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Dr. Nallaperumal

Endocrinologist, Chennai

0 - 300 at clinic
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Dr. Nallaperumal Endocrinologist, Chennai
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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 36 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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Prime Obg Fertility Centre

#512, Kamaraj Nagar, 1st West Street, Tiruvanmiyur. Landmark: Opposite Hyundai Showroom, 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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I got thyroid and high blood pressure, my weight gaining day by day, now what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I got thyroid and high blood pressure, my weight gaining day by day, now what should I do?
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 can help, High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
2 people found this helpful
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My son is 12 years old and his TSH value is 4.82. How to reduce this value. What is the normal TSH value at this age. Is thyroid disorder reversible in this age.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, tsh normal range is 0.5 to 6 milli units / ml. So the value mentioned is within the normal range. No need to worry for now.
1 person found this helpful
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I am 59 years old and diabetic since last 2 years, my blood sugar readings are 241 BBF & 289 PD, I have tried alopathy as well as Ayurved, but the readings are not coming down even after following the recommended medication, exercise and diet plans. What could be going wrong? I work in a highly challenging and high pressure environment and have also have to commute in crowded trains. Please advise.

MD - Consultant Physician
General Physician, Mumbai
There is no reason why your blood sugar cannot be controlled. You've been having DM since just 2 years. There needs to be a concerted attempt to adjust your diet, exercise and take the right medicines. You should consult your physician regularly.
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I have a sugar problem and I heard that if we do perfect treatment for that then we can remove it from our body. Is that possible or not?

CDIABT, MBBS
Endocrinologist, Mumbai
I have a sugar problem and I heard that if we do perfect treatment for that then we can remove it from our body. Is t...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life. Getting rid of diabetes will depend upon how high your blood sugar are.
1 person found this helpful
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I am suffering from hypothyroid from past 20 yrs. taking 1.25mcg thyronorm, but still suffering from fatigue, weight gain, hairloss. please suggest me right tests and medicines.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hypothyroid from past 20 yrs. taking 1.25mcg thyronorm, but still suffering from fatigue, weight ...
You can take 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. 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, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.i.e. t3,t4,tsh, also do vit.D. and vit. B., s.calcium.
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Getting skin problem at penis skin lost its elasticity and appeared a white ring on it. Also itching problem. Age 43 and diabetic.

MBBS
General Physician, Cuttack
Getting skin problem at penis skin lost its elasticity and appeared a white ring on it. Also itching problem. Age 43 ...
It is because of Diabetes.Probably your blood sugar is not under control.Do A fresh blood sugar test and if it is high consult doctor
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My daughter was diagnosed with hypothyroidism with tsh value of 7.7 against normal value of 0.2 - 5.5. She was taking eltroxin 50 mcg od. After taking this medicine for approx. 2 months, her tsh has dropped to a value of 0.03. Doctor may please advise the further course of action.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter was diagnosed with hypothyroidism with tsh value of 7.7 against normal value of 0.2 - 5.5. She was taking...
HYPOTHYROIDISM:--- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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8 Surprising Facts About Male Infertility

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
8 Surprising Facts About Male Infertility

From riding bikes to wearing tighty whities and, ironically, using sex toys, there are lots of rumors and myths surrounding male infertility. So you might find the reality a bit shocking (we did!).PS: When you're done reading, show this article to your guy - male infertility is just as likely to be the reason a couple is having trouble conceiving, even though female infertility gets the most lip service.

Bikes aren't bad for below

You've probably heard the rumors that bikes can do damage to his nether regions, but there's actually not much truth to this one. One small study from Austria found that male mountain bikers may experience more infertility from scrotal damage caused by jolting over rough terrain - but the study only looked at men who logged at least 3,000 miles a year (that's an average of two-plus hours a day, six days a week), which is pretty extreme. Plus, the study concluded that the bike's narrow, racing-type seats were to blame and that using newer, wider seats with cutout holes was a safe solution. The study's limited findings have been widely criticized in the medical community, and according to Karen Boyle, MD, FACS, director of Reproductive Medicine and Surgery, Sexuality and Aesthetics at Chesapeake Urology Associates and clinical instructor of urology at George Washington University School of Medicine, there is no strong data to support the idea that cycling is bad for fertility. So even if your partner is the Lance Armstrong of mountain biking, you don't need to ban bikes. In fact, cycling is a great form of exercise, and staying healthy and fit is key for fertility.

