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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 38 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 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
My father is been using thyronorm tabs 100 mg since 10 yrs. The recent thyroid test report suggest Hypofunction. The ...
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.
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My father about 60 years old and also a diabetic patient. He planned a trip to kashmir. There are so many distance cover by walking. I want to know some medicine name for body, waist,leg pain relief. Pls suggest some medicine with less side effect with dosage, pts has diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father about 60 years old and also a diabetic patient. He planned a trip to kashmir. There are so many distance co...
Mr. Lybrate-user, it is good that he wants to visit kashmir. Walking long distance is actually god for health. If his blood sugar levels are in control, then there is no worry. He should carry is rgular medication in adequate quantity. Take care of proper food intake and not missing his anti diabetes medication. For taking care of pain, he should carry any pain killer which he is comfortable with. But it should be used very sparingly. I do not see there is any reason to worry at all.
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As asked previously I have swelling on my right hand on upper part with acute pain. I am suffering from type 2 diabetes. Is diabetes reason for the same. Kindly reply.

Diploma in Diabetology, MBBS
General Physician, Warangal
As asked previously I have swelling on my right hand on upper part with acute pain. I am suffering from type 2 diabet...
Maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life take plenty vegetables and fruits in 2 / 3 servings check sugar levels and consult.
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I am 35 diabetic. At age 30. Only one year I take a tablets. Offer it became normal. Doctor sugest stop tablets .only diet excasize. But lost 2 year when I go for a sex. Sum times my pennies not standup. .it was very irritating me. And my partner also. My question is. What was the main reason for not tempted of pennies. Monthly 2 or 3 times it happens. That's y I take Viagra 50 mg. What was the main problem of this doctor? And solution for this Again lost 5 months I will take diabetic tablets ofter 4 years. Now diabetes is normal stage. With tablets.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 35 diabetic. At age 30. Only one year I take a tablets. Offer it became normal. Doctor sugest stop tablets .only...
Hello- The main reason behind your erectile dysfunction is Diabetes. Diabetes leads to slow blood supply and improper utilization of peripheral blood glucose to the muscles. It leads to undernourishment of the organ hence causes erection loss, lack of libido and ejaculation problem too. Viagra does not going to solve your problem as it is a symptomatic drug for sex and moreover you are a diabetic person. You have to start herbal aphrodisiacs for diabetics along with the diet modification and daily exercise to get back your sexuality. Medicinal effect and your efforts can make you sexually fit.
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My wife pulse rate goes 115-120. She is diabetic patient. She is taking telma 40, gluformin 500, volibo 0.3 mg, insulin 30/70 mixstard 20 units in the morning. Night has been stopped by the endocrinologist. But her bp remains 130/95 or sometimes it goes 99/100 but pulse rate is very high. Is metxl tablet and upto how many mg 25 mg or plain will be suitable in her case to control the heartbeat.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
My wife pulse rate goes 115-120. She is diabetic patient. She is taking telma 40, gluformin 500, volibo 0.3 mg, insul...
You should do ecg for that to rule out arrhythmia at that time. N to regular dm n control it take ayurvedic herbs from us.
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My mother is suffering from gout pain and thyroid from last 4 years. What is the proper treatment and medicine for it?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My mother is suffering from gout pain and thyroid from last 4 years. What is the proper treatment and medicine for it?
Thyroid gland affects nearly every organ in the body. Many nutritional factors play a role in optimizing thyroid function. However, both nutrient deficiencies and excesses can trigger or exacerbate symptoms. Working in collaboration with a both a physician and a registered dietitian is essential to determine nutritional status for optimal thyroid health. Improper thyroid function causes undesired weight changes, significant cardiovascular risks, and symptoms such as fatigue, mood changes, and gastrointestinal upset, which can hinder the development of healthful behaviors. I focus on setting realistic goals for healthy changes and regular exercise when counseling clients. There many potential nutrient deficiencies and interactions with medications and supplements. Hence diligent care is to be taken while designing a holistic treatment plan. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
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Hello sir my mother is 45 years old and she is suffering from high blood sugar so please tell me some ways to control it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir my mother is 45 years old and she is suffering from high blood sugar so please tell me some ways to control...
MrSatish Kumar, To give any suggestions I need to know her weight, (kgs), height, waist circumference, fasting and PP sugar levels (current), HbA1c%, dietary pattern and extent of exercise done daily. Based on these details I will be able to guide. It is better if you come in a private conversation where I will be able to give specific guidelines. In the mean time she should avoid sweets, deep fried foods, junk foods and pastries. Consume more of green leafy vegetables and salads, use whole grain flour for making roti and chapati, (no maida). Exercise daily for at least 1 hour that will help in reducing insulin resistance and improve it's action, plus increase glucose utilisation.
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Hello doctor. I am a medico. My mother was diagnosed to be subclinical hypothyroidism TSH 5.9 and was started on eltroxin 25 mcg and calcium .omeze and rantac .diagnosed 3 weeks back and started using. 2 weeks everything went well. Suddenly one evng she went to puja and returned back with URTICARIA. AND it progressed to lip oedema on next day mrng .immediately took her to hospital. Started on prednisolone 10 mg 3 days with allegra and montelukast. 3 days fine. Urticaria decreased. On 4th day again urticaria started now it was generalised (initially on day 1 it was localised) on that day night he developed one episode of tightness throat. But no shortness of breath. Later mrng again we took to hospital. Vitals all normal. Doc said to continue allegra and montelukast .and by evng urticaria increased and consulted dermatologist and started on deflocort and allegra and montelukast .now rashes urticaria less. My QUESTION CAN IT BE DUE TO ELTROXIN? RANTAC? OMEZA? CALCIUM? I MEAN DRUG INDUCED URTICARIA? OR SHE SAID SHE ATE LITTLE PRASADAM AT TEMPLE? CAN IT BE DUE TO FOOD? WHAT IS BEST STEP. ELTROXIN CONTINUE OR STOP?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor. I am a medico. My mother was diagnosed to be subclinical hypothyroidism TSH 5.9 and was started on eltr...
Hello, It is very difficult to say which of the various drugs mentioned has been the cause of allergy. Usually Thyroxine is very well tolerated by most of the patients. However, allergic reaction can occur to any drug or a substance any time, even after continuous usage. To find out the culprit she may have to stop all medicines for a week or so, then may introduce one by one to see which one of the compound is responsible. Then that has to be eliminated for life time. Subclinical hypothyroidism is not treated with thyroxine. Only if T4 level is low, plus there are some troublesome symptoms of hypothyroidism present then only treatment may be initiated. TSH above 10 mU/L warrents treatment. Thanks.
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Sir, meri age 25 years hai, mujhe thyroid hai aur ibs bhi hai . mai thiroxin 25 ki 1. 5 tab leta hu aur duxcet20 bhi leta hu. Sir mera digestion thik nai rehta hai koi upai btae. Thank you.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir, meri  age 25 years hai, mujhe thyroid hai aur ibs bhi hai . mai thiroxin 25 ki 1. 5 tab leta hu aur duxcet20 bhi...
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. 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 bad habits . Avoid stress. Take Some Relax during work. Take treatment for hypothyroidism :- tab. THYROXINE is used in hypothyroidism. And dose are according to level of thyroid for life time. Do Tests thyroid profile every 3 to 6 months. And consult doctor regular on time.
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My son 8 yrs old having type-1 diabetes, insulin 2 times a day, dose 9 units morning, 6 in evening. I tried best of nutrition but still his glucose levels variate from 60-70 at morning n 400+ in evening i. E. High fluctuations. Pls advise.

