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Xcellent Care Multi-Specialty Hospital

Endocrinologist Clinic

No.7,7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery By-pass Road, Velachery. Landmark: Near Gurunanak College & Lake Behind Univercell Mobile Showroom, Chennai Chennai
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Xcellent Care Multi-Specialty Hospital Endocrinologist Clinic No.7,7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery By-pass Road, Velachery. Landmark: Near Gurunanak College & Lake Behind Univercell Mobile Showroom, Chennai Chennai
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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 Xcellent Care Multi-Specialty Hospital
Xcellent Care Multi-Specialty Hospital is known for housing experienced Endocrinologists. Dr. Balamurugan, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 43 patients.

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MON-SAT
09:00 AM - 12:00 PM

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No.7,7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery By-pass Road, Velachery. Landmark: Near Gurunanak College & Lake Behind Univercell Mobile Showroom, Chennai
Velachery Chennai, Tamil Nadu
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Dr. Balamurugan

Endocrinologist
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Hi mother is age of 50 recently tested for thyroid profile and found T3 thyroxine levels are 12. TOTAL THYROXINE (T4) C.L.I.A 12.4 μg/dl 4.5-12 THYROID STIMULATING HORMONE (TSH) C.L.I.A 6.18 μIU/ml 0.3-5.5 kindly help what type of treat she needs to undergo.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. The levels mentioned are fine, only TSH is marginally high. This is called as sub-clinical hypothyroidism. There is no treatment recommended in this situation. However, if there are any troublesome symptoms then treatment can be considered. Thanks.
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I have 342 Mg/d sugar level diagnosed diabetes I want to reduce my sugar level in two weeks please guide me good ayurvedic medicines?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
It's possible don't take tension. Walking 5 km Drinking luck warm water. Medicine prescription is only allowed for consultation.
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I am a thyroid patient. I take 125 mg pill every day on morning. After 3 mnth I checked my thyroid. Its normal then should I change my pill or should I take low mg pill please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. When you are on treatment with levothyroxine for hypothyroidism, then TSH should be maintained between 3 to 4 mU/L, for remaining free from all symptoms. Since you have not mentioned the actual TSH levels, it is not possible to give any opinion. However, please understand that due to treatment TSH does come to normal level, that does not mean one should reduce the dose. Repeated alteration of dosage can affect the out come. Thanks.
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I am diabetic and also hypertension. On medication for more than 15 years. I am 65 years old and a retired person lives in Thane (Maharashtra ). At present on allopathic treatment. Can someone suggest/guide some alternates. Ayurveda or Homeopathic treatment will be more helpful. Or changing dietary plan.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. TDiabetes can only be treated with modern medicines. Other drugs belonging to ayurveda or homeopathy, really do not have any specific action. A lot of claims are made, which are unsubstantiated. Those drugs can be taken as supportive to allopathic treatment. But if you want to shift totally to those, then my advise is please do not do that. Since there is no mention of fasting, Pp blood glucose levels & HbA1c%, it is difficult to know whether your diabetes is in control or not. Ideally FBG should be <100 mg, PP 160 to 170 mg & HbA1c%<6.8. Thanks.
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What type of oil should be used for cooking for diabetic patient? We use soybean oil is it good or bad? Please suggest good oil for controlling diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. For diabetic person or for a normal healthy individual, no single oil is perfect. It is better to use two or three different oils. Like for making vegetables one type (ground nut, or sun flower or saflower or soy oil) for tadaka use ghee, for salads olive oil etc. Combination of oils is always good. Thanks.
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Hello doctors, im a 28 years old man, My glycemic index two weeks ago was 4.4 mmol. Today after craving on sugar, oily foods and sleep, it is 8.9 mmol. Does it mean I have diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. Glycemic index is given for different foods. That tells how fast that food gets converted to glucose in the body. Meaning high glycemic index products like rice, idli, sweets potato get converted to glucose rapidly raising the blood glucose level. I am unable to understand what are you actually hinting. We only have blood glucose level. Thanks.
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My fbg 130 and post prandial is 283, am on metformin 500 mg in the morning and 500 mg at night for the last 7 days, am having severe gastric problems and diarrhea. Is taking insulin better in such cases?

