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Dr. Sashi Shyamsundar

Endocrinologist, Chennai

500 at clinic
Dr. Sashi Shyamsundar Endocrinologist, Chennai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sashi Shyamsundar
Dr. Sashi Shyamsundar is a renowned Endocrinologist in Alwarpet, Chennai. You can consult Dr. Sashi Shyamsundar at Dr. Sashi Shyamsundar@Girishwari Hospital in Alwarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sashi Shyamsundar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 34 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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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
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I am a diabetic patient but from the last 1 month I have cupful sputum with foul smelling. What I do? Please help me.

BHMS
Homeopath, Sindhudurg
I am a diabetic patient but from the last 1 month I have cupful sputum with foul smelling. What I do? Please help me.
Homoeopathic treatment- ferrum phos 6x + kali mur 6x -4 pills 3 times stodal syrup 2 spoonful 3 time. For 8 days and revert back.
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What is the diabetes type of diabetes mellites and characters of the diabetes mellites.

MBBS
General Physician, Cuttack
What is the diabetes type of diabetes mellites and characters of the diabetes mellites.
There are 2 types of Diabetes mellitus. In Type 1 Diabetes, Insulin is not secreted by the pancreas, hence it is known as insulin dependenent Diabetes and in Type 2 Insulin is secreted by blood but is not effective in reducing blood sugar and hence it is known as Non insulin dependent Diabetes mellius. The symptoms in both type are same Excessive Thirst Frequency of urination especially in night Excessive Hunger Fatigue Blurring Of Vision Sores or cuts that won’t heal Prevention 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
3 people found this helpful
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I am 24years old and I have thyroid from last 6months and taking medicine daily but its not in control. Fluctuating. Doctor didnt told me any precautions.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 24years old and I have thyroid from last 6months and taking medicine daily but its not in control. Fluctuating. ...
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 consut doctor on time.
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5 EASY STEPS TO CONTROL DIABETES

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
5 EASY STEPS TO CONTROL DIABETES
5 easy Steps to control diabetes


Tip 1: Get more physical activity

There are many benefits to regular physical activity. Exercise can help you:
• Lose weight
• Lower your blood sugar
• Boost your sensitivity to insulin — which helps keep your blood sugar within a normal range
Research shows that both aerobic exercise and resistance training can help control diabetes, but the greater benefit comes from a fitness program that includes both.


Tip 2: Get plenty of fibre

It's rough, it's tough — and it may help you:
• Reduce your risk of diabetes by improving your blood sugar control
• Lower your risk of heart disease
• Promote weight loss by helping you feel full
Foods high in fiber include fruits, vegetables, beans, whole grains, nuts and seeds.

Tip 3: Go for whole grains

Although it's not clear why, whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Try to make at least half your grains whole grains. Many foods made from whole grains come ready to eat, including various breads, pasta products and many cereals. Look for the word "whole" on the package and among the first few items in the ingredient list.

Tip 4: Lose extra weight

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.

Tip 5: Skip fad diets and just make healthier choices

Low-carb diets, the glycemic index diet or other fad diets may help you lose weight at first, but their effectiveness at preventing diabetes isn't known nor are their long-term effects. And by excluding or strictly limiting a particular food group, you may be giving up essential nutrients. Instead, think variety and portion control as part of an overall healthy-eating plan
218 people found this helpful

I am a 54 years old female I just had a blood test and tsh level is 25.5 what does it me?

MS, MBBS, MCh
General Surgeon, Varanasi
It means that your thyroid gland is not producing enough hormone that is required by your body. You r hypothyroid.
1 person found this helpful
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Hi I have thyroid from last 5 years I was using thyronorm 25 mg for a day. Last year it get increased to 65 mg during pregnancy after develery my doctor ask me to continue same mg after 3 months I started taking 50 mg now after a year n half I have done thyroid test in empty stomach and the value is 0.99uIU/ml. Is it a normal range or do I need to reduce my mg level to 25 mg.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
It is ok. Continue 50 mcm. Observe diet restrictions no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat test after 2 months and report on private chat for further advise good luck.
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Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metamorhin 500 mg, would like to know can I take these tablets? I usually avoid tablets, Can I take only one out of these which is metamorphin which is cheaper, Current prescription is to take Januvia 50 mg in early morning half an hour before breakfast and Metamorphin to be taken at night after finishing the dinner I would like to change the schedule to Metamorphin in the morning half an hour before breakfast thats it, I do not want any other medicine apart from it, I am Fitness freak and I take care of my diet with millets recently I had stopped medicine for 15 day the symptom I had is frequent urination, then I consulted a Junior doctor who suggested for a fbs and ppbs test in which the result was fbs 97 and ppbs 193, based on which junior doctor suggested to take metamorphin tablet alone in the morning then no further tablets in day can you help me here which schedule to follow, appreciate your response as I need a super expert advice on this Kindly help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metam...
You have a significant diabetes and need to take these tablets and check again after one month and increase or decrease the dose .Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness 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 with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Diabetics facing ED should test your testosterone level .can try Tadalafil (if no contraindications).
8 people found this helpful

