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Dr. Paramesh S

Endocrinologist, Bangalore

500 at clinic
Dr. Paramesh S Endocrinologist, Bangalore
500 at clinic  ·  ₹ online
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Paramesh S
Dr. Paramesh S is a popular Endocrinologist in Kammanahalli, Bangalore. You can consult Dr. Paramesh S at Bangalore Diabetes Centre in Kammanahalli, Bangalore. Book an appointment online with Dr. Paramesh S and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 29 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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English

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#.4-C/426, 2nd Block, Kalyan Nagar, Kammanahalli Main Road. Land Mark: Opp. to Masjid-E-JafarBangalore Get Directions
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I am 45 years old suffering from cirrhosis now I got recognized diabetic also. And my physician has started 20 unit of insulin od. My question is this now will I have to inject insulin life long or it may be for a time period.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 45 years old suffering from cirrhosis now I got recognized diabetic also. And my physician has started 20 unit o...
Mr Deepak, It is difficult give the answer, unless sugar levels (fasting and PP) are mentioned and HbA1c% is known. Some times to control initial severe glucotoxicity Insulin is used along with oral anti diabetic drugs, to bring blood glucose down. Then it may be discontinued. This depends on response.
1 person found this helpful

How to improve sex life if you are a diabetic patient and sugar is well controlled? Should I take any medicines to boost libido?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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How to improve sex life if you are a diabetic patient and sugar is well controlled? Should I take any medicines to bo...
Mr Mukund, Primary thing is blood sugars should be in excellent control like fasting close to 100 mg and PP around 150 to 160 mg and HbA1c%<7. Then you may think of taking certain drugs like PDE-5 inhibitors.
2 people found this helpful

I am having sex problem from 2 month from 3 month I have diabetes & thyroid I consult to doctor & taking tablets.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist
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I am having sex problem from 2 month from 3 month I have diabetes & thyroid I consult to doctor & taking tablets.
In case of thyroid and diabetes you must take ayurvedic medicines. Best part of medicines is it has no side effects. And no clashing with you existing medicines which you are taking for diabetes thyroid. So ayurvedic medicines are best resulting. Wish you good health.

I am 60 yrs. Old. I am a diabetic as per sugar level in my blood report. What immediate precautions I should take to keep my blood sugar under control? is there any other reason which may make blood sugar high in a person having healthy diet.

C.S.C, D.C.H, M.B.B.S
General Physician
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I am 60 yrs. Old. I am a diabetic as per sugar level in my blood report. What immediate precautions I should take to ...
YOur pancreas is getting weaker which is the cause of sugar. Can you send me your FBS, 2Hr PPBS & HbA1C to me privatelyDiabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be n constant touch for regular follow up and advice. It is not as easy 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 sugar 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 privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance.

Hello, my sugar level is 380 mg/DL. What to do to control it to be normal. Navneet singh.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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Hello, my sugar level is 380 mg/DL. What to do to control it to be normal. Navneet singh.
1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water you ned medicine also, for medicine contact on private chat. With latest bloosd sugar f/pp. Lipid profile Bp. And hba1c good luck.
2 people found this helpful

My father has detected high sugar level. What diet should he take at initial stage?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My father has detected high sugar level. What diet should he take at initial stage?
Once diabetes is detected apart from taking proper it is essential to take suitable diet which will depend on weight, level of physical activity and sugar levels. So it is usually a patient specific diet. General things to be kept in mind are use whole grain flour (n0 maida), very little oil, more green salads, less of potatoes, use multiple grains etc.

For diabetes tab is better or insulin.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Insulin is always best. But it depends on what is your blood sugar levels. Based on it your treatment plan is selected. Your diabetologist will be the right doctor to advise.

Agar diabetes ho to for use kaise hatane ke like kya Karna chahiye or kya nahi Karna chahiye

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Agar diabetes ho to for use kaise  hatane ke like kya Karna chahiye  or kya nahi Karna chahiye
Agar confirmed diabetes hai, to jo dava jaruri hai wo leni padati hai. Bina modern medicine (oral or insulin injection) diabetes control may nahi ayega. Usake saath regular exercise aur restricted diet lena bhi jaruri hai.
3 people found this helpful

I am 56+ years old Suffering with diabetic. Fasting sugar 185 and after 265. Every day 1 km. And also suffering with knee pains. What can I do

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query. You have to take care of your diabetes as per your general physician/diabetologist advice. As far as your knee pain is concerned, it can be due to some degeneration setting in the joint which we call as arthritis. I need to know duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
1 person found this helpful

I am 35 years old, having diabetes for the past 2 years. I am on tablets. I have heard many people saying sugar can be easily controlled by proper diet. What kind of food is good? Is chapatti good?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I am 35 years old, having diabetes for the past 2 years. I am on tablets. I have heard many people saying sugar can b...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.

Hi i am Suffering from gouty artheritis. Now the urinc acid levels are 8. 4 mg/dl (men). I observed that gradually increasing of uric acid levels even the continuation of medication and diet.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Can you please tell me what medications are you taking for increased uric acid level control? also are you experiencing any symptoms because of high uric acid values? do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

I am suffering from hypothyroidism and I am taking 25 mg Thyronorm tablets last two years. 6 month before my tsh level was 6.4 and today my tsh level is 6.3. Currently I am taking 25 mg tablets, whether I need to increase dose upto 50 mg Thyronorm tablets.

