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Dr. A.Shanmugam

MBBS, MD, Post Graduate Diploma in Diabetology (PGDD)

Endocrinologist, Chennai

19 Years Experience  ·  200 - 400 at clinic
Dr. A.Shanmugam MBBS, MD, Post Graduate Diploma in Diabetology (PGDD) Endocrinologist, Chennai
19 Years Experience  ·  200 - 400 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. A.Shanmugam
Dr. A.Shanmugam is a renowned Endocrinologist in Guindy, Chennai. Doctor has helped numerous patients in his/her 19 years of experience as a Endocrinologist. Doctor studied and completed MBBS, MD, Post Graduate Diploma in Diabetology (PGDD) . Doctor is currently associated with Sri Balaji Hospital in Guindy, Chennai. Book an appointment online with Dr. A.Shanmugam on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Dr.MGR Medical University - 1998
MD - Madras Medical College, Chennai - 2004
Post Graduate Diploma in Diabetology (PGDD) - Madras Medical College, Chennai - 2008
Professional Memberships
Indian Medical Association (IMA)

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No.1, Lawyer Jaganathan Street, Guindy. Landmark: Near Kathipara Junction, ChennaiChennai Get Directions
200 at clinic
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No.1, Lawyer Jaganathan Street, Guindy Landmark : Near Kathipara Junction.Chennai Get Directions
400 at clinic
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I have diabetes from I month? what should I do to keep it under control?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
I have diabetes  from I month? what should I do to keep it under control?
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients.
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My father aged 55 years, is suffering from diabetes, he is using ayurvedic medicine,, but diabetic is every time Above normal limit. what precautions should he take and what should he eat to stay fit and healthy?

MBBS
General Physician, Mumbai
My father aged 55 years, is suffering from diabetes, he is using ayurvedic medicine,, but diabetic is every time Abov...
We need to control sugar levels with medication exercise and following a diabetic diet and to take food with low glycemic index levels
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Ssugar hone ke baad pair me jhin jhini rahta hai krbi 3 month ho gya 2 month se sr pevesca+ 75 mg khati thi 15 days se ye dwa 150 mg kha rahe hai fir v thik nai ho raha.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Ssugar hone ke baad pair me jhin jhini rahta hai krbi 3 month ho gya 2 month se sr pevesca+ 75 mg khati thi 15 days s...
Lybrate-userji, sabase pahali baat ye ki blood glucose ko control me rakhana chahiye. Fbs 100 mg ke paas, pp 150 to 160 mg ke paas, hba1c%<6.8, maintain hona chahiye. Nahito nuropathy jaise complications control me nahi ayenge. Shukriya.
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As told earlier my husband gts sudden shivers, giddiness n coldness in hands, feet sometimes, so had his glucose test done, fasting-109 n post-164. So does he have hypoglycemia?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Endocrinologist, Thane
As told earlier my husband gts sudden shivers, giddiness n coldness in hands, feet sometimes, so had his glucose test...
This doesn't look like hypoglycaemia. If he is diabetic and is on medication, check the blood sugar when he gets such symptoms. But this might be something else.
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My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please help me.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please hel...
You should consult your doctor locally, for glossitis... please keep her sugar level in control, it helps in recovery from glossitis..
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I am a type2 diabetic patient and detected since a year now. I have been taking Reclimet-XR & Pioz mf 7.5 tablets daily. Could you please tell me if there any side effects of these medicines ,particularly for pioz mf 7.5 as someone told me it might have some linkage with cancer. So i need to know from the experts. Thanks in advance

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
There has some hue n cry about pioglitazone two years back but that is politics between pharma companies. MOREOVER Bladder cancer risk is with high dose that is 30 mg or above but it's benefits overweigh risk. In India Doctors are using this salt for 15 years.Nobody has seen any case of bladder cancer. On the contrary cancer is more seen in people who are not diabetics and aren't using pioglitazone. So rest assured you are on right track.Good luck.
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I am a 32 year old working woman suffering from thyroid from 10 years and also obesity problem please give a suggestion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 32 year old working woman suffering from thyroid from 10 years and also obesity problem please give a suggestion.
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid bad habits . Avoid stress. Take Some Relax during work. Take treatment for hypothyroidism :- tab. THYROXINE is used in hypothyroidism. And dose are according to level of thyroid for life time. Do Tests thyroid profile every 3 to 6 months. And consult doctor regular on time.
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What is a best treatment for the diabetes patient for diabetes type two, insulin is a best ya other is good medicine?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is a best treatment for the diabetes patient for diabetes type two, insulin is a best ya other is good medicine?
Mr. Lybrate-user, diabetes mellitus occurs (t2) either due to lack of insulin or resistance to its action or both. In t1 there is total absence of insulin, beta cells of islets of langerhans in pancreas do not secrete any insulin. Since main reason is insulin deficiency, best drug for treatment is insulin. However, in t2 initially metformin is used, which helps in reducing resistance to insulin action and also helps in weight reduction. Then other drugs known as secretogogues (insulin secretion stimulators) are used. If diabetes is very severe with very high blood sugar levels and hba1c% >9, then insulin is preferred. So it depends on individual case and needs of each patient. There are multiple choices now, recent addition to treatment has been sglt-2 inhibitors, which act independent of insulin.
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I am 47 years male and having sugar last 7 years with thyroid problem. And feel tired and bodyache and left leg pain below knee. Please advice what would be my diet and some healthy medicine.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 47 years male and having sugar last 7 years with thyroid problem. And feel tired and bodyache and left leg pain ...
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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My mother is 67 years old and is suffering from knee pain for last few months. Her blood sugar is 7 hba1c and pp is 212. Pressure is fluctuating day and night. Please suggest how to reduce the pain. Thank you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mother is 67 years old and is suffering from knee pain for last few months. Her blood sugar is 7 hba1c and pp is 2...
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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I am a 39 year old and am suffering from hypertension for more than a decade. The reason is I have a scar on my left kidney due to some issue when I was young which I too didn't know about. I have been taking highest medication. Amlopress vl 160. But no effect. Please help.

