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Dr.A.Ramachandran�s Diabetes Hospitals - Guindy

Endocrinologist Clinic

No.110, Anna salai, Guindy. Landmark - Opp To ITC Grand Chola. Ph: 044-,30 044-42162003 / 2004, Chennai Chennai
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Dr.A.Ramachandran�s Diabetes Hospitals - Guindy Endocrinologist Clinic No.110, Anna salai, Guindy. Landmark - Opp To ITC Grand Chola. Ph: 044-,30 044-42162003 / 2004, Chennai Chennai
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Dr.A.Ramachandran�s Diabetes Hospitals - Guindy
Dr.A.Ramachandran�s Diabetes Hospitals - Guindy is known for housing experienced Endocrinologists. Dr. Santhosh Jeyaraj, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 41 patients.

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Fri
09:00 AM - 02:30 PM

Location

No.110, Anna salai, Guindy. Landmark - Opp To ITC Grand Chola. Ph: 044-,30 044-42162003 / 2004, Chennai
Guindy Chennai, Tamil Nadu

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Diet Changes For Type - 2 Diabetes

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Type 2 diabetes is a form of diabetes in which the body does not use insulin properly and develops resistance to insulin.

A patient with type 2 diabetes must make several changes to his/her regular diet and food patterns. The aim is to manage the blood-sugar level of the body. Hence, a type 2 diabetes patients should follow a regular diet, which comprises of:

  1. All types of foods from different food groups.

  2. Lesser calories.

  3. Lessened and limited intake of carbohydrates.

  4. Healthy fats.

Here is a list of food items you should include in your diet in case you have type 2 diabetes.

  1. Vegetables: You must have fresh or frozen vegetables and avoid using sauces, dips, fats or salts. Intake non-starchy vegetables like cucumber, spinach, broccoli, cabbage, lettuce and vegetables, which are dark green or yellow in color. Also have starchy vegetables such as corn, green peas, beans, carrots and yams. Avoid potatoes as they are pure starch.

  2. Fresh Fruits: You should include fresh fruits in your regular diet. Have apples, bananas, berries, papaya, cherries, grapes, melons, oranges, peaches, pineapples and raisins. Have whole fruits regularly, which do not contain added chemical sweeteners.

  3. Grains: Include grains in your diet and consume whole grains more. Whole grains are not processed and consist of the whole-grain kernel. Grains contain starch, which is a source of carbohydrates. Carbohydrates are bad for blood sugar. Hence, whole grains, which are rich in fiber are recommended. Fiber controls the blood-sugar level from shooting up. Fiber should be included in the form of bran of oat and wheat.

  4. Proteins: Coming to protein food items, you should consume fish and poultry items often. Always remove the skin from chicken or turkey properly before cooking. Buy lean meat and trim all the fat from meat. Avoid frying and use methods such as baking, roasting, grilling or boiling. Also use healthy oils for frying purpose.

  5. Dairy Products: In case of type 2 diabetes, always use dairy products, which are low in fat. Do not add sugar to milk, curd or yoghurt as they contain natural sugar. Do not consume more than three cups of milk a day.

  6. Oils and Fats: Cut down the intake of excessive oily and fatty foods. Avoid food items that contain high saturated fats such as bacon, hams, sausages and butter. Consume food with polyunsaturated or monounsaturated fats. Oil raises blood-sugar level and is high in calorie and should be used in lesser amounts.

A type 2 diabetes patient needs to undergo several changes in his/her diet to keep a check on the rising blood sugar levels and for living as healthy as possible.

Diet Changes For Type - 2 Diabetes

Infertility - 4 Causes Behind It

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist
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Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes

  1. Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

  2. Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

  3. Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

  4. Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

Treatments

Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

  1. Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

  2. Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy).
Infertility - 4 Causes Behind It

Sir I am recently diagnosed has diabetes FBS=170, PPBS= 210, SO I will do regular exercise in gym so plzz help me in diet pattern. Daily I will go for gym. I will do regular skipping. So please help me.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Sir I am recently diagnosed has diabetes FBS=170, PPBS= 210, SO I will do regular exercise in gym so plzz help me in ...
Mr. lybrate-user, Since diabetes is already confirmed, (with high blood glucose levels), appropriate drug treatment is absolutely essential. Exercise and diet will help in keeping a better control over the blood glucose levels. But only exercise and diet will not help. Thanks.

Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe for pridibatic person? please suggest. Thanx.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe...
Mr. lybrate-user, It is difficult to answer about how many grams of sugar and carbs to be eaten. Basically if one is in a pre-diabetes state, then over all caloric intake has to be restricted to meet the exact requirement based on - Ideal body weight X 25 calories per kg / day. In your case IBW should be around 60 kgs. So 60 X 25 cal /Kg = 1500 calories, that means your total dietary intake should be 1500 cals per day. It best to avoid sugar or jaggery or sweets in total. Honey is also similar to sugar, there is hardly any difference. It is supposed to give some additional anti-oxidents. But only a small quantity should be used. Complex carbs like whole grain products are best. Do not use maida, pasta, bakery items, junk foods, sugary aerated drinks, pastries etc. Avoid deep fried foods and fructose corn syrup containing products and highly processed packaged products. Consume more of green leafy vegetables and salads and fruits. Daily exercise of at least 1 hour is necessary. Thanks.

Madam I am 62 year old with type 2 diabetes from the last one year I used to 5 km daily and active is it advisable to take one banana with papaya after the meals and two chapati s in the night Regards Ramesh B R.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist
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Madam
I am 62 year old with type 2 diabetes from the last one year I used to 5 km daily and active is it advisable to...
Hello, Gradually increase your speed. Food consumption is based on your existing sugar values. If you eat chapattis make sure the flour is, not fine or add some oats or wheat bran, to it. Papaya helps, in digestion and also, help controlling blood sugar spike. Bananas can be taken prior to walk.

I want to know the main symptoms of thyroid .which commonly seen in all thyroid all thyroid patents. And want to know something in detail about thyroid.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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lybrate-user, Thyroid is the normal gland present in all of us. It produces thyroxine hormone, essential for development & day to day functioning of brain, for all the vital metabolic activities in the body. Deficiency of the hormone causes hypothyroidism where patient experiences weight gain, tiredness, early fatigue, slow heart rate, dry skin. Dry hair and hair fall, irregular menstruation, infertility, joint pains, mood swings, depression etc. Hyperthyroidism causes loss of weight, anxiety, increased heart rate, palpitation, sleeplessness, etc. Getting a thyroid assay will help in knowing whether thyroid is functioning normally or not. Thanks.

It is beneficial to take IME 9 from kudus laboratory for diabetes patient Pls advice.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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It is beneficial to take IME 9 from kudus laboratory for diabetes patient
Pls advice.
Mr. lybrate-user, Diabetes mellitus needs to be treated with appropriate drugs belonging to modern medicine. The drug mentioned by you at best can be a supportive treatment. By itself it will not be able to control blood glucose. The claims made by those people are all unsubstantiated. There are no properly done clinical studies to support any of the claims. Thanks.

I am 29 years and I have diabetics for past 5 years. My doctor prescribed me Glycomet 500 mg one in the morning and one at night before food. May I know the difference in Glycomet 500 and Glycomet 500 S.R, which is the best and effective.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 29 years and I have diabetics for past 5 years. My doctor prescribed me Glycomet 500 mg one in the morning and o...
lybrate-user, Both Glycomet 500 mg and 500 mg SR tablets contain same medication Metformin 500 mg. The difference is SR has a formulation which releases the drug over 6 to 8 hours. One of the advantage claimed is SR tends to be better tolerated. Some patients complain of gastrointestinal side effects, then SR is advised. As regards drug action both are same. Thanks.

Suffering from thyroid for 3 years. Taking tablet thyronorm 50 mg. Latest test report shows TSH 0.005.what to do?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello, TSH level seems to be fairly low. If you are not having any symptoms, then you may continue the same dose. Then check TSh after another 8 weeks later, if it is still very low, then dose may be reduced by about a small fraction. Thanks.

How should I change my diet to reduce high uric acid level in blood without taking medicine.

MBBS, DFM, FID, M.MED, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease
General Physician
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How should I change my diet to reduce high uric acid level in blood without taking medicine.
Lower fat intake as excess fat reduces normal excretion of uric acid Liberal fluid intake to keep the urine dilute Restriction or elimination of alcohol What to avoid Shell fishes, red meat, mince meat, meat extracts, organ meats, fishes (sardine, roe, makeral). Whole pulses (masur, rajmah, chana, chole, etc.). Other dals are allowed Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple Diet rules Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable Remove the salt shaker from the table Avoid salted nuts/ biscuits, papads, pickles, chutneys Avoid excess consumption of processed and preserved foods; eg. Bakery products Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance Recommended foods Fresh cherries, strawberries, blueberries and other red-blue berries Bananas Celery Tomatoes Vegetables including cabbage and parsley Foods high in bromelain (pineapple) Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) Low-fat dairy products Complex carbohydrates (breads, cereals) Chocolate, cocoa Coffee, tea Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood. Therefore, rather than attempting to find foods that are free of purines and uric acid, it's important to know how to increase the body's alkalinity, which naturally reduces the body's acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.

