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Dr. Ramanan

Endocrinologist, Chennai

200 at clinic
Dr. Ramanan Endocrinologist, Chennai
200 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ramanan
Dr. Ramanan is an experienced Endocrinologist in Periyar Nagar, Chennai. You can visit him/her at Tamilnadu medical and diabetes care in Periyar Nagar, Chennai. Book an appointment online with Dr. Ramanan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 28 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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#C216, Karthikeyan Salai, Periyar Nagar, Chennai. Land mark: Opp to Shiva Vishnu Temple, ChennaiChennai Get Directions
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Last 5 months my serum bilirubin is fluctuated between 1.70 to 1.92. And sgpt is between 49 to 55. Is it any liver disorder? In that period I lost 5 to 7 kg weight. please guide me.

BHMS
Homeopath,
Last 5 months my serum bilirubin is fluctuated between 1.70 to 1.92. And sgpt is between 49 to 55. Is it any liver di...
Dear lybrate-user, the provided information about your liver function test is indeed a bit abnormal. However, you should not worry. Take homoeopathic liv-t liver tonic (sbl company). Take 20 ml of the aforesaid liver tonic for thrice daily, after meals. Continue the medication for one month. Check your blood for liver function test after one month of medication. If your liver function test report shows any abnormality even after one month of medication then you should inform me
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How Diabetes Can Affect Vision

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Can Affect Vision

Diabetes is the condition where the blood glucose levels in your body tend to be quite high and can have an adverse effect on many of the organs in your body. The eyes are no exception and can be quite adversely affected by diabetes as well.

Let's look at the various problems you could face if you have diabetes:

1. Blurry vision: Diabetes can cause the lens in the eye to swell and this will affect the way you see. Because of the increased lens size, the eyes have difficulty in focusing on objects resulting in blurry vision. You will have to get your blood sugar levels back to normal and only then the vision will begin to correct itself. This will however take time to happen.

2. Cataract: Blurry vision for an extended period of time which progressively gets worse can be a symptom of cataract. Although cataracts can develop even with normal patients, they tend to accelerate and happen earlier in adults who have diabetes. Cataracts are usually fixed with surgery where the natural lens is removed and replaced with an artificial lens.

3. Diabetic retinopathy: Diabetic Retinopathy and Retinal Detachment are one of the leading causes of blindness in adults who suffer from diabetes. The retina is a very important part of the eye which allows us to see the images by capturing light and then sending them to the brain via the optical nerve. With diabetic retinopathy the smaller blood vessels in your retina may get damaged and thus end up causing damage to your vision. This can be of three types:

  1. Proliferative Retinopathy: In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye , and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels.
  2. Background Retinopathy: Background or nonproliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. With this condition, damaged blood vessels in the retina begin to leak extra fluid and small amounts of blood into the eye.
  3. Maculopathy: The macula is the central area of your retina. It is responsible for all your sharp vision, such as used for watching TV or reading. It can become damaged in diabetes, with leaks developing (oedema).

4. Glaucoma: This is a condition where fluids build up inside the eye and it results in the pressure within it building up. This may damage the blood vessels within the eye and cause vision changes. Problems within the eye may not be detected till you experience vision loss. Some of the symptoms of glaucoma may include:

  1. Blurry vision
  2. Watering from Eyes
  3. Difficulty in vision
  4. Pain in the eyes
  5. Lights appear to have halos
  6. Headaches

Treatments: Blurry vision also tends to go away slowly once the level of blood glucose is controlled either via medicines or by diet changes. However, glaucoma or diabetic retinopathy may require a range of medicines to ease the pressure on the eye or to discharge fluid buildup. If none of these works, then relevant surgery may be required to resolve the problems.

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My sugar is not up to mark from a month. I am suffering from last 15 years. Pls suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
First thing is adherence to suggested treatment strictly is a must. If still sugar control is not good then you may have to shift to basal analogue insulin like injection basalog once a day. Start with 6 units and gradually build the dosage with self monitoring of blood sugar. Insulin can be increased by 2 units every alternate day. But you have tell me present fasting, after food sugar levels plus hba1c also.
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Infertility in Males and Females

DGO, MD - Obstetrics & Gynaecology -, MBBS
Gynaecologist, Delhi
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Here are some views on Infertility in males and females

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My sugar lavel is 135/170 and hba1c 6.8 what can i do. Can i start alopathic medicine or ayurvedic ? please advice me.

