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Dr. Jaiganesh Muruganandam

Endocrinologist, Chennai

600 at clinic
Dr. Jaiganesh Muruganandam Endocrinologist, Chennai
600 at clinic
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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. Jaiganesh Muruganandam
Dr. Jaiganesh Muruganandam is a renowned Endocrinologist in Royapuram, Chennai. You can visit him at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Jaiganesh Muruganandam 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.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
600 at clinic
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I am diabetic from last 2 years. My regular / average sugar is near by red line. Can I get sugar free body?

Vaidya Visharad
Ayurveda, Narnaul
Dear, for Diabetic the best Ayurvedic medicine is there, but let me know the Blood report ie Sugar,fasting, PP, HbA1c.
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Sir/madam, I am 55 yrs. Suffering from Thyroid, BP, Sugar, rheumatology arthritis, body pains and using thyrox 150, metxl-50, loser H, rhiomet duo1, OD1000, AMITOP10, omnacortil5, ETC. Bp-190/140, please advise any short cut method to control all these. please. Advise.

MBBS
General Physician, Mumbai
Sir/madam, I am 55 yrs. Suffering from Thyroid, BP, Sugar, rheumatology arthritis, body pains and using thyrox 150, m...
Few tips- Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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Hello sir, My daughter 11 years old she have PGE primary general epilepsy. She take Keppra 250 mg medicine. I want know if PGE can cure by operation are possible or not ? Any doctor or hospital in south Asian country? Please give solution without medicine.

DNB, FELLOWSHIP IN COMPLEX SPINE SURGERY, MCH - Neurosurgery
Neurosurgeon, Delhi
Hello sir, My daughter 11 years old she have PGE primary general epilepsy. She take Keppra 250 mg medicine. I want kn...
U need complete evaluation with epilepsy protocol mri. Why do you want operation if it can be treated with medicines. Brain operation is not without risks. If its medically refractory and surgically curable I may be of help. Whethet it can be cured by surgery we will only know after thorough evaluation.
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Hi mother have vitamin d and vitamin b 12 deficiency along with thyroid. Please suggest which doctor in terms of specialization to visit.

MBBS
General Physician, Ahmedabad
Hi mother have vitamin d and vitamin b 12 deficiency along with thyroid. Please suggest which doctor in terms of spec...
Hi, she has thyroid problem, so it may be less functioning thyroid, means hypothyroidism. So you may consult endocrinologist. Take proper food supplements. I also advice for regular check up for kidney function.
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Dear Sir, My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some years in spite of medication and precaution his diabetes level being up as when he was using istamet 50/500 two times his diabetes PP level wa around 240 so he consult a diabetes specialist and he prescribed a medicine Gph-2 (Glimepiride 2 Mg and Metformin-500 dose 1-1/2 once in a day before breakfast but now after 20 days medication his pp is 375 which is two high when he consult once more and explained about this he changed the medicine and prescribed Dioglip-h ONE TIME with same composition of GPH-2.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear Sir,
My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some year...
He needs insulin. CONTROLLING BLOOD SUGAR Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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Nutritional Tip for Fertility

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
If you want to boost your fertility and increase the chances of getting pregnant follow these tips:

1. Stay positive
2. Keep your body hydrated
3. Drink more water
4. Cut out drinks
5. Consume green vegetables
6. Eat good quality protein with each meal, such as organic chicken, fish, grass fed meat and plant protein such as beans and pulses, nuts and seeds.
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You said honey lemon early in morning, good for health. May I know, whether a diabetic can also take this? Honey is okay to a person having diabetes? Please tell.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
You said honey lemon early in morning, good for health. May I know, whether a diabetic can also take this? Honey is o...
If you are overweight with poorly managed diabetes, there are foods you should eat, but honey is not one of them. If you have well-managed diabetes, are not overweight and are otherwise healthy, then honey as a replacement for sugar is likely beneficial. I would certainly not go as far as to say additional honey is good for diabetes though; the evidence is not that solid. After all, honey is sugar, which is a root cause of the problem of diabetes in the first place.
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I am 36 years old female suffering from thyroid ie hypothyroidism. I am taking 50mg eltroxin daily. Is it compulsory to take calcium intake also for thyroid patient.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am 36 years old female suffering from thyroid ie hypothyroidism. I am taking 50mg eltroxin daily. Is it compulsory ...
Are you facing any other problems like body pain, leg pain and all...then you need to take calcium supplements... If not cleared up...please ask me again...
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What is the blood sugar in the human body and what dose effect the sugar level in the body?

