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K M Speciality Hospital

Endocrinologist Clinic

No. 453/454, R.K. Shanmugam Salai, Chennai Chennai
1 Doctor
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K M Speciality Hospital Endocrinologist Clinic No. 453/454, R.K. Shanmugam Salai, Chennai Chennai
1 Doctor
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About

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about K M Speciality Hospital
K M Speciality Hospital is known for housing experienced Endocrinologists. Dr. Vijayalakshmi, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 75 patients.

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MON-SUN
12:00 AM - 12:00 PM

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No. 453/454, R.K. Shanmugam Salai, Chennai
Chennai, Tamil Nadu
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About Diabetes

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About Diabetes

Diabetes often referred as diabetes mellitus is a metabolic diseases in which the person has high blood glucose (blood sugar) either because insulin production is inadequate or because the body's cells do not respond properly to insulin or both. There are three types of diabetes:

1. Type 1 diabetes: The body doesn't produce insulin. People usually develop type 1 before their 40 th year often in early adulthood or teenage years. It is nearly 10% of total diabetes 

2. Type 2 diabetes: The body doesn't produce insulin for proper function, approximately 90% of all cases of diabetes of this type 

3. Gestational diabetes: This type affects females during pregnancy, uncontrolled or undiagnosed gestational diabetes can raise the risk of complications during child birth

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Diabetes - Role of Ayurveda in Treating it!

Jiva Ayurveda Clinic
Ayurveda, Faridabad
Diabetes - Role of Ayurveda in Treating it!

Most people dread the prospect of having to deal with diabetes. After all, having any disease is not a nice prospect, let alone a lifestyle disease such as diabetes. For many people who have it, a lifetime of pill taking at different parts of the day is a reality. But what if, other successful forms of treatment were found to be effective? Yes, there is good news for all diabetic patients. Ayurveda is one such line of medicine, which has been successfully treating diabetic patients for centuries.

A lot of the effort to treat a person who has diabetes by using Ayurvedic principles has to do with the kind of food regularly consumed. This should not really come as that much of a surprise as our overall health has a lot more to do with the food that is eaten by a person than is normally thought. While cinnamon is considered to be great to add flavour to food, Chinese cinnamon, also known as cassia, which is sourced from the bark of the cinnamon tree, is a good resource to treat diabetes with.

When it comes to food items that should be avoided by a person who has diabetes, rice tops the list. It is something that should not be consumed in large quantities at all. This is true in spite of it being a staple food in many countries and for many people. Apart from this, eating potato does not do any favours either; so consume them in limited quantities.

It is very important to quit smoking and stop consuming alcohol to a large extent, if a complete withdrawal is not possible. In addition to this, sufficient sleep on a nightly basis is also key to maintaining a healthy lifestyle. A person with diabetes would do well to make it a habit to practice meditation in a consistent way. Practising yoga and going for regular walks are also highly recommended. As a matter of fact, the activity level of a person should be high throughout the day and not just peak at the time of exercise.

One of the main beliefs of Ayurveda is that an overall healthy state of body needs to be maintained. If the body is not in balance, this will cause various problems in different parts of the body. As long as there is discipline, with Ayurveda, diabetes can be easily beaten!

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Hello sir/madam my dad is suffering from diabetes since 15 years. Now he 51 years old. His glucose level is normal. But frequently he suffer with loose motions thrice r twice in a week. What is the reason why is this happening. please reply?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Hello sir/madam my dad is suffering from diabetes since 15 years. Now he 51 years old. His glucose level is normal. B...
There are numerous reasons for the same. It can be something as simple as stomach infection or worms in the stomach which can be easily treated. Other causes can be diabetes related changes. Or can be intestinal problems.
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I was infected by insulin pen while giving it to my grand father who has diabetes It struck at my finger I immediately took blood out of my finger and washed hands properly I also used hydrogen peroxide to clear the wound. Will there be any chances that I get the diabetes I am worried a lot please suggest me. I will be very thankful to you.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I was infected by insulin pen while giving it to my grand father who has diabetes It struck at my finger I immediatel...
No. Diabetes is not transmitted like this. However, make sure that the site where you got the prick is not infected with any other bacteria.
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I am 25 year old married woman. I am suffering from diabetes since last 15 years. Nd taking insulin. Which care I want to take for healthy life?

