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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 27 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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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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Hello Doctor! I am 21 years old. I am a diabetic patient from last 10 to 11 years of type A. I take injections 4 times a day. My sugar level is fluctuating as I am a student and live in Mumbai. My schedules are sometimes more hectic. So some tips for controlling it and diet.

MBBS, DNB (General Medicine)
General Physician, Delhi
Please maintain your physical activity, diet and strict sugar control, under check, and do twice a year the complete health check up including eyes
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Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what I do any good suggestion? Pls.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what ...
Mr. Lybrate-user, primarily diabetes should be in control. Meaning fasting closer to 100mg, pp 150 to 160 mg and hba1c% <7 (ideally 6.8%). These things are necessary to have absolutely healthy life. Your ideal body weight should be 60 kgs, with a bmi of 35.71 you are having grade 2 obesity. So it necessary for you to consider weight reduction at least 5 to 8 % of present weight. That it self will improve overall condition.
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Is hypo or hyperthyroid the cause of cold feet and hands, and feeling easily cold or hot? and of abnormal tiredness and sleepiness and never having enough sleep? please let me know and what medicine to take. Thank you.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Is hypo or hyperthyroid the cause of cold feet and hands, and feeling easily cold or hot? and of abnormal tiredness a...
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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Sir I have thyroid problem since 12 years. Now a days my hair fall is very high. And my is turning to very dry. Please suggest me a doctor.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Sir I have thyroid problem since 12 years. Now a days my hair fall is very high. And my is turning to very dry. Pleas...
Control thyroid. Use Keshkanti oil from Ramdev at bedtime and shampoo daily. Take tablet KERALEGO MEN daily for six months. Avoid junk food, fried food and do pranayam daily for ten minutes.
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I am female 60 years old and suffering Diabetics. Please advice what type of food I can take and medicines.

D ( Diabetology), AFIH, DNB (F.MEDICINE), MBBS
General Physician, Pune
I am female 60 years old and suffering Diabetics. Please advice what type of food I can take and medicines.
Avoid food having high glcemic index like sweet, rice, idli, dosa, carrot fruits like banana, mangoes, also food having high glucose load like icecreame. You can use brown rice intead of polish. Eat in binges. Do regular exercise and meditation, check your sugar and follow up regularly.
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I have a sugar patent 200 so tell me my drugs or medicine doctor.

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
I have a sugar patent 200 so tell me my drugs or medicine doctor.
what is your weight and hba1c levels...u need to start oral antidiabetic drugs as soon as possible ..for that u have to get examined fully and get in contact of nearby physician
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My age is 27, female. Hypothyroid since 17 years of age, thyronorm 75 mcg. Testosterone is 84 but free testosterone is in range. What can be the reason? TSH 6.4. Low iron.

MD - Alternate Medicine, BHMS
Homeopath, Surat
My age is 27, female. Hypothyroid since 17 years of age, thyronorm 75 mcg. Testosterone is 84 but free testosterone i...
Please consult a homeopathic doctor for this. Your condition requires a proper consultation. It will take time but you will definitely get results. You can either find a local doctor or you can consult me online.
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I am 23 years old female. I am having thyroid past 1 month. And also having dizziness while walking. But my hemoglobin is 10.9. Is this caused by anemia or thyroid or some other reasons? please suggest me.

MS , MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Hi, haemoglobin of 10.9 may not be the cause for giddiness and since you are already on treatment for thyroid, I suspect it may be some other cause.
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Hi doctor My age is 36 but I am suffering from diabetes I have more stress in my job. I am have sex problem pls help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor
My age is 36 but I am suffering from diabetes I have more stress in my job.
I am have sex problem pls help me.
Mr. Lybrate-user, in patients with diabetes erectile dysfunction is quite often seen complication. Most important thing is to have very strict blood glucose control, like fasting closer to 100 mg, pp 150 to 160 mg & hba1c% <6.8. Hence, you will have to work to wards achieving the above levels. As regards stress in the job, well you will have to learn to relax and reduce that stress level. There are multiple methods or ways to learn relaxation techniques. As regards relieving sex problems, there are a number of drugs available, which can be used.
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I have checked my blood sugar level through sugar testing machine after having tea only results is 140 please advise that I have sugar or not and advice me what to do to decrease this level.

