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Dr. Nallaperumal

Endocrinologist, Chennai

0 - 300 at clinic
Dr. Nallaperumal Endocrinologist, Chennai
0 - 300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nallaperumal
Dr. Nallaperumal is an experienced Endocrinologist in Chetpet, Chennai. Doctor is currently associated with Prashanth Multispeciality Hospitals in Chetpet, Chennai. Book an appointment online with Dr. Nallaperumal on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 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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Prashanth Multispeciality Hospitals

No.77, Harrington Road, Chetpet, Landmark: Near Madras Christian School, ChennaiChennai Get Directions
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BSS Hospital

#200, R.K Mutt Road, Mandevalli Road, Landmark: Near R.K Mutt Road Bus Stop.Chennai Get Directions
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Prashanth Multispeciality Hospital

No.76 & 77, Harrington Road,Chennai Get Directions
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Prashanth Superspeciality Hospital

# 36 & 36A, Velachery Main Road, Landmark : Opposite Suthrland Global Services & Near Vijaya Nagar Bus Stand, ChennaiChennai Get Directions
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Hello sir, She is having diabetes for over 6 years. Her blood glucose level remains high what should she do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
Hello sir, She is having diabetes for over 6 years. Her blood glucose level remains high what should she do?
Dear patient, a proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. 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 the food with it. Check fasting sugar, sugar one hour prior to lunch and 2 hrs post lunch, and note down the details of her breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Keep a regular exercise schedule, around 45 mins walk would also do. Best of luck. Please note self glucose monitoring and diet control is the only way to manage diabetes.
3 people found this helpful
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My TSH level level was 8.9 in last nov, kindly suggest a some food medicine. But I do not want to continue medicine for life time. Awaiting your kind response.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Anurag, If you have high TSH values, which means presence of hypothyroidism. In this condition there a deficiency of hormone thyroxine secreted by thyroid gland. Thyroxine is an important hormone, required for brain development and functioning, plus essential for every single metabolic activity that goes on in the body. So in this situation we have to supply thyroxine from outside, hence treatment with Thyroxine tablet has to be continued for life time. If you stop it, then all the symptoms of hypothyroidism will come back plus it can lead to serous consequences. Along with medication you have to avoid soyabeans and soya containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Consume more green leafy vegetables, fruits, sea foods, low fat milk products. Use whole grain flour for making chapati and roti. But please do not think of stopping thyroxine tablets.
3 people found this helpful
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I want ask that is their greater probability of being diabetic if any of the parents are suffering from diabetes and. Can diabetes be completely curable.

MBBS
General Physician, Mumbai
I want ask that is their greater probability of being diabetic if any of the parents are suffering from diabetes and....
There is a genetic chance for the siblings to get diabetes and we need to control the sugar value depending upon the damage done to the beta cells of pancreas.
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My father is diabetic empty stomach 180. What to do cure it and from last few month he used to split cough everyday around 4 or more times but he never tells he is suffering from cough I don't know why please doctors suggest to cure his sugar plus his cough as his splitting habit is irritating me a lot so I want to cure it please help.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
My father is diabetic empty stomach 180. What to do cure it and from last few month he used to split cough everyday a...
Get blood sugar fasting, pp and hba1c and xray chest cbc esr. Avoid sugar in diet, have green vegitable, increases activity. Diabetes need treatment if life style changes fails and based on investigation reports.
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My dad has diabetes for 4 years, how it can be cure? can it can be cure completely or not?

MD - General Medicine, Diploma in Diabetology
General Physician,
My dad has diabetes for 4 years, how it can be cure? can it can be cure completely or not?
Diabetes complete cure is not there but it can be controlled n prevented. You will have to write to me his details.
3 people found this helpful
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Diabetic Foot - How It Can Be Prevented & Treated?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Diabetic Foot - How It Can Be Prevented & Treated?

Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.

  1. Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
  2. Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.

Some of the common foot problems encountered in diabetics are listed below:

  1. Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
  2. Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
  3. Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own.  Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.

Prevention/Treatment:

  1. The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
  2. Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
  3. Regular feet care to check for blisters, ulcers, wounds, etc.
  4. Check toenails for overall health
  5. Preferably wear closed toe shoes
  6. Wear stockings or socks and shoes that fit well
  7. Moisturise the skin well to avoid drying
  8. Avoid exposing feet to extreme weather
  9. Quit smoking
  10. Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise

If you wish to discuss about any specific problem, you can consult a doctor.

