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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 32 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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As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they. Is dry fruits can really helpful for such people.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they...
You can take them as they are healthy, but make sure to consume them in their natural form & not processed. Fried, coated or salted.
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Health Tip for Children

Diploma in Paediatrics, MD (Physician)
Pediatrician, Gurgaon
Children who drink lots of water are likely to remain healthier than those who drink sodas, sports drinks, energy drinks or sweet tea.
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I'm 43 years old, suffering from thyroid, feeling very lazy & it increased food consumption, no sugar, what I should take care so that I feel freshv& energetic again? my weight is 103 kgs.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm 43 years old, suffering from thyroid, feeling very lazy & it increased food consumption, no sugar, what I should ...
IN HYPOTHYROIDISM:--- 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 may help, Hormone therapy. you can take 1 tab. charcoal at night for constipation. and tab. mecobala 500mcg once a day for weakness.
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Sir Meri age 26 hai. Khana khane ke pahle mera sugar 105 aur khane ke 2 hour baad mera sugar 152 h kya yah normal h. Ya mujhe kisi medicine ki jarurat h.

MD - General Medicine, MBBS
General Physician, Karimnagar
Sir Meri age 26 hai. Khana khane ke pahle mera sugar 105 aur khane ke 2 hour baad mera sugar 152 h kya yah normal h. ...
Hello, both the sugar levels are slightly on the higher side suggestive of igt - impaired glucose tolerance. Kindly tell me what is your height and weight. So initially we need to start with dietary modifications and repeat sugars after 1 month if they come down its fine. If sugars are persistently elevated and your bmi is high then some medications need to be started do hba1c blood test. This will show wat is our blood sugar status in previous six months, if this is elevated it will confirm diabetes. Diet: stop sweets, no potato, no beetroot. Daily 30 min walking or jogging, no grapes, banana and watermelon, rice once a day.
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Hi, im 29 and weight is 53. 8 kg because of period problem gynecologist asked me to take to check my TSH, prolactin, FBS, insulin fasting but my TSH range is 8.89 so doctor asked me to take thyronorm 25 mcg tablet before breakfast, after taking tablet for two days from two days not getting sleep, and headache and feeling hungry throughout the day after having food, shivering no energy, should I take that tablet or stop please help me my doctor did not ask to check T3 and T4 level this is first time having this tablet.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hi, im 29 and weight is 53. 8 kg because of period problem gynecologist asked me to take to check my TSH, prolactin, ...
Hi, You seem to be having mild side effects of Thyronorm. Most of these side effects will settle down within the first week. You can continue to take the tablet for the next week and see if your symptoms settle or not. If your symptoms DO NOT settle down or if your symptoms INCREASE over next couple of days you can stop the tablet and consult your doctor again. Hope this helps you. Thank you.
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I am 50-years-old and haven't gone for any check-up that someone at my age should have regularly gone. But since I keep a busy schedule getting not more than six hours of sleep in a day, I feel tired at times. I have also a sweet tooth. But I have never tasted liquor in my life and have never smoked. I have been a veg for the past 15 years. My question is: If I go for a check-up and find out that my sugar levels are high, is there a way I can treat this without going for medicine?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am 50-years-old and haven't gone for any check-up that someone at my age should have regularly gone. But since I ke...
Dear lybrate user, just because you have a'sweet tooth' does not mean you will have diabetes. Diabetes is caused by a number of factors. However in the last 30 years it has gone up globally due to excessive intake of carbohydrates in diet or middle and upper class. All the carbs + sugar you consume contributes towards diabetes. However you must get your complete body tests done and only then you need to worry about how to cure. First at least find out if you have a problem or not. In general you are little overweight. If you drop about 5-8 kgs, your health parameters will definitely improve.
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Neurologist, Indore
Hand tremors can be due to hyperthyroidism.
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My mother, aged 62, having diabetes since 10 yrs, is taking (dibizide-m 4pills a day) &(zita-met a day) although her dibetes can't be controlled it remains-fasting-180-& post-155. Hope giving advice to control it ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
Dear, a proper measure for knowing and managing mothers diabetes will be to ensure a hba1c below 6.5%. She is on lot of medications already. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for her. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of your food with it. Check fasting sugar, sugar one hour prior your lunch and 2 hrs post lunch, and note down the details of your breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Best of luck.
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My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight protein release in urine. So taking pressue tab 5 mg and cholesterol as well present problems - just after going to bed, after 3 or 4 hrs, every night without a miss, she experiences pain in the left side leg muscles. So loosing sleep for 3-4 hrs. So to compensate sleeps until 9-10 am. Result the whole house is awake. It was diagonised as" pvd" a scanning was done and it was concluded that the problem was due to poor blood circulation. Guide me to the extent which specialist or treatment to be followed. Patient is suffering for more than 5 years.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight ...
You have provided some details about your wife's condition but certain other details are also needed, which I am mentioning. Please let me know her hba1c level and is she taking any thing else for diabetes other than glucobay? because only glucobay does not control sugar level. Furthe what is her lipid profile? and which drug is she taking for that? then which 5 mg tablet she is taking for her high blood pressure? if she has been diagnosed to have pvd which means blood supply to that part of the lower limb is affected. This can be corrected by vascular surgeon and proper blood supply can be restored. That is the best option for her pain relief and getting undisturbed sleep. To get better control of diabetes she may have to take additional treatment.
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Sir, what if my father is taking dates as he is a diabetic patient. Is eating dates can cause problem to diabetic patient. Please let me know.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, what if my father is taking dates as he is a diabetic patient. Is eating dates can cause problem to diabetic pat...
Hello, For a person with diabetes it is better to avoid very sweet dry fruits. But if glucose is well controlled with fasting around 100 mg, PP 150 to 170 mg & HbA1c%<7, then taking 2 to3 dates occasionally is good enough. Thanks.
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Sir I Am suffering from increase level of uric acid and due to this I am not able to walk and so much pain in my ankles and foot. I need help in this regarding.

