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Dr. Ramzan Begum

Endocrinologist, Chennai

Dr. Ramzan Begum Endocrinologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ramzan Begum
Dr. Ramzan Begum is a trusted Endocrinologist in Perambur, Chennai. He is currently practising at SRS Healthcare Clinic in Perambur, Chennai. You can book an instant appointment online with Dr. Ramzan Begum on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 39 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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My granpa's age is 70. He just now got diabetic problem. Also he feels more n more pain in legs below the joints. He is crying n yelling wid pain. He is not eating much. He is lean. Please suggest some medicine. Urgent.

BPT
Physiotherapist, Hyderabad
My granpa's age is 70. He just now got diabetic problem. Also he feels more n more pain in legs below the joints. He ...
Hi. Tell your grand father to do the stretching exercises for 5 to 10 min daily. It will relief the pain. And apply hot water formalization for 5 min daily before the exercise.
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I am a diabetic, vegetarian, non smoker, non alcoholic and using insulin so what should be my diet. Request you to suggest me for the total day 3 times.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I am a diabetic, vegetarian, non smoker, non alcoholic and using insulin so what should be my diet. Request you to su...
I have told already. Take three meal first before 10 am ,second arround 2-3 pm ,third arround 8-9 p m. Take full plate salad before each meal. Take 1-2 missi roti without ghee over it. Eat slowly chew well. Take fruits 2 times about 12 and 5-6 pm. Take all fruits except mango, banana,grapes, chikoo, leechi and no fruit juices. You can take badam, akhrot and pista. Ground nut in a limit.
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I am a known hypertensive and diabetic, my creatinine fluctuates and is currently a little higher than upper limit. Sometimes suddenly I experience surge in heartbeat and BP, this affected my sleep also. Why is this and what should I do? Should I consult a Physician or Cardiologist?

MBBS
General Physician, Cuttack
I am a known hypertensive and diabetic, my creatinine fluctuates and is currently a little higher than upper limit. S...
1.If Your creatine is high it indicates that your kidney is affected due to diabetes and hypertension. 2.You must ensure that your Diabetis and Hypertension are under control. 3.Consult physician for proper advice and treatment 4. Consult me for further advice
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Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe for pridibatic person? please suggest. Thanx.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctors. How many grams of sugar and carbohydrate can a pridibatic person can eat in a day. Is honey good and safe...
Mr. lybrate-user, It is difficult to answer about how many grams of sugar and carbs to be eaten. Basically if one is in a pre-diabetes state, then over all caloric intake has to be restricted to meet the exact requirement based on - Ideal body weight X 25 calories per kg / day. In your case IBW should be around 60 kgs. So 60 X 25 cal /Kg = 1500 calories, that means your total dietary intake should be 1500 cals per day. It best to avoid sugar or jaggery or sweets in total. Honey is also similar to sugar, there is hardly any difference. It is supposed to give some additional anti-oxidents. But only a small quantity should be used. Complex carbs like whole grain products are best. Do not use maida, pasta, bakery items, junk foods, sugary aerated drinks, pastries etc. Avoid deep fried foods and fructose corn syrup containing products and highly processed packaged products. Consume more of green leafy vegetables and salads and fruits. Daily exercise of at least 1 hour is necessary. Thanks.
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I have been suffering for diabetes what treatment should I take for that where can I get good medicine.

MBBS, cc USG
General Physician, Gurgaon
I have been suffering for diabetes what treatment should I take for that where can I get good medicine.
Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available Get your following test done and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT consult Diabetologist for further management
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Hyperuricemia

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Diabetics should check their blood uric acid level because increase in uric acid in blood can interfere your control of blood sugar and blood pressure both besides other consequences on health.
39 people found this helpful

One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk
One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk... let me clear the doubt in scientific way..

In fact, there are good reasons to believe that whole milk, full-fat yogurt, cream, and high-fat cheeses may be better for you than their low-fat alternatives.

Reason #1:  Saturated fat is not harmful to your health

Reason #2:  Low-fat and non-fat dairy products are higher in casein

Casein is a very sticky protein in milk that is quite difficult for humans to digest.  Milk proteins are designed to nourish baby cows, who are outfitted with a special enzyme (rennet) that can break apart casein. Humans do not make rennet, which is one of the reasons why dairy products can cause constipation and other digestive problems.

