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Dr. Ramanan

Endocrinologist, Chennai

200 at clinic
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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 43 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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Tamilnadu medical and diabetes care

#C216, Karthikeyan Salai, Periyar Nagar, Chennai. Land mark: Opp to Shiva Vishnu Temple, ChennaiChennai Get Directions
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What are the symptoms of diabetes. And what kind of solution for that we should take.

C.S.C, D.C.H, M.B.B.S
General Physician,
What are the symptoms of diabetes. And what kind of solution for that we should take.
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance... if you keep in touch personally.
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What will be the safety measures should be taken for the person suffering from both diabetes and tuberculosis i.E what food should be eaten into this conditions

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Take diabetic diet.Avoid high glycaemic food and eat in small quantity.Crux of TB management in diabetes is to control diabetes and take TB drugs as per require in Diabetic pt. Toatal TB treatment is minimum of 9 month
1 person found this helpful
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My sugar levels are changing drastically. Can you please suggest any permanent solution without taking medicines.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My sugar levels are changing drastically. Can you please suggest any permanent solution without taking medicines.
Mr. Lybrate-user, for hyperglycemia control only remedy is taking appropriate medication, there is no other option. Without taking oral anti diabetic drugs or insulin injections it not possible to control raised blood sugar. In addition you have grade 1 obesity, which also contributes to increasing blood sugar. Weight reduction, restricted diet and exercise with anti diabetes drugs is the way to go about.
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I am 27yr male and I have I blood sugar what should I do to keep it under control?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 27yr male and I have I blood sugar what should I do to keep it under control?
Follow proper diet. Regular moderate exercise and timely medication. Take proper sleep. Yoga, meditation can help to relieve stress.
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Keep Diabetes at Bay to Avoid Cardiovascular Disease

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Keep Diabetes at Bay to Avoid Cardiovascular Disease

One of the major risk factors for cardiovascular disease (CVD) is diabetes. Uncontrolled diabetes can lead to major heart problems. It is thus pertinent to take timely actions to control the insulin-related issues and save ourselves from CVD.

It is important to understand how diabetic patients are more prone to CVD than others to take pre-emptive actions to control it.

  1. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
  2. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.
  3. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
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I am 47 years old female taking istamet 50/500. My blood sugar is not controlled fasting sugar is 135. Should I change the medicine? what is the right time to take the medicine empty stomach or after meal. Please tell me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 47 years old female taking istamet 50/500. My blood sugar is not controlled fasting sugar is 135. Should I chang...
its taken after meals .blood sugar F<140 and PP <180 are acceptable in diabetics ..so ur sugar is in control
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Hello Doctor My father is a diabetic patient and he has Average Blood Glucose [ABG] 278. Under such circumstances he is trying to reduce ABG as much as possible. Currently he is taking ayurvedic medicines, now he is planning to take medicines like carom seeds, Aloe Vera juice etc. .Kindly suggest me whether he can take these medicines along with ayurvedic medicines, if yes any possibility of side effects. Thank You.

Doctor of Medicine
General Physician, Surat
Hello Doctor My father is a diabetic patient and he has Average Blood Glucose [ABG] 278. Under such circumstances he ...
Try to control the diabetes with allopathic agent alone, you can use the other system of medicine but main should be allopathic agent and blood glucose level need to be managed on tight rule basis, other system of medicine could give false sensation of security.
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My father is diabetic and he is 74 years old, he is on insulin but his sugar level flactuates maximum it goes low. So please help me that when sugar level continously getting low on that case can we decrease the units of insulin.

C.S.C, D.C.H, M.B.B.S
General Physician,
My father is diabetic and he is 74 years old, he is on insulin but his sugar level flactuates maximum it goes low. So...
Send me the reports of FBS, 2HR PPS and HbA1C and the dose of insulin you take now. Send the reports to me privately.
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Sir hb a1c result is 7.7. T3 T4 are under control but tsh is 5.83.. My age is 35, male. Wt about 63 kg. I am not using any medicine for diabetes. Shall I control diabetes and thyroid with proper diet?

MBBS, PG in Family Medicine, FDRC (2 years full time Fellowship in Diabetes)
Endocrinologist, Surat
Sir hb a1c result is 7.7.
T3 T4 are under control but tsh is 5.83.. My age is 35, male. Wt about 63 kg. I am not usin...
Please do ogtt (5 samples) done and if any of its value crosses 200, it is better to start medicines along with following diet and regular walking.
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Sugar problem and blood pressure also low in body and eye lenc are low so I have more problems please solve my problem and I want to live happily.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sugar problem and blood pressure also low in body and eye lenc are low so I have more problems please solve my proble...
Mr. lybrate-user Sunder, From your query nothing is clear except knowing that you have diabetes (type not mentioned), actual BP readings not given, nothing can be made out about the issue with your eyes. So please give following details: current fasting, PP glucose levels, HbA1c%, present treatment with dosage, dietary pattern, extent of daily exercise and preferably come in a private conversation, then I will be able to guide. Thanks.
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Hi. My father suffers from swelling in his feet. He recently had his uric acid test. The report came that he has high uric acid level (7.2. He gets cramps in his legs when he sits for a long time. Can you please give me the instructions regarding the diet and medicine to be taken by him?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi. My father suffers from swelling in his feet. He recently had his uric acid test. The report came that he has high...
Avoid protein diets,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. Bencid 500 mg once a day.
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Hello sir/madam, I have a small hiatus hernia and I experience heart aches and stomach problems mostly. I have been prescribed esomeprazole and sucral syrup for a month and I'm having it for 2 weeks now. I have also been diagnosed with hypothyroidism which I have a value of 18.00 tsh and I'm having thyrox50 pills as well for the last two weeks. Can the thyroid be cured completely. Will he chest pain remain life long? Can you please help me.

