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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
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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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Personal Statement

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 28 yrs of age and my TSH is 8.62 while T3 is 92 and T4 is 6.40. I just got my thyroid test done for first time. Please suggest what I need to do being a male.

MD - Consultant Physician
General Physician, Mumbai
The TSH is higher than normal. Regarding the T3 and T4, you will need to do the Free T3 and Free T4 as they are more accurate. If these values are less than normal, you will surely have to take thyroid hormone supplements. However, if they are within the normal range it is possible that you have subclinical hypothyroidism. You should consult your physician.
1 person found this helpful
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I have irregular periods problem, is that due to thyroid, I am using thyroid medicine from two months, now also it is irregular.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have irregular periods problem, is that due to thyroid, I am using thyroid medicine from two months, now also it is...
Hypothyroidism irregular menstrual period is one of the commonest symptoms. Along with that there may be some times excess flow. Since you are on treatment for just 2 months, it may take a bit longer for complete recovery from symptoms. When treatment is effective tsh levels should be between 3 to 4 milli units/ml. If that is achieved then most symptoms will be in check.
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I have sugar problem and taking medicine is Glycomet 850 mg SR twice a day in morning at breakfast time and 2nd at dinner time (Both dose taking before 5 mnts of BF and dinner) after taking this medicine my sugar is controlled .you are requested, is it any path so that I will perfectly alright and I drop this medicine. Yes my wt is 105 and trying to reduce it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have sugar problem and taking medicine is Glycomet 850 mg SR twice a day in morning at breakfast time and 2nd at di...
Mr. lybrate-user, You have not mentioned the blood glucose levels and HbA1c%, to give any comment. Secondly with a grade 3 obesity there is no way of controlling blood glucose without any medication. But if you reduce weight by 5 to 8 % then most probably blood glucose will also come down. Thanks.
2 people found this helpful
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I cannot control my sugar level taking Jalra 50/500 and 1 reclimet in the morning and again 1 Reclimet in the evening. My body is disturbed by diabetes a lot where BP gives it a more rise. For BP, I take olneser 40 in the morning I request you to please suggest me how to control my diabetes?

MBBS
General Physician, Cuttack
I cannot control my sugar level taking Jalra 50/500 and 1 reclimet in the morning and again 1 Reclimet in the evening...
1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
1 person found this helpful
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I am 30 year old and my fasting glucose is 105, want to know that am I suffering from diabetes or its normal.

md general phisician
General Physician, Hyderabad
I am 30 year old and my fasting glucose is 105, want to know that am I suffering from diabetes or its normal.
Hello, 105 mg/dl isnormal fasting blood sugar levels. In fasting sugar levels should be between 80 to 125mg/dl is normal and in post lunch or in random blood sugar levels should not exceed 150mgs / dl. But please do regular exercises maintain healthy diet and vegetables. And last but not least is should avoid stressful life. Do yoga and meditation.
2 people found this helpful
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I am 18 year old and recently know tht I am diabetes patient and yesterday I am doing test fasting and pp fasting is 211.5 PP is 347.5 its very high treatment started but from last month I feel problems in my penis. After searching and known about problem I found tht I am suffering from urinary bladder cancer problem. 1 month ago my weight is 80 kg Now my weight is 69 kg I am tensed now sir. Plzz help me and tell me something.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 18 year old and recently know tht I am diabetes patient and yesterday I am doing test fasting and pp fasting is ...
Zoryl m 1 iis for type 2 diabetes. Type 1 requires life long insulin treatment. Zoryl M1 has glimeperide and metformin. Metformin helps to loose weight and increases insulin sensitivity. According to your height of 5 ft your weight should be in range of 50-53 kgs so you are still on higher side. Instead of googling consult the respective specialist.
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Sir my friend is a sugar patient please let us know which medicine he should take to control and do, s dont' s for him. Sir his sugar was 240 aftr breakfast

BAMS
General Physician, Delhi
Get his hba1c level checked & kft levels. Stick to vegetarion diet. Inform reports by click on private I will prescribe medicines.
1 person found this helpful
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Joint Pain Due to Hypothyroidism - Know How You Can Manage it!

MD - Medicine, MBBS
Endocrinologist, Delhi
Joint Pain Due to Hypothyroidism - Know How You Can Manage it!

