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Dr. Dhalapathy

Endocrinologist, Chennai

Dr. Dhalapathy 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. Dhalapathy
Dr. Dhalapathy is a renowned Endocrinologist in Chintadripet, Chennai. You can visit him/her at Doc Central in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Dhalapathy 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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#30/1, 2nd Floor Bazullah Road. Landmark: Opp. to ICICI bank, ChennaiChennai Get Directions
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Is bajra roti is good for diabetic people and what is the best time to eat bajra roti for diabetic people. And what is best dry fruit for diabetic people and which time he shall eat dry fruit. Morning noon evening or at night.

C.S.C, D.C.H, M.B.B.S
General Physician,
Bajra and all cereals can be taken in limited amount bases on sugar level. Raisin can be taken in small amount . All foods can be but limited to your sugar level monitored
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I am 46 old Male guy working as Engineer. Recently I did blood test due to the numbness in foot bottom. With fasting my sugar was 130 and after fast break it was 180. I am a pure vegetarian, no hobbits like Cigarette, alcohol etc. Even my hereditary no body was diabetic. I know to improve my diet and lifestyle. Apart from it, I wish to know which ayurvedic (home made or readily available in market as medicine) to be used to improve my insulin and bring back my sugar level to below normal. Do the needful With Regards

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, fasting above 126 mg is diagnostic of diabetes. Similarly after food >200 mg. Your pp level is less than 200 mg. So better get hba1c% checked, if that is above 6.5%, then diabetes confirmed. If diabetes is confirmed, then there is no other option than taking appropriate anti diabetes medicine, to control blood sugar level. Unfortunately there are no home remedies or other treatments available to treat diabetes. Lifestyle changes will also be needed. You will have to stop taking sweets, avoid deep fried foods, junk foods, pastries and other bakery items like white bread, no sweetened aerated drinks, avoid fructose corn syrup containing products, highly processed food products. Consume more of green leafy vegetables, salads and permitted fruits. Avoid alcohol and smoking totally. T2 diabetes does have familial spread, but can come without that too. Over weight and inactivity and junk food are main contributors. Thanks.
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Hello sir I am 23 old boy. I am diabetic patient. I came to know just 20 days before that my sugar level is 375 after fasting now my sugar level is 180 after fasting. Can it will go permanently or not. How I became the diabetic patient despite I'm very health conscious. Before three month I was not diabetic. Report say.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details, I understand your concern. Please answer following few questions: Do your parents or any one in the family have diabetes? Have you been loosing weight over last few weeks or months? Is there excess thirst, excess urination and hunger as well as general weakness during last few weeks or months? The blood glucose reduction that you have reported (from 375 mg to 180 mg) has occurred on its own or after taking any medication? What is the present treatment with details of drugs and dosage? It is necessary to know all these details, before one can look at how to control your blood glucose rise. Another important aspect is that if DIABETES is CONFIRMED then treatment has to go on for Life Time. There is no Cure. If you do not take necessary care, then there can be very severe long term consequences related to every single system in the body. So my suggestion is please initiate appropriate treatment with modern anti diabetic drugs and continue the same. Strict blood glucose control is absolutely essential. Fasting should be <100 mg, PP 150 to 160 mg & HbA1c%<6.8. It will be good if you provide all the details and come in a private conversation then I will be able to guide and help treat your condition effectively. Thanks.
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BHMS, MD - Homeopathy
Homeopath, Chennai
9 Foods to Avoid With Hypothyroidism
What you eat can affect your thyroid gland as well as your body's ability to use thyroid hormone. Learn which foods to avoid when managing hypothyroidism.

Hypothyroidism can be a tricky condition to manage, and what you eat can interfere with your treatment. Some nutrients heavily influence the function of the thyroid gland, and certain foods can inhibit your body's ability to absorb the replacement hormones you may take as part of your thyroid treatment. There's no such thing as a "hypothyroidism diet" that will make you well, but eating smart can help you feel better despite the condition. Here are nine foods to limit or avoid as you manage hypothyroidism:

Soy
The hormone estrogen can interfere with your body's ability to use thyroid hormone, says Stephanie Lee, MD, PhD associate chief of endocrinology, nutrition, and diabetes at Boston Medical Center and an associate professor at the Boston University School of Medicine. Soy is loaded with plant-based phytoestrogen, and some researchers believe too much soy may increase a person's risk for hypothyroidism. People with hypothyroidism should moderate their intake of soy. However, because soy hasn't been definitively linked to hypothyroidism, there are no specific dietary guidelines.