I am 32 yrs old. I am suffering from diabetes last 2 yrs. I am taking metforming hydrochloride 500mg and glimipiride 2mg together after lunch. But my sugar levels in fasting is 136 to145.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 32 yrs old. I am suffering from diabetes last 2 yrs. I am taking metforming hydrochloride 500mg and glimipiride ...
Hi follow diabetic diet use rice twice a week only in the afternoon, have methiseeds soaked in the water over nite in the empty stomach morning, do waliking for 30 mins a day 5 times a week, have early and lite dinner and devoid rice for dinner -before 8pm and take metformin 30mins before food.
4 people found this helpful
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Sir Im diabetic can I eat fig fruit, milk, almonds, im alone in my house so I cannot prepare diabetic food (ex-roti, etc) how can I control please help me.

MBBS, MD
Endocrinologist, Delhi
Sir Im diabetic can I eat fig fruit, milk, almonds, im alone in my house so I cannot prepare diabetic food (ex-roti, ...
You should avoid sweat fruits like mangoes, grapes, banana, cheekoo, etc.also avoid sweets, sugar,jagary (Gur) and honey. Dry fruits like almond allowed in moderation. You should prefer high fiber diet.
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I'm Diabitic, and i;m on insulin and EuglimM1 Forte, Nowadays i'm feeling giddy sometimes, what could be the resason?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear, pl tell me your HbA1c of blood. So that I can suggest good Ayurvedic Medicine. My Email:-drvsrao58@gmail.com. Ok
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Why Do Diabetic People Need to Eat Fat?

PG Diploma Nutrition and Dietetics, B.Sc - Home Science
Dietitian/Nutritionist, Delhi
Why Do Diabetic People Need to Eat Fat?

Diabetes is a condition that affects the pancreas to the extent that they do not release the required quantity of insulin, which can lead to a high blood sugar level as the body starts to absorb excess glucose from the food that it ingests. This can be of various types and have different implications for different patients. While many experts insist that keeping a low cholesterol level and low weight is a primary requirement for treatment of diabetes patients, there are a number of myths in this regard. Not eating fat is one such myth that we are out to prove wrong today.

So read on to find out why diabetic people need to eat fat:

  1. Saturated Fats and Trans Fats: There are studies that demonstrate how saturated fats can actually prove to be beneficial for diabetes patients. These can be found in various sources like fish and nuts. This releases heptadecanoic acids, which can normalise the blood sugar levels as well as the insulin and triglyceride levels in the body.
  2. Dairy Fat: The use of milk and yogurt as well as butter can actually be help in bringing the blood sugar levels down. It also shows up favourably on the lipoprotein markers. Butter in particular is known to have clarifying properties that can bring down the risk of diabetes as well. One must take care to use dairy products that are fat free. 
  3. Animal Fat: Having meat which releases fat and having dairy products like cheese and milk which releases healthy saturated fats are two different things. One can replace carbs and meat with these kinds of products so that there is better absorption and creation of quality animal fats which can actually help the insulin levels.
  4. Monounsaturated and Polyunsaturated Fats: Food items like fish and nuts that carry high levels of Omega-3 fatty acids as well as monounsaturated and polyunsaturated fats can help patients suffering from diabetes by clearing the bloodstream of cholesterol and high lipid levels. This also prevents the risk of heart disease and arterial blockages. These kinds of fats are also found in flax seeds, soya products and walnuts. 

Going low on carbohydrates and avoiding sugar is usually recommended for patients suffering from diabetes. Yet, it is important to have your fill of essential fats as mentioned above with the help of dairy products, clarified better, omega three fatty acids, dry fruits, soya products and some amount of vegetable oils, as these actually have a number of benefits for these patients. These kinds of fats are not known to cause heart disease or high cholesterol.

