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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 42 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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The Guest Hospital

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, ChennaiChennai Get Directions
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Hello doctor I have diabetes and I fell bad and I don't know what I do please help in this situation and say what I eat and what I don't eat and what's tablet I give to medical please help me.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Hello doctor I have diabetes and I fell bad and I don't know what I do please help in this situation and say what I e...
Have courage. Modern medical science has made great strides in management of diabetes. There is no known scientific cure as on today. But with proper diet as advised by treating doctor, daily light exercise like walking, swimming sports etc and proper medication as advised followed by repeated monitoring, regular review by your doctor will help in good control this way you can avoid or postpone the usual complications of diabetes. Keep increasing your health education and knowledge about diabetes by all possible means. Keep away from short cuts and unscientific remedies. Best wishes.
2 people found this helpful
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Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal? Or I should check up? Any advice.

BHMS
Homeopath, Delhi
Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal...
Hello Prabhu burning sensation in both foot can be normal....but still u should get blood sugar levels checked....after that u can consult me privately..as I have solution for your complaint...
4 people found this helpful
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What are the symptoms of diabetes. Can I identify the symptoms from urine by visual observation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
What are the symptoms of diabetes. Can I identify the symptoms from urine by visual observation.
No. You can not identify symptom of diabetes by visual examination of urine. Symptoms are excess thirst, weakness,increased frequency of urination. You can diagnose diabetes by increased sugar levels in urine and blood (lab report).
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I am 30 years old male having hypothyroidism since last 10 years. I was 50 kgs before that and height 5" 11. My weight increased after detection of the problem and was constant at 80 ks for several years. But since last 6 months my weight had increased to 90. What should I do. My t3, t4, and tsh are normal. But since my weight has increased, I have increased my dose of eltroxine to 100mg from previous 50 mg. What should I do to reduce my weight and advice me for managing my medication.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 30 years old male having hypothyroidism since last 10 years. I was 50 kgs before that and height 5" 11. My weigh...
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, repeat your tests from leading lab. you can continue your tab. elroxine 100 mcg.
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My fasting sugar 132 ppbs 204 please av sugar 177 hbc 7. 8 please please taking carbophase sr 1 gm after dinner please diabetic since 7 yrs please suggest me for better control

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , what is your serum creatinine levels? if it is less than 1. 4gm/dl then we can increase the dosage. Do remeber that the hba1c levels should be below7
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Gestational Diabetes

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
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Hello, I am Dr. Tripti Raheja. I am working as senior consultant Gynaecology at Max Superspeciality Hospital, Shalimar Bagh, Delhi. Today we are going to discuss a very important topic that is Diabetes during Pregnancy. We call it Gestational Diabetes.

Gestational Diabetes is a very common condition that develops when the body can not produce Insulin to meet extra requirement during pregnancy. So, this leads to high blood glucose level. It affects 15-20% women during pregnancy. Chances of developing diabetes during pregnancy are more if the patient is obese or if there is any past history of Diabetes or if any family member suffers from diabetes. Usually, it develops n the middle or later part of the pregnancy.

So, to diagnose a Gestational Diabetes, we advise a test, which is called glucose tolerance test after 24-28 weeks of pregnancy. So, Gestational Diabetes is an easily treatable condition if it is diagnosed on time, if it is treated properly, if the sugar level is maintained in the body, so it leads to healthy pregnancy which is a healthy baby. But is it is not diagnosed and not treated, it will lead to various complications. Most important of these complications is a large sized baby. So, if the baby is excessively large then you likely to have caesarian section delivery. And if you have a normal delivery, there are more chances of tears or injuries to the birth canal and there are more chances of injury to the baby in the form of nerve injury or fractures. And the new born babies are likely to have fluctuation in the blood sugar level. Even in later stages, these babies are more likely to develop Type 2 diabetes.

So, in order to avoid all these complications, it is advisable to diagnose this problem on time, take proper treatment and keep your sugar level in control. Most important treatment for GEstational Diabetes is maintaining a healthy diet plan and regular exercises. So, if you are diagnosed with Gestational Diabetes, you will be given a diabetic diet plan and advised for regular exercise for 30 minutes daily.

In 80-85% women, these two measures work nicely and blood sugar levels are controlled in a week or 2 weeks. But if the blood sugar levels are still high after 2 weeks of healthy diet and a regular exercise, then you need additional treatment in the form of Insulin.

The growth of the baby is continuously monitored during the pregnancy by repeated ultrasounds and scans. So, Gestational diabetes gets better immediately after the child birth.So, the child birth is planned around 38-40 weeks of pregnancy. It can be done by the mode of the Caesarian section or the normal delivery, depending on the individual circumstances. Immediately after the child birth, you are advised to stop all the medicines which you were taking for Diabetes or Insulin injections. Once you are discharged, it will be checked if you are sugar level has come to normal. THen again you will be advised to get your blood sugar test done after 6 weeks to 45 days after the delivery to check whether they have completely returned to normal. And if they are still abnormal, then you will have to refer a Diabetes specialist.

You should also have glucose tolerance test 6 to 8 weeks after your delivery. It is important to do this test to check if your blood sugar level has come to normal. In some women, the blood sugar level is found abnormal even after child birth and they may require continuous treatment. It is also advised that you should check your blood sugar level every year. And the women who had suffered from Gestational Diabetes, they are advised to check their blood sugar level after every 5 years.