Cruciferous Vegetables
Cruciferous vegetables, such as broccoli and cabbage, can interfere with the production of thyroid hormone, particularly people who have an iodine deficiency. Digesting these vegetables can block the thyroid's ability to absorb iodine, which is essential for normal thyroid function. People with hypothyroidism may want to limit their intake of broccoli, Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function.

Gluten
People with hypothyroidism should consider minimizing their intake of gluten, a protein found in foods processed from wheat, barley, rye, and other grains, says Ruth Frechman, RDN, a dietitian and nutritionist in the Los Angeles area and a spokesperson for the Academy of Nutrition and Dietetics. Gluten can irritate the small intestine and may hamper absorption of thyroid hormone replacement medication.

Fatty Foods
Fats have been found to disrupt the body's ability to absorb thyroid hormone replacement medicines, Dr. Lee says. Fats may also interfere with the thyroid's ability to produce hormone as well. Some health care professionals recommend that you cut out all fried foods and reduce your intake of fats from sources such as butter, mayonnaise, margarine, and fatty cuts of meat.

Sugary Foods
Hypothyroidism can cause the body's metabolism to slow down, Frechman says. That means it's easy to put on pounds if you aren't careful. "You want to avoid the foods with excess amounts of sugar because it's a lot of calories with no nutrients," she says. It's best to reduce the amount of sugar you eat or try to eliminate it completely from your diet.

Processed Foods
"Processed foods tend to have a lot of sodium, and people with hypothyroidism should avoid sodium," Frechman says. Having an underactive thyroid increases a person's risk for high blood pressure, and too much sodium further increases this risk. Read the Nutrition Facts label on the packaging of processed foods to find options lowest in sodium. People with an increased risk for high blood pressure should restrict their sodium intake to 1,500 milligrams a day, according to the U.S. Centers for Disease Control and Prevention.

Excess Fiber
Getting enough fiber is good for you, but too much can complicate your hypothyroidism treatment. Guidelines currently recommend that older adults take in 20 to 35 grams of fiber a day. Amounts of dietary fiber from whole grains, vegetables, fruits, beans, and legumes that go above that level affect your digestive system and can interfere with absorption of thyroid hormone replacement drugs. If you're on a high-fiber diet, ask your doctor if you need a higher dose of thyroid medication. Your maintenance dose may need to be increased if you aren't absorbing enough medication.

Coffee
Caffeine has been found to block absorption of thyroid hormone replacement, Lee says. "People who were taking their thyroid medication with their morning coffee had uncontrollable thyroid levels, and we couldn't figure it out," she says. "I now have to be very careful to tell people, 'Only take your medication with water.'" You should wait at least 30 minutes after taking your medication before having a cup of joe.

Alcohol
Alcohol consumption can wreak havoc on both thyroid hormone levels in the body and the ability of the thyroid to produce hormone. Alcohol appears to have a toxic effect on the thyroid gland and suppresses the ability of the body to use thyroid hormone. Ideally, people with hypothyroidism should cut out alcohol completely or drink in careful moderation.

3 people found this helpful

I am 42 years old I have pain in my fingers joints and toe joints my uric acid level is 5.8. How I can get rid of this problem?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It needs to be investigated. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take paracetamol 250mg od & sos x 5days you will need other supportive medicines also. It may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Do reply back for private consultation and detailed treatment plan.
1 person found this helpful
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What is the cause for the thyroid. I am taking thyrox 75 daily I really want a baby what should I do for it. Is any thing which I have to be avoided. Kya thyroid patients ko baby conceiving nhi hoti h. Agr ho v gya to baby ko koi problem to nhi hoti h na.