Saunas and hot tubs are trouble

While many men like to follow their workout with a relaxing hot tub or sauna session, if you're trying for a baby, ask your man to skip both, says Boyle. Exposure to the high temperatures in saunas and hot tubs can heat things up down there, and if the temperature of the testicles gets too high, it can kill sperm and interfere with sperm production, potentially resulting in low sperm count and motility (read: There won't be so many of those swimmers, and they won't move so well). The damage isn't permanent, though, so tell your guy he can go back to his regular routine as soon as you see a positive on that pregnancy test.

Boxers are best

The answer to the boxers vs. briefs debate? Well, if you're trying to conceive, it actually doesn't matter. 'Men should wear whatever they feel most comfortable in,' insists Boyle, who says there's no conclusive evidence to support the idea that tight underwear or pants could do damage by squishing a guy's man parts or increasing scrotal temperature.

Laptops can burn more than just your lap

Considering laptops can get hot enough to burn their legs, guys might want to keep them away from the crown jewels too. There's evidence that just like in hot tubs and saunas, the heat from a laptop can raise the scrotal temperature, which, again, may interfere with sperm production. While not all experts agree that laptops can cause infertility, Boyle says that if you're trying to conceive, you may want to keep the laptop on a table or desk just to be safe.

Cell phones can cause interference

Lately, cell phones have gotten a bad rap, as some experts have linked them to a range of problems, including brain tumors, cancer, and infertility. So what's the deal? Well, we still don't fully know what the electromagnetic radiation in the form of radio waves that cell phones emit is doing to our bodies. But some studies have shown that it can lead to higher levels of free radicals in sperm samples, possibly decreasing the quality of those swimmers. 'While better studies are still needed,' says Boyle, 'the current data on infertility [and cell phones] is concerning enough to me that I suggest men keep cell phones out of their pockets and off their belts.' Hmm...maybe it's time men start embracing the man purse.

Age is a factor

While women are constantly being warned about the difficulty of conceiving as they get older, it turns out that even though men can (and regularly do) father children well after crossing the senior citizen mark, male fertility does decline with age. According to Joseph A. Hill, MD, president and CEO of The Fertility Centers of New England, sperm production decreases in men after age 40 and, certainly, after the big 5-0. Still, unlike women, who undergo menopause, men can conceivably conceive well after that (ahem, Rod Stewart).

Stress plays a major role in fertility

While you might not be surprised that your lifestyle plays a role in fertility, you might not realize how large a role stress plays in both male and female fertility problems. For guys, stress can lead to impotence, erectile dysfunction and even shut down the hypothalamic-pituitary-testicular axis (a fancy term for the group of glands that play a critical role in developing and regulating your reproductive system) - all of which can interfere with fertility. While it's next to impossible to avoid stress completely, it's important for both of you to work on managing your stress, especially if you're finding the whole getting pregnant thing...well, pretty damn stressful. So regularly do stress-reducing activities together, like going for walks, exercising, meditating or just sharing some laughs.

Expanding waistlines won't help you expand your family

Both of you should watch your weight if starting a family is part of the plan. So if you're trying to get in better shape to prep your body for baby, get your partner on board too. Adopting a healthy lifestyle will certainly boost your chances of conceiving. Plus, obesity in men is associated with decreased sperm count and quality, and excessive weight may also be associated with misshapen sperm, which can interfere with the sperm's ability to reach and penetrate the egg.

8 people found this helpful

My husband is a Diabetic and on Insulin. 17 years back a Stent had been inserted after recurrent Heart Attacks. Now his Echo-radiography shows he has 20% LVEF. A Stent was Re-inserted at the same place.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My husband is a Diabetic and on Insulin. 17 years back a Stent had been inserted after recurrent Heart Attacks. Now h...
Improvement in ef from second stenting depends upon whether your husband had viable myocardium. I am sure your doctors must have discussed this with you and tested for the same. Further course of action will depend upon success of second stenting. If ef doesn't improve he may need icd implantation in future. Hope your husband recovers soon. Good luck.
242 people found this helpful
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I am suffering from diabetes for last 2 month please give me some treatment about this deasies.

