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Dr. Selvapandian

Endocrinologist, Chennai

Dr. Selvapandian Endocrinologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Selvapandian
Dr. Selvapandian is one of the best Endocrinologists in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Book an appointment online with Dr. Selvapandian on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 39 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I always get cold if I take little quantity of cool drinks. And I see a muscle kind of thing in my nostrils. And am really afraid of that please give me suggestion for my prob and I also have a thyroid too.

MBBS, cc USG
General Physician, Noida
I always get cold if I take little quantity of cool drinks. And I see a muscle kind of thing in my nostrils. And am r...
If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis 2. Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management.
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Is it safe to consume fruits like mango, banana, pine apple etc by people suffering from diabetics and what is quantity per serving.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Is it safe to consume fruits like mango, banana, pine apple etc by people suffering from diabetics and what is quanti...
It is better if you avoid 5 fruits mango chickoo banana grapes and cusurd apple. Apple oranges guava peers peaches kiwi strawberries cherries are good for diabetics.
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3 Ways Ayurveda Heals Diabetes

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
3 Ways Ayurveda Heals Diabetes

Diabetes is highly common health issue in India. Your blood sugar levels increase beyond the normal levels and cause other related problems like swelling, frequent urination, nausea, heart ailments etc. Conventional drugs can only control the symptoms, but cannot help the person to completely get rid of diabetes. However, here are some suggestions from Ayurveda that can help you in treating your diabetes in a way that it will never return.

  1. Food habits: Try avoiding foods that are high on sugar and whatever you eat, do not eat it all at once. Eat in small portions spread over the day. Limit carbohydrate and fat intake in your diet; instead try to consume whole grain foods and vegetables.
  2. Lifestyle changes: Avoid alcohol, drugs and smoking. Sleep soundly and sufficiently. Maintain your body weight and take care of your health by getting routine checkups done for sugar and other possible ailments that may be underlying causes of your diabetes.
  3. Must Do's: Practice a healthy lifestyle by undertaking regular exercise and yoga. Practice medication and go out for a walk at least once in the day. Also, make it a habit to mix half a tablespoon of turmeric powder, 1 tablespoon of amla powder with half a tablespoon of methi seeds and consume it every day. Incorporating these habits in your lifestyle would definitely help you in getting rid of diabetes.
5003 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician,
Hypothyroidism

Introduction
Hypothyroidism happens when your thyroid gland, located at the front of your neck, doesn't produce enough thyroid hormone (underactive thyroid). There are several types of hypothyroidism. The most common is Hashimoto's thyroiditis, an autoimmune disease where the immune system mistakenly attacks the thyroid gland. The disease affects both sexes and all ages, but is most common in women over age 60. Because the thyroid gland helps regulate your metabolism, low thyroid levels cause your body to slow down and can affect everything from appetite to body temperature. Symptoms can appear over time and can be hard to diagnose. Left untreated, hypothyroidism can cause serious health complications.

Signs and Symptoms

Slow pulse
Fatigue
Hoarse voice, slowed speech
Goiter (caused by swollen thyroid gland)
Sensitivity to cold
Weight gain
Constipation
Dry, scaly, thick, coarse hair
Numbness in fingers or hands
Confusion, depression, dementia
Headaches
Menstrual problems
In children, slowed growth, delayed teething, and slow mental development
What Causes It?

There are different kinds of hypothyroidism with different causes. In Hashimoto's thyroiditis, antibodies in the blood mistakenly attack the thyroid gland and start to destroy it. Post-therapeutic hypothyroidism occurs when treatment for hyperthyroidism leaves the thyroid unable to produce enough thyroid hormone. And hypothyroidism with goiter happens when you don?t get enough iodine in your diet. In the developed world iodine is added to salt so goiter is rare, although it still happens in undeveloped countries.

Your thyroid gland produces two main thyroid hormones, T3 and T4. In addition, the pituitary gland produces thyroid-stimulating hormone (TSH), which helps control how much T3 and T4 the thyroid makes. Your health care provider will draw blood to measure levels TSH. When levels of thyroid hormones are low, your body produces more TSH to increase production of thyroid hormones. Your doctor may also test for levels of T3 or T4.
Natural medicine practitioners may pay particular attention to levels of T3 hormone. T3 is the active form of thyroid hormone. Your thyroid gland makes some T3, but the body also converts T4 into T3. If you are unable to convert T4 to T3, your laboratory tests for T4 may be normal, but you still may have all the symptoms of hypothyroidism. Talk to your doctor about including T3 laboratory tests in the treatment of your hypothyroidism.

