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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 35 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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Can diabetes and cholesterol can be controlled with out taking medicines? if yes please tell me how?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Can diabetes and cholesterol can be controlled with out taking medicines? if yes please tell me how?
you should taking both medicines for diabetes and cholesterol . High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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I am 39 years old I am diabetic my fasting sugar is getting 150 after that all day sugar is 120 to 130 what to do. I am taking melmet 1000mg dsr in morning and in evening.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Your dose of metformin is very high 2 gram per day. Maximum dose. If possible add our ayurvedic herbs
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Is sugar fasting level of 123 is indication of diabetes. How to control it. and what to do if the person is already underweight.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Is sugar fasting level of 123 is indication of diabetes. How to control it. and what to do if the person is already u...
fasting 100-125 indicates prediabetes or glucose intolerance ..u r at increased risk of developing diabetes in future 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. 11.Fresh vegetables and fruits:- these contain a lot of minerals as well as nutrients .Include sprouts in the diet as they are easily digestible
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Dear Doctor I am 62 years old and diabetic. I want to know if I take one or two Dates (khajoor) in a day will it increase my sugar level and effect adversely on my health.

BHMS
Sexologist, Noida
Dear Doctor I am 62 years old and diabetic. I want to know if I take one or two Dates (khajoor) in a day will it incr...
Mr. Lybrate-user I suggest you to take homoeopathic medicine cephelendra indica q and china q ok lycopodium 1m ok tds for 1 month solve your problems. With change your life style like morning walk and diet manegement ok.
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Doctor my fasting blood sugar level 168 After breakfast the sugar level is 300. What should I eat and what should I avoid?

MBBS
General Physician, Cuttack
Doctor my fasting blood sugar level 168
After breakfast the sugar level is 300.
What should I eat and what should I a...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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My knees are paining severely everyday as I am suffering from hypothyroid and I am obese also so please kindly suggest good medicines to get rid from this knee pain.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
My knees are paining severely everyday as I am suffering from hypothyroid and I am obese also so please kindly sugges...
Gentle massage over knees with lukewarm herbal pain relieving oils daily for about 15-20 minutes and hot fomentation afterwards will greatly help in subsiding the pain. These procedures would give strength to your knee and reduce the pain and stiffness. Regular oiling the joint will improve the lubrication also. Use knee caps over the joints and avoid over exertion of the joint. This will greatly help. Although some herbal medicines might also help you but after proper history taking.
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If you r a type 1 diabetic girl with 6 HbA1C always and her husband is non diabetic, but her mother in law is type 2 diabetic but on insulin with poor control and her real brother and sisters are Heart Patient, Brain stroke, Paralysis and parkinson disease. Will this condition can effect the child of type 1 diabetic with some other genetic disorders.

