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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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Symptoms and Causes of Thyroid

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
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Lybrate - Dr. Anirban Biswas talks about Thyroid Problems

Hello friends, I am Dr. Anirban Biswas. I am practicing diabetologist in Fortis C-Doc Hospital in New Delhi.

Today I am going to discuss with you about thyroid disease as you know thyroid disease is very common these days and most of the patients when they check their TSH is high, doctors suddenly declare that they have hypothyroidism. Now basically you have to understand what is thyroid disease? Thyroid is a disease which is a cause of a poor functioning of thyroid glands. It is a butterfly shaped organ which is located in our throat, basic function of a thyroid gland is to produce thyroid hormone and when thyroid hormone is deficient it is known as hypothyroidism. Basically the T4 and T3 are the active thyroid hormones.

TSH is a thyroid stimulating hormones which is not secreted by the thyroid gland but it is secreted by the pituitary gland. In response to the lesser secretion of thyroid, it is a feedback mechanism which is developed in our body. So whenever a patient has hypothyroidism, T3 and T4 levels are low or normal. TSH is high and it is compensating for the lack of the thyroid hormones. So this stage is known as sub-clinical hypothyroidism. And the symptoms of sub-clinical hypothyroidism is that patients may have sudden weight gain, patient may feel weak, lethargic, dryness of skin, patients may have other difficulty in managing their memory, routine activities, issues with their sexual and hormonal problems as well, heat and cold intolerance may also be there. So all these things are very common with thyroid patients, most of the patients come with the problem of weight and usually thyroid patients improve after substituting the thyroid hormone which is in the form of tablets.

Now a days, once a weekly tablets are also available for thyroid. Many of the doctors and patients don’t know but I have started once weekly which has a very good response and better come plans and I recommend the patients to take once weekly. Management of thyroid is easy but dose has to be titrated with frequent checkup of the thyroid function. And I am organizing thyroid checkup camps in my clinic on regular basis. The other problem of thyroid is hyperthyroidism which is the reverse of the hypothyroidism and in this, thyroid gland secretes the excessive thyroid hormone which causes the reverse action like weight loss, increases basal metabolism rate, eyes may start to protrude. These are the symptoms of hyperthyroidism. For this also, treatment is available.

Other things we should be careful about is that if we are having thyroid problem then we should avoid having too much of soya product and few vegetables like cabbage, cauliflower and broccoli and we should take our medicine regularly.
If you have any queries regarding thyroid, you can please contact me through Lybrate.
Thank you.


 

3478 people found this helpful

6 Risk Factors Of Developing Diabetic Nephropathy!

MD - Medicine, MBBS
Endocrinologist, Delhi
6 Risk Factors Of Developing Diabetic Nephropathy!

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels. If you wish to discuss any specific problem, you can consult an endocrinologist.
3030 people found this helpful

As soon as I got up my sugar level will be more ie 112, 107, 110 like that after some time it will be less than that like 100 ,102 r 104, is it prediabetes? I am worried or else it's normal? I left taking rice in my daily routine, no tea no coffee. Only millets & oats that's all I am having. I really worried a lot. After food it's shows normal ie 135, 128 r 120.

MBBS
General Physician, Mumbai
As soon as I got up my sugar level will be more ie 112, 107, 110 like that after some time it will be less than that ...
Dear Lybrateuser, - To control your blood sugar have more of fibrous food vegetables, fruits, whole grains, legumes, beans, sprouts, nuts - have 4-5 small meals rather than three large meals, have a light dinner with protein food in it & vegetables, take a walk for 10-15 min after dinner, have a well balanced diet with controlled portion from all the food groups as not having a particular group will lead to deficiency disease & metabolic imbalance - control weight with diet & exercise + sleep well for at least 7-8 hrs at night, keep sleep & wake up time fixed.
1 person found this helpful
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I am 40 years old l have sugar and bp. I get 1 year sugar leave bp for 15 years I want normal personality what l should do now please tell me.

