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Dr. Sudhindra

MBBS

Endocrinologist, Bangalore

17 Years Experience  ·  250 at clinic
Dr. Sudhindra MBBS Endocrinologist, Bangalore
17 Years Experience  ·  250 at clinic
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Personal Statement

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. Sudhindra
Dr. Sudhindra is a popular Endocrinologist in JP Nagar, Bangalore. He has been a successful Endocrinologist for the last 17 years. He has completed MBBS . You can visit him at Rajguru Clinic in JP Nagar, Bangalore. Don’t wait in a queue, book an instant appointment online with Dr. Sudhindra on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 32 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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Education
MBBS - Kohler Medical College - 2000
Languages spoken
English

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# 608, 15Th Cross, 100 Ft Road, Jp Nagar 1St PhaseBangalore Get Directions
250 at clinic
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My grandmother aged 60yrs, is having high sugar level it is never going down to 180. please give some suggestions and suggest diet and some better medicines.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My grandmother aged 60yrs, is having high sugar level it is never going down to 180. please give some suggestions and...
●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil  ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats  ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS:  Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean
1 person found this helpful
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I am 31 year and 48 days pregnant. In blood test report my thyroid level is 11.6 so I am suffering from hyperthyroidism. Is it dangerous for my pregnancy? which medicine can decrease my thyroid level?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 31 year and 48 days pregnant.
In blood test report my thyroid level is 11.6 so I am suffering from hyperthyroidi...
Hypothyroidism is a condition which can only be treated by taking tab thyroxine (thyronorm), to begin with start on 50 mcg daily, to be taken early morning on empty stomach and after that for 2 h nothing to be taken. Since you are pregnant medication has to be started right away and to be continued with out break. After 3 - 4 weeks check tsh, t3 & t4 levels.
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A girl age 26 years have TSH value 79. 935 which is greater than normal TSH value 4.780, and T4 value is 0.59 which is less than normal T4 0.89, What that's means and what she do to make her TSH normal? Is she have to increase eating iodine chloride salt in food? Please suggest what to do.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
These values of TSH and T4 imply that her thyroid is functioning less than normal. Therefore she has to be given thyroid hormone medication from outside to bring TSH within normal limits and to bring relief to her symptoms if any. Please note that increasing iodine or chloride will not help in her case. She will have to take thyroid medication for sure. Hope this helps.
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I am 33 years old. My fasting sugar levels are in the range of 100-125 since last 4 years and recently they are in the range 145-170 from 2 months. I am not on any medication. What should I do?

MBBS
General Physician, Cuttack
I am 33 years old. My fasting sugar levels are in the range of 100-125 since last 4 years and recently they are in th...
1.Your fasting sugar is high 2.Get a Post prandial blood sugar and HBA1c test done. 3.Consult Diabetologist for advice and Treatment
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I am a diabetic person from past 7 years now. Regularly taking medicine. I do not have kids. I use to get tired soon while doing sex. Pls help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic person from past 7 years now. Regularly taking medicine. I do not have kids. I use to get tired soon ...
Mr. lybrate-user, Long standing diabetes tends to cause a number of complications including erectile dysfunction and loss of libido. This can happen even if there is fairy good control, but if there is persistent hyperglycemia, then it develops more rapidly. Ideally blood glucose should be FBS closer to 100 mg, PP between 150 to 180 mg & HbA1c% <6.8. Even in spite of maintaining such tight control there can be ED. So primary need is to achieve strict blood glucose control and if needed you may have to take PDE - V inhibitors, as and when needed.
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I am diabetic ranging around fasting 85 - 100 abd post lunch 190 to 200. Can I have red wine since less alcohol content. I have doubt that wine may have more sugar content than whisky or vodka / rum, please let me know. thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am diabetic ranging around fasting 85 - 100 abd post lunch 190 to 200. Can I have red wine since less alcohol conte...
If your diabetic on drugs lead a discipline life. Do not be tempted to take alcohol in any form. This in no way is going to help you aldo noe 1. Beer and sweet wine contain carbohydrates and may raise blood sugar. 2. Alcoholic drinks often have a lot of empty calories, making it more difficult to lose excess weight. 3/alcohol can interfere with the positive effects of oral diabetes medicines or insulin. 4. May increase triglyceride levels. 5. May increase blood pressure. So no alcohol in any form good luck.
2 people found this helpful
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I am diabetic with frequent uti. And itchiness in vagina. Why am I getting throbing sensation in the vagina. I am 50 yrs old.

