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Dr. C.R.Anand Moses

Endocrinologist, Chennai

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Dr. C.R.Anand Moses Endocrinologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. C.R.Anand Moses
Dr. C.R.Anand Moses is a trusted Endocrinologist in Poonamallee, Chennai. You can meet Dr. C.R.Anand Moses personally at K.J.Hospital-Research & Postgraduate Center in Poonamallee, Chennai. You can book an instant appointment online with Dr. C.R.Anand Moses on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 36 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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K.J.Hospital-Research & Postgraduate Center

# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, ChennaiChennai Get Directions
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Diabetes

MBBS, MD - General Medicine, DM
Endocrinologist, Hyderabad
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Here are type,symptoms,cause and treatments of Diabetes

Hi Lybtateres, this Ravi Kumar Muppidi (Endocrinologist). Today I am enlightning you about diabetes.

What is Diabetes?

Diabetes means high blood sugar above normal blood sugar. Right now 7 crores people are suffering with diabetes and another 7 crores will become diabetic in a few months or few years. Diabetes are of two varieties Type 1, type 2 and other varieties. Type 1 is when body is fully deficient of insulin and need daily insulin injections to control their blood sugars. So Type 2 is the common variety, most people will suffer with type 2 diabetes. Why this type 2 diabetes is very high in India because of their lifestyle. We have to focus on this lifestyle. We have to keep moving and maintain an ideal weight. The thing is if you maintain an ideal weight for your height then this diabetes wont occurs as common. Daily ten thousands steps you have to walk otherwise your heart rate should be above 130 per minute for 20 minutes a day then that is called exercise so daily exercise and maintaining weight through diet is important so you need to concentrate on diet restrictions, whatever necessary the amount you have to eat. You got diabetes don’t worry you need to maintain diet, exercise and medication. Medication also very important once you have got diagnose with diabetes you have to take tablets. Type 2 diabetic’s patients they need to be aware of diabetes and their blood sugar levels; they need to monitors their blood sugar levels weekly once at least. The blood sugar should below 130 before food and below 180 after food ok.

How to know if you are diabetic?

If you feel thirsty and if you are drinking lot of water then check your blood sugars, So other complaints of a diabetic are not only excess thirst also excessive urine  one or two times in the night, three or four times in the night and excess appetite. You eat a lot of food and still you will be hungry ok. You your weight is overweight and your age is above 30, it’s the right time to check blood sugars. So the next thing is complications. This high blood sugar can affect your eyes causing retinopathy and even nerves causing diabetic neuropathy and kidney causing nephropathy and these heart problems are very common in diabetic people, strokes and other are common in diabetic people. Infections are also more common in diabetic people. So these are the complications of diabetes. Coming to prevention, how can we prevent has tony before lifestyle. So you have to walk at least 20 to 30 minutes a day. Then you have maintain ideal weight, so if your height is 160 cms you should not be more than 60 kgs, if you height is 170 cms you should not be more than 70 kgs. So like this you have maintain your ideal weight and if you got diabetes’s you need to start medicines along with lifestyle modifications.

If you got diabetes you have consult your doctor either endocrinologist or physician or diabetologist. You can contact me through Lybrate.
 

type diabetes
3138 people found this helpful

Hi, My name is mehmood alam and I would say about my dad, my dad have diabetes problem, we are worry, please suggest me what should I do for him. Thanking you Mehmood Alam.

MBBS
General Physician, Cuttack
Hi, My name is mehmood alam and I would say about my dad, my dad have diabetes problem, we are worry, please suggest ...
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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I just checked my blood sugar . Fasting it was .109. After eating it was .147. Please tell is it normal or high or is it OK.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I just checked my blood sugar .
Fasting it was .109.
After eating it was .147.
Please tell is it normal or high or is...
Mtolerance, lybrate-user, the blood glucose levels fbs 109 mg & pp 147 mg/100 ml both are slightly higher than normal. Classified as pre-diabetes (impaired glucose tolerance, igt). It means that in future there is a possibility of developing diabetes. This particularly so if your parents have diabetes. Secondly if you adapt a modified life style then it can be completely prevented. Thanks.
1 person found this helpful
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As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they. Is dry fruits can really helpful for such people.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they...
You can take them as they are healthy, but make sure to consume them in their natural form & not processed. Fried, coated or salted.
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I am 52 years old and I am diabetic and I am taking insulin human mix 30/70 morning 20 units and night 15 units but I am not in position to control my sugar level kindly suggest good diet and any other method of therapy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 52 years old and I am diabetic and I am taking insulin human mix 30/70 morning 20 units and night 15 units but I...
Mr. lybrate-user, If with current dosge of Insulin blood glucose is not well controlled, then one has to look at diet and insulin dosage closely. First fasting glucose can be targeted by adjusting night insulin dose and food intake. Once that is under control then post breakfast and lunch levels can be looked at. Alternately one can look at adding a drug orally. But for all this I need to know current fasting, PP levels and HbA1c%, dietary habits and extent of exercise being done daily. Plus there has to be regular follow up. Thanks.
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Hi I have diabetes and on insulin but my problem is my weight I am 5.11 with 100 kg van you suggest me a diet plan so I can reduce at least 15 kg.

