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Dr. Shilvi Mathew

Endocrinologist, Chennai

600 at clinic
Dr. Shilvi Mathew Endocrinologist, Chennai
600 at clinic  ·  ₹ online
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shilvi Mathew
Dr. Shilvi Mathew is a renowned Endocrinologist in Ambikapuram, Chennai. You can consult Dr. Shilvi Mathew at Endocrine Diagnostic Centre & Diabetes Care Centre in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Shilvi Mathew on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 35 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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# 1, Moosa Street, T Nagar.Landmark; Next to Masjjid Road, ChennaiChennai Get Directions
600 at clinic
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what are symptoms of thyroid? What is solution? Is it needed to taste oftenly by medical taste?

PDDM, MHA, MBBS
General Physician
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Symptoms of Hypothyroidism Fatigue. Weakness. Weight gain or increased difficulty losing weight. Coarse, dry hair. Dry, rough pale skin. Hair loss. Cold intolerance (you can't tolerate cold temperatures like those around you) Muscle cramps and frequent muscle aches. Treatment depends on thyroid profile and yes the test must be done frequently to monitor the disease.

I am a 54 years old male working as a clerk with bsnl. My parents are diabetic and takes insulin two times a day. I am regularly walking for an hour not taking any sweets and taking zoryil m1 11/2 tab morning and 1 tab at night. But still my fasting sugar is 242 today how can I control my sugar level I am not having bp or cholestrol. I am 6.1" tall and my weight 90kg.

C.S.C, D.C.H, M.B.B.S
General Physician
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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) 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.

Hello sir, I am facing in uric acid problem in leg and joint pain. Give me any advise

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hello sir, I am facing in uric acid problem in leg and joint pain. Give me any advise
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.

I am 53 female diabetic, 97 kgs wt, thyroid, joint pains, now a days i am having urinal problem, have to go after every minute but have difficulty in passing it, please tell me what to do ?

MSPT (Master of Physical Therapy)
Physiotherapist
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For joint pain do strengthening exercises and apply heat. And for urine problem consult a urologist. Thanks and regards Dr. Ritesh kharnal b, p, t. M, p, t(orthopedic and sports physiotherapist) indore

I' m recently diagnosed with type 2 diabetes. My doctor prescribed me glimy 1 tablets once daily. Should I take the medicine ?

MD - Pathology, MBBS
Pathologist
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Doctor must have prescribed medicine with the referance to your blood sugar reports. So follow him strictly.

My sugar level is as below: Fasting: 120-140 PP: 180-220 please advice medicines ?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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If you haven't taken any medicine up till now, start metformin 1000 mg per day along with diet and exercise.

Sir/Madam, I am a diabetes patient for last 4 years. What I can eat in breakfast, lunch and dinner. please give me a diet list. And what to do to keep this disease normal.

MBBS
General Physician
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Sir/Madam,
I am a diabetes patient for last 4 years.
What I can eat in breakfast, lunch and dinner. please give me a ...
Indian Diet Plan For Diabetes Food ItemAmountProtein (g)Calories (kcal) EARLY MORNING Fenugreek seeds with 1 cup of water––– Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1–40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total–49.51286 How is an Ideal Indian Diet Plan for Diabetes made? An Ideal 1200 Calorie Indian Diet Plan For Diabetes can be designed keeping in mind the person’s individual requirements and other medical conditions. Every person has different caloric requirement. The calorie requirement is based on various factors like age, sex, medical conditions, activity levels, metabolism etc. To lose weight in a healthy manner, calculate your BMR (Basal Metabolic Rate). This will help you understand the minimum calories your body requires in order to function properly. This sample 1200 Calorie Indian Diet Plan For Diabetes, will provide you with an idea of what an ideal 1200 Calorie Indian Diet Plan For Diabetes looks like. Although you must understand that this is just a generalized 1200 calorie Indian diet plan for diabetes, it may or may not suit your goal as there are chances your body requirements will be different. So do consult your dietician in person to know if you can use this 1200 Calorie Indian Diet Plan For Diabetes.

I am 61 years I am type II diabetic. My fasting sugar level does not comes down I am taking galvus50/met500. The sugar levels does not goes below 120.

MBBS
General Physician
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I am 61 years I am type II diabetic. My fasting sugar level does not comes down I am taking galvus50/met500. The suga...
If your fasting sugar level is 120 mg/dl, your Diabetes is fully under control. Continue medicine as advised. Monitor your Blood sugar,HbA1c three monthly and if the level is high consult Diabetologist for advice

What are fruit juices recommended for a diabetic?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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All fruit juices are sugary. Bot you can take with minimum sugar and based on your diabetic status. Send me your reports, privately for personalised guidance.

I am 59 yrs. I am diabetic since 7 yrs. Recently my blood sugar levels are fluctuating. Today fbs is 150 yesterday it was 119. Pbs today is 300 yesterday it was 319. Four days it was 240 only. I am following strict diet plan. I am taking gemer 1 mg in the morning from today's onward I am taking 2 mg in the night iam taking vog loyd3d2.3 half tablet. Please advise.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 59 yrs. I am diabetic since 7 yrs. Recently my blood sugar levels are fluctuating. Today fbs is 150 yesterday it...
Hi looking at your fluctuating sugar levels, it is better to shift to glargine the basal analogue insulin along with oral drugs (which can be reduced). Glargine is a long acting insulin needing just one prick a day. It will produce excellent control of blood sugar. Initial dosage can be 6 units once/d, to be increased based on fasting sugar level every alternate day by 2 units till target sugar level (say 100 mg or so) is achieved. For this self monitoring of sugar level is necessary. If you are willing I can guide you. In the long run this will be a better treatment.