BHMS
Homeopath, Chennai
I am suffering from diabetes for last 2 month please give me some treatment about this deasies.
The right thing for you is visit a doctor in person. There are many options to control and manage diabetes. Before you start on any treatment, correct your diet and lifestyle. Take up activity, yoga or any kind of exercise. Take time for yourself and find out what could have triggered your diabetes. In 99% of cases, some stressful event triggers onset of diabetes in a person. It is true for any disease for that matter and it has been proved each and every time in our clinics. Resolve that problem if you can. After having tried and tested various combinations of the above, if yet your sugar levels ars high, you can try homeopathy. We have been able to reverse the symptoms and reports and patients have gone back to no medicines - both allopathy and homeopathy. Give it a thought!
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Diabetes: Types and Symptoms

MD, DTDC , MBBS
General Physician, Delhi
Diabetes: Types and Symptoms

Diabetes is often referred to as diabetes mellitus by physicians, which is used for describing a group of metabolic-related diseases. Diabetic patients have high blood sugar (blood glucose) in the blood, the cause of which might be either the inadequate production of insulin or because the body is unable to use the insulin properly. Diabetes might also be a result of the combination of both.

There are three types of diabetes:

  1. Type 1 diabetes which was formerly known as insulin-dependent diabetes or juvenile onset diabetes due to the fact that the symptoms are typically diagnosed in young children and children in their teens. Approximately 10%diabetic patients are Type 1 diabetic where the body is unable to produce insulin.
  2. Type 2 diabetes was also known as non-insulin-dependent diabetes or adult onset diabetes, as it occurs mostly in adults. Approximately 90%diabetic patients worldwide are Type 2 diabetes, which occurs because the body is unable to produce the required amount of insulin for proper functioning. Overweight and obese people suffering from central obesity or abdominal obesity are more at risk of developing Type 2 diabetes than people who have a healthy body weight, as obesity forces the release of chemicals which may destabilize the cardiovascular and metabolic systems of the body. The risks of developing Type 2 diabetes also increases as one grows older.
  3. Another type of diabetes is gestational diabetes, which mainly affects pregnant women who have high glucose levels in their blood. The bodies of these women are unable to produce the required amount of insulin to transport all the glucose to their cells leading to the progressive increase of glucose. Studies have revealed that women who have animal fat and cholesterol-rich diet before pregnancy are at more risk of developing this type of diabetes.

Symptoms:
Symptoms of diabetes include excessive thirst, dehydration, increased urination and hunger. Symptoms may also include fatigue, skin problems, slow healing wounds, blurred vision and tingling in the feet.  
Solutions

  1. Patients who are afflicted with Type 1 diabetes will have to take insulin injections for life. Proper blood glucose levels have to be maintained throughout by following a strict diet and regular blood tests need to be carried out.
  2. Patients with Type 2 diabetes need to keep their weight in check. They are generally treated with tablets, but sometimes insulin injections are recommended. These diabetic patients need to follow a healthy diet strictly, exercise regularly and keep monitoring their blood glucose levels. Another option for obese people to reduce symptoms is Bariatric surgery.
  3. While gestational diabetes can be controlled with proper diet and regular exercise, there are 10 - 20%of diabetics who will need medications to control blood-glucose. Undiagnosed and untreated gestational diabetes raises the risks of complications during childbirth and may result in a baby who is bigger than he / she should be.

Acute complications of diabetes may include hyperglycemia or hypoglycemia while chronic complications may include diseases of the blood vessels which could damage the eyes, nerves, kidneys and the heart. If you think you have symptoms which suggest diabetes, consulting a doctor at the earliest would be your best option.

3145 people found this helpful

Dear sir I am just asking that I am paint of a diabetes and I don't know anything to about say please say me how to solve me details?

