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Dr.A.Ramachandran�s Diabetes Hospitals - Egmore

Endocrinologist Clinic

No.28, Marshalls Road (Rukmani Lakshmipathy Salai), Egmore. Landmark: Next To Egmore Eye Hospital, Chennai Chennai
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Dr.A.Ramachandran�s Diabetes Hospitals - Egmore Endocrinologist Clinic No.28, Marshalls Road (Rukmani Lakshmipathy Salai), Egmore. Landmark: Next To Egmore Eye Hospital, Chennai Chennai
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Dr.A.Ramachandran�s Diabetes Hospitals - Egmore
Dr.A.Ramachandran�s Diabetes Hospitals - Egmore is known for housing experienced Endocrinologists. Dr. Samith Babu A. Shetty, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 87 patients.

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No.28, Marshalls Road (Rukmani Lakshmipathy Salai), Egmore. Landmark: Next To Egmore Eye Hospital, Chennai
Egmore Chennai, Tamil Nadu
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Your Guide to Healthy Habits for Type 2 Diabetes!

MBBS
General Physician, Chittorgarh
Your Guide to Healthy Habits for Type 2 Diabetes!

Diabetes is often referred to as diabetes mellitus by physicians, which is used for describing a group of metabolic-related diseases. Diabetic patients have high blood sugar (blood glucose) in the blood, the cause of which might be either the inadequate production of insulin or because the body is unable to use the insulin properly. Diabetes might also be a result of the combination of both.

Types of Diabetes- 

There are three types of diabetes.

  1. Type 1 diabetes which was formerly known as insulin-dependent diabetes or juvenile onset diabetes due to the fact that the symptoms are typically diagnosed in young children and children in their teens. Approximately 10%diabetic patients are Type 1 diabetic where the body is unable to produce insulin.
  2. Type 2 diabetes was also known as non-insulin-dependent diabetes or adult onset diabetes, as it occurs mostly in adults. Approximately 90%diabetic patients worldwide are Type 2 diabetic which occurs because the body is unable to produce the required amount of insulin for proper functioning. Overweight and obese people suffering from central obesity or abdominal obesity are more at risk of developing Type 2 diabetes than people who have a healthy body weight, as obesity forces the release of chemicals which may destabilize the cardiovascular and metabolic systems of the body. The risks of developing Type 2 diabetes also increases as one grows older.
  3. Another type of diabetes is gestational diabetes which mainly affects pregnant women who have high glucose levels in their blood. The bodies of these women are unable to produce the required amount of insulin to transport all the glucose to their cells leading to the progressive increase of glucose. Studies have revealed that women who have animal fat and cholesterol-rich diet before pregnancy are at more risk of developing this type of diabetes.

Symptoms
Symptoms of diabetes include excessive thirst, dehydration, increased urination and hunger. Symptoms may also include fatigue, skin problems, slow healing wounds, blurred vision and tingling in the feet.  

Solutions

  1. Patients who are afflicted with Type 1 diabetes will have to take insulin injections for life. Proper blood glucose levels have to be maintained throughout by following a strict diet and regular blood tests need to be carried out.
  2. Patients with Type 2 diabetes need to keep their weight in check. They are generally treated with tablets but sometimes insulin injections are recommended. These diabetic patients need to follow a healthy diet strictly, exercise regularly and keep monitoring their blood glucose levels. Another option for obese people to reduce symptoms is Bariatric surgery.
  3. While gestational diabetes can be controlled with proper diet and regular exercise, there are 10 - 20%of diabetics who will need medications to control blood-glucose. Undiagnosed and untreated gestational diabetes raises the risks of complications during childbirth and may result in a baby who is bigger than he / she should be.

Acute complications of diabetes may include hyperglycemia or hypoglycemia while chronic complications may include diseases of the blood vessels which could damage the eyes, nerves, kidneys and the heart. If you think you have symptoms which suggest diabetes, consulting a doctor at the earliest would be your best option.

Type diabetes

How Thyroid Surgery is Beneficial For You?

FIAGES, FMAS, MS - General Surgery, MBBS
General Surgeon, Bangalore
How Thyroid Surgery is Beneficial For You?

Thyroid is a small butterfly shaped gland, which  is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.

Know More About Infertility

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
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Infertility Factors And Treatment

I have been diagnosed with hypothyroidism (TSH level --5.18:ref. Range 0.4--4 ).pls tell me is it very high thyroid level and is it curable or should I continue medicine for life long. (p.s.- I don't take any medicine, I have PCOS. And only symptoms I have are excessive hair-loss and extreme fatigueness.)

