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Dr. Aarthy

Endocrinologist, Chennai

Dr. Aarthy Endocrinologist, Chennai
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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. Aarthy
Dr. Aarthy is a renowned Endocrinologist in Gopala Puram, Chennai. You can visit him/her at Dr Mohan's Diabetes Specialities Centre in Gopala Puram, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Aarthy on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 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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Gestational Diabetes - How It Can Be Treated?

MD - Diabetology, MBBS
Diabetologist, Surat
Gestational Diabetes - How It Can Be Treated?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2628 people found this helpful

What medicines are best for the treatment of sugar? What are their side effect? 2.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
What medicines are best for the treatment of sugar? What are their side effect? 2.
Treatment of diabetes depends on many factors. What is the duration of diabetes, type of diabetes, your age, your job profile, other factors like kidney and liver parameters. So treatment of diabetes changes from person to person. The main aim is to control blood sugar (glucose) levels within the normal range, with minimal fluctuations to low or high levels. Type 1 diabetes is treated with: insulin exercise and a healthy balanced diet type 2 diabetes is treated with lifestyle changes with weight reduction, healthy diet, and exercise, oral medications. If oral medications become ineffective treatment with insulin is started. Gestation diabetes (in pregnant woman) limited oral medicine and insulin is needed.
12 people found this helpful
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I have thyroid t3 -69 t4-56 and tsh 6.9 I am taking theoroxine 100mg 1od kindly guide about dose I am 47 year male.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have thyroid t3 -69 t4-56 and tsh 6.9 I am taking theoroxine 100mg 1od kindly guide about dose I am 47 year male.
your tsh level is 6.91 you can take tab. thyroxine 75 mcg. Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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I am a diabetic patient. I have been suffering from this disease for about last 15 years. I have been taking the medicine, namely, GMR M1, regularly and sugar level is under control. But I have also acidity problem. Especially, after taking a meal some sour substance come to my mouth from the stomach. But after a while it is vanished. When I usually consult with my doctor, he used to give a medicine, namely, Pandosun D. But as well as I want to stop on taking this medicine, after a few days the previous symptoms appear. What can I do in this situation?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic patient. I have been suffering from this disease for about last 15 years. I have been taking the medi...
Mr. Lybrate-user, hyperacidity and regurgitation problems are likely to be with you. You have to observe certain precautions like: do not keep stomach empty for a long time. Eat small but frequent meals,(every 2 to 3 hours), but total quantity should not exceed your planned daily intake. Plus please keep your blood sugar levels in check - fasting around 100 mg and pp 150 to 160 mg and hba1c% <7. All these things together will help in controlling excess acidity. Avoid spicy foods, sweets and deep fried fods, pastries and junk foods. Reduce the intake of tea or coffee. If you take alcohol that should be stopped and avoid smoking. After meal (lunch or dinner) sit erect for at least 1 hour or more. Exercise regularly for at least 1 hour a day, that helps reduce acidity.
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Get Rid of Uric Acids

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
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Best Foods to reduce Uric Acid Levels

3506 people found this helpful

I am 53 years old person and have diabetes since 3 years My question is can I eat raw banana as vegetable? my uric acid level is usually between 6 and 7 for last 15 years and taking Zyloric for that. Will eating raw banana will increase sugar level as it content resistant starch.

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
I am 53 years old person and have diabetes since 3 years My question is can I eat raw banana as vegetable? my uric ac...
You can take raw banana. It contains fibre and iron content is even good. It will perhaps help to reduce your blood glucose level. For better results consume it with mixed vegetables.
441 people found this helpful
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What is maximum dosage of metformin for type 2. Age 64. Weight 91 kg, height 172cm. I take 1000 mg sr bd. I also take pioglitazone 30 in morning, sitagliptin 50 mg. Bd, glynase 10 mg morning and recently started insulin 10 +15 units per day to bring bs under control. Idea is to avoid pioglitazone.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is maximum dosage of metformin for type 2. Age 64. Weight 91 kg, height 172cm. I take 1000 mg sr bd. I also take...
Mr metformin can be taken up to 2500 mg per day. But 100 mg is also a high dose only. If it is not causing any gastro intestinal side effects then no problem. It is really good that you have started on insulin because looking at amount of drugs that you are taking, it is necessary for you to shift to insulin. By doing self monitoring of blood sugar daily you can increase the insulin dosage every alternate day till you reach target fasting level. It is good to reduce or take away pioglitazone.
1 person found this helpful
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HOW YOGA BOOSTS FERTILITY

