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Dr. R.Madhavan

Endocrinologist, Chennai

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Dr. R.Madhavan Endocrinologist, Chennai
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Personal Statement

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. R.Madhavan
Dr. R.Madhavan is an experienced Endocrinologist in Poonamallee High Road, Chennai. You can visit him/her at The Guest Hospital in Poonamallee High Road, Chennai. You can book an instant appointment online with Dr. R.Madhavan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 35 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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372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, ChennaiChennai Get Directions
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I am a 60 year old man. With random blood sugar 175 and fasting sugar 90. My doctor has prescribed me metformin but I do not take it as it decreases my blood sugar drastically. I feel sleepy all the time and I sleep while sitting. The dangerous part is that I feel sleepy while driving and occasionally my fingers get tingly. Why is this?

PGD IN MEDICAL LAWS ÐICS, DHA, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, MBBS
General Physician
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I am a 60 year old man. With random blood sugar 175 and fasting sugar 90. My doctor has prescribed me metformin but I...
Your blood sugar level can be controlled by diabetic diet 1200k cal and, 5 km daily walk. Sleeppiness and tingling may be due unstable blood sugar. Please consult your doctor to change drugs/modify dose.

I am 36 years old I have type 2 diabetes last 7 year what's I should do to maintain it.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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I am 36 years old I have type 2 diabetes last 7 year what's I should do to maintain it.?
Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity. eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed. 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.

Why is the sugar problems.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Why is the sugar problems.
sugar problem or diabetes is because of defect in insulin production (by pancreas), or resistance to its action or both as seen in t2 diabetes. In t1 there is total absence of insulin secretion by beta cells of pancreas.

I have thyroid, Is there anyway to eradicate this disease. Right now I'm taking ELTROXIN-25 mcg daily. Please suggest what should I do? Should I go for homeopathy or ayurveda.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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Cont taking med what is tsh level? no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water intimate tsh for more advice.

Sir. Everyone tells for kidneys better performance one should take minimum 8 glasses of water. I consume 1 cup tea (with milk and sugar) and 8 to 9 cups of black tea (without sugar) daily. Is there any problem for taking this much daily? Is it a replacement for water?

MBBS, Post graduate in diabetology
General Physician
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Sir. Everyone tells for kidneys better performance one should take minimum 8 glasses of water.
I consume 1 cup tea (w...
Avoid milk in tea. No problem in taking 8 cups of tea with reference to your kidneys, but there may be other problems. So try to keep it within 5 cups per day. Don't try to replace water with tea.

What is if pp diabetic blood test <70 mean?

MBBS
General Physician
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Are you taking any medicine-reduce the dose, if not take plenty of fresh, fruit juices, fresh fruits, dried fruits. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI

Am 29, female, weight is increasing rapidly, every time am hungry even after having food. please guide me don't have thyroid problem.

DFM, FID, MBBS
General Physician
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Am 29, female, weight is increasing rapidly, every time am hungry even after having food. please guide me don't have ...
Losing weight and keeping it off, is not an easy task and often we are frustrated by failed attempts at doing so. The cause of such failure, mostly, is not making the attempt in a comprehensive and disciplined manner. A comprehensive lifestyle modification program for weight loss not only helps you lose weight but also leads to significant betterment of blood sugar, lipids, bp levels etc. And thus reduces your health risks of diabetes and cvd but also make you feel more in control of your life. Therefore, if you have not been able to lose weight on your own, should consider getting into one of these. The components of such a program should be the following: diet modification and calorie restriction: the diet plan you should follow should be driven by the following principles: it should be aligned to your eating preferences in terms of food and frequency of eating, as much as possible ; no diet plan (low fat or low carb, 4-5 meals a day or more or less frequent meals etc.) has been prov.

