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Dr. Ramu

Endocrinologist, Chennai

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Dr. Ramu Endocrinologist, Chennai
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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.
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Dr. Ramu is a renowned Endocrinologist in Gopala Puram, Chennai. You can meet Dr. Ramu personally at Dr Mohan's Diabetes Specialities Centre in Gopala Puram, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Ramu 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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Dr Mohan's Diabetes Specialities Centre

No.6B, Conran Smith Road, Gopalapuram, ChennaiChennai Get Directions
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I have got Achilles Tendonitis (severe pain in my Achilles tendon at the back of left foot) due to car driving and using the clutch excessively, I have not had any injury. Could it be due to uric acid and a gout attack? I have had past history of uric acid? should I take Feburic along with Combiflam. I am 48 years old, weight is higher than normal Uric acid is on higher side -8.2 always. Used to take Feburic, stopped now.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I have got Achilles Tendonitis (severe pain in my Achilles tendon at the back of left foot) due to car driving and us...
For your high uric acid continue taking Feburic to avoid complications associated with high levels of uric acid. Risk factors for Achilles tendinitis are as follows. 1. Advanced age and Male sex. 2. Obesity 3. Sudden excessive activities like running or jumping. 4. Wearing shoes without proper heel support during work out. 5.Patients with high blood pressure or psoriasis are at higher risk. 6. Flat arch foot predisposes to achilles tendinitis. Management : 1. Rest to the foot for 1 or 2 days. 2. Apply ice pack for 10 minutes 3 to 4 times a day. 3. Apply compression bandage to reduce swelling. 4. Keep feet elevated at night time by placing pillow underneath. 5. Take analgesics like paracetamol or Ibuprofen for relief. 6. Once pain is relieved you can start stretching exercises of calf muscles. 7. Use a shoe insert or wedge to relieve stress on tendon. 8. If pain is persistent and severe please consult .g
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My wife is having infertility problem one of her report says suggestive of non secretory endometrium. What does it means?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Non secretory endometrium refers to a phase of the menstrual cycle before ovulation. The endometrium becomes secretory after ovulation under the influence of progesterone. There are two phases to the endometrium. The first half of the cycle the endometrium grows under the influence of estrogen only= proliferative phase. The second half of the cycle progesterone is added if ovulation occurs= secretory phase. By definition on your report the endometrium was not secretory. In brief: 2nd phase absent.
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My mother is 43 years old and she is suffering from diabetes and wanted to know What is the reason behind getting diabetes other than eating sweets. And what to eat and what not to eat in diabetes?

MBBS
General Physician, Cuttack
My mother is 43 years old and she is suffering from diabetes and wanted to know What is the reason behind getting dia...
1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. The risk factors for diabetes are a) heredity, b) obesity, c) stress, d) lack of exercise, e) lack of diet control, f) sedentary life style 1. Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal, jackfruit, grape etc. Can haveapple/pear/ papaya/guava/ jamun/ mausami 3. Avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. 4. Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat. Take fish/chicken. 5. Avoid carbonated drinks like soft drink, include more fiber in the diet like pulse/green leafy vegetables, legume
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Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the morning I feel I have not got a complete sleep. I am diabetic, asthmatic and do not do any exercises. I smoke and drink too. Kindly advice how I can get a proper sleep?

MD - Psychiatry
Psychiatrist, Chennai
Hi I am 46 years old man. For the last 2-3 year I do not get proper sleep. I am on sleeping pills but since in the mo...
I am not sure who got you hooked onto sleeping pills. On a longer run they will shrink your brain, resulting in early onset dementia, personality changes, memory changes, even withdrawal seizures. Kindly consult a psychiatrist, get your sleep evaluated, and he will gradually wane you off the sleeping pills and give pills which promote sleep by acting on the cause of sleep disturbance, he may also educate you on sleep hyigiene.
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I am 45 years old n I am diabetic patient from last 9 years. Now sugar level of fasting 170 .I am continuing Aliphatic but I don't want to take any more and want to continue Homeopathy. please suggest is it fruitful .

