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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 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.

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English

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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 maa has stone in galbladder and she is suffering from BP as well Diebetes. Is there any solution for all above w/o being operated

MBBS
General Physician,
No, she needs the surgery. Diabetics have greater risk of getting infection in coexistence of cholelithiasis. Plan a surgery soon beside a strict sugar control. Avoid fatty diets
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My diabetes is fluctuating from 23 to 444. I have also been treated with ILD from last 10 years with steroids. What is the solution.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My diabetes is fluctuating from 23 to 444. I have also been treated with ILD from last 10 years with steroids. What i...
Mr. lybrate-user, Do you mean blood glucose veries between 23 mg to 444 mg? Because 23 mg is a very low and dangerous level. That can lead to severe weakness even coma. It will be better if you give following details Fasting, PP current levels, HbA1c%, drugs being taken for diabetes with dosage, dietary pattern and extent of daily exercise. Based on those details I will be able to give some suggestions. Thanks.
7 people found this helpful
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Hello Sir/ma'am, My dad is 57 year old is diabetic. He is taking pregaba and glimaday for that. From last couple of days he is feeling tired too much. His sugar level is 60. Please guide me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Sir/ma'am,
  My dad is 57 year old is diabetic. He is taking pregaba and glimaday for that. From last couple of...
Mr shivam, the sugar level mentioned (60 mg) is too low, it must be fasting one. At this level patient feels uncomfortable and further drop in level is dangerous. What is the pp level & also his HbA1c%. If fasting also is less then you may have to consult the doctor to see if glimiperide dosage be adjusted. He should be made aware of the hypoglycemia symptoms, should carry gluco tabs all the while, have an identity card mentioning his diabetic condition with all personal details. If you want me to give specific advice please come in a private conversation with all the details, then I can guide with a proper specific prescription.
2 people found this helpful
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Hello Dr. My sister is suffering from sugar since 6 months. Can you please tell me how to control sugar and also tell me any ayurvedic medicine to control sugar.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
Hello Dr. My sister is suffering from sugar since 6 months. Can you please tell me how to control sugar and also tell...
The treatment of Diabetes is not that simple. There are many classes of Diabetic Drugs. It depends on extent of Diabetes and complications to decide medicine for the Diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine MICROALBUMIN levels, urea and creatinine levels. So, a complete Diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of Tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. HBA1C. 2. SUGAR - Fasting and PP. 3. Urine - Routine and MICROSCOPY. 4. Urine MICROALBUMIN. 5. Urea and Creatinine. 6. Lipid Profile. Follow up with the reports. I will set up a wonderful treatment plan to control your sugar levels. Additionally I will also make a customised Dietary plan for you to take care of your Sugar levels naturally.
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I am 33 yrs married woman. I have thyroid problems. I am taking eltroxin 100mcg tab. I am suffering from backache problems. My weight has gain. I would like to reduce. Kindly help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 33 yrs married woman. I have thyroid problems. I am taking eltroxin 100mcg tab. I am suffering from backache pro...
for backache you can take tab. dolo 650 mg sos. local gel apply on back.i.e. omni gel twice a day. do rest for while. avoid stress. Drink more water, less alcohol. 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 alcohl if you take.
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I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.
Mr. Lybrate-user, there is no restriction in eating dal (pulses) as it provides a good quantity of proteins. Even if you have jaundice there is no such restriction. Probably only restriction is to avoid alcohol completely. Moderate protein intake is necessary. Only thing is please maintain your blood sugar levels in good control.
4 people found this helpful
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I am diabetic since last years. My present age is 55 years with 65 kgs. Weight. At present my fasting glucose level is normally 115-125 and pp is 170-200 without medicine. I take 1 year cetapin 500 two times and aztor 20 one time. At present without medicine and take green tea tulsi in original. I am walking for 45-60 minutes weekly 5 days. Please suggest if I take medicine or not.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Please understand diabetes occurs because of lack of insulin. Oral anti diabetic drugs promote either insulin secretion or reduce resistance to it's action. Plus insulin injection is required if there's severe lack of it. No other treatment is there. So you have to take medications.
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Hi Colonic ulser. And presently sugar fasting 243 pp 339, colonic ulser healed in 2008, but now and then facing gastritis even some pain,

C.S.C, D.C.H, M.B.B.S
General Physician,
For gastritis take omez-d 1-0-1 & for diabetic control by diet plan and medication ask me privately with all reports.
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I AM 80YRS. I AM DIABETIC SINCE 1976. FOR LAST 15 YEARS ON INSULIN 25 UNITS AND 20 UNITS. YET THE SUGAR AFTER FOOD PP IS NOT IN CONTROL. KINDLY SUGGEST ?

MD - Consultant Physician
General Physician, Mumbai
How much is the PPBS? If it is less than 180 mg% then it's fine. It's more important to see what your HBA1C is. If that is close to 7, then it's sufficient.
1 person found this helpful
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I am 30 years old unmarried woman. I have 5.79 uIU/ml TSH. My doctor prescribed me THYROX -25. I am worried. Will it create any problem in my future married life? What should and shouldn't I eat with TSH at a level of 5.79?Is there any exercise or natural medicine to control my TSH level? Please help me out.

