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Dr. Karthikeyan

Endocrinologist, Chennai

250 at clinic
Dr. Karthikeyan Endocrinologist, Chennai
250 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Karthikeyan
Dr. Karthikeyan is a popular Endocrinologist in Amrit Hospital, Chennai. Doctor is currently practising at Dr. Karthikeyan@Amrit Hospital in Amrit Hospital, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Karthikeyan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 43 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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What is the Connection Between Diabetes and Heart Disease?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
What is the Connection Between Diabetes and Heart Disease?

Our body cells are responsible for the essential breakdown of food into energy, as it is vital for our body functioning. Cells break down food into glucose and then convert glucose into energy through insulin, which is an important hormone in the body. Diabetes is associated with the inappropriate functioning of insulin and can be classified into two types: Type I and Type 2 Diabetes. In type I Diabetes, the body does not make enough insulin. In type 2 diabetes, the cell do not use insulin properly.

Both conditions cause blood glucose levels to rise in the body. Diabetes is more than one disease as it poses serious health risks. People with diabetes are at risk of developing a host of problems such as stroke, hypertension, nerve damage, skin, eyes and kidney problems. High amount of blood sugar level can cause damage to the blood vessels leading to blocked arteries restricting blood flow to the heart. Poor blood glucose control can lead to high blood pressure and other blood lipid abnormalities including high levels of HDL (good cholesterol) and triglycerides.

The link between cardiovascular disease and diabetes is well established by medical science. It is estimated that 65% of people with diabetes die of heart disease, which makes it a leading cause of all deaths among diabetic patients. Doctors refer to this connection as DHD- Diabetic Heart Disease. The term Diabetic Heart Disease covers coronary heart disease; narrowing of the arteries, heart failure; minimising heart’s capacity to pump enough blood and diabetic cardiomyopathy; alteration in the structure and function of the heart.

A sedentary lifestyle with little or no physical activity, smoking, stressful life and unhealthy eating habits all contribute to weight gain, high cholesterol, high blood pressure, heart diseases and diabetes. Thus, weight and lifestyle issues management is the best way to prevent and control such health risks.

Let’s look at some simple but effective ways towards a healthy lifestyle:

  1. Physical exercise: Adopt a 30 minute exercise rule to remain healthy and fit. For diabetic patients, a morning and evening walk is highly recommended. You could walk, run, gym, climb stairs, do yoga, aerobics or other physical activity that interests you.
  2. Eat healthy: Avoid fried and packaged foods as they are full of fats, salt and sugar. Include seasonal vegetables and fruits in your diet and drink plenty of water. Dieticians recommend eating a heart-healthy diet including superfoods like broccoli, spinach, berries and fibre rich meal.
  3. Weight management: Keeping weight under check is an effective way to prevent the risk of heart diseases. Consult a dietician for a customised diet plan as per your medical condition.
  4. Be positive: Stress is a silent killer and a major contributor to all lifestyle diseases. Remain calm and manage your negative thoughts to overcome stress.

Health is the ultimate treasure you have! Preserve it. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3500 people found this helpful

Can diabetes be increase by eating more amount of sweat things like sugar, banana etc and if not then what is the reason behind it.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Can diabetes be increase by eating more amount of sweat things like sugar, banana etc and if not then what is the rea...
If you are already a diabetic, eating sugar & sugary foods freely is definitely. Harmful. Even if you are not a diabetic, it is recommended to keep your intake of sugar & sugary food stuffs to the bare minimum. Fruits, if taken in moderation, are ok.
33 people found this helpful
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I am 52 year old male. Having diabetes since 3 years. My fasting sugar is 144 mg/dl and PP is 350 mg/dl. Please suggest a medicine to reduce my sugar. My name pravin rao from mumbai.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 52 year old male. Having diabetes since 3 years. My fasting sugar is 144 mg/dl and PP is 350 mg/dl. Please sugge...
Mr. Lybrate-user, the glucose levels mentioned show that it is totally uncontrolled diabetes. Hba1c% has not been mentioned. It is essential to have fasting blood sugar closer to 100 mg, pp 150 to 160 mg/100 ml & hba1c% <7. Otherwise you are inviting serious long term complications of diabetes like retinopathy, nephropathy, neuropathy, foot ulcers, non healing foot ulcers and amputation as well as silent heart attacks. So my suggestion is to start immediate treatment with appropriate medications, plus regular exercise and diet control.
10 people found this helpful
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Hi 2 years back it was detected that I do have hypothyroidism. I continued Ayurveda treatment for almost 2 years however I have discontinued the treatment as the medicine was making me very lethargic and was also affecting my decision making skills. Is there a way I can control thyroid without medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi 2 years back it was detected that I do have hypothyroidism. I continued Ayurveda treatment for almost 2 years howe...
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. 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 bad habits . Avoid stress. Take Some Relax during work.
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I have mean blood glucose 214 mg/dl. My age is 32 years. My father has diabetes. Please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have mean blood glucose 214 mg/dl. My age is 32 years. My father has diabetes. Please advice.
Mr. lybrate-user, If you have not yet started treatment for diabetes, then please start immediately. There is no option. Along with drugs, take a planned restricted diet and exercise regularly for 1 hour a day. Diabetes is confirmed when FBS >126 mg, or PP >200 mg and HbA1c%>6.5. Thanks.
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My mother is suffering from sugar how to control by various methods without taking more medicine?

