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Dr. G.Vijayakumar

Endocrinologist, Chennai

Dr. G.Vijayakumar Endocrinologist, Chennai
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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.Vijayakumar
Dr. G.Vijayakumar is one of the best Endocrinologists in Mylapore, Chennai. You can visit him/her at Dr. G.Vijayakumar@St.Isabel's Hospital in Mylapore, Chennai. Book an appointment online with Dr. G.Vijayakumar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 32 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Diabetes With Hypothyroidism And Hyperthyroidism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Diabetes With Hypothyroidism And Hyperthyroidism
You'll want to see your endocrinologist (endocrine system, remember?) or primary care physician asap. You may be referred to a doctor who specializes in thyroid issues (as opposed to diabetes), but your endocrinologist will know exactly how to diagnosis you. The primary way to diagnose thyroid disease is something called a tsh (thyrotropin stimulating hormone) test, which checks the amount of thyroid-stimulating hormone in your system. It's a very easy and inexpensive blood test, so don't delay if you think you have symptoms!

However, sometimes the test will come back false-normal, so testing for antibodies or having a full thyroid panel can also turn up things that the tsh test might leave out.

Autoimmune thyroid diseases, like hashimoto's disease, are usually much easier to manage than diabetes. The hormone replacement treatment comes in pill form, so taking the medication is easy-peasey. But some patients have difficulty finding the right type of thyroid replacement pill. While there are two types of natural thyroid hormones, called t3 and t4, only t4 is found in the common thyroid replacements. For many people, this doesn't work well. In theory, t4 medication would also convert to t3, but research suggests this doesn't always happen. You'll want to do your homework and make sure you get on the right treatment for you!

Patient lindsay o'rourke writes on the tu diabetes group for hypothyroidism "I went on my generic prescription, levothroid, and even at a very low dose it was an extreme difference. I felt back to normal. My energy was back, and a slew of other symptoms went away."

Hyperthyroidism can be treated with anti-thyroid medicines such as methimazole (tapazole) and propylthiouracil (ptu), but the most common way of treating hyperthyroidsim is radioactive iodine therapy. Weirdly, it kills off the thyroid, causing permanent hypothyroidism.
20 people found this helpful

My mother is 45 years old suffering from thyroid, she take eltroxin 75 mg daily, chlorestrol in blood n hypertension she always get hyper n angry mood please suggest me cure.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 45 years old suffering from thyroid, she take eltroxin 75 mg daily, chlorestrol in blood n hypertension ...
A person becoming "hyper and angry" has no direct relationship to either high blood pressure or thyroid related disease. It is just the nature of the person. Only thing one has to do is make him/her learn to relax and avoid reacting immediately. If she is on treatment for hypothyroidism then TSH should be maintained between 3 to 4 mU/L, then only all the symptoms are in check. Similarly BP should be maintained 120 -130 / 70 - 80 mm Hg. Since no current readings have been mentioned, the above levels are suggested. Thanks.
3 people found this helpful
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I have recently checked g. T. T test with 75gr. Reading values are fasting-100, after takeing glucose, 30 mins-212, 1 hour(60 min)'-162, 1and half hour(90min)-154, 2 hours(120min)-140, 2and half hour(150min)-120. After this reading i am diabetic or non diabetic.

MD - Medicine, MBBS
Cardiologist, Panchkula
Your one value is a bit high. Others are normal. So it is difficult to comment. You are not a diabetic. It may be an impaired glucose tolerance test. Which indicates early diabetes. But to be very sure repeat the test after 1 month.
1 person found this helpful
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I am 65 with diabetic for 10 years with last hbac! 7.2 I have diabetic severe neuropathy with severe erectile dysfunction please advise.