MBBS, MD - Medicine
General Physician, Delhi
If you r a type 1 diabetic girl with 6 HbA1C always and her husband is non diabetic, but her mother in law is type 2 ...
Type 1 diabetes is not inherited but type 2 diabetes can be inherited if 1 or both of your parents have diabetes. That also depends on d life style of d individual.
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Sir I got sugar recently now it is pre lunch 100 and post lunch is 120, may I take lunch with or not and how much lunch I may take please clear it, height 5. 3, weight 60 kgs.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dont worry you are not suffering from diabetes. You should have your proper lunch. But avoid sweets. Take chandraprabha vati 1-1 tab with milk morning and evening. Walk for around 30 minutes.
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100fever 3 days before, after thAt having swelling in legs and skin rashes dullness no fever this time dengue and malaria test r neg- e but platelet r 90,000 wh at it wll be.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
100fever 3 days before, after thAt having swelling in legs and skin rashes dullness no fever this time dengue and mal...
Rpt blood counts including platelets till starts rising, chikungunaya serological tests, KFT, LFT, RBS, Repeat dengue serology at 7th day oral medicines for increasing platelets, maintain good hydration, no painkillers.
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I am 25 years female. Today I did diabetes test from a pharmacy. My reading was 6.2.I did it because I had high pressure since last few days. Is that reading normal? Do I have any possibility of diabetes?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am 25 years female. Today I did diabetes test from a pharmacy. My reading was 6.2.I did it because I had high press...
A1c level of 6.2 indicates that you are at 'Pre-diabetic' stage. It means you are on the borderline. If you take proper precautions now, you can control your sugar level. Your reading of A1c indicates level of glucose in your blood of past 3 months, hence it can't happen due to high pressure in last few days. Diabetes can be controlled/managed by a proper regulated diet and exercise. 1. Eat every two hours mini meals. Don't eat big meals. Take more green vegetables/salads. 2. Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc. 3. Reduce foods with high GI Index like potato, white rice, banana, mango. 4. Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc. 5. Eat daily fruits with low/medium GI index like apple, guava, mosambi, orange. 6. Eat lot of proteins like dals, sprouts, egg, chicken etc with every minimeal. 7. Drink lot of water. One glass every hour. 8. Do at least 30-45 mins of exercise everyday. 9. Aim to reduce your weight by at least 5 kgs. This will reduce your sugar levels.
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I am suffering from Diabetic since Sept. 2015 and taking one tablet of glimisave 2M. So I do the morning walk of 5 km daily, if due to any reason I am not going for walk then there is pain on my legs. Please guide how the pain can be cured.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am suffering from Diabetic since Sept. 2015 and taking one tablet of glimisave 2M. So I do the morning walk of 5 km...
If you are not able to go for a walk daily, then stay active in some form or other like climbing stairs at your home. Secondly, for leg pain dip your legs in warm water daily before going to bed, it improves blood circulation.
4 people found this helpful
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I am 22 years old. Now I had just done a medical test. It is found that sugar in urine and it is normal in blood. Iam worrying about that. So please give a suggestions fo that.

MD - Medicine, MBBS
Cardiologist, Panchkula
If your blood sugar is normal it is likely that your urine sugar test may not be accurate. Repeat your urine sugar test.
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I'm 29 years old. I just want to reduce the sugar in food. So im using honey Instead of sugar in milk. I'm taking 2 glasses if milk everyday morning and evening. I heard that honey with milk will increase the weight. Is that so? please give me a details regarding this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 29 years old. I just want to reduce the sugar in food. So im using honey Instead of sugar in milk. I'm taking 2 g...
Honey is also sugar, only that it is different, as it contains fructose, which is rapidly converted to glucose in the body. If you want to reduce sugar intake then simply avoid sugar, jaggery and even honey. You may use sucralose if needed. Whole milk, is containing fat, which may increase weight, skimmed milk does not do that. Your bmi is already 26.33 which suggesting being overweight. So restrict intake of fat and exercise.
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What is the synthems of diabetes. And what is the precaution to solve this desires.

MBBS
General Physician, Jalgaon
What is the synthems of diabetes. And what is the precaution to solve this desires.
Signs of diabetes are excessive thirt, excessive hunger & polyurea, sudden weight gain, fatigue & weakness. To avoid diabetes daily walking for 45 minutes & night. Do yoga. Eat small meals 4to5 times a day. Calculate your bmi & don't allow your weight to increase that level.
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Hello. I am 40 years old women from the last 5 year I got a sugar and bp I am taking medicine frm last 4 year but now my bp is getting down every day and my sugar level also increase at450 to normal my sugar and bp tell me something plz.