The body is controlled by chemicals known as hormones. These are produced in minute quantities by minute organs, but have great control on almost all body functions. There are different hormones, each determining different functions like how tall a person will grow, how strong the bones will be, how well a person can react to stress and the reproductive ages. There is also a master gland called the pituitary which is situated somewhere deep in the brain, which controls all these organs. Small variations in the amount of these chemicals in the body produce significant effect on their respective control organ.

Thyroid is one such major gland, which produces a hormone called thyroxine or T4 as it is commonly called. This controls metabolism and emotional health to a large extent. Reduced amounts of T4 is very common in women, and with altered metabolism, there is increased musculoskeletal pain in various joints.

Here are some of the best ways to reduce Joint Pain from Hypothyroidism:

  1. Step Up to Low-Impact Aerobics: Twenty to 60 minutes of near-daily aerobics — really any exercise that gets your heart pumping — can help speed up your metabolism and counter weight gain, a common hypothyroidism symptom and a contributor to joint pain. But if you have joint or knee pain, choose low-impact aerobics. Swimming is the ideal low-impact aerobic exercise — the water buoys your body and cushions joints.
  2. Strengthen Your Muscles: Strength- or weight-training exercises build muscle mass, which uses more calories than fat even at rest. That promotes weight loss and can ease the strain on your joints. Stronger muscles also directly help protect nearby joints. For example, strengthening exercises such as squats, lunges, and leg lifts develop the muscles that support the knees. Start slow with 15 repetitions of each exercise. Then build up to three sets of 15 reps each.
  3. Get Plenty of Sleep: Sleep is the time for muscles and joints to recover. If you're not sleeping well, you are not recovering as fast as you could be. What's more, when you're sleep deprived, you're likely to crave junk and comfort foods that can contribute to weight gain, which adds stress to your joints and increases joint pain. Aim for seven to eight hours of quality sleep each night.
  4. Stick to a Healthy Diet: Replace the junk food that can lead to weight gain with choices that enhance your health. For example, add fatty fish to your diet. It's a good source of omega-3 fatty acids, known to decrease inflammation, which may be contributing to your muscle and joint pain. Coldwater fatty fish such as salmon, mackerel, and tuna have some the highest amounts of omega-3s. Also be sure to get lots of fresh fruit and vegetables high in antioxidants, which may counter inflammation, too.
  5. Practice Yoga: Yoga poses are a great way to provide relief for joint pain while also increasing flexibility. For shoulder pain, look for poses that open your chest, like this simple pose: Sit with your feet flat on the floor. As you inhale, stretch your arms over your head. Clasp your hands together over your head and then turn your palms up toward the ceiling. Drop your shoulders and straighten up as if pushing through your head. Hold for 30 seconds. Release your hands, bringing them down behind you. Next, clasp your hands behind your back and lift your arms. Hold for another 30 seconds.
  6. Don't Let Fatigue Win: Fatigue is one of the most common hypothyroidism symptoms. Even though you might feel listless, you'll benefit from exercise because it will rev your metabolism and help you maintain flexibility despite muscle and joint pain. If you're too exhausted to complete a full exercise routine, break it up into several short bouts — even 10 minutes done three times a day will be effective. Also, stretching and relaxation exercises within two hours of bedtime may help you sleep better.
  7. Meditate for Stress Relief: Having a chronic condition such as hypothyroidism can be stressful, and that stress can actually contribute to pain and tension. That's why it's important to find ways to reduce stress, such as the practice of mindfulness meditation. This form of meditation teaches you how to distract yourself from what's bothering you by refocusing your attention, often on your own breathing. 

Thyroid hormones help all your organs work well. They control how your body uses food for energy.

What Do Thyroids Do

Thyroid hormones affect your metabolism rate, which means how fast or slow your brain, heart, muscles, liver, and other parts of your body work. If your body works too fast or too slowly, you won’t feel well. For example, if you don’t have enough thyroid hormone, you might feel tired and cold. Or, if you have too much thyroid hormone, you might feel nervous, jumpy, and warm.

What hormones does my thyroid gland produce?

The thyroid gland produces thyroxine (T4), which is a relatively inactive prohormone and lower amounts of the active hormone, triiodothyronine (T3). Collectively, T3 and T4 are referred to as the thyroid hormones. Twenty percent of the body’s triiodothyronine is made by the thyroid gland; the other 80% comes from thyroxine converted by organs such as the liver or kidneys.

