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Dr. Nallaperumal

Endocrinologist, Chennai

0 - 300 at clinic
Dr. Nallaperumal Endocrinologist, Chennai
0 - 300 at clinic
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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 40 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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I'm a kidney patient. Can I eat vegetables like tomato, potato, Brinjal, lady's finger etc. My bp is on a higher side and uric acid level is 8.2. Creatinine level is 1.58. Can you suggest a kidney friendly diet ?

BHMS
Homeopath, Faridabad
I'm a kidney patient. Can I eat vegetables like tomato, potato, Brinjal, lady's finger etc. My bp is on a higher side...
Hi, whether you have early-stage kidney disease or you're on dialysis, you'll likely be advised to limit your phosphorus intake. Nearly every food contains some phosphorus. The best way to limit phosphorus in your diet is to limit foods highest in phosphorus, including fast food, convenience foods and processed foods, which may be full of phosphorus additives. Foods rich in phosphorus: milk, pudding, yogurt, soy milk, nondairy creamers and enriched rice milk, processed cheeses and cheese spreads, ice cream or frozen yogurt, soups made with higher phosphorus ingredients (milk, dried peas, beans, lentils), whole grains, including whole-grain breads, crackers, cereal, rice and pasta, quick breads, biscuits, cornbread, muffins, pancakes or waffles, dried peas (split, black-eyed), beans (black, garbanzo, lima, kidney, navy, pinto) or lentils, processed meats, such as bologna, ham and hot dogs, and meat, poultry or seafood, nuts and seeds, peanut butter and other nut butters, chocolate, including chocolate drinks, colas and pepper-type sodas, some flavored waters, bottled teas, some drink mixes. **********but as your uric acid is slightly high, you should also avoid high protein diet, so consult a nutritionist******
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My father is a Diabetes patient since 2009. Is Diabetes a genetic diseases? Now I'm 24+.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
My father is a Diabetes patient since 2009. Is Diabetes a genetic diseases? Now I'm 24+.
Having a first degree relative with diabetes does indeed increase your chances of developing the same. But you can avoid it by following a healthy lifestyle. Eat and sleep on time avoid heavy meals at one time with long periods of fasting between 2 meals avoid/minimise fast food/oily food/ bakery products exercise regularly or atleast try to be more active. Eg walk instead of travelling by vehicle for short distances, use the stairs instead of lift drink more water eat more of fresh fruits and vegetables quit smoking in case you do.
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I am 45 years old working in sales ans Marketing, I am suffering from sugar. May it is 230 to 240 avg. Second my back pain is started from almost one month. For sugar taking glycolate gp2 half daily before meals. And back pain nothing Pl suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 45 years old working in sales ans Marketing, I am suffering from sugar. May it is 230 to 240 avg.
Second my back...
Mr. lybrate-user, Looking at details it is clear that your diabetes is uncontrolled. There is no mention of HbA1c%. Ideally well controlled diabetes should have fasting closer to 100 mg, PP 150 to 160 mg, HbA1c%<6.8. So it is clear that present treatment is inadequate, needs to be upgraded. Plus looking at your weight and height, you are overweight with a BMI of 28.62 kgs/M2 (normal <23 kgs). Your ideal body weight should be about 57 kgs. Therefore, weight reduction will definitely help in better blood glucose control. As regards back ache, weight reduction and some specific exercises will help in overcoming that. Thanks.
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Hi I am in stage of pre-diabetic. My hba1c is 6.0. What Vegetable curry's I can eat. Please suggest. I can eat Dal And Sambhar Also.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi I am in stage of pre-diabetic. My hba1c is 6.0. What Vegetable curry's I can eat. Please suggest. I can eat Dal An...
U can have all vegetable curry except that it should be prepared in less coconut,oil and salt. U can hav dal and sambar.do engage in 45 minutes of exercise everyday. This improves your insulin secretion in the body.
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Sir very good morning sir please tell me sir my father have sugar so please tell me what to eating.

