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Dr. P Selva Pandian

MBBS, MD - Diabetology

Endocrinologist, Chennai

25 Years Experience
Dr. P Selva Pandian MBBS, MD - Diabetology Endocrinologist, Chennai
25 Years Experience
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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 Selva Pandian
Dr. P Selva Pandian is an experienced Endocrinologist in George Town, Chennai. He has had many happy patients in his 25 years of journey as a Endocrinologist. He studied and completed MBBS, MD - Diabetology . You can meet Dr. P Selva Pandian personally at Kamatchi Diabetics & Research Center in George Town, Chennai. Book an appointment online with Dr. P Selva Pandian and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 41 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 - Banglore University - 1992
MD - Diabetology - New Castle University, Austrelia - 2000
Languages spoken
English

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No 51 A, Near Broadway Cinema Theatre, Thaiyappaan StreetChennai Get Directions
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My blood sugar is 180-fasting, what I do?

MBBS
General Physician,
Also do ppbs and take diabetic diet for now and if ppbs is also more than 250 then we will start with glyciphage.
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Sir, I am 36 year old with family history of diabetic, triglyceride & cholesterol. My report also showing minor increase in triglyceride & cholesterol. Diabetic report is ok. Can you suggest some treatment.

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
Sir, I am 36 year old with family history of diabetic, triglyceride & cholesterol. My report also showing minor incre...
Hi though your diabetes report fine, you have to take precaution in sugar intake as it runs in your family. For cholesterol stop fried intake, you can switch over to rice bran or olive oil. Eat more steamed or roasted form of nonveg if you eat non veg. Avoid egg yellow. Have only egg whites walk daily
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Hypothyroid aur hyperthyroid me farak bataye ?

C.S.C, D.C.H, M.B.B.S
Pediatrician,
Hypothyroidism is the result of lack of thyroid hormone and hyperthyroidism is increase in thyroid hormones. Ask privately www.Lybrate.Com/drsajeev.
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My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Please suggest some effective medicines. Thank you.

MSc
Dietitian/Nutritionist, Chandigarh
My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Pl...
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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CURE INFERTILITY WITH THE HELP OF AYURVEDA

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
When a couple is not able to conceive after a year of regular sex on their fertile days (without contraceptives), they are said to be infertile for some reason. Infertility can be cured although some of the problems are difficult to treat especially when the mother is over the age of 35 years. Stressed modern life and an increased use of chemicals and pesticides in our food is a huge cause of infertility in both men and women.

There are several herbal treatments available to help infertile couples and one such treatment is known as Ayurveda.

Ayurveda highlights the importance of a healthy body of the woman even before conception. Dried asparagus is used in the preparation of Ayurveda and it contains proteins, carbohydrates, natural steroids, and polysaccaroids. Infertile couples can use its tonic that revitalizes their reproductive system. This herb has proven extremely useful in the treatment of male side fertility problems i.e. premature ejaculation, impotence, lower sperm count, or less motile sperms. Visiting a reputable infertility clinic (link to sablok clinic goes here) will help you a lot.

Ayurveda is highly effective for female fertility problems and its regular use prepares a woman’s body for conception. Reproductive strength of the couple actually depends on the fitness of reproductive tissues in both man and woman. The woman releases her ovum as a result of her menstrual cycle while a man releases his semen (containing sperms) when his reproductive system receives stimulation from the environment. The reproductive cycle needs energy that the body gets from the digestion of food intake. As a result, when a person eats healthy food, he is likely to acquire a stronger body and powerful reproductive sperms, hence resulting in the production of healthy babies.

Ayurveda fertility treatment assumes the fertility to be the result of the transformation of sperm and egg and if there is any hindrance in the way, the process doesn’t occur. This process will not initiate unless it is rejuvenated by ensuring the health and strength of both egg and sperm. Ayurveda experts suggest that there are certain foods that strengthen the reproductive system better than others. These foods include milk, pomegranate, almonds, pumpkin, honey, and sesame seeds. Ayurveda also suggests a detoxification program that involves simple eating and a regular oil massage. The treatment emphasizes eating khichdi on daily basis as it considers it to be the best healing food. Besides khichdi, the patient should take spice tea to clear toxins in his or her body. Daily massage of sesame oil also helps in conception as it dilates the skin of the patient.

Ayurveda treatment specialists also recommend that the environment and preparation of making love and having sex is also important. It is necessary to set a background that contains an aromatic and romantic ambiance over a soothing and relaxing couch or bed. This union is very important in that two forces are going to merge together to produce a new life. Peace of mind is necessary to achieve success in the process. For more details you can contact us at our helpline number.
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Hello doctor, I am a diabetic patient since 5 years. Now in my abdomen TB virus has been detected and from today only I have started taking R cinex 600, combutol 1000, pyzina 750 (2wice daily) and benadon. I am also taking the previous medicine also. I.e. Eltroxin 100 for thyroid, glisen 2 & cetaphil xr 500 (2wice daily) for diabetes, olmy 40 for BP, rozavel 5 for cholesterol, febuget 40 for euric acid. Kindly suggest the combination of all these medicines are ok or not ? What are the precautions should I take while taking these medicines ?

