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Dr. Vijayakumar

Endocrinologist, Bangalore

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Dr. Vijayakumar Endocrinologist, Bangalore
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vijayakumar
Dr. Vijayakumar is a renowned Endocrinologist in BTM Layout, Bangalore. He is currently practising at Karanth Speciality Hospital in BTM Layout, Bangalore. Book an appointment online with Dr. Vijayakumar on Lybrate.com.

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Karanth Speciality Hospital

#72, 35th Main, 1st Cross, 100ft Ring Road, Btm Layout 2st Stage.Landmark: Near HDFC Bank AND DOMINOSBangalore Get Directions
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Shall a diabetic patient always be a hypertensive. If any body is diabetic and is it necessary that he may also be given hypertension medicines.

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
Shall a diabetic patient always be a hypertensive. If any body is diabetic and is it necessary that he may also be gi...
Most diabetics are hypertensive. Diabetics can prevent hypertension by absolute control of diabetes. Keep hba1c level at 6 -7. Chek lipids. Exercise important. Salt less than 2g/ day. Plenty of vegetables and fruits. Sugar and fruits to be avoided in diabetes. Papaya fruit is advised fir diabetics.
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My aunty, aged 50 years, a diabetic patient, for 12 years, so according to my knowledge her pre diabetic session has passed. My question is what is normal parameter of blood sugar level (fasting.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
My aunty, aged 50 years, a diabetic patient, for 12 years, so according to my knowledge her pre diabetic session has ...
Fasting blood glucose should be <100 mg/dl and 2h post food blood glucose should be <140 mg/dl. This is considered to be normal and the treatment goals.
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When my tsh levels are normal. It's always below 2 then why my face still looks puffy. Why my weight is still not the same it use 2 b.if I'm hypothyroid then I have to suffer for this puffiness problem fever?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
When my tsh levels are normal. It's always below 2 then why my face still looks puffy. Why my weight is still not the...
Lybrate-user, your ideal body weight can be 57 kgs, at 53 kgs you are fine. To improve your looks you may do regular exercise, preferably join a gym and do regular workout under a profesional guid. That will help. Thanks.
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Diabetics can eat fruits? Some nutrition's suggests for using of fruits in regular basis but doctors are restricting for intake of fruits, please guide me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Diabetics can eat fruits? Some nutrition's suggests for using of fruits in regular basis but doctors are restricting ...
Avoid Banana. Chikoo. Dates. Mango etc. You can take Apple. Mousmi. Papaya. Guava. Orange etc You can take foods with low Glycemic Index (GI) and avoid high GI foods.
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I am a diabetic patient for past 12 years. Last month my sugar was 320 (ppbg. I started getting painful pimples on scalp and face. Now my sugar level is normal (183 -ppbg) still my pimples has not gone fully. I am a pure vegetarian. I am 40 years old. Can I get a satisfactory answer for this question.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic patient for past 12 years. Last month my sugar was 320 (ppbg. I started getting painful pimples on sc...
Thanks for the query/ If one has uncontrolled diabetes with very high blood glucose, then there is always a possibility of getting repeated bacterial infections. "Painful Pimples" are mostly due to staphylococcal infection of hair follicles. When blood glucose is high, infections tend to remain longer and can be seen more often. Ideally when diabetes is well controlled blood glucose should be fasting<100 mg, PP 150 to 160 mg & HbA1c%<6.8. Then only infections can be cured faster. You may have to take a course of suitable antibiotics apart from achieving strict glucose control. Thanks.
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I am suffering from slight high level of uric acid. 6.9 I am taking febutaz 40. Should I take 80 mg or 40 Other question is when uric acid level is normal then should I continue using medicine or not.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
U should stop it immediately....... It's not given till uric acid ruse beyond 10....just drink plenty of water daily and avoid non veg foods and eggs
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I have hypothyroidism pls let me know which diet I fallow. Thyroid level I have 7. My weight 65. Hight 5.2.