Hello sir/madam, My wife is pregnant from 2 month. But she has a complications of type-2 diabetes before 6 month. But now a days the sugar level is normal I.e. 128 mg at fasting. Again she is having increasing t3 & t4 level with constant decrease of TSH. So tell me sir is she eligible for mother or not and is there any risk in her pregnancy.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello sir/madam, My wife is pregnant from 2 month. But she has a complications of type-2 diabetes before 6 month. But...
Hello, if she has diabetes then through out pregnancy blood glucose levels should be between 90 to 120 mg. This is all through the day. Otherwise pregnancy out come is affected. Can lead to miscarriages, large baby etc. She has to be on insulin with very strict glucose control. However t 3 & t4 being high tsh low is fine. It would have been better if actual levels were mentioned. Thanks. Most important is strict blood glucose control.

My wife is diabetic. She is 60 years old. Her sugar level is around 100. She is maintaining this level 1980. She can add BANANA in her diet. Thanks K. Devi.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My wife is diabetic. She is 60 years old. Her sugar level is around 100. She is maintaining this level 1980. She can ...
Mr. Lybrate-user, if she has excellent sugar control then taking a small banana occasionally is ok, but regular consumption is better avoided. To have very good of diabetes fasting sugar level should be closer to 100 mg, pp 150 to 160 mg and hba1c% <7. (ideally <6.8).

Hii my dad age is 58 and they have diabetes and recently his sugar level is increase in fasting their sugar is 210 they taking pills name Azuliz 2 mf more to control it but I want you ask you that how it is permanently control without medicine. His bp is normal and weight is also normal.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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Hii my dad age is 58 and they have diabetes and recently his sugar level is increase in fasting their sugar is 210 th...
Fasting Sugar of 210 is extremely high. If this is happening inspite of taking medicine, then it means the diet is not proper. Please make sure he avoids foods with high 'Glycemic Index' # Foods to Completely Avoid - White Rice - Potatoes - Sugars - Biscuits - Sweets - Colas - Juices - White Breads - Corn Flakes - Banana - Mango - Grapes - Fried Foods - Full cream milk - Ghee - Butter etc. # # Foods to take >> Papaya, Mosambi, Multigrain Atta roti without Ghee, Brown Rice, Oats, Cucumber, Dals, Rajma, Vegetables, Skimmed Milk, Almonds etc. %% Should eat every two hours - light snacks /meals. $$ Overall he has to reduce weight, go for long walks, reduce stress and improve lifestyle. $$ He can also do Pranayam and Meditation which will help him. If his Sugar levels don't come down, its better you consult a doctor. However I can tell you that the best way to reduce Sugar levels is through natural means. Other methods are very costly and painful.

What should be in my diet and what should not be when my TSH level is less than 0.01? My age is 28.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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What should  be in my diet and what should not be when my TSH level is less than 0.01? My age is 28.
Avoid iodized salt like tata salt etc. Take non iodised salt like that we use during fast in navratras.

I am 30 yrs old male. I have Grave's disease from last 6 months.

MD - Internal Medicine, MBBS
Endocrinologist
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I am 30 yrs old male. I have Grave's disease from last 6 months.
where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving THYROXINE tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

Dear sir, I am diabetic in April I check my HbA1c was 7.5, I was taking 750 mg of glyciphage so my Doctor advised to take 500 mg glyciphage 2 times after half hour taking food (ie, 1000 mg), after exactly in July last month my HbA1c showing 9.0, what will be the reason, is any thing went wrong with the laboratory where I am testing , is this possible to shoot from 7.5 to 9.0 in a matter of 3 months. Kindly advise. I am on a tour for a month in Gulf, once I back will check again, I am very careful about my diet , never take sugar or sugar items, will go for gym for half hour without fail every day, thanks

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Dear sir, I am diabetic in April I check my HbA1c was 7.5, I was taking 750 mg of glyciphage so my Doctor advised to ...
Mr. Lybrate-user, it appears that only metformin is not enough in controlling your diabetes, that is the reason hba1c has gone up. You need to add some more drugs to the treatment for better control of blood glucose. Another aspect your weight is high and bmi is 27.77 kgs/m2, (normal <23 kgs/m2). That also contributes to increased blood blood glucose level. There is an urgent need to add a new drug. If you are willing to do that, then please come in a private conversation with current blood sugar details (fasting and pp). Then I can advise. Or else if you want to weight till your return then my suggestion is exercise more vigorously daily, increase dose of metformin to 1500 mg to 2000 mg daily, tisll you return. Thanks.

