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K.J.Hospital-Research & Postgraduate Center

Endocrinologist Clinic

# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, Chennai Chennai
1 Doctor
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K.J.Hospital-Research & Postgraduate Center Endocrinologist Clinic # New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, 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 K.J.Hospital-Research & Postgraduate Center
K.J.Hospital-Research & Postgraduate Center is known for housing experienced Endocrinologists. Dr. V.Kannan, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 92 patients.

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MON-SAT
10:00 AM - 05:00 PM

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# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, Chennai
Poonamallee Chennai, Tamil Nadu
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Diabetic Nephropathy - Tips To Help You Manage It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetic Nephropathy - Tips To Help You Manage It!

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels. 

    If you wish to discuss about any specific problem, you can consult an endocrinologist..

3 people found this helpful

Is type 1 please can be cure or it will be lifetime. I have also To Type 1 Diabetes please help me to cure.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is type 1 please can be cure or it will be lifetime. I have also To Type 1 Diabetes please help me to cure.
Mr Allen, Thanks for the query. Diabetes mellitus whether T1 or T2 is not curable. Person has to live with it. Only way to live a normal life is to control blood glucose within normal limits with Insulin in T1 plus proper dietary control and exercise. Thanks
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A neurologist suggest me for thyroid test. For benign essential tremor. And report shows. TSH 3-UL 5.060 FT3 3.52 FT4 1.36 CAN IT DANGER. Please. Suggest. Any causes or harm shows in report please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
A neurologist suggest me for thyroid test.
For benign essential tremor.
And report shows. TSH 3-UL 5.060
FT3 3.52
FT4...
Mr. lybrate-user, Thanks for the query. Your thyroid test results are ok. T3 & T4 are within normal limit. But TSH is slightly higher. But there is no need for any treatment with regard to thyroid.
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I am 32 years old having hypothyroidism. Having 4 years old kid. Now we are planning for another baby. Recently DNC had done for me because of no heart beat. Present my TSH value is 5.using 75 mcg. How much dosage should I take now to decrease TSH value. Give me tips for getting healthy pregnancy next time. Height 5" weight 68 kgs.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am  32 years old having hypothyroidism. Having 4 years old kid. Now we are planning for another baby. Recently DNC ...
Archanaji, Thanks for the query. If one is on treatment for hypothyroidism and if the thyroxine dose is adequate, then TSH should be maintained between 3 to 4 mU/L to be free from any symptoms in a non pregnant woman. However, if conception is desired then TSH should be maintained <2 mU/L. Later during first trimester it should be 0.1 to 2.5 mU/L, 2nd trimester :0.3 to 3 U/L & 3rd trimester 0.3 to 3.1 mU/L. So present dose has to be increased by 25 mcg per day. Then check TSH after 6 weeks to see if desired level is reached. Thanks.
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I have Tsh at level 20, want to understand how critical it is. Please specify any care to be taken?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I have Tsh at level 20, want to understand how critical it is. Please specify any care to be taken?
You have increase dose of thyronorm. If you want pregnancy then tsh must decrease less than 2.5.it is not dangerous as tsh may go up to 999. But we should careful.
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Is der any natural ways to reduce prolactin and thyroid levels? Please suggest. And please tell me wat is the normal level of prolactin and thyroid to conceive? Thank you.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Is der any natural ways to reduce prolactin and thyroid levels? Please suggest. And please tell me wat is the normal ...
For prolactin less than 25 and of tsh less than 2.5.there is no natural way. However iodised salt help in case the cause is iodine deficiency only.
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If I take thyronorm tablet. How much mg I need per tablet and for how long I have to take this and at what time. Thanx.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If I take thyronorm tablet. How much mg I need per tablet and for how long I have to take this and at what time. Thanx.
Mr Kapil, Thanks for the query. Dosage of levothyroxine depends on persons body weight, TSH & T4 levels. Since there is no mention about TSH and T4 levels, it is difficult to give any opinion. Hypothyroidism is thyroxine hormone deficiency disorder. This hormone is required every day in the body for almost every single metabolic function, hence needs to be supplemented daily for lifetime. Thanks
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Hello doctor .if creatinine level rises to 1.8 what does it signs and how to reduce creatinine and uric acid in blood.

PDDM, MHA, MBBS
General Physician, Nashik
Hello doctor .if creatinine level rises to 1.8 what does it signs and how to reduce creatinine and uric acid in blood.
I recommend the following 1. Find out how much of protein you are losing in the urine. Protein in urine rises the creatinine. tablets like ace/arb can reduce protein in urine 2. Avoid red meat 3. Avoid weight lifting exercises 4. Tab nephrosave twice daily has given good results in my patients 5. Most importantly make sure bp is within 130/70 at all times
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Can I take raw Aloe vera? I am diabetic and high bp. Lots of Aloe vera plant at my home. Please give me idea how I use it. I am taking raw Turmeric (1 piece) and Garlic (2 clove) every morning empty stomach. Thank you

