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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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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 27 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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Specialty
Education
MBBS - Banglore University - 1992
MD - Diabetology - New Castle University, Austrelia - 2000
Languages spoken
English

Location

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Kamatchi Diabetics & Research Center

No 51 A, Near Broadway Cinema Theatre, Thaiyappaan StreetChennai Get Directions
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My HBa1c is 5.7 which I tested yesterday & it was 6.1 about 4 months before. Fasting sugar ranges b/w 115~120. I have lost 15 kg since last one year. I am taking 500 mg glyciphage twice daily. Also, my stomach is bad (constipation) for 8-9 months. My sleep is also not fully relaxing for many years. But, last one year or so has been really bad interns of weight loss & continuous constipation. I tried homemade remedies but not much relief. Please advice if my sugar medication is the cause of my weight loss & how do I get rid of bad stomach which is troubling me the most. I am thinking of castor oil even to have some relief. Thanks in advance.

MBBS
General Physician, Mumbai
My HBa1c is 5.7 which I tested yesterday & it was 6.1 about 4 months before. Fasting sugar ranges b/w 115~120. I have...
yes your sugar medication might be the cause of weight loss. for constipation take plenty of water. take raw fruits and vegetables like ,cucumber, cabbage, apples,sprouts,orange,pear,watermelon. chew your food properly. take isabgol husk with plenty of water. go for long walks.exercise daily. take cremaffin /lactulose syrup if above measures do not work.
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I am 76 year old diabetes patient my doctor prescribed me tenepride before breakfast and zoryl 0.5m after breakfast and after dinner my blood sugar is around 300 and then after 2 hours it come down to 180 or 190 is it dangerous I have also faced hypoglycemic condition and cough so are these medicine safe to use I have also gone through bye pass heart surgery.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 76 year old diabetes patient my doctor prescribed me tenepride before breakfast and zoryl 0.5m after breakfast a...
lybrate-user Komalji, Thanks for your query. I am sure you are aware what are the blood glucose levels one is expected to maintain to have a well controlled diabetes. FBG should be <100 mg, PP 160 to 170 or 180 mg (ideally 150 to 160 mg) & HbA1c%<7. There is no mention about HbA1c%. The drugs prescribed are unlikely to produce hypoglycemia. A person gets hypoglycemic symptoms once blood glucose level goes below 70 mg or even lower. If you have any doubts please come back. Thanks.
1 person found this helpful
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My mother has high blood sugar and take 1 metformin tab IP 500 mg daily, tips for her to control blood sugar and maintain healthy life style.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother has high blood sugar and take 1 metformin tab IP 500 mg daily, tips for her to control blood sugar and main...
Mr. Lybrate-user, to control diabetes mellitus she has to do following things: 1) taking her medications regularly, try and maintain her fasting sugar around 100 mg, pp 150 to 160 mg and hba1c%<7.2) take a balanced diet, that provides exact calories based on ideal body weight, 54 kgs) and blood sugar levels. 3) exercise daily for at least 1 hour, brisk walking is a good option, 4) avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat milk products, 5) consume good deal of green leafy vegetables and salads and permitted fruits (100 g a day), 6) no alcohol and smoking. This is basically the modified lifestyle.
3 people found this helpful
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I am 50 years old and diabetic. I am having frozen shoulder for the last 25 days. My sugar level is around 100-150 in fasting. What are the reasons and remedies?

