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Dr. Shashikala

Endocrinologist, Chennai

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Dr. Shashikala Endocrinologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Shashikala
Dr. Shashikala is a popular Endocrinologist in Chintadripet, Chennai. You can meet Dr. Shashikala personally at Doc Central in Chintadripet, Chennai. You can book an instant appointment online with Dr. Shashikala on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 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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#30/1, 2nd Floor Bazullah Road. Landmark: Opp. to ICICI bank, ChennaiChennai Get Directions
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Sir I am 35 year old and diabetic my ppbs blood sugar level is 265. My nasal drainage for fungal culture report shows aspergillus species. My blood sugar level is not going down. I am taking insugen 30/70 38 in the morning and 30 in the night and glyree 2 mg twice daily. I am increasing my insulin level still my blood sugar is not getting control. I am feeling fever, cough, joint pain, littlechestpain and headache. Aspergillosis pns after nose endoscopy. Pls help.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Sir I am 35 year old and diabetic my ppbs blood sugar level is 265. My nasal drainage for fungal culture report shows...
Dear You need to improve your immunity urgently and also make lifestyle changes to reduce, both, body toxicity and mental fatigue. All these will help your condition in the long run. Please order Reimmugen colostrum on site healthsolutionsinternational regards.
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Diabetes and exercise: When to monitor your blood sugar

PDDM, MHA, MBBS
General Physician, Nashik
Diabetes and exercise: When to monitor your blood sugar
Diabetes and exercise: When to monitor your blood sugar

Diabetes and exercise go hand in hand, at least when it comes to managing your diabetes. Exercise can help you improve your blood sugar control, as well as boost your overall fitness and reduce your risk of heart disease and stroke.

But diabetes and exercise pose unique challenges, too. Remember to track your blood sugar before, during and after exercise. Your records will reveal how your body responds to exercise ? and help you prevent potentially dangerous blood sugar fluctuations.

Before exercise: Check your blood sugar before your workout

Before jumping into a fitness program, get your doctor's OK to exercise ? especially if you've been inactive. Discuss with your doctor which activities you're contemplating and the best time to exercise, as well as the potential impact of medications on your blood sugar as you become more active.

For the best health benefits, experts recommend 150 minutes a week of moderately intense physical activities such as:

Fast walking
Lap swimming
Bicycling

If you're taking insulin or medications that can cause low blood sugar (hypoglycemia), test your blood sugar 30 minutes before exercising and approximately every 30 minutes during exercise. This will help you determine if your blood sugar level is stable, rising or falling and if it's safe to keep exercising.

Consider these general guidelines relative to your blood sugar level ? measured in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L).

Lower than 100 mg/dL (5.6 mmol/L). Your blood sugar may be too low to exercise safely. Eat a small carbohydrate-containing snack, such as fruit or crackers, before you begin your workout.

100 to 250 mg/dL (5.6 to 13.9 mmol/L). You're good to go. For most people, this is a safe pre-exercise blood sugar range.

250 mg/dL (13.9 mmol/L) or higher. This is a caution zone. Before exercising, test your urine for ketones ? substances made when your body breaks down fat for energy. Excess ketones indicate that your body doesn't have enough insulin to control your blood sugar. If you exercise when you have a high level of ketones, you risk ketoacidosis ? a serious complication of diabetes that needs immediate treatment. Instead, wait to exercise until your test kit indicates absence or a low level of ketones in your urine.

300 mg/dL (16.7 mmol/L) or higher. Your blood sugar may be too high to exercise safely, as these high glucose levels may increase your risk of dehydration and ketoacidosis. Postpone your workout until your blood sugar drops to a safe pre-exercise range.
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Greeting to you, I have thyroid since last 5years as well uric acid in recent days.I want to conceive but I fear for any complication to conceive or during pregnancy???