What is thyroid? what is the causes? how it is cure? if any person suffers from thyroid he or she have to takes medicine till his death as in the diabetic & bp? please tell me the detail answer ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Thyroid is a gland that secretes tsh into the blood and the levels of this hormone r regulated by pituitary gland located in our brain. Thyroid can be hyperthyroidism or hypothyroidism. Although in allopathy were under life long medication almost and the med. Goes on increasing with time, but in homoeopathic system there is a permanent cure for thyroid nd all depends upon your homoeo doctor, his art of case taking, his sensitivity level and approach to the case

I am suffering from hypothyroidism from the last 3 months and I have consulted a general physician in Punjab he advised me a prescription for 3 months I. E thyna 20 I want to know should I again go for blood test to check under active thyroid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am suffering from hypothyroidism from the last 3 months and I have consulted a general physician in Punjab he advis...
test do very 3 to 6 months for thyroid. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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,

my thyroid results are Total T3 3.64 ng/ml Total T4 5.59 ug/dl TSH 1.48 you! U/ml.  This is the first time diagnosis, my doctor said I do not need any medication and I do not have thyroid but the results shows T3 levels are high than normal Do you suggest me anything? And can you brief what is my test results.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist
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Firstly, I would recommend free t3 and free t4 levels rather than total. If you are not symptomatic, may not require treatment but periodic assessment is required.

I'm 22 years old. And I want to stay away from Diabetes disease. So is there any particular diet I ll have to follow. Even though I'm not a diabetic patient.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I'm 22 years old. And I want to stay away from Diabetes disease. So is there any particular diet I ll have to follow....
Dear Lybrate User, *Avoid stress, good sleep, avoid junk, maida related foods. *Practice yoga, breathing exercise, Physical exercise. *Avoid more alcohol, more coffee, candy.

Resp Sir, How we can check that our body not producing insulin or producing less insulin?

Fellowship in Diabetes, PG Diploma In Emergency Trauma Care, MBBS
General Physician
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Resp Sir, How we can check that our body not producing insulin or producing less insulin?
Very easy. Just checking the fasting and post prandial blood levels of Insulin. Get these tests done from any lab. Insulin Fasting levels and Post prandial levels.

How to stay away from diabetes?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Walk as much as you can every day. You'll be healthier -- even if you don't lose any weight go veggie more often consider red meat a treat -- not something to eat every day. Start your day with yoga, meditation, or a walk. Reclaim your sundays as a day of rest or fun with your family, relaxing, worship, etc. Try to avoid spending the whole day on obligatory errands such as mowing the lawn, grocery shopping, or catching up on work.

What precautions should be adopted for diabetes curing?

PGDD, RD
Dietitian/Nutritionist
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What precautions should be adopted for diabetes curing?
Unless your lifestyle is ideal with discipline and no stress you cannot cure diabetes but you can definitely maintain it. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.

Dear Sir, I am 66 year old male and have diabetes for the last 30 years. I have recently developed piles problem. It was there previously also but it was not often. The diabetes doctor prescribed ANOVATE cream which I used to apply over the anus but did not use the applicator. Last week while passing urine I got burning sensation which did not subside after taking potrate M. Thereafter I realized it was due to piles. It is only internal and there is no external symptoms. Now I am normal. Kindly suggest some home remedy. I have stopped spicy foods. After defecation I get some irritation, it subsides slowly.

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Dear Sir, I am 66 year old male and have diabetes for the last 30 years. I have recently developed piles problem. It ...
. Please follow these tips: 1. Drink 2-3 lts of water per day. 2. Consume lot of fibre in your diet like raw vegetabes, fruits, whole grains, oats. Etc. 3. Eat one fully ripe big banana at bed time. 4. Drink one glass of hot milk with one spoon of ghee in it at bedtime. 5. Take your food at regular intervals. Avoid spicy and oil fried food. 6. Never curb the urge to pass stools. 7. Never put in lot of pressure to pass stools. 8. Add 2tsf of sugar to 4 tsf of oinon juice, mix it well and take it in the morning on empty stomach for 1-2 weeks, which cures piles. 9. Add 1tsf of sugar and 1 tsf of butter to 1 tsf of powdered seeds of wild basil plant, take this twice daily for 2-3 weeks. 10. Mix 1/2 a glass of raddish juice with 1/2 a glassof buttermilk and drink it in the morning for 1-2 weeks to cure piles. 11. Add1 tsf of ghee and 1tsf of sugar to 4 tsf of onion juice, mix it and take it twice daily daily to cure bleeding piles. 12. Mix curds to grated oinion and take it twice daily with food to arrest bleeding piles.

I have uric acid problem. Kindly tell me the best information. Which things I can avoid and which I can eat.

MBBS
General Physician
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I have uric acid problem. Kindly tell me the best information. Which things I can avoid and which I can eat.
Please Avoid high protein diet like sprouted cereals, milk, non veg food, paneer etc Do yogasanas and pranayam daily Go for morning and evening walk regularly Take salads and fruits more Take Cap shigru by Himalaya 2 2 for 3 mths.
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