Pediatrician, Pune
Can consult your pediatrician, can use glargine insulin with premeal actrapid for better control, take opinion of your treating doctor, in addition diet, exercise should be planned for better control.
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I have hemoglobin problem so what should I eat to manage it. And also have feat problem. N my dad have diabetes so please help me sir.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have hemoglobin problem so what should I eat to manage it. And also have feat problem.
N my dad have diabetes so pl...
Dear try the remedies for anaemia.:: 1.Take half cup of apple juice and half cup of beet root juice. Mix apple juice with beetroot juice. Add honey to this and stir well to mix. Have this juice twice a day. 2.Take one teaspoon of black sesame seeds, milk (1 cup), Honey or jaggery (-1-2 tsp) and warm water to soak sesame seeds. Soak sesame seeds in warm water for 2 hours. Grind it to get a paste. Strain and mix it with a cup of milk. Add honey or jaggery and mix well. Have this sesame flavored milk daily.
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5 EASY STEPS TO CONTROL DIABETES

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
5 EASY STEPS TO CONTROL DIABETES
5 easy Steps to control diabetes


Tip 1: Get more physical activity

There are many benefits to regular physical activity. Exercise can help you:
• Lose weight
• Lower your blood sugar
• Boost your sensitivity to insulin — which helps keep your blood sugar within a normal range
Research shows that both aerobic exercise and resistance training can help control diabetes, but the greater benefit comes from a fitness program that includes both.


Tip 2: Get plenty of fibre

It's rough, it's tough — and it may help you:
• Reduce your risk of diabetes by improving your blood sugar control
• Lower your risk of heart disease
• Promote weight loss by helping you feel full
Foods high in fiber include fruits, vegetables, beans, whole grains, nuts and seeds.

Tip 3: Go for whole grains

Although it's not clear why, whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Try to make at least half your grains whole grains. Many foods made from whole grains come ready to eat, including various breads, pasta products and many cereals. Look for the word "whole" on the package and among the first few items in the ingredient list.