MBBS
General Physician, Cuttack
I have checked my blood sugar level through sugar testing machine after having tea only results is 140 please advise ...
Ideally you should check your fasting blood sugar in the morning before taking breakfast(Not even tea). you should also take a light dinner in the previous night. You should check your postprandial blood sugar 2 hour after breakfast.
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My throat is giving me problem from almost 4 months sometime my voice become heavy and I feel sensation in my throat, I am diabetic also kindly I had consulted doctor also still problem is same. Kindly suggest me medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My throat is giving me problem from almost 4 months sometime my voice become heavy and I feel sensation in my throat,...
Take tab. sinarest it contains ( Acetaminophen+ Pseudoephedrine+ chlorpheniramine). Acetaminophen, chlorpheniramine, and pseudoephedrine is a combination medicine used to throat infection and treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu. Do gargle with warm water thrice a day. Drink warm water also. Take plenty of water, liquid diet, dalia, green veg., orange. avoid cold things, cold drinks. Oily foods. If symptoms are from more days or again persist then do few tests for confirm causes of it.. cbc, x-ray chest. X-ray P.N.S. ..after tests consult again for best advice. your voice is heavy you may do checkup for thyroid profile also.
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Hi, am 28 years old and I am hypothyroid and daily am taking 150 mcg tyronorm tablets. Even my mother is a hypothyroid patient. But am totally fine and don? t have complications with my hypothyroid. I got married a year before and ma wife is currently carrying (4 months). So would like to know would my kid also could get hypothyroid in future. Because I suspect me getting hypothyroid was genetic and I inherited the disease from my mother. Also would like to inform that my wife is totally healthy and do not have any complications.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, am 28 years old and I am hypothyroid and daily am taking 150 mcg tyronorm tablets. Even my mother is a hypothyroi...
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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I am diabetic, thyroid and BP. I am taking insulin and other medicines for three of medical issues I have severe chronic constipation I am on diet bcos my wt is 160 kgs I loose 7 kgs in month. Whenever I take cremaffin plus I relax could you please tell me what medicines I will take that to avoid constipation and or can I continue with this cremaffin plus. Pls help pls help please help. Thanks.

MBBS
General Physician, Faridabad
I am diabetic, thyroid and BP. I am taking insulin and other medicines for three of medical issues I have severe chro...
Drink 2-3 glass of water in the morning empty stomach, and 3-4 litres of water during the day daily. Walk for minimum 5 minutes. You may also mix two spoons of isabgol in a glass of warm milk and drink it just before you go to bed. It will help. Thank You
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My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been increased a lot but he is not taking that much sugar too, Before food 215 mg, after food 330 some what. I do not know how to reduce his sugar level without going for insulin. Please advice me, what action can be taken. Whether he needs to take any test, if yes please tell me the test report names so that I will check near by lab. He is taking Amedop AT tablet for BP too. He got stoke in the year 2000. Because of that his left side function is not good. Please provide your response as soon as possible.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been incre...
Dear lybrate-user, while your concern for using insulin is valid, but it seems you are putting him at risk associated with uncontrolled diabetes. You have to understand that at some point oral meds will be insufficient to controll blood sugar hence insulin is needed which is most effective way. Uncontrolled blood sugar can lead to too many longterm complications like stroke, heart attack, loss of vision, leg ulcer etc. My advice would be to follow your physician advice even if it means starting insulin.
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Ayurvedic Approach Towards Hypothyroidism

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Ayurvedic Approach Towards Hypothyroidism

Hypothyroidism is a hormonal disorder caused by reduced amounts of thyroid hormone. It is more common than hyperthyroidism and affects women more than men. Iodine is a main ingredient of the thyroid stimulating hormone (TSH) and iodine deficiency leads to hypothyroidism.

TSH is required for effective metabolism and reduced amount leads to affecting overall metabolism of the body and causing the following symptoms.

  1. Slow pulse
  2. Weight gain
  3. Reduced attention/concentration span
  4. Intolerance to cold
  5. Hoarseness of voice
  6. Irritability
  7. Inability to concentrate
  8. Depression/low mood
  9. Fatigue
  10. Swollen face and droopy eyes
  11. Dry skin
  12. Mental
  13. Premenstrual tension
  14. Muscular pain

Ayurveda believes that this is due to an imbalance between the 3 body systems - vata, pita, and kapha. In hypothyroid people, the pita is supposed to be overpowered by kapha which reduces metabolism. 

