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Dr. Premalatha

Endocrinologist, Chennai

250 at clinic
Dr. Premalatha Endocrinologist, Chennai
250 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Premalatha
Dr. Premalatha is a renowned Endocrinologist in Mogappair West, Chennai. Doctor is currently associated with Tharaks Diabetes & Diagnostic Centre in Mogappair West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Premalatha 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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English
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Indian Medical Association (IMA)

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No.97, Vellalar Street, Mogappair Main Road, Mogappair West. Landmark:Opp to SBI, ChennaiChennai Get Directions
250 at clinic
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Diabetes - How Can You Control its Affect on Your Eyes?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
Diabetes - How Can You Control its Affect on Your Eyes?

Diabetes is a scourge that has been spreading like wildfire across the globe. It is one of the major public health concerns of the modern era. Diabetes not only causes damage to your internal organs but will also take a toll on your eyes if left unchecked. Retinopathy, glaucoma, cataracts and blurry vision are common phenomena accompanying diabetes. 

You may not notice it at first. Symptoms can include:

  1. Blurry or double vision

  2. Rings, flashing lights, or blank spots

  3. Dark or floating spots

  4. Pain or pressure in one or both of your eyes

  5. Trouble seeing things out of the corners of your eyes

Thus Comprehensive Dilated Eye Exam plays an important role to detect it.

Here are some common Diabetic Eye Problems:

  1. Blurry Vision: Do things turn blurry for you at times? Well it is not your glasses which are at fault but your high blood sugar count swelling up the lens within your eye and changing your ability to see. In order to correct your vision, you need to try bringing your sugar level back to the optimal range, which is 70 to 130 milligrams per deciliter. Do call on a doctor if the situation persists or deteriorates further.

  2. Cataracts: Your eye lens is just like a camera that enables you to see through it by focusing on a particular object. If you have cataract, your otherwise clear lens gets shrouded a layer making it opaque and cloudy. You tend to face difficulties in the form of glares, blurred or clouded vision, and blind spots among other problems. Diabetics are prone to acquiring cataract much earlier than others, with the condition worsening subsequently. They are removed via surgery where your doctor substitutes your hazy lens with a new artificial one.

  3. Glaucoma: You eye transmits images to your brain through the optic nerve. Pressure may build up within the optic nerve resulting in damage and ultimately causing total or partial blindness. This is a fairly common disorder with diabetics and a large number of cases pertaining to blindness due to diabetes are caused by this. Usually, glaucoma can be treated with laser, surgery, eye drops or medicines.  It is important to visit a doctor as it can help stop the progression of the disorder much earlier.

  4. Diabetic Retinopathy: The retina is a cluster of cells behind your eyes that absorbs light and converts them into images that are sent to the brain via your optic nerve. High blood sugar count can actually wreak havoc on the tiny blood vessels within your retina giving rise to diabetic retinopathy. Symptoms may include blurry vision, seeing spots, blind spots and difficulty in low light or night time. Retinopathy can cause you to progressively go blind and thus it is imperative that you go for periodic check-ups and keep your diabetes under control.

Control and Prevention

If you have diabetes, you are not doomed to develop diabetic eye disease. Although you are at risk, you have the ability to control your diabetes so your vision is not compromised. Controlling diabetes requires you to monitor your blood sugar levels regularly. Follow some steps to help you control and preserve your vision:

  1. Taking your Medicines regularly as prescribed by your doctor. Skipping of medication may leads to irregular control and is more hazardous.

  2. Eating Right food is essential when trying to prevent or control diabetes. Eat a diet that is high in nutrients, low in fat and moderate in calories. A high-fiber diet with low glycaemic index foods (slow-release carbohydrates) will keep blood sugar steady and make you feel full. Although you do not need to eliminate sugar completely, you must limit sugar to a small serving. The good news is that as you cut sweets, your cravings will change and you will naturally desire more healthy foods.

  3. Keep your A1C level under 7%: A1C is a test you have during a visit to your endocrinologist to determine how well-controlled your diabetes has been during the previous 2-3 months. Keeping your blood glucose in this target range means less damage to the delicate blood vessels around your eyes.

  4. Control blood pressure and Cholesterol Levels: People with diabetes have a greater chance of having high blood pressure and Cholesterol, which can cause eye blood vessel damage.

  5. Regular Physical Exercise can help you control your blood sugar, increase fitness and reduce your risk for heart disease and nerve damage. You must track your blood sugar before, during and after exercise to prevent hypoglycaemia.

  6. Annual comprehensive eye exams: If you are pre-diabetic or diabetic, it is even more important to have Complete Dilated eye exam to initially get baseline recordings of the eye conditions and then regular yearly follow-up visits to monitor changes in your vision. If you notice blurred vision and you have had diabetes for a length of time, it might be a signal you need to keep tighter control of your glucose levels.

