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Dr. Hema

Endocrinologist, Chennai

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Dr. Hema Endocrinologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Hema
Dr. Hema is a renowned Endocrinologist in Chintadripet, Chennai. Doctor is currently associated with ANBU CLINIC in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Hema on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 35 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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ANBU CLINIC

#7, Lattice Bridge Road, ChennaiChennai Get Directions
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I am diabetic- type 2. Can I have rice and potato in a day? What is the quantum of rice one should have in a day?

MBBS
General Physician, Jalgaon
I am diabetic- type 2. Can I have rice and potato in a day? What is the quantum of rice one should have in a day?
Please Yes you can but take them in frequently Not daily Take around 50 gms rice 50 to 75 gms potatoes
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I am a thyroid patient and I put on lots of wait suggest me how can I reduce my body weight.

PGC Diabetology, ACMDC (Diabetes and Cardiovascular Diseases), CCMTD (Thyroid Disorders), MD-Community Medicine, MBBS
General Physician, Durgapur
I am a thyroid patient and I put on lots of wait suggest me how can I reduce my body weight.
Weight losing needs a strong determination as lifestyle and diet motivation can lead to wt loss but gradually. Try 30 min of regular brisk walking and diet rich in complex carbohydrate like oats. Avoid junk and roadside food.
5 people found this helpful
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Hello sir ,I need to know why the clinician should stand back to palpate thyroid gland?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user Prasanth, Thanks for the query. Thyroid gland can be palpated (felt) better by standing behind the patient and plcing the fingers on the gland and feeling it. It can also be felt from the front also. Plus patient is also asked to drink water to see if the swelling is visible and moves with swallowing movement. These are methods to see and feel the swollen gland. Thanks.
1 person found this helpful
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Meri mother in law ki age 70 hai diabetes ki patient hai insuline leti hai unko energy suplement hm log dena chahte hai Kya horlicks ya boost diya ja sakta hai ya kuch ar suggest kre plz.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Meri mother in law ki age 70 hai diabetes ki patient hai insuline leti hai unko energy suplement hm log dena chahte h...
lybrate-user, Thanks for the query. The products mentioned are having mainly carbohydrates and considerable amount of sugar, hence not advisable for a person with diabetes. There are some protein powders available specially made for diabetes patients, those can be considered. However, first and foremeost is achieve a strict blood glucose control with fasting glucose < 100 mg, PP 160 to 170 mg & HbA1c% <7. With that kind of control patient feels fairly energetic. Plus diet should include good deal of green leafy vegetables and fruits. Thanks.
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I have diabetes and I can not able to eat sweet things like chocolate. How can I reduce my diabetes.

PG Diploma in Nutrition & Diabeties, M.Sc. Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
I have diabetes and I can not able to eat sweet things like chocolate. How can I reduce my diabetes.
Akhil in diabetes we suggest low fat high fibre diabetic diet with regular physical activity of atleast 50 mnts daily.keep hydrated and eat high GI foods devided into 3 main and 3 small meals inclusive 1 fruit daiy .take proper sleep and make yourself stressfree as all these factors also influencing your sugar level. For detailed personalised diet I need to know about your eating pattern, food habits,medication you are taking and your lifestyle.
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My father in-law is a diabetic patient. He has diabetic foot. One month ago he underwent a surgery and his thumb had been amputated. Can he take Oats?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father in-law is a diabetic patient. He has diabetic foot. One month ago he underwent a surgery and his thumb had ...
Mr. lybrate-user, Oats can be taken by a person with diabetes, there is no problem at all. However, since he has had a severe complication related to diabetes it is essential that blood glucose levels are maintained strictly as advised by his physician. Ideally fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c% <7. Please see that these levels are constantly maintained. Thanks.
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I am suffering from diabetes from the last 15 years. I it is called type 1. I am on insulin, twice a day. My question is, the place where I am taking the injection both the side of my noddle, getting stiffened. Do we have any cure for that.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am suffering from diabetes from the last 15 years. I it is called type 1. I am on insulin, twice a day. My question...
Change the place each time. You can take insulin injection on abdomen, outer aspect of thighs and wallet area of buttocks.
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Infertility - Are You at Risk?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Infertility - Are You at Risk?