MBBS
General Physician, Cuttack
Dear sir I am just asking that I am paint of a diabetes and I don't know anything to about say please say me how to s...
) Symptoms of Diabetes Excessive Thirst Frequency of urination especially in night Excessive Hunger Fatigue Blurring Of Vision Sores or cuts that won’t heal Prevention 1.Do regular exercisem 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, sugar/honey, excess calorie and carbohydrate rich diet, avoid all refined food like maida, pasta, starchy food like rice, potato,.include more fiber like pulse,green leafy vegetable, legume. Avoid sweetened fruit like banana,mango,litchi,chickoo,sapota,seethaphaljack fruit,grape etc.avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat.take fish/chicken. Avoid alcohol and carbonated drinks like soft drink 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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Sir I am a hypothyroid patient . One doctor said me stop eating your thyroid tablets because you r thyroid level became normal. After I stopped to eat in 3 months before. But I have one doubt if any chance to decrease that level of thyroid.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir I am a hypothyroid patient . One doctor said me stop eating your thyroid tablets because you r thyroid level beca...
Herbal tea with ginger is beneficial for thyroid functioning. In fact, beverages including coffee, tea, carbonated drinks and alcohols should be avoided by patients afflicted with thyroid disorders. In its place herbal tea may be an alternative option...Application of watercress's paste on the enlarged neck is also an effective remedy....take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day
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My age is 27 , I hv backpain problem since one year .recently found that my uric acid level is high I.e 8.5 .please advise us about diet and exercises or any important fact.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My age is 27 , I hv backpain problem since one year .recently found that my uric acid level is high I.e 8.5 .please a...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappels which would help you to have less weight falling in the painful back.
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I am at border line diabetic but not taking any medicine however taking regular medicine for tg and thyroid. Im taking Atocor F and Thyronorm 25 daily for last 3 months. Now my blood test report shows normal thyroid and little hgh of tg (206). Now shall I continue the medicine and whats about my border line diabetic I.E HBA1C-6.5.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am at border line diabetic but not taking any medicine however taking regular medicine for tg and thyroid. Im takin...
Thanks for the query. TGL 206 mg is not really needing any treatment. Secondly unless actual TSH level is mentioned it is difficult give an opinion about that. Usually treatment of hypothyroidism has to be continued for lifetime. As regards borderline diabetes, if your HbA1c% is 6.5, then there is definite diabetes, which needs to be treated with appropriate drugs, diet control and exercise. Thanks.
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I am 50 years old male. Around last 20 years with diabetic and on insulin almost from 12 years. Also taking BP and cholesterol pills under supervision of doctor. I am facing skin rashes and etching problem last 2 years at areas- below stomach, bumps and inside thies. I tried with homeopathy course and allopathy but temp relief.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am 50 years old male. Around last 20 years with diabetic and on insulin almost from 12 years. Also taking BP and ch...
Most likely its a fungal infection. It usually occurs in areas where you tend to sweat a lot. Firstly, a strict diabetes control is necessary otherwise the infections tend to recur. Secondly, try to keep the areas dry, wear loose clothing which is made of non synthetic material. Thirdly, the treatment can be modified a bit depending on the nature of rashes so that the infection does not recur.
3 people found this helpful
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Hi Having pain in all of the parts of body and my suger level is 212 before fasting so what precautions should I take to control my suger level

MD - Medicine, MBBS
Cardiologist, Panchkula
Your blood sugar is still very high. You need a readjustment of the dose of your medicines. Avoid oily and sugar rich food. Do exercise daily.
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I am suffering from diabetes from nearly three years. Suggest me some ways to cure diabetes without medicine at home.

DASM, holistic healing/ Sujok
Alternative Medicine Specialist, Bangalore
I am suffering from diabetes from nearly three years. Suggest me some ways to cure diabetes without medicine at home.
Eat small quantity more times. Reduce carbs and increase proteins. Take black tea without sugar. Add black pepper in food.
6 people found this helpful
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MD - General Medicine
General Physician, Anand
diabetes and blood pressure are controllable disease,not curable.So,u will be beneficiary only and only if u r monitoring them at regular intervals. .
5 people found this helpful

My TSH count is 8.96. I am using thyronorm 50 mg. Is it a right tablet. Kindly advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My TSH count is 8.96. I am using thyronorm 50 mg. Is it a right tablet.
Kindly advice.
lybrate-user, Thanks for the query. For hypothyroidism treatment that is the right tablet. However, the dose being taken is not adequate. Because when on treatment for complete control of all symptoms of hypothyroidism TSH should be maintained around 3 to 4 mU/L. With a level of 9.96 mU/L, most of the problematic symptoms will continue to be there. Thanks.
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