Reason #3:  Low-fat and non-fat dairy products are higher in whey

Whey proteins raise blood insulin levels just as much as pure sugar does.  Even though lactose, the sugar that naturally occurs in milk, has a low “glycemic index” and therefore does not raise blood sugar very much, whey proteins trigger big insulin spikes in body and destabilize blood sugar and hormone levels, lead to carbohydrate cravings, fatigue, mood swings, and obesity.

Reason 4:  High-fat dairy products contain less protein

This means that people who have dairy protein sensitivities may tolerate them better.  People who have trouble with dairy foods are almost always reacting either to milk carbohydrate (lactose intolerance) or milk proteins (dairy allergy and sensitivity), not to dairy fat. This is why many dairy-sensitive individuals are able to eat butter and heavy cream, which are extremely low in protein.

Reason #5:  High-fat dairy products taste better

They improve the flavor, digestibility, and absorption of foods and are more satisfying, therefore you may find yourself naturally eating less.

Bottom line:  The lower the fat content, the higher the protein content

People who consume the most high-fat dairy products, have a 23-percent lower risk of developing type 2 diabetes than people who have one serving or less but there was no association between intake of low-fat dairy products and lowered type 2 diabetes risk.

Keep in mind that, you choose unsweetened varieties, since sugar and other refined carbohydrates raise insulin levels and disturbs blood sugar levels.
And MODERATION is the key for all the food .

Thank you for reading and i Hope it has helped you.

Source: Diabetologia

47 people found this helpful

I do feel to sleep even at the time of working hours of my duty. I do take a rest of more than 8 hrs then also it feel sleepy. Is it a sign of diabetes . Kindly suggest what to do. Do I need to go through any medical treatment for the same.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I do feel to sleep even at the time of working hours of my duty. I do take a rest of more than 8 hrs then also it fee...
Mr. Lybrate-user, feeling sleepy need not be related to diabetes. But some times undetected diabetes can lead to a considerable unexplained tiredness and fatigue. So it is better if you get a blod test done like fasting and pp sugar levels. That will confirm whether there is any problem existing. Thanks for the question.
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Hello sir my mother is 45 years old and she is suffering from high blood sugar so please tell me some ways to control it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir my mother is 45 years old and she is suffering from high blood sugar so please tell me some ways to control...
MrSatish Kumar, To give any suggestions I need to know her weight, (kgs), height, waist circumference, fasting and PP sugar levels (current), HbA1c%, dietary pattern and extent of exercise done daily. Based on these details I will be able to guide. It is better if you come in a private conversation where I will be able to give specific guidelines. In the mean time she should avoid sweets, deep fried foods, junk foods and pastries. Consume more of green leafy vegetables and salads, use whole grain flour for making roti and chapati, (no maida). Exercise daily for at least 1 hour that will help in reducing insulin resistance and improve it's action, plus increase glucose utilisation.
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I want to know that how we can deal with the diabetes diseases and how to control the sugar.

CDIABT, MBBS
Endocrinologist, Mumbai
I want to know that how we can deal with the diabetes diseases and how to control the sugar.
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended. Follow a stress free life. Medication will depend upon your blood sugar value.
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I am 48 years old now suffering from diabetic from last 2 months. What I do for my health ?

MBBS
General Physician, Delhi
Regular brisk walk 30 min. Avoid sugars. Dont use high carb diet such as potatoe and rice. Minimal fatty diet means minimal can use guava in fruits and keep your sugar controlled any way regular measurements needed probaly biweelky and please tell the medications your taking.
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I am 43 years old. I am suffering from hypertension and thyroid. Latest report of thyroid is t3 120 t4 11 and tsh 2.33 and I am taking thyrox 75 as medicine. Should I continue with the same or suggest me good medicine for thyroid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 43 years old. I am suffering from hypertension and thyroid. Latest report of thyroid is  t3 120 t4 11 and tsh 2....
you should be low dose of your medicines...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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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My mother (45 years old) has thyroid problem. Yesterday she had a test for it. In report, T3 and T4 levels are fairly normal and close to low side but within the acceptable range. But TSH level is high upto 13.83 where its acceptable range given in report is 0.35 - 5.50. Can anyone suggest me a good cure in this regard? What should be done now?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother (45 years old) has thyroid problem. Yesterday she had a test for it. In report, T3 and T4 levels are fairly...
Mr. Lybrate-user, she has developed hypothyroidism, which needs to be treated with taking thyroxine tablets regularly and that too for lifetime. There is no cure in this situation, plus she has to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Should consume a good deal of green leafy vegetables and salads and fruits. Use whole grain flour for chapati and roti. Avoid refined flour like maida and products made out of it. Exercise regularly to avoid weight gain. Thanks for the question.
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My uric acid is 7.4 my body is so painful .please tell me about its recovery and all.

