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Dr. M N Subramanyan

Endocrinologist, Chennai

Dr. M N Subramanyan Endocrinologist, Chennai
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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. M N Subramanyan
Dr. M N Subramanyan is an experienced Endocrinologist in K K Nagar, Chennai. You can consult Dr. M N Subramanyan at S M Hospital in K K Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. M N Subramanyan on Lybrate.com.

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S M Hospital

No 49-B, Ramaswamy Road, K K Nagar West,Next to sivan park, ChennaiChennai Get Directions
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Am 48years, FBS is 107mg/dl and PPBS 149 mg/dl am not a diabetic should I take medicine.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Am 48years, FBS is 107mg/dl and PPBS 149 mg/dl am not a diabetic should I take medicine.
Hye. Firstly maintain a healthy diet and exercise routine, then test your sugar levels again after a week.
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I am 63 years old and I am having sugar for the past 10 years. Needs your suggestion.

M.B.B.S., Diploma in Family Medicine, Fellowship in Diabetes (Liverpool), Advanced Clinical Course in Cardiology (USA), Certified Diabetologist from USA, CCEBDM, MD - Consultant Physician
General Physician, Hooghly
First thing a diabetes patient needs to do is lifestyle modification which means doing regular physical exercise, morning walk for at least 30 mins for at least 4 days a week. While having meal, restrict amount of carbohydrates ( rice, sugar, mangoes, banana ) and fat ( oils, butter, mutton) and take plenty of green leafy vegetables. If still your blood sugar is above the target level despite adequate lifestyle modification, you need to take medicines. According to level of blood sugar control, you may need to take more than one diabetes medicines regualrly. Do check your blood pressure, fbs, ppbs, hba1c, urea, creatinine, urine r/e with acr, lipid profile, ecg at 3-4 months interval and report it to your doctor. Never skip your medicines without consultation with your doctor. Stay away from anxiety and stress. Keep your mind refreshed. Always keep a close look at your feet and sole. If you find any ulcers, cuts, numbness immediately consult your doctor. Consult an eye doctor for checking your eyes at least once a year. Hope this helps. Dr. S. Modak.
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Hi Im 38 years old unmarried female weight is 78 kgs and height is 5'2. I use to frequently get headache, sharp pain in ears with tinnitus sound in ears and also having severe hair fall. I got all my tests done master health check up and everything is normal but my TSH is 19.32 so my general physician Doctor advised Thyronorm 25 mcg everyday on empty stomach. But still at times I'm getting tinnitus sound in ears and pain. My headache and hair fall is still the same. I get headache almost everyday and my hair fall did not stop still I'm loosing hair. Even sometimes having disturbed sleep and when I go out for some small work like purchasing I sweat very soon a lot. Recently my medicine was over and since 20 days I stopped as I didn't have money to visit Doctor as I was again feeling headache and tinnitus sound and pain in my ear I visited Doctor. This time I visited an Endocrinologist doctor and she asked me to get my TSH and other tests done as the endocrinologist felt 25 mg is not sufficient and has to increase the dose to 75 mg or more and said will increase only after seeing my blood reports and advised few blood tests. But the tests are expensive like close to 4000 Rupees so I wanted to know can I increase the dose by myself from 25 mcg to 50 mcg and may be after another 3 months when I have sufficient money I can get the blood tests done and visit my doctor for check up. Please advise can I increase the Thyronorm dose from 25 mcg to 50 mcg? Thanking you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Im 38 years old unmarried female weight is 78 kgs and height is 5'2. I use to frequently get headache, sharp pain ...
Madam You have uncontrolled hypothyroidism, that needs to be controlled. Dose of thyroxine is too low. Getting a Thyroid test costs about 450 Rs. Anyway, you should increase the Thyroxine dosage to at least 75 mcg daily. Then check TSH level after 6 to 8 weeks. Hairfall and weight gain are maijor symptoms of hypothyroidism. To achieve good control TSH should be maintained between 3 to 4 mU/L. Then only all the symptoms are in check. Hair fall is the last symptom to go away. Thanks.
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I'm suffering from type 2 diabetes. . I'm taking azulix 1 before brkfast and glyciphage 850 after dinner. Till last blood test before 8-9 months my diabetes history point was 6 but this time it is 8 and in the morning empty stomach points are 120-130 and after brkfast 170-180. In the night before going to bed I noticed over 200. Pls suggest med to improve

Vaidya Visharad
Sexologist, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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5 Medical Tests Women Should Never Ignore

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
5 Medical Tests Women Should Never Ignore

Remember the old saying that prevention is better than cure. Women are often bombarded with information that includes many tests but there are a few which should never be ignored.

1)breast cancer screening: this should start when a woman is in her 20's and 30's by breast self examination done once in three months after periods. If you feel any lump, follow it up with your gynecologist. A mammography is recommended after 40 every year till 50 and every alternate year after that till 75 years of age. A person may require more frequent testing if she at high risk due to her personal or family history.

