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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 31 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No 19, Railway Station RD, Ponneri, ChennaiChennai Get Directions
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My father is a heart patient and diabetic. From last one month his sodium level is 125 and potassium is quiet high. He is having high BP problem also. Please advice what can we do for his low sodium in this case. He is not able to walk from last 2 months due to generalized weakness. He just got treated for Viral Meningoencephalitis.

MD - Medicine
General Physician, Surat
My father is a heart patient and diabetic. From last one month his sodium level is 125 and potassium is quiet high. H...
125 is very low level for sodium. That could be the reason for the weakness on top of that increased potassium could be due to kidney disease. Kindly go to your physician.
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Hi Doctor, I am a 53 year old male, insulin dependent diabetic and a hypertensive. To add to this I am having BI polar disorder. Sugar control is average or below. BP under control. Now my medicines Lantus 20 units at Bedtime, Novorapid 10 units before lunch Glycigon 80, two times a day, two tablets each time For BP Olmin 40 LN Bloc 20 pantoprazole with Domstal one time a day As far as Bipolar problem is concerned I am cleared by psychiatrist to take all the above with the medicines he prescribed. I consider this a sensitive matter. I am always in stress because of my Job, I am the GM or second in command of a large turnover construction company. My morning sugar is between 95 tp 110, but post breakfast after 2 hours is 225. After taking my lunch I take novorapid 10 units hence for few hours my sugar drops to normal range. Again in the evening it when Novorapid effect is gone it climbs to 250-275. Remains like that perhaps till I sleep after taking Lantus 20 units, again in the morning it is normal. HB1C today's test shows a reading of 7.0. What should I do to take this reading to 6.0.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Hi Doctor, I am a 53 year old male, insulin dependent diabetic and a hypertensive. To add to this I am having BI pola...
Mr. Lybrate-user, firstly, I congratulate you for having taken very good care of all those multiple problems you are suffering from. Secondly, I must commend the detailed manner in which you have described your present status. Thirdly, you have managed your diabetes pretty well. For your lifestyle & busy work schedule, an hba1c of 7% is quite good. You might be able to bring it down marginally, to 6.5% if you take care of your diet a bit more meticulously & exercise regulary. Beware of hypos when you exercise. All the best!
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Sir I have diabetes from 2000 & this time fluctuate fasting 150 to 200 please advise.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
Sir I have diabetes from 2000 & this time fluctuate fasting 150 to 200 please advise.
Diabetes is a progressive disease. You may need a change or increase in dose of medicines with time. So consult your doctor for the same.
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I am 28, female have hypothyroidism. Can I take red wine for health purpose. If so please mention the quantity in ml.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 28, female have hypothyroidism. Can I take red wine for health purpose. If so please mention the quantity in ml.
NO. red wine do not use in hypothyroid it increase heart beat. Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work.
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I am 26 and my weight is 90 and diabetic and afraid to take any slimming pills. What to do and how to reduce ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello intact slimming pills are not much help. You have to reduce your dietary intake by 15 to 20 per cent daily, then increase your exercise to about one and half hour at least 5 to 6 days a week. Totally avoid deep fried foods and direct sweets. Target a reduction of 2 kg per month. Then you may be able achieve it.
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Precautions to be taken by a prediabetes patient in order to not convert into diabetes. Diet to be followed. Chances of converting into diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Precautions to be taken by a prediabetes patient in order to not convert into diabetes. Diet to be followed. Chances ...
Mr. Lybrate-user, a person with prediabetes, has to adapt a modified life style. Which means he should take a properly planned balanced diet, avoid too much of sweets, do not indulge in sweetened aerated drinks, junk foods, pastires and deep fried foods. Also avoid fructose corn syrup containing products, highly processed foods. Refrain from alcohol and smoking. Consume more of green leafy vegetables, salads and fruits. Use whole grain products. Total caloric intake has to be meeting the exact demand based on ideal body weight. Plus exercise daily for at least 1 hour. It is difficult to predict whether diabetes will occur or not and what is the percentage.
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Which vegetables are good for diabetes patient and what things should be avoided?

PDDM, MHA, MBBS
General Physician, Nashik
Which vegetables are good for diabetes patient and what things should be avoided?
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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Post graduate certificate course of implantogy, BDS
Dentist,
Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.