4224 people found this helpful

I am 27 years old male and have type 2 diabetes since 1 yr. So what should I take to protect my eyes and kidneys.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 27 years old male and have type 2 diabetes since 1 yr. So what should I take to protect my eyes and kidneys.
Hello, Always see that you have good appetite and good digestion and your on regular exercises these will help you to control your sugar levels and in turn it will protect your eyes and kidney. Regular usage of Amla juice 15 ml morning and night will also protect the eyes and kidney.
1 person found this helpful
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I am 50 years old having diabetes problem for 12 years is there any effective ayurveda medicine for this.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am 50 years old having diabetes problem for 12 years is there any effective ayurveda medicine for this.?
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 maintain a healthy body weight 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. Do reply back for private consultation.
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I am 23 years old female. I have thyroid with tsh 14.2. I am taking eltroxin 50mg tablet from past one month. I am gaining weight and having hair fall problem. Can you suggest me any ayurvedic or homeopathy medicine for weight loss and hair fall.

BHMS
Homeopath, Faridabad
I am 23 years old female. I have thyroid with tsh 14.2. I am taking eltroxin 50mg tablet from past one month. I am ga...
Hello, Homoeopathy has the best answer for your query.you can lose weight with the help of homoeopathic medicines, without any side effects. This involves correction your metabolism. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the evening daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. **For hair fall:-*Apply Arnica hair growth oil (B &T) on your hair and scalp, thrice in a week. *Wash hair with Arnica montana herbal shampoo (SBL) *Drink minimum 10 glasses of water per day. *Take 10 ml amla juice mixed with half cup of water, daily morning. Use this home remedy also to prevent hair loss:- *Triphala is the boon for dead cells of the scalp; it works to recover all the problem related to damaged and graying of hair. Take a teaspoon of triphala powder with water before sleeping. You will get rid from white hair as well as hair fall. *Onion is also an effective home treatment for hair loss and premature graying. The juice of onion helps in preventing premature graying, hair loss and baldness. Apply or massage the onion juice on you scalp to get rid from gray hair. You can use it every night before go to bed and leave overnight. It is also helps to hair growth.
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My age 39 years fast 109 pp 180 .orchestral fat 350 .how to way of save life what type of medicine take up now take up medicine glysef 500mg ezetor 10 .Please prescribe it and food chat.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello you have to reduce fat intake, no deep fried foods. Exercise daily at least one hour of brisk walking. Increase tab glyciphase twice day. Anti cholesterol tab to be taken twice a day.
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Hi, I have dignosed dibties on 25th of may 2015 my fasting sugar was 250mg/dl. I controlled my diet and now my sugar fasting is 200mg/dl which is also very high then the recommended range. I have been suffering from throt infection and also get fever sometimes. Kindly advise me which diet I should follow ?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Hi, I have dignosed dibties on 25th of may 2015 my fasting sugar was 250mg/dl. I controlled my diet and now my sugar ...
Your diabetes is not going to be controlled by only diet. you need to modify your treatment plan. you can consult with me regarding further management.
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My husband had sugar at the age of 16. Now his sugar level is very high 650. What should I do for him?

PGD Maternal Child Health, MBBS
General Physician, Akola
My husband had sugar at the age of 16. Now his sugar level is very high 650. What should I do for him?
He is a Type 1 juvenile diabetic with uncontrolled disease. If he is already kept on Insulin his doses need to be re planned. He needs better management under the supervision of a diabetologist.
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Hypoglycemia: Going Lower Is Not Always Good

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypoglycemia: Going Lower Is Not Always Good

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia:

  1. Keep away from the practices, which lead to hyperglycemia: The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.
  2. Discuss problems with the patient: Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.
  3. Use glucagon: Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately.

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My wife aged 53 Years, Diabetic patient, present sugar level 340 regularly using diamicron Mr. tablets daily 2. Also insulin Humanmixtard 30-70 and Insugen 30-70 daily 40 Units. Still sugar levels not in control. What to do.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My wife aged 53 Years, Diabetic patient, present sugar level 340 regularly using diamicron Mr. tablets daily 2. Also ...
May be ,she is irregular in diet or undergoing lot of stress due to which sugars are not controlled. If u can send me the latest reports and her diet schedule, diet can be modified accordingly
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