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Dr. Shanmuganadham

Endocrinologist, Chennai

100 at clinic
Dr. Shanmuganadham Endocrinologist, Chennai
100 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. Shanmuganadham
Dr. Shanmuganadham is one of the best Endocrinologists in Ambattur, Chennai. Doctor is currently associated with Mothers Multispeciality Hospital in Ambattur, Chennai. You can book an instant appointment online with Dr. Shanmuganadham on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 38 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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#36,Old Township Office Road, Venkatapuram ,Ambattur. Landmark:Opp To Kumar Hotel, ChennaiChennai Get Directions
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I am 66 years old male. Not having any family history of Sugar. 3 years back I have tested for Sugar and it was positive. Present Sugar level is fasting 121.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Hi your sugar levels are ok. Please do daily exercise/walking for atleast 45 minutes and consume less sugar.
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I am having gestational diabetes, sugar is high, please suggest diet plan for sugar control.

MBBS, CCEBDM
Diabetologist, Bangalore
Hi First of all congratulations for your little one. Check your blood sugars atleast once a day. Your fasting blood sugar should be between 70-90 mg/dl and after meals it should be 110-140 mg/dl. Have small meals every 2-3 hrs. Eat high protein diet like lots of sprouts, paneer, channa. Avoid carbohydrates like rice based food, pastas, biscuits. Drink lots of water and eat in lots of salads. Don't take fruit juices, eat the fruit. Drink atleast 2 glasses of milk a day. Since your blood sugar is high, do not control it by starving or dieting too much, this can affect your little ones health. Eat adequately but eat the right food. If there is a need for insulin go with it, do not hesitate as insulin is very safe. Lastly exercise regularly.
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My weight increases 3 kg per month, how can I reduce my weight. My father is diabetic but my blood sugar is normal now.