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My wife has been suffering from diabetes for 9 years. She is 30 years old. Her height & weight is 150cm, 62kg respectively. Her blood sugar level 250 Fas.&300p. P. She is taking medicine glycomate 1gm &galvus 50 Please take proper.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife has been suffering  from diabetes for 9 years. She is  30 years old. Her height & weight is 150cm, 62kg respe...
She has to check her hba1c and will need to revise medicines and better start insulin. To prescribe ask privately.
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MD - Medicine, Bechelors of Alternative Medicine
Alternative Medicine Specialist, Delhi
डायबिटीज को आधुनिक चिकित्‍सा विज्ञान में डायबिटीज मेलिटिस कहते है। ये दोनों शब्‍द की उत्‍पति लैटिन भाषा से हुई हैं। लैटिन में डायबिटीज का अर्थ है प्रवाहित होना और मेलिटिस का शुगर। शुगर प्रवाहित होना डायबिटीज कहलाता है। इसमें रोगी के ब्‍लड में जरूरत से ज्‍यादा शुगर बनने लगती है। किसी एक निश्चित मात्रा तक रक्‍त में शर्करा का होना, शारीरिक क्रिया-कलापों के लिए नितान्‍त आवश्‍यक माना जाता हे। लेकिन किसी भी पदार्थ का आवश्‍यकता से अधिक होना सदा हानिकारक माना गया है। लेकिन कुछ घरेलू उपायों द्वारा ब्‍लड में आवश्‍यकता से अधिक बनने वाले शुगर को नियंत्रित किया जा सकता है।
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I have done my test of T3 value 116 T4 value 9.8 TSH value 8.63 Please suggest me what diet should I take and suggest me some medicine as I feel very tired physically and also feel mental fatigue.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I have done my test of T3 value 116
T4 value 9.8
TSH value 8.63
Please suggest me what diet should I take and suggest...
You have hypothyroidism. No need to worry. Go to physician. He will prescribe thyroxine medicine of x dose. That will solve your thyroid problem. There is no special diet for this problem. Eat simple food. Less oil. Less sugar. Sarvangasana and halasana helps in stimulating thyroid gland. Rest be active. Be happy.
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I am diabetic and doing zym for 2 months. My sugar level is well controlled due to 1 hour exercise daily but I am not able to loose weight as it always has been 76 to 78 kg. Is it because of drugs being taken by me for diabetes? My question is can I go for swimming instead of zym. Which exercise would help better in diabetes? Pl. Tell me. Thnx.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Nagpur
I am diabetic and doing zym for 2 months. My sugar level is well controlled due to 1 hour exercise daily but I am not...
sometimes by taking drugs of diabetes there are chances of weight gain.You should do brisk walking at least 45 minutes. Have low carb diet and good amount of protein in your diet.Divide your meal at least 5-6 times a day.Have a healthy foods.
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What happens to your Body when you Quit Sugar

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
What happens to your Body when you Quit Sugar

On an average a person consumes nearly 800 calories daily from added sugar. This does not just include natural sugar found in fruits or milk but the processed sweet sugar as well, that is added to cakes, tea, coffee, confectionery and even pasta sauce and salad dressing. However, it is possible that you can limit your sugar intake or even quit it to get some truly amazing benefits.

When you take this hard decision, you may experience withdrawal symptoms such as mild depression, anxiety or restlessness. But if you remain adamant and continue with your decision, your body will soon show some incredible results that you couldn't have imagined.

Here are a few of them:

1. Your heart will beat happily

Sugar raises insulin levels that activate the responses of sympathetic nervous system thereby elevating your bp and heart rate. When you cut down on sugar, your ldl cholesterol will decrease by 10% and triglycerides will reduce by 20-30%. And your risk of heart attack will reduce manifold.

2. Your weight fluctuations will be gone

With the exception of fruits, sugar is mostly present in processed or high-carb foods that contain loads of other unwanted constituents like fat etc.

So when you quit sugar, your body has to no longer worry about those unwelcome calories and your weight will stop moving right and left across the scale.

3. Digestion will become efficient

When you quit sugar, the digestive system becomes more efficient. Since your stomach and intestines have to no longer worry about those difficult to digest processed foods, their abilities and functioning improves. Even your colon begins to work better, may be you take more trips to the restroom, so things get even more on track.

4. No more acne troubles

Sugar triggers acne troubles. When you cut it down, you will no longer be troubled by those zits that dampen your looks. Your skin will actually clear up, cracks will disappear and you will get a healthier skin.