MD(Ayu), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhavnagar
I have hypothyroidism pls let me know which diet I fallow. Thyroid level I have 7. My weight 65. Hight 5.2.
We in ayurveda, take thyroid in agni mandhya (lack of metabolism). Its systemic disorder. There are good result of ayurveda, but result comes according to condition. We have some cases that has permanently cured. Some cases are stable with ayurvedic medicine. Some cases are on thyroxine + ayurveda medicine. Our (we & you) main aim is stay healthy. Do not be bother of report of thyroid. But healthy life style, lightness in body n mind, symptom free life is better thing. In thyroid, we generally start with panchakarma (detoxification) mostly vamana (medicated emesis) & virechana (medicated purgation), and after this panchakarma procedure we start oral medicine, decoction n dietary advice. You can get information about panchakarma easily.
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What diet should I take (Proper diet) as I am having debilities problem. Which fruits can I eat and which precautions should I take while selecting diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What diet should I take (Proper diet) as I am having debilities problem. Which fruits can I eat and which precautions...
Mr. Lybrate-user, diet of a person with diabetes has to be like every one, a balanced one. It should provide exact calories based on your ideal body weight (height in cms - 100 x 0.9 kgs), blood sugar levels and extent of daily exercise. Carbs should provide 55 to 60 % of the calories. Should include whole grains, whole grain flour, no refined flour (maida). Hand pounded rice can be used instead of polished one. Fats should give 20 to 30 % calories. Least from saturated fats, no trans fats (deep fried foods, processed foods), use vegetable oils with omega 3 and omega 6 fats. Proteins should give 15% calories. If non vegetarian then can consume lean meat, skinless chcken and fish about once or twice a week. Egg white is a good source of protein. Consumption of green leafy vegetables in good quantity is a must. Can consume fruits like papaya, pomegranate, water melon, apple, guava, pear, orange and sweet lime. (about 100 g a day).
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I am suffering from Gout from past 10 days, My uric acid level is 10. 4 mg/dl. Pain is unmanageable. I am unable to walk. Big toe of right leg is red and swallow.

BHMS
Homeopath, Bhopal
I am suffering from Gout from past 10 days, My uric acid level is 10. 4 mg/dl. Pain is unmanageable. I am unable to w...
Dear Lybrate User, Gout is a condition which can be successfully treated by Homeopathy. You no need to worry at all for your complaints. Just take 1.Berberis pentarkan-2 tablets, 3 times a day for 5 days. 2.Benzoic acid-200, 2 drops, 2 times day for 5 days Advice- Limiting alcoholic beverages and drinks sweetened with fruit sugar (fructose). Instead, drink plenty of nonalcoholic beverages, especially water. ·        Limit intake of foods high in purines, such as red meat, organ meats and seafood. ·        Exercising regularly and losing weight. Keeping your body at a healthy weight reduces your risk of gout. ·        Cherries may help prevent gout attacks Consult me for follow up after taking these medicines for 5 days. For further information and details you can consult online. Take Care.
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Health Tips For Thyroid Health!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Thyroid is an important endocrine gland which is located in the neck. It produces triiodothyronine and thyroxine hormones which are known as t3 and t4 respectively. Iodine is necessary for the production of these hormones. These hormones are necessary for the proper working of our body. They increase the cholesterol, fat, protein and carbohydrate metabolism. Common problems of the thyroid gland are over activity or hyperthyroidism and under activity or hypothyroidism. The important causes of thyroid disorders are graves’ disease and hashimoto’s disease. Enlargement of the thyroid gland is known as goiter.

Foods for hyperthyroidism

When the thyroid gland starts producing excessive hormones, it is known as hyperthyroidism. This has various symptoms like increased heart rate, sudden weight loss, irregular heartbeat, anxiety, bulging eyes, sensitivity to heat and sweating, goiter etc. Hyperthyroidism can be controlled by using certain particular foods.

1. Foods belonging to brassica family
Consume foods like cauliflower, brussels sprouts, peanuts, cabbage, broccoli, kale, mustard greens, turnips, rutabagas, soybeans, spinach etc which contains goitrogens.
• goitrogens helps to block the ability of thyroid to use iodine and hence slows down the activity of the thyroid.
• eat raw cruciferous vegetables to get maximum benefit as goitrogens are active in the raw state.

2. Include more berries
Add at least one serving of berries in your diet plan to control hyperthyroidism.
• blueberries, raspberries, strawberries contain anti-oxidants which improves your immune system.

3. Omega -3- fatty acid and proteins
Omega -3- fatty acid helps to control the hyper stimulated thyroid gland. Proteins are necessary for the building of muscles and to provide energy for the body. Protein sources also contain l-glutamine which helps in rebuilding the gut and de-inflaming the body.
• eat cold water fish, flaxseed oil and nuts to get the omega-3-fatty acid necessary for the body.
• include soy, turkey, walnuts, salmon, tuna and trout in your hyperthyroidism diet.

4. Dairy products
Hyperactivity of the thyroid gland can remove the calcium from your blood. The body compensates this loss by leaching calcium from the bones. This can cause osteoporosis.
• include three servings of yoghurt, cheese, milk or cottage cheese in your daily diet. 