2847 people found this helpful

My grandpa is a diabetic patient .his sugar levels in fasting is 140 after fasting it is about 280 .so I want to know how many units of insulin should he take per day.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My grandpa is a diabetic patient .his sugar levels in fasting is 140 after fasting it is about 280 .so I want to know...
That depends on how many insulin units your grandpa is taking currently! Insulin prescription is never an absolute prescription which is only and completely linked to sugar values. Let me explain you by example. You and your friend ran the same distance when exercising in the morning. Would it be correct to say that you both will have the exactly same amount of food- No, obviously not because you both will be of different built. Similarly, the treatment of diabetes is individualised for a person and not customised based on reports. Since your grandpa's sugar is uncontrolled we need to increase his insulin dose but by how much - that can only be decided by his current treatment order.
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Whether diabetic patient can eat ripe banana daily? Whether an Asthma patient can eat ripe banana daily?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Whether diabetic patient can eat ripe banana daily?
Whether an Asthma patient can eat ripe banana daily?
sorry in both cases avoid eating ripe banana , in diabetes it directly increases sugar level . in asthma ripe banana will increases cough ,so avoid eating ripe banana.
2 people found this helpful
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Hey hey I am a patient of diabetes it is inherited disease my fasting is 200 and My PP is 270 so what should I do to control this I am its patient since 30 years hope you can give a good advice?

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
Hey hey I am a patient of diabetes it is inherited disease my fasting is 200 and My PP is 270 so what should I do to ...
Hello in a diabetic patient exercise, medicine and diet play equal roles. Exercise - 5 days a week at least healthy balanced diet - small n regular meals prescribed medication these 3 help in maintaining normal blood sugar levels avoid carbonated drinks, fried foods and foods like mango, banana, cheeku, arbi and zimikand include foods like green tea, cinnamon, wheat grass powder, lemon water, jeera water, diluted salted lassi, seasonal fruits and veggies. Apart from these a homemade powder is extremely beneficial in keeping blood sugar levels normal. It requires: almonds - 50 neem leaves dry - 50 green elaichi - 50 whole black pepper - 50 bhuna channa without chilka - 125g grind to a fine powder n store in airtight container. Take 1 tsp after breakfast and 1 tsp before dinner. Thank you.
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I am 55 years old male having problem of high uric acid since many yrs. I am pure vegetarian non smoker non drinker person still having this problem. Generally level is between 6 and 7.5. Is there any homeopathic medicine for this. My cousin also have this problem. I am in prediabetes condition.

BHMS
Homeopath, Sindhudurg
I am 55 years old male having problem of high uric acid since many yrs. I am pure vegetarian non smoker non drinker p...
Yes. Homeopathic remedies for high uric acid provide an excellent cure. Treatment of elevated uric acid levels with homeopathic remedies not only lowers the levels but also treats body’s defective tendency to hold  excess of uric acid. Homeopathic remedies also treat the body’s metabolic process which handles purines (kind of protein which ends up as uric acid after the body processes it. These are the top homeopathic medicines for elevated uric acid levels that I have found to be very effective colchi, ledum, guaicum, benzoic acid, lithium etc Tips for increased uric acid levels and gout Watch your weight. Try to lose weight slowly. Eat fresh fruit, vegetables, whole wheat products and some pulses (high in purine) every day. Enjoy low-fat milk and dairy products daily. Keep an eye on the purine content of food. Avoid offal, shellfish and crustaceans and tinned fish such as sardines in oil. Eat no more than 100g of meat, sausages, fish and poultry a day. Drink alcohol only occasionally, as it affects the elimination of uric acid. Eat low-fat food. The consumption of high-fat foods encourages weight gain. Drink at least two litres of low-calorie fluids a day. Recommended fluids are water, tea and fruit juice. .consult me by clicking on consult option for homoepathic treatment without side effects.
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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

1 person found this helpful

My TSH Level is 8.10 I am 24 female I have started gaining weight please suggest friends are making fun of me because of that I am stressed.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My TSH Level is 8.10 I am 24 female I have started gaining weight please suggest friends are making fun of me because...
If TSH is 8.10 mU/L and there is significant weight gain, then it is better to start treatment with thyroxine tablets. It is necessary to bring down TSH value to 3 to 4 mU/L, then only all the symptoms are in check. Plus efforts to control weight will also be fruitful only when TSH is as mentioned above. Thanks.
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I am 71 years old, male. For last over one year, each day morning, I have 4 to 5 motions. Some time loose motions upto about 1 noon or upto 1.30 pm. As a result I am not able to move out of house, in the fore noon, with a fear that I may get motion any time, any where and I may not get the toilet facility. I also have no control on motions and some time I passed motion in the pant too. I am diabetic since 25 years. But mostly my sugar levels are on border or at normal level. Please advise me suitably.