MD - General Medicine, MBBS
General Physician,
Please specify as what is 135 and 170. If it is the fasting and post meals sugars. Then both are high. Even though the blood sugars are suggestive of diabetes, the blood sugars are not very high. So I would suggest you to take a diabetic diet and a do some light excercise like brisk walking for 30 mins and repeat sugars after 1 month. Diabetic diet is mainly a diet which avoids sugar containg foods and drinks. Reduce the rice intake. Take more of vegetables.
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I have heard from many doctors that morning walk is good in diabetes. So I want to know that one should walk fastly or slowly?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have heard from many doctors that morning walk is good in diabetes. So I want to know that one should walk fastly o...
Mr. Lybrate-user, walking for an hour is a good exercise for every body, more so in diabetes, as it helps burn extra calories, in turn reduces blood sugar level. Slow or fast may not matter, but one wants to burn more calories then brisk walking is good. About 5 kms in an hour. Morning or evening also does not really matter.
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I am suffering from blood sugar for the last three years and also having blood pressure. I have 44 years old.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from blood sugar for the last three years and also having blood pressure. I have 44 years old.
Mr Satish, I am sure you must be already on treatment for both these conditions. If treatment is appropriate then blood sugar should be : Fasting closer to 100 mg and PP between 150 to 160 mg and HbA1c% <7. Similarly BP should be 130/80 mm of Hg or lower. Apart from drugs, you should exercise daily for 1 hour plus, take a restricted diet avoiding sweets, sugar and jaggery. Plus avoid junk foods, deep fried foods and pastries. consume more of green leafy vegetabbles and fruits. Also restrict salt intake to about 2.5 g a day.
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My father having diabetes since last 2 years approximately and he lost lot of weight n getting weaker, in fact he don't takes sugar and all that. Do I know the best way to overcome from this problem rapidly? please suggest me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My father having diabetes since last 2 years approximately and he lost lot of weight n getting weaker, in fact he don...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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How to control type two diabetes mallitus and exercises to do along with dietary habits im a south indian and I'm on insulin intake now.

MSc
Dietitian/Nutritionist, Chandigarh
How to control type two diabetes mallitus and exercises to do along with dietary habits im a south indian and I'm on ...
Be particular about food choices & timings. Follow the proper do's and don't of diabetes avoid all refined foods from your diet such as maida, pasta. Avoid high starchy foods such as rice, potato & colocasia. Include more fiber, pulses & green leafy vegetables in your diet. Avoid sweetend fruits such as banana, mango, litchi, chickoo, grapes from your diet.
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I am 46 yr old and I had sugar whether walking is essential to me?

MD - General Medicine
General Physician,
I am 46 yr old and I had sugar whether walking is essential to me?
Yes. Walking helps in reducing insulin resistance. Moreover it also helps in utilising glucose by muscle cells without the need for insulin.
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M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Foods For Hypothyroidism

1. Iodine Rich Foods
Make sure that you consume a diet that is rich in iodine. Some of the most common foods that you can think about that is rich in iodine are:
• Seaweeds and sea foods
• Salt water fish
• Nori rolls
• Sushi
Be certain to use iodized salt while preparing food as it is found to be very effective for hypothyroidism.

2. Bananas
One of the most commonly found fruits are bananas. Try to include bananas in your daily diet as it is a good food for hypothyroidism.
• Take at least two to three bananas a day. Make sure that you eat ripe bananas.
• You can also at times consume a banana milkshake that is prepared with low fat or skimmed milk.

3. Water
One of the best known remedies to treat all kinds of disorders as well as hypothyroidism is pure drinking water.
• Make sure that you drink at least 8 to 10 glasses of water a day.
• Water will help to flush out all toxins in your body.
• It will also prevent you from getting dehydrated so that your body does not store more fat and hence you do not gain excess weight.

4. Eating More Fruits And Vegetables
Try to include more fruits and vegetables in your diet. This will help you to stay healthy and is highly recommended to prevent hypothyroidism.
• It would be better for you to choose a complete veg. meal plan full of greens and vegetables one or two days in a week.
• You also need to follow a strict fruit plan diet for a day in a week to fight hypothyroidism.

5. Selenium Rich Foods
Going for foods that are rich in selenium will help in fighting hypothyroidism.
• Make sure to make onions and dairy products as part of your daily diet.
• You also need to occasionally include chicken, salmon, tuna and meat in your daily diet. Try to use one product a day.
• It is important for you to use a lot of garlic in your food preparation.
• Brazil nuts as well as whole unrefined grains also help in fighting hypothyroidism and you need to take them at least once a week.

6. High Fiber Diet
It is important for you to take a high fiber diet so that you do not gain weight that easily and this will help to prevent hypothyroidism.
• Add beans, oatmeal and whole wheat to your daily diet to improve your bowel movement and to reduce the cholesterol levels in your body.
• Make sure that you only consume brown rice and not white rice in any form when you suffer from hypothyroidism.

7. Green Tea
One of the best foods known to treat hypothyroidism is green tea. It has antioxidants and will help in reducing body weight.
• It is ideal for you to include green tea in your daily diet and try to skip other drinks like coffee and black tea.
• It would be ideal for you to consume thee to four cups of hot green tea to increase body metabolism and to burn fat.