The thyroid gland also produces calcitonin from cells called C-cells. Calcitonin is understood to play a role in regulating calcium levels in the body, but its exact function in humans remains unclear. Thyroid hormone is one such chemical which has effect on all organs of the body including the joints. Vague pains may be due to thyroid disorders. They are easy to manage with treatment. If you wish to discuss about any specific problem, you can consult an endocrinologist.

3065 people found this helpful

My Sugar level is 110 and 160, My body & bone pain always. I am taking Glimstar M1 tablet , before lunch in the noon and half tab. At night before dinner. Is my dose is correct. I also feel dizziness always. Please suggest , My age is 41 year.

MBBS
General Physician, Delhi
Continue the medicines,blood sugar is normal. Take tablet shelcal 500 daily, check your lifestyle - diet ,exercise Thanks Dr B M GUPTA

I am 29 year old men and suffering from diabetes last 6 month, I am daily take gluconorm g 1 but glucose level not mention, what I do?

MBBS
General Physician, Cuttack
I am 29 year old men and suffering from diabetes last 6 month, I am daily take gluconorm g 1 but glucose level not me...
Along with medicine follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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In type 2 diabetes -should one need councilling before marriage , because there is genetic defect in DM or say beta cells.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
One should avoid getting married to diabetic family. But this is not practically possible because gene of whole India ,Pakistan, bangladesh,Nepal and even part of China is same. Any body can get it,before or after marriage It is your destiny what you call genetics.
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Hi, I was prediabetes 3-4 months back now have lost weight, n hba1c is 5.6 never was under diabetes medicines. But still I am feeling hunger every 2 hr having all the symptoms of hypoglycemia .how to overcome this.

BHMS
Homeopath, Secunderabad
Hi, I was prediabetes 3-4 months back now have lost weight, n hba1c is 5.6 never was under diabetes medicines. But st...
Start having wholesome food ( natural or organic ) and avoid all kinds of junk food and sweetened beverages. Start exercising for 30 minutes everyday. Have patience and wait for the body to adapt to the healthy lifestyle. Do not worry about Diabetes but take all the healthy measures. Learn Yoga ( pranayam and meditation also ) which can be very beneficial for you.
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Diabetes - How Exercise Can Help Keep It In Check?

MD - Internal Medicine, MBBS
General Physician, Delhi
Diabetes - How Exercise Can Help Keep It In Check?

Obesity and diabetes usually go hand in hand and both of them have one common solution - physical exercise. It is a known solution to obesity related problems and after fat loss, many people have stated reduction in health problems caused by it.

However diabetes, whether caused by obesity or not can also be kept in check by regular physical exercise. Let's see how it does so:

1. Keeps body insulin in check - Exercising regularly ensures that insulin levels within your body are kept in check. Insulin is what makes the blood sugar get absorbed into the muscles for energy in the form of glucose. Thus this reduces blood sugar levels within the body and keeps the levels within the body under control for patients who have higher blood sugar counts.

2. Exercising helps reduce depression and stress - Exercising is known to have a very positive effect mentally as endorphins are released after a workout. This makes you feel happier and better about yourself and reduces stress or depression. Both depression and stress are known to have triggered Diabetes related issues in the long run and exercising can definitely help keep them in check.

3. Exercise can actually correct insulin resistance - It is a myth that people who suffer from insulin resistance cant benefit from exercise and it helps regulate resistance. If you start exercising and working out, then the insulin resistance is checked and regulated where in the capacity of the body to absorb blood sugar in the form of glucose actually increases.

4. Reduces the chance of heart problems caused by diabetes - Diabetes increases the chances of heart problems and also the blocking of arteries through arteriosclerosis. These blockages could result in a heart attack or other related problems and exercising can help reduce their possibilities as well.

5. Exercising also helps to keep your appetite in check - it is known that proper exercising works as a hunger killer and thus will help control your appetite. This is good in two ways:

  • A controlled appetite will helps you lose weight which may be a contributing factor to your diabetes
  • If you have non obesity related diabetes, then appetite suppression will help you eat better and stop you from eating foods or untimely snacks that may contribute to blood sugar issues.

However, it is prudent to visit your doctor and discuss how you can optimize your exercise routine to get the best results. If you wish to discuss about any specific problem, you can consult a General Physician.

