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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 44 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

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Kamatchi Diabetics & Research Center

No 51 A, Near Broadway Cinema Theatre, Thaiyappaan StreetChennai Get Directions
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Sir I want to ask about symptoms of diabetes and blood sugar. Are they too much dangerous?

MBBS, MD - Medicine
General Physician, Delhi
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 in adults and treated wid oral tablets. It can't be cured completely but you can keep it controlled by taking these precautions.
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I am thyroid patient from 10 years. I am having thyrox-100 mg tablet in morning. My weight is 75 kg. I go for jogging in the morning. Problem is that after jogging my stomach swelling. Please suggest me I want to loose my weight.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You need to maintain your tsh between 1 &2 for a proper control. Then you will start losing weight. Also exercise only on empty stomach. That will solve your problem.
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My husband is 48 years old. His uric acid level is 6.Which diet is gud for in this problem?

Ayurveda, Delhi
(1) lukee juice 5 leave pudina 5 leave Tulsi black salt take empty stomach (2) 1 glass milk add half Arjuna chal boil few minutes and filter all take before sleep.
2 people found this helpful
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I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
IN 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 42 years old I have Sugar last 6 years, I am taking Tablet but my sugar always showing 150 to 200, not crossing 200 Fasting or PP. In the feature what type problem will be come? Till I have not feel any problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr asit kumar, fasting sugar 150 mg to 200 mg is high. What is the hba1c %? it appears that the anti diabetic treatment being taken is not adequate, may have to be increased. Secondly diabetes is called as a" silent killer, because there are hardly any symptoms noticed. But it affects almost every system in the body. Diabetes damages retina - leading to retinopathy, can lead to loss of vision. Damages small and large blood vessels affecting kidneys and heart. Of all the deaths occurring due to renal failure in india 25%are diabetic patients. Neuropathy affecting peripheral nerves and loss of sensation leading to foot ulceration and related problems. In india over one lack legs are amputated per year in diabetic patients. Looking at all these details it is necessary for you to take appropriate treatment. Please consult your doctor and change the drugs or add new ones. If you want me to guide please come in a private conversation with all the details, where I can prescribe specific treatment.
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Hi I am a diabetic n take insulin but its not effective . I eat 2 roti n half glass milk in d morn than half plate puffed rice (muri) n ghugni at 11 in morn than 4 roti 1 pc fish n 1 pcs cucumber in afternoon at 2 in the eve again I eat 2 cucumber n 1 cup of lemon tea n in night 3 roti 1 katori rice n sabji n b4 going to bed half glass milk plus 30 min walk n 30 min light exercise .kindly suggest am I following the right routine or not den y my sugar level is not coming down . please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, you have not mentioned the blood glucose levels (fasting & pp) and your age. The reason for blood glucose not reducing or not coming to normal may happen due to either inadequate dose of insulin or food intake is more than the actual need. At 51 kg weight, unless you increase daily exercise, caloric intake has to be 51 kgs x 25 cals = 1275 calories. Your present intake appears to be higher and exercise is very much inadequate. You need to exercise at least for 1 hour or more. If you want specific advise please come in a private conversation with all the above details, then I will be able to guide. Thanks.
8 people found this helpful
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I am 55 year old guy and I am suffering from diabetics and I am taking medicines and I didn't got any relief so in order to take measure what can I do.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
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.
1 person found this helpful
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Is banana advisable for patient who is having border line diabetes? Having one banana a day would be advisable or not.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Dear lybrate-user, banana has very high calorie count and hence may aggravate diabetes but eating half a banana if small size after a workout or fast walk should be okay regards.
5 people found this helpful
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How Diabetes Affects Kidneys: Diabetic Nephropathy Dialysis

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Affects Kidneys: Diabetic Nephropathy Dialysis

Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.

When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.

A few features of this disorder are as follows:

  1. The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
  2. Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
  3. A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.

In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results.

4822 people found this helpful

Hi, I am 25 years old, I have 90 mg sugar levels before breakfast after two hours of break fast 97mg, is there any problem and after lunch of one hour 125 mg.

bachelor of science, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Meerut
You reports are OK and you need not worry about yourself but to be on safer side you can take sweets in little amount.
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Dear sir i want to ask u about my sugar, from last 9 month my sugar was above 150 fasting and 300 posting currently i m taking glycomate 3\850 and vogs 500mg please suggest me

MBBS
General Physician, Trivandrum
You need to test for HbA1c blood test. And after getting result please consult me I will prescribe the right medicine for you.
1 person found this helpful
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Hi. I am 31 years female. Have hypothyroid from past 10 years. Recently I have not got my periods and checked my tsh level. Its is 0.9.So I reduced the dose from 100 mcg every day to 5 days 100 mcg and 2 days 75 mcg. I used regestrone tablet twice daily for periods. I got my periods but the bleeding is very light and it has been 9th day of my period and still I am having brown colour light discharge. Can I use styptovit E 500 mg tablet morning and evening for 1 day to stop brown discharge?