5. Spinach and collard greens
If you are allergic to dairy products, you can get your daily supply of calcium from vegetable sources like spinach collard greens etc.
• figs, prunes and sesame seeds are also excellent hyperthyroidism foods.

6. Zinc
This is another vital component of hyperthyroidism diet. The hyperactive thyroid gland can deplete the zinc.
• include almonds, walnuts, pumpkin seeds, peanuts which are rich in zinc in your diet.

7. Fiber rich foods and anti inflammatory foods
Fiber rich foods are beneficial for the proper working of the thyroid gland. Anti inflammatory herbs help to reduce the inflammation of the thyroid which is the reason for hyperthyroidism.
• include whole grain foods, like oatmeal, whole grain breads, brown rice etc in your food.
• the anti inflammatory herbs to be included in your diet are turmeric, ginger, rosemary, cinnamon and oregano.

8. Antioxidant rich foods and vitamin d
It is also necessary to consume antioxidants and vitamin d rich foods in the diet. This will reduce the oxidative stress caused by hyperthyroidism. Vitamin d can reduce the inflammation and auto- immune reactions of the body.
• avocados, olive oil broccoli etc contain antioxidants.
• salmon is a good source of vitamin d. You can get your daily dose of vitamin d from eggs, mushrooms etc.
• spend 20- 30 minutes in the sun to get the necessary vitamin d for the body.

9. Cassava, sorghum, and millet
These food items contain cyanogenic glucosides which blocks the iodine availability of the gland.
• these foods increase the immune function and gives protection from osteoporosis

10. Vitamin c and vitamin e
These vitamins are helpful in reducing the oxidative stress caused by the hyperactivity of thyroid glands.
• all the citrus fruits are rich in vitamin c.
• bell peppers, olive oil, wheat etc are a good source of vitamin e.

Foods for hypothyroidism
Underactive thyroid gland releases too little hormones. This condition is known as hypothyroidism. The symptoms include unusual weight gain, feeling cold even on warm days, lethargy and fatigue, puffiness of the face, constipation, depression constipation, dry skin, goiter etc. This is a lifelong condition however the impact of hypothyroidism can be controlled using appropriate diet. Changing the diet and lifestyle prevents the flares of symptoms which could disrupt your daily activities.

1. Iodine rich foods
Make sure that you consume a diet that is rich in iodine. Some of the most common foods that you can think about that is rich in iodine are:
• seaweeds and sea foods
• salt water fish
• nori rolls
• sushi
Be certain to use iodized salt while preparing food as it is found to be very effective for hypothyroidism.

2. Bananas
One of the most commonly found fruits are bananas. Try to include bananas in your daily diet as it is a good food for hypothyroidism.
• take at least two to three bananas a day. Make sure that you eat ripe bananas.
• you can also at times consume a banana milkshake that is prepared with low fat or skimmed milk.

3. Water
One of the best known remedies to treat all kinds of disorders as well as hypothyroidism is pure drinking water.
• make sure that you drink at least 8 to 10 glasses of water a day.
• water will help to flush out all toxins in your body.
• it will also prevent you from getting dehydrated so that your body does not store more fat and hence you do not gain excess weight.

4. Eating more fruits and vegetables
Try to include more fruits and vegetables in your diet. This will help you to stay healthy and is highly recommended to prevent hypothyroidism.
• it would be better for you to choose a complete veg. Meal plan full of greens and vegetables one or two days in a week.
• you also need to follow a strict fruit plan diet for a day in a week to fight hypothyroidism.

5. Selenium rich foods
Going for foods that are rich in selenium will help in fighting hypothyroidism.
• make sure to make onions and dairy products as part of your daily diet.
• you also need to occasionally include chicken, salmon, tuna and meat in your daily diet. Try to use one product a day.
• it is important for you to use a lot of garlic in your food preparation.
• brazil nuts as well as whole unrefined grains also help in fighting hypothyroidism and you need to take them at least once a week.

6. High fiber diet
It is important for you to take a high fiber diet so that you do not gain weight that easily and this will help to prevent hypothyroidism.
• add beans, oatmeal and whole wheat to your daily diet to improve your bowel movement and to reduce the cholesterol levels in your body.
• make sure that you only consume brown rice and not white rice in any form when you suffer from hypothyroidism.

7. Green tea
One of the best foods known to treat hypothyroidism is green tea. It has antioxidants and will help in reducing body weight.
• it is ideal for you to include green tea in your daily diet and try to skip other drinks like coffee and black tea.
• it would be ideal for you to consume thee to four cups of hot green tea to increase body metabolism and to burn fat.