MBBS, PG Diploma In Emergency Trauma Care, fellowship in diabetology
General Physician, Bangalore
My uric acid is 7.4 my body is so painful .please tell me about its recovery and all.
Hello thanks for your Query. I feel 7.4 is not that high. Stop taking oil and non veg specially red meat. rest all walking, exercise with small doses anti-inflammatory to be pain free.
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Hi doc, I'm 35years old &suffered from diebeties.My postperidial blood sugar levels are near about normal but my fasting levels are too high.So kindly suggest me how it can be control. & please suggest me diets. Fruits & vegetables. Pomegranate can tke it in diebetis.

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Start with Tab.Metformin and consult Dietician for food & Fruits Because still u can better control your sugar with a good diet advice.
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I am 52 year Diabetic patient, my sugar level usually goes down even after the intake of normal sugar. I am currently taking singly dose of medicine prescribed by my doctor. Please advise what all precautions should I take to keep my sugar level to normal.

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
I am 52 year Diabetic patient, my sugar level usually goes down even after the intake of normal sugar. I am currently...
Follow a strict diet. Cut down all sugars n fats. Take more veggies in the form of salads n boiled form. For satiety. Keep urself hydrated by lot of water. Take fiber rich foods. Completely stay away from sweets, junk foods, processed foods, follow a regular exercise pattern like walking for 40 mins. Practice this for 3 months n check your blood sugar level.
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I am 64 years, blood sugar 115 in fasting and 2 hours after meal 145 and hb1ac 6.7 with average 145. Please advice me in this regards of medication.

PDDM, MHA, MBBS
General Physician, Nashik
Please follow diabetic diet and exercise daily for atleast half an hour and consult further for detailed management.
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I am a housewife I used to work daily. I am not feeling well from some days I think that I am suffering from sugar disease. Kindly tell me the symptoms of sugar and precautions taken.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I am a housewife I used to work daily.
I am not feeling well from some days I think that I am suffering from sugar di...
Symptoms include excessive thirst, hunger and excessive urination, especially at night. You may also have weight loss, tiredness & irritation. If you want to know if you have diabetes, it is best to check your fasting and pp blood sugar levels.
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What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hashimoto's thyroiditis (HT) is a condition caused by inflammation of the thyroid gland. It is an autoimmune disease, which means that the body inappropriately attacks the thyroid gland - as if it was foreign tissue. The underlying cause of the autoimmune process remains unknown. Hashimoto's thyroiditis tends to occur in families. It can be associated with other autoimmune conditions such as type 1 diabetes or celiac disease. Hashimoto's thyroiditis is 5 to 10 times more common in women than in men and most often starts in adulthood. Blood drawn from people with Hashimoto's thyroiditis typically reveals an increased number of antibodies against thyroid-specific proteins, including thyroperoxidase and thyroglobulin. T- lymphocytes, a type of cell involved in the inflammation process, invade the thyroid gland cause silent, painless inflammation that destroys it; ultimately, the individual produces little or no thyroid hormone and becomes hypothyroid.----------------During the early stage of thyroiditis, the levels of thyroid hormones (T3 and T4) may be normal. With chronic hypothyroidism, the thyroid hormone levels fall, and the level of thyroid stimulating hormone (TSH) becomes high. The most useful assay for determining thyroid status is measurement of TSH in the blood. As mentioned earlier, TSH is secreted by the pituitary gland. As the level of thyroid hormone falls, the pituitary gland responds by releasing more thyroid stimulating hormone (TSH). The increase in TSH can actually precede the fall of thyroid hormone to low levels by months or years, so the first sign of hypothyroidism may be an elevated TSH level even when levels of thyroid hormones are normal. ---------------------•The treatment of choice for Hashimoto's thyroiditis is typically synthetic T4 or thyroxine (levothyroxine) along with homoeopathic medicine THYROIDINUM- 3X (Schwabe Gernam) by chewing 2 tabs twice daily so as to keep the dosage of Levothyroxine under check. The medication must be taken indefinitely, and successful treatment alleviates the symptoms and signs of hypothyroidism. Without medication, there is very little chance the thyroid would be able to maintain hormone levels within the normal range, and symptoms and signs of hypothyroidism would occur or worsen.--------------------------NowayIodine will make the things worse in erson having HT as Iodine intake increaes the TSH levels whereas HT presents itself with Hypothyroidism where the levels of TSH are already high--------
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