Infertility is a condition where a couple is trying to conceive in a natural way and is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly. So here are the causes, risks and treatment for this condition.

Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process, and any condition in the female or male can upset either function which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play. 

Risk: There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. 

Treatment: Male patients can go through treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal, and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. 

If these methods fail, the patient or the couple can always turn to methods like in-vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception. If you wish to discuss any specific problem, you can consult a gynaecologist.

2938 people found this helpful

Hi doc. I have a heart beat of 120 at sleeping time or normal time. And about near 140 at the time of exercise. So what should I do? Is this a thing to worry about. Please suggest. I am also diabetic. Thank you.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Dietitian/Nutritionist, Ahmedabad
Hi doc. I have a heart beat of 120 at sleeping time or normal time. And about near 140 at the time of exercise. So wh...
I understand your concern because, this kind of extra weight is breeding ground for many diseases (blood pressure, diabetes, heart disease, certain kind of cancers, arthritis etc), which can affect the quality of your life ahead. This is a lifestyle related issue and it can be surely treated with intensive lifestyle modification program. Most people who are fat are made to feel that it is because you lack will power, you are lethargic and a weak person. But that is definitely not true. It is your your hormones which have made you fat and keeping you fat. Unless we make correct diagnosis and and create a diet and lifestyle plan to correct that hormonal abnormalities you will not be able to lose weight for long term. Avoid all junk food and all sweet food. Low fat diet does not work for majority of people. Eat wholesome nutritious food full of fibres, good quality fat like ghee and coconut etc. Don't focus on calories but on nutritional density and diversity. Simultaneously working on exercise and diet will surely help. Best rate to lose weight is 1/2 kg per week. If that happens, it is least likely to go high again in future. You do not have to do rigorous exercise to lose weight but start with something small. Let us say 8 minute workout. Go to you tube and type 8 minute workout and you will see many options. Pick one which you like and can do. Trying to lose weight in very short time will need some form of crash diet. Even if you lose weight doing this kind of crash diet, you will get it all back within no time and all the gain will be mainly fat. Not good for your health. Be gentle and patient with yourself. Demonstrate commitment in your persistent efforts. Make comprehensive change in diet, exercise, sleep and stress in your routine. This is called lifestyle medicine. If you can not do it on your own, find some expert who can help you in this over extended period of time. Best wishes.
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I am 40 mother of two 12 and 8 years. I have thyroid at 5.5 since from 7 months. I din get my periods since 4 months. I am bleeding since from a month I do get clots please suggest.

BHMS
Homeopath, Faridabad
I am 40 mother of two 12 and 8 years. I have thyroid at 5.5 since from 7 months. I din get my periods since 4 months....
Hi, you are suppose to take medication for thyroid. Now get ultrasound lower abdomen done and revert me with reports.
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I am suffering from DM type II and taking 3 drugs in combination with insulin. Can I stop insulin. On an average my blood sugar level remains 280 mg % after insulin. I do not want to continue with insulin. Please advise me if any other combination can I take. E. Oral hypoglycemics.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
I am suffering from DM type II and taking 3 drugs in combination with insulin. Can I stop insulin. On an average my b...
sir if after after your sugar remains 280mg% its not a good sign.this much high sugar is doing a lot of harm to you.moreover u r thinking of stopping insulin and in absence of insulin your sugar will become very high.target sugar is fasting below 126. by any means sugar has to be reduced. insulin is the best. you will have to achieve the target by increasing the dose of insulin.you are also suffering from ischaemic heart disease.its high time you should take your disease seriously. one new med has come with name of BGR-34. its herbal .try it twicw a day along with all other meds. and please consult a good physician who will titrate the dose of insulin and will help you to achieve your targets. good luck
1 person found this helpful
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Hello doctor my husband having diabetes so he use to drink bitter guard juice then know recently he having jaundice so please kindly give us information it is good to drink, bitter guard juice or not.

MD - Internal Medicine, MBBS
General Physician, Mumbai
Hello doctor my husband having diabetes so he use to drink bitter guard juice then know recently he having jaundice s...
First you need to get his bilirubin checked and liver function tests and a viral scan. A typhoid antibody must also be done. A sono sonography to see the liver would also be helpful.
1 person found this helpful
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Meri Dadi ko thyroid hai to is problem ka acha ilaj or kya khana chie kya krna chie or Ve thyronorm 25 mcg naam ki golia khati h. Mera swaal h ki unko kya khane ka plan chie jo healthy ho or kch tips is problem se jaldi cure krne ke liye.