PDDM, MHA, MBBS
General Physician, Nashik
Sir very good morning sir please tell me sir my father have sugar so please tell me what to eating.
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.
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Hi I am 29 years old, height 5.8 and weight 78 kg. I had increased uric acid level before 1year. I consulted with doctor and he prescribed tablet goutcheck and pan-40 & then I had relief. After 3-4 months I stopped medicines. Now i'm suffering from back pain in morning and some times I get tingling sensation in feets.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your current symptoms of back pain with off an on tingling sensation in feet region may not be linked to your earlier problem. If you have only localized backache with no other associated symptoms like radiating leg pain, numbness, weakness in legs etc, and no systemic symptoms like fever, loss of appetite, loss of weight etc, my advice to you for initial 2-3 weeks will be: - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or even tab paracetamol which suits you - intensive physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied 3-4 times in a day - analgesic spray for local application like dynapar qps spray can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc if you do not improve in 2-3 weeks with this conservative management, we will need to evaluate you further in form of dynamic x rays to look for any instability as a cause for pain and some blood investigations to rule out any deficiencies etc. Do not hesitate to contact me if you need any further assistance.
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My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been increased a lot but he is not taking that much sugar too, Before food 215 mg, after food 330 some what. I do not know how to reduce his sugar level without going for insulin. Please advice me, what action can be taken. Whether he needs to take any test, if yes please tell me the test report names so that I will check near by lab. He is taking Amedop AT tablet for BP too. He got stoke in the year 2000. Because of that his left side function is not good. Please provide your response as soon as possible.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been incre...
Dear lybrate-user, while your concern for using insulin is valid, but it seems you are putting him at risk associated with uncontrolled diabetes. You have to understand that at some point oral meds will be insufficient to controll blood sugar hence insulin is needed which is most effective way. Uncontrolled blood sugar can lead to too many longterm complications like stroke, heart attack, loss of vision, leg ulcer etc. My advice would be to follow your physician advice even if it means starting insulin.
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Hi team Lybrate! My father is suffering from diabetes. I just want to know the list of food to avoid. I would request to give certain examples of food to eat/avoid. Thanks in advance.

BAMS, PGFP
Ayurveda, Jalgaon
Hi team Lybrate!
My father is suffering from diabetes. I just want to know the list of food to avoid. I would request...
Avoid all sweet food viz banana sugarcane etc. Use mostly fruit vegetables. Avoid leafy vegetables. Take meal in evening only not at night. Control the water intake.
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I am diabetic patient from two years now I am taking two tablets in a day glimepride 2. As per doctor advice now I want to know sometimes I forget to take medicine before taking meal can I take medicine immediately after finish the meal. Please reply me immediately thanks.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
U can take it but is advisable to take it before food. However please remember after taking the tablet do not skip the meals/food.
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I have suffered from thyroid and I am taking thyrox-50 daily in morning. Can any other medicine which can cure it fast and I will have not take any medicine after some course.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi. You can take also with it i. E. Hormones balance w hypothyroidism can control with diet and medicines. Pl. Eat iodized rich foods i. E. Sea foods/ salt water fish/sushi/ nori rolls/celtic sea salt. Selenium rish foods i. E. Meat /chicken/ salmon/ whole unrefined grains/ brazil nuts / dairy products / garlic / onion / avoid foods i. E. Turnip/ kale/ cassava/ peanuts/ cauliflower/ rutabagas/ coffee/ spinach / soyabean products/ foods with gluten/ mustard green/ mustard /
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Dear sir Could you please tell me is there any way to reduce permanently diabetes or have I to continue ayurvedic medicines life long. Please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Dear sir
Could you please tell me is there any way to reduce permanently diabetes or have I to continue ayurvedic med...
There is no permanent solution for diabetes. If your sugar levels are normal. Then you can continue your ayurvedic treatment.
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C.S.C, D.C.H, M.B.B.S
General Physician,
What Is The Healthiest Way To Treat Hypoglycemia?

Blood sugar refers to the glucose present in our blood. This glucose is formed from the food we eat. It is carried through our bloodstream to different parts of the body mainly to provide energy. Measuring blood glucose is an essential measure of our health.
Hypoglycemia refers to low blood sugar. This is a condition when blood sugar concentrations fall below normal. Without enough glucose, our body will not be able to perform its normal functions. It can be a concern for people with diabetes taking certain blood sugar-lowering medications, but it can also affect people who don?t have diabetes.
An episode of hypoglycemia (low blood sugar) comes on very suddenly and you must be aware of how to tackle it effectively.
Causes of Hypoglycemia
Hypoglycemia is usually seen as a side effect of Diabetes treatment. Some common causes of Hypoglycemia include:
Overmedication with insulin or Anti diabetic pills
Drinking too much of alcohol
Missed meals. Hypoglycemia may occur in people with cancer who are on chemotherapy, which often causes loss of appetite
Genetic defects in the regulation of Insulin release
Liver failure ? ability of liver to generate new glucose gets impaired
Pituitary and adrenal gland disorders affect the production of glucose
Symptoms of Hypoglycemia
Hypoglycemia means that there is not enough glucose reaching our brain. With drop in blood sugar our brain gets impacted immediately and we start feeling weak and fatigued. There is also a blurred/ impaired vision. Sometimes you tend to feel extremely hungry as well.
Other symptoms may also include-
Rapid or irregular heartbeat
Shaking
Sweating
Paleness, cold/clammy skin
Nausea
What to do when you feel hypoglycemic ?
If your blood glucose is less than 70 mg/dL, immediate action must be taken to increase the blood sugar level. In such a condition the healthiest thing to do is get your glucose levels up, immediately.
Get some carbohydrates into your body immediately ? snack on something sweet, maybe glucose tablets
Drinking fruit juices or simple plain water with added sugar also helps.
Check the levels again after 15 minutes and eat some other carb rich snack in case it is still low. Once you?re above 70, follow up with a protein snack to help stabilize your blood sugar.
Untreated mild to moderate hypoglycemia can lead to severe hypoglycemia and unconsciousness. Such a situation requires the intervention of a special and cannot be self treated.
How to prevent hypoglycemia?
Regularly checking your blood sugar level can help you keep it in your target range
Keeping quick fix foods around you whether in office or in the dashboard of your car is a good practice.
People with Hypoglycemia must check their blood glucose level frequently especially during long journey trips. If the person is driving, there could be trouble concentrating or seeing clearly.
Be aware of what causes the sugar levels to drop, when is it that it usually drops ? maintaining a record of these things will better prepare you to handle situations.
It?s critical to eat small snacks every 2-3 three hours. This helps prevent your blood glucose from falling too low.
Maintain a healthy body weight by consuming a healthy diet and engaging in adequate exercise.
Are you diabetic? Do you monitor your blood sugar levels?
5 people found this helpful

