienced Endocrinologist in Babusa Palya, Bangalore. He is currently practising at Lalitha Clinic in Babusa Palya, Bangalore. You can book an instant appointment online with Dr. Madhusudhan R L on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Bangalore 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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No 7,J.P.Nagar 1st phase, 8th cross,J P Nagar,Landmark:I.G.CircleBangalore Get Directions
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My fasting glucose is 200 mg/dl, hbA1c is 8, was using Diabend M tab, what should I use now to correct my glucose levels?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
My fasting glucose is 200 mg/dl, hbA1c is 8, was using Diabend M tab, what should I use now to correct my glucose lev...
The reports are high as you can very well see. It implies that we have to adjust the medicines to ensure that you achieve the glycemic target of Hba1c <6.5% and fasting <100 mg/dl and 2 hour post meal blood glucose <140 mg/dl. We need to achieve a good control as you are young and we want to prevent long term damage to heart kidneys and nerves.
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Goodafternoon doctor. I am a thyroid patient since 2 years. T3 is 3.84pmol//l, T4 14.50 TSH 4.37. I am 35 years old lady. Pl suggest me something to reduce weight gain. Taking 50 mg eltroxin daily. Regards.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Your BMI is 24.6 kgs/M2, which is marginally high. Your Ideal body weight should be about 60 kgs. Reducing 3 kgs is not all that difficult. Even a marginal reduction in food intake and daily exercise of over 1 hour, can help. Your TSH leve also is good. Thanks.
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I am suffering from diabetes type 2 since 15 year taking medicine glycomet 500 Please advise other medicine for fast improvement also taking telmikind 20 for high blood pressure.

MSc
Dietitian/Nutritionist, Chandigarh
I am suffering from diabetes type 2 since 15 year taking medicine glycomet 500 Please advise other medicine for fast ...
Dear user, to control diabetes just modify your normal diet interms of simple sugar n fatty foods. Eat at regular intervals avoid refined foods like maida root veggies like arbi, aloo to b taken in moderation skimmed milk n products to b used avoid junk food, fried foods avoid colas n fruit juices exercise daily.
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I am 55 years age i am sugar patient my sugar levels between 185 to 220,please help me with medicines.

MBBS, cc USG
General Physician, Gurgaon
I am 55 years age i am sugar patient my sugar levels between 185 to 220,please help me with medicines.
Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Anti diabetic medicines are available Kindly tell me what medicine you are taking consult Diabetologist for further management
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months and hashimoto's thyroiditis is an auto immune disease where we can control it with medication but not cure it completely.
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Sir I am a thyroid patient & now my bp medicine is also started. Can I go for a coconut diet. If as then in what proportions from morning to night. I am taking garcinia combogia capsules for weight loss. But I get puffy foots after taking it should I continue taking it or not.Please tell.

PDDM, MHA, MBBS
General Physician, Nashik
Sir I am a thyroid patient & now my bp medicine is also started. Can I go for a coconut diet. If as then in what prop...
Please don't take coconut diet as well as garcinia cambogia. There is no scientific evidence of both the diets.
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Treating Diabetes With Ayurveda

BAMS, MBA - Health Care Administration
Ayurveda, Gurgaon
Treating Diabetes With Ayurveda

Diabetes is an abnormal condition where the sugar-level in humans are higher than usual. Ayurveda can be used efficiently in treating this condition. Madhumeha is the Ayurvedic term for diabetes. In Indian terms, diabetes is known to the common man as Prameha, which is said to be divided into 3 major types – Kapha, Pitta and Vata. Lack of exercise and intake of food having excess of snigdha, ushna and guru types are said to be the chief cause of prameha.

Along with drugs and medications, Ayurveda stresses on the importance of a balanced diet and exercise. The management modules that can be categorized are:

  1. Vyaayam (Exercise)
  2. Panchakarma (Procedures for Bio-purification)
  3. Pathya (Regulation in diet)
  4. The use of therapy (Medications)

The individual’s constitution highly affects the ayurvedic treatment of prameha. Some of them are:

  1. Obstruction in srothus
  2. Ahara and Vihara
  3. Dosha predominance of disease
  4. Hereditary factors
  5. The prakrithi of the patient
  6. Manasika Prakrithi
  7. Dooshya vitiation

Management of diabetes can be done using a variety of herbs. Some of them are:

  1. Vjaysar
  2. Eugenia jambolana (Jamun beej churna)
  3. Pterocarpus marsupium (Vijaysar churna)
  4. Ficus bengalensis (Nyagrodha twaka churna – banyan tree bark)
  5. Shilajeet
  6. Momordica chirantia Karvellaka (Karella – Bitter Gourd)
  7. Kirat tikata (Chirayata)
  8. Emblica officinalis (Amla)

It is possible that certain patients are unable to respond to insulin or hypoglemic medicines. In this case, an ayurvedic physician may prescribe some ayurvedic drugs such as:

  1. Dhatri Nisha
  2. Chandraprabha vati
  3. Vasant kusumakar rasa

Diabetes is not just a lack of insulin. It is the most probable cause is plain poor maintenance of your body. Its cure will need to include all of these things discussed. By doing all, diet, herbs, exercise and stress management, you can certainly take care of your Diabetes.

