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Dr. Meenakshi Sundaram L

Endocrinologist, Chennai

Dr. Meenakshi Sundaram L Endocrinologist, Chennai
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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. Meenakshi Sundaram L
Dr. Meenakshi Sundaram L is a renowned Endocrinologist in Royapettah, Chennai. She is currently associated with LM clinic in Royapettah, Chennai. You can book an instant appointment online with Dr. Meenakshi Sundaram L on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 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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#30/108, Gowdia Mutt, Near Royapettah Police station, ChennaiChennai Get Directions
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What are the symptoms of diabetes? Is delay in periods also due to diabetes? I am 20 years old girl. My period are getting delayed every month 32-36 days and now there has been 38 days from last period but I am not with period. Also irritation in my vagina.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
What are the symptoms of diabetes? Is delay in periods also due to diabetes? I am 20 years old girl. My period are ge...
Increase thirst, increase urination, increase hunger, weight gain, weight loss. You can check thyroid and diabetes test.
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What is the synthems of diabetes. And what is the precaution to solve this desires.

MBBS
General Physician, Jalgaon
What is the synthems of diabetes. And what is the precaution to solve this desires.
Signs of diabetes are excessive thirt, excessive hunger & polyurea, sudden weight gain, fatigue & weakness. To avoid diabetes daily walking for 45 minutes & night. Do yoga. Eat small meals 4to5 times a day. Calculate your bmi & don't allow your weight to increase that level.
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Full body pain. Diabetics, cholesterol, weak eyesight, chickengunia two years ago. Age 60 years recommend home medicine.

MBBS, DGO (cal)
General Physician,
I don't know any home medicine. But remedy what you can use is reduce your body weight, do regular physical exercise with 45 mins of aerobics / brisk walking, dietary management and monitor diabetes control. Lipid insatiability can be accepted in diabetes. Monitoring for control of diabetes complications, including eye complications like diabetic cataract or retinopathy, are also very much important. Medicine part shall be taken care by your diabetologist. I believe your body pain shall go with exercise gradually.
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What is the main cause of diabetes and some precautions to over come this disease?

MSc
Dietitian/Nutritionist, Chandigarh
What is the main cause of diabetes and some precautions to over come this disease?
Diabetes is a very diverse condition and eery diabetic differs from other diabetics in one or many ways. However, the good thing about diabetes is that it can be controlled in an effective manner. You just need proper guidance on diet, exercises and lifestyle changes.
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Hlo sir my father is suffer from the diabetes disease. Soo tell me which fruit is helpful fir us. Tell me that fruit they do not increase the blood sugar level?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hlo sir my father is suffer from the diabetes disease. Soo tell me which fruit is helpful fir us. Tell me that fruit ...
Every fruit contains natural sugaar in themm.the quantity of fruit and the form in which it is consumed affects your blood sugar.for ex Apple is low in sugars but when you have it in juice form ,it raises the sugar at a fast pace. Other fruits like banana,chickoo,mango when consumed have to be exchanged for the roti or rice taken in that particular meal. Remember to include seasonal fruits but within the allowances
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I am type 1 diabetic for 15 years, on novo mixtard 30/70 twice a day until last month. For last two years, my hba1c is disturbed. Recently after making a regular note of the my blood glucose levels throughout the day, for two months now, my doctor switched me to novomix 30/70. Even after that, the blood glucose levels, specially after lunch, arnd 7 pm, were elevated. Please note that I took insulin at breakfast and dinner time. Then I started taking it three times a day, before each meal. Now the blood glucose levels are better after lunch, but very sporadic in the morning over the last one week. I am also having problems in controlling hypoglycemic episodes. I have had many instances, when, fot example, if my fasting blood glucose level came out to be 60, and I took 5-10 gms of glucose, it shot upto 250. I am shocked because the ada advises 15 gms of glucose in an hypoglyic event. I have observed this in general, that whatever I eat (i eat mainly low glcyemic foods), my body's glucose senstivity is so high, that my blood glucose levels shoot up enormously. I am also suffering from hypothroidism for three years now. Recently, my urine microalbuminuria levels came out to be 180 microgram/mg of creatinine (two readings, spaced out over a month). In addition to insulin, I am also taking thyronorm 75 mg soon after I wake up, glycomet 500mg before each meal, voglibose 0.2 mg after breakfst and lunch, nervz-b after brkfst, telmisartan 20 mg after breakfast and storvas 10 mg at night. Please suggest what can I do to have a tighter blood glucise control, advise if I need to make dietary changes, chanes in insulin type or any other medications.

