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Dr. A.Sundaram.

Endocrinologist, Chennai

Dr. A.Sundaram. Endocrinologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. A.Sundaram.
Dr. A.Sundaram. is an experienced Endocrinologist in T.Nagar, Chennai. Doctor is currently associated with Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. A.Sundaram. on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 41 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Please advice for diet in diabetic hypothyroid hypertensive CKD patient with post angioplasty status?

C.S.C, D.C.H, M.B.B.S
General Physician,
Please advice for diet in diabetic hypothyroid hypertensive CKD patient with post angioplasty status?
FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286 Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally.
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What impact of smoking one to two cigarettes per day on a diabetic person currently on medication, metformin tab 500 mg one tablet per day.

MD - Psychiatry
Psychiatrist, Chennai
What impact of smoking one to two cigarettes per day on a diabetic person currently on medication, metformin tab 500 ...
it will produce chronic lung disorder, reduced immunity, more ulcers, and more chances of carcinoma. Better stop the 2
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Hello doc Mam I have hormonal imbalance problem. My tsh and prolactin tests r normal but testosterone is 52.8.menstruation problem. Nd hair growth on chin. Even a little bit gain in weight. I go for walk daily. controlled diet. Is there any serious problem. My age 27 years old unmarried. In future any prob during conceive? Bp normal level. please Guide me how to cure.

DHMS (Hons.)
Homeopath, Patna
Hello doc Mam I have hormonal imbalance problem. My tsh and prolactin tests r normal but testosterone is 52.8.menstru...
Hello, Lybster user, to overcome your distress please go. For under noted natural norms Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. • Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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I'm in the 90 th day of my pregnancy. Two days back I took blood test and my Hb is 9.5 Is it normal or low? Also my blood sugar level is 61. If low pls tell me how to improve my Hb and blood sugar level.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I'm in the 90 th day of my pregnancy. Two days back I took blood test and my Hb is 9.5 Is it normal or low? Also my b...
Yes, you're anemic. You'll have to do certain tests like iron study and other blood test to find out the cause. Blood sugar level is on the lower side, but can be improved with proper diet at frequent intervals. Avoid fasting and deliberately skipping meals.
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Can we know if there is diabetes by random blood sugar test if it's negative can we come to conclusions that there is no diabetes? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can we know if there is diabetes by random blood sugar test if it's negative can we come to conclusions that there is...
Mr. lybrate-user, Yes it is possible to know if one has diabetes or not with random blood glucose test. If it shows glucose level 200 mg and more, then diabetes is confirmed. If level below 140 mg then it is considered negative or normal. Thanks.
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Hello sir, I have diabetes from the past 10 years which ranges between 200 to 250 mg, moreover I also have cholesterol and high bp problem. I have a query that how can I keep a check over my diabetes and cholesterol level, is there any permanent solution to all of this .what kind of precautions to take up. Regards.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hello sir, I have diabetes from the past 10 years which ranges between 200 to 250 mg, moreover I also have cholestero...
1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 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 brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water for medicine and further advise contact on private chat. Good luck.
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Sir I am patient of TSH value is 133 please give Ana that ma kya kya khao just so tsh control ma rahe Aur kon sa dawa khau and my age is 29.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Sir I am patient  of TSH value is 133 please give Ana that ma kya  kya  khao just so tsh control ma rahe  Aur kon sa ...
Tsh 133 suggests overt hypothyroidism. You need to take levothyroxine supllimentation. Get your anti tpo antibodies test done. For starting medication you need to consult any diabetologist or endocrinologist.
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Hello Doctor, My mother has a sugar pain and her sugar level is 290 after meals. How to get normal soon and her age is 35.

MBBS
General Physician, Cuttack
Hello Doctor, My mother has a sugar pain and her sugar level is 290 after meals. How to get normal soon and her age i...
1. Do regular aerobic exercise for 1 hour daily brisk walking, 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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Hi iam taking tab aznlix 2mf forte morning before meal and aznlix 1 mf forte evening before food from last 10 days. Today my sugar level is fasting 128 mg/dl and after food 190mg/dl. How I can do this level on normal sugar or this is normal level for diabetic patient. Kindly suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi iam taking tab aznlix 2mf forte morning before meal and aznlix 1 mf forte evening before food from last 10 days. T...
Mr. Lybrate-user, normal sugar level is same for a non diabetic person or one with diabetes. To say that your diabetes is in good control, fasting should be nearer 100 mg and pp between 150 to 160 mg. And hba1c%<7. To achieve this apart from appropriate treatment diet control and exercise are also equally important.
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Hi, I am 31 year old & have a blood sugar fasting 265 last two month as I know, after physical & running without any medicine now I got fasting 208. So please suggest me I need to take the medicine or not ?

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
Hi, I am 31 year old & have a blood sugar fasting 265 last two month as I know, after physical & running without any ...
Fasting blood sugar should ideally be less than 125. Since in your case it is 208, I advise you to take medication. Please do continue your exercise. If your weight is at least 50 kg and you are not allergic to metformin and you don't have a history of any kidney or liver problems, you can start Metformin 500mg extended release once at bed time. Before this, do measure your Serum Creatinine values.
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57 years old, male, fasting 120 pp 145 guide to getting remedy for fasting get lowered ?