Diploma in Diabetology, MBBS
General Physician, Warangal
Maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life take plenty vegetables and fruits in 2 / 3 servings take low calorie food.
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How to prevent diabetes? I generally do not eat junk food and slightly fat. I do small exercises and walk a small distance. What more could I do?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
If you have type 2 diabetes and your blood sugar levels are racing up and down like a roller coaster, it's time to get off the ride. Big swings in your blood sugar can make you feel lousy. But even if you aren't aware of them, they can still increase your risk for a number of serious health problems. By making simple but specific adjustments to your lifestyle and diet, you can gain better blood-sugar control. Your body uses the sugar, also known as glucose, in the foods you eat for energy. Think of it as a fuel that keeps your body moving throughout the day. Blood Sugar Highs and Lows Type 2 diabetes decreases the body’s production of insulin, which is a hormone that regulates blood sugar. Without enough insulin, sugar builds up in the blood and can damage nerves and blood vessels. This increase of blood sugar also increases your risk for heart disease and stroke. Over time, high blood sugar, also known as hyperglycemia, can lead to more health problems, including kidney failure and blindness" Keeping blood sugar stable can help prevent the long-term consequences of fluctuations, high blood sugar can cause a number of symptoms that include: Fatigue Increased thirst Blurry vision Frequent urination It's also important to know that you can have high blood sugar and still feel fine, but your body can still suffer damage, Symptoms of high blood sugar typically develop at levels above 200 milligrams per deciliter (mg/dL" You can have high blood sugar that's between 141 and 199 and feel perfectly fine,. Over time, your body can also get used to chronically high blood sugar levels, so you don’t feel the symptoms, she says. On the flip side, if you’re not closely monitoring your blood sugar levels, they can drop too low. Warning signs of low blood sugar, or hypoglycemia, include: Dizziness Irritability Sweating Weakness Lack of coordination Keeping Your Blood Sugar Steady With certain strategies, you can help prevent spikes in your blood sugar levels, Rather than focus on things you shouldn't have, try incorporating the following foods and healthy habits into your daily type 2 diabetes routine: Go nuts. Nuts such as almonds, walnuts, and pistachios contain healthy fat that slows the body's absorption of sugar. But be sure to limit how many nuts you eat in one sitting because even healthy fats contain calories, Smithson says. Just six almonds or four pecan halves have the same number of calories as one teaspoon of butter. Eat whole grains. Oat bran, barley, and rye are fiber-rich foods that contain beta-glucan. This soluble fiber increases the amount of time it takes for your stomach to empty after eating and prevents spikes in blood sugar. Remember, though, that these foods are still carbohydrates" Whole grains will still raise your blood sugar, just not as quickly and as high as processed foods, Veg out. Packed with fiber, non-starchy vegetables such as broccoli, cucumber, and carrots can also help prevent surges in blood sugar levels while providing essential nutrients. Spice up with cinnamon. Cinnamon may do more than just add flavor to foods. A 2013 study published in the journal Annals of Family Medicine showed that cinnamon is linked to a significant drop in fasting blood sugar levels. Cinnamon may stimulate insulin secretions from the pancreas, Although more research is needed, Smithson says there’s no reason why people with type 2 diabetes shouldn't try to add cinnamon in their diets. Be versatile with vinegar. A 2012 study published in the Journal of Community Hospital Internal Medicine Perspectives suggested that vinegar could help slow the absorption of sugar by the body. The research revealed that 2 ounces of apple cider vinegar improved fasting blood sugar levels and insulin sensitivity. Although the potential health benefits of vinegar are still being investigated, Li-Ng often advises people with type 2 diabetes to take 1 tablespoon of vinegar with each meal, saying that any type of vinegar is good. Don't skip meals. It's important to spread out your daily food intake, starting with breakfast. Consuming more food in just one or two meals a day causes greater fluctuations in blood sugar levels, Li-Ng says" Three healthy meals a day with two nutritious snacks in between can help maintain stable blood sugar, she says. Don't drink on an empty stomach. If you haven't eaten, drinking alcohol can cause your blood sugar to drop up to 24 hours later. This happens because the body is working to get rid of it. If you want to drink alcohol, check your blood sugar first. It's also important to eat before or while you drink. Another caution: Smithson says that symptoms of low blood sugar, such as slurred speech and dizziness, could be mistaken for drunkenness. Plan ahead. Anticipate the unexpected and carry healthy snacks that can prevent your blood sugar level from dropping too low.
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I am 27 years old. I am suffering from thyroid and irregular periods. Major problem for me is irregular periods and I'm under weight. I want to put on my weight. Suggest me.

MBBS, DNB - Obstetrics and Gynaecology
Gynaecologist, Mumbai
Continue ur thyroid medication.keep tsh in control.check it 3 months apart for atleast twice. Irregular periods may get corrected when tsh gets corrected. For irregular periods consult a gynaec for low dose oc pills for 3 months. For 5 feet 1 inch the normal range of weight is btw 43.1kgs to 53kgs. It bmi is to be calculated rather than just gaining wt. Hypothyroidism causes weight gain even otherwise. Moreover with age metabolism slows down and at gain may happen. Inspire of all this u may eat dairy products, dry fruits like cashewnuts, healthy meals for 3 times a day.
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What are symptoms of sugar and how I can avoid it please tell me about it in detail.

MBBS
General Physician, Cuttack
) Symptoms of Diabetes 1.Excessive Thirst 2.Frequency of urination especially in night 3.Excessive Hunger 4.Fatigue 5.Blurring Of Vision, irritability, tingling and numbness in hand/feet, fatigue 6.Recurrent boil/fungal infection, Sores or cuts that won’t heal 1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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Sir I am diabetic and I need an ans fm sexologist. For my early ejaculation. I have ordered malebooster pro. An tablet. Is it safe to use.