8. Tyrosine Rich Foods
One of the best methods to increase the production of thyroid hormones in your body is to consume foods that are rich in tyrosine.
• Fish
• Lentils
• Lean meat
• Soy products
• Almonds
• Bananas
• Avocados

9. Coconut Oil
Take coconut oil cooked food will help in improving the production of thyroid hormone and will help in preventing hypothyroidism.
• Add a tablespoon of coconut oil in your diet every day.
• It helps in increasing metabolism and is also an emery booster.
• Make sure that you consume it in moderation depending on your age and lifestyle and structure of your body.

10. Vitamin A, Zinc And Copper Foods

It is ideal for you to consume Vitamin A, zinc and copper rich foods in order to increase the production of thyroid hormones in your body.

Vitamin A Rich Foods
• Yellow vegetables
• Carrots
• Dark vegetables
• Eggs

Zinc And Copper Foods

• Lean Beef
• Dried beans
• Spinach
• Seeds and nuts
• Yeast
• Legumes
• Oatmeal
• Raisins
• Organ meats that are range free.
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Hello doctor my self Jagdish raikwar I am 58 year old man I have suffering from sugar problem since last six months what should I do please tell me.

MBBS, cc USG
General Physician, Noida
Hello doctor my self Jagdish raikwar I am 58 year old man I have suffering from sugar problem since last six months w...
Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available consult Diabetologist for further management
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I am 39 years old female suffering with diabetes fasting 130mg and having breathing problem.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am 39 years old female suffering with diabetes fasting 130mg and having breathing problem.
Hi , pls follow the doctor prescribed medicine. Which controls the diabetics and will not allow you increase. But along with medication, you need to concentrate on food also. Make sure you food must have high protein, fiber and omega-3 nutrition. For a diabetics, its good to have more protein rather than carbohydrates, which converts into glucose and may have a chance to increase the diabetes. Let me suggest you the best medicine. Have a nice day.
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Madam HAPPY NEW YEAR. I am a diabetes type II patient so what type of food should I take?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Madam HAPPY NEW YEAR.
I am a diabetes type II patient so what type of food should I take?
You can take lot of salad, missi roti no ghee on chapati 1-2 chapati at a time. Eat slowlt chew well. Take 3 meals. Two times fruits one hour before meal or two hours after meal. Fruits all can be taken except mango, banana ,grapes, chikoo and leechi. No fruit juices. Potato and rice should be avoided. Further quiry you can ask from me.
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Hi doctor, I am 28 years old I have thyroid from 7 years, I am taking eltroxin 150 mg regularly I also have stone in gall bladder, irregular periods. Could you give me some home remedy and diet to overcome all. I am very disturb. I did not take any medicine for stone. please help.

PDDM, MHA, MBBS
General Physician, Nashik
Hi doctor, I am 28 years old I have thyroid from 7 years, I am taking eltroxin 150 mg regularly I also have stone in ...
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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What advised in day to day activity to curb hypertension and also to curb sugar level ?

MD - Consultant Physician
Cardiologist, Kolkata
What advised in day to day activity to curb hypertension and also to curb sugar level ?
Regular physical exercise, diet no fry, fatty, fast food light cooking no smoking or tobacco of any types, work in light mood.
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I am 24 year girl I am suffering from pcos and hypothyroidism. Can I get rid of these diseases.

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hyderabad
I am 24 year girl I am suffering from pcos and hypothyroidism. Can I get rid of these diseases.
Hi twinkle, once u get hypothyroidism U need to be on Med throughout, ur drug dose may inc or decrease, if it is borderline sometimes it can get normal. In case of pcos u need to maintain ur weight n diet to get it under control n to have regular periods .
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I have diebate for long time but it is kind bother me lot make me sick so I was wonderful how to decrease my sugar level down.

CDIABT, MBBS
Endocrinologist, Mumbai
I have diebate for long time but it is kind bother me lot make me sick so I was wonderful how to decrease my sugar le...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Insulin will work better if taken in combination with diet and exercise. Medication and insulin dosage will depend on your blood sugar level.
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How to prevent the diabetes.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
How to prevent the diabetes.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-is the most significant thing which can make a big difference to your health . It helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :- it will improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair amount, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best . You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular.Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets. 9- Take high-fibre and complex carbohydrates:-like oats .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated.
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I have suffering from diabetic from 15yrs. Not controlling stilnow pl find solution to cure it.

BAMS, MD Ayurveda
Sexologist, Lonavala
I have suffering from diabetic from 15yrs. Not controlling stilnow pl find solution to cure it.
you can go for following remedy it will help you Natural home remedy using bitter gourds: 1. Remove the skin and seeds of 4-5 bitter gourds 2. Crush them to a make a paste 3. Press this paste on a sieve an extract the juice 4. Drink this juice on an empty stomach every morning This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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