4218 people found this helpful

My wife have hypothyroidism gave me some proper curable medicine to cure it and to make family planning.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife have hypothyroidism gave me some proper curable medicine to cure it and to make family planning.
Mr Rajesh, If she has hypothyroidism then it should be controlled by taking thyroxine tablets in proper dosage and that too for life time. The dose depends on body weight and TSH level. If she wants to become pregnant, then it more important that TSH level has to be brought down to just around 2 milli units/ ml. This is the only way.
39 people found this helpful
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How can I cure high blood pressure, sugar and high cholesterol levels simultaneously? what should i do ?

LCPS, BAM&S
General Physician, Pune
How can I cure high blood pressure, sugar and high cholesterol levels simultaneously? what should i do ?
This is a typical high stress disease pattern. If you exercise, walk or jog for 60 m. , do yogasans, control diet, you can overcome all the three problems. See a good physician who can advise correctly.
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I am 66 years old person and there is only increased uric acid i.e. Also bit. 2. There is one corn in my left foot near toe, which is very hard and is paining a bit. I tried corn caps but it has not been removed. Please suggest medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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. Tab. Ulracet sos for pain in joints.
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Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.

PDDM, MHA, MBBS
General Physician, Nashik
Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). The first thing you should do is to eat foods that are high in fiber, This is because fiber rich foods absorb uric acid from the blood. Your kidneys then 'throw' out the excess uric acid. Try to eat Oatmeal, Spinach, cauliflowers and Isabgol in milk if possible.  Please use olive oil to cook your food. Kindly avoid vegetable oils because they become unhealthy when heated twice. This leads to rancid fat in the body. These destroy vitamin E, that in turn controls uric acid levels. Olive oil also curbs uric acid by itself.  Vitamin C chewable tablets taken 500 mg daily lower uric acid levels within 4 to 8 weeks.  Try to stop intake of sweets, cakes and pastries. Saturated fats are bad for you.  Many fruits have got potent anti-oxidant properties, like celery seeds, grapes and tomatoes, and these prevent harmful toxins from attacking your organs - releasing uric acid.
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I am suffering from thyroid ,what should I have to eat and what to avoid ,recently tsh measured 100 what to do please suggest.

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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Im a diabetic person I eat only veg food so can you help me with the veg diet which should I follow though out the day.

C.S.C, D.C.H, M.B.B.S
General Physician,
Im a diabetic person I eat only veg food so can you help me with the veg diet which should I follow though out the day.
Timing Foods To Eat Calories Early Morning Lukewarm Water with Lemon 1 glass 0 Tea without Sugar + 2 Biscuits 90 Breakfast 2 Rotis + 1/2 cup Paneer Curry 330 OR Brown Bread Upma 1 plate + Milk 1 cup 300 Mid-Morning 1 Banana/1/2 cup Melon/20 Grapes 50 Lunch Brown Rice 1 cup (195 gm) + Mixed Vegetables 1/2 cup + Salad 1 bowl + Raita 1 small bowl 345 Evening Butter Milk 1 cup 35 Dinner 2 Rotis + Vegetable Soup 1 bowl + Salad 1 bowl 370 Total 1220/1190 Cal
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I had throat pain and in a month I'm having throat pain 3 to 4 times and it was happening from the last 7 months. I tested my thyroid and the doctor said that it was clear. I do every day goggle with warm water adding some salt, Still why I'm suffering from throat pain and have daily 3 to 4 tablets in a day . By having every day dose would it be side effects or not. What should I do.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
I had throat pain and in a month I'm having throat pain 3 to 4 times and it was happening from the last 7 months. I t...
Pain in throat may be due to Allergy cum infection in throat. Through examination of throat is required. If required after taking throat swab for culture and sensitivity, accordingly antibiotics and Antihistamincs, Analgesics can be given.
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I have been diagnosed with Thyroid disorder (TSH) for last one year. My TSH in Nov 2015 was 7.7. That time my doctor advised to take Thyrox tab (50 mg). Then in March 2016 the TSH was Zero. My doctor suggested to continue with Thyrox (50 mg). My latest TSH level is 6.817. What should my Thyrox dose. Also, do I need to take any calcium tablets along with Thyrox tab. Pls advise.