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
Hello doctor, I am a diabetic patient since 5 years. Now in my abdomen TB virus has been detected and from today only...
combination of the above medicines is ok, and they are essential for your well being. Precaution is only diet and enviroment. you should have good ventilation in the house. prevent musty and dark areas in your house. you need to take good protinous and nutritious diet. though you are diabetic and under food restriction you need to take nutritious diet for recovery from tb, so except sugar and sweets, take sufficient quatity of food what ever that is cooked in the house add some proteins like milk, non veg, eggs etc., and basing on the sugar levels increase the dosage to diabetic medicines. Have some physical activity like walking and yoga etc.,for tb apart from medicines diet is an important factor.
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Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is also a diabetes patient so I just wanted to know the diet and precautions for him please suggest me as soon as possible.

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is al...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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Hi I am a diabetic n take insulin but still my sugar level shoots up even if I eat anything . Kindly suggest what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am a diabetic n take insulin but still my sugar level shoots up even if I eat anything . Kindly suggest what to do.
Mr. Lybrate-user, there needs to be proper titration of blood glucose levels and insulin dosage plus dietary intake. First fasting glucose should be concentrated and brought under strict control, by adjusting insulin dosage at night. Later day time or pre lunch and post lunch blood glucose can be corrected by making necessary adjustment of insulin dose. Plus your diet has to be looked at and also the amount of exercise undertaken daily. Thanks.
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What are the treatment line for Diabetic Type II patient, aged 56 year & suffering sinc last 5 years.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What are the treatment line for Diabetic Type II patient, aged 56 year & suffering sinc last 5 years.
take medicines regularly Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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Hello doctor; my problem is that I was recently detected high diabetes during my medical exam, since I work abroad. My sugar level fasting 160/253 pp plasma glucose. My age is 41 years height 5'9" weight 99 kgs. My doctor advised tab glimsave m2. But is not helping mi out as I wave to clear medicals asap. Kindly advise thank you.

BSc
Ayurveda, Ujjain
You take noni syrup 10 ml in a glass of normal water stair well consume 5 minutes after 30 minutes take meals mor/eve continue your medicine check your sugar if reduce than reduce your medicine accordingly.
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My mother is type 2 diabetic and asthma and mentally disturbed means she has doubts about his her husband and his son (ie. About me) and also daughter-in-law etc who are they sex with others without relation and age also, she is thinking that she is only good all are bad. Now she is taking human mixtard 40 insulin 20 ml morning and night 15 ml for doctor suggestion. While she is using homeopathy medicine to control diabetic and mental stress by homeo doctor.(what medicine I don? t know) what it may be I want good solution to control all problems sir. Respected sir, her age may be 63 years my mother diabetic reports on 08/04/2015 which are pbs -126 mg/dl pibs-306 mg/dl bp-120/70 hba1c -12.0%(your mean blood glucose is 345 mg/dl) medicine humanmixtard 40iu and glucomet-500 mg afternoon, supporting medicine is homeopathy, glycomect500 which is not using regularly and she is also take medicine irregurly.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
A diabetic person also need to attend counselling session along with their medications. Her symptoms are part of the illness. Besides this, it must be difficult for you to manage with your mother's doubting nature. It may not be possible to control everything but only those things that are under your control. Some things you may have to live with and in this case you need to know how to manage and cope with it. Counselling will help you to find this balance and tools to manage your issues in the best way. If you have any queries about this please contact me on private chat.
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What is Calcarea carbonica? Can I take it as I am having hypothyroid and weight is gaining. What dosage will be better?

