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Dr. P.Dharmarajan

MBBS, Post Graduate Diploma in Diabetology (PGDD), MD - General Medicine

Endocrinologist, Chennai

26 Years Experience  ·  0 - 350 at clinic
Dr. P.Dharmarajan MBBS, Post Graduate Diploma in Diabetology (PGDD), MD - G... Endocrinologist, Chennai
26 Years Experience  ·  0 - 350 at clinic  ·  ₹ online
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. P.Dharmarajan
Dr. P.Dharmarajan is a trusted Endocrinologist in Saligramam, Chennai. Doctor has been a successful Endocrinologist for the last 26 years. Doctor has done MBBS, Post Graduate Diploma in Diabetology (PGDD), MD - General Medicine. You can consult Dr. P.Dharmarajan at VHM Hospital Pvt. Ltd. in Saligramam, Chennai. You can book an instant appointment online with Dr. P.Dharmarajan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 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.

Info

Specialty
Education
MBBS - Tanjore Medical College - 1990
Post Graduate Diploma in Diabetology (PGDD) - Madras Medical College, Chennai - 1993
MD - General Medicine - Madras Medical College, Chennai - 1998
Professional Memberships
Indian Medical Association (IMA)
Association of Physicians of India (API)
Research Society for the Study of Diabetes in India (RSSDI)

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No.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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7th Street, Kempatty Colony, Town Hall, Kovai, CoimbatoreCoimbatore Get Directions
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31, Vanniyar Street, Landmark : Behind SBI Bank & Oppsite To GRD Kalayan Mandapam, ChennaiChennai Get Directions
250 at clinic
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No 100 A/5, Ponnambalam Salai, K.K.Nagar,Landmark:Behind Amman Koil.Chennai Get Directions
350 at clinic
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No.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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# 36, 5th Main Road, Thillai Ganga Nagar, Landmark : Near Adambakkam Metro, ChennaiChennai Get Directions
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I am a diabetic, what measures should I take to control it. I am having matrid 2 tablet in morning. But still my sugar level remains 150 to 180.

MBBS, Diploma in Diabetology
Endocrinologist
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I am a diabetic, what measures should I take to control it. I am having matrid 2 tablet in morning. But still my suga...
Diet and exercise is mainstay of management. You can add gliptins to take care of your high sugars. They are weight neutral. Delays gastic emptying, preserves beta cells.

I'm a diabetic patient. My fasting sugar range always between 120 to 180 accordingly in 1 month back i've measured fasting 168mg thereafter stopping allopathy i've complete switchover to ayerved stop taking of allopathic drugs - now in between 1 month my sugar level raise in fasting - 260mg - I became fears - again started taking medicines glimet - ds - once in before breakfast & once before dinner - jalra-n-50/500mg at night before bedtime & vitmain - zyncovit after breakfast morning - please. Adv. This is the right way to continue my treatment or else any other treatment to adopt. Thanks.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello it is good that you have started allopathic treatment again. There is no other treatment than this. Now how are your sugar levels? if in control continue the same. Also check your hba1c it should be below 7. If not then treatment may have to be strengthened. Along with drugs you have to exercise and strive to maintain near normal weigh. Avoid deep fried foods and sweets.

I am suffering form diabetes for last three years but I am not able to keep my sugar level in control. What should I do for keeping my sugar level in control.

LCPS, BAM&S
General Physician
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I am suffering form diabetes for last three years but I am not able to keep my sugar level in control. What should I ...
Diabetes cannot be cured but controlled if you walk for 40 m. Every day, keep a strict diet and take regular medicines. The treatment of diabetes has to be monitored every 3 months by a diabetes specialist.

Infertility: How Best to Treat It?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist
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Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

Female factor - tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance

Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

Smoking: It increases risk of getting infertile and reduces the chances of treatment.

Alcohol: Consumption of alcohol is said to lower the sperm count in men.

Obesity: An overweight person has a higher chances of having sperm abnormality.

Workout: Less or very heavy work out is said to increase the chances of infertility.

Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

Sexually Transmitted Infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

Hormones Treatment

Drugs for fertility

Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births Two, Three or may be more.

Some Assisted Treatments are:

Intrauterine insemination

In Vitro Fertilization

Intracytoplasmic sperm injection

Donation of Sperm or Egg

Assisted Hatching

Electric or Vibratory Stimulation to achieve ejaculation

Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication!
Infertility: How Best to Treat It?

My dad is 67 years old. He is diabetic which he keeps under control by taking regular medicines. These days he is facing a urination problem. Means he can not hold his urge to urine for long. It comes out drop by drop. Please advice what all test we should carry out? Thanks in advance!