BHMS
Homeopath,
I have been diagnosed with Thyroid disorder (TSH) for last one year. My TSH in Nov 2015 was 7.7. That time my doctor ...
Hi lybrate-user, thyroid disorder or hypothyroidism cannot be completely cured with allopathic mode of treatment, it can only give you suppression of the disease but not complete cure. You should take homoeopathic treatment for best results and that too side effect free. You should start taking calcium and vitamin b12 in your diet as well as in supplements. For homoeopathic treatment contact further.
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Higher TSH - 252 (1 month back) Under going medicine TYROUP 75 mg After 1 month dose TSH - 100 Kindly suggest what is the treatment and do I have to take medicine life long.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, your tsh levels both earlier and current are exceptionally high. Therefore dosage of thyroxine 75 mcg is too low. When on treatment and on good control tsh levels should be between 3 to 4 milli units /l. So your current dose is very inadequate. With this dose hypothyroidism symptoms will not be controlled. Plus you will have to follow all instructions regarding taking the dose like early morning on empty stomach and nothing to be taken after that for 2 hours. Plus avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, mustard, peanuts, radich and coffee. Use whole grain flour for chapati and roti, (no maida, or other refined flour). Consume more of green leafy vegetables and fruits. To decide on the correct dose I need to know weight, height and t4 levels. Treatment has to be taken for life time. There is no option. If not properly treated then it can lead to serious consequences. Thanks for the question.
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URIC ACID is 10.20 please suggest medicine &other precautions. feeling weakness, pain in legs only, no joint pain.

BHMS
Homeopath,
URIC ACID is 10.20 please suggest medicine &other precautions.
feeling weakness, pain in legs only, no joint pain.
Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to pain & swelling of those affected joints & this condition is clinically known as gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.
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I have married last 2 years ago till now no childrens wat tosdo now and ky wife have thyroid problem is there any problem to solve for that.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Yes thyroid disorders is one of the major cause for infertility and u need to get it corrected first before u can think of planning pregnancy.. Yes it's treatable with simple thyroxine tablets
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I have gaut last 3 years I was checked CRP and uric acid crp is positive and uric acid is >7.0 so what I do for this deasese?

MBBS
General Physician, Cuttack
1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight 7. Take medicine after consulting physician.
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My age is 57. My fbs is 125, 2 hr ppbs is 308. I am on insulin once 25 unit of huminsilin 30/70 before breakfast, voglistar gm2 before lunch, tripride 2 before dinner. What is the reason of high ppbs count. What should I do for this abnormal ppbs. Kindly advice.

MBBS
General Physician, Ahmedabad
Ur bmi is 25.6. You need some weight reduction. Voglistar to b taken immediately after lunch. Send your hbaic level//then will suggest further management. R you taking statins?
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I have a friend who is suffering from diabetes mellitus and hypertension so what should I do for him to take care.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have a friend who is suffering from diabetes mellitus and hypertension so what should I do for him to take care.
Mr. Lybrate-user, you should help your friend to start appropriate treatment for diabetes and high blood pressure. Drug treatment is essential for proper control. In addition he should exercise daily for 1 hour, take restricted diet that give exact amount of calories based on his ideal body weight, blood sugar levels and amount of daily exercise. For controlling high bp apart from drugs salt restriction is very essential. He should also be told to avoid sweets, sweetened aerated drinks, deep fried foods, junk foods, pastries, high fat milk products, red meat, highly processed foods and fructose corn syrup containing products. He should consume more of green leafy vegetables and salads.
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I am 39 yes old lady suffering from type 2 diabetes. I am have severe pain in right leg near ankle portion although I am taking nortipn but its not effective. Please kindly help.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 39 yes old lady suffering from type 2 diabetes. I am have severe pain in right leg near ankle portion although I...
Please take following medicine:- Leop. Ban. - 0/ 2 three times a day for one week. Revert back after one week with feedback.
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I am diabetic patient so what shall I eat on regular interval so that I can control my diabetes.

MBBS
General Physician, Cuttack
I am diabetic patient so what shall I eat on regular interval so that I can control my diabetes.
Avoid sweets,high calorie and carbohydrate rich diet. Adhere to a diabetic diet after consulting dietician.Go for regular exercise,reduce your weight if you are diabetic.Monitor your blood sugar three monthy and consult diabetologist for advice and treatment
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Hi dr I am not getting my period on time even it stay for only 1 day when its come .I hv hypothyroid not losing weight .my major problem is that I m not getting my period from last year .m in relationship please help

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
First of all you should continue thyroid drugs and ensure that it is controlled. Weight gain is another problem that causes mens irregularities. So, your first treatment is in your hand- weight loss, weight loss and weight loss (diet and exercise). Some of my patients are doing very well simply by weight loss without any drugs. If despite weight loss (when you are sincerely trying), the problem persists, you should take drugs after consulting doctors
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I am 60 years old. I am diabetic type II and taking medicines. I have retinopathy also. What should I do?

MBBS
General Physician, Mumbai
I am 60 years old. I am diabetic type II and taking medicines. I have retinopathy also. What should I do?
We need to control sugar levels with medication exercise and following a diabetic diet and also follow your ophthalmologist advice and we need to take folicacid supplements daily along with statin group of drugs
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