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Dr. Ravi G R

Endocrinologist, Chennai

300 at clinic
Dr. Ravi G R Endocrinologist, Chennai
300 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ravi G R
Dr. Ravi G R is one of the best Endocrinologists in Anna Nagar East, Chennai. You can visit him at Chennai Diabetes Care in Anna Nagar East, Chennai. Book an appointment online with Dr. Ravi G R on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 31 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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English

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No F15, 2ND Main Road, Anna Nagar East,Landmark:Near Valliammmal College, ChennaiChennai Get Directions
300 at clinic
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What we should avoid in sugar?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
What we should avoid in sugar?
Mr Do you mean in diabetes? following things should be avoided - direct sugar or jaggery, sweets, deep fried foods, smoking, alcohol, fruits like mangoes, banana, chikkoos, grapes, red meat. Try and maintain weight near normal and bmi closer to 23 kgs/m2.
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Dr, I am 72 years old &i am having acute numbness in both my feet. I am diabetic and have undergone hip replacement surgery at fortis hospital about 5 years ago, after a fracture in the femur and surgery which did not give desired result. I developed a limp due to that and walk with shoes adjusting the shortness of one foot. My numbness is increasing gradually & I find it difficult to walk. Kindly suggest remedy if any. Thank you,

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Dr, I am 72 years old &i am having acute numbness in both my feet. I am diabetic and have undergone hip replacement s...
Hello, please 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 your food must have high protein, fiber and omega-3 nutrition. Its good to have more protein rather than carbohydrates, which converts into glucose and may have a chance to increase the diabetes. What we suggest is the nutrigemoic protein, who certified, with 9 essential amino acids. This will help you cure your diabetics in a year time. But you will definitely have a result, if you can use protein with vitamins and minerals, fiber and omega-3 supplements, also add b complex for feets.
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I am 29 years old. I take amlodac at and natrilix sr (in a week). Now my b.p is 120/90. My blood test results are uric acid 6.20, creatinine 1.29,blood sugar fasting 122, cholesterol 210, tryglisaride 190. What can I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 29 years old. I take amlodac at and natrilix sr (in a week). Now my b.p is 120/90. My blood test results are uri...
Mr. Lybrate-user, your bp systolic is with in normal range, but diastolic should come down to 80 mm hg. You should continue the same medication, plus restrict salt intake and exercise regularly also learn to relax or meditate as that will help in controlling bp. Your lipids (cholesterol 210 is normal, tgl 190 mg is marginally high), can be controlled by avoiding high fat diet and regular exercise. There is no need for any medication. Blood glucose fasting 122 mg / 100 ml is in a pre-diabetic state. So you need to take precautions so that it does not progress towards diabetes. For that adapt a healthy modified lifestyle, which includes regular exercising for 1 hour or more, maintaining normal weight, avoiding junk foods, pastries and bakery items, sweetened aerated drinks, fructose corn syrup containing foods and high fat milk products. Plus stay away from alcohol and smoking. Thanks.
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My age is 48 years old and am male.My sugar levels 264 what precaution should I take?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not as easy 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) 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. For sugar 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 privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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I am diabetic patient since 10 years . Before food 130 mg After food 265 mg Medcine GLIMMY 1 MORNING, NIGHT

Vaidya Visharad
Ayurveda, Narnaul
Hello, for Diabetic the best Ayurvedic medicine is there, but let me know the Blood report ie Sugar,fasting, PP, HbA1c.
1 person found this helpful
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30 minutes of Exercise a day can reduce your risk of Diabetes

Fellowship in Bariatric & Metabolic Surgery ( International), FNB - Minimal Access Surgery, MS - Surgery
Bariatrician, Jalandhar
30 minutes of Exercise a day can reduce your risk of Diabetes (Type 2) by 40 %.
Start Today.You have one Life.
154 people found this helpful

Can diabetic patient also take honey to reduce BP ?

MD - Medicine, MBBS
Cardiologist,
If you diabetes is under control. 1 tsf of honey will not do any harm. But i do not believe that honey will lower BP.
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Hello doctor I am 30 years age I am suffering type 2 diabetes .is there a permanent cure for this.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
Hello doctor I am 30 years age I am suffering type 2 diabetes .is there a permanent cure for this.
With lifestyle modification, proper diet and regular exercise, in 30% of cases patients can control their diabetes without any medicines. There are no shortcuts for curing diabetes. Stem cell therapy has shown some promising results, but still it is in research phase. Metabolic surgery, again has shown some promising results in curing type 2 diabetes, but you should consult good metabolic surgeon for that.
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10 Symptoms That Signal Hypothyroidism. Do You Have Any Of These?

M.B.B.S., M.D.
General Physician, Delhi
10 Symptoms That Signal Hypothyroidism. Do You Have Any Of These?
10 symptoms that signal hypothyroidism

When your thyroid malfunctions, you may face difficult health issues. Hypothyroidism leads to excessive weight gain and a lot of other medical ailments. It can be identified by a bunch of symptoms which if present, should not be taken lightly.

