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Dr. Natrajan

Endocrinologist, Chennai

300 at clinic
Dr. Natrajan Endocrinologist, Chennai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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Dr. Natrajan is one of the best Endocrinologists in Anna Nagar, Chennai. You can meet Dr. Natrajan personally at A Natarajan Clinic in Anna Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Natrajan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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#272, 58/B,5th Avenue, Anna Nagar,Landmark: Next to Hotel Saravanabava,Anna nagar, ChennaiChennai Get Directions
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Test and Devices for Diabetes Patient

Homeopath,
Test and Devices for Diabetes Patient

Home management
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:

Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.

Finger-prick test. A typical blood sugar test includes the following:

A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.


To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:

Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:

Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Glycosylated hemoglobin
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.

Urine tests
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.

4 people found this helpful

I am diabatic since feb 2016. Now taking insulin from last two year. I am facing knee pain and joint pain from last 9 - 10 months. Please advice me for better treatment.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am diabatic since feb 2016. Now taking insulin from last two year. I am facing knee pain and joint pain from last 9...
Hello , must be from bef 2014, 2016 is in near future:) pls continue the medication suggested by doctor for diabetes. But for joint pains pls go with calcium fro diet like mutton paya, milk, egg, ect. Let me suggest you best food supplements also for quick recovery from diabetes and join pains. Lets do a private consultation, have a nice day.
1 person found this helpful
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Hello Doctor, I'm 25. My father has diabetes and his father had too. What should I do to avoid getting diabetes? Please advice.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hello Doctor,
 I'm 25.
My father has diabetes and his father had too.
What should I do to avoid getting diabetes? Ple...
Hye. Thanks for the query. You need to maintain a healthy lifestyle and healthy weight. A healthy lifestyle involves, choosing a balanced diet and healthy eating plan. A healthy eating plan: Emphasizes fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products Includes lean meats, poultry, fish, beans, eggs, and nuts Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars Stays within your daily calorie needs A healthy eating plan that helps you manage your weight includes a variety of foods you may not have considered. If" healthy eating" makes you think about the foods you can't have, try refocusing on all the new foods you can eat—  Fruits ― don't think just apples or bananas. All fresh fruits are great choices. Be sure to try some" exotic" fruits, too. How about a mango? Or a juicy pineapple or kiwi fruit! When your favorite fresh fruits aren't in season, try a dried variety of a fresh fruit you enjoy. One caution about canned fruits is that they may contain added sugars or syrups. Vegetables ― try something new. You may find that you love grilled vegetables or steamed vegetables with an herb you haven't tried like basil/tulsi. You can sauté (panfry) vegetables in a non-stick pan with a small amount of cooking oil. Commit to going to the green grocery and trying a new vegetable each week. Calcium-rich foods ― you may automatically think of a glass of low-fat or fat-free milk when someone says" eat more dairy products. But what about low-fat and fat-free yogurts without added sugars? These can be had in a wide variety of flavors and can be a great dessert substitute for those with a sweet tooth. A new twist on an old favorite ― if your favorite recipe calls for frying fish or breaded chicken, try healthier variations using baking or grilling. Maybe even try a recipe that uses paneer or soya nuggets in place of higher-fat meats. Healthy eating is all about balance. You can enjoy your favorite foods even if they are high in calories, fat or added sugars. The key is eating them only once in a while, and balancing them out with healthier foods and more physical activity. Some general tips for comfort foods: Eat them less often. If you normally eat these foods every day, cut back to once a week or once a month. You'll be cutting your calories because you're not having the food as often. Eat smaller amounts. If your favorite higher-calorie food is a chocolate bar, have a smaller size or only half a bar. Try a lower-calorie version. Use lower-calorie ingredients or prepare food differently. For example, if your kheer recipe uses whole milk, ghee, whole fat cream try remaking it with non-fat milk, less ghee, light cream. Just remember to not increase your portion size. The point is, you can figure out how to include almost any food in your healthy eating plan in a way that still helps you lose weight or maintain a healthy weight.
2 people found this helpful
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My age is 24 years , I have diabetes since one year and now it is high pp 300 . Is it possible to lower my sugar level without taking medicines ?