BHMS
Homeopath, Delhi
What is Calcarea carbonica? Can I take it as I am having hypothyroid and weight is gaining. What dosage will be better?
Hi lybrate-user calcarea card is a homoeopathic medicine. It can be used for people gaining weight but only if the symptoms match. If some doctor has prescribed you then you can take calcarea carbonica 200 1 dose only. Thyroidinum 1x is the medicine specifically for hypothyroid in homoeopathy.
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My wife is not conceiving as it's 18 months passed of our marriage, she has thyroid problem but it's Normal now as she is taking medicine for that, and one lady doctor suggested OVALIFE plus for 3 months but no positive results till now. She has 28 days cycle of menstruation and bleeding is for 4 days only and some times period comes 3 -4 days earlier and sometimes 7 days later. please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is not conceiving as it's 18 months passed of our marriage, she has thyroid problem but it's Normal now as sh...
Mr. lybrate-user, For conception to occur hypothyroidism has to be in absolute control, with TSH preferably below 2 mU/L. If not then conception is unlikely to occur. Plus according to American Thyroid Association during pregnancy oo the levels of TSH should be as follows: 1st trimester: 0.1 to 2 mU/L, 2nd Trimester 0.3 to 3 m U/ L & 3rd Trimester 0. 3 to 3.1. So please check the that first. Thanks.
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My father is a patient of diabetes, what should he eat and what should he neglect to keep help the maintain the sugar level.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My father is a patient of diabetes, what should he eat and what should he neglect to keep help the maintain the sugar...
To help manage your diabetes, your meals need to be: • Regular and spread evenly throughout the day • Lower in fat, particularly saturated fat • If you take insulin or diabetes tablets, you may need to have between meal snacks Matching the amount of food you eat with the amount you burn up each day is important. Not putting too much fuel in your body (keeping food intake to moderate serves) is vital to getting the right balance. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, reduce your blood fats (cholesterol and triglycerides) and maintain a healthy weight. . It is important to recognise that one diet does not fit everyone with diabetes. So my slogan for all diabetics is 'One Diet does Not Fit All'. So every individual diabetic should consult a dietician to plan a way according to individual body,tastes and requirements.Only then can you control your blood sugar levels. Fat Fats have the highest energy (kilocalorie) content of all foods. Eating too much fat can make you put on weight, which may make it more difficult to manage blood glucose levels. While it is important to try and reduce fat in your diet, especially if you are trying to lose weight, some fat is good for health. Saturated fat It is important to limit saturated fat because it raises your LDL (‘bad’) cholesterol levels. Saturated fat is found in animal foods like fatty meat, milk, butter and cheese. Vegetable fats that are saturated include palm oil (found in solid cooking fats, snack foods or convenience foods) and coconut products such as copha, coconut milk or cream. To reduce saturated fat: • Choose reduced or low-fat milk, yoghurt, ice-cream and custard • Choose lean meat and trim any fat off before cooking • Remove the skin from chicken (where possible, before cooking) • Avoid using butter, cream, sour cream, coconut milk, coconut cream and hard cooking margarines • Limit the amount of cheese you eat and try reduced-fat and low-fat varieties • Limit pastries, cakes, puddings, chocolate and cream biscuits to special occasions • Limit pre-packaged biscuits, packet snacks, cakes, frozen and convenience meals • Limit the use of processed deli meats ( chicken loaf, salami etc) and sausages • Avoid fried takeaway foods such as chips, fried chicken and battered fish and choose BBQ chicken (without the skin) and grilled fish instead • Avoid pies, sausage rolls and pastries • Rather than creamy sauces or dressings, choose those that are based on tomato, soy or other low fat ingredients. As some tomato and soy sauces can be high in salt, choose low-salt varieties or make them yourself without any added salt. • Limit creamy style soups. Polyunsaturated & monounsaturated fats Eating small amounts of polyunsaturated and monounsaturated fats can help ensure you get the essential fatty acids and vitamins your body needs. Polyunsaturated fats include: • Polyunsaturated margarines (check the label for the word ‘polyunsaturated’) • Sunflower, safflower, soybean, corn, cottonseed, grapeseed and sesame oils • The fat found in oily fish such as herring, mackerel, sardine, salmon and tuna. Monounsaturated fats include: • Canola® and olive oils • Some margarines • Avocado. Seeds, nuts, nut spreads and peanut oil contain a combination of polyunsaturated and monounsaturated fat. Ideas for enjoying healthy fats • Stir-fry meat and vegetables in a little canola® oil (or oil spray) with garlic or chilli • Dress a salad or steamed vegetables with a little olive oil and lemon juice or vinegar • Sprinkle sesame seeds on steamed vegetables • Use linseed bread and spread a little canola margarine • Snack on a handful of unsalted nuts, or add some to a stir-fry or salad • Spread avocado on sandwiches and toast, or add to a salad • Eat more fish (at least three times a week) because it contains a special type of fat (omega-3) that is good for your heart. • Do more dry roasting, grilling, microwaving and stir-frying in a non-stick pan • Avoid deep fried, battered and crumbed foods Carbohydrate I recommend to eat a moderate amount of carbohydrates for all Diabetics means, on a plate, approx, 1/4 of the plate should be carbohydrate foods. Carbohydrate foods are the best energy source for your body. When they are digested they break down to form glucose in the bloodstream. Insulin takes the glucose out of the blood and deposits it into the muscles, liver and other cells in the body where it is used to provide energy. A regular carbohydrate intake is required to provide our body and brain with instant energy. Most foods contain carbohydrate and also provide us with fibre, vitamins and minerals. Very low carbohydrate diets are not recommended for people with diabetes. If you eat regular meals and spread your carbohydrate foods evenly throughout the day, you will help maintain your energy levels without causing large rises in your blood glucose levels. If you take insulin or diabetes tablets, you may need to have between meal snacks. Discuss this with your doctor or dietician. All carbohydrate foods are digested to produce glucose but they do so at different rates – some slow, some fast. The glycemic index or GI is a way of describing how a carbohydrate containing food affects blood glucose levels. The type of carbohydrate you eat is very important as some can cause higher blood glucose after eating. The best combination is to eat moderate amounts of carbohydrate and include high fibre foods that also have a low GI. Sugar A healthy eating plan for diabetes can include some sugar. However, it is important to consider the nutritional value of the foods you eat. In general, foods with added sugars should be consumed sparingly (manufacturers sometimes use fruit juice or other sources of sugar to avoid using table sugar). In particular, high energy foods such as sweets, lollies and standard soft drinks should not be consumed on a regular basis. Some sugar may also be used in cooking and many recipes can be modified to use less than the amount stated or substituted with an alternative sweetener. Select recipes that are low in fat (particularly saturated fat) and contain some fibre. Alternative sweeteners The use of intense sweeteners by people with diabetes is preferable to use of natural sugars. Protein Choose protein foods that are also low in fat. This will help to reduce the amount of saturated fat you eat. Protein foods include lean meat, poultry without the skin, seafood, eggs (not fried), unsalted nuts, soy products such as tofu and pulses (dried beans and lentils). Herbs, condiments & drinks You can use these following foods nd add flavour and variety to your meals. • Herbs, spices, garlic, chilli, lemon juice, vinegar and other seasonings. • Products labelled ‘low calorie’ (e.g. low calorie/diet soft drinks, low calorie jelly). • Tea, coffee, herbal tea, water, soda water, plain mineral water. • Limit your alcohol intake if you choose to drink
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Sir my mom is suffering from thyroid she has major problem with digestion is it be due to thyroid? Please advise.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Sir my mom is suffering from thyroid she has major problem with digestion is it be due to thyroid? Please advise.
Yes, it's due to thyroid. Hello, we have self made specialised medicine prepared for complete management of thyroid. It includes correction of weight, stopping hair fall and alleviating other symptoms such as weakness, lethargy, increased sleep, infertility etc. This is how this treatment minimizes dependence on artificial hormones and stimulates thyroid gland to produce it's own natural hormone. At the same time, this treatment increases metabolic rate thereby helping maintain good weight over long term.
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I am suffering from Diabetes & hypertension.Please do help