BAMS
Ayurveda, Bangalore
My mother is suffering from sugar how to control by various methods without taking more medicine?
Hi, The precautions to be followed are as follows: - Avoid all whites like rice, sugar, maida,etc. - Eat in small quantities 4-5 servings per day. - Walk daily for 1 hour. - Avoid intake of oil fried food and sweets. - Take medicines prescribed by the doctor regularly. - Visit your doctor regularly for follow up check-ups. - Get your sugar levels checked once in a month and try to keep it under control. - Get rid of mental tensions and worries. - Be active always and avoid sedentary life style. - Perform yoga and meditation to keep your mind calm. - Consume lot of fiber in your diet which lowers your cholesterol levels .
1 person found this helpful
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I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are increased to 7.10.d doctor whom I consult is out of town. Shld I continue using 62. 5 mg medicine or my dose to b changed?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are...
Lybrate-user, when hypothyroidism is in good control tsh values should be between 3 to 4 milli units/l. 7 milli units, means there is no proper control. This can lead to reappearance of some of the symptoms. So it is essential to increase the dose to 75 mcg, then after 6 weeks check the tsh level, and if level as mentioned above, then continue the same dose. Thanks.
2 people found this helpful
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I have taken up a preventive test and few items are inbred, please help interpret the report Cardiac Risk Makers:- apolipoprotein -A1 (APO-A1)-97mg/DL apolipoprotein -B (APO-A1)-97mg/DL High Sensitivity C Reactive Protein (hs-CRP)- 8.81mg/L APO B/APO A1 Ratio: 1 Liver apart amino transferase (SGOT)-38.5U/l Alanine Transaminase (SGPT)-52.7U/l Please note I have diabetes 2 and its avg of 140 I am on no medication from past 1 year.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have taken up a preventive test and few items are inbred, please help interpret the report
Cardiac Risk Makers:-
ap...
Liver enzymes are normal, c reactive protein is high -it can be due to infection/inflammation anywhere in the body, need not be due to heart or only due to heart in absence of specific symptoms of other organs, apo-1 is normal it is a fat+protein combo in blood that is water soluble and keeps circulating in the blood, in a way it reflects the good cholesterol which should be at a higher level to prevent blockages in the blood vessels, apo-b is very high -means it is a precursor of bad cholesterol in the blood that is responsible for blockages and plaque formation. Your dm-2 is under control with medication. You have to bring down apo-b by cutting down bad fats like transfats, oily food, etc which I am sure you are doing to control your dm. By increasing good cholesterol precursors like apo-1 & other apos except b (remember b for bad) your chances of getting bad fats on higher levels will get reduced. Take water with a spoon of honey (allowed for dm) with juice of a lemon every morning on empty stomach -it does burn bad fats, eat a spoon of good fats like desighee/ butter + a katori of assorted nuts every day (allowed for dm) cut down extra carbs in place of good calories gained.
1 person found this helpful
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How significant is raised tsh level when t3, t4 are normal. What further investigations are required. Does it need treatment if it is around 12.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How significant is raised tsh level when t3, t4 are normal. What further investigations are required. Does it need tr...
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, do tests vit.D also.
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My father's uric acid level is high. How should control level of uric acid? please give some suggestion uric acid related. than.

