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Dr. Parameshwaran

Endocrinologist, Chennai

150 at clinic
Dr. Parameshwaran Endocrinologist, Chennai
150 at clinic
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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. Parameshwaran
Dr. Parameshwaran is a trusted Endocrinologist in Perambur, Chennai. Doctor is currently associated with Sri Narayana Nursing Home in Perambur, Chennai. You can book an instant appointment online with Dr. Parameshwaran on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 43 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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No 7, Bharathi Road,Perambur. Landmark:Near Perambur Bus Terminus, ChennaiChennai Get Directions
150 at clinic
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My total Cholesterol is 111 LDL is 55 HDL is 28 Triglycerides is 154 TC / HDL is 4 LDL/HDL is 2 VLDL Cholesterol 30.8 Non HDL cholesterol 82.9 What should I do as I am diabetic and taking two medicine Of diabetic and cholesterol one each. Earlier my Cholesterol and Tryiglisrides were on high range. 1 Obimet GX forte 2 mg 2. Rosave F 10.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My total Cholesterol is 111
LDL is 55
HDL is 28
Triglycerides is 154
TC / HDL is 4
LDL/HDL is 2 VLDL Cholesterol 30.8...
Mr. Lybrate-user, your lipids all of those readings look to be pretty low. Both total cholesterol and ldl are fairly low, even hdl is also low. You have not mentioned about blood sugar levels secondly whether you exercise regularly. One of the reasons could be taking rosuvastatin 10 mg daily. It looks like there is no need of that drug at this moment. So you may discontinue the same and then check lipids after about 3 months. Also exercise daily that will also help. You also are close to be obese with a bmi of 29.41 kgs/m2, hence exercising should be beneficial. With regards.
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I am having thyroid. According to the report My T3 is 91.20 T4 is 9.4 And TSH 6.023 So my TSH levels are high Please recommend me a proper dosage Thank you.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Dear lybrate-user, are you on any thyroid medication. If so. Then let me know your current dosage & present body weight.
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Causes and Prevention of Diabetes

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Prevention of Diabetes

Diabetes features as one of the most common ailments in the contemporary times. Mostly assumed as a congenital disease, diabetes is growingly targeting different age groups and often the outburst of diabetes is mostly unmapped. Diabetes is mainly spurred by the presence of high blood sugar content in the patient's blood. In cases where insulin, the sugar absorbing hormone, is not produced normally, the patient becomes more prone to diabetes. Many attribute this phenomenon to the changing lifestyles of the people and their food choices. In clinical terms, however, diabetes is said to be triggered off by the destruction of insulin-producing beta cells in the body.

Besides the genetic susceptibility, there are a variety of causes that result in diabetes:

  1. Obesity and physical inactivity: An imbalance between calorie intake and the burning of the same often results in the storage of excess sugar. This aggravates the risks of cardiovascular diseases. The food and lifestyle choices are directly related to the phenomenon.
  2. Abnormal glucose production by the liver: Normally the pancreas secretes glucagon when the natural percentage of insulin is low and stimulates the liver to produce glucose which is then released into the bloodstream. But under certain conditions, the glucagon level is already high in some people. In such cases, the liver produces glucose thus increasing the risk of diabetes.
  3. Beta cell dysfunction: The beta cells are responsible for the secretion insulin in your body. In case the beta cells stop functioning normally, a medical condition called insulin resistance arises. Under this condition, your body cells stop responding to the insulins secreted and consequently, the glucose content increases thus causing diabetes. Various endocrine diseases contribute to the malfunctioning of the beta cells.
  4. Medicines and chemical toxins: Often certain medications like diuretics, anti-seizure drugs, psychiatric drugs, and drugs to treat HIV may lead to the worsening of the beta cell functions and cause diabetes.

Diabetes can be medically treated as well as its adverse effects can be assuaged by ushering in a few lifestyle changes:

  1. Periodically checking your blood sugar levels
  2. Taking adequate dental care often keeps the blood sugar levels in control
  3. Regularly exercising and being physically active
  4. Avoiding junk food and food with high glucose content
  5. Consuming relevant drugs prescribed by the doctors
  6. Being wary of the side-effects in cases of organ transplantations.
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What are the symptoms of thyroid gland Coz I roommate has a problem if throat, sometime she can't drink water also, but she always wants cold drinks and coldcoffee, I do not know exactly what she is suffering from thyroid or typhoid pls reply me soon.