BHMS
Homeopath,
Hello. I am 40 years old women from the last 5 year I got a sugar and bp I am taking medicine frm last 4 year but now...
Dear lybrate user, you should immediately stop the medication for blood pressure. Regarding your problem of diabetes I fear that you may have become insulin dependant diabetic patient. In that case you should go for insulin injection. However, you could try homoeopathic uranium nit q, 30 drops, thrice daily, after meals, in a cup of water for one month. Check your blood sugar level after one month of medication. If you do not observe any decrease in your blood sugar level then you should go for insulin injection.
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I am 33 years old male I have uric acid problem my uric acid level is 9.8. Whenever my uric acid level is up I start taking zyloric 300 mg tablets. I am pure vegetarian and never take alcohol. Please suggest me as soon as possible.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. 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. Take tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain in joints. Doctor may be give corticosteroid oral or inject direct in to joint.
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Weight management tips to enhance your fertility

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Weight management tips to enhance your fertility
The number of young overweight women and men seeking medical assistance for planning family is on a rise. Being overweight not only affects ones’ chances of becoming a parent, but also can lead to complications in pregnancy- adversely affecting both mother and baby. Therefore, it is very important for all young men and women to know the fundamentals of causation and detection of this important disorder.

What is Obesity and how to confirm that?

The most often asked questions in this context are- what is a normal acceptable weight, when does one get labelled as overweight and what is the definition of obesity? Another important question we often get asked is- what’s the difference between being overweight and obese?

In very simple terms, what a physician evaluates to check for obesity in a person is a simple index known as “body mass Index” or BMI. BMI can be calculated by simply dividing the person’s body weight in Kg by the square of person’s height measured in meters. BMI is measured as Kg/m2. Following are broad guidelines for detection of obesity-
1. BMI of < 18.5 indicates that the person is underweight
2. BMI between 18.5 and 24.9 indicates that the person has got normal weight
3. BMI between 25 and 29.9 indicates that the person is overweight
4. BMI of > 30 indicates obesity

How does Obesity affect fertility?

Excessive body weight in women causes multiple hormonal imbalances, which can result in irregular menstruation and reduced frequency of ovulation, thus leading to infertility. Also, the outcome of Infertility treatment in obese women is poorer than in their normal weight counterparts. Obesity also increases the chances of pregnancy related complications such as miscarriage, pregnancy induced hypertension and gestational diabetes and hence increases the requirement offers cesarean delivery. And not to forget that the labor is that much harder and prolonged for obese women.

Obese males also suffer from reduced fertility as they tend to have lower level of testosterone, which suppresses sperm production. Obesity can also case erectile dysfunction in men, which can result in reduced fertility.

What can you do?

Here are five easy weight management tips to help you realize your dream of having a child-
1. Watch your meals- take a healthy diet and avoid excess carbohydrates and fat
2. Watch your beverages- drink adequate quantity of water, avoid soft drinks as they contain empty calories and refrain from alcohol
3. Stop smoking and keep in mind that there is nothing like occasional/ moderate smoking
4. Exercise regularly and maintain a healthy, active lifestyle- short sessions of brisk walking, swimming, jogging or skipping are good means to keep one active and healthy
5. Avoid stress and practice Yoga/ meditation or other stress buster techniques that suit you

If you want to know more or seek an expert opinion, write to us at ivfgurgaon@gmail.com today!
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My tsh level of 7 pm is 6.50. In 2009 my thyroid profile was normal. Is there any problem?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My tsh level of 7 pm is 6.50. In 2009 my thyroid profile was normal.  Is there any problem?
YOU CAN TAB. THYROXINE 75 MCG 1BBF. There are no symptoms that are unique to hypothyroidism. There may be no symptoms early in the disease process. Long standing, untreated hypothyroidism can cause obesity, joint pain, heart disease, and infertility. Other symptoms can include: increased sensitivity to cold constipation depression fatigue weakness heavier menstrual flow brittle hair and nails If left untreated, the following symptoms can occur: hoarseness puffiness of the face, hands, and feet slowed speech decreased taste and smell thin eyebrows thickened skin coma (called “myxedema coma”)
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I am 50 years old, I feel tiredness always, diabetic patient Now I am using (Gemmer 1 tablet at night) Please advise.

Ayurveda, Ernakulam
I am 50 years old, I feel tiredness always, diabetic patient
Now I am using  (Gemmer 1 tablet at night) Please advise.
Continue your previous med. Add chavanaprasham kashayam or ch kwath (sitaram pharmacy) at morning and evening.
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