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent blood pressure and revert back to me for further assistance. Pls upload usg report if you have it.
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I am 47 yr. I feel always tiredness. I have thyroid but in control. But should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 47 yr. I feel always tiredness. I have thyroid but in control. But should I do.
Please get your hemoglobin checked, because it is possible you may have anaemia, which could be the reason for tiredness. If there is no anaemia detected, then please eat adequate diet with proteins like eggs and a lot green vegetables. You also must be aware that in hypothyroidism one should avoid soya containing products, cabbage, cauliflower, broccoli, mustard and coffee as these items affect treatment. Please inform the hb level.
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I got health issues like I have excess of weight and I want to get rid of it. I am alsi having diabetes and my diabetes is also more that normal level. Help me in controlling. What is the normal range of diabetes?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I got health issues like I have excess of weight and I want to get rid of it. I am alsi having diabetes and my diabet...
Please change your life style means increase consumption of salad before each meal and fruits 1 hour before meal. Brisk walking 30 min/day also take proper anti diabetic treatment
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I am facing diabetic problem in 7 month of pregnancy. Will this problem be solve after pregnancy?

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
I am facing diabetic problem in 7 month of pregnancy. Will this problem be solve after pregnancy?
Gestational diabetes is generally during pregnancy, in most of the cases the sugar levels come in range after delivery. But there are chances of the diabetes persisting in some cases. So you have to be very careful and lead a very healthy lifestyle throughout your life. 1. Exercise at least 5 times per week 2. Eat whole/unprocessed foods at regular intervals, while being aware of physical hunger/fullness cues 3. Sleep 7-9 hours per night 4. Don’t engage in extreme diets 5. Stay consistent with your habits 6. Incorporate non-exercise physical activity 7. Ignore food advertising You need a diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, White rice and products, bread. Drink a lot of water.
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Hello sir .according to my thyroid test my tsh serum is 4.49 ulu/ml. My question ls this what is normal units tsh .

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir .according to my thyroid test my tsh serum is 4.49 ulu/ml. My question ls this what is normal units tsh .
Lybrate-user, normal tsh range is 0.5 to 6 mu/l. Considering that your value is within the range. Which means thyroid function is normal. Thanks.
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Is there any correlation between angiography and sugar?

MBBS
General Physician,
Angiography to check blockage of coronay arteries supplying to heart. Blockage is due to high cholesterol,high sugar,high B P TREATMENT IS CHANGE OF LIFE STYLE + MEDICINE. If you find any problem ask again. Thanks Dr B M GUPTA BP SUGAR & THYROID CLINIC -DELHI
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Is that any connection between uric acid and diabetic?

MD - Internal Medicine, MBBS
Endocrinologist,
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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Health Quote of the Week

BHMS
Homeopath, Hyderabad
Health Quote of the Week

Alfala helps lower bad cholesterol and blood sugar levels.

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I am a sugar patient since long please help me by suggesting a suitable exercise schedule to control my sugar level.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am a sugar patient since long please help me by suggesting a suitable exercise schedule to control my sugar level.
u can do aerobic exercises and pranayams ...besides follow these tips ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil  ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●Limit intake of sugar and sugary foods like sweets
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I am suffering from scaly psoriasis from last 5 years, it goes when taken medicine but comes back, vl it go completely ever, I am in high medicines for hormone also since I am also suffering from infertility from last 5 years, so its stress related psoriasis and estrogen level less, amh value less (no eggs) I am just 30 years old, any thing in ayurveda about this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
I am suffering from scaly psoriasis from last 5 years, it goes when taken medicine but comes back, vl it go completel...
Yes we can manage scalp psoriasis in a better way. U must have tried some steroidal lotions and some shampoos but disease will come back. We are treating psoriasis using ayurvedic medicines .we can provide you a oil to be applied at night .U can apply same oil on scalp on sunday or holiday and sit in sun for 15 minutes. We can manage it like that the disease does not come back. Internal ayurvedic medicines will be provided for blood purification. U can contact clinic for more details.
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