BHMS, MD - Homeopathy, Gold medallist
Homeopath, Navi Mumbai
Please take diaboherb syrup of SBL company along with your medication for 1 month. Its homeopathic medicine. 2 table spoon 3 times a day. For any other suggestions you can consult me by Lybrate via text or phone or videos talk.
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Please help. Meri mummy ka pehle 1 saal se fulne ka problem suru hua h.She has uric acid, thyroid, cholesterol problem and vitamin D deficiency. Her uric acid is 6.2 triglyceride is 392 Body k kisi vi part me agar Jada pressure pad Jaye to wo jaga Lal hole garam hoke bohot fuul jada h.or agar pressure na pade fir vi fuul jada h.Or dared vi deta h.maximum 1 se 2 din k lie ye fulapan or dared rehta h fir normal ho jada h .Har din uska koina koi part ful jada h.She can't understand why this is happening? And for that Wo konse doctor se is bare me consult karegi wo samjh vi nahi pa rahi. Please help my mom to cure fast. Agar wo allopathy doctor k pas jati h to Doctor bolta stress k Karan hota h.Or in homeopathy without saying something Doctor gave her medicine. She is thinking that it's rheumatoid arthritis or gout attack. Is it true or it's an another problem? Please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. I have read all the details given. She does seem to have multiple problems. For swelling in the body there many reasons like uncontrolled hypothyroidism (with high TSH), high BP, kidney related issues, so without knowing the exact details it is difficult to give any opinion. My suggestion is please send following details of her: TSH, T4 & T3 levels, BP readings, blood glucose levels (both fasting and after food) and CBC (complete blood cell count) and lipid profile. Plus her weight, height whether she does any exercise (walking) and current medications with dosages. It is better if you come in a private conversation then I will be able to guide specifically and even prescribe the medications. Even to advise you I need to know all the details. Thanks.
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My wife suffering to thyroid and we are met many doctors but they are not controlled thyroid. every time report are updown. Pls assist me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Your information is very general, so difficult to comment. There is no mention whether she has hypo or hyperthyroidism. It is better if full details are mentioned. Please understand whichever thyroid condition it may be, treatment has to be continued for lifetime. Particularly in hypothyroidism she has to take prescribed amount of levothyroxine tablets daily without fail for her lifetime. If dosage is frequently altered or drug is stopped in between, then TSH levels will go up. All the symptoms reappear. Plus all the instructions regarding taking of the tablet that is - early morning on empty stomach, nothing there after for 1 to 1 and half hour, should be followed. She has to restrict her diet. Avoid soy beans, soy containing products and use whole grain flour for roti and chapati. Stop taking foods made from maida. If you have any doubts please come back. It is better if you come in a private conversation with all details like TSH, T4 & T3 levels and current dosage, her weight and height and symptoms if any, then I will be able to guide specifically and help in controlling the condition. Thanks.
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I have FAsting sugar 110 and 140 PP and HA1B level 6.8 and BP 135/90. Triglycerides 252 and VLDL is 52. What diet you recommend to control sugar. For last 6.5 years I never taken ice cream, sweets mango banana causes.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You can take all the fruits, but in between the meals and not with the meals. However, if you have high potassium levels then only few fruits are permitted.
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I'm diabetic 38 years old woman I'm taking exermet gm forte 2 BD, hcqs 200 OD, inogla 20 OD, etoshine 90 OD, but for 3,4 days I got pain in my lower back, for Relief can I take voveran injection?

BHMS
Homeopath, Chennai
The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. We remain seated most of the time and stand for very short periods of time. Unfortunately walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. This is a worldwide trend and is seen across all ages and cultures. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. When it comes to the medicinal treatment, homeopathic medicines are very helpful. They not only treat the acute stages but are also very helpful in the chronic stage of back pain. It must be said here that homeopathy offers a much better alternative for the permanent cure for low back pain. The focus of the homeopath is not just to relieve the immediate pain but to also eliminate the root cause of the pain. That is precisely why the homeopath asks so many questions which may or may not seem related to your immediate problem. A common cause that is easily overlooked is the presence of stress in an individual. Mental stress can also contribute to low back pain and should be taken into account while taking the details of the patient. This is absolutely necessary if you want a lasting cure You can easily take an online consultation for further treatment guidance.
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Sir, I am 84 years old ,Male, Rtd Air force officer, Diabetic,now on Insulin: I am suffering from GERD Gastritis. I am on pantoprazole since last one month, no improvement: Please advice :Thanks and regards.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Please try to have simple food especially a light dinner and that too by 7 pm. Also don't lie down immediately after meals. Sleep on the left shoulder side. Avoid constipation.
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Sir, I am suffering from thyroid hypothyroidism for 8 years taking thyronorm 150 mg but now I have problem in my both legs and joint. I use tablet dexona and cetrizine as I have some problem of asthma and itching since 8 years. I also have high BP taking AGENAL AT 1 daily .I also feel problem in nerves. TSH level also increased sussagest some medicines. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. When on treatment with thyroxine tablets taking adequate dose, TSH should be maintained between 3 to 4 mU/L, then only all the symptoms are in check. High TSH level means hypothyroidism is not in control. Secondly if you are on Dexona (for what reason is not clear), that can also upset the control. For asthma there are inhalers which offer better relief. Joint and muscle pains can be due to uncontrolled hypothyroidism. Plus your weight also is much higher with a BMI of 29.16 kgs showing obesity. This could be due to uncontrolled hypothyroidism. You have not mentioned the BP readings. From the info given it looks like a re - look has to be given to the total treatment, diet, exercise and various medications being taken. Thanks.
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I am 44 years old suffering from diabetes and epilepsy. For last two three months I am facing the problem of premature ejaculation and ed. My blood pressure is normal and my diabetes is 125-130 range before breakfast and after its range is between 150-160. Four times in week I consume alcohol and sometimes I do smoke.