DHMS (Hons.)
Homeopath, Patna
Hello, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, hypo thyroidism, etc. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to ease your problem. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion. * tk, apple, carrots, cheese, milk, banana, papaya, spinach, almonds, walnuts to improve your haemoglobin to release your flow. * tk, homoeo medicne, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 20-6 pills, thrice a day, orally. @ sepia200-6 pills, thrice a day" @ thyroidinum 30-6 polls, thrice, orally. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion. Tk, care.
1 person found this helpful
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My mom has diabetes from last 2 years. She daily takes medicine named as glycomet gp2 for diabetes. 2 days ago when her blood test is taken, her blood glucose level shown as 340 So my question. Is whether 340 diabetes can be controlled be tablet or is there any need to take insulin injection.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello, With such values she has to get support grow insulin and medicines. Speak to the endocrinologist, she is likely to need both. Atleast temporarily. A.
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My partner has a little high diabetes her recent blood test report showed that. So is it safe if v hav sex within protection. Will diabetes be transmitted to me through her vagina if we intimate?

MBBS, PG Diploma In Emergency Trauma Care, fellowship in diabetology
General Physician, Bangalore
Hello. thanks for your Query. Definitely not. You can practice it with free mind. Rather it will help her to reduce sugars as sex itself is an exercise which requires lots of sugars.
1 person found this helpful
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Recently my dad was diagnosed with diabetes with glucose level 262 mg/ dl. What are possible remedies.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Hanumangarh
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.
4 people found this helpful
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Why loss of weight if blood sugar increases? I am not blood sugar patient but observe some time sugar increases. I am on diet and controlling sugar.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Loss of weight is due to a deranged metabolism in your body. A control on diet which you are doing now is enough to keep you away from being diabetic. Take timely meal avoid day sleep do some sort of exercise /walk regularly avoid junk do not be stressed.
1 person found this helpful
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I am on medication for diabetes, hypertension and cholestrol control. Immediately after brushing my teeth I have bad breath. My teeth and gums are in perfect condition .What causes this and how can I prevent it?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Usually high blood sugar causes bad breath.It can be due to medication also.You can try pre n probiotics to overcome it.
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Diabetes, new formulae product introduced in market. Will it be useful for me? I am in glimpiride 2mg+metformin 500mg for 2 sessions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
You are mentioning t1 dm and taking treatment with oral drugs, then the condition must be t2dm, because t1 can only be treated with insulin injections. What new product are you referring? can you be specific? if you are talking about sitagliptin or vildagliptin with metformin, this could be quite useful to you too. But please inform me your weight, height, hba1c and blood sugar levels then I can help you.
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Role of Homeopathy in Treating Type II Diabetes

MD - Homeopathy, BHMS
Homeopath, Noida
Role of Homeopathy in Treating Type II Diabetes

Type II Diabetes is also known as Non-Insulin Dependent Diabetes Mellitus (NIDDM) or Adult-onset Diabetes. Diabetes mellitus is a syndrome characterized by increased level of sugar (glucose) in the blood due to deficiency or inactivity of hormone 'Insulin' that is absolutely necessary to monitor glucose metabolism of body. This is a metabolic disorder that is primarily characterized by insulin resistance, relative insulin deficiency and consecutively hyperglycemia. Diabetes is prevalent worldwide and if not attended properly, it may lead to serious complications.

Causes of Type II Diabetes:

Diabetes basically occurs due to defective insulin secretion combined with defective responsiveness of the body to the insulin (also called Insulin resistance). Due to both these factors, hyperglycemia starts occurring in the body. It is strongly associated with obesity and with increasing age. A strong inheritance pattern has been noted in cases of type 2 diabetes. Sedentary lifestyle, pregnancy, hypertension, cardiovascular diseases, etc pose as risk factors for developing Diabetes.

Type 2 diabetes can begin at any age though it is not very common in childhood. It usually begins with insulin resistance, a condition in which the body does not use insulin properly. At first, the pancreas keeps up with the added demand by producing more insulin but later it loses the ability to secrete enough insulin in response to meals. This ultimately results in Hyperglycemia (high levels of glucose in circulation).

Homeopathic Treatment for Type II Diabetes:

Diabetes is a constitutional disorder as it is an offshoot of constitutional defects (genetic factors, altered immunity) having an impact on the entire constitution of an individual. Hence it calls for an in-depth constitutional approach for its management.

Homeopathy is based on the principle that disease is a total affliction of body. Moreover homeopathy recognizes importance of the underlying causes such as genetic and inherited factors as the root of any ailment of the body. Homeopathic medicines prescribed on such criteria plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes.

When we talk about diseases like diabetes, we talk in terms of management rather than cure. Homeopathic treatment along with intake of hypoglycemic drugs and/or insulin can prevent the progress and the complications associated with this condition. Moreover timely administered homeopathic medicines help in maintaining the levels of exogenous insulin and hypoglycemic drugs at minimum possible dosage and in preventing the further progress of the disease. However, it may be noted that there is no substitute to insulin in homeopathy. The role of a healthy diet and exercise cannot be underestimated along with all the above treatment measures.

4421 people found this helpful

My father is been using thyronorm tabs 100 mg since 10 yrs. The recent thyroid test report suggest Hypofunction. The T3 value is of 43; T4 is of 1.6 and TSH states 129.40 value. Is it suggested to increase the dose?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, according to your information he is on 100 mcg of thyroxine and now the tsh value is 129.4 is that correct? what are the symptoms he has related to hypothyroidism? because with such high tsh he may be having a lot discomfort. If the results (values) are correct, then there has to be a substantial increase in the dose.
2 people found this helpful
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