Treatment Options

Drug Therapies
Your health care provider will prescribe a synthetic thyroid hormone called levothyroxine (Levothroid, Synthroid, Unithroid) that you will take daily. A natural dessicated thyroid hormone drug, made from the thyroid glands of pigs, is also available by prescription. Your doctor will want to adjust your dose over a period of several weeks, after regular blood tests to check the amount of thyroid hormone in your blood.

Complementary and Alternative Therapies

If you have hypothyroidism, you need conventional medical treatment. Nutrition and herbs can help support conventional treatment, but should not be used by themselves to treat hypothyroidism.
Nutrition and Supplements
Following these nutritional tips may help reduce symptoms:
Eat foods high in B-vitamins and iron, such as whole grains (if no allergy), fresh vegetables, and sea vegetables.
Avoid foods that interfere with thyroid function, including broccoli, cabbage, brussels sprouts, cauliflower, kale, spinach, turnips, soybeans, peanuts, linseed, pine nuts, millet, cassava, and mustard greens.
If you take thyroid hormone medication, talk to your doctor before eating soy products. There is some evidence soy may interfere with the absorption of thyroid hormone.
Taking iron supplements may interfere with the absorption of thyroid hormone medication, so ask your doctor before taking iron.
Eat foods high in antioxidants, including fruits (such as blueberries, cherries, and tomatoes) and vegetables (such as squash and bell pepper).
Avoid alcohol and tobacco. Talk to your doctor before increasing your caffeine intake, as caffeine impacts several conditions and medications.
These supplements may also help:
Omega-3 fatty acids, such as fish oil, to help decrease inflammation and help with immunity. Omega-3 fatty acids may increase the risk of bleeding, especially if you already take blood-thinning medication. Ask your doctor before taking omega-3 fatty acids if you take blood thinners such as warfarin (Coumadin) or if you have a bleeding disorder.
L-tyrosine, 500 mg two to three times daily. The thyroid gland combines tyrosine and iodine to make thyroid hormone. If you are taking prescription thyroid hormone medication, you should never take L-tyrosine without direction from your doctor. Do not take L-tyrosine if you have high blood pressure or have symptoms of mania.
Do not take an iodine supplement unless your doctor tells you to. Iodine is only effective when hypothyroidism is caused by iodine deficiency, which is rare in the developed world. And too much iodine can actually cause hypothyroidism.

Herbs ( though not scientifically proven or dependable for hypothyroidism )

Herbs are a way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs may as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). People with a history of alcoholism should not take tinctures. Unless otherwise indicated, make teas with 1 tsp. Herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures singly or in combination as noted.
Few herbs have been studied for treating hypothyroidism. More research is needed.
Coleus (Coleus forskohlii), for low thyroid function. Coleus may interfere with certain medications, including some blood pressure medicines, nitrogylcern, and blood-thinning medications, such as warfarin (Coumadin). Talk to your doctor.
Guggul (Commiphora mukul), for low thyroid support. Guggul may interfere with estrogen, birth control pills, and other medications. Talk with your doctor.
Bladderwrack (Fucus vesiculosus), for low thyroid support. Do not take bladderwrack unless directed by your doctor. Bladderwrack contains iodine. Although lack of iodine can cause hypothyroidism, most cases of hypothyroidism in the developed world are not caused by iodine deficiency. In fact, too much iodine can actually cause hypothyroidism. Bladderwrack may also contain toxic heavy metals.

Following Up
After you start on thyroid hormone replacement therapy, your provider will want you to have frequent checkups to monitor its effectiveness.
3 people found this helpful

My mother has lost taste in the mouth. She is 75. My father died last June. She is longing to have food but is not able to taste much. She is a diabetic on tablets and not insulin. Sugar levels are not in the manageable range since she has to eat sweetish things sometimes to get taste.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My mother has lost taste in the mouth. She is 75. My father died last June. She is longing to have food but is not ab...
With age such prob may come ask her to keep tongue as clean as possible uncontrolled diabetease adds to the prob she may use tongue cleaner.
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I am having diabetes.Please do help me.

Advanced Aesthetics
Ayurveda,
Bitter gourd, also known as bitter melon, can be helpful for controlling diabetes due to its blood glucose lowering effects. It tends to influence the glucose metabolism all over your body rather than a particular organ or tissue. It helps increase pancreatic insulin secretion and prevents insulin resistance. Thus, bitter gourd is beneficial for both type 1 and type 2 diabetes. However, it cannot be used to entirely replace insulin treatment? drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months? also, you can include one dish made of bitter gourd daily in your diet. Any queries inform me.
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I am a diabetic patient. My age is 68 years male. Since last several years I was having sugar between 150 to 180 PP. But since last two months, it has suddenly increased to between 260 t0 280. I am taking same medicine regularly since last several years as prescribed by doctor. I am afraid that medicine is not having any effect. Whether I should start insulin injection for some time. I understand that juice of one karela is very beneficial. Someone has told me that karela juice is harmful for eyes. Please give me detailed reply on my e-mail. I will be thankful to you.