8. Tyrosine rich foods
One of the best methods to increase the production of thyroid hormones in your body is to consume foods that are rich in tyrosine.
• fish
• lentils
• lean meat
• soy products
• almonds
• bananas
• avocados

9. Coconut oil
Take coconut oil cooked food will help in improving the production of thyroid hormone and will help in preventing hypothyroidism.
• add a tablespoon of coconut oil in your diet every day.
• it helps in increasing metabolism and is also an emery booster.
• make sure that you consume it in moderation depending on your age and lifestyle and structure of your body.

10. Vitamin a, zinc and copper foods

It is ideal for you to consume vitamin a, zinc and copper rich foods in order to increase the production of thyroid hormones in your body.

Vitamin a rich foods
• yellow vegetables
• carrots
• dark vegetables
• eggs

Zinc and copper foods

• lean beef
• dried beans
• spinach
• seeds and nuts
• yeast
• legumes
• oatmeal
• raisins
• organ meats that are range free.

1 person found this helpful

My daughter is 3 months old, and low TSH. She fails to thrive. At the time of birth she was 3 kg and now is only 4 kg. Please suggest.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My daughter is 3 months old, and low TSH. She fails to thrive. At the time of birth she was 3 kg and now is only 4 kg...
Hello, Let her go slow with weight gain, nurse her enough of mothers, milk and start with weaning foods at 5 months of age. If the baby is able to achieve all her milestones in time, you need not worry about it.
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Can a diabetic patient control his sugar level without doing a proper workout or yoga daily?

MSc
Dietitian/Nutritionist, Hyderabad
Can a diabetic patient control his sugar level without doing a proper workout or yoga daily?
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile,
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I have a Thyroid problem. Continuous loosing weight. please suggest appropriate diet. Age 30 height 153 cm weight 40 kg.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
I have a Thyroid problem. Continuous loosing weight. please suggest appropriate diet. Age 30 height 153 cm weight 40 kg.
Hi, include protein rich food in your diet. You should prefer high calorie, low fat diet. Include cabbage, curd, egg, milk and broccoli in your diet. Take frequent meals instead of 3 big meals. You can consult me privately online on Lybrate I will give you diet chart.
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Is jaggery also bad sugar. Is there any restriction in taking natural sugar available in fruits, sugarcane juice?

PDDM, MHA, MBBS
General Physician, Nashik
Is jaggery also bad sugar. Is there any restriction in taking natural sugar available in fruits, sugarcane juice?
If you are not a diabetic and your weight is proportionate to your height, you may take natural sugar.
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I am a 51 year old indian pure vegetarian male. I have been diabetic since a few years. Though I try my level best to maintain a proper diet, I have to adjust to eating whatever is available due to my constant touring. This hampers my blood sugar level. I would like to have a proper diet plan - pure veg only. Please help. I am also taking ppg 0.2 and diabetrol sr.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 51 year old indian pure vegetarian male. I have been diabetic since a few years. Though I try my level best to...
Few details are required to give correct advise, like weight, height, waist circumference, level of physical activity every day and the dosage of medications taken. Ppg 0.2 needs to be taken with each meal with first bite. As regards the food on tour one can stick to dal roti, salads, curd and a little rice (if needed). Breakfast could be upama, 2 idlis, 1 -2 plain dosas with nil oil, and half apple or 1 orange etc. Dinner should be similar to lunch. Avoid sweets, pastries, deep fried foods, drink dilute butter milk. A glass of skimmed milk can be had at bed time.
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I am 64 years old. A diabetic for more than 10 yrs, but under control with medicines. Latest HBA1C is 6.3During the last two months, I feel pain in myright hand -between shoulder and knee- and also in the shoulder whenever I lift the hand or turn it. With muscle relaxant tablets and/or with ointment massage (moov or Himami) I get relief considerably. But the discomfort returns from time to time. Can you kindly advice on further course?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am 64 years old. A diabetic for more than 10 yrs, but under control with medicines. Latest HBA1C is 6.3During the l...
Proper shoulder and knee exercise and vitd3 and calcium and vit. B12 means green vegetables salad and fruits. You will get benefit definetely.
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I AM DIABETIC, DETECTED IN 2007. ALSO BP. IS IT POSSIBLE TO LIVE WITH HOMEOPATHY MEDICINE.

MD-Homeopathy, BHMS
Homeopath, Chikhli
Yes 100% & permanent cure will be possible by the help of homoeopathic medicine. Provide details about your present state of health & will ask required information for correct prescription.
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