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Dr. N S Ramesh

MBBS, PG Diploma in Diabetology, PG Diploma in Diabetology, Master in Diabeto...

Endocrinologist, Bangalore

41 Years Experience  ·  350 at clinic
Dr. N S Ramesh MBBS, PG Diploma in Diabetology, PG Diploma in Diabetolog... Endocrinologist, Bangalore
41 Years Experience  ·  350 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. N S Ramesh
Dr. N S Ramesh is a renowned Endocrinologist in Banashankari, Bangalore. He has over 41 years of experience as a Endocrinologist. He has completed MBBS, PG Diploma in Diabetology, PG Diploma in Diabetology, Master in Diabetology . You can visit him at Malathi Polyclinic in Banashankari, Bangalore. Book an appointment online with Dr. N S Ramesh and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 31 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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Specialty
Education
MBBS - - 1976
PG Diploma in Diabetology - University of Newcastle, Australia, - 2005
PG Diploma in Diabetology - - 2008
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Master in Diabetology - - 2010
Languages spoken
English

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Malathi Polyclinic

Om Shanthi Tower, #281/B, 1st Floor, 10th Main, Srinivas Nagar 2nd Block, Banashankari 1st Stage. Landmark: Near Ayyappaswamy TempleBangalore Get Directions
350 at clinic
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I am 68 my sugar leve history 20/11 187-332 27/11 182-274 23/12 208-280 29/12 199-322 31/12 166-180 03/01 191-189 07/01 159-183 pl advice what fruit can be taken after lunch and after dinner. What about taking two dates every day? Regards

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I am 68 my sugar leve history 
20/11 187-332
27/11 182-274
23/12 208-280
29/12 199-322
31/12 166-180
03/01 191-189
07...
You can take easily 2 dates per day. No worry. Fruits can be taken apple, amrood,kiwi, orange etc. No fruit juices. Further discuss on line with me.
1 person found this helpful
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Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care: 

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap. 

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

Sir My sugar level is 135/150 (f/pp). Pl provide how to check. Without medicine. Also diet chart Regards.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir
My sugar level is 135/150 (f/pp).
Pl provide how to check. Without medicine. Also diet chart
Regards.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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What is diabetes, how we come to know about it and what precautions should we have to take to control diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is diabetes, how we come to know about it and what precautions should we have to take to control diabetes.
Hello, diabetes is a metabolic disorder affecting carbohydrate, fat and protein metabolism and both small and large blood vessels, with persistent hyperglycemia. In the long run it damages eyes (retina), nerves, kidney, heart and causing problems with lower limbs. It is caused because of either lack of insulin or resistance to its action (t2 dm) or total absence of insulin as in t1 dm. T2 diabetes is a preventable condition, by adapting modified life style one can prevent it. Modified life style means regular exercise, maintaining near normal weight, avoiding smoking and alcohol and eating a healthy diet.
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SIr I'm sugar patIent & the problem Is my age stIll 22 yr's & When I have sex. Tht tIme my pennIes Is not support to me. Tht time not stand this. How can I manage this problem plzz help me. Suggest me. & stIll sugar attack 1years back..

MBBS
General Physician,
SIr I'm sugar patIent & the problem Is my age stIll 22 yr's & When I have sex. Tht tIme my pennIes Is not support to ...
yes sugar problem or diabetic pt do have these problems erectyle dysfunction and premature ejasculation. you have to control your sugar level under medication and diet and regular exercise go for morning walk followed by free hand exercises regularly. have diabetic diet with lot of leafy vegetables and cereals. drinking pomegranate's juices which helps growth, density, concentration of sperms and also helps erectyle dysfunction and premature ejasculation. maintain your body wt as per your ht and wt.it will improve.
6 people found this helpful

