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Dr. S.ranjith Pratap

Endocrinologist, CHENNAI

Dr. S.ranjith Pratap Endocrinologist, CHENNAI
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. S.ranjith Pratap
Dr. S.ranjith Pratap is a popular Endocrinologist in Chromepet, Chennai. He is currently associated with VIJAYA DIABETES CENTRE in Chromepet, Chennai. Save your time and book an appointment online with Dr. S.ranjith Pratap on Lybrate.com.

Lybrate.com has a number of highly qualified 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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My daughter is 19 yrs her sugar level was under the normal range but after meal where sha had sugar paratha the range was high.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter is 19 yrs her sugar level was under the normal range but after meal where sha had sugar paratha the range...
avoid paratha, sweet, oily foods, junk foods, do regular exercise, go for walk, take medicines for diabetes.
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I am diabetic. Even though I am taking tablets & controlling food, if I am not doing exercises or daily walking, my blood sugar level is going up. What can be the reason?

MD - Medicine
Endocrinologist, Ahmedabad
Exercise improves insulin sensitivity and also increases glucose use by muscles. So if you skip exercise your sugar level increases.
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Sir what can I do to get rid of blood sugar. I already takes the medicine as well as insulin.

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent bsl reports and ongoing treatment and revert back to me for further assistance. Dr. Surbhi agrawal Consultant physician and diabetologist
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My mother has thyroid. What all food she should avoid and what all she should consume to keep its level normal?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother has thyroid. What all food she should avoid and what all she should consume to keep its level normal?
Antioxidant-rich fruits and vegetables: 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. 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,
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Her sugar level is above 200 inspire if taking 24 units lantus injection. please suggest me what to do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Her sugar level is above 200 inspire if taking 24 units lantus injection. please suggest me what to do?
take oral medication with it ..tablet galvus met 50/1000 mg twice daily after meals.....it will be controlled
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I am 64+, diabetic since last 15 years, inspite regular walking and exercise and controlled dieting my sugar levels are shooting up now it reads as 200mg/dl fasting and 315 after break fast. Now I am using glimmer 1. Please give me suggestions.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The best thing that you need to do is to go for vaman karma next month. Talk to a panchakarma expert. This will detoxify the body & lead to a decrease in sugar levels.
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Omega 3 Fatty Acids. Do I need it?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Omega 3 Fatty Acids. Do I need it?

Omega 3 fatty acids during pregnancy. Do I need it?

1) if I take omega 3 fatty acid supplements during pregnancy, it will help my baby's brain development better?

There is not enough evidence that supplements help to boost a baby's brain power. Omega3's in a mom's diet are definitely beneficial though. Taking fish oil capsules does not have same health benefits eating fish as along with omega 3, fish are good sources of proteins, calcium and vitamins b and d which one doesn't get from fish oil capsules.

If at all someone is taking these supplements, it should be taken at the start of a meal to avoid the fishy taste and burps.

2) are there any proven medical benefits of fish oil supplements?

Fish oil have omega 3's in the form of dha and epa. They are good for people who have high triglyceride levels as it helps to lower the triglyceride level in the blood but one must take at least 2-4 g per day to have this effect. How much dha we get out of a particular brand of capsule is not known as fish oil is sold over the counter and is not regulated by drug agencies. Fish oil may also help in controlling diabetes. They may also reduce complications in a person with known heart disease. If you have none of the conditions above it is much better to simply eat fish as and when you want.

Please remember that may also act as blood thinners. People who are on ecosprin, or heparin or any other medication for heart disease should take it only on prescription and be monitored regularly.

3) can I get omega3's from any other source?

While fish is a good source of omega 3's, it is not readily available in many parts of our country. Also vegetarians can get it from walnuts, dark leafy vegetables like spinach, kale, algae oil or flaxseed oils. But vegetarian sources are poor replacements as compared to fish.

Krill oil which is made from shrimps has as much omega 3's as fish oil.

4) how much fish should I eat to get enough omega 3's?

It is recommended to eat one cup fish twice a week and up to 4 cups of cooked fish are safe for consumption. Frequent fish eaters should mind the mercury contained in certain fish. Shrimps, tuna, salmon and catfish are generally low in mercury while mackerel, sharks and swordfish have high mercury content. Pregnant women should definitely try to reduce the mercury content in their diet.