MBBS, DGO (cal)
General Physician,
The problem may lie in any of the three i) the dose and type of insulin is not properly tuned or working and it is not cared by your consultant. Ii) your diet is not properly planned and some how not matching your need or iii) your lab is giving wrong reports. For first two you can discuss your diabetologist he is suppose to give you a logical answer acceptable to a knowledgeable person like you. You are quite an educated person and aware of your disease. Your awareness about diabetes is quite commendable, I felt. So I believe none can give you any bullshit. If you feel it is not satisfactory you have right to change your consultant. Look sir, 5-10 g of glucose can never shoot you blood glucose from 60 to 250 mg%. They are giving wrong report. Your microalbumin / creatinine ratio is alarmingly high. It is indicating towards diabetic nephropathy. There must be some lack somewhere - either in medicine side or from your side that you have not compiled properly with advises. I am afraid you need a second opinion from a reputed institution's diabetic care unit.
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I am 37 yrs old lady. My tsh level is 18. 5. Im take 100mcgm of eltroxin every morning. My weight is 95 kgs. What should I do?

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your t3 and t4 levels also and revert back to me for dose adjustment, diet chart and further assistance. Dr surbhi agrawal consultant physician and diabetologist
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I am gaining wight due to thyroid and sugar. I am having pcod. By taking medicines and doing exercise i'm unable to reduce my weight. please suggest me what to do? I can not take meal 4-6 times because of going to office.

MD - Medicine
Endocrinologist, Ahmedabad
I am gaining wight due to thyroid and sugar. I am having pcod. By taking medicines and doing exercise i'm unable to r...
Need to start exercise schedule and must take healthy food. Hypothyroidism and pcod are reasons for high weight. Must control both of them.
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I am type 2 diabetic from last 5 years, I am vegetarian using Duphil 2/500 tab. Daily my sugar levels remain near 200 (+ - 15) after all precautions, tell me how to maintain normal levels. I regularly suffer from pain and cramps in my legs, and unstable Bp.

BHMS
Homeopath,
I am type 2 diabetic from last 5 years, I am vegetarian using Duphil 2/500 tab. Daily my sugar levels remain near 200...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnemna sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I am a housewife I used to work daily. I am not feeling well from some days I think that I am suffering from sugar disease. Kindly tell me the symptoms of sugar and precautions taken.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Endocrinologist, Thane
I am a housewife I used to work daily.
I am not feeling well from some days I think that I am suffering from sugar di...
Symptoms include excessive thirst, hunger and excessive urination, especially at night. You may also have weight loss, tiredness & irritation. If you want to know if you have diabetes, it is best to check your fasting and pp blood sugar levels.
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He has high diabetes. And had gone 3 times in vt condition. And had a ptc. And now he is feeling regularly a breathless. What's your suggestion?

MBBS
General Physician, Ahmedabad
Actually you have not mentioned age of the patient,duration of diabetes,hypertension,and any other complication.Patient must be investigated for cardiac status,any renal complication also.2D echo is must to rule out cardiac failure.Xray chest for lungs and bronchial tree and cardiomegaly.Hypertension will cause heart complication.So in short,go for complete cardiac work up.
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I am diabetes person last 5 years. What should l take for buster Also my heart operation done in 2010 and put one stain I have sex problem. Please advice me.

MBBS
General Physician, Cuttack
I am diabetes person last 5 years. What should l take for buster Also my heart operation done in 2010 and put one sta...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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Management of hypothyroidism.