MBBS, MD, Fellowship in Diabetes, Diploma in emergency medicine
General Physician, Pune
What is the blood sugar in the human body and what dose effect the sugar level in the body?
Hello lybrate-user normal random blood sugar level in our body is less than 120 mg/dl, normal fbs is less than 100, normal ppbs is less than 200. Diabetes is a lifestyle disease. Bad dietary habits and sedentary lifestyle are d basic reasons other than genetic. If you have a family history of diabetes your chances of having diabetes in d future increases so you have to do regular blood tests to have an early diagnosis so dat early measures can be taken.
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Umesh has little bit large belly so what to do to decrease the size of belly & which type of breakfast is good for diabetic as he is diabetic.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Umesh has little bit large belly so what to do to decrease the size of belly & which type of breakfast is good for di...
Check out on the internet for a low glycemic index diet. Glycemic index is speed at which the sugar rises in blood after taking a food item in comparison to plain sugar. High glycemic index foods like corn flakes are to avoided in diabetics. For diabetics and the people who want to loose weight - breakfast is the most important and most abundant meal of the day. Dinner is the lightest and most sparse meal.
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Glycemic Index in Diabetes

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Glycemic Index in Diabetes

The glycemic index is a measure of food containing carbohydrates and how it can raise the level of glucose in blood. This is essentially a process where every food is ranked based on a reference food such as white bread. A food with a high GI value increases the level of glucose in the blood compared to a food with a GI that is medium or low. Some of the common examples of food with a low GI include legumes and dried beans. Fats and meats are not included in the index due to the non-availability of carbohydrate in them.

Some common foods with a GI of 55 or less include bread made up of pumpernickel and whole wheat, muesli, oatmeal, bulgur, barley, pasta, yam, lentils, sweet potato, converted rice, corn, non-starchy fruits, and vegetables. A food set with medium GI in the range of 56 to 69 includes quick oats, basmati rice, pita bread and couscous. Some example of foods with high GI value in the range of 70 includes pineapple, russet potato, white bread, macaroni, puffed rice, corn flakes, rice cakes and melons.

What influences GI?

Since GI has nothing to do with fibre and fat, some general findings of the GI count are as follows:

  1. When a food is processed or cooked, the GI tends to increase

  2. More the storage time of the food, the higher is the GI. It is applicable for ready to cook food and frozen food as well.

  3. The higher is the GI count, more the ripeness of a fruit or vegetable.

  4. Converted food items tend to have a lower GI as compared to the original version of the food

What are the other considerations?

While the GI value gives first-hand knowledge about the type of carbohydrate a person is consuming, it is hard of any help when it comes to the amount of carbohydrate intake. Portion size, therefore, still plays an important role for patients suffering from diabetes. The GI count of a food item greatly varies when combined with a food which has higher GI or lower GI for that matter. Nutritious food that is extremely beneficial for the body, tends to have a higher GI count. For instance, the GI count of oatmeal is greater than that of a chocolate.

Which one is more effective?

While there is no hard and fast rule for maintaining the carbohydrate count, an approach that is equally balanced between a GI count and carbohydrate count works best for a patient. Both the type of carbohydrate as well as the count of carbohydrate plays a crucial role in keeping the blood sugar level under control. If you wish to discuss about any specific problem, you can consult a endocrinologist.

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Please suggest diet plan for hyperthyroidism. Continuous weight loss. Currently weight is 46 kg. M 28 years old.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dietary recommendations: Avoid foods high in iodine, such as seafood, iodised salt, eggs, curd, and milk. Eat cruciferous vegetables like cabbage, cauliflower and broccoli, preferably raw. Green leafy vegetables like mustard greens, spinach and kale are believed to depress the function of your thyroid. You have to get thyroid in good control and eat balanced diet to gain weight.
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I am 56 years old my blood sugar random 273 what medicines ican take already I am bypass surgery done past 5 years back now I am taking daily one tablet starpressxl 50 mg and ecosprin av 150/20 mg.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take homoeopathic medicine syz. Jambolanum - q / 10 drops in little water thrice a day for 15 days. Revert back after 15 days with feedback.
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How to control uric acid in bones? its 8.6 present. Please tell me what should i do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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Sir I am 56 year old man suffering from diabetes since last year and I am not feeling well and I have also used many plant leaves juice and kadha but there is no any control, as it always get increase or decrease. What should I do?