MBBS, MD
Endocrinologist, Delhi
I am 50 years old and diabetic. I am having frozen shoulder for the last 25 days. My sugar level is around 100-150 in...
Physiotherapy can help you for frzen shoulder. Keep your blood sugar levels controlled ie Fasting around 100 and pp around 150.
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My mom is a diabetics patient for last 4 years Is the any home made medicine to control this disease or complete cure?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My mom is a diabetics patient for last 4 years Is the any home made medicine to control this disease or complete cure?
Hello, Diabetes is not a disease ,it is a metabolic disorder so it csnnot be cured,but can easily be managed. Cinnamon with water early morning helps drastically to maintain ideal sugar levels. Eating diet rich in fiber also helps.
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I am 37 years male. I am suffering from uric acid problem and high BO. How can I reduce it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, high uric acid in the blood may be present in many persons, but it may not cause any difficulty. But in some it leads to joint pains and gouty arthritis. In such situations it is necessary to reduce the uric acid. It is better to reduce overall fat intake as fat reduces uric acid excretion. Liberal intake of water helps excretion of uric acid. Restrict or preferably eliminate alcohol intake. Avoid certain sea foods - sardines, shell fish, scallops, herring, trout, haddock, tuna, anchovies, salmon, mussels, mushrooms makeral. Whole pulses like rajmah, chana, chole and masur. Others are good. Avoid red meat, organ and glandular meat, avoid excess salt intake, avoid highly processed foods, salted nuts, papad and pickels. Avoid bakery products. Sweetened drinks. Eat fresh vegetables, berries, orange, cabbage, bananas, tomatoes, potato and other vitamin c containing foods. Low fat milk products are good and complex carbohydrates (whole grain flour). For controlling bp also restrict salt intake. If reading is high start on antihypertensive drug.
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I am 30 year old my my uric acid is 7.4 how can I reduce it because I'm slip disc patients.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.
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My wife after marriage with in 4 months weight gained? And before normal periods are upto 5 days but now only 3 days. Is it symptoms of thyroid? if it is yes how to identify thyroid?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife after marriage with in 4 months weight gained? And before normal periods are upto 5 days but now only 3 days....
Hi get a thyroid assay done which will reveal if there is any problem with thyroid gland. If tsh levels come higher than normal range then it is hypothyroidism.
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I am diabetic for the last 3 yrs. Using jalra50 & glycomet 500before& after breakfast. Please let me know the healthy diet.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am diabetic for the last 3 yrs. Using jalra50 & glycomet 500before&  after breakfast. Please let me know the health...
Sitagliptin and metformin is a good combination which you are on. It does not cause hypoglycemia in monotherapy and helps to preserve beta cells. In diet avoid high carbs and high glycemic load food avoid mango chickoo grapes banana custord apple. Avoid cashew kismis dates avoid fruit juices. Avoid extra salt and oil regular daily 40 min walk.
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I am 59 years old and suffering from diabetes for the last 12 years. For the last 6-7 years I am suffering from erectibility di sfunction. Please advise.

MD - Medicine, MBBS
Endocrinologist, Delhi
Sugars values? any medications or medical condition like blood pressure/thyroid/high cholesterol? stress levels?
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Hello Doc I am 38 year old women diabetic patient since 2013. I have tremendous pain in my both feet I am taking Nurokind D3 but can not get the maximum benefit what to do please advice

M.D. (Ayurveda )
Ayurveda, Patiala
Hello Doc I am 38 year old women diabetic patient since 2013. I have tremendous pain in my both feet I am taking Nuro...
kindly take, madhumeha kusumakar rasa, 1 tab, twice a day, after meals. Apply dhanvantaram oil, for massage, on both the feets, twice a day, regularly. Warm the oil before use. Try to make optimum blood glucose levels. Share couple of previous FBS levels also. continue the regime for 45 days. good luck.
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My wife is taking" Thyrox 50" for the last 6 years. She is now 29 years. My question" Is there any permanent medicine or cure available for this" I prefer some'Ayurvedic" or" Homepathy" recommendation please. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife is taking" Thyrox 50" for the last 6 years. She is now 29 years. My question" Is there any permanent medicine...
It is also normal for your period to stop when you are pregnant. Treatments for irregular periods due to other causes may include: Correcting or treating underlying disease Changing your type of birth control Lifestyle changes, including weight loss Hormone therapy Surgery
1 person found this helpful
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I am 36 year old man my thyriod level is very high I take 100 mg medicine kindly guide me to proper treatment of thyriod.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 36 year old man my thyriod level is very high I take 100 mg medicine kindly guide me to proper treatment of thyr...
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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help,
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How To Treat Hypothyroidism During Pregnancy?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
How To Treat Hypothyroidism During Pregnancy?

The thyroid gland within the body plays an important role in regulating your metabolism among many other functions. This is a butterfly-shaped gland located in your neck and plays an important role within your body. However, a common condition that may afflict it is hypothyroidism or an underactive thyroid gland. It is even more of a problem if you are pregnant as it may affect your baby’s development in the womb. It has also been noticed that pregnancy in itself may cause hypothyroidism.