5. You will no longer have sweet craving

With sugar, there is a huge negative, as you enjoy sweets, you crave for more sweets. But if you quit sugar, slowly you will begin to avoid foods that contain sugar and as a result, whenever you will eat anything that has sugar, it will taste over sweet and you will not be able to have large portions. This means no more cravings for sugar!

'Consult'.

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I am male 51 years old. Non smoker (Passive smoker) diabetic patient since 10 years presently hba1c is 7.3 and average Blood sugar is 160. Presently taking Glizid M two times after food. As per the recent lab test OH VITAMIN D is 19.59. Please suggest how to cover Vitamin D to bring normal.

Master In Diabetologist, Post Graduation In Public Health
Endocrinologist, Kolkata
I am male 51 years old. Non smoker (Passive smoker) diabetic patient since 10 years presently hba1c is 7.3 and averag...
Take Glizid M before food. For vit D take Cap DV 60K One cap once a week for 8 wks then take monthly. For 1 year.
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I am 20 years old. And I am addicted to cool drinks. Is that health hazard. Is that cause of diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 20 years old. And I am addicted to cool drinks. Is that health hazard. Is that cause of diabetes.
, yes sweetened aerated drinks are considered as unhealthy food. They contain a lot of sugar, which is not good for health. Secondly you are over weight with a bmi of 28.39 kg/m2, your ideal body weight should be about 80 kgs. Both these things are an invitation for diabetes.
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I am a 50 years old man. Diabetic for the past 5 years. I have severe problem of gums bleeding. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 50 years old man. Diabetic for the past 5 years. I have severe problem of gums bleeding. What should I do?
first hing is very struct sugar control should be achieved, maintain very good oral hygiene and also take vit c plus see a dental surgeon.
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Is permanent treatment possible in homeopathy for hypothyroidism that no need to take lifetime medicine?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is permanent treatment possible in homeopathy for hypothyroidism that no need to take lifetime medicine?
Mr. Lybrate-user, hypothyroidism is a condition arising due to deficiency of the hormone thyroxine produced by thyroid gland. This hormone is constantly required for development and day to day functioning of brain, plus it is essential for vital metabolic activities in the body. So there a constant need for it. Hence, it has to be supplied from outside and that too for life time. There is no other drug that can replace it. Taking thyroxine hormone is the only treatment. Thanks.
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I am 54 years age and a diabetic since last 12 years. My wait constantly 71 to 73.00 Kgs til date and Height 5'-6' I am taking medicine 1. Exermet-GM 502- 1 tab twice day 2. Benfoment cap- 1 /day 3. Ecosprin 75 -1HS since last 5 years. My sugar level Fasting 120 Avg and post lunch 170 Avg. Q. When I have taking some hi calorie diets during festival/occasion an effect on my skin found every time. When sugar level come down bellow 150 mg on fasting automatically cured the same. Some where it is itching and skin synchronized and if I try to ealast those area skin cracked there but automatically cure as sugar level down. I have not taken ever Insulin. I have no bad habit like smoking/Drinks but taking non-vegetarian food by weekly 2/3 days but dinner only milk bread. I like fruit but need advice to take fruits. Also required advice for betterment living but not hard.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 54 years age and a diabetic since last 12 years. My wait constantly 71 to 73.00 Kgs til date and Height 5'-6' 
I...
Diabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. It is not as easy 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 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 & lifestyle. Give all the details like your daily eating pattern and medicines you take.
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I am 56 yes old female m diabetic want to know what is converted rice that you recommend for low GI food?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I am 56 yes old female m diabetic want to know what is converted rice that you recommend for low GI food?
Converted rice is also called parboiled rice. It has low glycemic index means 38 as compared to brown rice which has 50. Parboiled rice is processed under extreme heat and steam. After drying process the bran falls off and discarded. By this process all the nutrients from bran to soak into the endosperm and germ. I think madam rita you get proper reply.
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Hi I am 23 years old man and also I have hyper thyroidism from birth I taking eltroxin 100mg tablet from its possible to stop that tablet or I need to continue till my life end Dr. pls give another way to stop that tablet because when I taking I feel very lazy like thinking pls give another way to control thyroid when I taking that tablet I felt also weight increase and appearance increase sir pls give another way pls.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, you have hypothyroidism. This condition remains for lifetime. Treatment has to continue through out. Please tell me current tsh levels. If tsh is between 3 to 4 milli units / ml then all symptoms are in check.
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