Basic Life Support (B.L.S), MBBS, MD - Internal Medicine, MD - Consultant Physician, MD - Diabetology, MD - General Medicine, ACLS
General Physician, Hyderabad
Your diabetes is fairly controlled. But ed means you may have peripheral artery disease. Please first check a lipid profile and serum testosterone levels. Later consult your doctor for further advice. Good luck.
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Sir, I have diagnosed with Hypothyroid. My current report of T3, TT4, TSH are below: T3: 108 TT4: 8.3 TSH: 7.41 I intake one fourth of eltroxin before this test. Could you suggest if I increase my dosage.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir,
I have diagnosed with Hypothyroid. My current report of T3, TT4, TSH are below:
T3: 108
TT4: 8.3
TSH: 7.41
I int...
When on treatment with thyroxine, tsh levels should come between 3 to 4 milli units, for better control and disappearance of all symptoms. Since your tsh level is 7.41 milli uits/ml, it shows the dose of thyroxine is not adequate. Dose has to go up. In fact in the beginning itself dose should have been higher. If dose is not increased, then most symptoms may come back.
62 people found this helpful
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Yoga A Fertility Enhancement Tool

MS- Gynaecology, MBBS
Gynaecologist, Delhi

If any patient failed to become pregnant on a treatment of infertility one should be advised to take a break from treatment and take yoga session and relaxation therapy. Good result are seen after therapy.

Dear Dr, My wife, age 46 yrs having Diabetes problem since last some time and I wish to know which fruit she can take and which are to stop and some other precautions to take to reduce the problem. Regards

Vaidya Visharad
Sexologist, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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Diabetics can eat fruits? Some nutrition's suggests for using of fruits in regular basis but doctors are restricting for intake of fruits, please guide me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Diabetics can eat fruits? Some nutrition's suggests for using of fruits in regular basis but doctors are restricting ...
Avoid Banana. Chikoo. Dates. Mango etc. You can take Apple. Mousmi. Papaya. Guava. Orange etc You can take foods with low Glycemic Index (GI) and avoid high GI foods.
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My sugar levels specially at Night after 2 hours of Dinner it's around 230-250. & after 4-5 hours it's drastically dropping to 55-70. During entire day, am not facing any problem. So what could be the reason. Please help me know more about this.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Dear, you are not taking right dise of medicine for your diabetes. medicine heavy dose lowers the mid night sugar..this could be very dangerous ..as well fluctuating sugars damage your body from inside especially heart.
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I am diabetic patient so what shall I eat on regular interval so that I can control my diabetes.

MBBS
General Physician, Cuttack
I am diabetic patient so what shall I eat on regular interval so that I can control my diabetes.
Avoid sweets,high calorie and carbohydrate rich diet. Adhere to a diabetic diet after consulting dietician.Go for regular exercise,reduce your weight if you are diabetic.Monitor your blood sugar three monthy and consult diabetologist for advice and treatment
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Hi , I am 25 years old. Am suffer from prediabetes. Can I follow any diet. At morning, Afternoon And night. Please send food and some fruit names.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi ,
I am 25 years old.
Am suffer from prediabetes. Can I follow any diet.
At morning, Afternoon And night. Please se...
Hello, if you have prediabetes, then it is necessary to avoid too much of sweets, deep fried food, junk fods and bakery items. Also avoid sweetened aerated drinks, fructose corn syrup containing products, high fat cheese and highly processed products. Take a balanced diet that provides exact calories based on your ideal body weight ((65 kgs) and level of daily physical activity. Consume a good deal of green leafy vegetables and salads. Fruits like water melon, apple, pear, guava, orange, sweet lime, pomegranate are to be eaten. Plus avoid weight weight gain, exercise daily for more than 1 hour a dat.
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Depression and Diabetes.

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology, ADVANCED CERTIFICATE COURSE IN DIABETES
Diabetologist, Dehradun
Depression and Diabetes.

Depression is also responsible for increasing the chances of having diabetes who have already metabolic risk factors like obesity, increased bad cholesterol, high bp. Etc.

Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care: 

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap. 

