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Dr. Nallaperumal

Endocrinologist, Chennai

0 - 300 at clinic
Dr. Nallaperumal Endocrinologist, Chennai
0 - 300 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Nallaperumal
Dr. Nallaperumal is a renowned Endocrinologist in Thiruvanmiyur, Chennai. Doctor is currently associated with Prime Obg Fertility Centre in Thiruvanmiyur, 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 35 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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#512, Kamaraj Nagar, 1st West Street, Tiruvanmiyur. Landmark: Opposite Hyundai Showroom, ChennaiChennai Get Directions
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#200, R.K Mutt Road, Mandevalli Road, Landmark: Near R.K Mutt Road Bus Stop.Chennai Get Directions
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No.76 & 77, Harrington Road,Chennai Get Directions
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# 36 & 36A, Velachery Main Road, Landmark : Opposite Suthrland Global Services & Near Vijaya Nagar Bus Stand, ChennaiChennai Get Directions
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My mother has a diabetes from 10 years. Currently she has been taking below medicines from 6 months: Istamet 50/500 Mitovit Rosuvin 10 Mclazide M proper 15 Her last 3 months reports are: June - Before fasting - 160 & after fasting - 288 May - Before fasting - 240 & after fasting - 326 April - Before fasting - 190 & after fasting - 282 Please guide us if we can continue with the same medicines? Or can we start ayurvedic medicines? Thank you, Ankur.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother has a diabetes from 10 years. Currently she has been taking below medicines from 6 months:
Istamet 50/500
M...
Mr. lybrate-user By looking at blood glucose levels, it is clear that her diabetes is uncontrolled. There's no mention of HbA1c%, that gives a much better idea of long term control. Her treatment needs to be properly calibrated with glucose levels. We may have to add some additional drug/s. As regards ayurvedic drugs, there's no real benefit. Those drugs at best can be supportive therapy. If you come in a private conversation with all details like current fasting, PP& HbA1c%, dietary habits & extent of daily exercise then I will be able to guide specifically. Thanks.
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My mother's age is 50 years. She had diabetes from last 3 years, she is using glycomet 500 mg daily twice morning one and evening one. Her latest blood sugar test results are: fasting Blood sugar : 90 mg post lunch Blood sugar: 150 mg. She had rice in the morning and after 4 hours we have taken post lunch sample, without taking any tablet. Without tablet her post lunch sugar level is normal, means we can stop to take tablets? Is her sugar levels come to normal?

PGD Maternal Child Health, MBBS
General Physician, Akola
My mother's age is 50 years. She had diabetes from last 3 years, she is using glycomet 500 mg daily twice morning one...
Do it after 2-3 days without medicine and see again. If it comes normal do it again after a week and if consistently both the samples, fasting and post meal remain normal, then stop medicine but continue dietary restrictions and exercises. Afterwards do monthly follow up checks and act as per reports.
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Please tell me about the CAD and the diabetic relation. And any person having CAD cal also suffer from diabetes.

BAMS
General Physician, Delhi
Please tell me about the CAD and the diabetic relation. And any person having CAD cal also suffer from diabetes.
Any person with CAD will not develop diabetes but patient having diabetes are more chances to develop CAD ,If sugar levels are disturbed.
4 people found this helpful
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I gained 18kgs in past three years I consulted the doctor who advised me to take thyroid test but the result came out that I don't have it I am 19 years old and weigh 70 KGS and my height is 5'6 please suggest me what to do.

BHMS
Homeopath, Delhi
I gained 18kgs in past three years I consulted the doctor who advised me to take thyroid test but the result came out...
Take phytolacca berry (schwabe) for at least 3 mths increase your physical activity like daily exercise eat light food, avoid fried, high calorie food. Maintain good water intake.
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How Diabetes Affects the Nervous System

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Affects the Nervous System

Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugar from diabetes affects the nerves and over time increases a person's risk for nerve damage. Keeping blood sugar levels within the target range recommended by your doctor helps prevent diabetic neuropathy.