Homeopath,
I am 25 year old married woman. I am suffering from diabetes since last 15 years. Nd taking insulin. Which care I wan...
IF your TYPE 2 DM is noninsulin dependent type DM and having 15 years DM instead of tablet still taking insulin you need to check C-peptide is measured to tell the difference between insulin the body produces and insulin injects into bodyis proper or wrong. Type 2 diabetes C-peptide level measured to see if their body is still producing any insulin you need to decrease weight cholestrol bp & routine check up of heart kidney & your DM & other test require always check sugar three times day normal at home never stop taking insulin& medicine until doctor advice this may lead to emergency conditio develop.
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I am 26 years old, Male, got myself tested a month ago and found in the report that my thyroid profile is like this T3- Normal range, T4- Normal range but TSH level is HIGH so what would you recommend according to ayurvedic treatment. Please suggest. Ravi.

BAMS
Ayurveda, Faridabad
Hello Ravi! You have been diagnosed with Hypothyroidism. This is completely curable with Ayurvedic medicines. You can get the medicines by courier.
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Diabetic - How Insulin Therapy Can Help?

Post Graduate Program In Diabetologist, MBBS
Diabetologist, Mumbai
Diabetic - How Insulin Therapy Can Help?

What is insulin therapy?
Insulin is a hormone that is responsible for keeping the level of sugar in the blood under control. It is the primary therapy used for the treatment of any type of diabetes. The dependence on insulin depends on the balance between the actual production of insulin in the body and the resistance of the body cells to the insulin produced. People, who suffer from diabetes type 1, need insulin injections lifelong. The requirement for insulin therapy in people suffering from type 2 diabetes solely depends upon the declining function of the beta-cells over time.

What are the types of insulin available in the market?
The various types of insulin available in the market are:

  1. Rapid acting insulin: The onset of action in this type of insulin is rapid and it lasts for a short duration, about two hours.
  2. Short acting or regular insulin: The onset of action is moderate, and it starts acting within half an hour, and the duration of action ranges from 3 to 6 hours.
  3. Intermediate acting insulin: It takes about 2 to 4 hours for the onset of action of this type of insulin and the effect can remain for about 18 hours.
  4. Long acting insulin: The duration of action of this type of insulin can last up to about an entire day.

How is it taken?
Insulin injections can be self-injected using a syringe, a needle, a cartridge system, or a pre-filled pen system. Devices for inhaling insulin, quick-acting insulin and insulin pumps are also available at medical stores and pharmacies. Insulin is injected subcutaneously, into your muscles. Try to ensure that you inject around the same area every time, but choose a different spot to ensure less scarring. The best areas to inject insulin are thighs, buttocks, arms and belly. If you take regular insulin, it is advised to take it half an hour before a meal.

What are the possible side effects?

  1. Low blood sugar level
  2. Scars and lumps from extensive usage of insulin injection
  3. Rashes can be found in the area the insulin is injected or sometimes, all over the body
  4. Weight gain when you start using insulin initially 

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

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What is the best treatment for diabetic retinopathy. I am diabetic and my left eye is effected.

DHMS (Hons.)
Homeopath, Patna
What is the best treatment for diabetic retinopathy. I am diabetic and my left eye is effected.
Hello, Lybrate user, Maintain all sorts of anti-diebetic norms. Avoid junk food, direct sweets. Consult an ophthalmologist in this regards. Tk, care.
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Gestational Diabetes - Causes And Treatment

M,S GYNAE&OBST
Gynaecologist, Jaipur
Gestational Diabetes - Causes And Treatment

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby’s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

  1. Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

  2. If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.

Complications:

  1. Increase in birth weight – Extra glucose crosses through the placenta which instigates the baby’s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

  2. Premature birth and respiratory diseases – High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

  3. High blood pressure – Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby’s health.

Treatment:

  1. Book an appointment with a dietitian and follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

  2. Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

  3. Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition. If you wish to discuss about any specific problem, you can consult a gynaecologist.
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Infertility

MBBS, FAACS(USA)
Sexologist, Ahmedabad
Infertility

Trying to become pregnant can be a stressful time – especially when things aren’t going as per your plan. Couples may experience an emotional roller-coaster of stress and anxiety.