Symptoms of Hypothyroidism-

Pregnant women may also exhibit symptoms common to other patients who are suffering from hypothyroidism. These may include:

  1. Fatigue along with lethargy.

  2. Mild to significant weight gain.

  3. Constipation.

  4. Feeling cold with severe chills

The thyroid gland produces the T4 hormone responsible for regulating many mechanisms within the body such as metabolism. With hypothyroidism, the production of this hormone decreases or stops altogether. This is important as disruption in the production of the hormone may disrupt the normal development of your baby.

Effects of Hypothyroidism on your baby-

Hypothyroidism during pregnancy can affect your child’s developmental abilities. Many studies in this field have shown that such children tend to have learning difficulties and may even display lower IQ scores during tests. It was noticed that sometimes, hypothyroidism during pregnancy wasn’t diagnosed correctly as the pregnant mother did not show much apparent symptoms. This is also a major issue in the early diagnosis of the problem. Hence, it is absolutely imperative to test for thyroid problems early during pregnancy.

Prevention is the Best Cure-

It is thus very important that mothers be screened properly for thyroid issues even before they are pregnant and while they are pregnant. Some of the medically recommended steps that should be taken are –

  1. Screening before pregnancy as this can help to devise a solution for this condition.

  2. Women with goiter or enlarged thyroid should most certainly be screened.

  3. Women with a family history of hypothyroidism should be screened.

Treatments for Hypothyroidism During Pregnancy-

The doctors may suggest thyroid hormone replacement therapy wherein artificial T4 hormone is introduced into the body. This helps to maintain a constant rate of the thyroid hormone within the body. This can be done even before pregnancy as the developing fetus is completely dependent on the mother for its thyroid hormone until at least 12 weeks when the baby’s body can start producing it on its own. Also, the levels of this hormone should be regularly checked within the body through the TSH or the thyroid stimulating hormone tests to ensure that the levels are at a safe minimum.  

1 person found this helpful

I have suffering from blood pressure and sugar pls tell how to control these two naturally and without taking more tablets.

MBBS
General Physician, Cuttack
I have suffering from blood pressure and sugar pls tell how to control these two naturally and without taking more ta...
Prevention 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment prevention of Diabetes Control of BP Control Of Bp 1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2.reduce your weight if overweight 3.Reduce salt intake 4. Drink plenty of water 5. Take bland diet,avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, Fruits , 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8.Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp regularly and consult Physician for treatment
1 person found this helpful
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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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Hi I'm Irshad want to know how I control my sugar level bcoz I have diabetic patient.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Hanumangarh
Hi I'm Irshad want to know how I control my sugar level bcoz I have diabetic patient.
I recommend to control your sugar level 1) have regular meals. Divide your meals into 5 to 6 times. 2) one teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes 3) good fats such as omega-3 and monounsaturated fats (mufa) should be consumed as they are good for the body. 4) diet should be high in fiber. Let whole grain cereals & flour, salad vegetables, green leafy vegetables & fruits be an integral part of your meals.
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What is best treatment to control diabetes type 2. I am patient from 7 years. What is best remedy to control or cure this. Fasting levels are 120 to 280 and are fluctuating continuous. Regds Mithlesh SHarma.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is best treatment to control diabetes type 2. I am patient from 7 years. What is best remedy to control or cure ...
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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What is the causes of diabetes please tell me and how many types of diabetes and which is dangerous.

BHMS
Homeopath, Faridabad
What is the causes of diabetes please tell me and how many types of diabetes and which is dangerous.
Hello,There are two types of Diabetes Type 1 and type 2.causes including the followiing:- Type 1 diabetes is caused by the immune system destroying the cells in the pancreas that make insulin. This is called an autoimmune reaction, or autoimmune cause, because the body is attacking itself. There is no specific diabetes causes, but the following triggers may be involved: Viral or bacterial infection Chemical toxins within food Unidentified component causing autoimmune reaction Underlying genetic disposition may also be a type 1 diabetes cause. **Type 2 diabetes causes are usually multifactorial - more than one diabetes cause is involved. Often, the most overwhelming factor is a family history of type 2 diabetes. This is the most likely type 2 diabetes cause. There are a variety of risk factors for type 2 diabetes, any or all of which increase the chances of developing the condition. These include: Obesity Living a sedentary lifestyle Increasing age Bad diet Type 2 Diabetes is more harmful than type 1 Diabetes.
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