B.Sc. - Dietitics / Nutrition, CAFE, MMM, M.Sc - Dietitics / Nutrition, Nutrition Certification, PGCDE, PhD
Dietitian/Nutritionist, Kolkata
Can I take raw Aloe vera? I am diabetic and high bp. Lots of Aloe vera plant at my home. Please give me idea how I us...
You can but not well accepted as per digestion, tolerance are concerned, you can try if you have gastric disorders..rest research going on for more efficacy.
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Sir my age is 20 am pre diabetic patient was plan to do diet in order to skip the problem so can I eat avocado fruit is dat best to my prediabetes diet food.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir my age is 20 am pre diabetic patient was plan to do diet in order to skip the problem so can I eat avocado fruit ...
Shivaniji, Thanks for the query. Looking at your weight and height it is clear that you have grade 1 obesity with a BMI of 31.07 kgs/M2 (normal <23 kgs/M2). For a prediabetic it is absolutely essential to maintain near normal weight (about 66 kgs), plus exercise daily for over 1 hour then take a healthy and balanced diet that provides exact calories based on your ideal body weight. Plus avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks (olas), bakery items and foods made out of maida. Avocado is a good fruit, can be had. Thanks.
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I have problem of uric acid that is 6.4.What can I do? Please help .what is the recovery time. I have pain in the neck shoulder.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have problem of uric acid that is 6.4.What can I do? Please help .what is the recovery time. I have pain in the nec...
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work
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Can I take raw Aloe vera? I am diabetic and high bp. Lots of Aloe vera plant at my home. Pse give me idea how I use it. I am taking raw Turmeric (1 piece) and Garlic (2 clove) every morning empty stomach. Thank you.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Can I take raw Aloe vera? I am diabetic and high bp. Lots of Aloe vera plant at my home. Pse give me idea how I use i...
Hello, Aloevera is a very good remedy to control blood pressure and sugar. You can simply take 1 tbsp (15 ml) and dilute it with 1 glass of warm water. Have this early morning and may be during bedtime. Garlic and turmeric can be alternated in between.
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Continuous Glucose Monitoring - How It is Helpful?

MD - Bio-Chemistry, MBBS
General Physician, Ahmedabad
Continuous Glucose Monitoring - How It is Helpful?

For people who need to keep an eye on their blood sugar level, a glucose meter is a handy thing to keep around. There are many different types of glucose meters available with continuous glucose monitor being one of them. Unlike other glucose monitoring devices that merely detect the amount of glucose present in your system, a continuous glucose monitoring device also detects trends and patterns thus, gives your doctor a more comprehensive picture of your condition.

A continuous glucose monitor is not available over the counter and will need to be prescribed by your doctor. It uses a tiny sensor that is placed under the skin of your abdomen to measure the glucose level in the fluid within your body. This insertion is quick and quite painless. The sensor has a transmitter that sends the information about your glucose levels to a small pager like device. The data collected can be seen in the form of readings every 1,5 or 10 minutes. If your sugar levels drop to an extremely low level to go up to a very high level, the monitor will sound and alarm to notify you.

The data collected by a continuous glucose monitor can also be downloaded to your smartphone, laptop or tablet. By looking at the readings over a period of time, you will be able to notice trends and patterns in your sugar levels. This data helps diabetic patients and their doctors to decide on a number of things such as:

  1. How much insulin is needed?
  2. What is the optimum dosage of medication required for you?
  3. What is the optimum number of meals needed per day?
  4. How much should you eat in every meal?
  5. What is the right exercise plan for you?

Diabetics who use an insulin pump can also link this to the continuous glucose monitor so that they do not need to manually program the pump. This is known as a sensor augmented pump. This device can also help record blood sugar levels as you sleep thus, detecting spikes and lows that would otherwise go undetected. It also helps understand the relationship between your diet as well as exercise and your blood sugar levels.

A continuous glucose monitor needs to be changed every 3 to 7 days. Also, it cannot be used to replace finger sticks or traditional home monitors. You may also need a little training on how to use the device correctly. If you wish to discuss about any specific problem, you can consult a general physician.

604 people found this helpful

Sir I am suffering from diabetes recently, i am taking Tab glycomet sr od. Any other medicines/naturally which Will reduce sugar level. Plzz give me suggestions.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kaithal
Sir I am suffering from diabetes recently, i am taking Tab glycomet sr od. Any other medicines/naturally which Will r...
Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels that result from defects in insulin secretion, or its action, or both. Normally, blood glucose levels are tightly controlled by insulin, a hormone produced by the pancreas.in diet whole grains, fruits, veggies, beans, and nuts. People with type 2 diabetes who eat a high-fiber diet can improve their blood sugar and cholesterol levels. Fiber supplements can also help you get the daily fiber you need. Get regular exercise. Eat a healthy diet. Get enough sleep at night. Lower your stress as much as you can. Don't smoke or drink too much alcohol. Track your blood sugar levels. For any further query feel free to contact me through Lybrate.
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What does HIGH TSH mean before radio active iodine therapy? And why high TSH required before the RAI therapy? Can we use normal non iodized salt in diet before RAI Therapy?

