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Dr. Larance

Endocrinologist, Chennai

Dr. Larance Endocrinologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Larance
Dr. Larance is an experienced Endocrinologist in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. You can book an instant appointment online with Dr. Larance 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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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I am 32 years old male and have thyroid problem at right now this is 10.56. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 32 years old male and have thyroid problem at right now this is 10.56. What should I do?
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 consult doctor on time. take tab. thyronorm 100mcg before meal at morning.
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I have Thyro TSH Level 22 and advised to take Thyronorm 50 mcg. Whether this medicine can be stopped after level comes ib the range OR I have to take it whole life?

MBBS, MD
Endocrinologist, Delhi
I have Thyro TSH Level 22 and advised to take Thyronorm 50 mcg. Whether this medicine can be stopped after level come...
You have to take medicine and simultaneously monitor your TSH level under the supervision of your doctor. If TSH level falls beyond the lower limits your medicine will be reduced gradually to keep your TSH with in acceptable limits.
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I have infertility problems for 6 years due one side fibroids 2 cm found. My age now 36. What can I do.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, one fibroid can be easily removed by operation. You should get it operated. Don't waste your time as your age is already 36. Chances of pregnancy decrease with increasing age.
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I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs twice a day and supradol tab twice a day but there is some progress with respect to inflammation, swelling and Pain on my left ankle and foot. How can I get full relief permanently? Please advise I am a diabetic patient.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs tw...
For osteoarthritis ayurvedic medicines work very well. You have to continue the treatment for 6months so that there is no relapse. You have to lead a healthy life in terms of food as well as exercise. Do daily yoga and walking for atleast half an hour. Avoid eating sour and chilled food items. Im sure you will be ok.
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I am 45 year old and my uric acid 8. 52. What should I eat and not eat and what precaution I should take.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: Maintain a high fluid intake (2-4 liters a day) Avoid alcohol Maintain a healthy body weight Eat a balanced diet Limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: Beef kidneys Brains Dried beans and peas Liver Mackerel Mushrooms Lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.
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Hello sir my sister suffering from thyroid the results is some time 60 or some time is 25 range they have no child so what I can do

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Your sister s thyroid is not controlled. It could be the reason for her not to conceive. Thyroid is easily manageable. You can consult with me regarding further management.
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I am 48 years old Male. I have high uric acid since more than 20 yrs & have been taking Zyloric two tablets a day but it seems to be less effectI've now. What should I do? Right now it is 9.8. Have high bp too & RBCs are also high as per latest tests.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
The best treatment of gout consists of restoring the balance of vata (air element) and detoxifying the blood. High protein diet should be avoided in cases of increased uric acid. Take maha rasnadi kwath 2-2 tsf twice a day. Take maha yograj guggul 1-1 twice a day. Kaishor guggulguggul and chandraprabha vati 1-1 twice a day. Avoid junk food. Fermented food. Spicy food. Tea. Coffee. Do pranayama early morning. Avoid alcohol consumption
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11 Good Shortcuts Towards Avoiding Diabetes Complications

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
11 Good Shortcuts Towards Avoiding Diabetes Complications

Diabetes occurs in all age groups, right from infants to the elderly. The greatest incidence of occurrences happen in the middle or older aged people. 80-85% cases belong to people of 45 years of age or older. Whatever be your age, there are a few lifestyle changes that ensure that you stay free of any complications.

1. Select Your Carbs Carefully - Choose carbohydrates that break down in the body slowly, providing steady energy. Reach for whole grains, beans, nuts, and fresh vegetables and fruits. Yes, you can eat fruit even though it's sweet. It's about eating the right amounts of carbohydrates at each meal.

2. Lose Weight - It'll help lower your blood sugar and improve your blood pressure and blood fats. You'll also have more energy. To begin with, try cutting excess fat, sugar, and calories from your diet.

3. Get Enough Sleep - Getting too much or too little sleep can increase your appetite and cravings for high-carb foods. That can lead to weight gain, increasing your risk for complications such as heart disease. Go for 7 or 8 hours of sleep every night. If you have sleep apnea, treating it can improve your sleep and lower your blood sugar levels.

4. Check Your Blood Sugar Periodically - Keep a track of your sugar levels can help you avoid diabetes complications, like nerve pain, or keep them from getting worse. Checking it can also help you see how foods and activities affect you, Your doctor can help you set a target glucose level range. The closer you get to your target, the better you'll feel.

5. Manage the Stress Effectively - Stress can cause your blood glucose levels to rise. Get rid of whatever physical or mental stress you have. Relaxation techniques such as breathing exercises, yoga, and meditation may be effective to control type 2 diabetes.