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
I have been diagnosed with hypothyroidism (TSH level --5.18:ref. Range 0.4--4 ).pls tell me is it very high thyroid l...
It's minor abnormality, not very serious. Take medicine for it only if you are planning to conceive or are already pregnant. Otherwise repeat TSH after 3 to 6 months. But get yourself evaluated for metabolic complications of PCOS I.e. Diabetes, hypertension, dyslipidemia.
1 person found this helpful
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Hi. For the last 3 days I am observing that ,when my son (6 months) piss the urine, big black ants are coming. Is that is the sign for diabetic.

MBBS, MD - Paediatrics, Fellowship in Paediatric Care ( Paediatric Intensivist)
Pediatrician, Pune
Hi.
For the last 3 days I am observing that ,when my son (6 months) piss the urine, big black ants are coming. Is tha...
If your child growing well and he is not having other issues then forget this complaint. This is not the presentation of diabetes in children.
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Hello my dad is 49 years old recently past sunday we did coronary Angiogram + PTCA + RCA. He was discharged from hospital on this tuesday evening on the discharge note they have mention the blood glucose level as 192 mg/dl after came from hospital his glucose level changes rapidly wednesday - evening - 6.00 pm - 172 before food Thursday - Morning - 7.45 am - 219 before food Thursday - Morning - 8.45 am - 292 after food Thursday - evening - 7.45 pm - 227 before food I really don't know how to control his blood sugar kindly Help as soon as possible waiting for your response mail.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
Hello 
my dad  is 49 years old recently past sunday we did coronary Angiogram + PTCA + RCA. He was discharged from ho...
It is common for sugar levels to be uncontrolled after such procedures. If he is on insulin, you need to discuss with his doctor regarding dose adjustments at home according to his sugar levels. Also, a common reason is that oral medications are changed/stopped during such procedures. You can ask his doctor regarding this and whether any tablets can be restarted.
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Hi All, My TSH is 0.5 and I am taking eltroxin 100 mcg should I decrease the dosage of my medicine?

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Hi All, My TSH is 0.5 and I am taking eltroxin 100 mcg should I decrease the dosage of my medicine?
Take same dose of 100 mcg daily on 6 days per week, don't take it on Sundays. Repeat TSH after 3 months.
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I am sugar patient how to balance please help me doctor minimum 260 / 300 pulse is ple help me.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
I am sugar patient how to balance please help me doctor minimum 260 / 300 pulse is ple help me.
Blood sugar can be effectively controlled with combined effects of healthy lifestyle and medicines. Your blood sugar is very high and should be controlled as soon as possible. Discuss your problem with your physician or you can have private consultation online.
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I am a known case of thyroiditis detected in the year 2015 but wasn't on any medication as TSH Profile was WNL, though I took thyrovol supplement for 3 months when my TSH was fluctuating sometimes high and sometimes low. I had spontaneous conception. During pregnancy I had low TSH and was started on tab eltroxin 50. My post pregnancy TSH aftr 2 months of delivery was 0.01 and after 4 months it has com to 0.18 (2_4. 2) with T3 4.09 (0.6-1.7) and T4 0.77 (0.34-4.25) though I had continued tab eltroxin 25 till now. What should I do now as my TSH is still below normal range. M having severe hair fall, lack of appetite, and irritability, I feel sleepless sometimes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. You are being treated with thyroxine means the condition is hypothyroidism. When a person is on treatment for that with levothyroxine TSH should be maintained <3 mU/L, to be free from all the symptoms. But 0.18 mU/L is bit too low. So you need to reduce the dose to 12.5 mcg per day. Then check TSH again after 6 weeks, to see if desired level is achieved. Thanks.
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Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses. He always reports Tiredness and Weaknesses in Body. If possible also prescribe some medicines which would be beneficial for him. thank you.

MPH
General Physician, Dehradun
Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses.
H...
Yes of course But few tests are to be done before proceeding ahead HbA1C His dodt weight and Height in Cms TSH levels in blood You can wtite with the details back.
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Which sugar level can affect diabetic complications in long term or short term in diabetic patients.