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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My dad is 67 years old. He is diabetic which he keeps under control by taking regular medicines. These days he is fac...
HELLO, Nocturia is defined as nocturnal urination. This means the need to get up in the night to go to the toilet. Needing to go to the toilet up to once during the night is considered to be normal. Needing to urinate more than once during the night could indicate a temporary or longer term problem may be present. Mainly Causes Diabetes insipidus High blood glucose levels Autonomic neuropathy Urinary tract infections Cystitis Prostate diseases Pregnancy Excessive fluid intake - particularly alcohol or caffeine intake Taking diuretic medications Parkinson’s disease Multiple sclerosis SO i advice daily monitor sugar and some times bp check

I am a 50 years old male having sugar in control using Reclimet twice a day. Can I take insulin daily? If yes. Please prescribe dosage.

MBBS, DNB (General Medicine)
Endocrinologist
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I am a 50 years old male having sugar in control using Reclimet twice a day. Can I take insulin daily? If yes. Please...
Anybody who is a diabetic can be started on insulin at any stage of the disease. Insulin is always given to a patient in a customised manner and there is no set dose for starting or continuing insulin. So you need to follow up with the doctor in person for setting your insulin dose.

I have a friend who is 27 year old. She has high blood sugar. She is insulin dependent. How she will control sugar level? How much calorie she need to take. please suggest diet. weight is 45 kg.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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I have a friend who is 27 year old. She has high blood sugar. She is insulin dependent. How she will control sugar le...
Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.

Can we avoid consuming tabs for diabetics if we exercise regularly. I am at brim stage of diabetics. My blood sugar while fasting was 111.

BHMS
Homeopath
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Can we avoid consuming tabs for diabetics if we exercise regularly. I am at brim stage of diabetics. My blood sugar w...
Diabetes is a condition wherein the endocrine function of the pancreas has reduced. That is insulin secretion is reduced. So maintaining a good control is about substituting the deficient insulin, controlling and regulating diet to avoid glucose overload - whether the insulin will feel overwhelmed and lastly keep up body activity to avoid excess storage of extra glucose. But thats all about maintaining - that problem is consistently present and so is your treatment. Coming out of treatment regimen - however - possible only if the original cause of the problem rectified - i. E. Insulin secretion maintained or increased. Hence, medicines can be tapered and may be finally stopped if the pancreas is able to resume secretion of insulin at normal ranges

I am diabetic and take lantus and novorapid twice daily and still my sugar is not in control what should be done?

MBBS
General Physician
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I am diabetic and take lantus and novorapid twice daily and still my sugar is not in control what should be done?
Your insulin dose may need modification. Consult Diabetologist with Fresh blood sugar and HBa1c report

My friend got sugar tested this year it was 111/141. Again after 1 week he got checked it is 82/101 and same period hba1c 6.4 one doctor told him he is diabetic and should start janumet medicine once in a day. And when he took second opinion other doctor told he is normal and do not need any medication only exercise. Pls suggest me should he start medicine for this report.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My friend got sugar tested this year it was 111/141. Again after 1 week he got checked it is 82/101
and same period h...
Mr. Lybrate-user, following are the criteria for deciding normal, pre-diabetes or diabetes. 1) normal: fbs 70 to 110 mg / 100 ml, pp <140 mg, hba1c% <5.9. 2) pre - diabetes fbs 108 to 125 mg, pp 141 to 199 mg, hba1c% 5.9 to 6.4 3) diabetes: fbs 126 mg and above, pp 200 mg and above, hba1c% 6.5 and above. I hope things are clear. For pre diabetes exercise and diet is enough to control or prevent developing of diabetes. Thanks.

I have thyroid n my level was 6.2n now it is 3.8 taking thyroxine 25mg tablets and I feel fatigueness all the time so kindly suggest something so that I can be energetic all day without taking energy tablets.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Chitraji, with current tsh level on 3.8 milli units/ml, your thyroxine dose is correct. At that level of tsh all the symptoms get fully suppressed. Feeling tired is seen when tsh levels are higher meaning hypothyroidism is not in control. If you still feel fatigued, get your hemoglobin checked, and if it is low take appropriate treatment. In addition, follow all the guidelines about avoiding soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Consume more of green leafy vegetables and fruits and use whole grain flour for making chapati and roti. Exercise daily for at least 1 hour. By following this you will feel energetic.

I have attacked with diabetis having the range of 180. Shall I take medicine regularly? Is there any other way-out to control sugar?

Post Graduate Diploma In Dietetics
Dietitian/Nutritionist
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Yes medicines are supposed to be taken daily. Diabetes is a vast subject and normally one diabetic differs from another. The best thing about diabetes is unlike other ailments this if taken care off can be controlled effectively. Diabetes is a problem which requires lot of self-control. Certain foods and lifestyle changes can show long term results on your health. Depending on the type of diabetes you have, your food habits, age and body type your treatment, insulin counts and monitoring should be scheduled. I can help you with carbohydrate counting to correct insulin techniques and monitoring your sugar levels whatever the need be.Diabetics require personalized care when it's about the diet-plans and activities that are needed to be done. A professional advice in this regard is a must in order to manage diabetes effectively. I hold expertise with Diabetics as I am a Certified Diabetes Educator apart from being a Consultant Dietitian. You can consult me privately online for any advice related to Diabetes.

