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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 44 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)

Location

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Sri Balaji Hospital

No.1, Lawyer Jaganathan Street, Guindy. Landmark: Near Kathipara Junction, ChennaiChennai Get Directions
200 at clinic
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Sri Balaji Hospital

No.1, Lawyer Jaganathan Street, Guindy Landmark : Near Kathipara Junction.Chennai Get Directions
400 at clinic
...more
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Hi I am 52 years old no family history of diabetic I am going frequent for urine blood report is ok is there any chance of diabetic in future.

C.S.C, D.C.H, M.B.B.S
General Physician,
You may be suffering early bph. Check urine re and do culture if pus cells present >10/hpf and test psa. Come back to me with results. Constantly monitor for diabetes. Personally ask privately here on this site.
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My wife has hypothyroidism and has been taking 75mg thyroxine daily. She is right now pregnant with 7 weeks pregnancy. We got her t3, t4 & tsh tested which came as follows. Please advise. T3 100 (97-219) t4 10.9 (4.8-10.4) tsh 4.33 (0.40-5.50)

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife has hypothyroidism and has been taking 75mg thyroxine daily. She is right now pregnant with 7 weeks pregnancy...
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 husband is an diabetics patience he can drink milk at night before sleep and he also suffering with bloodpressure as well as cholesterol problem.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My husband is an diabetics patience he can drink milk at night before sleep and he also suffering with bloodpressure ...
Yes, diabetic person can definitely drink milk at bedtime. But remove cream portion from milk after boiling it.
1 person found this helpful
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My mother is a diabetes patient. She has low energy levels while working. N she experience çontinous hairfall. She has tried all type of shampoo. No result.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is a diabetes patient. She has low energy levels while working.
N she experience çontinous hairfall. She ha...
Mr. Lybrate-user, if diabetes is well controlled with fasting glucose around 100 mg, pp 150 to 160 mg / 100 ml & hba1c%<6.8, then energy levels will remain high. If the disease is not well controlled then extra glucose is lost from urine leading to tired feeling and low energy. As regards hair fall, good nutrition is one of the primary needs. Plus it is better to check her tsh levels to see if she has hypothyroidism. Because that is one of the main causes for hair fall to occur. Apart from controlling diabetes with drugs she should exercise daily for at least 1 hour and reduce her weight to about 66 kgs. This will further help in remaining active and energetic.
2 people found this helpful
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Hi. My age is 27. My weight is gaining due to thyroid problem. My weight is 87. I have two children. Please give the solution to cure from thyroid and weight gaining.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
To support thyroid health you should: eliminate processed and simple carbohydrates avoid foods high in sugar enhance thyroid efficiency with supplements like: omega 3, b complex and for weight loss- fiber+ ch balance.
1 person found this helpful
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My daughter is 26 years old and her blood results show tsh (thyroid) value of 8.25%. When she was checked three months back it is only 4.0%. Is it effect the fertility of my daughter and is it curable or any danger.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter is 26 years old and her blood results show tsh (thyroid) value of 8.25%. When she was checked three month...
thyroid affect her in pregnancy ..it may be control by medicines and life style. 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 wife aged 53 Years, Diabetic patient, present sugar level 340 regularly using diamicron Mr. tablets daily 2. Also insulin Humanmixtard 30-70 and Insugen 30-70 daily 40 Units. Still sugar levels not in control. What to do.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My wife aged 53 Years, Diabetic patient, present sugar level 340 regularly using diamicron Mr. tablets daily 2. Also ...
May be ,she is irregular in diet or undergoing lot of stress due to which sugars are not controlled. If u can send me the latest reports and her diet schedule, diet can be modified accordingly
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Why uric acid problem I very common in young generation? How to cure it properly? What are its' main side effects?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
The best treatment of Gout consists of restoring the balance of Vata(Air element) and detoxifying the blood..High protein diet should be avoided in cases of increased uric acid...take maha rasnadi kwath 2-2 tsf twice a day....take maha yograj guggul 1-1 twice a day....kaishor guggul and chandraprabha vati 1-1 twice a day...avoid junk food....fermented food...spicy food....tea...coffee...do pranayama early morning...avoid alcohol consumption...consult me in private for more details
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I am 39 y Male having diabetes from last 4 years. I am facing problem in erection and early discharge. Please suggest what to do.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 39 y Male having diabetes from last 4 years. I am facing problem in erection and early discharge. Please suggest...
you can go for following remedy it will help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This remindy will be helpful.
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I have thyroid and due to thyroid i am getting much fat. So how i can reduce my fat in case of thyroid?

