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Dr. Sashi Shyamsundar

Endocrinologist, Chennai

500 at clinic
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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 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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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
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I am 48 years old, suffering from left shoulder and left hand pain for past 5 to 10 days. I am already having diabetic & BP. Diabetic is showing 280 after meals. I am using Painkiller, movon-p Tablets. It gives only some relief. What to do?

MPTh/MPT, M.B.A.
Physiotherapist, Hyderabad
I am 48 years old, suffering from left shoulder and left hand pain for past 5 to 10 days. I am already having diabeti...
Consult physiotherapist you have to do shoulder strengthening exercises and treatment don't neglect pain it is goto peri arthritis of shoulder maintain the sugar levels.
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Sir what is the possible solution and the precautions for diabetes. Pls also tell the diet to prevent from diabetes.

Advanced Aesthetics
Ayurveda, Gulbarga
Sir  what is the possible solution and the precautions for diabetes.  Pls also tell the diet to prevent from diabetes.
The effectiveness of Ayurvedic medicine in treating diabetes is well documented. The efficacy of herbs widely recommended in Ayurvedic texts for normalizing the blood sugar level has been validated in several clinical trials. In Ayurveda, diabetes mellitus is known as Madhu meha. Owing to the adverse effect of high blood sugar on nearly every vital organ of the body, diabetes is referred to as ?maharoga? or the major disease in Ayurveda.Ayurvedic medicine for diabetes contain herbs that help to lower the blood sugar level by regulating metabolism of carbohydrates, regulating sugar absorption, stimulating insulin secretion and improving sensitivity to the hormone insulin. Gymnema Sylvestre (Gurmar) Gymnema sylvestre is an effective hypoglycemic component in Ayurvedic medicines for diabetes. The common name of the herb is Gurmar, which means the sugar crusher. The efficacy of Gymnema sylvestre leaves in reducing the blood sugar level has been demonstrated in experimental and clinical studies. Treatment with the herb helps to lower the fasting blood sugar level. By assisting regeneration of the residual pancreatic beta cells, it reduces dependence on insulin medications. Coccinia Indica Coccinia indica is a powerful anti-diabetic agent. By regulating breakdown of starch, it helps to prevent sudden surge of blood sugar after consuming carbohydrates. It could also protect the vital organs from the adverse effect of high blood sugar level.
17 people found this helpful
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Can I take metride (2/500mg) in place of amaryl m (2/500mg)? I am a 62 yrs old diabetic person.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If the combination is glimepirde 2 mg & metformin 500 you can definitely take it. Amoral is too expensive. Tab k -glim m2 (blue cross lab) is only 26 plus for 10 tabs you take any one of these instead of amaryl.
2 people found this helpful
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Hello sir/madamMujhe March 2016 se thyroid h aur joki continue badta ja raha h jiski wajah se mein pregnancy k try karne k liye doctor k ha ka wait kar rahi hu magar thyroid stable n h ho pa raha h. Is time mujhe 17.5 h. Jiski liye mein 100 mg k tab le rahi hu. Pls aap advise kare aur bataye ki kaise thyroid stable kiya jaaye aur pregnancy k liye aur healthy baby k liye sahi time kab hoga.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Thyroid hormone is needed during organogenesis and plays vital role in IQ and brain development. It is advisable to keep TSH below 2.5 before and through out pregnancy for optimal brain development of baby. You may require to increase Thyroxine dose. Get your Free T4 and anti TPO test done and consult any diabetologist or endocrinologist for further management.
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I am suffering from daibeties from last 3 yrs. Taking medicine glycomate 0.5gp at night I can't mainage sugar fasting. Level always it is 150. What you suggest me ?