1) weight gain - if there is sudden and unexpected weight gain, this is the earliest and definite sign of an underactive thyroid gland. This means that there are strong chances of lowered levels of t3 and t4 hormones in the body, leading to slow metabolism in the body. People suffering from hypothyroidism face increased body weight which becomes difficult to lose despite maintaining healthy diet and exercising rigorously.

2) constant fatigue - if you have slept well the night before, yet you are tired and if this is a regular feature, then chances are that your thyroid gland is underactive. Being low in energy, it gets difficult to complete daily chores or exercise.

3) swelling in the neck - another telltale sign would be goiter - an abnormal swelling in the neck. The thyroid gland mainly concentrates iodine from the blood to create both the thyroid hormones. If there is iodine deficiency in the body, this process gets disrupted resulting in hypothyroidism.

4) hair loss - hypothyroidism causes hormonal imbalance which in turn causes hair loss. If there is sudden, unexplainable hair loss, chances of hypothyroidism are high.

5) imbalance in body temperature - if you are suddenly feeling too cold, it is advised to get your thyroid tests done.

6) brittle nails - if your nails have become brittle, get chipped very easily and look weak, this could be an indication of hypothyroidism.

7) mood changes - the weight gained and the excessive fatigue, both trigger massive mood swings which at times, the person has no control over.

8) constipation - the contractions of the digestive tract get weakened due to low levels of thyroid hormones resulting in constipation. Chronic constipation without any apparent reason could be an indicator of hypothyroidism.

9) irregular menses - if your periods are irregular, do not take it lightly. This could be most likely because of hormonal imbalances which are caused by hypothyroidism.

10) slower heart rate - if your heart beats at less than 60 times per minute, it could be because of the interference by thyroid hormones.

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3286 people found this helpful

My mother is 54 years old suffering with diabetes mellitus type -II .I observed her eye vision is very poor. How to improve eye visibility on diabetic patients?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
My mother is 54 years old suffering with diabetes mellitus type -II .I observed her eye vision is very poor. How to i...
Saptamrita lowha 250mg and amlaki rasayan 5gm take together bdac with luke warm water for three months . Use itone eye drop two drops four times daily for three months
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Ways Diabetes Can Affect Your Sexual Health

M.D.MEDICINE , Diploma in Diabetology
Sexologist, Jaipur
Ways Diabetes Can Affect Your Sexual Health

Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost the entire system of your body. Whether you have Type 1 or Type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

While Type 1 diabetes makes its presence felt much earlier and is hereditary quite often, Type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with Type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

Listed below are issues diabetic men and women face in terms of sexual health:

In Men:

  1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.
  2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause Peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

In Women:

  1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes and therefore, there is a definite decline in the urge.
  2. The above mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.
  3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.

3340 people found this helpful

I am 44 year old and i am badly suffering from Thyroid- pain in shoulder. What should i do?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am 44 year old and i am badly suffering from Thyroid- pain in shoulder. What should i do?
Please make sure that your TSH is under control.. For pain in shoulder , take pain killer... If not helping, consult an orthopaedic doctor to rule out any other problem
5 people found this helpful
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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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I am 32 years old male. I have autoimmune thyroid disease from last 3 months.

MD - Internal Medicine, MBBS
Endocrinologist,
I am 32 years old male. I have autoimmune thyroid disease
from last 3 months.
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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My wife 45 years old having diabetes from last 16 years. Even under insulin and 2 types of tablets. The sugar are not under control. What is the remedy for this.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My wife 45 years old having diabetes from last 16 years. Even under insulin and 2 types of tablets. The sugar are not...
Hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals.
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Glucose levels pp 180, reducing glow of face and body please advise ?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
Please follow diabetic diet and exercise daily for atleast half an hour and consult further for detailed management. Dr surbhi agrawal consultant physician and diabetologist
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I feel thirsty all the time and go for urinal frequently. I am just 30 years old, it is possible that I could be a patient of Diabetes.

BHMS
Homeopath,
I feel thirsty all the time and go for urinal frequently. I am just 30 years old, it is possible that I could be a pa...
If you have doubt pls go for lab and do fbs and rbs then you can diagnose it, nowadays diabetes found in all age groups.
1 person found this helpful
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I am not getting the sleep well because of thyroid but I want to come out from this but how? and english medicine is better or homeopathy for thyroid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am not getting the sleep well because of thyroid but I want to come out from this but how?  
and english medicine i...
stop taking more stress of any kind of work or things.go for walk daily, take intrest in your works. take healthy food diet, whole garin, oats food, plenty of water , both systems of medicines are good ..it is your choice which you wants.
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I am in my my 6.5th month of pregnancy, my TSH is 1.73 n in one of garbh sanskar lecture it is informed that TSH should be 3 for baby to be intelligent so what should be TSHlevel.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
I am in my my 6.5th month of pregnancy, my TSH is 1.73 n in one of garbh sanskar lecture it is informed that TSH shou...
Hello, The target TSH during pregnancy should be between 3.2-3.8,but less than that is acceptable indicating enough thyroxine already in the body.
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