Fellowship in Minimal Access Surgery, MNAMS (Membership of the National Academy) (General Surgery) , FAIS, FACRSI, Fellowship in GI Surgery, DNB (General Surgery), MBBS
General Surgeon, Delhi
Hello sir/madam,
I have a small hiatus hernia and I experience heart aches and stomach problems mostly. I have been p...
Hypothyroidism is being controlled by medications like the one you are using. Hiatus hernia causes acid reflux and chronic reflux not only increases morbidity in terms of chest pain and burning but also can cause changes in food pipe lining called Barrets esophagus which is bad. Hence it is advisable to operate for hiatus hernia. I do lapaeoscopic surgery with 1to2 days hospital stay. Very minimal pain and complete cure.
1 person found this helpful
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I am a 25 years old female having hypothyroidism due to this get more weight hair loss joint pains please give solution for reduce my weight and other problems.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Indore
I am a 25 years old female having hypothyroidism due to this get more weight hair loss joint pains please give soluti...
Have a balanced & nutritous diet, avoid, oil & sugar, exercise regularly. For a personalised, focused & result oriented diet & nutrition consultation for weight loss
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Before I was 59 but because of thyroid and early symptoms of menopause I gained 23 kgs weight. Is it possible to reduce my weight again. What should I do to reduce 4 to 5kgs a month.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Before I was 59 but because of thyroid and early symptoms of menopause I gained 23 kgs weight. Is it possible to redu...
Lybrate-user, first thing is to control hypothyroidism with appropriate treatment and bring tsh levels between 3 to 4 units /ml. If this is not achieved, then efforts to reduce weight will not be successful. You are over weight in fact you have grade 1 obesity with 31.06 kg / m2 bmi, so please see that tsh levels are brought to that level and then only you can try reducing weight. It is possible to cut up 2 kg per month provided strict diet control and exrcise schedule is adapted and adhered to.
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Gd evng sir& madam. Dis is akbar I have a query about my grandfather as he is suffering from alzheimer's disease&Dementia. As he is also a diabetic&bp patient. He is suffering from dementia since 4 years. He is unable neither urinate nor have food himself. At present my grand mother is suffering a lot because of him. I would like to know the best treatment according to his present situation.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Gd evng sir& madam. Dis is akbar I have a query about my grandfather as he is suffering from alzheimer's disease&Deme...
Diet has very important role. Just try this diet and see the difference in fee months time. Breakfast= fruits only. Abundant amount. Lunch/dinner= salad, sprouts, green vegetables, daal, only 1 roti in one meal. Stop having: milk, milk products, refined foods, packaged food of any kind like bread namkeen buiscuits maida etc.
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Can diabetes be increase by eating more amount of sweat things like sugar, banana etc and if not then what is the reason behind it.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Can diabetes be increase by eating more amount of sweat things like sugar, banana etc and if not then what is the rea...
If you are already a diabetic, eating sugar & sugary foods freely is definitely. Harmful. Even if you are not a diabetic, it is recommended to keep your intake of sugar & sugary food stuffs to the bare minimum. Fruits, if taken in moderation, are ok.
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I am diabetic for 10 years now. I do not control any food intake including sweets. I am under regular madication as prescribed by doctor. Do my eating habits effect the kidney in long run. What are the symptoms for serious effects please let me know.

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
Symptoms for any condition will depend on the organ involved. Your diet should be in small quantities at frequent intervals to avoid any complications. Sweets intake should be minimal.
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I am not energetic, I feel tired very soon. Haemoglobin is 11.4. I have thyroid. Can I conceive in next coming days.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Thyroid levels should be normal for pregnancy to survive. Please chech blood thyoid harmone levels regularly.
1 person found this helpful
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I am a patient of Diabetes type I for the last 15 years. I am just married but my sexual life is not okay. Infact it has yet not started. I feel weakness. May I get treatment from your clinic?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a patient of Diabetes type I for the last 15 years. I am just married but my sexual life is not okay. Infact it ...
Mr. lybrate-user, Thanks for the query. Diabetes in general affects small (micro) blood vesses which supply retina, kidneys and penile muscle. This leads to erectile deficiency. This is one of the most common long term complication seen in diabetes whether T1 or T2. This happens even in patients who achieve very good control of blood glucose. If diabetes is uncontrolled then it can be still bad. Therefore, primary need is to achieve a strict glucose control and then take treatment for sexual problem. There is need for a through examination before any treatment is advised. To you may have to visit a competent sexologist in your area. Hanks.
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