MBBS, MD
General Physician, Bangalore
You are un married now. If you are getting married in near future and plan a family then your tsh should be around 1-2. Moreover high tsh has shown difficulty in conception. Thyroid hormone are essential for developing brain in first trimester of pregnancy. It is also required more normal metabolic need of body
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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 25 yrs old girl. I have thyroid problem. I have been very slim. So what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
pl. tell us reports of your thyroid..then we can advice you. 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,
1 person found this helpful
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I am diabetic taking alopathic medicine. sugar label is F.141 & aft. Food 200. Also no tanav in penis. Pl suggest some homeopathic medicine for sugar and also for improve in sex. My age is 53.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am diabetic taking alopathic medicine. sugar label is F.141 & aft. Food 200. Also no tanav in penis. Pl suggest som...
Hye, thanks for the query. Diabetes is a health condition that affects your body's production of insulin, which is needed to control your blood sugar levels. When you eat, your body begins to store sugar in its cells, but as a diabetic, your body does not produce enough insulin to help control how much sugar is being stored. Spikes in blood sugar levels from eating can cause you to feel fatigued and lethargic, due to excess sugar in your bloodstream and cells. When enough insulin is once again produced to regulate your blood sugar levels, the glucose can be burned off as energy, thereby making you feel less fatigued. 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.
4 people found this helpful
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How brain gets effected due to hypoglycaemia? Is there any test to detect insulin overdose as cause of hypoglycaemia? Is the effect to brain fatal?Please tell.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
How brain gets effected due to hypoglycaemia? Is there any test to detect insulin overdose as cause of hypoglycaemia?...
Dear lybrate-user, low sugar or hypoglycemia is defined as blood sugar less than 72 mg% it is mainly diagnosed based on symptoms of low sugar. Brain use glucose only as it's food so when sugar goes low brain definitely feels hurt! palpitation, shakiness of hands, sweating and giddiness or sleepiness followed by coma or unconsciousness is a sequence of symptoms seen with progressive low sugar. We routinely never ask for serum insulin levels to diagnose hypoglycemia. Hope this helps you.
2 people found this helpful
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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
My partner has a little high diabetes her recent blood test report showed that. So is it safe if v hav sex within pro...
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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Dear sir/madam, I want some suggestion. Which vegitables or which type of food I should take to prevent the high production of uric acid. Because I had a very hard pain in my gouts due to excess of uric acid in my body.

MBBS, DGO (cal)
General Physician,
Very pertinent question. Please tell and educate your friends about gout and food. 1) please do not take any uricosuric medicines for gout during acute inflammatory stage. These medicines itself may flare up gout. Only nsaids to reduce inflammation. 2) diets and dos nad donts: although there are no foods that do not contain uric acid itself, people who are concerned with reducing the level of uric acid in their body should know which foods contain high levels of purine. A) take plenty of oral fluid at least 3 - 4 liters per day. It helps to wash away uric acid from your systems through kidney and prevents to form crystals and precipitate in synovial cavities of the joints. Urinary alkalinisation (making urine alkaline) - promotes uric acid solubility. B) avoid all animal proteins (particularly red meat) and stop taking any animal organs like liver, kidneys etc. Occasional (avoiding is good) small fishes and small amount of chicken is allowed. C) avoid all vegetable seed particularly - spinach, tomato, brinjal, pulses etc. Strain or separate it out before cooking. Though beans are also contains purine but less. Beans in moderate quantity and soybeans do not harm that much. D) avoid bread - many bread products have yeast, a main ingredient that has excessive quantities of purine. Yeast creates a hostile environment in the body by disrupting its acidity. You could develop kidney stones and bladder problems. Chapati is best alternative. E) avoid asparagus and mushrooms - because of high uric acid content. F) avoid high oxalate containing food - that facilitates formation of kidney stone in presence of uric acid. G) a higher level of consumption of dairy products is associated with a decreased risk. H) moderate intake of purine-rich vegetables or protein is not associated with an increased risk of gout. Remember - a raised blood urate (hyperuricaemia) with no symptoms does not mean a patient will inevitably develop gout. A medicine thiazide diuretic raises uric acid level, may not produce gout. If gout develops however then it is prudent to stop thiazide. Raised uric acid is associated with other factors such as hypertension, dehydration, hyperlipidaemia there is also a theoretical risk of hyperuricaemia with low carbohydrate diets, due to higher protein content. Hope this shall be helpful. Please let me know whether it has enriched you.
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I am suffering from diabetics & high blood pressure & also infection with glance of penice.

DNB (ENT), MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Hi Infections tend to occur when there is diabetes. For the glans penis infection or balanoposthitis it is recommended that you wash it twice a day with dilute betadine solution. (take two cap full of betadine and dilute it with 100 ml oto wash the panis). For an antibiotic prescription see a general surgeon or a physician.
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My FBS is 130 Where it lower down to 90 by evening. I am diabetic since 1 year, but I am controlling by disease through diet and exercise. Please tell me what can I do to lower down my FBS up to 80.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
My FBS is 130 Where it lower down to 90 by evening. I am diabetic since 1 year, but I am controlling by disease throu...
You can limit quantity of food at dinner. This will bring down fasting to some extent. You are taking galvus if yes you can take galvus (50) before dinner as well. Vildagliptin in monotherapy won't precipitate hypoglycemia. At your age hba1c target should be 6.5.
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