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I am suffering from diabetes nd of 58 years with kidney disease. What precaution ,measure and treatment should taken.in such condition.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I am suffering from diabetes nd of 58 years with kidney disease. What precaution ,measure and treatment should taken....
lybrate-userji, First and foremost thing o be done is to achieve strict blood glucose control, with fasting blood glucose closer to 100 mg, PP 150 to 160 mg /100 ml & HbA1c%<6.8. If this is done then kidney damage will not progress rapidly. Pressure should also be maintained close to normal. Plus regular exercise, restricted diet, reduced salt intake are othe precautions to be followed. Plus person should refrain from alcohol and smoking. Thanks.
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Is banana advisable for patient who is having border line diabetes? Having one banana a day would be advisable or not.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Is banana advisable for patient who is having border line diabetes? Having one banana a day would be advisable or not.
Dear lybrate-user, banana has very high calorie count and hence may aggravate diabetes but eating half a banana if small size after a workout or fast walk should be okay regards.
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Hello sir, I am 47 year male and I have sugar last 2 year what should I do? Please tell me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hello sir, I am 47 year male and I have sugar last 2 year what should I do? Please tell me.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight: 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 :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 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 food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. 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 and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible
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Hi my mom is 49 years old she has been suffering from blood sugar/ BP and pain her recent diagnosis report says that FBS-- 238 PPBS-- 269 BP--130/80 she has been taking medication s like gluconorm g2 stamlo 2.5 but her feet and ankle used to swel occasionally her creatine is .38 what should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my mom is 49 years old she has been suffering from blood sugar/ BP and pain her recent diagnosis report says that ...
Hello, if she has diabetes and high blood pressure, it is necessary to control both the conditions effectively, to prevent possible long term chronic complications of both the diseases. Looking at her height & weight it is clear that she is having grade 1 obesity with a bmi of 30.5 kgs/m2. This itself may be the reason for uncontrolled blood glucose level. Her ideal body weight should be 50 kgs, so she carries 12 kgs extra weight. Reduction of weight, regular exercise and diet control will definitely help in bringing her blood glucose under excellent control. Her bp is fine, blood glucose has to be controlled better. It appears there has to be a total relook at the treatment, diet and extent of daily exercise. When in control fbs should be around 100 mg, pp 150 to 160 mg, hba1c%<6.8. Thanks.
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Hey i am a thyroid patient my weight is increasing day by day m doing some aerobics exercises for weight but it not working too much how can I control my weight.

MSc
Dietitian/Nutritionist, Chandigarh
Hey i am a thyroid patient my weight is increasing day by day m doing some aerobics exercises for weight but it not w...
Hi lybrate-user below tips could help you start your weight-loss journey. 1. Never eat a snack out of a carton or a cover. Always use a cup or a plate to so you know how much you are eating. 2. Have at least one bright colored fruit and one bright colored vegetable a day 3. Take a small snack box to office with almonds, walnuts and other dry fruits to satisfy your cravings 4. Try to have your dinner by 8 so that you are not too hungry and also make healthy choices at dinner. 5. People who eat breakfast have a better success rate at losing weight. 6. Beware of zero trans fat and fat free foods as you might end up eating high sugar and carb containing foods. 7. People who are emotional eaters learn to identify the emotion that makes you eat unhealthy food and try diverting your mind to something else you love 8. If your plates are too big trade them off for a 9 inch plates 9. Replace your weighing scale with a tape measure. 10. Share your weight-loss journey with a family member or friend so that you are accountable to each other. 11. Green tea at least once a day will help you boost your metabolism 12. Sleep helps in repair and regulating your hormones. Sleep atleast 8 hours in a day. 13. Have fruits at least twice a day.
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SirI am suffering with thyroid My T3 is 0.99 T4 is 7.50TSH is 16.79 as on 29/01/2016what should I do.

MD - Homeopathy, BHMS
Homeopath, Thane
Hello lybrate-user. As you r suffering from thyroid problem as your reports clearly confirm it. I would suggest to opt for homeopathy treatment along with your allopathy tablets. You will b benefited for sure without ny side effects n your levels will b back to normal.
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He have diabetes problem since 5 years. I take daily routine of tablets like tripride-1, temsan AM. Please give me advice to how I take correct medicines or not. Which. Medical procedure or yoga benefit for me.

MBBS
General Physician, Mumbai
He have diabetes problem since 5 years. I take daily routine of tablets like tripride-1, temsan AM. Please give me ad...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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Why is diabetes causing more problems? Why can't it be controlled permanently from an human.