I am 44 years, I am taking thyroid 100 mg tablets. Now days I am suffering a lot chronic pains in my body what to do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 44 years, I am taking thyroid 100 mg tablets. Now days I am suffering a lot chronic pains in my  body what to do.?
take dolo sos for pain. Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.
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My 12 yer old son has a tsh of 10.55 and ama of 600. Ft4 is .91 and ft3 3.28. He has visible goitre. What should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My 12 yer old son has a tsh of 10.55 and ama of 600. Ft4 is .91 and ft3 3.28. He has visible goitre. What should I do.
Hello, From results mentioned he has hypothyroidism due to Hashimoto's Thyroiditis. Since he has visible goitre, it better to consult an endocrinologist and start the treatment with thyroxine in specified dosage. If surgery is required, it is the local endocrinologist who can guide very well. Do not waste time and get an appointment. I am sure there excellent endocrinologists in Kolkata. Thanks.
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Hi, I am having hyperthyroidism for 12 years I am taking eltroxin 100 mcg. My tsh go down 0.16 ulU/mL should I stop taking medicine for some time please advise.

BHMS
Homeopath, Thane
Hi, don't stop taking eltroxin.You can decrease the dose to 75mcg. take Thyroidinum 3x(Dr wilmar shawbe ,german) 1 tab to be chewed twice a day for 30 days Do a TSH report and revert back
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My sugar is fluctuating. Sometimes fasting is 200 and pp is 140. This fluctuation especially is the sugar is low causes a lot of weakness extending to two-three days. Normally I take 24 units of injectable insulin. What can be the possible reasons for the fluctuation.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
My sugar is fluctuating. Sometimes fasting is 200 and pp is 140. This fluctuation especially is the sugar is low caus...
Blood sugar variations are very common. The cause may be 1. Not following proper dietary restrictions. 2. Not taking the medicines /insulin at the time adviced. 3. Any fever, stress, infection. 4. Reaction of other medicines, not applicable in your case as you are taking insulin. You need to consult with an expert and rectify the problem with proper coordination. I have also attached a painless continuous glucose monitoring device and tuned the dose of medicine /insulin and diet, and achieved control in many patients.
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Dear Sir/Madam, I am 56 years old male. I have diabetes. I have taken fundus test, got result that I have PDR. Doctor did laser treatment for 3 times in 3 months. But still I have blood leakages in my eyes, my vision is bit blur. Doctor suggested me citravite tablet twice daily and Nepavac drops twice daily. I am using these medicines from my 1st laser treatment which was from 13th, june, 2016. Kindly help me, my vision is still not clear, I had tests it shows that I have blood leakage in eye. Kindly help me. Thanks in advance.

MBBS, CCEBDM
Diabetologist, Bangalore
Dear Sir/Madam,
I am 56 years old male. I have diabetes. I have taken fundus test, got result that I have PDR. Doctor...
Hi First of all make sure your diabetes and blood pressure are very well maintained. By keeping them normal you'll be preventing further damage to your eyes. Laser treatment prevents the progression of retinopathy but does not cure it. Sometimes Lazer itself can cause loss of side vision as the new blood vessels are shrunken. There are some injectable growth factors which may help you. Please talk to your ophthalmologist regarding the same.
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I am 29 yrs old lady with hypothyroidsm. Mother of 1 yr old girl. My weight is 71. I am 20 kg over weight. & absolutely have no time for exercize. So to reduce weight I strted taking shwabes phytollacca berry tabletes. 3 at a time thrice in a day. Its been 20 days now. But I feel extreme pain in lower back & thrice & feel weak. Is it hapning becoz of phytollaca. Also I did not loose weight infact I gain weight by 3 kgs. What shoul I do? shall I stop taking medicines. Please suggest some other way or medicine. I am help less.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 29 yrs old lady with hypothyroidsm. Mother of 1 yr old girl. My weight is 71. I am 20 kg over weight. & absolute...
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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My husband is 37 and he is having uric acid now as 9.3 two months before it was 8.44 he took ziloric tablet after one month's check up his reading was 5.4 he stopped zoric. Yesterday he got severe pain left side of stomach and was taken to doctor. Did blood and urine tests everything was normal except uric acid it is 9.3 what to do now any problem with him anything serious.

