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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.

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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
...more
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I am 43 year old dietetic problem n also have sexual problem what should b do to recover both problems ?

BHMS
General Physician,
Hello, well come on lybrate, sexual problem in patient with diabetes are complex and involve impairments in nerve, blood vessel, and muscle function. Which treatment is best depends on many factors including a patient health and his ability to tolerate the treatment. Best way to consult with your physician.
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What is actual blood sugar lable at morning of a healthy person?

CCEBDM, MBBS
Endocrinologist,
What is actual blood sugar lable at morning of a healthy person?
The blood sugar values differ for a healthy non-diabetic and a diabetic. Considering your not a diabetic, the normal values for fasting blood sugars would be less than 96mg/dl and post prandial 2 hour sugar should be less than 140mg/dl.
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Wound Healing and Diabetes

M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Wound Healing and Diabetes

Diabetes is a chronic condition where the glucose level of the body rises too high. There are two types of diabetes - type 1 and type 2. In case of type 1 diabetes, the body fails to produce insulin and people suffering from this condition have to depend on insulin injections for the rest of their life. In case of type 2 diabetes the body produces less amount of insulin, which is not enough for the proper functioning of the body.

This type of diabetes can be kept under control by following a healthy diet and practicing exercise regularly. 

Why diabetic wounds can cause severe problems:
Diabetes can cause a number of complications that makes it harder for certain wounds to heal. These include:

  1. Nerve Damage: Until a cut or blister worsens and becomes inflamed, in case of neuropathy, you will not experience the pain. Diabetics often suffer from neuropathy, making it difficult for wounds to heal.
  2. Weak immune system: A minor wound may even get severe and become infected if your immune system fails to exercise its natural defenses.
  3. Narrow arteries: Blocked arteries may cause severe wounds which becomes difficult to heal. Clogged arteries make it difficult for the blood to flow to the affected area which slows the process of wound healing.

Treating a diabetic wound:
In order to ensure that the diabetic wound does not get infected, below mentioned methods can be used:

  1. Take care of the wound immediately. If the wound is not cleaned and taken care of immediately, it can lead to bacteria build-up, which will lead to infection. 
  2. Avoid using soaps and hydrogen peroxide to irritate the injury. Use antibiotic lotions to prevent infection and a sterile bandage to keep the affected area covered.
  3. Consult your doctor before any minor problem turns big.
  4. Since the bottom of the foot is a common place for developing blisters and calluses in case of diabetic people, try to keep pressure off the wound as it slowly healing.
3506 people found this helpful

My mother always have high BP & sugar. What can be done to control it? Please help me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My mother always have high BP & sugar. What can be done to control it? Please help me.
DIABETIC DIET ADVICE: ?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,fried foods,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 ?stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ?Limit intake of sugar and sugary foods like sweets ?If so desire can take sugarfree as sugar substitute for sweetening purposes
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My friend is suffering from diabetes. What's the best treatment?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
My friend is suffering from diabetes.
What's the best treatment?
Drink meethi water empty stomach early in the morning (1tsp meethi dana soaked in 1 glass of water for overnight)
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I have diabetes and bp problem my sugar is around 295-300 after meal and 245-260 before meal please give me a solution for it.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have diabetes and bp problem my sugar is around 295-300 after meal and 245-260 before meal please give me a solutio...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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I want to loose weight I have a problem of thyroid I take medicine met pco care n thyrox-50 I have 1 child 3 years old After sezerian I gone up weight mostly in tummy I daily walk 4000 foot Please suggest some medicine for loose weight.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I want to loose weight I have a problem of thyroid
I take medicine met pco care n thyrox-50
I have 1 child 3 years ol...
1. No alcohol 3. No smoking 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5.30 mts walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. Do for 30 days and report
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Diabetes - Complications Associated With it!

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes - Complications Associated With it!

Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:

  • Retinopathy - In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.
  • Skin conditions - During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.
  • Nephropathy - Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.
  • Cardiovascular diseases - This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.
  • Neuropathy - It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.

However, it is always desirable that you should consult a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.

2456 people found this helpful

Insulin dependent since 2000 till now facing same sugar problem. Hence suggestion required please.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Insulin dependent since 2000 till now facing same sugar problem. Hence suggestion required please.
To achieve better sugar control you have to do self monitoring of blood glucose and set up a system of sending sms message to your doctor on daily basis and decide on a target fasting / pp blood sugarleve and up titrate insulin dosage every alternate day by 2 units till target level is reached. Then the same can be continued.
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Role of Hysteroscopy Diagnosing of Infertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Role of Hysteroscopy Diagnosing of Infertility

Hysteroscopy is considered as a therapeutic modality and a valuable detection in the management or treatment of infertility. It is a process whereby a doctor checks the uterus cavity to treat the cause of abnormal menstrual bleeding which may be impeding chances of conception. It is performed with the help of a hysteroscope (a thin tube) inserted in the uterus to detect and examine the cervix (lower end of the uterus). Its role has changed and modified overtime.

Hysteroscopy is performed to find out certain causes of infertility; which may be:

  1. Problem in the size or shape of the uterus.

  2. Repeated miscarriages.

  3. Endometrial cancer (a cancer of the uterus).

  4. Scar tissue in the uterus.

How and when to prepare for hysteroscopy?

  1. The best time for hysteroscopy to be carried out is when one is not on her menstruating cycle.

  2. Make sure not to insert tampons or use vaginal medicines 24 hours prior to the surgery.

  3. An anesthetic will be given to relax you before hysteroscopy.

How is it performed?

The procedure begins with the administration of anesthesia.