MBBS
General Physician, Mumbai
Why is diabetes causing more problems? Why can't it be controlled permanently from an human.
Increase sugar levels in the blood causes decrease metabolism of the cells of the tissues leading to the damage.
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Does whole grains like wheat flour, oats give glucose supply for brain as I have read in the Lybrate as I am diabetic 39 years old pls advice.

MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)
Dietitian/Nutritionist, Bangalore
Does whole grains like wheat flour, oats give glucose supply for brain as I have read in the Lybrate as I am diabetic...
Dear lybrate-user, Glucose is the end product of carbohydrate digestion. Any food that has carbs will finally be broken down to simple sugar glucose for absorption into the body. This glucose gives energy to brain. Hence consumption of complex carbs like whole wheat flour or multigrain flour or oats does give glucose and it is released slowly into the blood stream helping to manage diabetes. Regards
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Hello doctor I am suffering from thyroid I am using medicines every day so is their any chance to avoid this problem for ever.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If one has hypothyroidism, then the treatment is to take thyroxine tablets for lifetime. Dose of thyroxine should be such that TSH should be maintained between 3 to 4 mU/L, to be free from all the symptoms. Since it is a hormone deficiency condition, treatment has to be supplementation of the hormone for lifetime. There is no other option. Thanks.
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My dad - 71 years - he had ptca done in 1997 and was also diagnosed with diabetes. Till aug 2014 it was all working well with minimal drugs - diabetes under control through diet etc and cholesterol levels quite normal. However, last year in aug-14, he had high fever and got unconscious (10-15 minutes)/fallen down on the way to bathroom and fractured his leg. He does not remember what happened. Got admitted and was administered with antibiotics (novosafe). Meanwhile got catheter inserted as he was not able to pass urine and/or move because of fractured leg. Got released from hospital after 6-7 days but soon after two days again got high fever again and fell unconscious again. Gave bit of sugar and took to hospital - he felt much better by the time he reached to hospital and wsa hospitalized. Doctors suspected uti and diagnosed hypoglycemia. After that he had high fever 2 times and novosafe, piptaz courses for 6-7 days each time worked. Doctor suggested urine culture this jan 2015 and" susceptible to colistin" was found. We got 10 day course of colistin followed by 1 month course of niftas. He did not get high fever of 4-5 days after that. However got fever 5-6 times -- 100-101 degree - for a day or two with normal antibiotics gets over. Each time normal urine test showed few puss cells and couple of times off late not even those. Urine test was quite normal. We observed that high fever occurred after some physical exertion earlier 3-4 times but later 5-6 times after colistin course no such co-relation and got urine test done and puss cells were found very low/none. Usg and uriflowmetry was done in may-15 and not found any issues except that prostate slightly enlarged (which was noticed even in usg in aug 14) and for which doctor advised not to do any procedure except have tamdura (1 at bed time for 2 months) and take nurokind (1 every day for two months). Urologist does not think its recurrent uti case at least anymore. Diabetologist does not think its due to diabetes. Heart specialist also thinks nothing wrong there as lipid profile and color doppler showed normal. However, fever has been repeating every 15-20 days though puss cells are not found now. Every time he gets bit unconscious (5-10 minutes) - starts with some fever. Heavy eys. Getting unconscious. Expert suggested to consult now neuro-physician and cardiologist after usg and carotid doppler tests. Also, another expert doctor suggested it may be yers of diabetes causing the same. However, he suggested urine culture with sensitivity analysis including test for suspected fungiurea and atypical mycobacterial uti to rule out its uti. Not sure what to do (tried to keep it as brief and can give more details).

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
My dad - 71 years - he had ptca done in 1997 and was also diagnosed with diabetes. Till aug 2014 it was all working w...
Dear please give reports of cbc, esr, and usg (kub) with post-void film and also that of uroflow. Please post pictures as well. One more possibility is t. B. As t. B. Is very common in diabetic patients specially with irregular and recurrent fever.
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Diet chart for daibitic ?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
General guidelines: early morning: one teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes. Or drink tomato juice with salt and pepper every morning on an empty stomach. Intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes. Breakfast: whole grains, oats, millet with high fiber vegetable/salad mid morning; apple/organe 100 gm lunch: salad 15 min before lunch dal, phulka, vgetable curry/veg soup/buttermilk evening tea/green tea/lime tea +2 fiber biscuits /roasted chana mid evening salad of mix vegetable and sprouts an hour before dinner dinner phluka 2, lauki veg, curd bed time skim milk with diet an hour of exercise is a must. And keep sipping water.
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