3232 people found this helpful

My wife has gestational diabetes, please suggest a proper diat chart for her, her age is 26, height 5'4" weight is 59 kg, and she is in seventh month of her pregnancy.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
My wife has gestational diabetes, please suggest a proper diat chart for her, her age is 26, height 5'4" weight is 59...
Please have good life style i. E. Salad fruits and low carbohydrate diet. Brisk walking and insulin is best choice.
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I am 64 years of age. There is no major disease. Tests reveal I am diabetic, have intruding out piles, weak eyesight and feel very worn out and tired. Please advice home treatment.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Start immediately taruni kusumakar 1/2 tsp + trifla chooran 1/2 tsp bd with warm water. Karela+ amlaki cap 1 each twice a day meshashringi 1 cap bd. Arshoghani vati 2 bd lots of warm water x 7 days. Please send blood sugar and bp reports. Cholesterol reports.
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My father is a sugar patient. Is there any difference between sugar and diabetes. What precautions he must have to take in his meal?

MBBS
General Physician, Cuttack
My father is a sugar patient. Is there any difference between sugar and diabetes. What precautions he must have to ta...
Diabetes is due to increased blood sugar 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
2 people found this helpful
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I am an diabetic and want to keep control of it, please prescribe some good control medicine for the same.

MBBS
General Physician, Cuttack
I am an diabetic and want to keep control of it, please prescribe some good control medicine for the same.
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
2 people found this helpful
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I have thyroid problem, and in morning, my voice become very rough and harsh what should I do is there any exercise for thyroid cure.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
may be you can try neck exercise. how much it will be effective is no guarantee. Make sure that your thyroid levels are well controlled
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Hello doctor. I am married (33 yrs) n I am hvg uric acid (now it is in control) . After my second delivery time I got thyroid. Due to hyper thyroid I hd taken ayurvedic medicine till one yr. Now my course had completed. Before 2 months ago. N it is in control n doctor advised me not to take any medicine n m not taking any medicine. But now I hv joined gym to reduce weight n I hv reduced 7 kg. Now problem is that I want to lose more due to heavy thigh back n tummy. But it isn't going on. Kindly Help me in this matter. N provide diet chart if needed.

PDDM, MHA, MBBS
General Physician, Nashik
Hello doctor. I am married (33 yrs) n I am hvg uric acid (now it is in control) . After my second delivery time I got...
In order to reduce your weight, it is necessary for diet modifications and lifestyle changes. Your diet should be high in fiber, which includes complex carbohydrate foods and low in fat. Include more of raw fruits and vegetables in the diet; avoid saturated fats and oily fried food stuffs. Keep yourself much hydrated; take at least 3-4 liters of water every day. If you are a rice eater, then restrict on rice to one meal day a day. Have whole grams, green leafy vegetables at least twice a week. Never skip your breakfast, because it kick starts your metabolism. For the day. To start the day, eat a healthy breakfast with all essential nutrients. Try to avoid oily fried foods like vada, poori etc and also chutney made out of coconut or groundnut, instead choose sambar or onion / tomato / mint / Coriander chutney. You can have idli or dosa or Chapati with chutney made from onion or tomato or coriander without coconut or you can have it with sambar or any vegetable preparation. Take green tea without sugar as a mid-morning snack along with some hi-fiber or any wheat biscuits. Green tea helps in fat preventing fat deposits in the body and also aids in weight loss. For lunch, restrict on rice, take three Roti without oil, with vegetables and dhal along with a glass of Skimmed Buttermilk. Include salads on a regular basis to increase the fiber content in the diet and avoid sweets, pappad, pickles which are high in calories. During evening, have a very light snack like boiled corn or any fruit or a katori of sprouts or two slices of wheat bread sandwich or boiled Rajma or Channa with salt. Have an early dinner before 8 pm, avoid rice and any preparations made from rice during this time, have either roti made with wheat flour or jowar flour without oil, or any preparation made out of ragi or Broken wheat along with vegetables and dhal, include salads also. Bedtime - a fruit or a glass of skimmed milk or buttermilk can be taken. Fruits like Banana, Seethaphal, Sapota, Avocado, Watermelon, Mango and all Root vegetables (except radish, turnip, carrot) are to be avoided in the diet. There should be a gap of 1.5 hrs- 2 hrs time intervals before you go to bed, after dinner. Keep yourself much hydrated; take at least 3-4 liters of water every day. Along with diet modifications, a minimum 45 minutes brisk walk for 6 days in a week is recommended. Include 'Warm-up' and 'cool-down ‘periods, before and after the exercise regimen. Forty-five minutes per day of moderate intensity physical activity provide many health benefits. Hope I answered your query. Regards.
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