Types of Diabetic Neuropathy:
Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways...

Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, and hands.

Autonomic neuropathy affects the nerves that control involuntary body functions such as digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.

Proximal neuropathy causes pain in the thighs, hips, arms, or buttocks and leads to weakness in the legs and hands, resulting in difficulty in walking, standing, picking up objects, buttoning your clothes, etc.

Focal neuropathy results in the sudden weakness of one nerve or a group of nerves, causing muscle weakness or pain. Any nerve in the body can be affected.

How Diabetes Causes Damage to the Nervous System?
There are several factors that are likely to contribute to nerve damage through diabetes...

  • High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals. 
  • High glucose levels affect many metabolic pathways in the nerves, leading to an accumulation of a sugar called sorbitol and depletion of a substance called myoinositol. These changes are the mechanism that causes nerve damage. Nitric oxide dilates blood vessels. In a person with diabetes, low levels of nitric oxide may lead to constriction of blood vessels supplying the nerve, contributing to nerve damage.
  • Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
  • inherited traits increase susceptibility to nerve disease
  • lifestyle factors, such as smoking or alcohol use

Symptoms:

  1. Numbness, burning sensations, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
  2. Either hypersensitivity to touch or insensitivity, even to hot and cold temperatures
  3. Weakness in muscles and loss of reflexes
  4. indigestion, nausea, or vomiting
  5. diarrhea or constipation
  6. dizziness or faintness due to a drop in blood pressure after standing or sitting up
  7. problems with urination
  8. Changes in gait and balance
  9. Injuries that are taking longer to heal and are more prone to infections

Prevent Diabetic Nerve Damage:
Keeping your blood sugar levels in your target range, set with your doctor, may help prevent nerve damage from ever developing. The best way to do this is by checking your blood sugar and adjusting your treatment. It is also important to get to and stay at a healthy weight by exercising and eating healthy foods.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

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Hello doc , I had mifepristone 200 mg 2 pills on 18th and misoprostol 200 mp 2pills on 20th orally and 2pills vaginal and I puked after 15 mins if misoprostol ,i had heavy cramps and nauseous feeling ,bt very lil bleeding , now its 21st can I start the process again or should I go for d and c .

MRCOG ( UK) , MS - Obstetrics and Gynaecology
Gynaecologist, Kolkata
Hello doc , I had mifepristone 200 mg 2 pills on 18th and misoprostol 200 mp 2pills on 20th orally and 2pills vaginal...
Hi lybrate-user generally I advice patients to repeat the medications if they vomit within 30 mins of taking it. Given that you have taken the medications just 1 day back I would advice you to wait atleast 1 week to see what happens. Thanks
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Hello sir My mom had blood cottage in her heart in a vessel 3 years ago, we treated it and at that portion doctor put a pipe connection, now can we have a better way. She do not have to eat oily salty sugar almost nothing.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir My mom had blood cottage in her heart in a vessel 3 years ago, we treated it and at that portion doctor put...
Mr. Lybrate-user, if a stent has been put in the coronary artery, then it is necessary to follow all the precautions given by her doctor regarding the diet. Excess fat and sugar intake is to be avoided to prevent cholesterol and ldl increase. Particularly deep fried foods, junk foods, red meat, too much of masala containing non-veg preparations should be avoided. She should consume a good deal of salads and green leafy vegetables and fruits, as well as fiber containing foods.
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Dear Sir, I will thank full to you if you kindly advise me what fruit should be eaten by Diabetic person? permanent is good for diabetic person? Thanks.

MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)
Dietitian/Nutritionist, Bangalore
Dear Sir, I will thank full to you if you kindly advise me what fruit should be eaten by Diabetic person? permanent i...
Hi, Apple, mosambi, orange, papaya, musk melon, water melon, Strawberry, amla, pear, guava can be included. Only 75g of any one fruit a day can be included. If you exceed the recommended quantity, sugar will rise. Regards, Uma.
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I have a question about my diabetes. I am suffering from hypertension since 6 years & Diabetes from 2.5 years and take tablets for both diseases in morning. For diabetes I take glimepiride 2 mg + Metformin 500 mg prescribed by doctor. My query is dat when I test my pp sugar after 2 hours of meals it comes around 240 but when I again test after 3 hours of meals (1 hour after pp sugar test), it comes around 150. Means the value of pp sugar test which should come after 2 hours of meals generally comes after 3 hours of meals. Is this ok or should I need further tests or medicine changes.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
I have a question about my diabetes. I am suffering from hypertension since 6 years & Diabetes from 2.5 years and tak...
Dear Ashish, I acknowledge and appreciate this keep observation by you. This is what commonly occurs in Type-2 diabetes. This is reflective of the body's inability to handle the high glucose load of the meals taken due to insulin resistance which leads to higher than desired post meal blood glucose levels. Yes we need to adjust your medicines for this as this is not desirable and can lead to end organ damage in the body. As per lybrate policy, I cannot post medicine prescription in public forum, hence pls get back to me privately
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I am 50 years old man, disorder with diabetic, bp and cholesterol for the past 8 years. I have sex premature problem, not able to increase my sexual time and my penny also very small in normal time and expand during sexual time. I am rarely using sex pills for erection. Need advice for treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 50 years old man, disorder with diabetic, bp and cholesterol for the past 8 years. I have sex premature problem,...
avoid stress, go for walk daily. take green veg., digestive food, multivitamin,mineral foods,mineral water,fruits juice,take protein diet,amino acid foods. you can go for tests vit.B12, vit.D. mineral , amino acid.cbc. You can take syp. Noni 1 tsf in 1 glass of water once a day. Zenseng drop 6 drop in 1 glass of water twice of a day. Zenseng is natural medicines for all purpose in human body even sex.,it is not harmfull and side effects.
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Advise about how to control Sugar Sugar before fasting 197 Sugar after fasting 306 Tell medicine which effect and relief early.

MBBS, cc USG
General Physician, Noida
Advise about how to control Sugar 
Sugar before fasting 197
Sugar after fasting 306
Tell medicine which effect and re...
Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Anti diabetic medicines are available consult Diabetologist for further management
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I am diagnosed with diabetes. I would like to know diet plan. I am advised to reduce weight. Please suggest diet plan for that also. I am 5 feet 3 inch and my weight is 77 kg.

Vaidya Visharad
Ayurveda, Narnaul
Hello Dear, Obesity in ayurveda is known as Medorog and is defined excessive body fat accumulation in body. Medo roga specially found predominantly pitta body type constitution. The disturbed ?Pitta-the digestive fire? is disturbed leading to improper digestion and assimilation of fats. Being overweight can put you at risk for hypertension, diabetes, arthritis, back pain, coronary heart disease, and sleep problems. We have specialised medicine prepared for weight loss . No Exercise , No Dieting, No side Effect ,Kindly Attach your cholestrol and thyroid report. For better result and shape body use our medicine and see result within 15 days for order with your test reports details. Visit us at www.Malhotraayurveda.Com
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Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for thyroid I ws 99kgs now 88kgs I problem is hair loss. May be coz of thyroid Can not I gt my hairs back cuz Im a thyroid patient? Please tell me da medicines supplements for my hairs and nails and how to take them before food or after food. Nd how to consume flaxseed also My t3 is 153ng/dl. T4 is 12.4. Tsh is 3.09 Taking glyciphage 500 twice a day for pcos. As I have pcos how I can reduce that facial and body hairs. and glow of my face.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for ...
When on treatment for hypothyroidism tsh levels should be between 3 to 4 milli units / ml, to be in control and free from symptoms. If you achieved that then all symptoms including hair loss will stop. Of all the symptoms hair loss is the last one to go. Plus I am sure you are following the dosing guidelines of taking thyroxine tablets early morning on empty stomach and nothing to be taken after that for 2 hours. This has to be followed always. Secondly avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salds and fruits. Use whole grain flour for chapati and roti, avoid refined flour like maida. Avoid high fat milk products. Your dietary intake has to be based on your ideal body weight (58 kgs). Calories 58 x 25 = 1450. Plus since you want to loose weight, another 500 k cals should be less. So daily intake has to be just about 1000 k cal.
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My t4 level is 10.50 t3 is. 92 tsh is 2.15 I am 52 yes female am I suffering from thyroid.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
My t4 level is 10.50
t3 is. 92
tsh is 2.15 I am 52 yes female am I suffering from thyroid.
Please see the ref. Range for t3 & t4, tsh seems to be fine. Your thyroid function seems to be normal.
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What is the regular food as medicine for diabetics percent and also for blood pressure percent?