BHMS, PGDM (Emergency Medical services)
Homeopath, Pune
I am a diabetic patient. My age is 68 years male. Since last several years I was having sugar between 150 to 180 PP. ...
Hi .carry on previous medicines. Try to avoid shifting on insulin if possible. Homeopathic meds if taken with previous meds can Significantly normalise your sugar level within month or two. Consult privately with reports if needed. Do morning walk daiy. Sound sleep of 8 hours will help you additionally tc.
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Dear Dr. my sugar level iat fp is 140 and at pp 190 at present iam taking glored forte 500 mg before break fat and after break fast vobit. 2 mg the same I continue for supper also. Is it ok.

MBBS
General Physician, Mumbai
Dear Dr. my sugar level iat fp is 140 and at pp 190 at present iam taking glored forte 500 mg before break fat and af...
We need to control sugar levels with medication exercise and following a diabetic diet and you can continue your present medication
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How to reduce sugar level.?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
How to reduce sugar level.?
If some has diabetes, then first thing is to take proper medication as prescribed, secondly follow a strict life style modification, which means - exercise regularly for more than one hour a day, avoid sweets, sugar, deep fried foods and maintain weight within normal limits for height. Plus no smoking and alcohol. If these guide lines are followed sugar control is achievable.
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I am 35 years male diagnosed diabetic 2 years back. Melmet sr 500 tablet twice a day prescribed by doctor but no improvement with this rather worsened. I have IBS problem adding more pain. Feeling so weak and uneasy whole day. Please advise some instant medication.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 35 years male diagnosed diabetic 2 years back. Melmet sr 500 tablet twice a day prescribed by doctor but no impr...
No instant medication as you think is there and controlling diabetes is long term procedure. 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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I have heard that diabetics suffer silent heart attacks. But how can one diagnose that they have suffered one, or is there any pre-heart attack symptoms that a diabetic can understand or decipher ?

MBBS
General Physician, Mumbai
I have heard that diabetics suffer silent heart attacks. But how can one diagnose that they have suffered one, or is ...
Dear lybrateuser, -Because of nerve damage, people with diabetes may not have typical chest pain during a heart attack, instead they may experience milder chest pressure or sudden shortness of breath or sweating, or even an unexplainable change in blood glucose levels -on investigation ecg may show changes.
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My wife, 52, is over weight. She has thyroid problems and is diabetic. Her diet is very less but she has the tendency to put on weight. There is a medicine ' called Razor Slim in the market which claims to be safe and promises reduction . My question is whether it is safe for her?

MSc
Dietitian/Nutritionist, Chandigarh
My wife, 52, is over weight. She has thyroid problems and is diabetic. Her diet is very less but she has the tendency...
Hi lybrate-user tips for weight loss eat fresh vegetables daily. Avoid having sugar completely. Eat whole wheat bread instead of white bread; avoid everything made from white flour and make whole wheat bread, chapattis and brown rice a way of life. Do not skip a meal and eat three meals a day. Drink plenty of water to eliminate the toxins from the system. Limit your fat intake to 2-3 teaspoons a day. Increase the fiber intake as it provides a sense of fullness and also prevents hunger pangs. Take antioxidants for protecting the body against the toxins released during weight loss. Exercise catalyzes your efforts to lose weight and even regular walking for thirty minutes can give you the benefits of an aerobics exercise. To improve the metabolism, try increasing the duration, frequency, intensity of your daily workout. Remember that maintaining the ideal weight is a lifetime commitment and not a short-term affair. Firmly believe that the pleasure of being trim and healthy is far better than the pleasure of eating unwisely.
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I have thyroid value 13. I am taking medicine thyrox 50. What I will do to maintain my thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
DEAR SIR YOUR MEDICINES DISAGE IS NOT PROPER..PL. TAKE TAB. THYROX 125 MCG BEFORE MEAL. TAKE DIET...Walnuts Soybean flour Cottonseed meal Iron supplements or multivitamins containing iron Calcium supplements Antacids that contain aluminum or magnesium Some ulcer medications, such as sucralfate (Carafate) Some cholesterol-lowering drugs, such as those containing cholestyramine (Questran) and colestipol (Colestid) To avoid potential interactions, eat these foods or use these products several hours before or after you take your thyroid medication.
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What medicine to be used wheh I having surgar level is 240 after lunch

