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Dr. G Shanmugasundaram

MBBS, MD - Medicine, DM - Endocrinology

Endocrinologist, Chennai

13 Years Experience  ·  400 - 500 at clinic
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Dr. G Shanmugasundaram MBBS, MD - Medicine, DM - Endocrinology Endocrinologist, Chennai
13 Years Experience  ·  400 - 500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. G Shanmugasundaram
Dr. G Shanmugasundaram is an experienced Endocrinologist in Cantonment, Chennai. He has had many happy patients in his 13 years of journey as a Endocrinologist. He is a qualified MBBS, MD - Medicine, DM - Endocrinology . He is currently practising at St Thomas Hospital in Cantonment, Chennai. Book an appointment online with Dr. G Shanmugasundaram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 30 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.

Info

Education
MBBS - The Tamil Nadu Dr. M.G.R. Medical University (TNMGRMU), Chennai - 2004
MD - Medicine - PGIMER, Chandigarh - 2007
DM - Endocrinology - PGIMER, Chandigarh - 2010
Professional Memberships
Indian Medical Association (IMA)

Location

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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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Agada Diabetics Care

No. 8 ,Dr. Nair Road ,landmark mark : Near pramod super market, ChennaiChennai Get Directions
500 at clinic
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Rakshith Hospital

No.153, Arcot Road, Sai square complex, Valasaravakkam. Landmark: Opposite Sivan Temple, ChennaiChennai Get Directions
500 at clinic
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K M Speciality Hospital

No. 453/454, R.K. Shanmugam Salai, ChennaiChennai Get Directions
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Cloudnine Hospital

# 54, Vijayaraghava Road Landmark : Opposite To Hyatt Regency.Chennai Get Directions
400 at clinic
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My both eyes keep watering like tears rolling down most of the time. Did Sac syringe but did not help. I am a diabetic, under control with HbA1c of 6.5%. At 63 years age. Please advice.

DOMS, MBBS
Ophthalmologist, Delhi
My both eyes keep watering like tears rolling down most of the time. Did Sac syringe but did not help. I am a diabeti...
Put eyedrop systane ultra four times a day. See an ophthalmolgst for. Repeat syringing and meticulous examination to findout the cause for watering eye. Your hba1c status shows normal control of blood sugar. Keep it up. Because alterd metabolic status also has ill effects on retina and thus vision.
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A patient Aged about 90 years. Got checked her tsh level. The result is 0.02. She is presently taking thyronorm-100 a day. What should be her revised disease?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A patient Aged about 90 years. Got checked her tsh level. The result is 0.02. She is presently taking thyronorm-100 a...
In hypothyroidism:-- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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 may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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Which food to be taken for control of diabetic persons? And which do not take. Please answer to me.

MBBS, MD - Medicine
General Physician, Delhi
Which food to be taken for control of diabetic persons? And which do not take. Please answer to me.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream 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, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, 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 sugars monthly and hba1c six monthly.
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I am 37 years old. Today morning, in empty stomach I had neem juice & immediately within 5 minutes I checked my blood sugar level. It shows as 65. And I checked online that its showing that I have low blood sugar. I am worried now.

BHMS, PhD Arthritis
Homeopath, Chennai
I am 37 years old. Today morning, in empty stomach I had neem juice & immediately within 5 minutes I checked my blood...
Hi, This s not only due to neem juice. Do not worry about your low sugar. Eat timely avoid junk food. Drink more water. Repeat blood sugar test after one week. In case after one week you may get same result contact me. Take care.
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Hello doctors. Can I take green tea two cups a day? Should I take 30 mins before n after eating nothing. Can green tea be taken by people having high BP, sugar,and gall stone? N please suggest me the right time for having green tea .n the way of having it. Thank you.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Hello doctors. Can I take green tea two cups a day? Should I take 30 mins before n after eating nothing. Can green te...
Dear lybrate-user! green tea is a normal diet supplement. It has no nutritional benefits. Its believed to have some antioxidants. It is not an approved treatment or cure for blood pressure, diabetes and gall stones. Hence you may choose to drink green tea how many times in a day as you may feel like. But pls do not use it as a substitute for anti blood pressure and blood glucose medications. It will cause problems then. Best wishes.
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I am 62 years old male having diabetic problem since 2010 on border line. Now taking 1.5 tablets dianorm m daily. Please advise any natural way to control it.