PDDM, MHA, MBBS
General Physician, Nashik
She must eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
1 person found this helpful
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When does it become necessary to start taking insulin injection instead of tablets ?

MD , MBBS
General Physician, Aligarh
When sugar is not controlled in spite of medicine. And when u are insulin dependent diabetes mellitus
2 people found this helpful
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I am 45 years old working in sales ans Marketing, I am suffering from sugar. May it is 230 to 240 avg. Second my back pain is started from almost one month. For sugar taking glycolate gp2 half daily before meals. And back pain nothing Pl suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 45 years old working in sales ans Marketing, I am suffering from sugar. May it is 230 to 240 avg.
Second my back...
Mr. lybrate-user, Looking at details it is clear that your diabetes is uncontrolled. There is no mention of HbA1c%. Ideally well controlled diabetes should have fasting closer to 100 mg, PP 150 to 160 mg, HbA1c%<6.8. So it is clear that present treatment is inadequate, needs to be upgraded. Plus looking at your weight and height, you are overweight with a BMI of 28.62 kgs/M2 (normal <23 kgs). Your ideal body weight should be about 57 kgs. Therefore, weight reduction will definitely help in better blood glucose control. As regards back ache, weight reduction and some specific exercises will help in overcoming that. Thanks.
1 person found this helpful
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I am 18 years old. What is nicotex chewing gum? How is it useful? Is it good for health? Diabetes patient should use or not? It has any side effects? If there any side effects how will it cure? Please! help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 18 years old. What is nicotex chewing gum? How is it useful? Is it good for health? Diabetes patient should use ...
Nicotex chewing gum, contains substitute for nicotine inhaled from smoking, it is used to stop smoking habit. It contains synthetic form of nicotine. Side - effects of using this chewing gum include irritation in the mouth initially, may reduce on usage. Can cause aphthous ulcers, throat irritation and hiccups. May also cause allergy, in hypersensitive patients.
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My parents have blood sugar, I have checked my blood sugar levels - Blood sugar (F) - 183, HBA1C - 7.9, MEAN PLASMA GLUCOSE - 181. Blood sugar (R) - 187. Is it serious concern, / dietary & physical exercise can control the same. My age is 43 years.

My parents have blood sugar, I have checked my blood sugar levels - Blood sugar (F) - 183, HBA1C - 7.9, MEAN PLASMA G...
You need to start oral hypoglycemics and the doses shall be adjusted taking into concern your daily diet, lifestyle, amount of work and after examining others systems for any hypertension other illnesses etc. A diabetic specialist or a general physician can suggest the best medicines and lifestyle modifications. You need have a regular monitoring of your status by monthly consultations. Thanq.
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I am suffering from hyperthyroidism problem. I am a 23 years old girl. My weight is just 33 kg. Every time feeling tired, dry skin, faster heart beat.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hyperthyroidism problem. I am a 23 years old girl. My weight is just 33 kg. Every time feeling ti...
avoid salty foods, sea foods, whole milk, red meat, take vit-b12, vit-c, vit-d foods, barccoli, soya products, cauliflower, kale, fresh fruits and veg., omega-3 fatty acid foods,
86 people found this helpful
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Hi my mom has been suffering from diabetes during recent test high sugar found in urine and 199 blood sugar levels found some times her feet used to swell what should I do please help me out.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my mom has been suffering from diabetes during recent test high sugar found in urine and 199 blood sugar levels fo...
Mr. Lybrate-user, if diabetes is detected, then appropriate treatment should be initiated, so that blood glucose is kept under strict control. To achieve good control fasting glucose should be 100 mg, pp 150 to 160 mg/100 ml and hba1c% <6.8. If these levels are maintained all the symptoms will disappear and patient feel fit and healthy. Apart from drugs, there has to be a restricted diet and regular exercise for 1 hour a day. That will help in achieving a better blod glucose control. Thanks.
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I got thyroid and high blood pressure, my weight gaining day by day, now what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I got thyroid and high blood pressure, my weight gaining day by day, now what should I do?
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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help, High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
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