B.H.M.S
Homeopath, Patna
I am 40 years old l have sugar and bp. I get 1 year sugar leave bp for 15 years I want normal personality what l shou...
Lycopodium cm one drop only in a cup of water once in a month. 2 Gymnema Q take 10 drop in a cup of water once in a week. 3. Raulfia Q take 10 drop in a cup of water once daily for one month.
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Please doctors sir I am diabetes and his percentage 115 after breakfast please suggest me any domestic treatment and all treatments.

MSc
Dietitian/Nutritionist, Hyderabad
Please doctors sir I am diabetes and his percentage 115 after breakfast please suggest me any domestic treatment and ...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
2 people found this helpful
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I have thyroid problem. I want to conceive. I am working lady. I get fully exhausted by evening. I have no energy left for intercourse. The same routine exist every day. Please help. How should I go.

DHMS (Hons.)
Homeopath, Patna
I have thyroid problem. I want to conceive. I am working lady. I get fully exhausted by evening. I have no energy lef...
Hi, hypothyroidism is not a hurdle in pregnancy, al all but may cause fatigue, tiredness, aversion to sexual coition. * take protein rich diet, apples, cheese, carrots, milk, almonds, walnuts, spinach, pumpkins to restore energy. * you should also go for a test for sugar level in blood. * your diet be easily digestible, simple, non irritant on time. * take, plenty of water to eliminate toxins and to regulate metabolism. *go for meditation when you r back home to restore instant energy by reducing stress of office by deep breathing for 10 mnts, only. Homoeo medicine: @ sepia 200-6 pills at bed time, dly. @ alfalfaq-10 drops, thrice with little water. Take care.
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Sir, My father's blood sugar level is 210 in P.P. He is getting tablet Glycomet GP 2 Fort before taking meal at 10.00 clock, but level is continuing within 190 to 210. I think medicine is duplicate. Please advice me for further course of action and also diet chart. Thanking you.

PDDM, MHA, MBBS
General Physician, Nashik
Sir,
My father's blood sugar level is 210 in P.P. He is getting tablet Glycomet GP 2 Fort before taking meal at 10.00...
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori. Kindly mention his fasting blood sugar levels too and revert.
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I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under control. Lately I am developing cramps in my hand finger tips which aggravated in sleeping position. What is this problem called and how can this be treated.

Basic Life Support (B.L.S), Doctor of Medicine
General Physician,
I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under contro...
Can't say for sure but could be due to neuropathy due to diabetes or any other cause. Kindly elaborate on your symptoms. Include vit b12 rich food in your diet. (like meat fish) or take over the counter available suppliments. Include exercise in your routine. Focusing on your back also. But never involving too much bending and lifting weights together. These are few things coming to my mind with your limited history. You can get back to me if you want more information on d same.
7 people found this helpful
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My wife has higher fbs ie 110 to 131. Her ppbs is about 123 to 145. She had this problem for 10 yrs but now Dr has told her to take Glycomat GP 0.5 but fbd is still high. Kindly suggest remedy

MD - Medicine, MBBS
Endocrinologist, Delhi
Take dinner early say by 8pm. Go for slow walk after dinner.Give a gap of 2 hrs between dinner and sleeping.Take light dinner.
1 person found this helpful
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Complete Infertility Investigation - Why is It Important?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Complete Infertility Investigation - Why is It Important?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

  1. Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
  2. Tests for women: 
    1. Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
    2. Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
    3. Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
    4. Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
  3. Tests for men
    1. Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man’s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
    2. Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.

Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3876 people found this helpful

My age is 20 I av high sugar levels what should I do and I hav pcob problem too please help to healthy.

MD - Internal Medicine
General Physician, Khammam
My age is 20 I av high sugar levels what should I do and I hav pcob problem too please help to healthy.
Hello Lybrate user As your age is only 20 yrs. You need to use insulin for controlling your sugars. The dosage of insulin depends upon your body weight and sugars levels. Pls consult a physician and start insulin as persistent high sugar levels can damage your kidneys and eyes. Take care.
1 person found this helpful
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Pl suggest sample diet in BF, Lunch & Dinner for Type 2 Diabetic person of 80 yrs.

PDDM, MHA, MBBS
General Physician, Nashik
Pl suggest sample diet in BF, Lunch & Dinner for Type 2 Diabetic person of 80 yrs.
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
1 person found this helpful
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I've got diabetes from 2009, my sugars are not in control, and off late I've not been sleeping properly, I'm exhausted, clammy/cold feeling, can't do work for more than two minutes, very weak, and constant fever.