Tip 4: Lose extra weight

If you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight — around 7 percent of initial body weight — and exercised regularly reduced the risk of developing diabetes by almost 60 percent.

Tip 5: Skip fad diets and just make healthier choices

Low-carb diets, the glycemic index diet or other fad diets may help you lose weight at first, but their effectiveness at preventing diabetes isn't known nor are their long-term effects. And by excluding or strictly limiting a particular food group, you may be giving up essential nutrients. Instead, think variety and portion control as part of an overall healthy-eating plan
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My test result: Creatinine serum 1.18mg Microalbuminuria (spot) 47.3mg TSH 6.73 Fasting blood sugar 82mg Lipid profile: Total cholesterol 189mg HDL 44mg LDL 119mg VLDL 26mg Triglyceride 130mg Give me advise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My test result: Creatinine serum 1.18mg Microalbuminuria (spot) 47.3mg
TSH 6.73
Fasting blood sugar 82mg
Lipid profil...
Mr. Lybrate-user, all your lipids, creatinine and blood sugar values look absolutely fine, quite normal. But tsh level is high, falls in the category of subclinical hypothyroidism, particularly if t4 values are low. (which have not been mentioned) so there is nothing to worry right now.
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Doctor. Today while driving to work I just lost my memory. Where I am going. Where I had to go. Then I stopped plying my car near roadside. N walk in the market to recollect for where I moved out of home. But no use. please advise what it is. No history of diabetes or present. Took some medication risperidone 2 months bk.

BHMS
Homeopath, Faridabad
Doctor. Today while driving to work I just lost my memory. Where I am going. Where I had to go. Then I stopped plying...
Hello, Talk to your concern doctor. Management: -Meditate for at least 15 to 30 minutes each day physically changes your brain, making you less anxious, and more rational and empathetic. -Besides increasing your physical strength and flexibility, yoga changes your brain. Research suggests that in addition to reducing stress, anxiety, and depression, yoga protects the brain from shrinking with age. -Exercise daily as it would can help offset the cognitive decline brought on by aging and increasingly sedentary lifestyles. -Get enough sleep. On average, adults need between 7.5 and 9 hours of sleep each night. When you aren’t getting enough sleep, it affects your brain’s ability to do this, and your memory suffers. -Spend time with people whose company you enjoy, and who make you feel like the best version of you. -laughter can improve short-term memory in older adults. -Cutting down on your use of technology (i.e. sitting in front of your computer, phone, or tablet) for even 30 minutes can improve your brain health and help you think more deeply. Medication: Take homoeopathic medicine for increasing memory - Anacardium 200/ once daily.
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I am suffering from diabetes. Problem of sneezing countless times. Also nose and throat becomes too dry especially at night and unable to take sound sleep at night.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am suffering from diabetes. Problem of sneezing countless times. Also nose and throat becomes too dry especially at...
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on for medicine contact on private chat.
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I want to loose weight I have a problem of thyroid I take medicine met pco care n thyrox-50 I have 1 child 3 years old After sezerian I gone up weight mostly in tummy I daily walk 4000 foot Please suggest some medicine for loose weight.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I want to loose weight I have a problem of thyroid
I take medicine met pco care n thyrox-50
I have 1 child 3 years ol...
1. No alcohol 3. No smoking 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5.30 mts walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. Do for 30 days and report
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I am 66years female. Suffering from diabetes since last 6-7 years mostly controlled with medicines. In2014 I got injury in my right knee, ligaments. There was heavy swelling and pain. I was unable to walk for long time. Still I gave pain and difficulty in walking normally, hence my regular walk is not executed. What type of exercise I should do?

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
I am 66years female. Suffering from diabetes since last 6-7 years mostly controlled with medicines. In2014 I got inju...
good morning could you please upload the reports of your ligament injuries or knee joint injuries so I can evaluate it accordingly to help you in a better way you must have developed osteoarthritis of that particular joint so please upload the reports thank you
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I am dibitic patient from 2007 I take 15 unit morning n 15 unit night my fasting is 171 and pp is 257

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am dibitic patient from 2007 I take 15 unit morning n 15 unit night my fasting is 171 and pp is 257
Take pranacharya diabeto and shilajeet capsule 1-1 twice a day. Take neem capsule 1-1 twice a day. Walk for minimum 45 minutes a day. Take small diet in every two hour. Avoid junk food. Avoid stressfull life. Follow diabetic diet.
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I have thyroid. Taking medications of 62.5 mg. Recently had got thyroid checked through TSH. I want to consult a doctor who can advice me on medications. Thyroid has reduced.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, hypothyroidism is a condition that can only be only controlled with adequate dosage of thyroxine. But there is no cure. Once it is diagnosed then it remains with a person for lifetime. On treatment tsh level should be maintained between 3 to 4 milli units / l. Then only all symptoms are in check. Thanks for the question.
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