DM - Endocrinology
Endocrinologist, Ahmedabad
Which sugar level can affect diabetic complications in long term or short term in diabetic patients.
Fasting sugar level above 126 and PPBS level above 200 And HbA1c level more than 6.5% can lead to long term complications.
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I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is saying now I have to take medicines for whole life. But I don't want so. Is there any other way to cure this as I started walk, exercise, started taking healthy food cut carbs and fats. Give me solution please.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is sayin...
lybrate-user, Thanks for the query. Fasting blood glucose level 147 mg & PP 273 mg, both confirm that you have diabetes (T2). Diet control and exercise do help in controlling blood glucose levels, but once diabetes is confirmed, then there is absolutely no option but to start medication with out any further delay. Lifestyle modification withexercise, diet control and weight management are useful in pre-diabetes, to prevent progression to diabetes. But once it is confirmed, unfortunately there is no other option. So please start proper medication and also take restricted diet and exercise daily for 1 hour. With this you will be able to live an almost normal life. Thanks.
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Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.

BHMS
Homeopath, Kolkata
Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.
Gout is an inflammatory condition of the joint .Gout results in an inflammation of the joint. This is due deposition of uric acid crystals in the joint spaces and or in the connective tissue of the joints. It is a very painful condition causing swelling redness heat pain and stiffness of the joint. Deposits of uric acid, called tophi can appear as lumps under the skin around the joints. Gout mainly affects the big toe but it can affect other joints like gout instep, ankles, heels, knees, wrists, fingers, and elbows Increased uric acid is not a disease and by itself is not dangerous. However, if excess uric acid levels lead to formation of crystals between the joints, gout can develop. In some individuals excess levels also lead to formation of kidney stones. Please remember not all who have high levels of uric acid, develop gout. Homoeopathic medicines can be a big boon for all those who suffer from high uric acid. These medicines work by reducing the uric acid? S overproduction by the body and accelerating the removal of this waste product from through the kidneys. Homoeopathic medicine Benzoic acid, Pulsatilla, lycopodium and Urtica Urens lead the homoeopathic table in curing the increased levels of uric acid. Another medicine that requires a special mention is Berberis Vulgaris. It is used when kidney stones form due to high levels of uric acid. Gout is also very effectively treated by homoeopathy. Ledum pal, colchicum, Benzoic Acid, Bryonia and Formica Rufa are very effective in treating gout. One big advantage that homoeopathy offers in the treatment of high uric acid is that once treated the relapse will not occur. This is also subjected to the condition that diet and Alcohol and weight are well controlled.
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I am diabetic my FBS is 113 pp is 120 random is 127 without medicine only diet and exercise can I eat Rice in daily basis or weak and which fruit is good for me in daily basis I am 26 year old my weight is 48.

MBBS, PGDCR
Diabetologist, Thane
I am diabetic my FBS is 113 pp is 120 random is 127 without medicine only diet and exercise can I eat Rice in daily b...
You nearly don't have Diabetes. You can eat rice. Have small portions of food more frequently. Make sure protien content is more in your food. You can eat strawberries, blueberries, watermelon, Musk melon, papaya regularly or daily without worrying much about blood sugar.
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Infertility And Its Impact On Mental Health!

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
Infertility And Its Impact On Mental Health!

For women, less than thirty five years of age, infertility is characterised as the powerlessness to conceive a child after one year of unprotected sex. For women matured thirty five to forty years, it is characterised as a failure to conceive after six months of unprotected sex. For women beyond forty years of age, it is the failure to conceive after three months of unprotected sex. Infertility is also, the powerlessness to conceive a pregnancy to term, for example, in cases of unfortunate miscarriage.

The reason for infertility is the problem on both genders; thirty percent is male related barrenness and 30 thirty percent is female related barrenness. However, it is not just a physical problem. Infertility can affect a woman’s mental health. This is how that is possible:

  1. Medicine reactions: Medications and hormones used to treat infertility may bring about many types of mental reactions. For instance, the engineered oestrogen clomiphene citrate (Clomid, Serophene), most of the time recommended because it enhances ovulation and increases the sperm creation. However, it may bring about nervousness, rest intrusions, mood swings, and crankiness women. These reactions have not yet been recorded in men. Other fertility medicines may bring about sorrow, madness, and irritation and concentration issues.
  2. Cash stress: Only a very few states and countries provide insurance for infertility treatment. Expenses of infertility medications are very high. For patients who do not have insurance, the scope or the way to pay for treatment, not having the capacity to acquire treatment may add to the feeling of helplessness and misery. Indeed, even patients with the insurance plan may find that copayments or restrictions on the plan mean they should pay huge sums out of their own pockets.
  3. Decisions and results: Overall, infertility medications help only some of the patients and they get to be parents. The mental health of those who cannot deteriorate because of their thought of getting older day by day. Patients who learn they are to end up being parents might be excited, additionally should figure out how to change in accordance with new patterns and ways, both during pregnancy and after pregnancy. Women who have endured various premature deliveries, for instance, are probably going to feel restless about whether they will have the capacity to convey to full term or not. More established couples might argue about whether to experience pre-birth testing, for example, amniocentesis.
  4. Sexual desires: Infertility can also influence a person’s sexual self-esteem, learning, and execution. Many couples have intercourse as an approach to relax. At the point when sex is interrupted with disappointment and dissatisfaction, couples may lose their passionate association. The weight to perform or to have sex because of infertility medications can disengage partners and separate couples. Fertility medicines additionally make sex less stressful, as it gets to be distinctly centred around fertility instead of entertainment.
8 people found this helpful

Diabetic Retinopathy - What you should know?