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am 45 years old n I am diabetic patient from last 9 years. Now sugar level of fasting 170 .I am continuing Aliphati...
Dear lybrate-user, since diabetes is a life long illness, the treatment also has to be lifelong. Allopathy has proved to be very effective for controlling diabetes. I am not sure about homoeopathy and it also depends greatly on the treating doctor. Any ways, it will have to be taken lifelong. Please understand that in homoeopathy if given wrong medicine can cause a permanent side effect which might be impossible to rectify. In allopathy, atleast a lot of research evidence is available for all the existing medications. & the effects & side effects are all documented.
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My thyroid profile on 10 may 2015 was t3 - 0.81, t4 - 4.10, tsh - 9.60. Again on 10 july 2015 was t3 - 0.65, t4 - 3.71, tsh - 14.87. I'm suffering from hypothyroidism. I under went a surgery in jan 2014 where my right thyroid was removed for cancer. I do not want to undergo another surgery. I wish to know other alternative cures or supplements to balance my thyroid profile.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My thyroid profile on 10 may 2015 was t3 - 0.81, t4 - 4.10, tsh - 9.60. Again on 10 july 2015 was t3 - 0.65, t4 - 3.7...
Although most doctors recommend synthetic thyroxine, natural extracts containing thyroid hormone derived from the thyroid glands of pigs are available. These products contain both thyroxine and triiodothyronine. Synthetic thyroid medications contain thyroxine only, and the triiodothyronine your body needs is derived from the thyroxine. Extracts are available by prescription only and shouldn't be confused with the glandular concentrates sold in natural foods stores. These products aren't regulated by the Food and Drug Administration, and their potency and purity isn't guaranteed.
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I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this rise possible in one month? Can this report be genuine? If so what is my health status? Is it serious? What could the reason for such sudden rise?

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this ris...
Hello lybrate-user mam. If you are not sure about your reports then it's better to repeat the test Also please do HBA1C TEST as well. It gives 3 month average blood sugar values and fluctuations in blood sugar are possible if you eat lot of carbohydrates in your food (chapati n rice n bakery products) n such fluctuations are possible if you are running fever Anyways whatever may be the case don't panic all the conditions can be controlled please provide information regarding your ongoing medicine for diabetes n repeat the test.
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I am 53 years of old & having blood sugar & blood pressure. During week days, I take cornflex with milk at breakfast & loaf with mergarine during lunch at office. Is these combinations are correct for me? please note that me non-alcholic & having slight smoking habit.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello the data given is incomplete. I need to know fasting and after food blood sugar levels plus hba1c level and lipid profile for giving any worthwhile advise.
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I am 50 years. I am suffering from diabeties and taking insulin for 2 years morning 25 units and 20 units how to reduce insulin and control over sugar levels.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
If you are suffering from Type 2 Diabetes (the most common type of diabetes), you may be able to reduce your Insulin dose by using the newer medications like DPP-4 inhibitors ("Gliptins"). Also, regular exercise & dietary changes may help reducing your Insulin dose.
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I am suffering from high fever nose for 2 days. I am Diabetic. Please suggest the best medical advice.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am suffering from high fever nose for 2 days. I am Diabetic. Please suggest the best medical advice.
Bed rest, plenty of oral fluids and paracetamol tablets 500 mg 3 times a day for 2-3 days may be tried. However it is very important to keep blood sugar levels in normal range. For which frequent blood tests and monitoring of medications is must. Diabetes medicines should not be discontinued. If fever persists see your doctor for clinical examination, related tests, diagnosis and treatment.
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Recently we checkup her blood sugar levels 154 mg/DL given in report please tell me what is the status.

MBBS
General Physician, Cuttack
Recently we checkup her blood sugar levels 154 mg/DL given in report please tell me what is the status.
His random blood sugar is slightly high. It should have been preferrably <100. Repeat blood sugar test (fasting&pp, hba1c and consult physician with report for advice and treatment. Weight reduction and dietary control can reduce your blood sugar at this stage.
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11 Good Shortcuts Towards Avoiding Diabetes Complications

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
11 Good Shortcuts Towards Avoiding Diabetes Complications

Diabetes occurs in all age groups, right from infants to the elderly. The greatest incidence of occurrences happen in the middle or older aged people. 80-85% cases belong to people of 45 years of age or older. Whatever be your age, there are a few lifestyle changes that ensure that you stay free of any complications.

1. Select Your Carbs Carefully - Choose carbohydrates that break down in the body slowly, providing steady energy. Reach for whole grains, beans, nuts, and fresh vegetables and fruits. Yes, you can eat fruit even though it's sweet. It's about eating the right amounts of carbohydrates at each meal.

2. Lose Weight - It'll help lower your blood sugar and improve your blood pressure and blood fats. You'll also have more energy. To begin with, try cutting excess fat, sugar, and calories from your diet.

3. Get Enough Sleep - Getting too much or too little sleep can increase your appetite and cravings for high-carb foods. That can lead to weight gain, increasing your risk for complications such as heart disease. Go for 7 or 8 hours of sleep every night. If you have sleep apnea, treating it can improve your sleep and lower your blood sugar levels.

4. Check Your Blood Sugar Periodically - Keep a track of your sugar levels can help you avoid diabetes complications, like nerve pain, or keep them from getting worse. Checking it can also help you see how foods and activities affect you, Your doctor can help you set a target glucose level range. The closer you get to your target, the better you'll feel.