MBBS, Dnb gynaecology
Gynaecologist, Faridabad
Aap ko baby ho sakta hai but thyroid hormone normal hona chahiye if you get pregnant thyrox medicine should not be stopped and thyroid profile should be done every 3 monthly.
3 people found this helpful
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Is it safe to take Amway products like protein powder, daily vitamin, calcium,natural b, fiber powder for a diabetic patient, and for intestinal tract.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, one of the products which they have has 80 plus % protein, is a good product. But it is too expensive. There are similar products giving 80 plus % protein at less than 50 of cost. Other products like multivitamin and calcium have too many ingredients are excessively expensive. Those can be taken by a person with diabetes.
2 people found this helpful
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Dear Dr. I am 63 years old diabetic, last 2 months onwards my legs (muscles) are paining severely give me any medicine (tablets)

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear satyanarayan well, all diabetics need regular check ups of feet and legs the cause of leg pain needs to be evaluated and imaging done to confirm that diagnosis. Then your doctor can give prescription accordingly. Self medications are always discouraged more so in diabetics.
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Hi I am a diabetic n under insulin control. I do get erections very quickly but I cannot hold it for long due to PE problems. Kindly let me know how to get out of dis problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If diabetes is there for long time and even if it well controlled, there is certain amount of damage to small vasculature, which can cause ED. But it is absolutely important to achieve a strict blood glucose control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. Then you might consider using a drug like PDE-V Inhibitor. Thanks.
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I am 21 years old. And I have untreated thyroid for 3years (hypothyroidism). I am facing many problems overweight, pain in joints, fatigue, constipation. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Archanji, Please start the treatment immediately with thyroxine. Dose will depend on your weight and current TSH levels. Plus you should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salads and fruits. Use whole grain flour for chapati and roti. Exercise daily for 1 hour.
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Hello Drs , During my pregnancy, my TSH level was 10.2,out of normal range. I have been taking thyrox 25 start from then. But I tested few days back and sees normal range. Do I need to still continue the tablet ? Or I can stop?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, if you have no symptoms related to hypothyroidism and tsh levels are below 4 milli units/l, then you might reduce the dose of thyroxine to 12.5 mcg per day, then check tsh after 6 weeks, and see if that dose has been adequate in maintaining tsh level within limit. It is better not to discontinue the dose completely. Because hypothyroidism once developed is unlikely to disappear. Also check your tpo antibodies. Thanks.
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I'm diabetes patient .I've many injuries from last year? please help me someone.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hye, thanks for the query. You need to maintain good blood sugar levels to avoid any complications due to uncontrolled diabetes. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
4 people found this helpful
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I am 48 year male with the diabtic family history. I am 82 kg with 175mm height. I am fit and play badminton in morning. Take alcohal moderate amount 4 days and smoke after drink 2 approx. My fasting come 126 and after 2 hours from food it is 168. Kindly advice.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
You can take dalchini in warm water twice daily methi dana soaked ovenight daily will also help you in diabetes check your life stlye n diet correct it acupressure will only help you permanently otherwise drugs will only be the option for entire life.
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Can thyroid problem b completely cured n what should n avoided by thyroid patient?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. Hypothyoridism can only be controlled by regular medication. There is NO CURE. Treatment has to be for life time. Avoid soy beans, soy containing products and use whole grain flour for chapati and roti. Consume more of green leafy vegetables and fruits. Exercise regularly to avoid weigh gain. Thanks.
2 people found this helpful
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Before one year my fast sugar is 131 and after two hours from meal is 153 then i diet food and do exercise regularly now my fast sugar is 95 and two hours from meal is 125 now i am diabitician or non diabitic what is it

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Currently your sugar are well controlled. Keep it up dear. However once you are diabetic you will remain diabetic. Keep it controlled.
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11 Good Shortcuts Towards Avoiding Diabetes Complications

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
11 Good Shortcuts Towards Avoiding Diabetes Complications

Diabetes occurs in all age groups, right from infants to the elderly. The greatest incidence of occurrences happen in the middle or older aged people. 80-85% cases belong to people of 45 years of age or older. Whatever be your age, there are a few lifestyle changes that ensure that you stay free of any complications.

1. Select Your Carbs Carefully - Choose carbohydrates that break down in the body slowly, providing steady energy. Reach for whole grains, beans, nuts, and fresh vegetables and fruits. Yes, you can eat fruit even though it's sweet. It's about eating the right amounts of carbohydrates at each meal.

2. Lose Weight - It'll help lower your blood sugar and improve your blood pressure and blood fats. You'll also have more energy. To begin with, try cutting excess fat, sugar, and calories from your diet.

3. Get Enough Sleep - Getting too much or too little sleep can increase your appetite and cravings for high-carb foods. That can lead to weight gain, increasing your risk for complications such as heart disease. Go for 7 or 8 hours of sleep every night. If you have sleep apnea, treating it can improve your sleep and lower your blood sugar levels.