C.S.C, D.C.H, M.B.B.S
General Physician,
What is the regular food as medicine for diabetics percent and also for blood pressure percent?
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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My mother suffering from cough very hard cough at night last year she had TB and had medicine. BT last 3 years she suffering from cough dry cough then after cough she do vomiting and she is taking thyroid medicine 100 and foracort inhaler.

BHMS
Homeopath, Raebareli
Please do chest x-ray and visit a ent for throat inspection. Give her bryonia 30 - twice daily for next 7 days.
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I am a 46-year-old man suffering from T2 diabetes from past four years. Kindly provide details of an effective management of T2 Diabetes.

BHMS, MD - Homeopathy
Homeopath, Delhi
I am a 46-year-old man suffering from T2 diabetes from past four years. Kindly provide details of an effective manage...
Take high fiber diet. Take karela juice is any homeopathy store they will help to control sugar levels. Do walk daily atleast 1 hr. Avoid fried foods, sugar, honey, glucose, avoid maida product, avoid pumpkin, aarbi, potatoes, white rice, white bread, egg yolk. And you can go also homeopathic treatment they will also help to control sugar levels.
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Health Benefits of Bajra

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Health Benefits of Bajra

5 reasons you should include bajra in your diet

1. Powerful for controlling diabetes: 

Pearl millet is very powerful in controlling diabetes. Because of its high fibre content, it tends to digest slowly and release glucose at a slower rate as compared to other foods. This helps in maintaining healthy blood sugar levels for a long period of time.

2. Weight loss:

 Being high in fibre content, it takes a longer time for the grain to move from the stomach to the intestines. This way, bajra curbs hunger for a long span of time.

3. Reduces cholesterol: 

It contains phyto chemical, which is called phytic acid believed to increase cholesterol metabolism. It also stabilises the level of cholesterol in the body.

4. Helps in digestion:

 Bajra is rich in insoluble fibre that aids digestion. It also reduces secretion of bile acids and is linked to a lowered risk of gallstone formation.

5. Helps prevent cancer: 

Bajra has cancer-protecting properties. A study showed that regular intake of bajra protects pre-menopausal women from developing breast cancer.

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Does paneer contains high purine. What are some food I should avoid I have high level of uric acid in my blood.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
milk products have high purine .. Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.
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HOW TO CONTROL DIABETES

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
HOW TO CONTROL DIABETES

Nearly 50% of all diabetics are obese.that's because,being overweight puts a person at a higher risk of developing insulin resistance. Diabetes mellitus is a medical condition where there is a high leval of sugar (glucose)in the blood,caused either do to decreased insulin production by the pancrese,or as a result of impaired insulin action or both.Diabetes is a chronic metabolic disease.

HOW TO CONTROL DIABETES

  1. Ensure a balanced intake
  2. Monitor diabetes
  3. Keep a check on body weight
  4. Exercise regularly.
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