MD - Internal Medicine, MBBS
Endocrinologist,
Management of hypothyroidism.
Hypothyroidism Treatment & Management The treatment goals for hypothyroidism are to reverse clinical progression and correct metabolic derangements, as evidenced by normal blood levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Thyroid hormone is administered to supplement or replace endogenous production. In general, hypothyroidism can be adequately treated with a constant daily dose of levothyroxine (LT4). Thyroid hormone can be started at anticipated full replacement doses in individuals who are young and otherwise healthy. In elderly patients and those with known ischemic heart disease, treatment should begin with one fourth to one half the expected dosage, and the dosage should be adjusted in small increments after no less than 4-6 weeks. For most cases of mild to moderate hypothyroidism, a starting levothyroxine dosage of 50-75 µg/day will suffice. Clinical benefits begin in 3-5 days and level off after 4-6 weeks. Achieving a TSH level within the reference range may take several months because of delayed readaptation of the hypothalamic-pituitary axis. In patients receiving treatment with LT4, dosing changes should be made every 6-8 weeks until the patient’s TSH is in target range. In patients with central (ie, pituitary or hypothalamic) hypothyroidism, T4 levels rather than TSH levels are used to guide treatment. In most cases, the free T4 level should be kept in the upper third of the reference range. After dosage stabilization, patients can be monitored with annual or semiannual clinical evaluations and TSH monitoring. Patients should be monitored for symptoms and signs of overtreatment, which include the following: Tachycardia Palpitations Atrial fibrillation Nervousness Tiredness Headache Increased excitability Sleeplessness Tremors Possible angina The updated guidelines on hypothyroidism issued by the American Thyroid Association in 2014 maintain the recommendation of levothyroxine as the preparation of choice for hypothyroidism, with the following considerations:[5, 6] If levothyroxine dose requirements are much higher than expected, consider evaluating for gastrointestinal disorders such as Helicobacter pylori –related gastritis, atrophic gastritis, or celiac disease; if such disorders are detected and effectively treated, re-evaluation of thyroid function and levothyroxine dosage is recommended. Initiation or discontinuation of estrogen and androgens should be followed by reassessment of serum TSH at steady state, since such medications may alter levothyroxine requirement. Serum TSH should be reassessed upon initiation of agents such as tyrosine kinase inhibitors that affect thyroxine metabolism and thyroxine or triiodothyronine deiodination. Serum TSH monitoring is advisable when medications such as phenobarbital, phenytoin, carbamazepine, rifampin, and sertraline are started. When deciding on a starting dose of levothyroxine, the patient’s weight, lean body mass, pregnancy status, etiology of hypothyroidism, degree of TSH elevation, age, and general clinical context, including the presence of cardiac disease, should be considered. The serum TSH goal appropriate for the clinical situation should also be considered. Thyroid hormone therapy should be initiated as an initial full replacement or as partial replacement with gradual increments in the dose titrated upward using serum TSH as the goal. Dose adjustments should be made upon significant changes in body weight, with aging, and with pregnancy; TSH assessment should be performed 4-6 weeks after any dosage change. Reference ranges of serum TSH levels are higher in older populations (eg, >65 years), so higher serum TSH targets may be appropriate. A meta-analysis of randomized, controlled trials of T4-triiodothyronine (T3) combination therapy versus T4 monotherapy for treatment of clinical hypothyroidism found no difference in effectiveness between combination therapy and monotherapy with respect to side effects such as bodily pain, depression, fatigue, body weight, anxiety, quality of life, and total low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol and triglyceride levels.[36] A study of athyrotic patients found a high heterogeneity in these patients’ ability to produce T3 when treated with levothyroxine. Approximately 20% of these athyrotic patients did not maintain normal free T4 or free T3 values despite a normal TSH.[37] However, it is unclear whether more physiologic treatments offer any benefit, even in subgroups of hypothyroid patients. In patients who continue to have symptoms (eg, weight gain and fatigue) despite normalization of the TSH level, one should consider causes other than hypothyroidism, rather than simply increasing the thyroid hormone dose on the basis of symptoms alone (see DDx). In some cases, however, symptom persistence is the result of a polymorphism of the deiodinase 2 enzyme, which converts T4 to T3 in the brain; these patients may benefit from combined LT4-liothyronine (LT3) therapy, using a physiologic LT4-to-LT3 ratio in the range of 10-14:1.[4] Most patients with hypothyroidism can be treated in an ambulatory care setting. Patients who require long-term continuous tube feeding routinely require intravenous (IV) LT4 replacement because the absorption of oral agents is impaired by the contents of tube feeds. Alternatively, tube feeds can be withheld for 1 hour while the patient receives an oral preparation of LT4. It should be noted that oral and IV preparations of LT4 are not equivalent; consequently, great care must be taken in switching between these formulations. Patients with severe hypothyroidism requiring hospitalization (eg, myxedema) may require aggressive management. Overreplacement or aggressive replacement with any thyroid hormone may precipitate tachyarrhythmias or, very rarely, thyroid storm and should be balanced against the need for urgent replacement. Risk is higher with T3 therapy. Surgery is rarely needed in patients with hypothyroidism; it is more commonly required in the treatment of hyperthyroidism. However, surgery is indicated for large goiters that compromise tracheoesophageal function.
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I am enjoying diabetes since last 10 years. Can I eat dats?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
No dates. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet. Maintain a healthy body weight eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation
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Hi my name n. I am diabetes patient 2 months back I get it. In that time my sugar level fasting 430 after break fast 475. I consult doctor he given insulin. Daily morn and afternoon 10 ml. After one month control f127 bf180 levels. My main problem is weak ness. Shamely I holding one thing I am doing daily masturbating daily 2 times I can not controlling my self. This thing I do not tell doctor .doctor tell use whey protien.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my name n. I am diabetes patient 2 months back I get it. In that time my sugar level fasting 430 after break fast ...
Mr. Lybrate-user, weakness will slowly recover once blood sugar levels retur to normal. Apart from taking insulin regularly you also have to take a balanced diet, increase the intake of protein and monounsaturated fats. There are preparations which provide more protein than the usual protein powders, those can be useful. Plus you will have to start doing regular exercise, better to join a gym and do both aerobic and muscle strengthening exercises. That will help you overcome weakness. You need to add about another 6 kgs of weight (bmi 23.21 kgs/m2). This is only possible by the methods mentioned earlier. As regards your obsession with masturbation, it is only you who can control it. There are no medications for that. Thanks.
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My dad is suffering from diabetes, utic acid problem. He is over weight. He has high cholesterol and even breathing and heart problem. please give me some solution about his diet because what all he can have in one that is supported by the other problem.

