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Dr. Shanmuganadham

Endocrinologist, Chennai

100 at clinic
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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.
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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.

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#36,Old Township Office Road, Venkatapuram ,Ambattur. Landmark:Opp To Kumar Hotel, ChennaiChennai Get Directions
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How Ayurveda Helps Manage Diabetes?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
How Ayurveda Helps Manage Diabetes?

When the sugar concentration in the blood increases suddenly and unreasonably, the resulting condition is known as diabetes. Sugar or glucose is generally used in order to provide much needed energy to our bodies. But when the pancreas dysfunctions, it leads to a problem in the insulin production. As a result, glucose or sugar gets directly absorbed into the blood, instead of getting absorbed by insulin. And this leads to the condition of diabetes.

Diabetes Treatment in Ayurveda
For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produces insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

As an ancient science based on lifestyle related treatment methods that include herbs, massages and life changing tweaks, Ayurveda also provides various methods of managing this ailment. Here's how!

  1. Bitter Gourd: Known as an ingredient that is rich in antioxidants, this can be consumed to take care of diabetes. You will need to first remove the peel of at least four to five bitter gourds before crushing them to create a paste. This paste has to be put through a sieve so that the juice of the gourds can be extracted. You will then have to drink this juice every morning, on an empty stomach.
  2. Cinnamon: From treating coughs and colds to diabetes and other serious ailments, this is a wonder spice that can be found in most Indian kitchens. You can start by boiling a litre of water and letting it simmer on the gas for about twenty minutes. Thereafter, you can add three teaspoons of cinnamon powder to this simmering water. Strain this mixture and drink the entire batch every day to clear out the toxins.
  3. Fenugreek Seeds: For this, you will need to take about four to five tablespoons of fenugreek seeds. These will have to be soaked in a glass of water or about 250ml of water, overnight. In the morning, the softened seeds will need to be crushed before the mixture is strained. The water that escapes should be collected and ingested every day for a period of two months.
  4. Turmeric: Turmeric is a powerful and well-known ingredient that is used for curing and managing many ailments. You will need to mix about half a teaspoon of turmeric powder with one teaspoon of amla powder as well as half a tablespoon of methi seeds or fenugreek seeds powder. This concoction will have to mixed in half a glass of water and taken daily on an empty stomach. This can be used by patients suffering from heart ailments as well.
  5. Diet: Cereals like ragi, corn, kulit, green millet, and barley are known to beneficial for patients suffering from diabetes. Leafy greens are also a must for such patients along with protein-rich foods like soya beans. If you wish to discuss about any specific problem, you can consult an ayurveda.
5112 people found this helpful

I have high blood pressure 100/150 and diabetes level 110/180. My age is 34. Will I take treatment or can I reduce by diet control?

C.S.C, D.C.H, M.B.B.S
General Physician,
I have high blood pressure 100/150 and diabetes level 110/180. My age is 34. Will I take treatment or can I reduce by...
You are diabetic and fairly hypotensive, you need medicines and regular follow up. For persoanlised advice you ask me privately.
14 people found this helpful
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I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this rise possible in one month? Can this report be genuine? If so what is my health status? Is it serious? What could the reason for such sudden rise?

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this ris...
Hello lybrate-user mam. If you are not sure about your reports then it's better to repeat the test Also please do HBA1C TEST as well. It gives 3 month average blood sugar values and fluctuations in blood sugar are possible if you eat lot of carbohydrates in your food (chapati n rice n bakery products) n such fluctuations are possible if you are running fever Anyways whatever may be the case don't panic all the conditions can be controlled please provide information regarding your ongoing medicine for diabetes n repeat the test.
1 person found this helpful
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Sir which type of food we have to give for Bypass Surgery patient who has diabetic?

CDIABT, MBBS
Endocrinologist, Mumbai
Sir which type of food we have to give for Bypass Surgery patient who has diabetic?
A diet which is low in carbohydrate, low in salt, low in fat, high in protein and high in fibre is recommended.
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I am 40 years of age doing marketing, my tests revealed that I had TSH-10.69, VLDL cholesterol -24.00, Globulin-4.52, SGPT-54.20, Serum Albumin-2.31, sugar, KFT,Blood analysis was Normal, My BP is around 145/90, feeling lethargic, but weight has not increased, 64 KG around. What should I do to control my BP and TSH, should I start thyroxine 10 mg immediately? What should I take for diet.Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 40 years of age doing marketing, my tests revealed that I had TSH-10.69, VLDL cholesterol -24.00, Globulin-4.52,...
Mr. Lybrate-user, it appears you have fairly severe hypothyroidism. You have not mentioned what is the t4 and t3 level. Other parameters look with in the range. To treat hypothyroidism you have to start on thyroxine tablets. 10 mcg is too low a dose. It has to be begin with 50 to 75 mcg, then check tsh level after 6 weeks and then if level has come down to the expected extent continue the same dose. Thanks.
6 people found this helpful
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Hi Sir, My uncle has a diabetes problem so I want to know what to do for reduce the diabetes and which food will be taken for and what is cause of diabetes pls tell me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Sir, My uncle has a diabetes problem so I want to know what to do for reduce the diabetes and which food will be t...
Take pranacharya diabeto and shilajeet capsule twice a day with water....take vasant kusumakar ras twice a day...avoid sweets....take small meals in less time interval....do pranayama early morning....avoid alcohol consumption
1 person found this helpful
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MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Why fasting sugar sometimes more than post lunch sugar?