DBCM (AM) General Physician
Alternative Medicine,
. Try eating lots of garlic. If u cant have it get it homeopathically allium sativum q 5-7 drops thrice a day,(biochemic) nat phos 30x, avoid all types of fats and red meat. (biochemic) kali dichrom, bio combination number 7, (homeo) gymnema sylvestre, syzygium jambolanum. Its for diabetes. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private
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Is it possible that one may have diabetes even after sugar level is within limit in sugar check up at morning fasting? I was get declared diabetes two years later but for the last two years I got my results of sugar checkup negative whenever I went for testing in morning with fasting condition. In Last two years I controlled my diet and I have not taken any medicine till now. Even though I feel fatigue very often so I am confused.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
Is it possible that one may have diabetes even after sugar level is within limit in sugar check up at morning fasting...
Check your hba1c level. If it is more than 6.5%, than you are diabetic, and having high sugar level at some time of the day. Fatigue feeling has many reasons apart from diabetes, so check with your doctor for the same.
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I'm 22 and having thyroid problem. I am really good at sports, eat well (no junk), and work out daily but I am unable to reduce my weight. Please help.

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
I'm 22 and having thyroid problem. I am really good at sports, eat well (no junk), and work out daily but I am unable...
Dear, it take time to reduce weight but it will be reduced for sure. Start following these tips eat small & frequent meals, it should not be only 3 meals per day avoid fried foods, rice & paranthas take more of green tea instead of normal avoid sweetened drinks auch cold drinks, glucose, shakes, coffee and all. Always carry some healthy food options in your working hours drink lukewarm water before & after meals do walk for at least 45 minutes everyday.
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I am 58 year old and I am suffering with diabetes and I am using glyciphage g1 Sugar levels are not come down pl suggest what to do.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
I am 58 year old and I am suffering with diabetes and I am using glyciphage g1
Sugar levels are not come down pl sugg...
Dear please start taking glyciphage 1g twice a day and repeat sugar f&pp after 7days and you can consult privately with abive reporrt and bp reading and lipid profile blood urea s creatine and microalbuminuria report.
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