DGO, MBBS
Sexologist,
Strict control of diabetes is a must. Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. You can learn to control pe by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique: when you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. Most often it is a chronic problem, you have to take medicines in between and period off medicine. I cannot comment on malebooster because it is not listed in pharmacology.
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I have been diagnosed with thyroid since May 21. I am having Thyrox 25 (1 tab) since the day. But its causing me weakness throughout the day. Please confirm where to refer for my further diagnosis. Many thanks. Niraj Jha M. No. - 9873432595.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, if you have hypothyroidism and if it is not in control, then weakness and tired feeling through out the day and even sleepy feeling can occur. When in excellent control tsh level will be between 3 to 4 mu/l. It is better if you give full details like earlier thyroid test results, current tsh levels and whether you exercise daily or not. Plus whether you are following all the guidelines about dosing and food restriction. Thanks.
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Hello I am 29 years old, I have got detected with hypothyroidism with tsh more than 10 last year and right thyroid gland diffused to 2 cm in size. I started taking 50 micg daily morning but after 6-7 months after taking medicines also I was not feeling good. Then I went for tsh it came 0.62 then I left the medicine and after that my tsh came in normal range. 2.24. Now please advise me is it fine to stop the medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Usually hypothyroidism if detected and confirmed with tsh more than 10 mu/l, then treatment with thyroxine has to be for lifetime. If one stops the treatment then invariably tsh level increases and all symptoms return. Thanks.
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My friend 20 years of age cosumed full bottle of thyronome100mg and he has thyroid also what wil hapeen?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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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Hi doctor! My friend is a diabetic, he is not that health conscious he's sugar levels are being fluctuated daily what prevention can we maintain for him to make his sugar levels in control can you pls suggest thee best and right way, we are waiting.

Diploma in Naturopathy & Yogic Science (DNYS), M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
Continue your medicine but with medicine yoga and diet will definitely help in diabetes. There are some asana and pranayam which will help you to control your blood sugar level, like 1 ardh matsyendrasana 2 purna matsyendrasana 3 vakrasana 4 kapalbhati and many more diet has key role in diabetes. Diabetic diet is different for person to person. It is depend of person lifestyle, his blood sugar level. Medication and many more factor. But here are some common tips 1 eat high fiber food like oats, bran, sprouts, beans 2 avoid eating refine flour and its product 3 eat fresh fruits instead of fruit juice. 4 after taking medicines take your meal within half hour
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I am having cervical spondylosis . My right hand is paining seriously . Tell me proper medicine that can cure it . I am diabetic . Doctor has prescribed me to check (MRI of cervical spine with screening of brain ) is it necessary to check it. Doctor has prescribed this medicine are they perfect : Medicine are as follows Defical -os capsule MyCo -folio acid, B-complex & lipoic Acid tablets HD3 softgel capsule Pregalin x Dr. 75. REMARKS OF MY MRI SCAN REPORT The C6/7 disc shows an asymmetric left bulge with prominent left paracentral and posture-lateral and foramina components indenting the ventral thecal sac and causing severe left and causing severe left and along with the uncovertebral hypertrophy causing severe left exit foramina narrowing impinging on the existing left C7 nerve root The C5/6 disc shows an asymmetric right bulge with prominent uncovertebral hypertrophy contributing to severe right exit foramina narrowing and impinging on the existing right C6 nerve root Milder changes at C3/4 and C4/5 Any serious problem tell me any options and Dr. told me to be admitted to hospital is it needed for me let me know and any other medicine needed tell me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
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Hello doctor I had TSH level of 4.93 on 06/02/16 (during my first trimester). I started taking 100 mcg of thyronorm daily since today ie. On 23/10.16 (for about 1 and half months). When should I change my dose? I am worried if my baby is unnecessarily exposed to high dose of thyroxine? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, madam, in pregnancy, tsh level should be maintained around 2 milli units/ml. Taking thyroxine 100mcg, no way burdens the baby. In fact it is recommended that in the first trimester tsh should be <2 milli units, for better fetal growth and maintenance of pregnancy.
2 people found this helpful
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I am 46 years old and work on my Computers for almost 8 - 10 hours a day. I am gaining weight at my abdomen and hip area. Can you suggest me some exercise and proper diet. I am also having Hypothyroid from past 10 years now. I am married and have 2 grown up children. Please suggest some remedies.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
your bmi (29.47 kg/m2) suggests you are excessively over weight. Main reason for this is inactivity and improper diet. If you want reduce weight then you have to first reduce your present food intake by at least 20 to 25 %, avoid deep fried foods completely, use whole grain flour for breads (rotis), no junk or processed food, plenty of green vegetables (avoiding cabbage, cauliflower, broccoli and mustard, soya and soya containing foods), increase fiber intake. Plus exercise for at least 1 h a day, preferably brisk walking. Periodically check thyroid levels.
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Sir/madam me and my wife having a same blood group (B+ve)will be there any problem in future