MD - Internal Medicine
General Physician, Bangalore
HI Make sure that your TSH levels are controlled. : Do aerobic exercises like Brisk walking , Jogging , Running , Cycling or Swimming at least 30 minutes every day . : Low calorie low cholesterol diet -- Avoid Sweets , Carbonated beverages , Non Veg food , Junk Food , Cheese , Butter and Ghee. Eat more of fruits, vegetables and drink plenty of water .
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What fruits can a diabetic eat? What are the limits of blood sugar level in fasting, post prandial and HbAlC tests?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
What fruits can a diabetic eat? What are the limits of blood sugar level in fasting, post prandial and HbAlC tests?
Diabetic can have any seasonal fruit 60 to 70 gms preferably inbetween meals. Fruit juice is not allowed. Normal value of fasting and after meal is 100 mg and 140 mg% respectively. Hba1c is upto 6.4.
4 people found this helpful
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My friend's husband has thyroid (11. He is 35 year old. Is there any possibility to have any kind of problem to get a baby in future. Please help me with this question.

MBBS, MD
Endocrinologist, Delhi
Thyroid hormone is required for normal metabolism of body.In male low level of thyroid hormone can case poor semen quality, poor testicular function and may cause decreased libido, hence if a male in reproductive age develops hypothyroidism, it should be treated.
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My age is 24 years , I have diabetes since one year and now it is high pp 300 . Is it possible to lower my sugar level without taking medicines ?

MBBS, PG Diploma in HIV Medicine
General Physician,
My age is 24 years , I have diabetes since one year and now it is high pp 300 . Is it possible to lower my sugar leve...
Mr. Lybrate-user. You are weighing more for your age and height and may be the reason for early onset of diabetes at an age of 24. Obesity causes insulin resistance, so you need to concentrate more on your weight reduction with some physical activity. In allopathy you need to take meds to control diabetes. To bring sugar levels to normal. 2/3of the sugar levels should be controlled by physical activity and for remaining 1/3 you need to take medication. This usually lessens the long term complications of the diabetes, reduced dose of the drugs and prevent early drug resistance. You need regular physician's care for your present health status. Contact if need further assistance.
2 people found this helpful
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M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Refined Cereals are Worst for Diabetics :

Sweetened breakfast cereals can cause a spike in blood sugar, but the response can vary. "Blood sugar reactions to cereal vary greatly from person to person," Even oatmeal—which is recommended as a good choice by the ADA—can be a problem if it's the sweetened, instant type.

Have this instead: Swap breakfast cereal for a high-protein meal instead, suggests Try an egg white omelet with vegetables and turkey or Canadian bacon with a small slice of low-carb (7 grams) bread. Cholesterol in the yolk may contribute to a higher risk of heart disease and diabetes, which makes egg whites a healthier option. Steel cut and traditional oatmeal, cooked slowly, is a better choice than other types of oatmeal as it is less likely to spike blood sugar. Small portions and adding protein can help.
2 people found this helpful

My TSH is 4.8 microIU/ml and T4 and T3 is normal. And Vit B12 is 196 pg/mL and vit D level is 5.9 Do I need Further more investigations. What is the reason for these low levels and what should be my treatment line.

