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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 33 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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I am type 1 diabetic for 15 years, on novo mixtard 30/70 twice a day until last month. For last two years, my hba1c is disturbed. Recently after making a regular note of the my blood glucose levels throughout the day, for two months now, my doctor switched me to novomix 30/70. Even after that, the blood glucose levels, specially after lunch, arnd 7 pm, were elevated. Please note that I took insulin at breakfast and dinner time. Then I started taking it three times a day, before each meal. Now the blood glucose levels are better after lunch, but very sporadic in the morning over the last one week. I am also having problems in controlling hypoglycemic episodes. I have had many instances, when, fot example, if my fasting blood glucose level came out to be 60, and I took 5-10 gms of glucose, it shot upto 250. I am shocked because the ada advises 15 gms of glucose in an hypoglyic event. I have observed this in general, that whatever I eat (i eat mainly low glcyemic foods), my body's glucose senstivity is so high, that my blood glucose levels shoot up enormously. I am also suffering from hypothroidism for three years now. Recently, my urine microalbuminuria levels came out to be 180 microgram/mg of creatinine (two readings, spaced out over a month). In addition to insulin, I am also taking thyronorm 75 mg soon after I wake up, glycomet 500mg before each meal, voglibose 0.2 mg after breakfst and lunch, nervz-b after brkfst, telmisartan 20 mg after breakfast and storvas 10 mg at night. Please suggest what can I do to have a tighter blood glucise control, advise if I need to make dietary changes, chanes in insulin type or any other medications.

MBBS, DGO (cal)
General Physician,
The problem may lie in any of the three i) the dose and type of insulin is not properly tuned or working and it is not cared by your consultant. Ii) your diet is not properly planned and some how not matching your need or iii) your lab is giving wrong reports. For first two you can discuss your diabetologist he is suppose to give you a logical answer acceptable to a knowledgeable person like you. You are quite an educated person and aware of your disease. Your awareness about diabetes is quite commendable, I felt. So I believe none can give you any bullshit. If you feel it is not satisfactory you have right to change your consultant. Look sir, 5-10 g of glucose can never shoot you blood glucose from 60 to 250 mg%. They are giving wrong report. Your microalbumin / creatinine ratio is alarmingly high. It is indicating towards diabetic nephropathy. There must be some lack somewhere - either in medicine side or from your side that you have not compiled properly with advises. I am afraid you need a second opinion from a reputed institution's diabetic care unit.
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1) I often get severe back pain, please advice what could be the reason? 2) What are the symptoms of Thyroid. Please help?

MPT, BPT
Physiotherapist, Noida
1) I often get severe back pain, please advice what could be the reason? 2) What are the symptoms of Thyroid. Please ...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Will a person with Type 2 diabetes under control end up with the need for insulin?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Will a person with Type 2 diabetes under control end up with the need for insulin?
Hello, When T2 diabetes goes on for very long time say 25 to 30 years or longer, then because of persistent hyperglycemia and lipotoxicity beta cells get affected and. Over the years cell mass is lost and most of the T2 patients end up on insulin in later years of their life. Thanks.
3 people found this helpful
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Muje diabetes ki bimari hai. Maine doctor ko bhi dikhaya but thik nhi hua. Kya koi tarika h.Please help.

CDIABT, MBBS
Endocrinologist, Mumbai
Muje diabetes ki bimari hai.
Maine doctor ko bhi dikhaya but thik nhi hua.
Kya koi tarika h.Please help.
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Walking for 30 mins a day for at least 5 days in a week is recommended.
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My husband have bp and sugar aged about 42 what precautions should to follow please guide me.

PDDM, MHA, MBBS
General Physician, Nashik
My husband have bp and sugar aged about 42 what precautions should to follow please guide me.
Reduce salt intake, avoid sugar and take high fibre and low calorie diet. Exercise daily for at least 30 minutes.
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My S.Uric Acid level is 6.7, which should be normal. Still my doctor says I have gout, and accordingly prescribed Cap Indicop 25, thrice daily, and Tab Prazo, once daily. But no relief till now, after 3 days of taking these medicines. My blood sugar is also normal. Please advise.

BHMS
Homeopath, Mumbai
My S.Uric Acid level is 6.7, which should be normal. Still my doctor says I have gout, and accordingly prescribed Cap...
Take goutnil instead which will help! If you hve pain and discomfort that goutnil will help to lower URic acid from blood! Avoid protein much!
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Sir, I am 45 Years old and very recently within 3 months I lost my weight from 85 kgs. To 64 kgs. And on check-up of blood sugar; it is now 452. What should I do now?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Sir, I am 45 Years old and very recently within 3 months I lost my weight from 85 kgs. To 64 kgs. And on check-up of ...
You mean to say that earlier you had no idea about high blood sugar at all? if sugar is 452mg please start treatment right away, preferably with insulin in consultation with your doctor for first few months then can be shifted to oral medication.
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