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Dr. K Muralidharan  - Endocrinologist, Chennai

Dr. K Muralidharan

Endocrinologist, Chennai

650 at clinic
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Dr. K Muralidharan Endocrinologist, Chennai
650 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. K Muralidharan
Dr. K Muralidharan is a renowned Endocrinologist in Kilpauk, Chennai. You can consult Dr. K Muralidharan at Lifeline Rigid Hospital - Kilpauk in Kilpauk, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. K Muralidharan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 42 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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Lifeline Rigid Hospital - Kilpauk

No 47/3, New Avadi Road,Kilpauk. Landmark: Opp To Pachaiyappas College, ChennaiChennai Get Directions
650 at clinic
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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, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
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.
1 person found this helpful

My father are sugar person then me are sugar person or not what I do for low sugar. What I do for sugar level is come fall down.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
My father are sugar person then me are sugar person or not what I do for low sugar.
What I do for sugar level is come...
Yes you have a risk of getting diabetes. Staying lean with diet and exercise will surely reduce your risk of getting diabetes. Avoid excess alcohol and smoking control of blood pressure adequately will further reduce your chances of getting diabetes.
14 people found this helpful

My son is type 1 diabetes under insulin treatment, He is taking 10 -0-0 Lantus 3-3-3 humalog, now the sugar levels are in control. What happens if he stops the insulin. If the sugar levels are normal, can we stop insulin.

BHMS
Homeopath, Secunderabad
My son is type 1 diabetes under insulin treatment, He is taking 10 -0-0 Lantus 3-3-3 humalog, now the sugar levels ar...
Please talk to your doctor as it is very important to keep monitoring the sugar levels lifelong and take the appropriate medicines as suggested by the doctor. One should not stop the insulin. May be he can improve in the long run if he follows a very healthy lifestyle. Proper diet and daily exercise ( let him learn Yoga also ) can help the body to adapt more efficiently ( and thereby may help in keeping the insulin requirements to the minimum ).
1 person found this helpful

Bariatric Surgery - How It Can Prevent Type 2 Diabetes?

MBBS, MS - General Surgery
Bariatrician, Mumbai
Bariatric Surgery - How It Can Prevent Type 2 Diabetes?

Diabetes is a serious health problem that affects millions throughout the world. It is a disorder that has almost no cure and can lead to serious problems related to vision, kidney failure, gangrene of the toes and feet, tingling numbness and loss of sensation in the lower extremities and many more. While currently available medication tries to regulate your blood sugar levels, it fails to control damage on various organs listed above in the long term. Furthermore insulin can lead to further weight gain and worsening of diabetes in the obese people.

Bariatric Surgery has now been recognised as a treatment option for the obese diabetics by most major diabetic associations across the world, the ADA (American Diabetic Association) the IDF (International Diabetes Federation) etc. 

So how exactly does Bariatric Surgery work?

Diabetes can be of three basic kinds;

  1. Type 1 diabetes in which the pancreas produces no insulin and insulin requirement is mandatory.
  2. Gestational Diabetes which occurs during pregnancy and usually disappears after it
  3. Type 2 diabetes or adult onset diabetes that usually comes around middle age and is associated with weight again in atleast 80% of people. However type 2 Diabetes is now even seen in adolescence and is a cause for worry.

 Bariatric surgery proves to be most beneficial for obese patients with early Type 2 diabetes.

Insulin is produced by the beta cells of the pancreas to control glucose levels from the food we eat but fat cells are insulin resistant and do not allow insulin to act to its normal capacity therefore in a type 2 diabetic the pancreas produces more insulin but it never seems enough and eventually the pancreatic cells burn out. Another cause is that the liver in an obese individual has decreased insulin sensitivity further compounding the problem.

Bariatric Surgery firstly works by decreasing the calorie intake, this in turn leads to weight loss which also means fat loss so decreased insulin resistance, it also decreases fatty liver, NAFLD (Non Alcoholic Fatty Liver Disease) and this I turn improves liver insulin sensitivity.

  • It further increases gut hormones like GLP1 and PYY good for the diabetics and decreases those hormones, which are not good for the diabetics.
  • Bariatric surgery also exercises a control over cholesterol, blood pressure and triglyceride levels all of which along with high sugars can lead to higher incidence of a sudden heart attack (Acute Coronary Syndrome)
  • Bariatric Surgery causes long term remission of the disease in type 2 diabetics decreasing damaging effects on the kidney, eyes and feet giving patients a chance to live better healthier lives with lesser complications.

What is a Bariatric surgery?

  • Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity.
  • It might include reduction of the size of your stomach, removal of a portion of the stomach, or even bypassing portions of the stomach and intestine.