6. Salt - Reduce the salt in your diet. It may help lower blood pressure and protect your kidneys. Not salting the food on your plate may not be enough.

Adults age 51 and older, and individuals with high blood pressure, diabetes, or chronic kidney disease should talk with their doctor about how much to reduce their sodium intake. In general, people with diabetes should decrease to less than 2,300 mgs per day, however, your doctor may recommend lower amounts.

7. Remove the Risk of Heart Disease - Heart disease can be a serious diabetes complication. Keep an eye on your risk by getting these ABCs checked:

A1C level. This is a measure of your average blood sugar control for the last 2-3 months. You may need it checked two or more times a year. Talk to your doctor about setting a goal.

Blood pressure. Goal: below 140/80 mm Hg.
Cholesterol. Goal: LDL to 100 mg/d or less; HDL above 40 mg/dl in men and greater than 50 in women; and triglycerides below 150 mg/dl.

8. Take Care of Cuts and Wounds - Diabetes raises your risk of infection and slows healing, so treat even simple cuts and scrapes quickly. Properly clean your wound and use an antibiotic cream and sterile bandage. See a doctor if it's not better in a few days. Check your feet every day for blisters, cuts, sores, redness, or swelling. Moisturize them to prevent cracks.

9. Mind Your Smoking Habit - People with diabetes who smoke are two times more likely to die prematurely than those who don't. Quitting helps your heart and lungs. It lowers your blood pressure and risk of stroke, heart attack, nerve damage, and kidney disease.

10. Get Your Diet Right! - Here's what is ideal:

  • Upon Waking : Bitter Gourd (karela) juice, and a glass of lukewarm water with half a freshly - squeezed lime.
  • Breakfast: Any fresh fruit with the exception of bananas. A small quantity of wholemeal bread with butter and fresh milk.
  • Lunch: A bowl of freshly prepared steamed vegetable, one or two whole wheat chapattis, and a glass of buttermilk.
  • Mid-afternoon: A glass of fresh fruit or vegetable juice
  • Dinner: A large bowl of raw vegetable salad, with lime juice dressing, sprouted mung beans, and cottage cheese.
  • Bedtime snack: A glass of fresh milk or fresh fruit

11. Doctor Visits - Expect to see your doctor two to four times a year. If you take insulin or need help balancing your blood sugar levels, you may need to visit more often. Also, get a yearly physical and eye exam. You should be screened for eye, nerve, and kidney damage, and other complications. See a dentist twice a year.

Other Measures:

  • Exercise and yogic asanas. And Meditation
  • Body massage and steam bath once a week
  • Hot fomentation to lower back.

And be sure to tell all healthcare providers that you have diabetes.

'Consult'.

Related Tip: What complications are associated with diabetes?

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My dad have diabetics. His sugar level is 168. But he suffers from leg pain frequently. Give me some suggestions to treat this?

MD - General Medicine
General Physician, Visakhapatnam
My dad have diabetics. His sugar level is 168. But he suffers from leg pain frequently. Give me some suggestions to t...
Don't neglect the problem. It is the complication of diabetes. Whether it may be peripheral vascular disease or diabetic peripheral neuropathy. Consult me I will give advice regarding treatment and good control of diabetes will prevent these complications. Simply upload the fbs, ppbs, hba1c reports of your father.
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Sir very good morning sir my mom have a sugar so please tell me what to do eating so please tell me sir.

MBBS
General Physician, Chandigarh
Sir very good morning sir my mom have a sugar so please tell me what to do eating so please tell me sir.
A patient of diabetes has to take care of his diet as well as daily activity the more physically active you are better it is in diet you must not take direct refined sugars and flours yiu should eat more fresh vegetables and fruits avoid very sweet fruits eat whole grain cereals nut and lots of salads and soups avoid dairy and bakery products a regular daily exercise of atleast one hour is very important.
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Pl suggest sample diet in BF, Lunch & Dinner for Type 2 Diabetic person of 80 yrs.

PDDM, MHA, MBBS
General Physician, Nashik
Pl suggest sample diet in BF, Lunch & Dinner for Type 2 Diabetic person of 80 yrs.
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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I am 34 and has no past history of diabetes. So recently I had done HBA1C and level measured as 10.1 or 246. So can I reduce sugar level with medication and diet and exercise. And become non diabetic. Pls suggest.