MBBS, PG Diploma in HIV Medicine
General Physician,
My age is 24 years , I have diabetes since one year and now it is high pp 300 . Is it possible to lower my sugar leve...
Mr. Lybrate-user. You are weighing more for your age and height and may be the reason for early onset of diabetes at an age of 24. Obesity causes insulin resistance, so you need to concentrate more on your weight reduction with some physical activity. In allopathy you need to take meds to control diabetes. To bring sugar levels to normal. 2/3of the sugar levels should be controlled by physical activity and for remaining 1/3 you need to take medication. This usually lessens the long term complications of the diabetes, reduced dose of the drugs and prevent early drug resistance. You need regular physician's care for your present health status. Contact if need further assistance.
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Hi, I am a diabetic please tell me the difference between type 1 n type 2 diabetes.

MBBS
General Physician, Jalgaon
Hi, I am a diabetic please tell me the  difference between type 1 n type 2 diabetes.
Please Type 2 diabetes is maturity onset diabetes, responds well to oral hypoglycemics Type 1 is juvenile diabetes, needs insulin only.
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I am 19 years old male and I am suffering from thyroid from 2 years to get rid from this I am using a medicine named thyronorm. Bt still it is not giving relief to me my face always swells after waking from bed. I can not understand what should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, hypothyroidism has to be treated with thyroxine tablets as being done with you. However, it is important to bring tsh levels between 3 to 4 milli units /l, then only all the symptoms are well in check. So please check tsh and if the level is higher than mentioned above, dosage may have to be increased. Along with this you have to avoid soy beans, soy containing products, cabbage, cauliflower, radish, broccoli, peanuts, mustard and coffee. Plus take whole grain products, avoid refined flour (maida) made products. Consume great deal of green leafy vegetables and salads. Also eat good deal of fruits. Exercise regularly to keep weight in check. Thanks for the question.
4 people found this helpful
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My mom have a thyroid problem since 7-8 year. Treatment are no very effective so please provide a better information what to do.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mom have a thyroid problem since 7-8 year. Treatment are no very effective so please provide a better information ...
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 consult doctor on time.
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I am suffering hyper thyroid. Since 2009. And now I am taking neo mercazole tablets 5 mg. Per day. Give me permanent remedy.

DM - Endocrinology
Endocrinologist, Hyderabad
Surprise to see that you are still taking this medicine. This can be cured permanently. Please review with your recent report.
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I want to ask is it necessary to take thyroid medication if my t3 and t4 are normal but tsh is raised from normal range. Kindly tell me.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
T3 and t4 may remain normal. Tsh being high indicates a signal that your thyroid gland is under stress. Especially so if your tsh is beyond 10. Free t3 and free t4 have higher significance in this regard then just total t3 and total t4. It is highly recommended that you keep on taking the medicines if you're already taking or you get tested for anti tpo to get the full picture before we start medicines.
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High BP & Diabetes - Are They Related?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
High BP & Diabetes - Are They Related?

What is High Blood Pressure?

High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.

What is Diabetes?

Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.

The Connect-

According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.

In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.

Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.

2988 people found this helpful

What is the difference between the tablet sr 500 and glycomet 250 mg? I fee sr500 is not responding after changing from glycomet 250 mg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the difference between the tablet sr 500 and glycomet 250 mg? I fee sr500 is not responding after changing fr...
The difference is sr means sustained release, where the drug metformin is released over 12 hrs at a constant rate and the drug action is prolonged. Normal tablet releases the drug in about an hour or so, action lasts for lesser time. Sr tablets also produce lesser gastro intestinal side effects.
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Is TSH hormones Can responsible for hair fall My present Tsh results was 1.67 ul/ml It is sample taken at 1 pm Can I suffering by hypothyroidism or hyperthyroidism? Pls see the test results and advice me.

