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Dr. Prof Mahalingam Kuppu Swami

Endocrinologist, Chennai

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Dr. Prof Mahalingam Kuppu Swami Endocrinologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prof Mahalingam Kuppu Swami
Dr. Prof Mahalingam Kuppu Swami is a trusted Endocrinologist in Mogappair, Chennai. You can consult Dr. Prof Mahalingam Kuppu Swami at Total Diabetes Care-Bhaarat Hospitals in Mogappair, Chennai. You can book an instant appointment online with Dr. Prof Mahalingam Kuppu Swami on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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Total Diabetes Care-Bhaarat Hospitals

Plot #36,M.M.AVE.Near Vijaya Bank. V.G.P.NAGAR.MOGAPPAIR-WEST.CHENNAI 600037, ChennaiChennai Get Directions
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I am 44 years old. My sugar level is 101/216. After food my sugar level is going high , I am taking gala mg2 in the morning and evening what type of food I have to take advice me.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 44 years old. My sugar level is 101/216. After food my sugar level is going high , I am taking gala mg2 in the m...
You need to increase medication for post meal sugar control. Alfa glucosidase inhibitors class of drugs like voglibose etc helps to control post meal sugars. Consult any diabetologist for adding them. Consume more complex carbohydrates and fibre in your diet so post meal sugar peaks will be less.
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I'm 34 years old male. My weight is 90 kgs and height 5'9" I have been having thyroid problem since last few months and also Uric acid. Im taking Eltroxin 75 mg and Feburic 40. Recently im developing pain in my ankles and neck (LHS). Do I need to change medication? Unfortunately I get very less time to exercise and if I do then I feel fatigued.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user kumar, looking at your height and weight your bmi is 29.31 kgs/m2, close to grade 1 obesity. This itself is the cause of feeling fatigued. If you are on treatment with thyroxine then tsh levels should be between 3 to 4 milli units /l, then only it is considered as in good control and all symptoms are in check. Similarly uric acid also should be below 6 mg. Your efforts to reduce weight will be successful only if hypothyroidism is in check. So please look at tsh levels and inform. Plus please understand if you want to be fit and healthy, then exercising for at least 1 hour a day is a must. No excuse will benefit. Thanks for the question.
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Hello doctor this is sandeep. My father is suffering from diabetics from 12 years daily he is talking isuleine although he is maintain the perfect diet. Suggest some detailed regulars to follow.

MBBS
General Physician, Mumbai
Hello doctor this is sandeep. My father is suffering from diabetics from 12 years daily he is talking isuleine althou...
We need to control sugar levels with medication exercise and following a diabetic diet and to take food with low glycemic index levels
1 person found this helpful
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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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My sugar has increased Normal range of Sugar is 145 where as my sugar level is increased up to 18 My Sugar report is 163 so what should we take diet? Please brief me.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
My sugar has increased Normal range of Sugar is 145 where as my sugar level is increased up to 18 My Sugar report is ...
You are over weight and with this report you have pre diabetes cut down on sugar and calories and for regular exercises for 45 minutes a day to prevent onset of diabetes.
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Causes, Risk and Treatment of Infertility

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Causes, Risk and Treatment of Infertility

Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly. So here are the causes, risks and treatment for this condition.

Causes

There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. 

Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. 

For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play. 

Risks: 

There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. 

Treatment: 

Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. 
If these methods fail, the patient or the couple can always turn to methods like In Vitro Fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.

