Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
Submit a review for Dr.A.RamachandranÃ¢â?¬â?¢s Diabetes Hospitals - EgmoreYour feedback matters!
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.
- 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.
- 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.
- 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 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.
- 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.
- 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.
- 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.
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?
- 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.
- 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.
- 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
- Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
- Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
- Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.
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.)
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.
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.
Dear Lybrate I am a diabetic since 7 years n take insulin to control it. I married without telling my in laws abt the diabetic condition. After a year my in laws has come to know abt it n my health condition is also not been good for a long time resulting in frequent fights. Recently due to my weakness I lost my job as well. Now I have not been able to keep up any work also. Now I am financially, mentally,physically I am very depressed. It is my humble request to kindly let me know any peaceful method with least pain to commit suicide. I will be very much grateful to you please do not give diplomatic answers as now after a lot thinking I have made up my mind. please give straight answer?
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.
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.
Which sugar level can affect diabetic complications in long term or short term in diabetic patients.
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.
Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.
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.
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:
- 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.
- 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.
- 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.
- 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.
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:
- 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.
- 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:
- High blood pressure
- Tobacco use
- Diabetes for a long duration.
- High cholesterol
- High or low blood sugar level
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.
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.