PDDM, MHA, MBBS
General Physician, Nashik
Is TSH hormones
Can responsible for hair fall
My present Tsh results was 1.67 ul/ml
It is sample taken at 1 pm
Can I ...
Yes, thyroid disease is associated with hair loss. Your tsh value is normal but ideally it should be done fasting.
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My age is 33 running and I feel so tired. My dad is suffer from diabetes and I have a doubt about me also.

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Please take an herbal medicine nutridiabe - 1 tablet a day for 1 month and then after a gap of 1 - 2 month again for 1 month. This will reduce your chances of geting diabetes. Nutridiabe is totally herbal medicine and very good for prediabetics or for the people who have family history of diabetes and are prone for diabetes in near future. Nutridiabe is totally herbal medicine. Also take tablet maxmen - 1 tablet morning and evening each. This will give you extar energy and vigor.
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Hi I am suffering from hypothyroidism, weight is 57 kgs, height is 5.1, am I overweight? Do I need to loose weight to keep my thyroid under control, I'm currently taking Thyrox 50 Mg, also I wanted to know can I have sea food as I am diagnosed with hypothyroidism.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi I am suffering from hypothyroidism, weight is 57 kgs, height is 5.1, am I overweight? Do I need to loose weight to...
i will suggest you to reduce weight as it has many effects on health... And for thyroid you should consider taking homoeopathic treatment as it is permanent and very safe to take.. no need to take the medicine life long... And as far as sea food I don't think there is an issue until you have specific allergy...
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I was having thyroid for like 1year and I was taking eltroxin medicine for 8 months and another doctor told me to stop this medication and carry out a report so now ny isthmus is 2.9mm, no she says to not to take any medicine. Sp do I stop the medicine or I will have to take any in future?

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Dear hyder, hypothyroidism is of many types. Autoimmune hypothyroidism requires permanent replacement but to prove we've to check for thyroid antibodies. At times the condition if mild and drug induced itcan reverse. But keep checking tsh regularly to diagnose recurrence.
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My age is 17 and my weight is alot and always increase. I don't have sugar and I don't eat much carbohydrate but I don't do exercises as it is difficult . I have tried lemon with honey juice but not worked. Please help me . And I have checked thyroid. Its ok.

PDDM, MHA, MBBS
General Physician, Nashik
My age is 17 and my weight is alot and always increase. I don't have sugar and I don't eat much carbohydrate but I do...
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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I am 66 male, diabetic 13 years, had heart attack 7years ago, had bypass surgery 6 years ago, on stage diabetes. Medicines taking: Glinase XL 10 + Glyciphage 1g 3 times a day.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 66 male, diabetic 13 years, had heart attack 7years ago, had bypass surgery 6 years ago,  on stage diabetes. Med...
If you want to ask about your diabetic control. Please check your fbs, 2 hr ppbs & hba1c and send it to me. Based on that I can help.
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I am 67 m with diabetes2. Taking metaformin 500 three times bs level 135 to140 mg pp. Any advise.

MBBS
General Physician, Cuttack
I am 67 m with diabetes2. Taking metaformin 500 three times bs level 135 to140 mg pp. Any advise.
Your blood sugar is under control. Continue with the medicine. Go for regular walk and control your diet by avoiding sweet and excess carbohydrate
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He was suffering from diabetes from past 15 years. He had never taken the insulin. But from past 1 year he had swelling in his left leg also he is handicapped. Plss sugest me why he has swelling in his left leg?

MBBS
General Physician, Noida
He was suffering from diabetes from past 15 years. He had never taken the insulin. But from past 1 year he had swelli...
It can be because of Varicose veins in left leg,a venous doppler of lower limbs can help diagnose the condition.
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Im a diabetes patient and my foot is infected foot and it is very cracked foot can you tell me how to cure my foot.

MBBS
General Physician, Mumbai
Im a diabetes patient and my foot is infected foot and it is very cracked foot can you tell me how to cure my foot.
Keep your diabetes and infection under control and clean the wound with normal saline and apply betadine solution and take oral medication only after consulting your doctor
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