  1. The cervix will be widened (dilated) by the doctor to insert the hysteroscope.

  2. The hysteroscope is then inserted into the uterus through the vaginal tract and the cervix.

  3. The uterine cavity is expanded by the usage of carbon dioxide gas. The blood and mucus is then cleared. This is done once the hysteroscope is put into the uterine cavity.

  4. The hysteroscope light allows the doctor to see and diagnose the problem in the uterine cavity by observing the openings of the fallopian tubes (tubes through which the eggs travel from ovaries to the uterus).

Expectations after the procedure:

  1. You will have to be observed for a few hours before you are allowed to go home.

  2. Post-surgery vaginal bleeding or cramping is also common.

  3. In case carbon dioxide gas is used in the surgery, mild shoulder pain might be another botheration. However, it should subside within a day or two.

  4. It is also completely normal to feel slightly sick or even have a few bouts of fainting.

Certain complications which might require medical attention are:

  1. Heavy vaginal discharge or bleeding

  2. Acute fever

  3. Acute abdominal pain
1 person found this helpful

I have a student and I have h sugar and I very high any time thats way I have no study.

MBBS
General Physician, Cuttack
I have a student and I have h sugar and I very high any time thats way I have no study.
Prevention 1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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I am a diabetic patient .please write do's ans do not also suggest what can I eat. Can.should I take bitter guard juice daily alao can I take carrot juice as fruit juices are harmful.

MBBS
General Physician, Mumbai
I am a diabetic patient .please write do's ans do not also suggest what can I eat. Can.should I take bitter guard jui...
Few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I am 60 year old ,my uric acid test is normal on 19/9/16 it is 5.7 mg. Since 5-6 months I am suffering from heel pain in right foot. I am not diabetic. Everyday I go for 4-5 km morning walk. Apart from this I am almost healthy person. My weight is 67 kg and height is 5.7" I have taken various medicine of all pathys but no relief. I also use soft footwear. I also tried homeopathic medicine like arnica, mag phos, calcarea phos, ledam pal and brufen, tendicure tab. Vitamin d vials. Earlier also I have asked this question. But no medicine found effective .please prescribe effective medicine of any pathy.

BHMS, DI Hom (London)
Homeopath, Varanasi
I am 60 year old ,my uric acid test is normal on 19/9/16 it is 5.7 mg. Since 5-6 months I am suffering from heel pain...
Though your uric acid is under range as per pathologist but clinically it is found reading above 4 are trouble causing and varies person to person. Take Colchicum Q, Berberis Vul Q, and Urtica Urense in Q form, Doses 10 drops each together with water thrice daily. Medo 1 m/1 dose in morning and Ledum 200 & Rtus tox 200 alternately at 3 hours interval for one month. Stop all pulses non veg. Don't walk bare footed uses thick soft slipper.
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Hi jb meri shadi hui thi tb tk mera rang gora tha. Kafi log appreciate krte. Mgr jaise hi mujhe thyroid hua fir weight gain to mera colour bhut kam hogaya .sb kehte hai ke rang JAL gaya bimar rehkr aur wajan se b.plz suggest some home remedy .bcoz mujhe koi dawa nai khani. Aur mere chehre pe koi cream suit nahi hori bhut Hi oily skin hai. Shuru se. please koi natural tarika bataye.

Diploma in Diabetology, MBBS
General Physician, Warangal
Hi jb meri shadi hui thi tb tk mera rang gora tha. Kafi log appreciate krte. Mgr jaise hi mujhe thyroid hua fir weigh...
maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life avoid calliflower cabbage vegetables add cap.Tyrowell.daily for 1 month TSH level should be below 5.5 take low calorie food plenty vegetables and fruits in 2 / 3 servings check sugar BP cholesterol levels
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Hi everyone. My wife having a enlargement near to thyroid gland. We had FNAC and other report that confirm only hyperthyroidism. Now what are the medications to treat this.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hyperthyroidism treatment consists of oral medicines like methimazole, carbimazole and propylthiouracil. Other measures like thyroid ablation by radioisotope and surgery are also indicated in some cases. Kindly contact me with all the reports if possible.
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I am 40 years old. I am suffering from type 2 diabetes mellitus from last 6 years. My fbs is 200.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I am 40 years old. I am suffering from type 2 diabetes mellitus from last 6 years. My fbs is 200.
Fbs 200 mg/dl is just too high! its very improtant for you to immediately get this under control. It may lead to very critical near term and long term complications. You may feel nothing at this moment but frankly speaking your body organs especially your kidneys, eyes and nerves are undergoing daily damage which will become permanent disability very soon.
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How I can treat the minor diabetes at home without any medicine. Suggest me the easiest way?

CDIABT, MBBS
Endocrinologist, Mumbai
How I can treat the minor diabetes at home without any medicine. Suggest me the easiest way?
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life.
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My aunty is suffering from diabetics. And she is suffering from lack of blood .what precautions should we must take.

MBBS, CCEBDM
Diabetologist, Bangalore
My aunty is suffering from diabetics. And she is suffering from lack of blood .what precautions should we must take.
Hi If the cause for her low Hemoglobin is iron deficiency then she needs lots of iron rich foods like beans, rajma, legumes, lentils, green leafy vegetables, ragi. If it is not due to iron deficiency then she needs a complete evaluation as to find the cause of her blood loss. As a diabetic let her take her medicines regularly, follow a strict diabetic diet (4-6 small meals a day, avoid white rice, refined flour, sugar, excess oil, fried foods, bakery products, take fresh vegetables and fuits like apple, guava, mousambi, strawberry, plum, papaya), and exercise regularly.
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I am not sure if I have a thyroid problem. My test result showed the value slightly under the normal range. Is it a matter of concern ?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
First of all you need to be sure whether you have problem or not. You need to provide detail information about your medical history in order to suggest you further. You can consult with me regarding further management with latest thyroid function test reports.
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