My father is a diabetes patient since 7 years and he is taking insulin since 4 years. I am his son and I am the only one who can give insulin to my dad but now I want my father to take insulin by himself. So I want to get him insulin pen so that he can easily take it. My dad has been prescribed with Human Mixtard 30/70 insulin, so I would like to know which insulin pen would be compatible with it and how to use it. Is all the insulin pen compatible with any insulin liquid?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My father is a diabetes patient since 7 years and he is taking insulin since 4 years. I am his son and I am the only ...
Mr. lybrate-user, There is brand by name "Mixtard 30/70 InnoLet 3 ml injection. Usually concerned company persons do visit and explain how to use the Insulin Pens. So while buying it from the local chemist ask him to send the particular company representative to demonstrate the usage. The cartridges are 3 ml while vial is bigger. So please get all the details before switching over. Pens are definitely much easier to use. Thanks.

I have a high Tsh level with normal T3 and t4 levels. 3 tests at 3 month intervals gave 19.32, 22.03, 11.57. The doctor suggested me to use thyronorm 25mg tabs. Do I need to use these for life long or are these ranges normal, for past 1 years I have gained around 8 kgs of weight. Is this related to my thyroid problem.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Please give current tsh and t3, t4 levels. If you have gained weight, means there is presence of hypothyroidism. To confirm whether there is hypothyroidism or not please give current test results.

Hello Doctor I am 45 Years I got sugar in 27/06/2006 fasting was 100 post Lunch was 147 so average fasting 150-180 post lunch 180-230 08/jun/2015 HbA1c is 8 (ABG) IS 183 I am using zoril M1 forte and for BP sartel 80 my Bp is 180/90 the heart beat will be 100 please guide me thank you.

MBBS
General Physician
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Hello Doctor I am 45 Years I got sugar in 27/06/2006 fasting was 100 post Lunch was 147 so average fasting 150-180 po...
Your bp is slightly higher need a to be controlled. One addition of tablet is necessary. Also the hba1c should be below 7. Follow strict diet controls.

Hi. I am sridhar I am 85 kg. Vegetarian. Having medium sugar. Bmi say 60 kg. How do I reducexpect 25 kg also I have a belly too. Sridhar.

MSc
Dietitian/Nutritionist
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Hi. I am sridhar I am 85 kg. Vegetarian. Having medium sugar. Bmi say 60 kg. How do I reducexpect 25 kg also I have a...
Hi lybrate user firstly, start doing surya namaskar in morning and start eating triphla chooran (natural medicine) in morning empty stomach with luke warm water. Start a fruit dieting every alternative day, means you have to eat fruits every alternative days & normal fruit every other alternative days. Avoid late night dinners and try to eat nothing after sunset. Sit in vajrasana after every meal you eat for 10 minutes. Walk atleast 30 min in morning.

I am diabetic patient and married now, planing for baby boy, so would it affects my sex life & what are chances that my baby have diabetes?

M.D. Internal Medicine
Endocrinologist
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I am diabetic patient and married now, planing for baby boy, so would it affects my sex life &  what are chances that...
If you have diabetes and your wife does not have diabetes or does not have family history of diabetes then there are 50% chance of your child developing type -2 diabetes at later stage in life. However if life style modification done in early stage 8years that is before your child becomes 18 years of age can cause genetic suppression or silencing of diabetic gene and scientific possibility that your child may never develop diabetes or pass diabetic genes to next generation.

I am a 40 years old diabetic patient last 8 years, my fbs is 119 mg/dl, ppbs is 108 mg/dl, HBA1c is 5.7 mg/dl but my creatinine is 1.4 mg/dl and blood pressure is 150/90 mg/dl. What are my Ricks? How to control my creatinine and pressure by diet? Earlier I eat too much salt but now I don't eat salt. Give some diet tips of blood pressure and creatinine.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician
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I am a 40 years old diabetic patient last 8 years, my fbs is 119 mg/dl, ppbs is 108 mg/dl, HBA1c is 5.7 mg/dl but my ...
Please take one small tea spoon of salt daily means restricted salt (normaly we allow 2 tsf salt) use iodised salt. No ghee to chapati brisk walking 30 min/day. Use plenty of salad and fruits. Tension free life.

I am diabetic but under control. For the last month I have BP 90/145. I am taking TelmoH but it is not lowered. What to do?

MBBS
General Physician
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Normal BP at your age is less than 150/90,means it is under control. Continue all the medicines. Check your life style. Reduce salt in any form. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI
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