MD - Medicine, MBBS
Cardiologist, Panchkula
This called impaired fating glucose. It is prediabetes means you can develop diabetes later. Do regular exercise. Avoid refined sugars. Avoid fatty and fried foods.
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Basic things which are necessary for Diabetes Person. Diabetes is around 350-400, which is not coming down.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Basic things which are necessary for Diabetes Person. Diabetes is around 350-400, which is not coming down.
Mr. Lybrate-user the blood sugar levels mentioned are very high, need to be urgently brought closer to normal with appropriate treatment. It appears present treatment is not at all helping. Leaving sugar levels so high is an invitation to ; ong term complications of diabetes - like retinopathy and blindness, kidney damage, neuropathy, problems with lower limb blood supply and ulceration etc. As regards your question on" basic things necessary for a person with diabetes" it is rather unclear what exactly you are looking for. Still following few things I am giving which one needs to do. 1) take prescribed medications properly without missinga dose. 2) aim at achieving fasting level of 100 mg and pp 150 to 160 mg and hba1c% <7.3) 3) exercise regularly for at least 1 hour a day, to maintain normal weight and spend extra glucose. 4) avoid sweets, sugar and gur, deep fried foods, junk foods, pastries, sweetened aerated drinks, fructose corn syrup containing products. 5) avoid alcohol and smoking. 6) keep a track of blood sugar and hba1c% regularly. 7) get eyes checked for ruling out retinal involvement. As mentioned above you need to bring sugar levels much lower. May be treatment change is needed.
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Health of my sister is increasing very much without any disease like thyroid. Moreover her diet is very normal but her periods are irregular. Kindly suggest medicines.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Health of my sister is increasing very much without any disease like thyroid. Moreover her diet is very normal but he...
Balanced diet helps in controlling all disease and nutritional deficiencies aggrevate them. Abundand fruits and vegetables in diet have all essential nutrients with best bioavailability to the body. And so this diet is the balanced and most natural diet. This normalises weight, nutrients and balance in the body. Breakfast= fruits only. Abundant amount. Lunch/dinner= half plate salad, 1 katori sprouts, green vegetables 2 to 3 katori, daal 2 to 3 katori, only 1 roti in one meal. Evening time fruits are also good. Stop having: milk, milk products, refined foods, packaged food of any kind like bread namkeen buiscuits maida etc. As these have all kinds of adulteration now a days with reports of urea level exceeding the limit even in mother dairy milk. Do light excercise for two hours daily slowly without straining yourself. Have plenty of fluids and water daily.
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I have high Uric Acid level (7.3) detected for the last 4-5 months. After consultation I take Feburic-80 for one month and changed my eating habit. I stopped taking medicine when level reduces to 4.0. Just before one month I realized heel pain and checked it again, it is now 7.7. Dr. Advised me do a close look to your uric acid level and continue to take medicine but denied heel pain pain relates high uric acid level. I just wanted to know is it relates, I am feeling difficult walking for10-20 steps just after bed. I also feel stretches in between heel and ankle in downstairs. Please suggest.

DNB (Orthopedics), MS - Orthopaedics, MBBS
Orthopedist, Bhopal
Heel pain as the only symptom of high uric acid is rare, your doctor is right. What you have is plantar fascitis, which is a common problem. Treatment includes wearing comfortable footwear, and plantar fascia and tendo achilles stretching exercise which should be done first thing in the morning.
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What is the best medicine to cure thyroid? my thyroid glands are swelled (ultrasound) and the tsh is 7.9.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
What is the best medicine to cure thyroid?
my thyroid glands are swelled (ultrasound) and the tsh is 7.9.
IN HYPOTHYROIDISM:--- 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help, take tab. thyroxine 75 mcg.
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I am diabetic since 2 years my sugar level is 170/180 in fasting which medicine you refer to use ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Being a homoeopath I can recommend you a good homeo medicine syzygium jambolanum q ( dr. Reckeweg )20 drops tdss before meals in 20 ml fresh water gymnema sylvestra q (sbl ) 30 drops morning empty stomach in 1 glass fresh water.
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After pain in my foot my tests shows increase in uric acid what should I do to keep it at lower side in future.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
After pain in my foot my tests shows increase in uric acid what should I do to keep it at lower side in future.
If You have Faith in Homeopathy -You can use some homeopathic medicine for safe cure: (1) Berberis Pentarkan WSI - 2 tabs - thrice daily (2) Urtica Urens Q 5 drops twice daily in some water for 30 days Under supervision of qualified homeopathic consultant. (Discontinue the treatment & report to physician if any sign of allergy appears) Advised to Avoid - Cauliflower, Pumpkin, Mushroom, Brinjal, Red Meat & Red Wine Advised to eat more - Lemon Peel, Carrots, Horse Gram (Kultha Dal) & Bittrer Gourd (Karela.
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My mother is 51 years old suffering from diabetes from past 12 years. She has low vitamin d result of 9.46 ng/ml Please let us know the supplements and foods she should consume.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
My mother is 51 years old suffering from diabetes from past 12 years. She has low vitamin d result of 9.46 ng/ml Plea...
HI lybrate-user, You need proper counselling for her, so please take a Expert Nutritionist consultation for best results. Before that, give her balanced diet, do yoga, walk or any exercise, drink pleanty full of water, coconut water, fresh lime juice, eat lots of fresh vegetables, avoid eating junk and oily food.
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My friend is diabetic patient. He took a sugar test done which showed the level reaching 212. In order to control the levels what should be the measures to be taken?

MBBS
General Physician, Cuttack
My friend is diabetic patient. He took a sugar test done which showed the level reaching 212. In order to control the...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet. 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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My mom have Diabetes from last 7 years. And some time she is suffering so much from different illness like. Flue, hand paining, legs paining, bottom of the legs are burning. So what is the best solution of it?

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
My mom have Diabetes from last 7 years. And some time she is suffering so much from different illness like. Flue, han...
Dear lybrate user, she might be having tingling, burning or numbness of foot or arm. We term it glove and stocking symptoms and it is due to diabetic neuropathy. Treatment are available for it, you need to consult your endocrinologist or pain specialist to examine for extent of problem and advise medicine accordingly. Hope it helps.
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