MD(MEDICINE), MBBS
Nephrologist
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I am suffering from hypothyroidism and I am taking 25 mg Thyronorm tablets last two years. 6 month before my tsh leve...
The target tsh levels in a case of patients on treatment forhypothyroidism is 1-2 mu/l. So, you are suboptimally treated. You need to hike up your thyroxine dose under the supervision of your doctor to achieve that target. Make sure that you take tab. Thyroxine preferably empty stomach 1 hr. Before breakfast or otherwise at least 2.5 hrs after dinner.
22 people found this helpful

How to avoid having thyroid if you have a tendency to have it? And if you have little thyroid at the starting level how to cure it?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Lybrate-user, if there is family history of hypothyroidism, it may occur in the offspring also. There is no specific method to avoid it from developing. However, using iodinated salt regularly so as to prevent deficiency of iodine leading to development of hypothyroidism, is one method. Secondly it is better to avoid soy beans, soy containing foods, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Plus use whole grain flour for making roti and chapati, avoid maida and products made out of it. Plus use low fat milk products and eggs. Plus exercise regularly to maintain normal weight. If sub clinical hypothyroidism develops then also above measures hold good. Hypothyroidism being a thyroxine deficiency disorder, there is no cure, it can only be controlled when it does occur. If it occurs then treatment is for lifetime. Thanks.
1 person found this helpful

I'm 25 years old last year I was tested for HbA1C and value was 6.9 so Dr. said you may have diabetes but few months ago I went for blood sugar test and report was just normal. I don't eat much sugar and do yoga n walking regularly. I may have sugar problem?

FDRC (2 years full time Fellowship in Diabetes), PG in Family Medicine, MBBS
Endocrinologist
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I'm 25 years old last year I was tested for HbA1C and value was 6.9 so Dr. said you may have diabetes but few months ...
Please accept the fact that you have diabetes. (Reference: ADA guidelines, 2016). You can do the following tests if you still feel the other way: 1) OGTT (5samples each 30 minutes apart) 2) CGMS Please consult Diabetologist ASAP Regards,

I am hyper thyroid patient. Tell me if green coffee will help me to reduce weight or not? And green coffee has any side effect on me as m a thyroid patient.

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist
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I am hyper thyroid patient. Tell me if green coffee will help me to reduce weight or not? And green coffee has any si...
Hi I can understand that weight gain is a big problem now a day. The main reason behind weight gain is eating more of the processed food, less of exercise and drinking less water. You observe the habit of yours, you will find that these three reasons. Hence to lose weight cutting on processed food, sugary food, drinking 3-4 liter of water daily and exercise for min of 30 min per day is essential. Balanced food is the key to long term weight loss. I can suggest a diet plan and some dietary supplement for quick weight loss. I am suggesting a general diet and supplement for you. You can visit my clinic for free detailed body composition analysis. Sample Diet Plan Breakfast – green Juice. Lunch – vegetable pulao with pineapple fruits. Dinner – paneer with green salad. Snacks – 25g almonds with green tea. Suggested supplement Microfruit tab after breakfast Cytofresh tab after breakfast Lipolyzer tummy tab after lunch Lipolyzer hips and thigh tab after lunch.

* Fatty liver grade 3 * Spina bifida L5 vertebra seen * Sugar fasting 171 Sugar pp 284 Any time back pain in right leg Any time full body harassment.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist
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* Fatty liver grade 3 * Spina bifida L5 vertebra seen * Sugar fasting 171 Sugar pp 284 Any time back pain in right le...
Keeping your diabetic condition, fatty liver grade 3, you need to follow a 1700kcal moderate carbohydrate, moderate protein, high fibre, high antioxidant, high omega 3 fatty acid rich diet plan, you can schedule your meal timings from your wake up time, but make sure you are maintaining 2-3 hour intervals and consuming the mentioned foods and portions at the appropriate meals. Do follow it to the maximum for best results. Make flaxseed, drumstick leaves, curry leaves powder and sprinkle 30 gm daily on all the foods you consume throughout the day. Consume lot of leeks and lettuce smoothie which is high in fibre content. Also you can consume raw lady's finger water soaked overnight for your diabetes condition. Substitute multigrains in the place single cereal or millet like rice or wheat or ragi to increase the fibre content in your diet for your fatty liver.

I am 58 years of old and diabetic II patient. Is there any Ayurveda medicine for this. If yes, mention the name of medicine and their taking formula please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 58 years of old and diabetic II patient. Is there any Ayurveda  medicine for this. If yes, mention the name of m...
U can take diabecon tab 1 tab 30 min before meals twice daily....BUT u hve to take allopathic medicines with it...

I am diabetic and I am taking zanuvia 100 mg. Zemerds2, telmax25. Caspa plus and zemerds 1. My question is to control diabetes if we go to gym and use treadmill for 15 to 20 minutes. Is this duration enough or it should be increased? Except this which exercise would you suggest to control diabetes.

MBBS
General Physician
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I am diabetic and I am taking zanuvia 100 mg. Zemerds2, telmax25. Caspa plus and zemerds 1. My question is to control...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and keep a check on your sugar value and decide exercise timing accordingly.
2 people found this helpful

PDDM, MHA, MBBS
General Physician
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How excess sugar effects your whole body.
5 people found this helpful

Actually my weight is increasing day by day and I need a perfect diet of morning till night mythyroid and diabetics results r normal just please me in this I really need a perfect body.

PDDM, MHA, MBBS
General Physician
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Actually my weight is increasing day by day and I need a perfect diet of morning till night mythyroid and diabetics r...
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
2 people found this helpful
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