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist, Hyderabad
What are the symptoms of thyroid gland
Coz I roommate has a problem if throat, sometime she can't drink water also, b...
Keeping in view of your roommate problem, she needs urgent evaluation by gastroenterologist. She needs to get ugi endoscopy done.
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Full body pain. Diabetics, cholesterol, weak eyesight, chickengunia two years ago. Age 60 years recommend home medicine.

MBBS, DGO (cal)
General Physician,
I don't know any home medicine. But remedy what you can use is reduce your body weight, do regular physical exercise with 45 mins of aerobics / brisk walking, dietary management and monitor diabetes control. Lipid insatiability can be accepted in diabetes. Monitoring for control of diabetes complications, including eye complications like diabetic cataract or retinopathy, are also very much important. Medicine part shall be taken care by your diabetologist. I believe your body pain shall go with exercise gradually.
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I'm have sugar and BP hi I'm not taking any medication it is good for my health or not.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Endocrinologist, Thane
I'm have sugar and BP hi I'm not taking any medication it is good for my health or not.
It is not good to have uncontrolled diabetes and blood pressure. It is better to have medicines and keep them well under control. Please start medications at the earliest. If uncontrolled, these disorders may lead to complications.
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Give the reason of increasing nos. Of diabetic patients in india and why it is not curable? What type of exercise should a diabetic patient can perform without any harmful effect?

MBBS, CCEBDM
Diabetologist, Bangalore
Give the reason of increasing nos. Of diabetic patients in india and why it is not curable? What type of exercise sho...
Hi Diabetic are increasing due to many reasons. 1. Lifestyle is very bad - lot of junk foods, fast foods, sedentary lifestyle. 2. Many are not aware about pre diabetes which if detected early Diabetes can be prevented. 3. Not getting regular health checks done to screen for diabetes so that early detection can prevent diabetic complications. 4. When there is strong family history, lifestyle change has to be done early. EXERCISE: Daily brisk walking for 30min atleast 5 days a week, 3-5 Suryanamaskar a day, Breathing (pranayam)exercise for 15 min, Meditation for 10 min.
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My father is 73 years old he is diabetic for more than 16 year he is also a high blood pressure patient with cops. At present he is suffering from low sodium problem.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
My father is 73 years old he is diabetic for more than 16 year he is also a high blood pressure patient with cops.
At...
Hello, immediately, your father should take 1. Protein, 2. Fiber 3. Omegar-3 4. Calcium 5. Cholesterol balancing 6. Garlic supplements. Copd patiens have hight risk of getting heart attacks, but heavy medication also leads to side effect. Let me know, if I can do a private consultation. He will be fine soon, just take care of him. Have a nice day.
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Hello sir or madam? My father was check in hospital report shows tht he is suffering frm beginning SUGAR. So I want to know tht can we stop or remove tht disease.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir or madam? My father was check in hospital report shows tht he is suffering frm beginning SUGAR. So I want t...
Mr. lybrate-user, If diabetes is diagnosed, the treatment with appropriate drugs has to be started immediately. Diabetes is a condition which can only be controlled very well, there is no cure. Treatment has to be for lifetime. There is no other option. If you want me to guide specifically about which treatment to take and what other precautions to be taken, please come in a private conversation with following details: Fasting, Pp blood glucose levels, HbA1c%, present drugs being taken if any, dietary pattern and extent of daily exercise. Based on those details I will be able to give specific guidelines. Thanks.
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I have a thyroid for past 15 yrs. My age is 38. I am taking thyroid tabled eltrocin 100mg in empty stomach every morning. Life long I want to take this tablets or when I wants to stop. Please give me the answer.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have a thyroid for past 15 yrs. My age is 38. I am taking thyroid tabled eltrocin 100mg in empty stomach every morn...
Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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. Tests every 3 to 6 months.
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Sirs, I am a woman, diabetic since last two years. Have not undergone any special tests. Pls let me kno what tests should I undergo for avoiding futuristic complications

Fellowship of College of General Practice (FCGP), MD - General Medicine, MBBS
General Physician, Nagapattinam
First let us know what your sugar value ? and what tablet you taking for diabetes ? And if possible take hba1c test to check your avg sugar value for 3 months.
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How to control hypothyroidism.?