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist,
SUGAR LEVEL CAN OPTIMIZE EASILY BUT DIFFICULT TO MAINTAIN FOR LONGER PERIOD OF TIME SO DO SUPPORT OF NONPHARMACOLOGICAL TREATMENT LIKE AYURVEDA OR PRANAYAMA YOGA THAT HELPS IN BALANCE IN ENDOCRINE SYSTEM.
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My wife age is 26 years and an year back when she consulted a skin doctor for hair fall, we realized that she was hypothyroid and her TSH level was 8.5 at that time and she has multiple other vitamin deficiencies and started treatment for all these and 6 months back even PCOD problem started and we have started treatment for this as well from a gynecologist and the thyroid treatment is being taken from an endocrinologist She was initially given thyroxine dose of 50 mg and for first 6 months thyroid was in control, but from last 4 months, her thyroid levels were moving up and down, not sure if this is because of PCOD treatment being taken in parallel or because of hormonal changes 2 Months back her thyroid levels went negative (hyperthyroid) and doctor suggested to decrease the thyroxine dose from 50 to 25 mg and because the dose has been reduced, menstrual problems started and from last 2 months she hasn't got her period and spotting is appearing almost every alternate day and when we got tested the thyroid level yesterday, now the TSH level has bumped up to 18 and free T4 was around 0.62 and now the doctor was suggesting to increase the dose to 62 mg and come and meet after a couple of months. Now we are completely frustrated because how can we get to know whether thyroid values are increasing or decreasing, so that accordingly dose can be adjusted before it has gotten worse, she is doing yoga every day, she quit coffee / tea, she is eating leafy vegetables every alternate day, she is taking thyroxine medicine on time every day, her weight is according to her weight (5-5 height and 60 kg weight, she doesn't eat non veg and doesn't smoke or drink. She is very disturbed and often crying as we want to try for a baby when the health condition is stabilised, but because of this thyroid she has become weak and lost interest on her. When thyroid was not detected, the only problem she has was hair fall and as soon as we started medication, PCOD problem started, irregular menstrual problem started started etc etc, I still wonder that we shouldn't have started external medication and instead would have focused on curing it naturally by exercising and by following a healthy diet, I strongly feel, since we started medication, it was used to external medication and stopped it's functioning. Now we want to give homeopathy a try, is it wise to do so or how should we go forward?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
My wife age is 26 years and an year back when she consulted a skin doctor for hair fall, we realized that she was hyp...
Hello Rajiv don't get upset tell your wife to do yoga daily, the menstrual abnormalities are due to thyroid n she has to avoid certain food items like cabbage, turnip etc as they are strictly prohibited in thyroid, take iron n calcium supplement n seasonal fruit. you can also opt for Ayurvedic medicines as they have good results. n most important thing tell her not to take any kind of stress as it will only aggravate the things. you can ask for further information
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My mother have thyroid for 2 years, from 2 days her neck was swelling what is the reason for that, what should we do? please give your suggestions.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother have thyroid for 2 years, from 2 days her neck was swelling what is the reason for that, what should we do?...
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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 stress. get relax during work. go for x ray- c-spine and consult doctor. again.
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Sir, I am a diabatic patient. My serum cretinine level is 3.5. Is this harmful for my health? my age is 64.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, I am a diabatic patient. My serum cretinine level is 3.5. Is this harmful for my health? my age is 64.
Yes it is harmful. You have to have strict sugar control and if high blood pressure is there then take ace - inhibitor like ramipril.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
diabetics should take 1 fruitdaily in his meal plan preferential in afternoon like apple,guava,pappaya,pears,plums.
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Hi My mother is patient of diabetes and high BP. She is feeling that aunts and monkeys are walking around near by. But is not im actual. She is feeling. So please tell what is thi?

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Hi
My mother is patient of diabetes and high BP. She is feeling that aunts and monkeys are walking around near by. Bu...
Hi. The problem could be related to diabetes related ear nerve damage or could be a brain or thinking related problem. Household remedies don't work good in this situation. The care.
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I am 56 having high b. P. diabetes taking pills every day but having urine problem in the night which hampers my sweet sleep, pl suggest remedy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 56 having high b. P. diabetes taking pills every day but having urine problem in the night which hampers my swee...
Mr. Lybrate-user, when diabetes is not in control, blood glucose level goes up. If glucose level goes over 180 mg/100 ml, then it appears in the urine. If still higher level is there in the blood then more glucose is filtered in to urine. When glucose is present in the bladder, it draws more water through omosis, this fills the urinary bladder more often. This causes more urge to urinate at nkigt. Hence strict blood sugar control is the only option in reducing urination at night. Plus uncotrolled diabetes also causes more thirst and water intake increases, it also contributes.
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