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
HOW YOGA BOOSTS FERTILITY
When we think of yoga we think of many added benefits like flexibility of the body, better energy level and a trim body. Apart from all such benefits yoga plays a vital role in boosting up the fertility level and helping your body to conceive in a better way. We cannot lay much emphasis on the fact that yoga helps in strengthening your body and mind, also, creating an overall balance between all your bodily functions including the reproductive system. Tight-packed schedules, monotonous office hours, pollution level and excessive workload often result in increasing stress level. Research shows how stress significantly hampers your body’s fertility. Depression, anxiety, stress and guilt also lower your chance of conceiving. Yoga comes to your rescue here. Regular practicing of yoga calms down your mind, soothes your soul and makes you happy from inside. It doesn’t assure conception but yes, it increases your fertility rate and prepares your mind and body for conception.
The question arises here is, what type of yoga should be practiced? Fertility yoga is becoming very popular due to its long-term benefits. Fertility yoga helps to nurture, support and strengthen the endocrine and the reproductive system. The endocrine system is essential for proper hormonal balance. Yoga helps in eliminating the blockages in the blood that flows to the uterus. This again helps in increasing the blood flow to the lower part of the body and supports the body in detoxifying. Some of the yoga poses boost the immune system and speed up the body’s healing mechanism to prepare it for conception. Yoga for fertility helps in eliminating the harmful side effects of fertility drugs as well. With a reduction in stress levels, the body’s ability to cope with the fertility treatments increases your chances of getting pregnant.

Fertility yoga is much like your daily yoga routine. There are many yoga centers that provide fertility yoga sessions. Specific poses are performed in that session for aiding a woman’s effort to get pregnant. Fertility Yoga can assist in boosting a woman’s biological clock and hormonal balance, including menstrual cycle regularity. With regular practice, fertility Yoga enables individuals to connect to their bodies and their partners in a better way. Fertility yoga comprises of a specific series of stretches that have positive effects on reproductive health. Include fertility yoga in your daily routine and lay down a great foundation for a healthy pregnancy.
153 people found this helpful

