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Dr. Sharadha Thulkapian

MBBS

Endocrinologist, Chennai

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Dr. Sharadha Thulkapian MBBS Endocrinologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sharadha Thulkapian
Dr. Sharadha Thulkapian is a renowned Endocrinologist in Chintadripet, Chennai. She is a qualified MBBS . You can visit her at Jeyam Hospital in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sharadha Thulkapian on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 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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Jeyam Hospital

No 19, Railway Station RD, Ponneri, ChennaiChennai Get Directions
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Jeyam Hospital

No 19, Railway Station RD, Ponneri.Chennai Get Directions
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Hi I am 43 years old, I am diabetic patient, my sugar fasting 140, and after food 126. Is it normal. Only under walk & dieting I am not taking any medicines. What is your suggetion. Why empty stomach 140. After eating why 120?

MD
General Physician, Delhi
This means that your fasting is high blood, share your hba1c levels. Your fasting is high and post prandial is normal.

I am diabetic since 15 years and managing with medicines: metformin & galvus 50. Recently, I am severe burning sensation in my feet. I would like to know the reason - whether this is due to any side effects of medicines or any other reason. Please advise to come out of this.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
This is a part of diabetic neuropathy. In simple words. Effect of diabetes on nerves. Details are required regarding your b. Glucose levels and there are pretty good medications to control these.
1 person found this helpful
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Hello doctor! My father has diabetes (type 2), high cholesterol and high blood pressure. He is of 56 years old and of 5'5 height and 67 kgs. Can you please suggest a diet chart for a day for him, I'm really worried about him. And what other things which needs to be done to keep him healthy. Thank you doctor.

M.sc - Nutrition Science
Dietitian/Nutritionist, Delhi
Hello doctor! My father has diabetes (type 2), high cholesterol and high blood pressure. He is of 56 years old and of...
Hi lybrate-user, tell him take small & frequent meal. For type 2 diabetes avoid simple carbs & simple sugar in diet. Don't take sugar, gur, honey, juices, cold drink etc. Don't take potato and other starchy foods. Take more & more green leafy vegetables & salad. Meal gap should not be more than 3 hrs. For hypertension take low salt in diet. Don't use table salt, chips, papad, achar etc. Use less oil in cooking. Don't use ghee, butter, cream & fried foods. Do regular walk/exercise/ yoga or any other physical activity. I think it will help you, you can take an online diet consultation to get a chart.
4 people found this helpful
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I am diabetic and bp patient.in normal condition. .Iam using penegra ,100 once in a week. Suggest me .power full tablet. With out side effect. I am 53 years old. please.

MD, BHMS
Sexologist, Mumbai
I am diabetic and bp patient.in normal condition. .Iam using penegra ,100 once in a week. Suggest me .power full tabl...
If penegra 100 mg is giving you good erection, do continue using it. There is no power full medicine more than it.
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My father is of 50 yrs. He had an heart attack 15 years ago n last years he got diabetic also. Now his sugar is bit more. What should be their daily diet? Pls suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is of 50 yrs. He had an heart attack 15 years ago n last years he got diabetic also. Now his sugar is bit m...
Control diabetes first with the help of medicines or insulin , write back if DM is type 1 or type 2. If heart attack occured 15 years ago and if now he is not having any symptoms , by now reversal might have occured. Get back with details please. Will Sure help you with diet but only after knowing more.
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Dark sign on neck? Diabetes

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dark sign on neck? Diabetes
Are dark cracks behind neck a sign of diabetes?

Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications & focussed weight loss.


34 people found this helpful

My tsh level is 11 and I am taking thyronorm 50 and I was on yasmin for 2 years on and off nw I have stopped 3 months over no period I have done ultrasound of the abdomen no evidence found can I take meprate 10 mg for 5 days. Shall I take this?