M.D.(HOMOEOPATHY), C.S.D.(MUMBAI), BHMS
Homeopath, Bareilly
Most of the time, a high uric acid level occurs when your kidneys don't eliminate uric acid efficiently. Things that may cause this slow-down in the removal of uric acid include rich foods, being overweight, having diabetes, taking certain diuretics (sometimes called water pills) and drinking too much alcohol. Other less common causes are a diet high in purine-containing items or your body producing too much uric acid. 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 Immune-suppressing drugs Niacin, or vitamin B-3 Obesity Psoriasis Purine-rich diet — liver, game meat, anchovies, sardines, gravy, dried beans and peas, 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. Foods that are high in purine include: All organ meats (such as liver), meat extracts and gravy Yeasts, and yeast extracts (such as beer, and alcoholic beverages) Asparagus, spinach, beans, peas, lentils, oatmeal, cauliflower and mushrooms Foods that are low in purine include: Refined cereals - breads, pasta, flour, tapioca, cakes Milk and milk products, eggs Lettuce, tomatoes, green vegetables Cream soups without meat stock Water, fruit juice, carbonated drinks Peanut butter, fruits and nuts Keep well hydrated, drinking 2 to 3 liters of water per day, unless you were told otherwise. Take all of your medications for hyperuricemia as directed Avoid caffeine and alcohol, as these can contribute to problems with uric acid and hyperuricemia. Avoid medications, such as thiazide diuretics (hydrochlortiazide), and loop diuretics (such as furosemide or Lasix®). Also, drugs such as niacin, and low doses of aspirin (less than 3 grams per day) can aggravate uric acid levels. Do not take these medications, or aspirin unless a healthcare provider who knows your condition told you. If you experience symptoms or side effects, especially if severe, be sure to discuss them with your health care team. They can prescribe medications and/or offer other suggestions that are effective in managing such problems. So its better you go for homoeopathic treatment.
1 person found this helpful
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I m 23yr young female. I have checked thyroid level and tsh level (&gt;1000) was greater than the range (0.0 to 0.5). Consulted with doctor. But he said after 6 months take another checkup and visit me. He did'nt suggest any medications. Heavy hair loss like from root its falling. My doubt is in future any complications will be there? weight loss or gain hair loss any other what can I do naturally to control the thyroid level to balance it.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I m 23yr young female. I have checked thyroid level and tsh level (&gt;1000) was greater than the range (0.0 to 0.5)....
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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I have got my Thyroid Test done which resulted TSH level 16.25, I am 28 years old male, weight is 46 kgs. Is there anything to worry about high TSH level? Pls suggest.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
TSH of 16 suggests overt hypothyroidism and which require thyroxine suppliment as a treatment. Get your free T3 free T4 test done and consult any diabetologist or endocrinologist for starting medication.
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I am stuff for URIC ACID. Last 3 years, Uric Acid label is 7.0. How can I control it. Sajest some medicine.

B.H.M.S
Homeopath, Patna
1. Staphasgaria 1m one drop thrice daily in a cup of water. 2 uranium nitrate 30 take one drop 8 hourly in a cup of water. 3 urtica urens q take 5 drop in a cup of water 8 hourly for one month 4 please report in 5 days.
1 person found this helpful
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I am diabetic person at tje age of31, with ahectic schedule, consuming glimepiride & Metformin 2+500 mg, twice daily, but in last 15 daus sugar level has reached 350 at PP. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I am diabetic person at tje age of31, with ahectic schedule, consuming glimepiride & Metformin 2+500 mg, twice daily,...
At this young age and of an athletic, you can be fittest person if you decide to switch to herbal support of DM. I will not say to stop your current med now. Slowly when you improve, your potential side effects will start drifting away. Otherwise best of allopathic med can not stop side effects of DM and anti DM drugs. Ask who are suufering from decades. This does not mean that allopathic is bad. Its relevant for acute and emergent cases. But lifestyle improvement is poosible with herbs.
3 people found this helpful
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How Diabetes Affects Kidneys: Diabetic Nephropathy Dialysis

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Affects Kidneys: Diabetic Nephropathy Dialysis

Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.

When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.

A few features of this disorder are as follows:

  1. The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
  2. Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
  3. A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.

In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results.

4822 people found this helpful

Hii my cousin (female) 28 is suffering from type 1 diabetes. Her pancreas is damage. Please tell me preventive measures regarding this.

MBBS
General Physician, Mumbai
Hii my cousin (female) 28 is suffering from type 1 diabetes. Her pancreas is damage. Please tell me preventive measur...
We need to control sugar levels with medication exercise and following a diabetic diet and since her beta cells are damaged she will have to continue insulin
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I am a 50 years old female and have sugar, diabetic patient last 1 year. What should I do? Please help me.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
I am a 50 years old female and have sugar, diabetic patient last 1 year. What should I do? Please help me.
Avoid junk food, sugar, fried food and fruit juices. Exercise daily and if required take medicene perscribed by your doctor.
1 person found this helpful
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In calcaneal spur does the pain happens to be in both heels simultaneously? Does ultrasound therapy helps? If there is no uric acid or calcaneal spur problem what can be the other reason for heel pains (in both foot).

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
In calcaneal spur does the pain happens to be in both heels simultaneously? Does ultrasound therapy helps? If there i...
Both heel pain can be due to plantar fascitis. Calcaneal spur can be radiological finding in asymptomatic patients. Ultrasound therapy helps in such conditions. Follow these lifestyle changes religiously to get benefit. 1. Reduce body weight as obesity will aggravate the stress on heel. 2. Avoid exercises like running / walking on hard surfaces. Stop such activities when you start developing pain. 3. Roll your feet on bottle of cold water for 20 mins 4 times a day or can apply ice pack. 4. Use shoes with silicone sole inserts. 5. Do calf muscle and heel stretches daily. 6. Avoid prolonged standing or sitting. 7. Use night splint to keep foot flexed at night. Stop using it once pain is relieved. 8. Use analgesics like ibuprofen for decreasing pain and inflammation. With proper lifestyle changes as above 90 % patients have relief and functionality. Only 10% patients would require surgical intervention like plantar fascia release or gastrocnemius recession.
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