Hi, I have thyroid problem, my Tsh level is higher. and also I miss my periods because of thyroid. I want to ask is it very serious problem during in pregnancy. Now I am not pregnant. I just want to know that is baby is fine if we take treatment for thyroid? Please give suggestions. Or is this disease is for lifetime?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Hi, I have thyroid problem, my Tsh level is higher. and also I miss my periods because of thyroid. I want to ask is i...
hi priya ur thyroid levels should be normal before starting a pregnancy. and if u r taking medications for same before pregnancy, u ll hv to continue it throughout pregnancy n after delivery as well.. There s no harm to the baby If ur thyroid levels r well in limits with medications. baby can get affected only if thyroid levels go very high or very low keep getting ur TSH levels checked at frequent intervals..
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My mother is a diabetic patient. What are the chances for me to also have diabetic in future. And what should I do to prevent myself from having diabetic in future.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
My mother is a diabetic patient. What are the chances for me to also have diabetic in future. And what should I do to...
25 % chanches if one parent is diabetic. Please keep your life style healthy adequate weight good exercise. Green vegetables fruits and free from un-nessary anxiety.
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Sir I am 39 years old now. I am very alert from sugar. How can I safe myself from suger?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I am 39 years old now. I am very alert from sugar. How can I safe myself from suger?
One can prevent diabetes if a strict life style modification is followed. Namely maintain your weight near normal, (which is fine with you as the weight is much less, exercise for more than 1 h every day, avoid deep fried foods, less of sweets and direct sugar. Also avoid alcohol and smoking. With these changes you should be able to keep free from diabetes.
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Hi I ve query abt thyroid & perimenopause symptoms. I am 45 years old Last year around this time only I got my thyroid test done for d first time & tsh came to 26. My doc suggested 50 power thyroxine Got retest after 6 months. Tsh came down to 8 Got another test after nxt 3 months & this time tsh came down to 4.5 Was supposed to get retest again after nxt 4 months. So this time wen I got my test done. I had taken a break of 10 days before going for d test. So my current test showed rise in tsh. Frm 4.5 (4 months back. Instead of going down it is showing rise. It is showing 14 tsh Doc. All I want to kno is. Is this rise in tsh due to d gap of 10 days that I took? My second prblm is perimenopause symptoms: *hot flushes *frequent urge to urinate *craving *headache. Etc.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Madam, If one has hypothyroidism, then thyroxine in prescribed dose has to be taken regularly without break. If it is stopped, then TSH (Thyroid stimulating hormone) will increase because pituitary detects that there is low level of thyroxine and hence starts producing more of TSH. So you should not stop taking thyroxine on your own. When on treatment, to achieve good symptomatic control TSH should be between 3 to 4 mU/L. Otherwise most symptoms reappear. As regards hot flashes, these usually continue for some months around menopause. There is no specific treatment for that. Frequent urge to urinate is not a part of the symptoms of menopause. Please get your blood sugar checked. Thanks.
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I am patient of hypothyroidism. I take tab eltroxin 25mcg everyday. Last 2 months I gain two kilo more. I do my all house work myself. And I walk 1 hour everyday. But still I become fatty. Its really intolerable for me. And its effect on my daily life work. I also take tab duoluton l last 4 months. I had scissorian birth on 2007. This is my medical history pls suggest me how to I reduce my weight.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Bariatrician, Ahmedabad
I am patient of hypothyroidism. I take tab eltroxin 25mcg everyday. Last 2 months I gain two kilo more. I do my all h...
Sadique, Losing weight with thyroid disorder and taking contraceptive pills is real challenge. The dietary advise, which does not take into account these factors will surely not work for you. Eating a low calorie food or low fat food will surely be not very effective for you. What you need to do is consult someone who can help you holitically - proper nutrition, right kind of exercise (just few min a day), stress management and sleep improvement. Making changes in all 4 aspect, will help bring the underlying hormonal disturbances under proper control and you will be able to find more energy, and more excitement into your life... weight loss will be just the byproduct! best wishes.
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Hi sir, I am 66 years old retired Rly employee. I am a diabetic, obsess, constipation problem, nights I get up min 5 times for urinal, suffering from severe left hand shoulder pain for past two months. Please give me your suggestion.

MBBS
General Physician, Mumbai
Hi sir, I am 66 years old retired Rly employee. I am a diabetic, obsess, constipation problem, nights I get up min 5 ...
We need to control sugar levels with medication exercise and following a diabetic diet and for constipation eat food with high fibre content in your diet and For pain take tablet paracetamol 650 mg and do physiotherapy treatment
3 people found this helpful
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I am 37 years male. I am suffering from uric acid problem and high BO. How can I reduce it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, high uric acid in the blood may be present in many persons, but it may not cause any difficulty. But in some it leads to joint pains and gouty arthritis. In such situations it is necessary to reduce the uric acid. It is better to reduce overall fat intake as fat reduces uric acid excretion. Liberal intake of water helps excretion of uric acid. Restrict or preferably eliminate alcohol intake. Avoid certain sea foods - sardines, shell fish, scallops, herring, trout, haddock, tuna, anchovies, salmon, mussels, mushrooms makeral. Whole pulses like rajmah, chana, chole and masur. Others are good. Avoid red meat, organ and glandular meat, avoid excess salt intake, avoid highly processed foods, salted nuts, papad and pickels. Avoid bakery products. Sweetened drinks. Eat fresh vegetables, berries, orange, cabbage, bananas, tomatoes, potato and other vitamin c containing foods. Low fat milk products are good and complex carbohydrates (whole grain flour). For controlling bp also restrict salt intake. If reading is high start on antihypertensive drug.
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Sir, I am 49 years old men today. I had got checked my fasting sugar and it is found 115, You are requested please advise me on this subject. I am also BP patient.