In the end, I want to say that Gestational Diabetes is a very common problem but it can be diagnosed very easily and can be treated. If it is treated properly, it can lead to healthy pregnancy.

If you need further informatio, you can contact me through Lybrate where you can have text consultation and you also fix up an appointment at my clinic.

THank you.

2 people found this helpful

My father was admitted in Sir Ganga Ram between 17/05/2016 to 22/05/2016. He got a fracture in neck femur, and due to high percentage of Creatinine and Urea (8.1 and 96, we are not able to operate that fracture. The under Dr. Malik guidance after 2 Dialysis they did the operation of fracture. And before discharge one more dialysis done. On 22/05/2016. Today we got the result of another medical Tests (CBC KFT), Now Urea is 96 and creatinine is 6.82. So Sir please advice.

MBBS, MD - General Medicine, DNB (Nephrology), clinical fellowship in nephrology, clinical research
Nephrologist, Mumbai
My father was admitted in Sir Ganga Ram between 17/05/2016 to 22/05/2016. He got a fracture in neck femur, and due to...
If his kidney failure is permanent, he will need regular dialysis. If his kidney failure is temporary, he will be able to come off dialysis. Discuss with the kidney doctor who is seeing your father whether the kidney failure is acute or chronic.
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I am 55 years old male. I have a diabetic problem for past 3 years. I am taking metasens 500 one tablet at morning. Whilechecking blood sugar after 1.5 hours after breakfast it shows 225. After 4 hours of breakfast it shows 120. Why? what is the solution?

DM - Endocrinology
Endocrinologist, Hyderabad
That is meal related increase in post meal blood glucose value. Try to restrict carbohydrate in your breakfast and increase protein content.
2 people found this helpful
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I am 6 9yrs old. I had diabetes since 18yrs. My sugar levels are fasting 160 pp180. Please advise

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
Inspite of depending on medicine I can suggest u to get permanent relief from diabetes by learning acupressure point only, u can use dalchini in warm water for relief.
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I am an heart and diabetic patient. I am regularly going for walk for about 5 k. M. And doing exercises. I am not getting sufficient sleep at night and I am going for sleep during day time. Some time no sleep whole night.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am an heart and diabetic patient. I am regularly going for walk for about 5 k. M. And doing exercises. I am not get...
I hope that blood pressure and blood sugar levels are under control. Only thing bothering you is lack of sleep. Take a glass if warm toned milk with a spoon of honey added to it. Take care about rest of calories, you can balance by deleting other items worth 200 call in this milk food. Listen to soothing music, read good books, don't watch violence on tv. Meditation before sleep helps.
1 person found this helpful
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I am a 46 old man, I am diabetic from last 15 years using insugen insulin, some times my sugar level becomes low in the early morning, I find difficult to wake up and become unconscious, what can I do

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Check or sugar levels daily using glucometer before dinner if your sugar levels are low reduce the dose of insulin after consulting or doctor. Keep hyptotab tablet or sugar powder and if you feel tiring you can take this.
1 person found this helpful
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I have ed and pe problem. Dont get get hard erection easily and then ejaculate fast. Age 48, lots of travelling job. Having hypothyroid since 8 years.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have ed and pe problem. Dont get get hard erection easily and then ejaculate fast. Age 48, lots of travelling job. ...
IN HYPOTHYROIDISM:--- 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. take tab. paroxitine cr 25 once at night for E.D.
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My hb is 16.4 which precaution for me. I am diabetes for past 15 years and fasting is 110 to 125 and pp is 250 to 300 please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
My hb is 16.4 which precaution for me. I am diabetes for past 15 years and fasting is 110 to 125 and pp is 250 to 300...
only you should take precaution for your diabetes.take refined sugar free food . do regular exercise. Hb is good. no need to bother.
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I am a thyroid patient. I take eltroxin 25 mg daily in morning . I feel very weak. Energy level is very low. Become irritating every time. Whole day feel sleep after plenty sleep . What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a thyroid patient. I take eltroxin 25 mg daily in morning . I feel very weak. Energy level is very low. Become i...
If hypothyroidism is infull control, tsh values should be between 3 to 4 mu/l. Then almost all symptoms are in check. So I suggest get a tsh test done immediately. If values are higher than mentioned above, there needs to be an increase in the dose of thyroxine. So please come back with the results. Thanks.
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I have continuous pain in head, doc asked it might be due to high uric acid or high blood pressure, which I have. Suggest what to di.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have continuous pain in head,
 doc asked it might be due to high uric acid or high blood pressure, which I have. Su...
first you do few test for find out causes for headache. i.e. cbc,ct scan of head, lipid profile,kft,lft,urin r/m.. till then you can take analgesic bd after meal.
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How to care for diabetic. Is any medicine is available for lifetime treatment. What us the diet chart for diabetic patients. How to care such typ of people. please help me and any special care for eye.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
How to care for diabetic. Is any medicine is available for lifetime treatment. What us the diet chart for diabetic pa...
Dear sir there are many varieties of diabetes. And many degrees to the diet chart varies as per the type and extend of problem there is no single diet chart for every one however, there are few common advices 1. Eat carbohydrates less than 45 gms per day or 750mg/kg body weight per day 2. Walking for 45 minutes every day 3. Maintaining hba1c less than 6.
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