MBBS
General Physician,
It shouldn't be a problem. The concern to child's health is when Mother is Rh negative and Father is Rh positive
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What would happen if we intake expire diabetes medicines. (Not for me. Is about man aged 52)

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hello, No one should take medicines past expiry. Just like you will not consume food past expiry. Two things may happen - either the drug becomes ineffective and will not work, or the drug changes into something more toxic and may cause harm. I hope this answer has helped you Thank you.
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Hi, My brother aged 40 suffering from diabetes, So, can he take black grapes? Is black grapes helping in control of diabetes?

MBBS
General Physician, Jalgaon
Please Can take in small quantities. In fact all fruits and vegetables should be taken in small quantities regularly as vitamins minerals and fibres in them are good for health for diabetics
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Hello, I am 36 years old and its my first pregnancy, 30th week pregnancy going on, Recently I went through Sugar Test, FBS value is 81.3 mg/dl and PPBS value 154.6 mg/dl. This value was same as earlier test. Looking for advice which can be helpful. Pls suggest weather I have to visit diabetologist. Also pls advice weather I should go for HBA1C test or not. In this situation can I take fruits or not like apple, banana, guava, pomegranate. Also I would like to know what should be my daily diet..

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. Your glucose levels seem to be normal. There is no Gestational diabetes. The diagnosis of GDM is made if there is at least one abnormal value (≥92, 180 and 153 mg/dl for fasting, one-hour and two-hour plasma glucose concentration respectively), after a 75 g oral glucose tolerance test (OGTT). Since you have tested fasting and Pp values, it is better if you get a Oral Glucose Tolerance Test done in a lab with 75 g of glucose. That will give a clear idea. If test shows normal values then there is no reason to worry. If you have any doubts please do come back. You can take fruits, but restrict excess carbs in diet. Thanks.
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Hello doctor. I am a 20 years old non married girl. I am having a hypothyroid and also protein is very high in my body but the problem is that there is lack of calcium and also I want to loose my weight kindly provide me with the best diet plan that is rich in calcium and helps me to control my thyroid, protein and fats too.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Foods to Eat Nutrient-rich foods that improve your health may also benefit your thyroid gland, including: 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, but ask your doctor beforehand.
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I'm diabetic. My doubt is. Can I eat rice? Some doctors suggest me white rice is good and some are saying red rice (matta rice. I'm living in Kerala please help me.

MSc
Dietitian/Nutritionist, Chandigarh
Yoga and diet will definitely help in diabetes. There are some asana and pranayam which will help you to control your blood sugar level, like 1 ardh matsyendrasana 2 purna matsyendrasana 3 vakrasana 4 kapalbhati and many more diet has key role in diabetes. Diabetic diet is different for person to person. It is depend of person lifestyle, his blood sugar level. Medication and many more factor. But here are some common tips 1 eat high fiber food like oats, bran, sprouts, beans 2 avoid eating refine flour and its product 3 eat fresh fruits instead of fruit juice. 4 after taking medicines take your meal within half hour.
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