Treatment is aimed at bringing out balance between the two.

The various Ayurvedic components include:
Panchakarma and external therapies like Vamana, shirodhara, virechana, basti, udwarthana, Kashaya Seka are shown to play a significant role in managing symptoms of hypothyroidism.

Activities: 

Specific Asanas and Pranayamas that are directed at the thyroid have been proven to be beneficial.

  1. The most effective asana is sarvangasana or the shoulder stand. It improves blood flow to the thyroid and thereby improves its function. Matsyasana, surya namaskara, pavan muktasana, and halasana are also beneficial for hypothyroid patients.
  2. Ujjayi is the most common pranayama which acts on the throat area and stimulates reflexes in this area. &#x00a0;Nadi shodhana pranayama also is proven to have beneficial effects on the metabolism.

Internal remedies:

Appetizers and digestive agents are given to improve metabolism. These include herbs and whole grains and specific food products including dairy products.

Food Changes: 

Food has a major role to play, and some of the do's and don't's are as follows.

  1. Increase water consumption, preferably warm water, to improve digestion
  2. Include more iodine-containing foods like white onions, fish, shellfish
  3. Include more whole fibers like brown rice, barley, green gram, Bengal gram, cucumber, and sugarcane juice
  4. Increase consumption of milk and milk products
  5. Avoid sour food items
  6. Herbal products recommended for hypothyroidism include kanchanara, (purple mountain ebony), jatamansi, shilajita, gokshura, Brahmi, and punarnava
  7. Apply a paste of jalakumbhi which helps by supplying iodine to the goiter directly
  8. Jalakumbhi juice can also be consumed daily (11 to 22 g)
  9. Coconut oil, being rich in medium chain fatty acids, increases the body's metabolism and helps in managing symptoms of hypothyroidism

Lifestyle Changes: In addition to the above, meditation and regular exercises to maintain a healthy lifestyle, reduce stress, and manage weight have shown to help control symptoms to a large extent.

Hypothyroidism is a chronic condition but can be managed with a combination of food, exercise, and lifestyle changes.

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My fasting sugar is just high approx 153 from last sugar check up approx 20 days ago kindly suggest medicine for me

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Dear jagjeet you need detail evaluation. Repeat fbs ppbs hba1c creatinine blood reports and get back to me for further management.
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I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.

BAMS
Ayurveda, Ambala
I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.
You should follow this diet chart to control & treat the diabetes. * in morning, drink 1-2 glass of luke warm water empty stomach & walk for 15 minutes to detoxy the body. In breakfast, take 2 chapatis of gram flour (besan) with a bowl of cooked vegetables (green leafy vegetables only) * in lunch take 2 chapattis of wheat flour with a bowl of cereals (dal) with a bowl of curd. * in evening, take a bowl of salads or a fruit like apple / orange / pear/ melon. * in night, take a bowl of boiled soyabeans with raw vegetables like tomatos/ cucumber/ onion. After dinner avoid taking milk & walk for atleast 15 minutes after dinner. * avoid food items like rice, potatos, banana, chiku, sweets, candy& chocolate.
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My mother had sugar. But she controlling sugar with medicine. As she controlled 258 to 158. Only 8 points increased compare with normally. Now is she stopped medicine or not sir.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
My mother had sugar.
But she controlling sugar with medicine. As she controlled 258 to 158. Only 8 points increased c...
Mr diabetes is a chronic disease i. E life long. Medicines may keep changing as per blood sugar but probably she won't be able to stop them altogether.
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I am suffering from diabetes what to do.

General Physician,
I am suffering from diabetes what to do.
Do blood sugar f/pp, HbA1c, urine R/M, Thyroid profile. . lipid profile. consult me privately with reports.
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During my routine tests I have been diagnosed with vitamin D deficiency (18.3) and uric acid on higher side 7.8 . What precautions should I take (without medication ) to control uric acid.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
During my routine tests I have been diagnosed with vitamin D deficiency (18.3) and uric acid on higher side 7.8 .
Wha...
To reduce the uric acid levels in blood, you may need to limit intake of alcohol, sugary foods and reduce purine rich foods like meat, poultry, seafood and pulses. Vegetables such as cauliflower , asparagus, spinach, peas and mushroom also contain a lot of purines. increase fibre content in diet like oats, etc drink lot of water
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