LCPS, BAM&S
General Physician, Pune
I am 62 years old male having diabetic problem since 2010 on border line. Now taking 1.5 tablets dianorm m daily. Ple...
1. Soak fenugreek (methi) seeds overnight. Eat sprouted methi seeds 1-2 teaspoons everyday by mixing with vegetables or raw. 2. Eat cinnamon powder half spoon every day with milk. 3. Walk in free air for 4 hours a week. 4. Do some moderate weight exercise if you are physically fit.
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Need help from ayurvedic doctors My mother is suffering from sugar or diabetes Sugar level is almost 200 before taking food 240 after She was taking powder of some natural herbs her sugar was perfectly normal but it was bit costly 1500 per month So now she decided to make medicine herself so please List me the medicine ingredient two of them are dried giloi and methi seeds powder Can you list me ingredients to treat sugar or diabetes problem. Please tell.

BHMS
Homeopath,
Need help from ayurvedic doctors
My mother is suffering from sugar or diabetes Sugar level is almost 200 before takin...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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Obesity - Can It Lead to Diabetes?

MBBS, CCEBDM
Diabetologist, Bangalore
Obesity - Can It Lead to Diabetes?

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.

Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes: Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular diseases (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk: Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-

Choose whole grains and wholegrain products over highly processed carbohydrates.

  • Skip the sugary drinks, and choose water, coffee, or tea instead.
  • Choose good fats instead of bad fats.
  • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. If you wish to discuss about any specific problem, you can consult a doctor.

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How much sugar content is necessary for everyday routine and not harmful at all and which food can help achieve this?

MBBS
General Physician, Jalgaon
How much sugar content is necessary for everyday routine and not harmful at all and which food can help achieve this?
If you don't have or your parents don't have diabetes, then there is no strict restrictions but if your parents or grant parents have diabetes then reduce sugar intake by 30 %, do regular exercise yoga and pranayam.
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Since my 10th standard, I urinate too much and from my inter, it has been increased to 25 times a day. I am worried whether it could be diabetes or not! And now a days am feeling hungry a little much than before. Please help me in resolving this!

MBBS, MD - General Medicine
Endocrinologist, Faridabad
Since my 10th standard, I urinate too much and from my inter, it has been increased to 25 times a day. I am worried w...
Please get blood sugar tested aftrr overnight fasting of10 hours then take 75gm of glucose dissolve in two glasses of water drink over 5-10 minutes do not dk any exercises andget sugar tested again after two hours if fasting or 2 hours more than 126 or 200 then you are diabetic any family history of diabetes.
1 person found this helpful
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Infertility - Can Endometriosis be the Reason?

MBBS,MD,FMAS,DMAS,FICRS
Gynaecologist, Bangalore
Infertility - Can Endometriosis be the Reason?

There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:

Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.

Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.

Prostaglandins
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy.
This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.
If you too are fearing of getting this disease, it's better to visit your Gynecologist soon.

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I am 45 years old diabetic patient for last 4 years and I have lost body weight 10 kg last 4 years. I am now 64 kg. Height 5 ft10 inch. My sugar level is 120 /135 fasting and pp .Hba1c is 6.5, medicine taking ZITEN - 20 1 nos after breakfast. My question is can I get back my body weight again?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 45 years old diabetic patient for last 4 years and I have lost body weight 10 kg last 4 years. I am now 64 kg. H...
You can get back if you consume health food But as diabetes is a metabolic disorder exercise is most important Weight reduction is not a problem Just concentrate on diabetes management You can take protein supplements to increase weight like d protein powder.
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I am diabetes patient my parents also diabetic my sugar 120/180 what precaution I do.

DHMS (Hons.)
Homeopath, Patna
I am diabetes patient my parents also diabetic my sugar 120/180 what precaution I do.
Hi, relax! * your suger is marginally up. * regulate your diet chart, take your breakfast & meal in time. * go for a walk in d morning for an hr. * avoid, direct sugar, sweets. * take, apple, pumpkin, carrots, almond, walnuts, milk 250 ml * go for meditation. Homoeo-care.* @ syz. Jimb q--10 drops, 1/2 an hr before each meal, daily. # report after a month all the best.
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I have thyroid and overweight. Could you please guide me what I should avoid in food?