MD - Internal Medicine, MBBS
Endocrinologist,
How to control hypothyroidism.?
Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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I am suffering from thyroid My TSH and T4 level is increased due to taking antibiotics from last 2 month.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Recheck levels as TSH and T4 mostly have inverse relationship More information regarding specific treatments required Antibiotics usually do not have effect on thyroid function. Also view diabetesjain.com.
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Hyperuricemia

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Diabetics should check their blood uric acid level because increase in uric acid in blood can interfere your control of blood sugar and blood pressure both besides other consequences on health.
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My hba1c is 6.7 and TSH 9.3 For sugar iam taking maxformin 750, for thyroid iam taking Thyrofit 25mcg Ineed to take this tablets for life time?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Increase the dose of thyroxine to 50 mg .Keep monitoring every three months.You diabetes is well controlled.Don't hesitate even if it lifelong.
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My grandmother is suffering from very high sugar problem Her sugar level always remain 300+ And don't eat so much just eat half or full chapatti a day Please help.

BHMS
Homeopath, Chennai
My grandmother is suffering from very high sugar problem
Her sugar level always remain 300+
And don't eat so much jus...
Hyperglycemia is a result of multiple factors. Food intake, is only one aspect of it. Insulin secretion. Insulin uptake. Diabetes on conventional management relies only on controlling blood sugars. But over the time, more and more insulin resistance acts up and hence no response to meds are met. Consider homeopathy that focuses on increasing the body's functions and reduces dependencies on replacement medicines as antidiabetics or insulin.
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From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test Thyroid, creatine and sugar test all turn out to be normal. Currently I am taking supracal pro tablets. My doctor suggested me this as lifestyle disorder and prescribed Etizolam 0.5 mg and zincovit tablets however I don't want to take sleeping pills as I heard it had lots of side effects. Please advise.

MBBS, cc USG
General Physician, Noida
From past two months I wake up after 5 hours of sleep and after that unable to fall sleep again. I did various test T...
Some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity, you can go for daily morning walk 3. Regular meditation/ yoga, it will help you alot 4. Avoid tea coffee after 7 pm 5. You can take bath at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes 8. Avoid watching TV and reading news paper at bedtime, you can listen some soft music Consult if symptom persist
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I am 31 year old female and having thyroid from last 1 year and my weight is increased very much but from last 2 months whenever sweat comes from body it is very foul smelling, after using deodorant it gets controlled but after some time again it is smelling very bad please tell me a solution as early as possible.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one cup of water. If you use freshly ground black pepper, then just add one-quarter teaspoon. Drink it in the morning on an empty stomach. Do this daily for at least three months. .take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day. .avoid junk food. Oily food. Fermented food. Alcohol consumption. Sugar.milk products and sweets. Take oats and cereals more. And do pranayama early in the morning and walk for atleast 45 minutes a day. And do exercises. Do not sleep immediately after taking meal.
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I am diabetic having glucose 1 mg metformin1 mg 1 morning before meals and one at night. But after having break fast sugar after Two hrs. Is 160, 170, 183, also taking Tenepride20 mg immediate after break fast What to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic having glucose 1 mg metformin1 mg 1 morning before meals and one at night. But after having break fast ...
Mr Atul, The information given is not clear. Please give the following details : Current fasting and PP sugar levels, HbA1c%, dietary pattern, extent of exercise and drugs being taken (there is no glucose 1 mg and metformin 1 mg tablets). Please give correct names of tablets and quantity of ingredients. It will be better if you come in a private conversation with all the details, where I will be able to give specific suggestions.
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I am 65 years old now a days I have got pain in the foot and hand according to medical advice I checked the blood and found uric acid high about 8 what should I do take medicine or control food.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 65 years old now a days I have got pain in the foot and hand according to medical advice I checked the blood and...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. 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. Take tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain in joints. Doctor may be give corticosteroid oral or inject direct in to joint.
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