My dad had diabetes. Suggest the tips to control diabetes without using of insulin.

MBBS
General Physician
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My dad had diabetes. Suggest the tips to control diabetes without using of insulin.
Regular exercise,weight reduction,diet control,avoiding sweets and excess carbohydrate etc.Monitor blood sugar and Hb1 a.c. regularly and consulting doctor

Hello doctor, Is that true that thyroid patients should avoid millets, wheat, flax seeds, sweet potatoes and dry fruits like badam and aakrut?

Diploma in Diabetology, MBBS
Endocrinologist
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I am not aware of such diet restrictions however you need to avoid foods with artificial colours, flavours & preservatives. Also avoid intake of iodised salt.

Sir, I have blood sugar. Fasting- 165, pp- 299. Please guide for my better to cure it. Please send me some tips, so we can upgrade myself.

D.H.H.M.,D.M.C.H., M.B.B.S.
General Physician
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You should take small & frequent meals. Avoid sweets & carbohydrates rich diet. Go for walk & do exercises daily.

My age is 50 years now. I have been going for a 40 minute walk everyday in the morning for the last 1 month. I am feeling general weakness for the last 1 month. Is it time for me to go for a sugar test?

MBBS
General Physician
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My age is 50 years now. I have been going for a 40 minute walk everyday in the morning for the last 1 month. I am fee...
no harm for sugar test, it is better, back with report, take tab multi vitamines, tab shellcal, green vegetable diet. it will help. welcome for further help.

I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 215. And also I checked hba1c is 10.1. What is my status and can I able to control without medicine. Past one month without medicine only I reduce the sugar level. Kindly guide me.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Endocrinologist
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I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 2...
With diet control blood glucose levels will drop. However, with such high hba1c you will need medicines. The dosage of medicine can come down over time. But at present it is imperil ice that you start treatment.

What are the symptoms of having a diabetes and what are solution for removing this disease in very short time also tell me about diet.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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What are the symptoms of having a diabetes and what are solution for removing this disease in very short time also te...
Mr. Lybrate-user, diabetes hardly produces any symptoms, that is why most people do not recognise it. When it does cause symptoms those are excess urination, excess hunger, excess thirst, unexplained weight loss and tiredness. This disease can only be controlled by proper treatment, which has to continue for lifetime. Plus diet control and exercise are also important. Diet has to be very individualised based on ideal body weight, extent of exercise and blood sugar levels. A diabetic patient should avoid sweets completely, avoid deep fried foods, junk foods, pastries, sweetened aerated drinks and high fat milk products. Consume more of green leafy vegetables and salads. Caloric intake has to be restricted.

I am 56, diabetic patient for about 2yrs, never take any medicine. My sugar level at present is fasting - 123, pp - 158. What treatment should I take? is it enough diet control and proper exercises for my condition?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Although your sugar levels are not alarmingly high but these levels r maintained since 2 yrs, so it is a problem and for this I will reccomend you an effective and safe homoeopathic treatment. Follow up after 2 months diabonil (sbl) 20 drops in 20 ml fresh water 15 minutes before meal uranium nitricum 1x (wilmar schawe india) 2 tab twice daily direct in mouth and chew eat little at a time every 2-3 hourly. Don? t eat too much at a time brisk morning walk for 30 minutes regularly dinner 2 hours before going to sleep 10 minutes evening walk after dinner avoid sweets, mango, grapes, cold drinks in particular.
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