3229 people found this helpful

Please suggest diet plan for hyperthyroidism. Continuous weight loss. Currently weight is 46 kg. M 28 years old.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dietary recommendations: Avoid foods high in iodine, such as seafood, iodised salt, eggs, curd, and milk. Eat cruciferous vegetables like cabbage, cauliflower and broccoli, preferably raw. Green leafy vegetables like mustard greens, spinach and kale are believed to depress the function of your thyroid. You have to get thyroid in good control and eat balanced diet to gain weight.
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I am 38 years old and suffering from acute pancreatitis. At present my blood sugar (fasting) is 120. What should I do.

DM - Endocrinology
Endocrinologist, Hyderabad
At blood sugar of 120 you need not do anything except diet and exercise. Is it acute or chronic pancreatitis.
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3 Major Causes of Infertility in Women

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
3 Major Causes of Infertility in Women

The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.

Treatment of infertility depends on:

  1. Cause of Infertility
  2. Duration of Infertility
  3. Age of both partners
  4. Personal preferences

Causes:
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following

  • Premature ovarian failure
  • PCOS (polycystic ovary syndrome)
  • Poor egg quality
  • Hyperprolactinemia
  • Overactive or Underactive thyroid gland
  • Chronic conditions like cancer or AIDS.

2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:

  • Submucosal fibroids
  • Surgery
  • Endometriosis
  • Previous sterilization treatment

3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.
Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments.
In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:

  1. Medications
  2. Surgery
  3. Change in lifestyle
  4. Sperm retrieval

You can also take the package for Living Healthy - Woman.

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI)
  2. Stimulation of ovulation with fertility drugs
  3. Surgery to restore fertility

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:

  1. Intracytoplasmic sperm injection (ICSI)
  2. Assisted hatching
  3. Donor eggs or sperm
  4. Gestational carrier

Some complications that may occur during the treatment of infertility are:

  1. Multiple pregnancy
  2. Ovarian hyperstimulation syndrome (OHSS)

If you wish to discuss about any specific problem, you can consult a specilized gynaecologist and ask a free question.

4155 people found this helpful

I am 32 years of old. I am sufering with thyroid. Tsh is 22.3. Due to that my skin started with patches. After cinsulting doctor she told me this happened due to thyroid and advised me take to take thyronorm 50mg regularly. No the patches in some parts of the body are totaly gone but on lips it is slowly increasing overally. Please advise me that how can I reduce this thyroid and white on my lipa.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
For hypothyroidism only treatment is taking tablet thyronorm in the recommended dosage. Once the condition comes under control skin and lip will be normal. You may meet a local dermatologist if need be.
3 people found this helpful
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I am suffering from diabetes since last 7 years. My glucose levels are always under control ie 99 and 142 .But my weight lost severely from 75 kg to 55 kg. please suggest me how to regain my lost health. My hight is 5 ft 8 inches and age 36.

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
I am suffering from diabetes since last 7 years. My glucose levels are always under control ie 99 and 142 .But my wei...
Hello Mr. Lybrate user. It's good that you have controlled diabetes since 7 years But with information provided you have lost significant amount of weight I personally feel it's not due to diabetes it can be due to either poor nutrition or some chronic infectious disease Get your CBC ESR AND CHEST x ray done Till then just start taking D- protein two tea spoon in glass of milk after walking You can contact me once your reports comes.
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Is watermelon can be taken in diabetes can sugarfree compound can be taken as substitute.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is watermelon can be taken in diabetes can sugarfree compound can be taken as substitute.
lybrate-user, Water melon can be consumed by a person with diabetes. But daily intake should not exceed about 100 g, that too with strict blood glucose control. Sugar free tablets can be used as a substitute for sugar. However, none of the sugar substitutes are very safe. Regular use of these compounds tends to increase craving for sweets. Long term usage is also no considered safe enough. Thanks.
1 person found this helpful
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Hi. I am 42 year old man suffering from diabetes from 6 month now my blood sugar is around 120-130 .But still I can't stop myself from eating sweet things. Can I get my old days back .I am using diet sugar of "natural" brand for my daily needs of sugar. My hunger of sweet things is not controlling. Can I use this diet sugar as much as I want? And if not is there any thing that can help me? Please!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi. I am 42 year old man suffering from diabetes from 6 month now my blood sugar is around 120-130 .But still I can't...
Mr. lybrate-user, Thanks for the query. The blood glucose value mentioned is related to fasting levels, is it not? If you have confirmed diabetes, ten you will have to stop taking sugar in any form. Because it is directly converted to glucose immediately. Plus looking at your weight and height it is clear that you are having grade 1 obesity with a BMI of 31.25 kgs/M2 (normal <23 kgs) This is a major contributaor for increased blood glucose. Since you have developed diabetes, then you will have to STOP EATING SWEETS for your lifetime. There is no other option. Thanks.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes Management in Ramadan