2) cervical cancer screening: cervix is the entry to the uterus where a baby grows. Cervical cancer is still the no. One cancer in sexually active women in india. It is important to have regular screening by doing pap smear tests after starting sexual activity and then if normal, once every 3 years till 65 years of age. The main reason this cancer occurs is due to hpv infection and after the age of 30 years every woman should have a hpv- dna test done once in her lifetime to assess her risk of getting this cancer.

3) osteoporosis screening: osteoporosis means weak and porous bones that are more likely to get fractured with smallest of falls and injuries. Bones start to lose their density after menopause in women. There are many high risk factors due to which the bones can start to weaken early but if none exist then at least a base line dexa scan which is an x-ray based test should be done at 65 years of age.

4) high blood pressure and cholesterol screening: high blood pressure is known to be a silent killer and it is important to get your blood pressure once a year after 30. But if you are overweight or have other high risk factors in your history, you can get it checked early to suit your lifestyle. Any blood pressure reading of more than 140 by 90 on two occasions means that you need to start treatment. High cholesterol is responsible for clogging our arteries and may lead to heart damage. Lipid profile should be done once in 5 years after the age of 25 years if normal.

5) blood sugar: if you are normal then a sugar testing should be done once every 3 years after 40 years. If there are risk factors like overweight, sedentary lifestyle or family history, one has to suit your individual needs. A fasting value of more than 125 or hba1c value of more than 6.5% suggests diabetes.

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I am diabetic since 1998. My age is 66 years. At present I take Glypride 2 mg BD. Roimet 850 mg BD. Poiz 15 mg OD (after dinner). The BS level of Yesterday are 139 Morning and 208 after lunch. The BS level is almost same since last three months. Kindly suggested to maintain the BS level properly.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am diabetic since 1998. My age is 66 years. At present I take Glypride  2 mg BD. Roimet 850 mg BD. Poiz 15 mg OD (a...
Dear , your sugars are slightly higher than the recommended levels. You can try improving your diet & exercise regimens as you are already on maximum doses of your medications. There is one new tablet invokana 100 mg which is available now. It is expensive. Approx 40- 45 rs per tablet. You can try taking it once a day after breakfast & see. This will be in addition to the other tablets you are already taking. If this is fine with you then probably your sugars might come down. Or else you need to start insulin.
1 person found this helpful
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Does homeopathy really works? Or it is just placebo for satisfaction? Why do home doctors give different dosage forms such as sugar pills on morning and night and tablet on evening, powder on every week. Why so? I am having pcod and I am taking homoeo medicine. Sugar pills on morning and night. Tasteless tablet on evening and powder on every week. Why so? How do they work? Please clarify.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Does homeopathy really works? Or it is just placebo for satisfaction? Why do home doctors give different dosage forms...
1. Homeopathy is a scientific and proven system which originated in Germany. 2. Different medicines are mixed in pills or powder or tabs. Different doctors follow different approaches. The aim is the same. 3. It aims to cures problems from the root instead of temp solutions. 4. Homeopathy does not have the financial power to advertise as much as other forms of cure hence sometimes people may be skeptical about it. 5. It works .. its effective.. its economical.
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Dear Doctor, do we have to keep our mind always relaxed and happy to avoid many diseases like heart problem, diabetes?

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Dear Doctor, do we have to keep our mind always relaxed and happy to avoid many diseases like heart problem, diabetes?
Yes of-course be positive always and be normal in every circumstances.Surrender to god, have faith on him and you will free happy and relaxed. It has experienced by my self if you don't take tensions about anything and shift them to god then he will take care of you and you feel stress free and if you feel like this then you may not feel any physical problem. But it is also require that every person have to die who born in this earth so diseases are the reason for it some time. Except every thing as they happen in your life. May god bless you always.
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My wife has thyroid problem for the last three year her fst thyroid tsh was 11; 4 and wt was 62 kg Dr. advised thyrox 25 after 7-8 month he adv thyrox 50 now we again test for thyroid got tested which was within specified limit but the Dr. adv thyrox 100. Now the problem is this that she gain the wt mostly on her upper arms so you are requested to suggest the med.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
My wife has thyroid problem for the last three year her fst thyroid tsh was 11; 4 and wt was 62 kg Dr. advised thyrox...
Hi  First: medicines are mandatory.  Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If ypu have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Thyroid function tests should be done every 6 weeks initially till its normal. Then every 3 months. The dose is adjustable according to bodyweight symptoms. Other tests which should be done CBC WITH ESR USG NECK LFT LIPID PROFILE PPBS Hope this helps Let me know.  Take care
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I am 66 years old and diabetic and on medication for almost last 16-18 years. However it is moderately in control. I am hypertensive also for last about thirty years. I am taking the following medicines. For BP Tazloc trio 80mg. And amufru, and proponolol 40mg. For Prostrate I am Taking Urimax D for last about six years. For Diabetic I am Taking Glucomet forte BD, Zita OD, Pioz 7.50mg+500 od. For Last Five to six years my sex potency has gone down drastically Now it is almost a case of ED and premature ejaculation or no ejaculation at all despite the urge to have sex. Kindly advise can it be related to disease or the side effects of one of the medicines. Please advise treatment for the problem. Thanks