Blood sugar level is a result of two controlling factors
1. Sugar Intake
2. Insulin response by the pancreas after meal. The pancreas creates insulin which brings down the blood sugar level. A heavy meal will cause increased secretion of insulin in a normal healthy adult. So surprisingly the heavier the meal (sweet Food) you consume lower will be blood sugar level. In patients, on treatment who takes tablets / Insulin before meal the same effects are seen.
During treatment of diabetes fasting sugar is maintained at higher level then post lunch sugar to prevent complication of hypoglycemia during sleep.
10 people found this helpful

My mother is 51 years old suffering from diabetes from past 12 years. She has low vitamin d result of 9.46 ng/ml Please let us know the supplements and foods she should consume.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
My mother is 51 years old suffering from diabetes from past 12 years. She has low vitamin d result of 9.46 ng/ml Plea...
HI lybrate-user, You need proper counselling for her, so please take a Expert Nutritionist consultation for best results. Before that, give her balanced diet, do yoga, walk or any exercise, drink pleanty full of water, coconut water, fresh lime juice, eat lots of fresh vegetables, avoid eating junk and oily food.
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Testosterone Hormone

BHMS, DEMS
Homeopath, Pune
Testosterone Hormone

Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.

In the Womb

Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain.testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism.low levels of fetal testosterone may boost your chances of getting Alzheimer’s disease later in life.

Adolescence to Early Adulthood

Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.

Male   Female  
Age: T Level (ng/dL): Age: T Level (ng/dL):
0-5 months 75-400 0-5 months 20-80
6 mos.-9 yrs. <7-20 6 mos.-9 yrs. <7-20
10-11 yrs. <7-130 10-11 yrs. <7-44
12-13 yrs. <7-800 12-16 yrs. <7-75
14 yrs. <7-1,200 17-18 yrs. 20-75
15-16 yrs. 100-1,200 19+ yrs. 8-60
17-18 yrs. 300-1,200    
19+ yrs. 240-950    
Avg. Adult Male 270-1,070 Avg. Adult Female 15-70
30+ yrs. -1% per year

Testosterone and Aging

low testosterone levels can cause changes in sexual function, including:

  • reduced sexual desire, or low libido
  • fewer spontaneous erections
  • impotence (erectile dysfunction)
  • infertility
  • Other signs of decreased testosterone levels include:

  • changes in sleep patterns
  • emotional changes, such as low self-confidence or lack of motivation
  • physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density

The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL).

Other Possibilities

While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:

  • a reaction to certain medications
  • thyroid gland disorders
  • depression
  • excessive alcohol use                                                                                 
  •  
  • the best time of day to have a blood sample taken for a testosterone test is around 8 a.m.
36 people found this helpful

Impotency - Can Lifestyle Changes Help?

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore
Impotency - Can Lifestyle Changes Help?

Impotence, also known as erectile dysfunction, is a condition in which a man is not able to maintain an erection during sexual intercourse. It can be triggered by a variety of conditions like smoking, intake of certain drugs, health disorders or excessive consumption of alcohol. Although treatment options like medication and surgery are available, there are non-invasive treatments that can help a person fight the condition.