BHMS
Homeopath, Delhi
Sir I Am suffering from increase level of uric acid and due to this I am not able to walk and so much pain in my ankl...
Hello, you can take homoeopathic medicines 1. Urtica urens 30 (4 drops in little water) thrice a day for a week. 2. Causticum 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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Hi doctor, my mom has suffering from diabetes for since 13 years. From 6 months back she is having wounds on her leg. Recently she gone through biopsy test.

MBBS, fellowship in diabetology, pg diploma in diabetology
Diabetologist, Amreli
Hi doctor, my mom has suffering from diabetes for since 13 years. From 6 months back she is having wounds on her leg....
dear anusha, mostly it could be due to peripheral neuropathy due to uncontrolled diabetes,it has very low chance for malignancy regards hope it is helpful
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I am suffering from hyperthyroidism and at the same time I am a married man and suffering from lose erection old suggest treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hyperthyroidism and at the same time I am a married man and suffering from lose erection old sugg...
Eat in hyperthyroidism: avoid salty foods, sea foods, whole milk, red meat, take vit-b12, vit-c, vit-d foods, barccoli, soya products, cauliflower, kale, fresh fruits and veg. Omega-3 fatty acid foods, For E. D. Take natural drop ginseng 10 drops with in 1 glass of water. Do ‘ KEGEL’ exercise daily. It is very effective for muscle of penis. Eat Green veg. Plenty of water. Fruits, Juice, dry fruits. Take hormones therapy. Avoid stress, alcohol, more smoking. Increase will-power.
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Hello sir, I am suffering from diabetes, want to know how to reduce it? please guide me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hello sir, I am suffering from diabetes, want to know how to reduce it? please guide me.
tips to control diabetes 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet.
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BHMS, MD - Homeopathy
Homeopath, Chennai
9 Foods to Avoid With Hypothyroidism
What you eat can affect your thyroid gland as well as your body's ability to use thyroid hormone. Learn which foods to avoid when managing hypothyroidism.

Hypothyroidism can be a tricky condition to manage, and what you eat can interfere with your treatment. Some nutrients heavily influence the function of the thyroid gland, and certain foods can inhibit your body's ability to absorb the replacement hormones you may take as part of your thyroid treatment. There's no such thing as a "hypothyroidism diet" that will make you well, but eating smart can help you feel better despite the condition. Here are nine foods to limit or avoid as you manage hypothyroidism:

Soy
The hormone estrogen can interfere with your body's ability to use thyroid hormone, says Stephanie Lee, MD, PhD associate chief of endocrinology, nutrition, and diabetes at Boston Medical Center and an associate professor at the Boston University School of Medicine. Soy is loaded with plant-based phytoestrogen, and some researchers believe too much soy may increase a person's risk for hypothyroidism. People with hypothyroidism should moderate their intake of soy. However, because soy hasn't been definitively linked to hypothyroidism, there are no specific dietary guidelines.