MSc
Dietitian/Nutritionist, Hyderabad
I've got diabetes from 2009, my sugars are not in control, and off late I've not been sleeping properly, I'm exhauste...
DIABETES AND LIFESTYLE CHANGES Diabetic diet is not a matter of deprivation or avoidance but of healthy eating habits. Genetic susceptibility appears to play a powerful role in the occurrence of type 2 DM, but the current epidemic likely reflects marked changes in lifestyle. Decreased physical activity and increased energy consumption have together promoted obesity, which is a strong risk factor for diabetes. Nutrition is an integral component of prevention, delayed onset and management of diabetes. Goals of diabetes management: Provide a nutritionally sound meal Attain and maintain blood glucose levels in the normal range as far as possible To attain and maintain desirable weight To maintain healthy levels of blood fat i. E. Cholestrol and triglycerides To prevent long term complications of diabetes Healthy eating; 60% of the calories should come from carbohydrates 12%-20% from protein 20% -35% from fats Food should be distributed equally throughout the day Choose foods from all food groups in all major meals Choose foods high in fiber as it slows digestion and gives a feeling of satiety Total fat and saturated fat should be limited, some amount of fat is essential for important body functions and it also helps slow gastric emptying. Whole grains should be chosen over refined cereals like sooji, sago, white bread, maida Whole dals have a very low GI index and should be included daily EXERCISE: · Exercise helps diabetics lower blood glucose · It helps the body use insulin better Exercising helps one control weight, develop lean muscle and reduce body fat Maintain adequate level of physical activity so as to achieve fitness and a negative energy balance 30 to 45 min of brisk walk daily is recommended.
8 people found this helpful
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I am an 45 years female suffering from bronchitis asthma and hyper thyroid since last three years my thyroid keeps fluctuating and i have hyper acidity also kindly suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am an 45 years female suffering from bronchitis asthma and hyper thyroid since last three years my thyroid keeps fl...
Are you taking any treatment for hyperthyroidism if yes what is it? because that condition needs to be treated properly or else can cause multiple difficulties. For hyper acidity you take tab r- ppi once a day on empty stomach in the morning. If you thyroid assay details please furnish those.
2 people found this helpful
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I feel I'm suffering from thyroid may be. Below my face on the neck portion I feel a lot of fat. I don't know. Also I eat a lot n have increased weight. Can you pls tell me the symptoms of thyroid. I'm a female n just 22 years old.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I feel I'm suffering from thyroid may be. Below my face on the neck portion I feel a lot of fat. I don't know. Also I...
My suggestion is get thyroid assay done, the results will help in diagnosis if there is hypothyroidism. The symptoms of hypothyroidism are: early fatigue, tired feeling, slow heart rate, intolerance to cold, weight gain, dry skin and dry hair, hair fall, irregular periods or excess flow, difficulty in speech, inability to concentrate etc.
6 people found this helpful
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Sir, leaking of blood internally in eyes, physically not visible, I am a diabetic my age is 45, can anyone help me out please send.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, leaking of blood internally in eyes, physically not visible, I am a diabetic my age is 45, can anyone help me ou...
Hi it appears you have proliferative retinopathy, which can affect your vision permanently. So please consult a retina specialist immediately. Also see that your blood sugar is under very good control. This a major complication of diabetes. Do not waste any time and visit a good eye hospital today only. You have already delayed a lot. This is an emergency. Thanks.
14 people found this helpful
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Dear sir I am a 33 year old male (90kg 170cm).My fasting glucose level came 110 mg/dl & pp glucose level came 209 mg/dl, also my serum uric acid came 9 mg/dl please advice.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.
1 person found this helpful
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Hello Doctor, I want to ask you that my Thyroid is 6.9, what should I do for this. A doctor said me that there is no need to take medicine. Please suggest me what I do.

MS - ENT
ENT Specialist,
Hello Mr. Lybrate-user. 6.9 is value of tsh? if it is so. And your having symptoms you need thyroid supplementation in low doses.
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