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Dear, you can conceive with out any fear provided u correct ur thyroid and other parameters of metabolic profile on time . otherwise chances of complication increases.
1 person found this helpful
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Is there any possibles of getting delay in period if TSH is very high T3 and t4 is normal.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Is there any possibles of getting delay in period if TSH is very high T3 and t4 is normal.
Hi lybrate-user yes hypothyroidism is one of the cause of delayed periods. Lethargy, weakness, obesity are other problems related to having high TSH. It needs proper treatment. U have subclinical hypothyroidism. U can msg me your reports on personal consultation so that I can tell you proper medication.
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I am a diabetic patient for the last 10 years. I take humansulin twice during lunch and dinner, 30 units each time. But the sugar level is not coming to normal. Can I take oral drug like sitagliptin with metformin along with insulin.

Diploma in Naturopathy, B.A.M.S
Ayurveda, Gurgaon
No I think you shud first try with diet and changing lifestyle and a cup of diabeid tea. To know the details pls do visit clinic or consult privately.
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My mother is a diabetic patient since a year. From 8-9 months, she feels very stressed and starts crying very frequently. On being diagnosed, she was detected to have hyper tension. But the doctor says it will be a very slow recovery process. Can you please suggest something that may help in her early recovery.Please tell.

MBBS
General Physician, Mumbai
My mother is a diabetic patient since a year. From 8-9 months, she feels very stressed and starts crying very frequen...
Regular follow ups, keep her happy as much as possible. In today's world of entertainment, there are umpteen tv channels and sources of laughter. Laughter is the best medicine. Or helps a person destress. Other things that can be tried are karela juice, jamun juice, methi powder, cinnamon powder avoiding sugar completely. And counselling. She will be fine. Now a days diabetes and hypertension are very common. Do let me know if I can be of any help. I understand what you are going through, as I have a similar situation. She will be fine.
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I am 55 years old male. I am a diabetics for last 13 yrs. Now, I have been given insulin (novomix-30)-34 & 32 doses. Yet my sugar level is not coming down. It is between- 170-210 mg. I am not following any diet. I live a normal life. Do I need to add some more medicine to my treatment? any advice please.

MD - Medicine, MBBS
Cardiologist, Panchkula
Avoid oily and carbohydrate rich food. Do walking regularly. If your kidney and liver functions are normal you can add metformin 1g twice daily after food.
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I am diabetic and high blood pressure patient From last one year I am unable to sexual relation to my partner Please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic and high blood pressure patient
From last one year I am unable to sexual relation to my partner
Please ...
Mr. Lybrate-user, diabetes mellitus if not controlled properly affects small and large blood vessels. Erectile dysfunction (ed), is a complication due to microvascular affection. It is one of the most common condition reported in dm. If it has developed, it may be very difficult to reverse it. A strict blood sugar control is a must, plus some other medications may have to be used. So first step is try achieve fasting sugar nearer 100 mg and pp around 150 to 160 mg and hba1c <7%.
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I am 60 years diabetic man. My sugar levels are 132 fasting. Pp is 180. I am suffering pain at waist since 20 days. Uric acid is 8.3. How to reduce that pain. Please guide me.

C.S.C, D.C.H, M.B.B.S
General Physician,
For the pain you can take an nsaid dicloran 1-0-1. Will need to reduce urica acid send the reports and ask privately. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolized 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) 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. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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I used to get my hormonal tests done And this tym I am detected by TSH 6.20 But I do not experience any symptoms. My doc has gvn me med but I do not want to take it. I think I can take good diet and then get again test aftr a month or so. Should I do it? If yes. what the diet fr it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Inshaji, tsh value of 6.20 milli units/ml is classified as sub clinical hypothyroidism. Usually treatment is started once tsh levels go over 10 milli units/ml or if there are symptoms of hypothyroidism present at lower levels. Since you do not have any, so treatment need not be taken. But certain precautions should be taken like avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salads, fruits and use whole grain flour for making chapati and roti. Exercise regularly so as to avoid weight gain. If you need any specific advise do contact.
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