MS - ENT,MBBS
ENT Specialist, Kolkata
I have thyroid and overweight. Could you please guide me what I should avoid in food?
Am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: 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. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps.
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I m getting bald day by day last 3 months. After tsw test. My thyroid report is positive. What should I do.

MD - Dermatology
Dermatologist, Navi Mumbai
I m getting bald day by day last 3 months. After tsw test. My thyroid report is positive. What should I do.
Male pattern baldness can b possible diagnosis for u Thr is treatment available to arrest this hair loss Hair trasplant along with other medications can also b possible
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I am 23 year old I have problem of memory, I forgot the things what I have to do. I think possibly it is due to overactive of thyroid. So what medical treatment will help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 23 year old
I have problem of memory, I forgot the things what I have to do.
I think possibly it is due to overa...
Research-based strategies to boost your memory and keep it strong 7 Strategies for Remembering 1.Become interested in what you're learning. We're all better remembering what interests us. Few people, for example, have a difficult time remembering the names of people they find attractive. If you're not intrinsically interested in what you're learning or trying to remember, you must find a way to become so. 2.Find a way to leverage your visual memory. You'll be surprised by how much more this will enable you to remember. For example, imagine you're at a party and are introduced to five people in quick succession. How can you quickly memorize their names? Pick out a single defining visual characteristic of each person and connect it to a visual representation of their name, preferably through an action of some kind. Remember: Memory is predominantly visual. 3.Create a mental memory tree. If you're trying to memorize a large number of facts, find a way to relate them in your mind visually with a memory tree. Construct big branches first, then leaves. Branches and leaves should carry labels that are personally meaningful to you in some way, and the organization of the facts ("leaves") should be logical. 4.Associate what you're trying to learn with what you already know. It seems the more mental connections we have to a piece of information, the more successful we'll be in remembering it. This is why using mnemonics. Write out the items to be memorized over and over and over. 5.When reading for retention, summarize each paragraph in the margin. This requires you to think about what you're reading, recycle it, and teach it to yourself again. Even take the concepts you're learning and reason forward with them; apply them to imagined novel situations, which creates more neural connections to reinforce the memory. 6.Do most of your studying in the afternoon. Though you may identify yourself as a "morning person" or "evening person" at least one Study. Suggests your ability to memorize isn't influenced as much by what time of day you perceive yourself to be most alert but by the time of day you actually study—afternoon appearing to be the best. 7.Get adequate sleep to consolidate and retain memories. Not just at night after you've studied but the day, you study as well. Far better to do this than to stay up cramming all night for an exam.
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I tested my diabetes it was 220 after lunch. Can I take sugar free tab for sweetness in sweet dishes.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I tested my diabetes it was 220 after lunch. Can I take sugar free tab for sweetness in sweet dishes.
You can have sugar free tablet but control your diabetes first. Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take medicene perscribed by your doctor.
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I am a 41 years. Old male and I am suffering from thyroid problem (tsh) last 3 years. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 41 years. Old male and I am suffering from thyroid problem (tsh) last 3 years. What should I do?
You can take 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. 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 alcohl if you take.
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Sugar details 135/199. Should I take medicine or cut down on sugar intake. I take around 10 teaspoonful of sugar per day . I drink 1 litre tanned milk per day.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Sugar details 135/199. Should I take medicine or cut down on sugar intake. I take around 10 teaspoonful of sugar per ...
Avoid sugar, junk food and fried food and fruit juices. Exercise regularly. Repeat test after one month. If sugar doesn't become normal, start medication.
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I am having thyroid n was on medication if 87.5 mg. But I got my thyroid test yesterday n I got it 8.25. What should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
your current test also shows tsh levels fairly high, so continue at the same dosage level. Plus keep doing periodic thyroid assay (once every 8 weeks or so, to see if the thyroxine dosage is adequate or needs to be increased. I am sure you are aware of taking thyroxine tablets in the early morning on empty stomach and nothing to be taken after that for 2 hs. Plus avoid soya and soya containing products, cabbage, cauliflower, broccoli, radish, mustard, pea nuts and coffee. Consume more green leafy vegetables. Salads, use whole grain flour for making rotis and chapatis. Exercise regularly to avoid weight increase.
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