The commonest Bariatric Surgeries performed are

  • Laparoscopic Sleeve Gastrectomy: Where the stomach is converted into a thin tube of about 100 ml capacity producing early satiety. About 2/3rds of the stomach is surgically removed, removing a major part of the cells producing the hunger hormone ‘ghrelin’ thus decreasing craving for food.
  • Gastric bypass surgery: This process involves dividing the stomach into a tiny pouch at the upper end of about 30 ml capacity and connecting it directly to the middle portion of small intestine thus bypassing about 90% of the stomach and the first part of the small intestine. The food you eat going directly from the top part of the stomach into the intestine.
  • There are other surgeries as well that bypass major portions of the small
  • Intestine but are usually reserved for extreme cases.

Do I need to take multivitamins and proteins for life after this surgery?

  • Most Bariatric surgeries necessitate you to take multivitamins for life. Vit B12, Calcium and Iron being the common ones, one may also need Vit D supplements. This is necessary as your food intake comes down and some surgeries bypass absorptive areas of the stomach and small intestine.
  • Protein supplementation may be needed in the early stages but not in the long term in most surgeries except in the extreme cases as recommended by your surgeon.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3102 people found this helpful

My blood sugar level 143/271 & urea- 28, creatine - 1.5 take medicine Glisen MF forty 1 mg two times ,pls advice me to how to recovery this.

BHMS
Homeopath, Kolkata
My blood sugar level 143/271 & urea- 28, creatine - 1.5 take medicine Glisen MF forty 1 mg two times ,pls advice me t...
A non diabetic’s blood sugar level should be between 70 and 140 mg/dL one to two hours after a meal, according to the American Diabetes Association. If it is lower than this, you could have a condition called hypoglycemia, in which blood sugars drop below 70 mg/dL after eating. A blood sugar reading slightly above 140 mg/dL after a meal does not necessarily indicate diabetes, but an oral glucose tolerance test should be performed at a later date to test for an elevated post-meal blood sugar to confirm any diagnosis.
2 people found this helpful

Good evening sir, 41 f, I'm thyroid patient, since 8 years, previously check tsh it's 0.4, that's why drop tab Weekly once, suffering from wrist bone pain from 2-3 minutes, I can't lift weights, please give me advise.

Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
Good evening sir, 41 f, I'm thyroid patient, since 8 years, previously check tsh it's 0.4, that's why drop tab Weekly...
Use wrist band and give rest to wrist joint.if pain is severn,you can have pain killer for7 to 10 days.

Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what I do any good suggestion? Pls.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what ...
Mr. Lybrate-user, primarily diabetes should be in control. Meaning fasting closer to 100mg, pp 150 to 160 mg and hba1c% <7 (ideally 6.8%). These things are necessary to have absolutely healthy life. Your ideal body weight should be 60 kgs, with a bmi of 35.71 you are having grade 2 obesity. So it necessary for you to consider weight reduction at least 5 to 8 % of present weight. That it self will improve overall condition.
1 person found this helpful

What is the procedure for infertility treatment. I also wanted to know the cost of the procedure. Can anyone explain.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
What is the procedure for infertility treatment. I also wanted to know the cost of the procedure. Can anyone explain.
Infertility procedure includes that you should consult gynecologist on day 2nd of menses of your wife, sonography will be done as baseline scan & then ovulation study will be done so further case an estimate will be given by them only.
1 person found this helpful

Homeopathy and Diabetes

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
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Lifestyle changes along with homeopathy to help you treat diabetes

I am Dr. Prabha Acharya from Global Homeopathy practicing from last twenty-five years, Majorally dealing with hormonal disturbances and to talk to you about role of homeopathy in diabetes a patient came to me saying, doctor, I have been diagnosed with diabetes though it doesn't run in my family and jokingly live life actually no one runs in your family then life is not over. With diabetes it's but the beginning of discipline and who shall outlive others and make the excellent state of health.

At global homeopathy diabetes is treated holistically prevention and treatment includes healthy diet physical exercise and maintenance of health body weight along with heavy mind. At global homeopathy we help in to attain it for a detailed case taking homeopathy. Prescription along with cause dietary modifications and weight management by our in-house dietitian was a long play. Homeopathy helps at various levels. All borderline cases are completely treated with homeopathy alone. Often patients coming to us are already on insulin or hold oral hypoglycemic drugs. ln such cases we advise to continue the conventional medications and start from Homeopathy simultaneously over miles as blood sugar levels should consistent control. We reduce the dose of insulin or oral hypoglycemic drugs in consultation with diagnotologist till they can take them of preventing and most importantly homeopathy aids in preventing complications.

Homeopathy prescription takes into account not only medical history but family history past history physical and psychological characteristics of the patient this helps to find the calls precipitating factors and healthy treat tendencies in case of diabetes. So, friends homeopathy medicines healthy diet exercise and a positive state of mind is complete cure to that you may have diabetes don't let diabetes have you.

Thank you so Friends you can contact me for further information through lybrate.com. Thank you once again.

7166 people found this helpful

Halo I am 41 years old my sugar level in fasting 180 and please is 223 give me advice and I am not taking any medicine

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear, You do have diabetes. Once you ate diagnosed and started on treatment you should follow the following goals. Fasting less than 140. Post paean dial less than 180. You have to do certain baseline tests and start on medications.
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