During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
Followers will typically eat just after sunset and again before dawn.
In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
Islamic law does not require fasting when it would create a physical danger.
Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
Long-acting sulfonylureas should be avoided.
Once-daily sulfonylureas should be taken at the sunset meal.
For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL ? particularly for patients with type 1 diabetes ? they should also break their fast and take insulin.
Patients should be cautioned against overeating after breaking the fast.
Moderation is the trick. Don't overfill an empty stomach.
Patients should be counseled about avoiding dehydration as much as possible.
Also adjust BP medicines during Ramadan

My wife is a diabetic patient. She is complaining about burning type feeling in her foot. Is this normal and can be cured with medicines or what to do? Please advise also share if there is any medicine for it. Thanks.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
My wife is a diabetic patient. She is complaining about burning type feeling in her foot. Is this normal and can be c...
Thank you for the query. As per the symptoms you have provided, your wife is probably suffering from a condition called diabetic neuropathy. It is a condition which causes nerve damage in diabetics. High blood sugar can injure nerve fibers throughout the body, but diabetic neuropathy commonly damages nerves in the legs and feet. This leads to tingling/numbness, burning sensation and pain in the feet and hands (gloves and stockings distribution). A nerve conduction velocity test confirms the diagnosis. Usually vitamin b12 supplements help. A number of other medications like gabapentin, duloxetine, pregabali are available for this condition, but they should not be given without consulting your physician, as they may cause sleepiness. Glycomet has metformin, which itself can lead to vitamin b12 deficiency. It is important that your wife takes adequate foot care, and note for any corns/callous or minor injuries, which need to be dealt with early in diabetics. Regards.
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I am 65 years old suffering from diabetics since last 25 years, regularly taking jalra m-50/500 &glybose-0.3 mg b. D but still sugar level fasting&pp remains 190, what i have to do?

PDDM, MHA, MBBS
General Physician, Nashik
Please attach your bsl reports. As 190 is fasting or pp. Kindly consult privately for personalised management.
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I read article about the Red wine today. I would like to know whether Red wine can be drink if a person is diabetic? (Not on insulin). And some doctor suggested my wife not to eat Red/Black grapes as she is suffering from kidney stones also. Please let me know. Thanks

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Khagaria
I read article about the Red wine today. I would like to know whether Red wine can be drink if a person is diabetic? ...
Consuming grapes is not related to formation of kidney stones. Regarding red wine According to the American Diabetes Association, drinking red wine — or any alcoholic beverage — can lower blood sugar for up to 24 hours. Because of this, they recommend checking your blood sugar before you drink, while you drink, and monitoring it for up to 24 hours after drinking. Effects on blood sugar aside, there is some evidence that red wine might provide benefits to people with type 2 diabetes.
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BHMS
Homeopath, Bangalore
Hello these days thyroid issues are increasing due to high iodine content and there are adverse effects of it on body so follow this as you get a pack of salt fry it nicely in a pan till there is a colour change of light brown n during this process you may find the smoke and odour coming from that frying pan, (which is very bad) that is iodine which gets evaporated. Try this then you may not suffer for hair fall n others symptoms.
3 people found this helpful

Hi.Iam 22 years old. I am not a diabatic.I am having problem of cough everyday .When i had check prevous i was having b12 deficincy , so that i took b12 injection then it was okk .But now i am having problem of exessive saliva in mouth .I also feel low in energy. I am taking calcium supplements .But sometimes i feel am ok then that saliva problem occurs.So please give absolute answer of my problem.I have some time irritation in eyes.

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist, Mysore
As you have dust allergy most probably your irritation is also due to allergy. Anti-allergic eye drops will give you relief from itching but i suggest you consult a pulmonologist who specializes in allergic disorders and get yourself desensitized or start taking anti allergic tablets like montelukast
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