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

I have tested for thyroid. T3 & T4 are within range, but TSH level is 9.949 which is more than the range. How to control (lower) TSH level.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I have tested for thyroid. T3 & T4 are within range, but TSH level is 9.949 which is more than the range. How to cont...
No cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat TSH after one month and contact on chat for further advise and medicine.
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Hi doctor. I am diabetics for last 12-13 years and on medicines for last 4-5 years. But my fasting sugar is 210 despite the fact that I m walking almost 3-3. 5 km every day either in morning or evening. I m taking diapride m2 twice a day and voglinorm. 2 mg in morning after meal. Also in last couple of months 3rd time I m infected with uti. Kindly advise.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I will advise you to take homoeopathic medicine along with nd according to best of my knowledge your fasting sugar must improve along with your urine infection. Uranium nitricum 1x (wilmar schwabe india) 1 tab 3 times a day direct chew. Report after 1 month.
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MD-Physician, Dip. Endocrinology, Dip. Diabetes
Endocrinologist, Jabalpur
Patients with hypothyroidism suffered from hypovitaminosis d with hypocalcaemia. Moreover, the positive significant correlation between each of serum vit d and calcium with thyroid hormones and that negative significant correlation with tsh levels, suggested that deficiency of serum vit d and calcium levels were significantly associated with degree and severity of the hypothyroidism which encourage the advisability of vit d supplementation. Screening for vitamin d deficiency and serum calcium levels recommended for all hypothyroid patients.

How to control sugar which I am having from last six months. Its about 320 at present.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How to control sugar which I am having from last six months. Its about 320 at present.
Hello, to control blood sugar one has to take appropriate medicine, which can be oral anti diabetic drugs or insulin injections. Plus restricted diet and daily exercise of at least 1 hour, these are needed. Blood sugar of 320 mg is very high. You need to upgrade the treatment. Ideally when in good control fasting sugar should be around 100 mg, pp 150 to 160 mg and hbac% <7. Please understand diabetes is a disease which if not controlled effectively damages eyes, small and large blood vessels, kidneys, nerves, heart and affects lower limbs very badly. Excess blood sugar is definitely dangerous. So please initiate proper treatment and control it.
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I have thyroid problem. I want to conceive. I am working lady. I get fully exhausted by evening. I have no energy left for intercourse. The same routine exist every day. Please help. How should I go.

DHMS (Hons.)
Homeopath, Patna
I have thyroid problem. I want to conceive. I am working lady. I get fully exhausted by evening. I have no energy lef...
Hi, hypothyroidism is not a hurdle in pregnancy, al all but may cause fatigue, tiredness, aversion to sexual coition. * take protein rich diet, apples, cheese, carrots, milk, almonds, walnuts, spinach, pumpkins to restore energy. * you should also go for a test for sugar level in blood. * your diet be easily digestible, simple, non irritant on time. * take, plenty of water to eliminate toxins and to regulate metabolism. *go for meditation when you r back home to restore instant energy by reducing stress of office by deep breathing for 10 mnts, only. Homoeo medicine: @ sepia 200-6 pills at bed time, dly. @ alfalfaq-10 drops, thrice with little water. Take care.
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Hypothyroidism cured by Homeopathy

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy
Homeopath, Delhi
Hypothyroidism cured by Homeopathy
Hypothyroidism is also a metabolism disease. Metabolism of cabohydrate, fat are affected by thyroid hormones, tsh t3 t4. Hormones its hormonest3 t4 secreated by thyroid gland with suffiecient amount of iodine in body. If less than sufficient amount than tsh is more secrete so tsh increase, some time you are taken sufficient amount of iodine, but some other factors are unflavored even absorption of iodine, mucous membrane not healthy, stress, prolonged used of contraceptive drugs, hormonal, steroidal drug, suppression of natural function, disturbed harmony of body so many cause, so tsh hormones affected. In that case if you are taking prolonged use of thyroxine, thyronorme it is likes t4 hormones, so increase your bmr rate, better all problem but you become handicapped, your thyroid gland more lazy, even you are not a pour case of hypothyroididsm, but in some other cause, which you cannot rule out of cause of hypothyroidism direct take a hormones while you have cause in mucausa, stress many others. So you becomes a life long patient of so so so further disease, complexes
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My recent thyroid test says that my total thyroxine (t4) level is 3.6 which is low. Is it a serious problem and how to rectify it.

FASNC, Dip. CBNC, DRM, MBBS
Nuclear Medicine Physician, Lucknow
My recent thyroid test says that my total thyroxine (t4) level is 3.6 which is low. Is it a serious problem and how t...
Get your ft3, ft4 and tsh done. Total t3 may be confusing, anyways if it is low, you may be suffering form hyperthyroidisim and you need treatment for it!
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