MBBS
General Physician, Faridabad
riya, nothing to worry at all, take tab febutaz 1tab od for 15 days, avoid protein diet, milk and its product, paneer, cheese, non veg etc.drink 3-4 liter of water daily, morning walk for 1 hr daily, it will help you. Thanks
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I am 44 years with diabetes and on treatment, my sugar level HBA1C shows 6.4mg I have frequent urination with less quantity. Please advise.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
I am 44 years with diabetes and on treatment, my sugar level HBA1C shows 6.4mg I have frequent urination with less qu...
Your level is quite normal. But if your hba 1c between 4-6 will be good. Natural remedies for diabetics. Tender guava leaf juice aloe vera green tea cinnamon black jamun seed extract methi seed powder drumstick leaf powder flaxseed powder amla neem flower tea multi grains wheat germ and bran lemon grass wheat grass quinoa are some of the foods which definitely control diabetes. Thank you.
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Y parents aged 58 both are diabetic. Can they take multivitamin tab like zevit or any other that you suggest as a supplement? If yes, then for how long? Also my father's hemoglobin count is low around 9%. Please help.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Y parents aged 58 both are diabetic. Can they take multivitamin tab like zevit or any other that you suggest as a sup...
Yes multivitamins should be given to a diabetic patient.i suggest that in addition to multivitamins start giving one tsf amla powder to ur parnts
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I am 52 years old active person and I have been regular walker/swimmer but not active from last 4 months. I am a moderate drinker and I hardly smoke. Recently I got my blood test done and my Hb1AC is 6, Fasting Sugar is 120 .I take regular banana shake and egg in the morning and there after I eat four meal. Kindly advice whether I should take medicine for diabetes and stop taking banana shake. Thanks.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am 52 years old active person and I have been regular walker/swimmer but not active from last 4 months. I am a mode...
Hello, Do not stop with the medicines. Replace banana shake with oats porridge and check. I do think banana shake can five you a problem, unless you add extra sugar to it.
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Diabetes

Fellowship in diabetes, Post graduate program in Cardiology, MBBS
General Physician, Jodhpur
Diabetes

अगर बच्चे और जवान शुरूआत से घूमना walking चालू कर दे तो उसे बाद में diabetes डायबिटीज होने का खतरा 50% तक कम हो जाता है,

So keep walking everyday.

6 people found this helpful

Hi, my grandmother these days have too much problem of cough, bp high, sugar what can we do please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, my grandmother these days have too much problem of cough, bp high, sugar what can we do please help me.
Mr Ashmit, Her diabetes should be brought under good control with proper drugs, diet and some physical activity. Depending on the cause cough also should be controlled with anti cough drugs/syrups/ antibiotics. If you want specific suggestions or prescription then come in a private conversation with details like fasting and PP sugar levels, HbA1c%, dietary pattern and extent of exercise, where I will be able to guide properly.
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Which food is the best for diabetic for maintain the good sugar levels and my father is using trivolib is it good medicine or not.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Which food is the best for diabetic for maintain the good sugar levels and my father is using trivolib is it good med...
Diabetes can be controlled/managed by a proper regulated diet and exercise. Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal. Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc. Reduce foods with high GI Index like potato, white rice, banana, mango. Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc. Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour. Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal. These steps can help reduce sugar levels.
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I am 51 years old male. I have diabetes for the past 15 years. Now I am taking Glycomet GP2 1-0-1, Tazloc20 1-0-0, Ecosprin AV 0-0-1 Glace -X 0-01. But my sugar level remains more than 150 in fasting and more than 260 in PP. Advice me.

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist,
I am 51 years old male. I have diabetes for the past 15 years. Now I am taking Glycomet GP2 1-0-1, Tazloc20 1-0-0, Ec...
Nilavembu kudineer, madhumega kudineer and avaarai kudineer each equal quantity mix with water boil it for 15-20 mon. And reducedreduced the quantity by 1/8. Take it for 7days. Review the feednack.
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