The most common causes of *female infertility* include: endometriosis, ovulation disorders, ovulation induction, tubal disease, cervical factor, unexplained infertility.

It’s important to remember you’re not alone on this journey and help is available. Book an appointment with our *celebrity consultant gynaecologist and fertility expert today to get started with you fertility treatment journey.

*Sannidhya multi speciality hospital, south bopal, ahmedabad* department of obstetrics and gynaecology is fully equipped to deal with fertility problems including laproscopy, IUI, IVF, sarogacy, high risk pregnancy, ante natal care of expectant mothers.

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I had detected hyper thyroid in Aug 2015, t3-300 and tsh was 0.01. I was suggested to take neomercozile 20 mg for 30 days and then increase dose to 30 mg for next 30 days and 40 mg for 1 year. After 30 days I felt some changes so I did checkup and found that t3, t4 within range but tsh -32, someone suggested to stop pills immediately and I did the same. Few months back I again checked, tsh came down to 5.5, but last month its 8.5. What to do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
I think you were having thyroiditis when you were checked initially. During the thyroid damage & inflammation, a lot of thyroid hormone is released at once into the body. So, the reports suggest hyperthyroidism and so, you were treated with the correct medicine. But, I would have followed up with thyroid tests every 2 months because once, thyroiditis resolves and thyroid gland is damaged as a result, patient goes into hypothyroidism which is what your reports are suggesting after you stopped the medications. For TSH level of 8.5, if you do not have any symptoms, you need not take medications. It is called SUBCLINICAL HYPOTHYROIDISM. Repeat the tests every 3 months and if TSH level is still rising, then consult a physician or a medical endocrinologist for appropriate treatment and advise.
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I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via natural conception. I don't drink, don't smoke at all and IT engineer by profession with no exposure of any heat whatsoever. It's been over 10 months since we are trying for our second baby and we aren't getting result. We had a rigorous tests done for my wife and she is all fine as she was during 1st conception hence with repeated semen analysis it's discovered that I have Azoospermia God knows how come it got developed in me :(. I have absolute no surgery or something hitting my testis which could ever lead to this. Doctor has advised me to go for Testicular Biopsy some have advised IUI / IVF. I want to know do I really need IVF as I strongly believe that I must be having sperms but it's not just coming through ejaculation. Please advise.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via nat...
Azoospermia means your semen doesnot contain sperms. It could be due to either lack of production or due to obstruction of the tube which delivers the sperms at sex. In patients of azoospermia, is the volume of the ejaculate (semen) is good and fructose test is positive, it could mean there is no production. If the fructose if absent it suggests ejaculatory duct obstruction. Usually hormones tests like FSH, LH, Inhibin B levels are advised and on their basis, some hormonal treatment can be offered. Normal volume, PH and fructose being present and presence of GPC (glyceryl phospho choline) means there is NO obstruction, But Normal Volume, PH and fructose positive but NO GPC means it is vas deference epididymis level obstruction. Low volume, PH and fructose negative and NO GPC means it is ejaculatory duct obstruction So het the hormone tests done, GPC levels tested, and meet a urologist or andrologist who can guide your treatment. In patients who have sperm production but tubal block, the sperms can be aspirated by TESA or MESA but these need to be sued for IVF only. If the hormone levels are low, and there is NO obstruction, there are injections which can help increase the production. In patient who have never had a child or are not affording the expensive testicular biopsy, TESA, MESA,IVF, gynecologists also can suggest a donor semen insemination as a attempt for those who want a pregnancy desperately. So decide for yourself and then meet an andrologist or urologist.
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I am 60 years old. My TSH 9.37 T4 10.5 T3 1.38 UREA 18 CREA 0.42 U.ACID 5.1. I have severe joint pain. Energy less. Fatigued. What is the reason for that? Is for TSH and is it needed to consult an Thyroid specialist?

BAMS
Ayurveda, Bangalore
I am 60 years old. My TSH 9.37 T4 10.5 T3 1.38 UREA 18 CREA 0.42 U.ACID 5.1. I have severe joint pain. Energy less. F...
Hi, Your TSH values are very high. All your symptoms are due to increased TSH levels. Please consult an endocrinologist and get treated at the earliest.
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Hi sir Please suggest some foods for Diabetes and meal too. What food they have to take and what foods they should not. And please suggest some protein foods too. Thank you.