C.S.C, D.C.H, M.B.B.S
General Physician,
High TSH indicates loss of the thyroid hormone and you can use normal non iodized salt in diet before RAI Therapy
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I have sugar upto 483, Dr. Says to start insulin can you sugest any other treatment to reduce immediately sugar level.

MBBS
General Physician, Mumbai
I have sugar upto 483, Dr. Says to start insulin can you sugest any other treatment to reduce immediately sugar level.
Dear Lybrateuser, - Your blood sugar level is high & you will require insulin to bring it down as advised by your doctor - along with medication you would require to lead a healthy lifestyle like have more of vegetables, fruits, beans, pulses, sprouts, lentils, nuts, low fat dairy, lean meats like seafood in your diet - avoid fried, processed & junk foods, sweets, bakery products, fried snacks - have 5-6 small meals rather than three large meals, do not skip meals, have meals on time, chew your food well, have healthy snacks like a fruit, sprouts, low fat yogurt - do regular exercise like brisk walking, jogging, swimming for 30-40 min, also yoga & deep breathing for 5-10 min daily (this can be done only after your blood sugar is controlled & stabilised, start slowly & gradually increase your time & intensity after taking your doctors advise) - reduce weight by diet & exercise - sleep well for 7-8 hrs at night - check your sugar levels regularly as advised & take medication on time.
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My father have a sugar problem from a year. How to control sugar. Say diet chart for control of sugar.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kaithal
My father have a sugar problem from a year. How to control sugar. Say diet chart for control of sugar.
Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels that result from defects in insulin secretion, or its action, or both. Whole grains, fruits, veggies, beans, and nuts. People with type 2 diabetes who eat a high-fiber diet can improve their blood sugar and cholesterol levels. Fiber supplements can also help you get the daily fiber you need.Get regular exercise. Eat a healthy diet. Get enough sleep at night. Lower your stress as much as you can. Don't smoke or drink too much alcohol. Track your blood sugar levels. For any further query feel free to contact me through Lybrate.
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My HbA1c is 5.6 & MBG - is 100.5, is it normal, r still I am pre diabetes? Pls suggest me. Bcoz thinking that I am pre diabetes I stopped coffee, tea, rice and other bakery items, not even oats biscuits. Whether I can take oats biscuits, millets and chappati's in my diet?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My HbA1c is 5.6 & MBG - is 100.5, is it normal, r still I am pre diabetes? Pls suggest me. Bcoz thinking that I am pr...
Bhanushreeji, Thanks for the query. Following are the criteria to decide about diabetes : 1)Normal : Fasting blood glucose :70 to 110 mg/100ml, PP<140 mg, HbA1c%<5.9. 2)Pre-diabetic state: FBG108 to 125 mg, PP 141 to 199 mg & HbA1c%5.9 to 6.4. 3)Diabetes :FBG:126 mg and above, PP 200 mg and above,& HBA1c% 6.5 and above. Hence you are not in a prediabetic state. But it always good to avoid bakery items or other foods made out of maida. Taking healthy diet always pays off. Tea, coffee are fine. Similarly there is no need to avoid rice. What is needed is total moderation in diet. But better to avoid too much of sweets, deep fried foods, jnuk foods and pastries. Increased intake of green leafy vegetables and fruits is healthy. Plus maintaining normal body weight (about 58 kgs) is necessary to prevent becoming diabetic. A daily exercise of 1 hour should also be very good habit. Thanks.
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I am a hypothyroid patient. I am working as a teacher I am private school. My day begins around 5: 30 am cooking meals 4 d day. I leave home at 8 am n o my toes at skol till I reach home at 4 pm. after which im exhausted n drained. I eat egg white with chappati 4 breakfast. At 10 I munch again wid black tea. Then.1 chappati n veggi 4 lunch. At 4 have rice n dal. A cup of tea .4 dinner I hv either just milk or indulge I eating rice again. Im also a sweet tooth. My weight is 90 kg. please help me how should I control my weight?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a hypothyroid patient. I am working as a teacher I am private school. My day begins around 5: 30 am cooking meal...
Sangeetaji, Thanks for the query. Looking at your weight and height it is clear that there is grade 2 obesity with a BMI of 36.29 kgs/M2 (normal <23kgs/M2). One of the reasons could be uncontrolled hypothyroidism. There is no mention about current TSH level and thyroxine dosage. When on treatment TSH should be maintained between 3 to 4 mU/L, to be free from all the symptoms plus even to succeed in weight reduction. So please see that TSH is maintained in the prescribed limit. Secondly there has to be a sincere effort to reduce weight through exercise and diet control plus maintaining TSH as prescribed. Thanks
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I am 38 years old and 15 months pregnant and diabetic insulin dependent for past two years. We have a function at home during the month of May. So today I travelled to may shops to buy series. Travelled by taxi. I feel tired and have stomach pain now. Didn't know whether it's safe to travel. Worried now. Kindly advice.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 38 years old and 15 months pregnant and diabetic insulin dependent for past two years. We have a function at hom...
Relax, it could be bcz of traveling or the hectic schedule, all you need is rest and couple of safe Medicines to relieve you from this for which you may get back to us, and remember not to take any Medicines without any specialists advise.
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