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Your sexual problem is because of diabetic neuropathy and irrational combination of antihypertensive drugs.Usually these drugs are not combined n propranolol is contraindicated in diabetes because it disturbs lipid profile and masks symptoms of hypoglycaemia.Consult your treating doctor n get modified your antihypertensive drugs.
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Is ceragem therapy is safe. As I am going from past 2 days they say that sugar levels will be controlled with the therapy but you hv to use whole life. They say to buy therapy machine but not possible for us to buy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is ceragem therapy is safe. As I am going from past 2 days they say that sugar levels will be controlled with the the...
lybrate-user, I have gone through the query and understand your concern. However, the claims made by some of the so called therapies that by taking those diabetes can be cured is is not true. This is a condition due either deficiency of insulin or due to resistance to the action of insulin. So only option or treatment is to either provide insulin, or increase its secretion or reduce the resistance to its action. Based on these premises modern treatment treats diabetes effectively. According to me the treatment mentioned has no possibility of reducing blood glucose leave alone curing it. Thanks.
2 people found this helpful
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I am thyroid patient. What is the remedy to reduce hyper thyroidism. If I take any diet in my food.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
There is no remedy to reduce hyperthroidism by diet only.. you need to take proper medications for that
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MD - Medicine, MBBS
Endocrinologist, Delhi
Myth about hypothyroidism-it causes massive weight gain.
Fact-hypothyroidism by itself doesnot cause so much of weight gain.Its simultaneous bad lifestyle that causes weight gain.
2 people found this helpful

I am diabetic for more than 9 years. My hba1c is 6.8 but still I have severe burning sensation in my feet. Is it because of diabetic?

PG Hom, London, BHMS
Homeopath, Mumbai
Hello, constant high sugar, i. E hba1c above 6 means that you don't have good control over your blood sugar levels. This is definitely a good reason for burning in the feet. Try reducing your blood sugar and the burning will reduce gradually.
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I am 34 year old suffer ing from thyroid and taking 50 thyronorm. My periods have become scanty from past few months and weight on increasing.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
recheck your thyroid function test reports and than you can consult with your endocrinologist. whether you need to modify your treatment
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I have diabetes from three years. I also take medicine. What other things can I do?

Certified Diabetes Educator , Sports Nutritionist, Registered Clinical Dietician
Dietitian/Nutritionist, Mumbai
Dear, d most important thing is to control your diet. Pl get yourself a diabetic diet plan by a qualified dietician, tailored made specifically for you keeping in mind your lifestyle. Kindly do not google yourself for tips in controlling diabetes. What may suit one person may not suit the other.
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My age is 20 I av high sugar levels what should I do and I hav pcob problem too please help to healthy.

MD - Internal Medicine
General Physician, Khammam
My age is 20 I av high sugar levels what should I do and I hav pcob problem too please help to healthy.
Hello Lybrate user As your age is only 20 yrs. You need to use insulin for controlling your sugars. The dosage of insulin depends upon your body weight and sugars levels. Pls consult a physician and start insulin as persistent high sugar levels can damage your kidneys and eyes. Take care.
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I want to know the main symptoms of thyroid .which commonly seen in all thyroid all thyroid patents. And want to know something in detail about thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thyroid is the normal gland present in all of us. It produces thyroxine hormone, essential for development & day to day functioning of brain, for all the vital metabolic activities in the body. Deficiency of the hormone causes hypothyroidism where patient experiences weight gain, tiredness, early fatigue, slow heart rate, dry skin. Dry hair and hair fall, irregular menstruation, infertility, joint pains, mood swings, depression etc. Hyperthyroidism causes loss of weight, anxiety, increased heart rate, palpitation, sleeplessness, etc. Getting a thyroid assay will help in knowing whether thyroid is functioning normally or not. Thanks.
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I am a type2 diabetic patient and detected since a year now. I have been taking Reclimet-XR & Pioz mf 7.5 tablets daily. Could you please tell me if there any side effects of these medicines ,particularly for pioz mf 7.5 as someone told me it might have some linkage with cancer. So i need to know from the experts. Thanks in advance

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
There has some hue n cry about pioglitazone two years back but that is politics between pharma companies. MOREOVER Bladder cancer risk is with high dose that is 30 mg or above but it's benefits overweigh risk. In India Doctors are using this salt for 15 years.Nobody has seen any case of bladder cancer. On the contrary cancer is more seen in people who are not diabetics and aren't using pioglitazone. So rest assured you are on right track.Good luck.
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