5. Manage the Stress Effectively - Stress can cause your blood glucose levels to rise. Get rid of whatever physical or mental stress you have. Relaxation techniques such as breathing exercises, yoga, and meditation may be effective to control type 2 diabetes.

6. Salt - Reduce the salt in your diet. It may help lower blood pressure and protect your kidneys. Not salting the food on your plate may not be enough.

Adults age 51 and older, and individuals with high blood pressure, diabetes, or chronic kidney disease should talk with their doctor about how much to reduce their sodium intake. In general, people with diabetes should decrease to less than 2,300 mgs per day, however, your doctor may recommend lower amounts.

7. Remove the Risk of Heart Disease - Heart disease can be a serious diabetes complication. Keep an eye on your risk by getting these ABCs checked:

A1C level. This is a measure of your average blood sugar control for the last 2-3 months. You may need it checked two or more times a year. Talk to your doctor about setting a goal.

Blood pressure. Goal: below 140/80 mm Hg.
Cholesterol. Goal: LDL to 100 mg/d or less; HDL above 40 mg/dl in men and greater than 50 in women; and triglycerides below 150 mg/dl.

8. Take Care of Cuts and Wounds - Diabetes raises your risk of infection and slows healing, so treat even simple cuts and scrapes quickly. Properly clean your wound and use an antibiotic cream and sterile bandage. See a doctor if it's not better in a few days. Check your feet every day for blisters, cuts, sores, redness, or swelling. Moisturize them to prevent cracks.

9. Mind Your Smoking Habit - People with diabetes who smoke are two times more likely to die prematurely than those who don't. Quitting helps your heart and lungs. It lowers your blood pressure and risk of stroke, heart attack, nerve damage, and kidney disease.

10. Get Your Diet Right! - Here's what is ideal:

  • Upon Waking : Bitter Gourd (karela) juice, and a glass of lukewarm water with half a freshly - squeezed lime.
  • Breakfast: Any fresh fruit with the exception of bananas. A small quantity of wholemeal bread with butter and fresh milk.
  • Lunch: A bowl of freshly prepared steamed vegetable, one or two whole wheat chapattis, and a glass of buttermilk.
  • Mid-afternoon: A glass of fresh fruit or vegetable juice
  • Dinner: A large bowl of raw vegetable salad, with lime juice dressing, sprouted mung beans, and cottage cheese.
  • Bedtime snack: A glass of fresh milk or fresh fruit

11. Doctor Visits - Expect to see your doctor two to four times a year. If you take insulin or need help balancing your blood sugar levels, you may need to visit more often. Also, get a yearly physical and eye exam. You should be screened for eye, nerve, and kidney damage, and other complications. See a dentist twice a year.

Other Measures:

  • Exercise and yogic asanas. And Meditation
  • Body massage and steam bath once a week
  • Hot fomentation to lower back.

And be sure to tell all healthcare providers that you have diabetes.

'Consult'.

Related Tip: What complications are associated with diabetes?

4133 people found this helpful

How to get rid of sugar. How to control it. Wat are the precautions we have to take to decrease sugar level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How to get rid of sugar. How to control it. Wat are the precautions we have to take to decrease sugar level.
Mr. Lybrate-user, diabetes mellitus or commonly referred as" sugar' problem, occurs due to either lack of hormone insulin or resistance to its action seen in overweight and inactive persons or due to both the reasons. Hence, this condition can not be cured, it can only be controlled by proper treatment, diet control and regular exercise with weight control. Precautions to be taken include taking a well balanced but restricted diet that gives required calories and regular daily exercise for more than 1 hour a day, so as to maintain near normal weight. Plus consume more of green leafy vegetables, permitted fruits (100 g a day), avoid alcohol and smoking.
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Sir my blood sugar test done 4 days back the result is 104/200 now I check with one touch metre it shows 104/147 what is correct my hpa1c is 6.6 what is your suggestion if I am diabetic pls.

PGD Maternal Child Health, MBBS
General Physician, Akola
Sir my blood sugar test done 4 days back the result is 104/200 now I check with one touch metre it shows 104/147 what...
HbA1c is a test used to know the actual control of blood sugar over a period of last 3 months, rather than diagnosing Diabetes Mellitus. Levels below 6.5 in patients on anti diabetic treatment are considered to be having satisfactory control. Your sugar level after meals in the 1st report is definitely high and suggestive of hyperglycaemia. In the 2nd report it is important to know the time interval between meals and sampling. If it is at 90 minutes of a full meal then it should be normal. Now choosing 1 of the 2 reports or relying solely on HbA1c is not simple. To decide about DM you can go fora GTT ( glucose tolerance test).
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Recently, my father took treatment for sugar test. And the report says that he has 142 mg/dl on fasting blood sugar and 218 mg/dl on post prandial blood sugar. Reports of urine test says fasting urine sugar is green colour ppt and post prandial urine sugar is yellow colour ppt. What does it mean?