Cruciferous Vegetables
Cruciferous vegetables, such as broccoli and cabbage, can interfere with the production of thyroid hormone, particularly people who have an iodine deficiency. Digesting these vegetables can block the thyroid's ability to absorb iodine, which is essential for normal thyroid function. People with hypothyroidism may want to limit their intake of broccoli, 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.

Gluten
People with hypothyroidism should consider minimizing their intake of gluten, a protein found in foods processed from wheat, barley, rye, and other grains, says Ruth Frechman, RDN, a dietitian and nutritionist in the Los Angeles area and a spokesperson for the Academy of Nutrition and Dietetics. Gluten can irritate the small intestine and may hamper absorption of thyroid hormone replacement medication.

Fatty Foods
Fats have been found to disrupt the body's ability to absorb thyroid hormone replacement medicines, Dr. Lee says. Fats may also interfere with the thyroid's ability to produce hormone as well. Some health care professionals recommend that you cut out all fried foods and reduce your intake of fats from sources such as butter, mayonnaise, margarine, and fatty cuts of meat.

Sugary Foods
Hypothyroidism can cause the body's metabolism to slow down, Frechman says. That means it's easy to put on pounds if you aren't careful. "You want to avoid the foods with excess amounts of sugar because it's a lot of calories with no nutrients," she says. It's best to reduce the amount of sugar you eat or try to eliminate it completely from your diet.

Processed Foods
"Processed foods tend to have a lot of sodium, and people with hypothyroidism should avoid sodium," Frechman says. Having an underactive thyroid increases a person's risk for high blood pressure, and too much sodium further increases this risk. Read the Nutrition Facts label on the packaging of processed foods to find options lowest in sodium. People with an increased risk for high blood pressure should restrict their sodium intake to 1,500 milligrams a day, according to the U.S. Centers for Disease Control and Prevention.

Excess Fiber
Getting enough fiber is good for you, but too much can complicate your hypothyroidism treatment. Guidelines currently recommend that older adults take in 20 to 35 grams of fiber a day. Amounts of dietary fiber from whole grains, vegetables, fruits, beans, and legumes that go above that level affect your digestive system and can interfere with absorption of thyroid hormone replacement drugs. If you're on a high-fiber diet, ask your doctor if you need a higher dose of thyroid medication. Your maintenance dose may need to be increased if you aren't absorbing enough medication.

Coffee
Caffeine has been found to block absorption of thyroid hormone replacement, Lee says. "People who were taking their thyroid medication with their morning coffee had uncontrollable thyroid levels, and we couldn't figure it out," she says. "I now have to be very careful to tell people, 'Only take your medication with water.'" You should wait at least 30 minutes after taking your medication before having a cup of joe.

Alcohol
Alcohol consumption can wreak havoc on both thyroid hormone levels in the body and the ability of the thyroid to produce hormone. Alcohol appears to have a toxic effect on the thyroid gland and suppresses the ability of the body to use thyroid hormone. Ideally, people with hypothyroidism should cut out alcohol completely or drink in careful moderation.

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I am drinking apple cider vinegar in morning with empty stomach in order to reduce the weight and even to reduce uric acid. Now my weight as well as amount of uric acid is reduced. I just want to ask whether drinking apple cider vinegar is advisable or not.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am drinking apple cider vinegar in morning with empty stomach in order to reduce the weight and even to reduce uric...
Whether drinking apple cider vinegar is advisable or not, one thing is for certain: It does NOT help reduce weight or uric acid by itself!
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I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensati...
1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12 2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.
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What are the symptoms of hypothyroid? Can I get better by improving my food habits?

BHMS
Homeopath, Faridabad
What are the symptoms of hypothyroid? Can I get better by improving my food habits?
Symptoms of hypothyroidism:- Fatigue. Weakness. Weight gain or increased difficulty losing weight. Coarse, dry hair. Dry, rough pale skin. Hair loss. Cold intolerance (you can't tolerate cold temperatures like those around you) Muscle cramps and frequent muscle aches. please mention your symptoms and thyroid hormone levels so that proper medication and suggestion can be given to you.
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