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am suffering from daibeties from last 3 yrs. Taking medicine glycomate 0.5gp at night I can't mainage sugar fasting...
You can stop your existing medication and instead start Glycomet Gp Forte (1/1000mg) at night. Also, do a HbA1c level. And repeat blood sugar levels fasting and PP after 7 days.
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My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days m feeling frequent urination. Is it any serious?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days ...
Lybrate-user, fbs between 108 mg to 125 mg is considered as pre- diabetes. There is no treatment required, but better to take precautions like avoiding excess sweets, junk foods, pastries, bakery items, sweetened aerated drinks (colas), fructose corn syrup containing products, highly processed food products and high fat milk products. Consume more of green leafy vegetables, salads, and fruits. Use whole grain products, avoid refined flour like maida. Exercise daily for at least 1 hour. To diagnose diabetes fasting should be >126 mg & pp > 200 mg/100 ml. So please check pp level and inform.
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If someone is diabetic, aged above 70, male, weight is 95 Kgs, is it ok to have a glass of home made pomegranate juice daily between breakfast and lunch?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If someone is diabetic, aged above 70, male, weight is 95 Kgs, is it ok to have a glass of home made pomegranate juic...
Mr. Lybrate-user, with diabetes, having a weight of 94 kgs, is not really good. It means he has a bmi of 32.52 kgs/m2, which is grade 1 obesity. This itself contributes to increased glucose level or not getting enough control on blood glucose. Taking home made pomegranate juice is fine, but there is should be no sugar in it, plus quantity should be limited. Also blood glucose should be in good control. At 170 cms height and with 70 years age, ideal body weight should be 63 kgs. Please keep that in mind. Thanks.
2 people found this helpful
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I am an old case of hypothyroidism. Now I got tests. My present values are. TT3-122.26, TT4-6.0, TSH- 6.21. I take daily eltroxin tab in the morning. I used to drink n smoke. How cn I get this normal. Bcz my wait in last 7 months hs increased by 7 to 8 kgs.

PDDM, MHA, MBBS
General Physician, Nashik
I am an old case of hypothyroidism. Now I got tests. My present values are. TT3-122.26, TT4-6.0, TSH- 6.21. I take da...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated. Continue thyroxine supplements.
1 person found this helpful
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My fasting sugar is 117. Is it OK. If not, what minimum precautions, I should take. I am 67 plus years old male. Height 6 ft 9 inches. Weight 70 kgs approx.

MBBS, cc USG
General Physician, Gurgaon
My fasting sugar is 117. Is it OK. If not, what minimum precautions, I should take. I am 67 plus years old male. Heig...
Normal Blood Sugars. A normal fasting (no food for eight hours) blood sugar level is between 70 and 99 mg/dL. A normal blood sugar level two hours after eating is less than 140 mg/dL. Your fasting blood sugar level is bit high, my advice is to repeat test in a good lab and consult with report
1 person found this helpful
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Mam can a thyroid person with thyroid 6 can loose weight in a month that too upto 3-5 kg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mam can a thyroid person with thyroid 6 can loose weight in a month that too upto 3-5 kg.
What do you mean by" thyroid 6" if one is having hypothyroidism then weight will invariably increase. But if treatment is on and tsh levels have become normal then weight reduction is possible by diet restriction and regular exercise. Reducing 3 to 5 kg may be tough. 2 to 3 kg reduction is possible by reducing daily intake by 550 cal.
1 person found this helpful
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I am having low sugar (92 mg/dl). This was measured after 1 hour of breakfast. I am 27 year old male. What kind of food should I take in order to get healthy as a horse? Reply asap. Thanks!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am having low sugar (92 mg/dl). This was measured after 1 hour of breakfast. I am 27 year old male. What kind of fo...
Balanced diet is important, containing carbs, proteins and fat in proper proportion. If you want to develop strong body and muscular one apart from eating well, it is necessary to exercise under the guidance of a competent physical instructor at a gym. Then also include extra proteins (6 - 8 eggs a day), reduce fried foods and increase intake of fruits and dry fruits.
1 person found this helpful
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I am having balanced diet strictly without sugar. Than also my diabetes is 170 - 220. I eat two twice once in the morning and than at night.

MD - Pathology, MBBS
Pathologist, Ahmedabad
This is the right time to add drugs to manage diabetes when only diet restrictions fail to control blood sugar. Start exercise too.
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I m suffering from diabetes and I m only 21 years old and normally it never goes down. Yesterday doctor checked and it was 400. What should I do?

B.A.M.S
Ayurveda,
I m suffering from diabetes and I m only 21 years old and normally it never goes down. Yesterday doctor checked and i...
You cut down the blood sugar levels in many ways. The first method is with exercise. Make exercise your habit and do it for at least 30 minutes per day. Yoga meditation aerobics walking cycling jogging dancing etc all includes in the category of exercise. Now with the dietary requirements you need to have a good idea that what all foods are essential to you at your this condition. According to me, I suggest my patients a dietary plan. You can also follow the same. *have dinner as early as possible. *restrict intake of rice preparations for dinner. *include fruits into your diet especially pomegranate dates dry grapes juice. *strict stop smoking and alcohol intake. *follow a regular diet weekly. *restrict intake of non veg daily. *have oats with milk daily once. *have food prepared with millets and wheat. If possible you could also follow some natural remedies. Some of them are *intake of gooseberry juice with turmeric powder after your breakfast. *intake of water boiled with the stem of tinospora cordifolia. (instantly decreases the blood sugar levels) *have cucumber juice in empty stomach. Last not least make up your mind. Build confidence and trust in your own actions that you can completely overcome this diabetes. All the best.
11 people found this helpful
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CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
FOOT CARE IS MOST IMPORTANT PART OF DIABETIC PEOPLE.