Know How Excess Sugar Affects Your Skin!

DNB, MD, MBBS
Dermatologist, Bangalore
Know How Excess Sugar Affects Your Skin!

You often consume a much higher amount of sugar than you should actually, as it is widely present in a very high number of foods and beverages. Research suggests that this excessive sugar consumption may ultimately be very harmful for your health - and that it may badly harm your skin. Experts believe that too much intake of sugar can make your skin look wrinkled or dull, and also lead to a host of other skin-related disorders. Here are the ways in which excessive sugar consumption affects your skin:

  1. Causes inflammation: Inflammation, caused by excess sugar intake, can be really damaging for the body - especially because it negatively impacts your immune system, and may lead to frequent breakouts on the skins and increased chances of pimples or warts.
  2. Increases wrinkling: Sugar's inflammatory properties not only lead to breakouts on the skin, but also cause wrinkles. Collagen, which is essential for healthy, supple skin, is broken down by sugar, which makes the skin look dehydrated and dull, also increasing the chances of premature wrinkling.
  3. Causes imbalances in blood sugar level: Excessive sugar consumption causes irregularities in blood sugar levels by initially increasing sugar levels, which then reduces when insulin in released into your cells. It often ends up making you hungry, moody or shaky and increases stress levels leading to dull looking skin.
  4. Leads to occurrence of acne: Increased intake of sugar results in stimulation of hormone levels which raises sebum production and in turn affects growth of skin cells. This may be reason of acne. If you wish to discuss about any specific problem, you can consult a dermatologist and ask a free question.
3007 people found this helpful

I am 51 years old man I am diabetic patient on insulin when I go to bed my legs so pain full suggest me what to do.

B.H.M.S
Homeopath, Patna
1. Syzygium q take 10 drop in a cup of water twice daily 2. China q 5 drop at bed tim in a cup of water.
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I have a thyroid problem my THS is 30 I have a used medicine 50 mg since 1 month can please suggest me what can I do now I feel very laznes body pain etc.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
Mr. lybrate-user, Unless hypothyroidism is well controlled with TSH level brought around 3 to 4 mU/L, all the symptoms will not be in check. So you will have to check TSH levels after 6 weeks and if still high, then dose of thyroxine will have to be increased. It I appears that starting dose given is too low. It should have been over 100 mcg. Thanks.
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How home made rich food can affect diabetes. I observed much increase in sugar level after intake of rich food. Can I take rich food once in a week.

MBBS, D.P.H
General Physician, Gurgaon
How home made rich food can affect diabetes. I observed much increase in sugar level after intake of rich food. Can I...
DIABETES IS A DISEASE OF DISCIPLINE. YOU HAVE TO FOLLOW THE DIET PLAN AS PER RULE TO MANAGE THE DIABETES, OTHERWISE IT HAS A NO. OF COMPLICATION LIKE HEART PROBLEM, KIDNEY PROBLEM, NERVE PROBLEM AND EYE PROBLEM IF DIABETES BECOMES UNCONTROLLED. YOU READ HEALTH TIP ON DIABETES AND DIET AT MY WEBSITE .Lybrate.com www /doctor/jagdishprasadmehrotra.
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Husband age - 31 years sgpt - 98 taking bp tablet daily taking b12 tablet - 3 months course including 10 injections (will be completed soon) high uric acid 7.9 can he take nutrilite milk thistle with dandelion for a month or two for sgpt and uric acid?

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.
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I have thyroid neoplasm 10mm. What to do and alternative medicine advice.

MD - Internal Medicine, MBBS
Endocrinologist,
I have thyroid neoplasm 10mm. What to do and alternative medicine advice.
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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,
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I am suffering diabetes since 14 years what should i do ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
As a supportive med you may switch to ayurvedic herbs. If there r positive effects, slowly decrease the med you are taking now with the advise of your physician.
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