MD - Alternate Medicine, BHMS
Homeopath, Surat
My tsh level is 11 and I am taking thyronorm 50 and I was on yasmin for 2 years on and off nw I have stopped 3 months...
Take Ashoka Q 10 drops in a cup of water once daily for 1 week. It will be alright. Still if you have any queries, please let me know. Take care. :)
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Hello sir, He is suffering from diabetes. What kind of food he should avoid to eat? What kind of food is beneficial for his health.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir, He is suffering from diabetes. What kind of food he should avoid to eat? What kind of food is beneficial f...
Mr. Lybrate-user, a person with diabetes should avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, fructose corn syrup containing products, high fat milk products, highly processed foods. Avoid mango, banana, grapes and chikkoo. Should consume more of green leafy vegetables, salads and permitted fruits (100 g a day). Use whole grain products and whole grain flour for chapati and roti. (no maida). Refrain from from alcohol and smoking. Diet should provide exact calories based on ideal body weight, extent of daily exercise and blood sugar levels.
2 people found this helpful
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If I have diabetes and I'm not taking treatment properly what harm will my body suffer and what treatment should I take for this disease.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If I have diabetes and I'm not taking treatment properly what harm will my body suffer and what treatment should I ta...
Mr. Lybrate-user, diabetes mellitus is a metabolic disorder, if not controlled damages small and large blood vessels, affecting eyes (retina) leading to blindness, kidney causing nephropathy leading to chronic renal failure, affecting lower limbs leading to unhealed ulcers and loss of limb. Affects coronary arteries causing heat attacks, affects nerves causing loss of sensation in legs, feet and burning and tingling and numbness. Looking at your age it must be t1 diabetes. Which needs to more carefully treated. So my advise is to star correct treatment and follow it up regularly without fail. Take care of your health, you are too young to neglect it.
12 people found this helpful
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PDDM, MHA, MBBS
General Physician, Nashik
THYROID DISORDER AND WEIGHT LOSS

1. Optimize Your Thyroid Treatment

Some thyroid patients -- and practitioners -- believe that if athyroid patient has gained weight, or can't lose weight, simply getting on thyroid medication will be the solution. Unfortunately, this seems to be less common that patients who, despite being treated, continue to gain weight despite eating well and exercising, or who can't lose weight no matter what diet or exercise approach they try. 

Many practitioners believe that for thyroid patients who want to lose weight, the first step is to optimize -- not just normalize -- your thyroid treatment. What is considered "optimal" Not only are TSH, Free T4 and Free T3 levels considered important, but Reverse T3, ferritin, leptin, and other issues come into play in terms of optimal thyroid treatment.

2. Hormone Resistance Issues

Some practitioners believe that hormone resistance problems -- including leptin resistance , insulin resistance , and thyroid resistance -- contribute to the difficult some thyroid patients face in losing weight . This means, having fasting glucose, leptin, and Reverse T3 tested , evaluated, and potentially treated.

3. Increase Your Metabolism

Because hypothyroidism lowers metabolism, one of the most important things you can do is to focus on is diet, foods, and exercise that can help raise your metabolism .

4. Change Your Diet

Making changes to your diet can be essential to successful weight loss. This can include avoiding overconsumption of goitro genic foods and vegetables (watch out for those raw juice diets!), going gluten/wheat-free , and limiting simple carbohydrates and sugar .

5. Get Enough Sleep

A crucial factor for weight loss is getting enough sleep . One study showed that women who slept 5 hours per night were 32% more likely to experience major weight gain (an increase of 33 pounds or more) and 15% more likely to become obese over the course of the 16-year study, compared to those who slept 7 hours a night. Some practitioners have even said it's better to skip a morning workout and use the time to sleep!

6. Try Supplements

There are hundreds of diet and weight loss supplements on the market, and very few of them are proven to be effective. But some may be of help to you in lowering appetite, lowering blood sugar, burning fat, or raising metabolism. One in particular that has some research behind it is conjugated linoleic acid . (Be careful, however, about supplements that are loaded with iodine.)

7. Get the Right Kind of Exercise

Many practitioners recommend regular exercise for thyroid patients who want to lose weight, but not excessive exercise -- the kind that leaves you exhausted or recuperating for days. My exercise of choice is T-Tapp , but other patients have found walking, Pilates, and other forms of exercise effective. The challenge is of course actually doing the exercise! 

DR SURBHI AGRAWAL
consultant physician, diabetologist and wellness expert
13 people found this helpful

Is it advisable to to consume honey when Blood/Urine Sugar levels are slightly on the higher side?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is it advisable to to consume honey when Blood/Urine Sugar levels are slightly on the higher side?
Mr. Vijayendra, if one is diabetic, then honey is not advisable. Again it depends on the quantity that one is talking about. Honey contains mainly fructose, which gets rapidly converted to triglycerides and can put a load on liver. Honey also has glucose (50% glucose, 50 % fructose like sucrose), so it also increases blood sugar rapidly. It may be taken in small quantity only when your blood sugar is in very good control. But in my sincere opinion, I would avoid it. Thanks for the question.
1 person found this helpful
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I have gained much weight. Am 21F What can I do to lose my weight.? Its 76 kg now. I diagnosed for thyroid but its Negative.