4. Check Your Blood Sugar Periodically - Keep a track of your sugar levels can help you avoid diabetes complications, like nerve pain, or keep them from getting worse. Checking it can also help you see how foods and activities affect you, Your doctor can help you set a target glucose level range. The closer you get to your target, the better you'll feel.

5. Manage the Stress Effectively - Stress can cause your blood glucose levels to rise. Get rid of whatever physical or mental stress you have. Relaxation techniques such as breathing exercises, yoga, and meditation may be effective to control type 2 diabetes.

6. Salt - Reduce the salt in your diet. It may help lower blood pressure and protect your kidneys. Not salting the food on your plate may not be enough.

Adults age 51 and older, and individuals with high blood pressure, diabetes, or chronic kidney disease should talk with their doctor about how much to reduce their sodium intake. In general, people with diabetes should decrease to less than 2,300 mgs per day, however, your doctor may recommend lower amounts.

7. Remove the Risk of Heart Disease - Heart disease can be a serious diabetes complication. Keep an eye on your risk by getting these ABCs checked:

A1C level. This is a measure of your average blood sugar control for the last 2-3 months. You may need it checked two or more times a year. Talk to your doctor about setting a goal.

Blood pressure. Goal: below 140/80 mm Hg.
Cholesterol. Goal: LDL to 100 mg/d or less; HDL above 40 mg/dl in men and greater than 50 in women; and triglycerides below 150 mg/dl.

8. Take Care of Cuts and Wounds - Diabetes raises your risk of infection and slows healing, so treat even simple cuts and scrapes quickly. Properly clean your wound and use an antibiotic cream and sterile bandage. See a doctor if it's not better in a few days. Check your feet every day for blisters, cuts, sores, redness, or swelling. Moisturize them to prevent cracks.

9. Mind Your Smoking Habit - People with diabetes who smoke are two times more likely to die prematurely than those who don't. Quitting helps your heart and lungs. It lowers your blood pressure and risk of stroke, heart attack, nerve damage, and kidney disease.

10. Get Your Diet Right! - Here's what is ideal:

  • Upon Waking : Bitter Gourd (karela) juice, and a glass of lukewarm water with half a freshly - squeezed lime.
  • Breakfast: Any fresh fruit with the exception of bananas. A small quantity of wholemeal bread with butter and fresh milk.
  • Lunch: A bowl of freshly prepared steamed vegetable, one or two whole wheat chapattis, and a glass of buttermilk.
  • Mid-afternoon: A glass of fresh fruit or vegetable juice
  • Dinner: A large bowl of raw vegetable salad, with lime juice dressing, sprouted mung beans, and cottage cheese.
  • Bedtime snack: A glass of fresh milk or fresh fruit

11. Doctor Visits - Expect to see your doctor two to four times a year. If you take insulin or need help balancing your blood sugar levels, you may need to visit more often. Also, get a yearly physical and eye exam. You should be screened for eye, nerve, and kidney damage, and other complications. See a dentist twice a year.

Other Measures:

  • Exercise and yogic asanas. And Meditation
  • Body massage and steam bath once a week
  • Hot fomentation to lower back.

And be sure to tell all healthcare providers that you have diabetes.

'Consult'.

Related Tip: What complications are associated with diabetes?

4132 people found this helpful

I am 28 years with diabetes and having insulin 4 times a day. Please sugest me a diat paln to reduse the insulin intake.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for more than 2-3 hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Fruits should be had as a mid meal. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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Pls let me know if a diabetic patients can consume a bear and at what qty and of which brand available in mumbai - india also pls let me know the no of days to be consume. Days months years .

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, to my knowldge, alcohol in any form and any quantity is bad for health and more so in a diabetes patient. Whether it is beer or other forms of alcohol, it is better if avoided. If still one wants to consume, then it is his choice, there is no medical recommendation. Thanks.
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I am 57 year old and suffering from diabetes type 2 and also having BP and I got an operation of angioplasty in 2012 and I am taking medicines as follows: Zoryl M2 Forte, Teniva 20, Starpress H 50 XL, Deplatt A 75, Consivas 10, Depof 37 But my diabetes is not in control what to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, what are present fasting, pp and hba1c% readings? that will give me an idea about what kind of control needs to be established or any additional treatment to be given. Also inform bp readings. Plus looking at your weight and height your bmi is 27.18 kg/m2, signifying over weight. Your ideal body weight should be about 59 kgs. Tis als contributes to improper control due to increased insulin resistance. Weight reduction will also take care of acidity and bp control.
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