MSc
Dietitian/Nutritionist, Chandigarh
Sir I am 56 year old man suffering from diabetes since last year and I am not feeling well and I have also used many ...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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My try glyceride is high 280 and uric acid also border line 7 and hemoglobin 11, please advice me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My try glyceride is high 280 and uric acid also border line 7 and hemoglobin 11, please advice me.
Homoeopathic medicine *allium sativa q (dr reckeweg) drink 10 drop in 20 ml fresh water twice daily. *cholestrinum 3x (dr reckeweg) chew 2 tabs twice daily. *report after 3months with latest blood reports of your lipid profile.
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I feel lethargic, depressed. At times i feel to end my life. My weight is 75,height 5' 3. I want to loose weight but i loose interest very easily.I have thyroid as well.

Vaidya Visharad
Ayurveda, Narnaul
Dear, Obesity in ayurveda is known as Medorog and is defined excessive body fat accumulation in body. Medo roga specially found predominantly pitta body type constitution. The disturbed ?Pitta-the digestive fire? is disturbed leading to improper digestion and assimilation of fats. Being overweight can put you at risk for hypertension, diabetes, arthritis, back pain, coronary heart disease, and sleep problems. We have specialised medicine prepared for weight loss . No Exercise , No Dieting, No side Effect ,Kindly Attach your cholestrol and thyroid report. For better result and shape body use our medicine and see result within 15 days for order with your test reports details. Visit us at www.Malhotraayurveda.Com
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I hv thyroid problem. And I'm also suffering from over weight and irregular periods. In addition joint pain also. I hv my last periods on 23 june I didn't hv my periods yet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I hv thyroid problem.
And I'm also suffering from over weight and irregular periods.
In addition joint pain also.
I h...
If you are on treatment for hypothyroidism, then tsh should be be around 3 to 4 mu/l, to get rid od all symptoms as well as efforts to reduce weight to succeed. Even regular periods will be seen if tsh level is maintained as mentioned. So please see that your tsh is in that range. Thanks.
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Intra Uterine Insemination (IUI) - When To Go For It?

MD
Gynaecologist, Mumbai
Intra Uterine Insemination (IUI) - When To Go For It?

For the benefit of couples suffering from infertility, modern medical science has introduced several innovative procedures. Some of the popular procedures are In-vitro Fertilization (IVF), Intra Uterine Insemination (IUI), Gamete Intrafallopian Transfer (GIFT), Intracytoplasmic Sperm Injection (ICSI), donor eggs and embryos and so on. In addition to these, there are several drugs and surgical procedures that help the couple in getting rid of infertility. Among all these procedures, IUI has gained popularity in the field of gynaecology and infertility treatment procedures. The IUI treatment is also popularly called as artificial insemination procedure. Although this is a popular procedure, it is appropriate that you should also understand its pros and cons.

IUI procedure in brief:
In simple terms, the IUI procedure involves placing the sperm inside the womb or uterus, which in turn would assist in fertilization of the egg. As a result of this procedure, the sperm reaches the fallopian tube, which enhances the chances or rate of egg fertilisation.

Conditions precedent of IUI Procedure:
Before initiating the IUI procedure, the fast moving eggs are separated from the slow moving eggs. This separation is done in the laboratory. Further, in order to undergo IUI procedure, the women should be less than 40 years of age. On the other hand, apart from healthy fallopian tube, the women should also have higher ovarian reserves. Also, the sperm should have minimum mortality rate. However, IUI procedure is adopted only if the fallopian tube is healthy. IUI procedure is suggested in case the couple is having difficulty in vaginal intercourse, either because of psychosexual reasons or for reasons of physical disability.

The IUI procedure can be performed either with the partner’s egg or with the donor’s egg. Some of the other important aspects of IUI procedure are briefly discussed here:

  1. The IUI procedure is a short duration procedure and it can be completed within a few minutes. This procedure does not cause any discomfort or pain. The procedure does not require any hospitalisation or administration of anesthesia. Further, the procedure also does not cause any side effects. In fact, compared to the IVF procedure, IUI is cost-effective.
  2. In order to enhance the level of success, the gynaecologist may suggest IUI procedure every month. In some cases, the gynaecologist may also prescribe a few medicines to simulate the ovulation procedure. Except this, IUI may not involve extensive medication.

Summary:
You may undergo the IUI procedure under the supervision of sufficiently experienced gynaecologist. Further, you may also ensure the hospital is equipped with modern state of art machineries for carrying out the IUI procedure.

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