Diploma In Human Nutrition, Certified Diabetes Educator, Diploma in Holistic Nutrition, Diploma in Sport & Exercise Nutrition, Lifestyle Medicine, BSc
Dietitian/Nutritionist, Bangalore
Hi I have diabetes and on insulin but my problem is my weight I am 5.11 with 100 kg van you suggest me a diet plan so...
Your bigger problem is diabetes and insulin, because of which it gets difficult to lose weight. In the presence of insulin the body goes in fat storage mode, not in fat burning mode. You can go off-insulin with right food. Avoid all market & packed foods including white sugar, oil & milk products. Have at least 1 serving of fruits (2-3 whole fruits) and 2 servings of salads (2-3 raw veggies) everyday, before main meals. I am a certified diabetes educator. You can contact me for any further help.
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I am 54 years old, I am having BP, thyroiditis and sugar complaints. I am taking nebicard 5mg, thyroxine 75g, daonil 5mg and gluconorm SR 500mg, static 10 mg. How long I have to take medicines?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
I am 54 years old, I am having BP, thyroiditis and sugar complaints. I am taking nebicard 5mg, thyroxine 75g, daonil ...
These drugs are on long term and when disease remits then gradually taper off and withdraw over the years. Months.
1 person found this helpful
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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

If you want to discuss any other problem, Consult IVF Specialist.

3772 people found this helpful

I am 54 years old .Doing exercise now I planed to take steroids for making muscles .Kindly suggest me .I am no and diabetic .Keeping everything normal .I am waiting for your response.

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
I am 54 years old .Doing exercise now I planed to take steroids for making muscles .Kindly suggest me .I am no and di...
Don't take steroid without any medical reason for which it is prescribed by a qualified physician.
1 person found this helpful
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Top Five Tips From The Dentist For Diabetics

BDS, Diploma in Hospital Administration, Diploma in Pharmacy
Dentist, Delhi
Top Five Tips From The Dentist For Diabetics
Among the many health risks of diabetes is a decline in oral health that makes patients more vulnerable to gum disease. According to dental professionals, this happens because diabetes slows the body's circulation, making the gums more susceptible to infection. The metabolic disorder also increases glucose (sugar) levels in saliva, which fuels the growth of dental plaque that attacks the teeth and gums. To protect against the disorder, follow these simple tips.

1. Visit your dentist regularly.

Because diabetics are at a much higher risk of gum disease than the average patient, you should never miss a dental appointment. In fact, you should schedule regular checkups two to four times a year. With professional cleanings and regular examinations, common mouth conditions, such as ulcers, dry mouth, and infections can be controlled. To prevent bouts of low blood sugar, it may be a good idea to eat before you see your dentist. It is also crucial that you inform him or her of any oral problems you may be having -- no matter how minor they may seem.

2. Follow a strict oral hygiene regimen.

All diabetics should and really must brush and floss daily, preferably after every meal. This will help remove the plaque that can cause gum disease, thereby lowering your risk for mouth ulcers and infections. It is recommended that you complete your oral hygiene routine at least three times a day. Because your risk of oral infection is elevated, it is important to avoid aggressive brushing that can cause cuts and sores. You may even want to use a soft-bristled brush or an electric model for a safer, more comfortable brushing experience.

3. Control your blood sugar.

As we mentioned, sugar stimulates plaque growth, which causes tooth decay and gum disease. Because diabetics have more glucose (sugar) in their blood, they also tend to have a lot more plaque on their teeth. But if you can keep your blood sugar low, you can reduce your risk of periodontal disease.

4. Don't smoke.

In a perfect world, nobody would smoke -- especially people with diabetes. The unhealthy activity causes a laundry list of serious complications, including oral infections and periodontal diseases. According to dental professionals, smoking can more than double your risk of cavities and infections.