MBBS, MD
Endocrinologist, Delhi
Hi sir
Please suggest some foods for Diabetes and meal too.
What food they have to take and what foods they should no...
Diabetic patients should avoid refined sugar, jeggery,sweat fruits like mangoe, grappes,banana, cheeku and avoid use of excess oil, ghee in cooking. Diet should be high in fibre, take a lot of salads, Protein rich diets-nonveg food, Milk,eggs, pulses etc. Please take help your physicisn too.
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I'm a sugar patient my immunity level is low how to I grow my level my age is 45approx. How to improve my health.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I'm a sugar patient my immunity level is low how to I grow my level my age is 45approx. How to improve my health.
To improove immunity eat lot of salad full plate before each meal, fruits in between meal. Take calcium and vitamin d3. Do regular exercises. Control tightly the sugar. Please talk on line after paying fees.
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I am 52 years old female having knee problem since 6 months. I have diagnosed with high uric acid for that I have taken full course, I have taken vitamin d injection as well my knee stiffness is not going, please advise.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am 52 years old female having knee problem since 6 months. I have diagnosed with high uric acid for that I have tak...
Hello, Avoid nonveg food loaded with proteins in the diet, plant protein foods can be taken in moderation.
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I'm suffering from diabetes and high cholesterol and have developed frozen shoulders in both my arms. I have polycystic ovaries I'm obese.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I'm suffering from diabetes and high cholesterol and have developed frozen shoulders in both my arms. I have polycyst...
Frozen shoulder is a known condition in diabetic patients. The only way to treat is physiotherapy and exercise.
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Hypothyroidism - Ayurvedic Remedies for it!

MD, DYA, PGDCR
Ayurveda, Nashik
Hypothyroidism - Ayurvedic Remedies for it!

Almost all the metabolic processes in a person's body are influenced by the hormones produced by the thyroid gland. The most common types of thyroid diseases caused due to dysfunctional thyroid glands are Thyroid nodules, Hypothyroidism, Hyperthyroidism, Goiter, Thyroiditis, and Thyroid Cancer. 

Hypothyroidism is when the thyroid gland is underactive and the amount of hormones produced is insufficient. Hypothyroidism can be caused due to multiple reasons such as iodine deficiency, radiation or surgery on the thyroid gland, and drugs such as lithium and phenylbutazone. You should note that treating thyroid is not a speedy process and a reoccurrence of symptoms might also take place. However with the appropriate remedies and proper diet control, one can make sure that these symptoms are less pronounced. 

Ayurveda: According to Ayurveda, imbalance or disequilibrium in the doshas is the main cause of hypothyroidism. The Kapha dosha i.e. the dosha responsible for body fluids and lubrication and Pitta dosha i.e. the dosha responsible for fire and water body humors, are vitiated. Lifestyle and diet discrepancies further promote imbalances in the doshas. Hypothyroidism is categorized under the Yapya diseases which recur once you cease to take the treatment. 

Treatments:

  1. It is essential to consume adequate quantities of milk. 
  2. Apart from that, coconut oil is one of the best remedies for a hypothyroid patient, since it increases slow and sluggish metabolism. Coconut contains MCFAs i.e. medium chain fatty acids and MTCs i.e. Medium chain triglycerides in abundance which help the metabolism be revved up. 
  3. Ayurvedic herbs useful for treating hypothyroidism are kanchnar, Bauhinia variegata i.e. purple mountain ebony, Jatamansi, brahmi, guggulu, shilajit, gokshura, and punarnava. 

Remedies:

  1. Consume a mixture of Indian gooseberry i.e. amla churna with honey, daily before breakfast. 
  2. One of the main causes of Hypothyroidism is insufficient amount of iodine. Drinking the juice acquired from jalakumbhi i.e. Pistia Stratiotes everyday in doses amounting from 11gm to 22gm increases the iodine content and helps treat hypothyroidism.

Hypothyroidism is mainly a life style disorder where unhealthy dietary habits worsen the situation. Kindly consult a specialist to know where you are going wrong in your daily schedule so that apart from these remedies, necessary life style modifications can be done.

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