MBBS- 1996 & MD - (OBG)/DVD/DPM/Dip.Andrology.
Gynaecologist, Hyderabad
Hi, ok it is an infection. You have not mentioned since how long your suffering with above problems. Tab. V ( put in vagina daily at bedtime for 15 days) tab. Norlet-tz- (daily morning & evening twice for 15 days). After food. Tab. Pan - 40 (daily one time morning in empty stomach for 1 month). Tab. Atarax10 - (daily twice after food for 15 days). Sy. Citralka - ( daily twice 2-2 spoons w equal water for 1 month). Give me urg. Are your periods on time, & you're involved in intercourse, if yes then let me know are you satisfied in sex or any white discharge problem?
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I have type 1 diabetes and intake 25 units apidra both time with glucobay50 mg but my fasting sugar is180 and pubs is145 so advice me to control my fasting sugary.

PGD Maternal Child Health, MBBS
General Physician, Akola
I have type 1 diabetes and intake 25 units apidra both time with glucobay50 mg but my fasting sugar is180 and pubs is...
You might be having rebound hyperglycaemia in your fasting sample, because with 25 units of actrapid your post meal level is 145 only meaning insulin is effectively controlling it. Possibly after the evening dose of insulin and a longer interval between dinner and lunch, by the early hours of morning your blood sugar might be going below normal without your knowledge while you are asleep. At this the internal mechanisms of body release anti insulin hormones and the morning blood sugar in fasting samples is raised. The doctors even somtimes get misguided by this and further increase the evening dose of insulin insead of reducing it. In your case the evening dose may be reduced by 2 units and afte about 1 week the fasting sample be rechecked. It should show normal or near normal level.
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I am diabetic since 2008. Some time I feel weakness in my legs. I can't sit on chair continuously even for half an hour. I have to stretch my legs and in car my legs, especially right leg gets so tired. Kindly suggest. Thanks.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am diabetic since 2008. Some time I feel weakness in my legs. I can't sit on chair continuously even for half an ho...
Dear Lybrate user, Take care of your diet first. Do not take rice cold drinks coffee Linda etc. Sweets you must avoid. Do massage daily of your calf muscles at night with seasame oil. Take vitamin D daily with calcium. Also rake echo sprain daily one tablet.
3 people found this helpful
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What is aortic aneurysm?

tuberculosis trainer of trainers, HIV trainer of trainers , MD - Internal Medicine, Mbbs
General Physician,
Aorta is the pipe that carries the fresh blood from the heart to the other parts of the body. An aneurysm is a side channel that develops in the wall due to weak ess in the different layers in the aortic wall. Acute aortic anrurysms can be dangerous. Treatment and risk factors depend on the location, type, progression and symptoms.
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Two year se sugar hai medicine bhe kha rahe h lakin sugar kam nahi ho raha h.Please tell.

BHMS
Homeopath, Bangalore
Two year se sugar hai  medicine bhe kha rahe h lakin sugar kam nahi ho raha h.Please tell.
Sygzium jambolanum tincture 3 drops in a small cup of water twice in day continue n eat overnight soaked lady's finger early morning, you ll see the difference. Try avoiding rice at night. If you have too much tiredness take phosphoric acid 200 4pills 4 days 4 times only. And revert back.
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Can a diabetic person have sugar if so what quantity per day?

practical course in diabetology , POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist,
A diabetic can have sugar in solid form such as ice cream or sweets immediately after food if patient is well controlled. After food it won' t be absorbed. Much and there won' t be much rise. But liquid sugar such as cold drink, tea or juices ard best avoided.
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Post graduate certificate course of implantogy, BDS
Dentist,
Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.