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My father is a diabetic and my paternal grandparents both were diabetic so can you tell that is there a chance to prevent diabetes for me and my sister? Thank you.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
My father is a diabetic and my paternal grandparents both were diabetic so can you tell that is there a chance to pre...
Both genes and environmental contribute to development of diabetes. You can not change your genes but you have control over environment I.e. Lifestyle. Maintain normal weight exercise daily following healthy eating habits to prevent diabetes.
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I am 38-year-old unmarried hypothyroid 60 kg .First I was hyperthyroid in 2001 and was on Neomercazole.In 2005 two doses radio iodine taken. Then on 100 mcg eltroxin for 7 yrs. Then 125 mcg thyronorm till 2016. Now 125 mcg thyronorm 5 days and 100 mcg 2 days per week. I had some needle like growth near inner labia portion after radioiodine last dose. I treated it with thuja and nitric acid homoeo medicine then. It went out from inner side to outside labia. L continued thuja. Then it appeared all over. Later itching persisted on those parts and a lump remained on iñner side of labia with itching. Also had consistent white discharge from 2010. But after taking medicine from gynecologist white discharge subsided. But small bump and itching persisted with discomfort increasing during periods. A doctor diagnosed it as contact dermatitis from this site. So as a natural cure for it l tried apple cider vinegar on the lump and it disappeared but same growth now appeared on outside labia with itching. i apply apple cider vinegar and trying but itch and slight protrusion has not gone fully. Is there any remedy.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
I am 38-year-old unmarried hypothyroid 60 kg .First I was hyperthyroid in 2001 and was on Neomercazole.In 2005 two do...
Your thyroid and labial problem are two different and unrelated issues. Keep in touch with your dermatologist for the labial lesion.
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My mother is a diabetic patient n her diabetes increase n decrease automatically. She was taking insulins bt even after tht within few mints it will be increased n in few mints it get decreased y so? What shld b done to bring sugar level to stability. From past one year she was mostly admitted in hospital. please suggest what to do? N whom to consult.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is a diabetic patient n her diabetes increase n decrease automatically. She was taking insulins bt even aft...
Hello, thanks for the query. Since the information is very general, without giving any details of actual blood glucose levels and current treatment, it is difficult to give any advise or opinion. It appears she has very unstable glucose levels, hence has to be closely monitored with daily multiple blood checks and altering the dosge of insulin. She may need long acting and rapid acting insulin plus some oral drugs too. You should consult a good diabetologist who can manage her condition better. Thanks.
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My sister is having diabetes what I gotta do to control it? She's having it since last 20 years.

BHMS, CGO
Homeopath, Pune
My sister is having diabetes what I gotta do to control it? She's having it since last 20 years.
Blood glucose - homeopathic medicine is safe and effective, and you can follow the diet chart its helps to maintain blood glucose level and exercise help to increase metabolism - walking, jogging, cycling, meditation, yoga etc etc diabetes diet for indians- should have the ratio of 60: 20: 20 for carbs, fats and proteins. Per day calorie intake should be between 1, 500-1, 800 calories with a proportion of 60: 20: 20 between carbohydrates, fats and proteins, respectively. He adds that a diabetes diet should" have at least two seasonal fruits and three vegetables in a diet plan. Though dry fruits may seem like a healthy snack, it is not a good option for diabetics, as the fructose can spike your sugar level. Go for fresh fruits rather than dry fruits for diabetes control (but there are some restrictions. We'll come to it). But you can still opt for nuts as a healthy snack. For homeopathic treatment you can contact me through lybrate. Diabetes diet for indians: - one teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes. - drink tomato juice with salt and pepper every morning on an empty stomach. - intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes. Some major diabetes diet pointers that one should follow at home or at a restaurant. Whole grains, oats, channa atta, millets and other high fibre foods should be included in the meals. If one feels like consuming pasta or noodles, it should always be accompanied with vegetable/sprouts. Milk is the right combination of carbohydrates and proteins and helps control blood sugar levels. Two servings of milk in a daily diet is a good option. Diabetes control: diabetic diet tips high fibre vegetables such as peas, beans, broccoli and spinach /leafy vegetables should be included in one's diet. Also, pulses with husk and sprouts are a healthy option and should be part of the diet. Pulses are important in the diet as their effect on blood glucose is less than that of most other carbohydrate containing foods. Vegetables rich in fibre help lowering down the blood sugar levels and thus are healthy. Good fats such as omega-3 and monounsaturated fats (mufa) should be consumed as they are good for the body. Natural sources for these are canola oil, flax seed oil, fatty fish and nuts. These are also low in cholesterol and are trans fat free. Fruits high in fibre such as papaya, apple, orange, pear and guava should be consumed. Mangoes, bananas, and grapes contain high sugar; therefore these fruits should be consumed lesser than the others. Small frequent meals: a large meal gives rise to higher blood sugar in one's body, therefore it is essential to take small frequent meals to prevent both higher and very low blood sugar values and keep them constant. Small in between snacks can be dhokla, fruit, high fibre cookies, butter milk, yogurt, upma/poha with vegetables etc. A person with diabetes should follow a diet which is low in carbohydrates, high in fibre and contains adequate amounts of proteins, vitamins and minerals; and avoid fatty foods and sweets. He/she should also take frequent small meals (5 meals pattern). What not to do: artificial sweeteners can be used in cakes and sweets for diabetic people (in moderation). Have lots of fluid. Limit intake of alcohol. Non - vegetarian in non-vegetarian diet, seafood and chicken can be taken rather than red meat as red meat contains higher amount of saturated fats. Also, patients with high cholesterol should avoid egg yolk and red meat. The diabetes diet for indians includes carbohydrates, proteins and fats. As always, a balanced and planned diet can build and improve personal health. A controlled diabetes diet may seem like a drag and bore, but a good cook can add life to a diet.
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Hi my uric acid level is 9.4. I am having swelling n pain in my toe and foot. Doctor prescribed me Zyloric, Defza 6, nucoxia tablets. But still its not cured from 15 days. My age is 27.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hi my uric acid level is 9.4. I am having swelling n pain in my toe and foot. Doctor prescribed me Zyloric, Defza 6, ...
increase zyloric to 100mg three times a day no greens palaak mushroom sprouts and seeded fruit and vegetables.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months and hashimoto's thyroiditis is an auto immune disease where we can control it with medication but not cure it completely.
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Can you please tell us that what exactly a point digit of Sugar should be? In a healthy man.