B.A.M.S, M.D. (A.M.)
Ayurveda, Gonda
Please don't use alcohol and smoke. According Ayurvedic treatment you use healthy foods, morning walk, exercise. Avoid red chilli in your food & fast food. Thanks.
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I am 63 years old. My Fasting Plasma Glucose is 117 and 2 hours P P is 194. The HbA1c is 7.1. I am usingTab. 0.5 Gemer before lunch. Do I require higher dose? Pl. Advise.

MD - General Medicine, PG in Diabetology, PG Diploma In Clinical Cosmetology (PGDCC)
General Physician, Asansol
The target level of blood sugar of diabetic patient is FBS 70 to 130 mg/dl, PPBS < 180 mg/dl & HBA1C <7%.Your blood sugar is mild high. You may control it, by diet, exercise or higher dose of Gemer or change your medicine such as metformin 500 mg .Metformin is the first choice of diabetic patient, it does not cause hypoglycemia.
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My wife aged 58 years is suffering from high sugar level i.e. Both F and PP. Please suggest home remedy and medicine (any) to control the level and bring it to min. Shall be grateful to Docs.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. For controlling high blood glucose levels there are a number of drugs, I can suggest a few of those. However, unless all the details are known like FBG, PP blood glucose levels, HbA1c%, weight and height of the patient, dietary pattern and extent of daily exercise, it is not possible to suggest any drug. It is also necessary to know if there is any current treatment and its dosage. I suggest please come in a private consultation with all the above details, then I will be guide her through appropriate treatment and help control the glucose levels. In the mean time following precautions need to be taken: 1) Avoid sweets, deep fried foods, junk foods, pastries, bakery items, colas and all foods made out of maida. 2) Consume more of green leafy vegetables, salads and permitted fruits (100 g a day), 3) Exercise daily for at least 1 hour, brisk walking is an excellent option. & try and maintain near normal weight. I await your response. Thanks.
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Can you suggest a diet plan for prediabetes people to avoid risk. Whether bittergaurd juice can be consumed daily? Any side effects?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip.in Yoga, MBA
Ayurveda, Gurgaon
Hi Mr. lybrate-user Rao 1.Best rigmn for you is to go for 45 min brisk walk in morning and 20 min normal walk after dinner. 2.Take diet rich in fibre 3Avoid Rice. If you are a rice eater only then take thick rice only. Strict No to basmati 4.In fruits -No to Mango, banana, Cheeku.u can take papaya 5.proper Sleep 6.Avoid stress by Breathing exercises and yoga asanas especially Ardhmatseyendra Asana n Mandook asana 7Plenty of warm water. 8.u can take bitter guard daily with cucumber n tomato. Make juice of all n drink empty stomach in morning. For any further query you can consult me online by private conversation. TC 5.
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I have diabetes for the last 15 years. From last 10 days I am feeling pain in my stomach on the right side which increases to some extent sometimes but is bearable. I have lesser urination with smell. I also feel weakness. I am attaching the reports and the prescribed medicines for you reference. Kindly suggest me the medication.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. In this communication there is no facility to upload the reports. So nothing can be seen. Only in private consultations one can do that. You could have written the details. Sometimes if diabetes is unconytrolled, there can be many concurrent problems. When one has well controlled diabetes FBG should be <100 mg, PP 160 to 170 mg & HbA1c% <6.8. Then most of the problems are in check. If you wish to come in a private conversation then give following details: current fasting, PP & HbA1c%, medication with dosage, dietary pattern and extent of daily exercise, then I will be able to guide. Thanks.
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Is thyroid and diabetics interrelated? TSH IS >150 WHEREAS T3 AND t4 ARE 0.27 and 23.8 what is the treatment suggested?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the query. Diabetes and hypothyroidism are not inter related. They are separate diseases. TSH >150 mU/L is too high. This means there is severe hypothyroidism. Immediate treatment with levothyroxine is needed. Dosage has to be decided based on patients weight, height, TSH level and T4 levels. Plus patient has to avoid soy beans, soy containing products, increase the intake of green leafy vegetables and fruits, exercise daily so as to maintain near normal weight. Thanks.
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