Dr. my fasting sugar is 118 but after breakfast it goes to 210 I am having amaryl 1 mg before bf and xmat 500 after bf regards aknarayan.

MD - Diabetology, CCEBDM, CCMTD
Diabetologist
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Dr. my fasting sugar is 118 but after breakfast it goes to 210
I am having amaryl 1 mg before bf and xmat 500 after b...
Hello Mr. lybrate-user To the point your food is having high glycaemic index Stop simple carbohydrates like bakery products and sugar tea Instead eat 50gm oats and sugar free tea or coffee in breakfast Do 30 min walking and 10 min strength training Repeat blood sugar in one week and see the difference.

Respected. Doctor Ji My weight is 60 Kgs. 34 years old I want to know that my sugar level is 120 in Blood before meal am I Diabetic?

DNHE, BPTh/BPT
Physiotherapist
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Respected. Doctor Ji
My weight is 60 Kgs. 34 years old I want to know that my sugar level is 120 in Blood before meal...
Ideally to know whether a person is a diabetic or not blood sugar levels have to be checked after 12 hours of fasting (preferably in the morning) that is called as fasting sugar levels and after 2 hours of meal that is called as PP. If the sugar levels in these 2 tests are above normal then there are chances that a person is diabetic. Sugar levels checked anytime of the day are random and doesn't give the exact picture to diagnose a diabetic patient.

Which are the fruits for which it is a BIG NO for type II diabetics patient with over all good sugar control [ HBA1C ranging from 6.4 to 6.7 for last 4 years].

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist
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Which are the fruits for which it is a BIG NO for type II diabetics patient with over all good sugar control [ HBA1C ...
Hello, Generally fruits like mangoes, bananas,grapes, chickoo,jackfruits, raisins,custardapple have slightly high level of sugars in them, but they can be enjoyed in moderation prescribed by a qualified dietitian. As all such fruits have very vital nutritional importance.

I had my blood tested recently. Uric acid level is 8.5. Creatine is 1.14. I am feeling weak. Do you think I have to take any treatment for the above.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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I had my blood tested recently. Uric acid level is 8.5. Creatine is 1.14. I am feeling weak. Do you think I have to t...
A raised uric acid and normal creatinine do not mean anything much as long as they are not correlated with the patient's present condition. Provide details.

Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weight 75 kg. Old patient of diabetes and hypertension. ESR: 40 mm.Blood sugar fasting: 188, after bf 266.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weigh...
Mr. lybrate-user, ESR tends to go up whenever there is a chronic (long term) ailment is going on. It is a parameter seen to go up in almost every chronic illness. There is no specific remedy to reduce ESR. However, the chronic illness present, is well controlled then ESR reduces. Since the patient has uncontrolled diabetes, with very high blood glucose, it es essential to control the same. Ideally fasting should be closer to 100 mg, PP 160 to 170 mg & HbA1c%<7. Thanks.

In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any particular nuts like pits, badam. N r ramachandran.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any par...
Nuts don't reduce blood sugar, they are beneficial if taken in limits. They tend to raise good cholesterol.

Hai, my name is santhosh. I checked blood sugar it was 161 is this normal or high.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hai, my name is santhosh. I checked blood sugar it was 161 is this normal or high.
Mr. lybrate-user Kumar, Blood glucose 161 mg is high, but it is not clear whether it is fasting or after food. Please clarify that. If it is fasting then it is very high. Thanks.

Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weight 75 kg. Old patient of diabetes and hypertension.

MD, DYA, PGDCR
Ayurveda
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Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weigh...
In Ayurved it is due to Raktagat aam. Kindly drink hot water whenever thirsty. Do not eat anything apart from rice flakes whenever hungry. Do this for three days. It will detoxify the blood. Then you can switch over to normal diet. please consult for other details.

Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels are almost good. But my fasting sugar levels are so much raised. My diet does not have any irregular item I eat as my diet plan but I don't know why sugar levels are raising. Please advise me what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels a...
Without altering your present regime of treatment, I want to your consent to start parallel herbal diabetes support formula. As you improve slowly, more changes can be seen. It's slow but effective. Pl start with drinking/ sipping cinnamon and Withania coagulans strain daily morning and evening. For further advise pl consult.

I am 39 years old male, One week before I have tested my sugar level, results came, Fasting - 114 and after food - 157, pls suggest me how it is?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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I am 39 years old male, One week before I have tested my sugar level, results came, Fasting - 114 and after food - 15...
Reduce weight. Avoid sugar, junk food, fried food and fruit juices. If you don't take precautions now, otherwise you will be diabetic in coming years.
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