MBBS
General Physician, Mumbai
I am 34 and has no past history of diabetes. So recently I had done HBA1C and level measured as 10.1 or 246. So can I...
Dear Lybrateuser, - Your HBA1C is high, it can be reduced by diet, exercise & medication - have more of fibrous foods, vegetables, fruits (avoid banana, chikoo, mango) have more of citrus fruits, legumes including beans, lentils, pulses, peas, sprouts, low fat milk & milk products, soya products, lean meats, nuts - do regular exercises like brisk walking, jogging, swimming, also moderate weight lifting 2-3 times a week, yoga & deep breathing daily morning for 5-10 min to keep your mind & body fit - sleep well for at least 7-8 hrs at night, keep your sleep & wake up time fixed - take medicines on time, avoid missing a dose, monitor blood sugar as advised by your doctor.
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I am 31 year old female and having thyroid from last 1 year and my weight is increased very much but from last 2 months whenever sweat comes from body it is very foul smelling, after using deodorant it gets controlled but after some time again it is smelling very bad please tell me a solution as early as possible.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one cup of water. If you use freshly ground black pepper, then just add one-quarter teaspoon. Drink it in the morning on an empty stomach. Do this daily for at least three months. .take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day. .avoid junk food. Oily food. Fermented food. Alcohol consumption. Sugar.milk products and sweets. Take oats and cereals more. And do pranayama early in the morning and walk for atleast 45 minutes a day. And do exercises. Do not sleep immediately after taking meal.
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I am 47 years old woman. I am suffering with thyroid, diabetics, bp. Give me few suggestions for all these.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 47 years old woman. I am suffering with thyroid, diabetics, bp. Give me few suggestions for all these.
If you are on treatment for all three conditions, then to say you are in control following levels should be achieved: fasting glucose near 100 mg, pp 150 to 160 mg & hba1c%<7. Bp<130/80 mm hg, tsh between 3 to 4 milli units /ml. Plus exercise regularly which is helpful in all three conditions. Diet restriction and salt restriction also is important. Consuming of green leafy vegetables and salads is very necessary.
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I" m 61 yrs. Male, my fasting and PP" s always normal like fasting 110 to 125 and PP is 140 to 150, but when I ate sweet it soothes to fasting 135 to 145 and PP rise to 150 to160 ,my question is whether I am diabetic?

MBBS, CCEBDM
Diabetologist, Bangalore
I" m 61 yrs. Male, my fasting and PP" s always normal like fasting 110 to 125 and PP is 140 to 150, but when I ate sw...
Hi You maybe a pre-diabetic. Get your HbA1C test. If it is between 5.7 to 6.5 then your a pre diabetic. If it is more than 6.5 then it is diabetes.
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Hello . I am of Age 36. Diabetic since last 5 years. Obese. 101 kg weight. 5'11 height. Pls suggest me diat plan. Fasting 180 pp 230 Medicines Gluconorm G2

MD - Pathology, MBBS
Pathologist, Ahmedabad
Get HbsAc done Have regularly exercise. Get your medicine and /or doses revised So far as diet is concern you totally stopped sugar in any form , stopped sugar intake in any form. Avoid fatty food. Select citrus fruits. Reduce your weight by 30 k in next three years time. Exact calories wise menu can be prepared but you have to come personally after thorough examinations with reports.
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Sir , recently i was detected for sugar and at that time sugar was 300 , but after consulting doctor and taking medicine now sugar level is 90 , 158 . How long I had to take medicine ?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
These are levels with medicines.If stop medicine,levels can rise again.You can give a trial if you do diet n exercise.May be your levels remain normal for some time.Consult your doctor and follow his advice.
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Which treatment in homeopathy is given for hypothyroidism? Its been a year since I was diagnosed. I've no family had history of this disease.

BHMS
Homeopath, Bhiwadi
Which treatment in homeopathy is given for hypothyroidism? Its been a year since I was diagnosed. I've no family had ...
Homoeopathy medicine thyreoidinum 200 potency 1 time a day for 3 day continue than give gap of 15 days and agian take the medicine same way 4 times without water 4 drops
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I am a diabetic since last 1 years. I am too fat. I tried many medication but nothing worked. Prescribe some medicine for normal daily life.

MBBS
General Physician, Delhi
Diabetes is associated with both weight loss and gain. People suffer from either condition. First of all you should have a lipid profile test and a thyroid test also both are done empty stomach there are life style mofification also that you should do brisk walk 30 min daily pls donot take any food containing hih cholesterol. Eat high fibre diet helpfull in reducing weight but medication wont help you some are even banned in india because they have a very severe side effects.
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Age -67. Reaccurance of uti, since last 3 years. On first occurance treatment neglected, infection had spread to kidneys. Presently, on septran. I'm diabetic.

MD - Pathology
General Physician, Amritsar
Get culture and sensitivity of urine done. Urine infection is very resistant at times especially in elderly and diabetics. Consult a urologist at earliest.
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