mbbs, MD - Medicine
Internal Medicine Specialist, Guwahati
My dad is suffering from diabetes, utic acid problem. He is over weight.
He has high cholesterol and even breathing a...
At first he has to focus on reducing his weight, increase physical activities, brisk walking, to be on diabetic diet, avoid animal proteins, low fat diet, consult dietician along with your doctors for treatment and follow ups.
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I am suffering from diabetes and high blood pressure for last 10 years and have been taking medicine also now am feeling heavily exhausted and get tired very soon.

pg general medicene
Ayurveda, Hyderabad
I am suffering from diabetes and high blood pressure for last 10 years and have been taking medicine also now am feel...
Dear Ashokji Do Pranayama meditation regularly with exercise.take following Allah powder and turmeric powder equal quantity mix well.and take 3 to 4 gms with water empty stomach and evening before food along withyour routine medicines. Take Muktha vati 2tabs morning and evening(Baba Ramdev..Review after one month.
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Diabetes type 2 for 20 years causing neuritis, please advise treatment.

MD - General Medicine, MBBS
General Physician,
Hi , need to ask you few more questions on this , before advising treatment . pls come for a conversation if possible
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My age is 64. After checking, I found my Uric Acid has gone up to 9.6 which is much higher than the maximum average limit of 6.8. Kindly suggest remedy.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you can take tab. zyloric 100mg twice a day for rgularly. tab. acetaminophen sos. avoid protein diet.
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