MBBS
General Physician, Trivandrum
I am 71 years old, male. For last over one year, each day morning, I have 4 to 5 motions. Some time loose motions upt...
You are most probably suffering from irritable bowel syndrome. In this condition the frequency and urge to go to toilet increases especially just after meals. Ibs can be caused due to many reasons out of which stress is one important cause. When your life and body are stressed, it can lead to ibs. You need to practice deep breathing and relaxation techniques. If your symptoms are not improved, you need to take prescription medication for a period of time. Please consult in private for prescription drugs.
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Suffering from type 2 diabetes and mild blood pressure. Also rheumatic arteritis.Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Suffering from type 2 diabetes and mild blood pressure. Also rheumatic arteritis.Please tell.
Hi I am sure you must be on treatment for all these conditions. It very essential to achieve good glycemic control, otherwise it can lead to various problems (long term complications) associated with diabetes. Even rheumatoid arthritis like diabetes is a disease that can only be controlled. Apart from drugs treatment it is necessary to be physically active to keep healthy and fit. Exercise will also help in reducing blood sugar. Thanks for the question.
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My wife is 52 yeas old and is suffering from hypothyroidism. Her latest report is T3 108, T4 8.2 TSH 6.54. Her blood pressure in morning is normally 90/155. She is taking thyronorm 50 mg and Olmat 20 mg. Can she lower her dosage?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife is 52 yeas old and is suffering from hypothyroidism.

Her latest report is T3 108, T4 8.2 TSH 6.54.

Her bloo...
your wife's B.P. is not normal normal range is 120/80 max. is 130/90. continue medicines. but checkup your blood tests lipid profile, urine r/m, kft,lft. take good diet. and You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.
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I am 57 years Old male. And a Diabetic Patient. FBS 130, and after food 236. Which medicines is better.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 57 years Old male. And a Diabetic Patient. FBS 130, and after food 236. Which medicines is better.
as per your concern i would suggest you to do following remedy Natural home remedy using bitter gourds: 1. Remove the skin and seeds of 4-5 bitter gourds 2. Crush them to a make a paste 3. Press this paste on a sieve an extract the juice 4. Drink this juice on an empty stomach every morning surely you will get results, if it dosent work then you must consult ayurvedic doctor.
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Should I visit my doctor after every two months according to his advise though my sugar level is under control? Should I check my creatinine and liver function every year? If yes, please give reason. I am a diabetic patient and taking GMR M1 everyday.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Should I visit my doctor after every two months according to his advise though my sugar level is under control? Shoul...
Sugars keep fluctuating every second of your life. It's a very complex interplay of hormones,stress level,activity medication and the food intake. So,though your sugars may seem to be under control,slow and gradual changes do occur at the cellular level. So,it is advisable to get the check up done at regular intervals
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Dear Sir, five months back I got chest pain I consult doctor he told me it was anxiety after ECG and he assist me to do tsh test ,my value was 7.1 and he given 25 tablet. I took for 2 months and again I checked for tsh my value increased to 7.2 I consult another doctor he told me to take dose 50 levothyroxine, after 15 days I went for test in another doctor the value was 2.80 tsh and he suggested me to use 25 levothyroxine, after three months again I checked with same doctor my value got increased to 4.9 tsh. What I have to do please suggest me. How I can diagnose from this problem as I study in internet I don't​ have any complication that mentioned for hypothyroidism.

MBBS
General Physician, Jalgaon
Dear Sir,
five months back I got chest pain I consult doctor he told me it was anxiety after ECG and he assist me to ...
Please Have faith in doctors and in medicines Don't go on checking again and again Please Wake up early go for morning walk in greenery Do pranayam and yoga daily Do meditation regularly Take vegetables juices and soups more Take salads and fruits more Add Special Chyawanprash by Patanjali 1 tsf twice a day Continue your thyroid treatment By following above points, doses can be reduced in future
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