BHMS
Homeopath,
Can you please tell us that what exactly a point digit of Sugar should be? In a healthy man.
Fasting blood sugar should be 70-110 pp will be within 140 mg/dl is the normal range of blood sugar.
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My wife aged 42 having laziness and inadequate sleep. The thyroid result is T3-101, T4-10.7, TSH-5.75. Is she having thyroid disorder. Any medicine to be taken? Kindly advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife aged 42 having laziness and inadequate sleep. The thyroid result is T3-101, T4-10.7, TSH-5.75. Is she having ...
Mr Vishwanathan, She does not have hypothyroidism now. She may be having subclinical hypothyroidism. There is no need for any treatment now. She should exercise regularly to maintain normal weight, avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Use whole grain flour for making roti and chapati. Consume good deal of green leafy vegetables and fruits. Avoid high fat foods. This should help her. Get TSH levels checked after 6 months.
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What are the symptoms causes and cure for diabetes? Is BGR-34 a good medicine to cure diabetes mellitus?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
What are the symptoms causes and cure for diabetes? Is BGR-34 a good medicine to cure diabetes mellitus?
There is no cure for diabetes. You can only control it with diet, exercise and drugs, cause is genetic, in other words destiny. Symptoms are excessive thirst, excessive urination, increased appetite, loss of weight, blurring of vision and skin infections.
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Hi my mom is 49 years old she has been suffering from blood sugar/ BP and pain her recent diagnosis report says that FBS-- 238 PPBS-- 269 BP--130/80 she has been taking medication s like gluconorm g2 stamlo 2.5 but her feet and ankle used to swel occasionally her creatine is .38 what should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my mom is 49 years old she has been suffering from blood sugar/ BP and pain her recent diagnosis report says that ...
Hello, if she has diabetes and high blood pressure, it is necessary to control both the conditions effectively, to prevent possible long term chronic complications of both the diseases. Looking at her height & weight it is clear that she is having grade 1 obesity with a bmi of 30.5 kgs/m2. This itself may be the reason for uncontrolled blood glucose level. Her ideal body weight should be 50 kgs, so she carries 12 kgs extra weight. Reduction of weight, regular exercise and diet control will definitely help in bringing her blood glucose under excellent control. Her bp is fine, blood glucose has to be controlled better. It appears there has to be a total relook at the treatment, diet and extent of daily exercise. When in control fbs should be around 100 mg, pp 150 to 160 mg, hba1c%<6.8. Thanks.
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I am 66 years veteran, Have T2 type diabetes for last 25 Years, Height 5'-2" Weight 50 Kg. Left Leg All five Toe Fingers imputed (Injured-Do Not Heal Quickly) Presently Sedentary Life Except Home Computer. request Suggest date, exercise, Preventive Medication. Presently Knees Have Became Weak, Walk With Help of Walker. Minor No. Specks for Reading only.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am 66 years veteran, Have T2 type diabetes for last 25 Years, Height 5'-2" Weight 50 Kg. Left Leg All five Toe Fing...
I think you should never give up mentally. Your body can be pushed more than what you are currently doing with it. You can join a Yoga class or get a Yoga instructor to your home. Also go to the park daily in the morning and evening and try to walk for 30 mins. Even if you are using walker, does not matter, but keep your limbs active as much as possible. Use 1 liter water bottle as dumbells to strengthen your arms. Eat whole grain or multigrain atta rotis. Eat fruits like apple, papaya. Eat dals, beans, mushrooms, lobia etc. Aim to live healthy for at least 50 years more. Life is precious! Never give up!
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I'm having diabetes for last 12 years and I'm 42 years old, should I shift to human insulin from pills ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm having diabetes for last 12 years and I'm 42 years old, should I shift to human insulin from pills ?
Mr vivek, may I know why you are interested in shifting to insulin injections? usually in t2 dm people shit to insulin when the sugar control is not good with oral anti diabetic drugs. Hence please give details about current fasting, pp sugar levels and hba1c% and your physical activity. If you feel shifting is needed, it can be done any time and will help in better control.
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