I always tell my patients to take care of the feet as they care about their face. Following tips should be practised regularly.

1.Inspect your feet daily. if your eyesight is poor than tell someone else to do it for you.

What should I look for ??
Inspect for:Skin or nail problems: Look for cuts, scrapes, redness, drainage, swelling, bad odor, rash, discoloration, loss of hair on toes, injuries, or nail changes (deformed, striped, yellowed or discolored, thickened, or not growing).
check if your foot is swollen, red, hot, or has changed in size, shape, or direction.

2.Don’t ignore leg pain. 
Pain in the leg that occurs at night or with a little activity could mean you have a blocked artery. Speak to your Diabetologist doctor immediately.

3.Nail cutting. 
If you have any nail problems, hard nails, or reduced feeling in your feet, your toenails should be properly trimmed

4.No“bathroom surgery.” 
Never trim calluses or corns yourself, and don’t use over-the-counter medicated pads.

5.Keep floors free of sharp objects. Make sure there are no needles, insulin syringes, or other sharp objects on the floor.

6.Don’t go barefoot. Wear shoes, indoors and outdoors.

7.Check shoes and socks before putting them on for any pointed foreign object like stone or nail.

Make sure your socks aren’t very tight which can restrict blood flow.

8.Have your circulation and sense of feeling tested.  Doctor will do it for you.


30 people found this helpful

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Probiotics drugs used in gut diseases like diarrhoea, found effective in reducing blood sugar also, so helpful to diabetics patients. Consult doctor.
8 people found this helpful

Not taking medicine and doing business diabetes 110 lose weight 4 kg boils under eyes Want to improve health.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Not taking medicine and doing business diabetes 110 lose weight 4 kg boils under eyes
Want to improve health.
Mr. Lybrate-user, blood glucose 110 mg, if fasting, then there is no diabetes. Following are the criteria to diagnose: 1) normal: fbs 70 to 110 mg, pp <140 mg / 100 ml & hba1c% <5.9. 2) pre-diabetes: fbs 108 to 125 mg, pp 141 to 199 mg & hba1c%<6.4. 3) diabetes: fbs! 26 mg and above, pp 200 mg and above, hba1c%6.5 and above. So based on your current fbs, pp levels and hba1c% you can decide whether you have diabetes. As regards improving health you need to take a healthy diet, exercise regularly foor over an hour daiky and maintain weight with in normal limit. Plus avoid alcohol and smoking. Thanks.
2 people found this helpful
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Hi, My name is mehmood alam and I would say about my dad, my dad have diabetes problem, we are worry, please suggest me what should I do for him. Thanking you Mehmood Alam.

MBBS
General Physician, Cuttack
Hi, My name is mehmood alam and I would say about my dad, my dad have diabetes problem, we are worry, please suggest ...
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
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My wife, aged 33, is a diabetic person, she used to exercise daily & tool tab. Glycyphage 500, thrice daily, but sugar didn't come below 200, what should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
My wife, aged 33, is a diabetic person, she used to exercise daily & tool tab. Glycyphage 500, thrice daily, but suga...
She should take diabetic diet, Do F/pp blood sugar, HbA1c level, informe report. or you can consult good diabetologist.
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If diabetic patients can drink sugarcane juice! whar r the precautions can taken.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If diabetic patients can drink sugarcane juice! whar r the precautions can taken.
Mr. Lybrate-user, a person with diabetes is not supposed to drink sugarcane juice. Because it is sucrose, which will increase blood glucose level almost immediately. So no sugar cane juice.
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I am 46 yrs male and have been taking thyronorm 62.5 MCG for 2 yrs empty stomach. Can I take honey + lemon water with this tablet. Or should there any gap of time? 2. My fasting sugar level is 100. Should I take some precautions? If yes then what type of precautions?

MD-Physician, Dip. Endocrinology, Dip. Diabetes
Endocrinologist, Jabalpur
I am 46 yrs male and have been  taking thyronorm 62.5 MCG for 2 yrs empty stomach. Can I take honey + lemon water wit...
U can take only water with thyroid medicine nothing else for atleast 1 hour and your sugar level is fine nothing to worry.
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