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I am 64+, diabetic since last 15 years, inspite regular walking and exercise and controlled dieting my sugar levels are shooting up now it reads as 200mg/dl fasting and 315 after break fast. Now I am using glimmer 1. Please give me suggestions.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The best thing that you need to do is to go for vaman karma next month. Talk to a panchakarma expert. This will detoxify the body & lead to a decrease in sugar levels.
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I am 39 years old I am suffering diabetes from one year, please give suggestion

MBBS
General Physician,
Dear, suggestion depends on your status of diabetes control. First tell us your hba1c reports and your fasting and pp blood sugar.
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Sir, my sugar level is 6.9 mm/mol after PP and I am taking Metaphase 500 mg thrice a day & Amaryl 300 mg once a day. So could you please advise me that Can I take mixture of warm water, honey & Lemon juice now? Also tell me type of diabetes my mother was also facing with Diabetes

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my sugar level is 6.9 mm/mol after PP and I am taking Metaphase 500 mg thrice a day & Amaryl 300 mg once a day.
...
Mr. Lybrate-user, your glucose level is really good, it should remain at that level so that no complications develop related to diabetes. As regards taking honey with lemon juice, if the quantity small then no real difficulty at all. But large quantity is not advisable.
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Infertility: Causes and Treatment

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
Infertility: Causes and Treatment

The inability to conceive for a prolonged duration after trying to do so is usually termed as infertility. This is usually diagnosed when a couple is unable to conceive even after trying regularly, without any kind of contraceptives. There may be many causes and factors for this and it may occur in either or both partners. So, you all need to know the causes and treatment of infertility.

  1. Age: Age is a major factor that can lead to infertility for either partner. Usually, the trend now is to delay having a baby until a woman is in her thirties or even forties, in some cases. This has an adverse effect, particularly on the age of the maternal egg which may or may not be effective as far as fertilisation goes. With the advancement of age, one loses the guarantee of genetic normalcy of the egg as well.
  2. Disorders in ovulation in females: Ovulation is an essential function that helps in releasing the egg that needs to be fertilised when it comes together with the sperm at the time of ovulation. This usually occurs at a certain time every month. But disorders like PCOS or Polycystic Ovary Syndrome can lead to an inability on the part of the ovaries to release these eggs. The treatment for this includes medication that will help in maintaining more regular cycles for the release of eggs.
  3. Male factor causing Infertility: In many cases, it has been seen that anomalies in the semen analysis reveal problems of infertility with males as of low sperm count, low motility of sperm, low quantity of alive and active sperm when it comes to natural conception. In such cases, a sexologist can prescribe you medicines that will increase the semen production for better quantity and quality of the sperm. The doctor can also ask the patient to go through a number of lifestyle changes too includes abstinence from smoking and excessive drinking, as well as the cultivation of a less stressful environment. Hormonal treatment or even surgery may also required to help in some severe cases.
  4. Endometrial Polyps: In such cases, the female partner may develop finger like growths that can protrude in the form of tissue and come out of the uterine layer or the uterus. The removal of these polyps with the help of surgical procedures usually helps in such cases.

In many cases where mediation fails, the patients may have to go through IVF (In Vitro Fertilisation) or other such procedures to conceive a child with artificial methods. One must explore all options and find out the best one in terms of the infertility causes that the couple may be facing. You will also need to ensure that you have a well trained and experienced sexologist doctor who can help you with the process and guide you completely about the cause of problem and prescribe you best treatment to manage infertility at the right point of time.

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I am getting thinner day by day. My regular diabetes test is 256. What should I do?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I am getting thinner day by day. My regular diabetes test is 256. What should I do?
Dear lybrate user with the limited amount of information provided it appears that you are suffering from diabetes. It could had been better had you provided us with your last prescription, latest fasting sugars, hba1c levels and any other recent relevant investigations along with the complete medication list. For the successful treatment of diabetes it is advised if you can start exercising on a regular basis preferably 30-45 minutes, diet modifications with low carbohydrate and high fibre diet along with medications as advised. Hope that solves your query. Anything more then please feel free to revert.
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