MBBS, MS - Ophthalmology
Ophthalmologist, Ghaziabad
Diabetic Retinopathy - What you should know?

Diabetic Retinopathy is a complication of the eye that occurs because of diabetes. It is a condition that damages the light-sensitive tissue of the retina. It can start with a medium to low level of problems in vision and can advance to complete blindness. It is mostly witnessed in patients who are suffering from type 1 or type 2 diabetes. An uncontrolled blood sugar and diabetes levels in a patient pose a greater threat of diabetic retinopathy.

What are the symptoms?
Diabetic retinopathy could be devoid of any symptoms in its early stages. However, as the condition progresses, a person might experience the following symptoms:

  • Empty or dark areas in the vision
  • Blurred vision
  • Spots floating in the vision
  • Fluctuating vision
  • Complete loss of color vision
  • Complete vision loss

Possible causes of Diabetic Retinopathy
Too much sugar in the blood vessels can block the blood supply in the retina. In the meanwhile, new blood vessels can form in the eye that does not fully matures and leak easily. Typically, there are two types of diabetic retinopathy:

  1. Early diabetic retinopathy: This is the type of diabetic retinopathy where the new blood vessels haven’t started growing in the eye yet. This condition is also known as NPDR. In this phase, the walls of the retina blood vessels weaken and numerous tiny bulges extend from the vessel walls. This condition could even leak blood into the retina. The nerve fibers and the macula tend to swell and requires immediate treatment.
  2. Advanced diabetic retinopathy: This is the most severe and advanced type of diabetic retinopathy and is known as proliferative diabetic retinopathy. This is a condition where the damaged blood cells shut down resulting in the growth of new and abnormal blood vessels. It leaks a jelly like substance and fills the vitreous. Eventually, the scar tissue can detach the eye from the retina. It can also result in a condition known as glaucoma.

What are the risk factors involved?
Patients suffering from diabetes can have diabetic retinopathy. The risk factors further increase in the following condition persists:

Tests and diagnosis:
An ophthalmologist tests the vision, look for cataracts and measure the eye pressure. In addition to this, he looks out for symptoms of abnormal blood vessels, retinal detachment, the growth of scar tissue swelling of the retina etc. A doctor might also prescribe tests such as optical coherence tomography and fluorescein angiography.

Treatment:
For early diabetic retinopathy, a doctor might not take any action but closely monitor the condition. If it aggravates, a doctor starts treatment when he deems fit. For advanced diabetic retinopathy, the doctor might go for focal laser treatment, scatter laser treatment and vitrectomy.

type diabetes

Dear Lybrate I am a diabetic n under insulin control. I feel very tired always n feel sleepy all the time. I sleep for almost 14 hrs than also I feel drowsy. please tell me how to feel energetic n feel less sleepy.

MBBS, PGDCR
Diabetologist, Thane
Dear Lybrate I am a diabetic n under insulin control. I feel very tired always n feel sleepy all the time. I sleep fo...
Sleeping 14 hours doesn't mean you are resting. Sleep can be tiresome if it's not deep one. Do pranayam every morning. Before sleeping, do shavasan. Keep sleep time same every day. Same with food. In couple of weeks you should get a good sound sleep, and energy after you wake up.
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I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is always going very high or very low. please suggest what to do?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is...
Check your fasting, PP and pre-dinner levels if possible. Alternatively, there is something called continuous monitoring of glucose which can provide good idea about your fluctuations. The medicines will need to be changed and insulin must be adjusted. Follow a healthy lifestyle, exercise regularly and avoid sugar in any form
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Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what will happen if take d dosage to 200 ml at one shot. What will b end result please answer.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what w...
Mr. lybrate-user, Thanks for the query. Insulin dose decided on the basis of blood glucose level both fasting and after food. Plus there are different types of insulins, it is not which one you are using. There are rapid acting and long acting insulins plus combination of both. It is given in units per dose, not as ml. Taking excess insulin is not advised. It causes hypoglycemia. Thanks.
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