MD - General Medicine, MBBS
General Physician, Kolkata
Sir, I am 49 years old men today. I had got checked  my fasting sugar and it  is found  115, You are requested please...
Right now you do not require any medication. Just follow dietary control and repeat fasting, 2 hour post prandial blood glucose and hba1c after 3 months.
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I am 18 years old obese boy weighing more than 100 kgs my height is 5'5' please refer some diet plan so I can able to lower down my weight Note my thyroid is normal and I am not able to take out time for some exercise.

BHMS
Homeopath, Faridabad
I am 18 years old obese boy weighing more than 100 kgs my height is 5'5' please refer some diet plan so I can able to...
Hello, follow the below tips to loose weight. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. Fatoline drops from haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4. Take 1 cup of green tea in the evening daily. 5. Do surya namaskar, yoga asans like bhujangasana (cobra pose), sarvangasana (shoulder stand pose, vajrasana (diamond pose), pavanamuktasana (wind-relieving pose), matsyasana (fish pose) 6. Avoid sweets, oily, spicy, junk food, chocolates. 7. Drink plenty of water daily. 8. Eat good quantity of green vegetables, salad and fruits. Consult a dietician for the diet plan.
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Infertility: Causes and Treatment

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
Infertility: Causes and Treatment

The inability to conceive for a prolonged duration after trying to do so is usually termed as infertility. This is usually diagnosed when a couple is unable to conceive even after trying regularly, without any kind of contraceptives. There may be many causes and factors for this and it may occur in either or both partners. So, you all need to know the causes and treatment of infertility.

  1. Age: Age is a major factor that can lead to infertility for either partner. Usually, the trend now is to delay having a baby until a woman is in her thirties or even forties, in some cases. This has an adverse effect, particularly on the age of the maternal egg which may or may not be effective as far as fertilisation goes. With the advancement of age, one loses the guarantee of genetic normalcy of the egg as well.
  2. Disorders in ovulation in females: Ovulation is an essential function that helps in releasing the egg that needs to be fertilised when it comes together with the sperm at the time of ovulation. This usually occurs at a certain time every month. But disorders like PCOS or Polycystic Ovary Syndrome can lead to an inability on the part of the ovaries to release these eggs. The treatment for this includes medication that will help in maintaining more regular cycles for the release of eggs.
  3. Male factor causing Infertility: In many cases, it has been seen that anomalies in the semen analysis reveal problems of infertility with males as of low sperm count, low motility of sperm, low quantity of alive and active sperm when it comes to natural conception. In such cases, a sexologist can prescribe you medicines that will increase the semen production for better quantity and quality of the sperm. The doctor can also ask the patient to go through a number of lifestyle changes too includes abstinence from smoking and excessive drinking, as well as the cultivation of a less stressful environment. Hormonal treatment or even surgery may also required to help in some severe cases.
  4. Endometrial Polyps: In such cases, the female partner may develop finger like growths that can protrude in the form of tissue and come out of the uterine layer or the uterus. The removal of these polyps with the help of surgical procedures usually helps in such cases.

In many cases where mediation fails, the patients may have to go through IVF (In Vitro Fertilisation) or other such procedures to conceive a child with artificial methods. One must explore all options and find out the best one in terms of the infertility causes that the couple may be facing. You will also need to ensure that you have a well trained and experienced sexologist doctor who can help you with the process and guide you completely about the cause of problem and prescribe you best treatment to manage infertility at the right point of time.

5657 people found this helpful

I am diabetic my body very pain I sleeping the night and I wake up morning my back pain very hard. so, what I do please help me.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am diabetic my body very pain I sleeping the night and I wake up morning my back pain very hard. so, what I do plea...
Kindly show me photograph of the affected part. Control diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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