Here are some of them:
1. Engage in a physical workout - 
Among the many types of lifestyle changes that could be resorted to, exercise is the most effective one. Exercising improves blood flow and blood pressure in the body, both of which are essential for getting and maintaining a normal erection for a prolonged time. Plus, exercising also increases the level of testosterone, which is a crucial factor in sex drive.
2. Follow a balanced dietThe food you consume has a direct effect on your health and subsequently on your sex drive. A diet consisting of fruits, veggies, fish and lesser servings of red meat and refined grains can decrease the risk of impotency. Also, a healthy diet helps to maintain a stable body weight, which aids in sexual activity. Overconsumption of junk foods can cause obesity and diabetes, which are responsible for impotence.
3. Get sufficient sleep - Apart from a host of health problems, lack of sleep may also you render you impotent. Studies have shown that testosterone levels of men who are sleep deprived are much lower than in those who get their 8 hours of sleep. A proper sleep schedule should thus be duly adhered to.
4. Quit smoking and limit your alcohol consumption - Erectile dysfunction can be the cause of vascular disease. This occurs when the blood supply to the penis becomes restricted due to the blockage and narrowing of arteries. Alcohol and smoking can be responsible for this and can be the cause of both temporary and long-term impotence. Therefore, it's important to limit your alcohol consumption and quit smoking altogether. If you wish to discuss about any specific problem, you can consult a Sexologist.

6830 people found this helpful

Hello sir, acutely my Nani had recently a operation in small intestine and waha se unhone CALCULI (पथरी) nikali and the also woh diabetes ke patient hai so doctor have told them not to eat food which contains sugar so could you tell mein that what food and diet they should eat so they get healthy faster. She is 86 years old.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
Hello sir, acutely my Nani had recently a operation in small intestine and waha se unhone CALCULI (पथरी) nikali and t...
Hello you can give her soups chapati made from multigrain flour, seasonal fresh fruits not juices as it will raise her sugar levels AMALA, sprouts, poaha etc.
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Diabetic Nephropathy - Who is at Risk of Acquiring it?

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diabetic Nephropathy - Who is at Risk of Acquiring it?

Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.

Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.

Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren’t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:

  • Swelling in legs and feet
  • Detection of albumin in urine
  • Decline in glomerular filtration rate (GFR)
  • Elevated arterial blood pressure

What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:

  • Limit sugar intake and keep blood sugar levels within the target range
  • Exercise regularly and work towards keeping your heart healthy
  • Limit protein intake, as it could put extra pressure on your kidneys
  • Limit salt intake to control blood pressure
  • Quit smoking and drinking

Diabetes is an unfortunate condition to have to live with. But don’t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner!

2869 people found this helpful

Hi I have thyroid problem my thyroid is always tsh 4.5 to 7.2 but I want to be balanced so which type of foods have so much iodin? and how to balance my thyroid problem all time but without medicine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi I have thyroid problem my thyroid is always tsh 4.5 to 7.2 but I want to be balanced so which type of foods have s...
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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I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opinion to know about the medicines and other general advice.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opi...
Pls message your questions about medicines for diabetes and other general information. Will be glad to answer your questions.
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Can diabetic patient take lemon with honey in warm water daily morning? Please clarify. Thanks.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Can diabetic patient take lemon with honey in warm water daily morning? Please clarify. Thanks.
Dear lybrate-user, you are not advised to take honey with warm water. Honey contains 70 calories 10 time sugar. As a diabetic patient carry on your medicines and have physical exercise 30 minutes morning. Take 100% safe ayurveda drugs to control your sugar level. Be attentive to your daily foods. Ok.
5 people found this helpful
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Hi sir I do not have hormonal balance and thyroid. I have consulted to gynecologist also but then also problem has not cured. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi sir I do not have hormonal balance and thyroid. I have consulted to gynecologist also but then also problem has no...
IT seems that you are suffering from irregular menses..you should be test urine pregnancy first..if it is negative...you can take tab. ovral - l for 21 days and then waiit for 7 days. and again start it for next 21 days till 3 months.
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I underwent a thyroid profile examination recently. Although t3 nd t4 levels are within the range tsh level is at 12.30. Kindly advice what should I do now.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
you have developed hypothyroidism, it needs to be treated with thyroxine tablets right away. Do not delay. It is important to bring tsh levels to normal so as to avoid serious complications of hypothyroidism. Further it very important for a lady as later pregnancy out comes are dependent on this.
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I am 39 yes old, I am suffering from uric acid & thyroid. I have too much pain in my knees. Please Advise me what should I do.

MBBS
General Physician, Faridabad
I am 39 yes old, I am suffering from uric acid & thyroid. I have too much pain in my knees. Please Advise me what sho...
take tab febutaz 1tab od for 15 days, avoid protein diet, milk and its product, paneer, cheese, non veg etc.drink 3-4 liter of water daily, morning walk for 1 hr daily, it will help you. thanks
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I am diabetic. Last time I checked before breakfast it was 215. 3 months average was 12. Please guide me to control diabetes.

MBBS
General Physician, Cuttack
I am diabetic. Last time I checked before breakfast it was 215. 3 months average was 12. Please guide me to control d...
1. Do regular aerobic exercise for 1/2 hour daily like brisk walking 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
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