BHMS
Homeopath, Raebareli
My TSH is 4.8 microIU/ml and T4 and T3 is normal. And Vit B12 is 196 pg/mL and vit D level is 5.9 Do I need Further m...
Thank you for writing to us. Please note the following in respect to your queries: vitamin b12 deficiency can happen if you have certain conditions, such as: atrophic gastritis pernicious anemia conditions affecting the small intestine, such as crohn's disease, celiac disease, bacterial growth, or a parasite heavy drinking immune system disorders, such as graves' disease or lupus long-term use of acid-reducing drugs. You can also get vitamin b12 deficiency if you're a vegan (meaning you don't eat any animal products, including meat, milk, cheese, and eggs). Treatment for vitamin b12 deficiency: if you have pernicious anemia or a problem with its absorption, you'll need to replace vitamin b12 by injection initially and then continued injections, high doses of an oral replacement, or nasal therapy for life. If the issue is that you don't eat animal products, you can change your diet to include vitamin b12-fortified grains, a supplement or b12 injections, or a high-dose oral vitamin b12 if you are deficient. Causes of vitamin d deficiency: vitamin d deficiency can occur for a number of reasons: you don't consume the recommended levels of the vitamin over time. Your exposure to sunlight is limited. You have dark skin. Your kidneys cannot convert vitamin d to its active form. Your digestive tract cannot adequately absorb vitamin d. You are obese. Treatment for vitamin d deficiency treatment for vitamin d deficiency involves getting more vitamin d -- through diet and supplements. If you don't spend much time in the sun or always are careful to cover your skin (sunscreen inhibits vitamin d production), you should speak to your doctor about taking a vitamin d supplement, particularly if you have risk factors for vitamin d deficiency. If you still need any help get back to me. Thanks.
2 people found this helpful
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Sir, I am 49 years male. Recently I found sugar in my blood and urine. Already I have bp complaint also. Pl suggest what type of food and fruits should I take.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
First thing is take proper anti diabetic drugs to control blood sugar. Also take proper anti hypertensive treatment. As regards the food no direct sugar and sweets, avoid deep fried foods, mutton. You may eat fruits like papaya, orange, water melons, apple, guava, pear and jamun. Exercise regularly. Maintain your weight near normal.
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No power in body i have high sugar and a heart attack patient what should i do to become active ?

PDDM, MHA, MBBS
General Physician, Nashik
No power in body i have  high sugar and a heart attack patient what should i do to become active ?
1. Eat well – Take a balanced Diet comprising of 45% carbohydrate, 30% protein and 25% protein, plenty of green leafy vegetables, fruits. Don’t over eat. Avoid junk, spicy, oily, high calorie, cholesterol rich diet, don’t skip your breakfast. Take warm, homemade food. Avoid food and drink from outside. Don’t skip or postpone your meal. Minimize consumption of refined grains like white rice, white bread, sugary or refined food. 2. Keep hydrated- Drink 2 liters /6-8 glasses of water daily 3. Do regular exercise for one hour daily like brisk walking/Jugging etc 4. Take adequate rest- 7-8 hours of sound sleep in the night is required to remain healthy 5. Avoid stress, anxiety, depression, agitation etc 6. Find time for relaxation and enjoyments with friends and family 7. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion, improve concentration and relieve stress 8. Develop hobby, Learn new skill 9.Go for detail Annual Health check up.
1 person found this helpful
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My mom is suffering from diabetes from last 5 years. Her age is 44. She don't like to consume drug, she do not follow prescription of medication. She want a natural diet that should help her in diabetes control in natural way any diet any exercise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mom is suffering from diabetes from last 5 years. Her age is 44. She don't like to consume drug, she do not follow...
Mr. Lybrate-user, if she has confirmed diabetes then there is no way of controlling that without any drugs either oral or insulin injections. Looking at her height and weight she has a bmi of 30.07 kgs/m2, suggesting she has grade 1 obesity. This itself can upset her blood glucose levels. If she brings her weight down to 60 kg, then her sugar levels can come down considerably, still medications are required. If refuses to take medicines, then long term serious side effects of diabetes will affect her early. Uncontrolled high blood sugar causes damage to eyes - retina leading to blindness, damage to kidney causing kidney failure, damage to small and large blood vessels and nerves leading to ulcers on foot and loss of limbs, affects blood supply to heart causing heart attacks, so it her choice whether she wants to live a normal healthy life by taking proper medicines or invite all problems mentioned above. You may talk to her. Thanks for the question.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Early initiation of insulin gives rest to exhausted pancreas due to sugar lowering tablets in diabetic patients with uncontrolled sugar. Consult your doctor.
22 people found this helpful

I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . for uric acid take tab. zyloric 100 mg once a day. tab. bencid 500 mg once a day. tab. naprosyn 500 mg sos for pain.
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