5. Clean your dentures.

If you have diabetes and you wear false teeth, you are more prone to developing oral thrush -- a fungal infection of the mouth. Typically caused by denture irritation or wear, thrush can be prevented with regular cleaning. It is also recommended that you remove your dentures in between meals to give any irritated tissue the opportunity to heal. Your dentist might also advise you to limit your sugar intake when your mouth is bothered or raw.
29 people found this helpful

I am 37 year old MALE with diabetes and bp and my height is 168 cm and 61 weight so please suggest fruits and food for diabetes and bp.

MBBS, MD
Endocrinologist, Delhi
I am 37 year old MALE with diabetes and bp and my height is 168 cm and 61 weight so please suggest fruits and food fo...
Fruits-Avoid banana, mangoes,cheekoo and grapes. You can take other fruits in moderation. Avoid fruit juice. Avoid refined flour food items like food madeup of maida. Instead use whole grain floor. Jwar,bajra, makki ka ata should be used more grequently. Take small meals frequently instead of large ones few times. Avoid artificial sweetners because they increase craving for sugar and sweets. Low salt diet for high BP. Avoid table salt, achar,chatni, papad,sauce etc because they are high in salt.
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Diabetes In Pregnancy - Complications Related To It!

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Diabetes In Pregnancy - Complications Related To It!

Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.

Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

3799 people found this helpful

My age is 58 gender is male I am suffering form diabetic past 15 years I am taking medicine morning gluconorm-g2 afternoon vogs-m3 yesterday I tested iits showing 250 but what precaution I want take to reduce please give suggestion.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My age is 58 gender is male I am suffering form diabetic past 15 years I am taking medicine morning gluconorm-g2 afte...
To guide you I would need a few more details, like your weight, height, waist circumference, amount of exercise per day and fasting and pp blood sugar levels and hba1c%. Based on these details I can guide. Presently looking at your details it appears that medication may not adequate or food intake may have to be adjusted. Tab vogs 0.3 should be taken with each food that is taken, 0.3 mg three times a day, with first bite of food. I await your info.
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I want to know that if I eat 4 or 5 banana daily, than if it is possible that I can get diabetes ?it is good to eat banana daily?

M.D. - Ayurveda, Post Graduate Proficiency In Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I want to know that if I eat 4 or 5 banana daily, than if it is possible that I can get diabetes ?it is good to eat b...
Person's daily physical and mental burden decides his quantity of food. Due consideration needed towards other food items and its quantity you are consuming daily. The most important factor is that you should be able to digest what you eat. Instead if eating bananas daily, you may try some other fruits; because consuming a variety of food is a good idea. One can not link directly bananas to diabetes. But if you become overweight due to excessive eating you are more prone to diabetes.
1 person found this helpful
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
Diabetics and exercise.
Do exercise 1-3 hours after meal when blood sugar level are on higher side and less chances of hypoglycaemia.
Avoid exercise if blood sugar more than 250 mg
If over weight and diabetics,then consult doctor first before taking any fitness regimen/go far stress test.
Carry sugar tab.With you.
Carry a card showing you are diabetic and what medicine and your contact add.
You are more likely to have hypoglycaemia if on insulin

Can daibates be cured? if yes, how? can the chances of genetic diabtes be reduced?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Can daibates be cured? if yes, how? can the chances of genetic diabtes be reduced?
diabetes cannot be cured once it occurs but only prevented Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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I safring from migraine problem since from 4 month and thyroid problem also what should I do.

BAMS
Ayurveda, Bangalore
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I hav a thyroid problem, am taking tables but am gaining weight. How to reduce the weight.

MSc
Dietitian/Nutritionist, Hyderabad
I hav a thyroid problem, am taking tables but am gaining weight. How to reduce the weight.
Hi go for brisk walk 45 minute daily. Take 3 cup green tea daily (jasmine flavour). Have diet rich in fruits vegetable salads & multigrain aata roti avoid rice, deserts, and fried stuffed. Drink 2-3 liters water in a day.
1 person found this helpful
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I am diagnosed for hypothyroidism with 8.5 tsh. I am advised to take eltroxin 25. I have severe skin allergies and 11.5 hemoglobin. Any problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypothyroidism has to be treated by thyroxine hormone. Skin allergy and low hb are separate issues. They need to be treated wuthering specific drugs. Low hb can affect your ability to work, so take cap vitcifol 1 at night for at least 4 months.
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