3 months Internship of Dietitics/Nutrition, PG diploma in Dietitics/Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Moradabad
I have gained much weight. Am 21F
What can I do to lose my weight.?
Its 76 kg now. I diagnosed for thyroid but its Ne...
Ridhi do 30 to 45minute cardeo exercises preferable walking...drink warm water with lemon and honey early in the morning maximum intake of green tea and water...take high fibre low sugar low fat diet...dinner should be light and maximum till 8pm...
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Hello I'm diagnosed diabetic type 2 last 3 months. I'm 24 and I reduced my weight now I'm ideal weight I have one question I heard cure for diabetic is going to find in next 5 years? Is there any chance that diabetic will have cure in next 5-10 years because I'm 24 I'm very much worried. Please answer my question I'm grateful to you doctors Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello I'm diagnosed diabetic type 2 last 3 months. I'm 24 and I reduced my weight now I'm ideal weight
I have one que...
Mr. lybrate-user, Thanks for the query. To answer your question on finding a cure in next 5 years, not only you the whole world is waiting. But so far there is nothing concrete. I do not have the information which you have. Right now the only option is to take appropriate drugs, diet control, regular exercise and weight maintenance are the only options available. Ideally in well controlled diabetes FBG should be <100 mg, PP 150 to 160 mg & HbA1c% <6.8. If you are maintaining your blood glucose levels in this manner, then it is very good. Otherwise, it is necessary to give a re look at your present treatment. Thanks.
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I am a diabetes patient as per now my potassium and sodium levels are high .Could anyone please tell me what is the diet to follow.

PDDM, MHA, MBBS
General Physician, Nashik
I am a diabetes patient as per now my potassium and sodium levels are high .Could anyone please tell me what is the d...
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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My TSH level is 11.66 T3 is 117 T4 is 8.3 What should I conclude as TSH is out of range and T3, T4 are well in limit.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My TSH level is 11.66
T3 is 117
T4 is 8.3
What should I conclude as TSH is out of range and T3, T4 are well in limit.
Mr. Lybrate-user, I think earlier question is also your only about low lipids. In that you had not mentioned about hypothyroidism. This is the main reason for weight gain and probably affecting lipids along with statin. At tsh 11.6 you have hypothyroidism, which needs to be treated right away. With regards.
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Due to hypothyroidism I am gaining weight. My TSH level is 7.23. How can I manage my weight? Please briefly suggest me some routine diet plan to maintain my weight and thyroid level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Due to hypothyroidism I am gaining weight. My TSH level is 7.23. How can I manage my weight? Please briefly suggest m...
lybrate-user, Thanks for the query. If I remember correctly, yesterday only I had answered your query about appropriate control of hypothyroidism. In uncontrolled hypothyroidism where TSH value is more than the prescribed limit, weight gain along with all other symptoms of the disease tend to reappear. With a TSH value of 7.23 mU/L, your efforts to reduce weight are unlikely to be successful. So first thing is to bring that number down to 3 mU/L, by increasing the dosage of thyroxine being taken now. Then take a balanced diet that provides calories based on your ideal body weight, plus reduce about 500 calories from that and continue that diet with regular exercise for over 1 hour. That can help in reducing the weight. Thanks.
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Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she was strabismus is it because of the diabetes?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she wa...
Strabismus is also called Squint. Usually, it is a chronic condition. However, in hypoglycemia, during the attack, some patients squint. I can't comment on your mother's condition without more info. In the meantime, take her to an Ophthalmologist.
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Good evening sir/madam, I am 24 years old and my weight is -62. 3 kgs,from the past couple of days I am suffering from poly urea and little hunger and vertigo .to day I checked my blood glucose levels. Blood sugar-fasting_81 mg/dl and post (pp)-185 mg/dl. And my father is diabetic. So please help me out ,i am getting tension thanking you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Good evening sir/madam,
  I am 24 years old and my weight is -62. 3 kgs,from the past couple of days I am suffering f...
Mr. Lybrate-user, fasting blood glucose of 81 mg is normal. Pp 185 mg is high, it falls in the pre-diabetes category. You need to take care. Diabetes is confirmed when blood glucose fasting is equal to or above 126 mg & pp 200 mg and above. If you adapt a modified lifestyle, like exercise regularly, maintain normal weight (bmi <23 kg/m2), avoid eating too much of sweets, no deep fried foods, no pastries and bakery items, no junk foods, no aerated sweetened drinks, highly processed foods and high milk products. Consume more of green leafy vegetables, salads and permitted fruits like papaya, water melon, pomegranate, orange, sweet lime, water melon, apple, guava and pear. Exercise regularly for at least 1 hour a day. Avoid alcohol and smoking completely. By adapting above suggestions diabetes can be prevented or onset can be delayed. Thanks.
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