B.H.M.S., P.G.Diploma in Maternal & Child Healthcare, Advance Paediatric
Homeopath,
Recently, my father took treatment for sugar test. And the report says that he has 142 mg/dl on fasting blood sugar a...
One more test you must do that's hba1c then contact me your blood sugar become normal after taking my homoeopathic remedy.
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My any is 40 years old & she is suffering from diabetes from last 10 years. She takes regular insulin but still diabetes not remaining under control. What should she do? Please help.

MBBS
General Physician, Cuttack
My any is 40 years old & she is suffering from diabetes from last 10 years. She takes regular insulin but still diabe...
She may have to modify insulin doses after consulting physician. in addition to treatment she has to follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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I am a diabetic I have one question if medication cant controll using insulin is better? if so why?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Medicine works mostly on your pancreas to stimulate insulin naturally present in your body hence no need to supply from outside in early stage of dm for first few years. But when your pancreatic cells get exaust n cannot work properly your doctor will prescribe you insulin. So no one is better or bad its just a matter of time when to shift you from medication into insulin. Lots of factors like your age. Your hba1c profile etc matters for that. We have best ayurvedic medicine for you contact if possible.
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Suffering From Type 2 Diabetes - 10 Tips For Staying Healthy!

MBBS
Diabetologist, Jabalpur
Suffering From Type 2 Diabetes - 10 Tips For Staying Healthy!

Type 2 diabetes is commonly seen in adults, but nowadays its prevalence is rapidly increasing in young adults and even teenagers. It is a chronic disorder that adversely affects the way your body processes and metabolizes the glucose (blood sugar). 

In Type 2 Diabetes, your body either resist the effects of insulin, a hormone that controls the sugar flow into the cells or does not produce adequate insulin to maintain a normal glucose level. Incorporating a healthy living, with the focus being on eating healthy and exercising regularly (for about 30-45 minutes) can help keep Diabetes Type 2 in check.

  1. Take small and frequent meals i.e. 4-6 times a day spread across regular time intervals. Also, carry a quick fix of carbs that can come to aid when the sugar levels drop. 
  2. Foods rich in fiber and complex carbohydrates, such as bread, vegetables, fruits and whole grain cereals should be at the top of the priority food list. Stay away from fatty or fried food. 
  3. Keep a check on your glucose level regularly at home with the help of a blood glucose meter. 
  4. A three monthly HBA1C test (three-month average blood sugar) can help to know overall blood sugar control. 
  5. Limit consumption of alcohol and completely cut down on tobacco. 
  6. Get up from your couch and hit the nearest jog course or do the exercise of your choice. There is no substitute to physical activities if you are on your way to control Diabetes; be if any type. 
  7. Assess cholesterol and blood pressure count periodically. 
  8. Because of nerve damage and poor blood circulation, your foot may have to bear the brunt of this disorder as well. Take good care of your feet. Check your feet for swelling, red spots and blisters; wear special shoes with a soft pair of socks that can keep your feet dry. Get your feet examine by special instruments for blood circulation and sensation in feet. 
  9. Diabetes damages oral health as well. Visit a dentist for a gum and tooth checkup at least a couple of times in a year. 
  10. Get your kidneys and retina tested as diabetes may weaken the blood vessels of these areas. If you wish to discuss about any specific problem, you can ask a free question.
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I am suffering from diabetes last few months. I am first release it last year. After 2 months it became normal range. This year after eating plenty of mangoes the blood sugar increase to 554 (pp) and 417 (fasting). Then the doctor prescribed me Tab Exermet GM forte 2 (2+1000) and Tab Tenepride M 500 (20+500) one tablet every day in the morning and in the evening respectively on 17/09/2017. After one month my blood sugar levels come down to 71.5 (fasting) and 98.2 (pp). Then my doctor prescribed me Tab Exermet GM forte 1 (1+1000) and Tab Tenepride (20) one tablet every day in the morning and in the evening respectively on 10/10/2017. After continuing this medicine my blood sugar levels is 103.6 (pp) and 78.4 (fasting) on dated 25/10/2017. Then my question is may I continuing the medicine or stop it or power of medicine reduce?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from diabetes last few months. I am first release it last year. After 2 months it became normal range....
Mr. lybrate-user, Thanks for the query. It is good to know that with regular medication you have been able to control diabetes very well. Apart from taking necessary medication it is equally important to take a properly planned diet and exercise regularly so that your blood glucose levels remain in good control. Present levels look very good. Just check HbA1c% also. That will give an idea of long term control. Current treatment looks to be working very well. Thanks.
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