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Dr. Shilvi Mathew

Endocrinologist, Chennai

600 at clinic
Dr. Shilvi Mathew Endocrinologist, Chennai
600 at clinic
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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 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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Endocrine Diagnostic Centre & Diabetes Care Centre

# 1, Moosa Street, T Nagar.Landmark; Next to Masjjid Road, ChennaiChennai Get Directions
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My wife, aged 33, is a diabetic person, she used to exercise daily & tool tab. Glycyphage 500, thrice daily, but sugar didn't come below 200, what should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
She should take diabetic diet, Do F/pp blood sugar, HbA1c level, informe report. or you can consult good diabetologist.
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Addison's Disease - 4 Causes Behind It

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Addison's Disease - 4 Causes Behind It

Addison’s disease is a disorder caused due to significant damage in the adrenal cortex (located alongside the adrenal gland’s perimeter that helps mediate stress reaction), which leads to a deficiency in the secretion of the hormones ‘aldosterone’ (that regulates the sodium and potassium level of the body), ‘androgen’ and ‘cortisol’ (which control the body’s reaction in situations of intense pressure) by the adrenal glands.

Causes
There are generally two stages of Addison’s disease. The causes vary according to the stages:

In the primary stage of the disorder, the body’s immune system attacks the adrenal cortex and significantly damages it.

Other significant causes are as follows:

  • This might occur as a result of the development of tumors and cancerous cells in the body
  • Resulting from certain infections
  • Long-term usage of glucocorticoids (inflammation reducing steroids) might result in the primary adrenal insufficiency
  • This might also be caused due to tuberculosis or severe bleeding in the adrenal glands.

Risk Factors

If you’re suffering from any one of the following complications, your chances of contracting Addison’s disease increase significantly:

  • Cancer or if you have undergone any surgery to remove parts of the adrenal gland
  • Tuberculosis or diabetes.
  • Frequent usage of coagulants

Treatments
The treatment of Addison’s disease varies according to the cause of the disorder.
The most common treatments for the disorder include:

  • A prescribed dosage of glucocorticoids might be recommended
  • Replacement of the hormones that the adrenal glands are unable to produce: Cortisone acetate or prednisone might be used in order to replace the ‘cortisol’ hormone.
  • Meditation or other relaxing techniques to ease excessive stress levels or manage any trauma that you have been through.
2112 people found this helpful

I am 70 years Male from Bokaro (Jharkhand. I have sleep disorder-Do not get sound sleep in night, always remain dreaming all unconcerned. I am also Diabetic (FBS 155) HTN (145/90). I take Rivotril 0.5 mg daily in night, this causes over- exhausted during next day all along. Reducing the does to 0.25 mg Rivotril also does not work well. Shall be grateful, if you please advice. Regards.

MBBS
General Physician, Mumbai
As par bmi calculated in your case your bmi is coming to 31. That means you are falling in the category of obese. Obesity gives rise to several health problems and diabetes is one of them. It also causes a less appreciated condition called sleep apnoea syndrome. If you are snoring too much and loud. And you have significant daytime somnolence (feeling sleepy during day. If your bystanders watch that you stop breathing for long pause. Then struggle and wake up briefly and then again fall into sleep with loud snoring. You are perhaps having this syndrome. Once it is suspected. First thing will be a proper diagnosis by a chest physician (preferably) who will carry pit a sleep test. This simple test will diagnose your problem in a day. Accordingly you will be suggested treatment. In sleep apnoea. The treatment is very effective. Your daily use of revoltril will no more be a necessity. I wish you also take care of your excess weight issue more seriously and put more endeavour to bring it down to normal level. Once you achieve that. Your diabetes and blood pressure will also come under better control and you may need to takei less medicines.
3 people found this helpful
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Causes and Treatment of Infertility in Men and Women

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Causes and Treatment of Infertility in Men and Women

If you are having problems conceiving, you are not alone; around one in seven couples has difficulty.

Infertility is often thought of as a female concern, but in fact in a third of the cases, it is because of male problems, such as a low sperm count.

Male infertility is a condition wherein a man is unable to cause a successful pregnancy in a perfectly fertile woman. Male infertility usually stems from deficiencies in the semen (relating to poor sperm count or low sperm motility).

On the other hand, female infertility is as a condition wherein a woman is unable to carry a pregnancy to full term or conceive after an entire year of having unprotected sexual intercourse.

What causes infertility?

Causes of Male Infertility:

  1. Blockage or obstruction either in the production of sperm or its motility leads to infertility. This problem is caused by various factors such as prostate infections or vasectomy (a surgical procedure used for birth control in men).

  2. Difficulty in the production of sperm, either due to genetic or chromosomal causes, can lead to this condition. Damage to the testes or the condition of undescended testes can also result in this disorder.

  3. Hormonal problems caused due to anabolic steroid (a synthetic steroidal hormone with effects similar to those of testosterone) abuse or pituitary tumors (tumors of the endocrine gland) are other factors responsible for male infertility.

Other factors that may play a part in infertility include:

  1. having had inflamed testes (orchitis)

  2. a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas

  3. having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles

  4. genetic problems

  5. diabetes

  6. lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.

  7. Male fertility is also thought to decline with age, although to what extent is unclear.

Causes of Female Infertility:

  1. Ovulation disorders: Ovulation disorders account for about 25% cases of female infertility. This happens either because of under-secretion or other problems in the secretion of the reproductive hormone by the pituitary gland.

  2. Tubal infertility: The fallopian tubes allow the eggs to travel from ovaries to the uterus. Any blockage or obstruction of these tubes results in infertility, owing do the fact that the eggs or the ova do not reach the uterus. Certain factors such as pelvic inflammation (infections of the uterus) can result in the blockage of the fallopian tubes.

Other factors that may play a part include:

  1. age – female fertility declines sharply after the age of 35

  2. Polycystic Ovary Syndrome (PCOS)

  3. gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage

  4. medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases

  5. lifestyle factors such as stress, being overweight or underweight, and smoking.

Treatment Methods for Males:

  1. Surgery can correct blockage or obstruction in the testes.

  2. Gonadotropin treatment is a treatment method to develop sperm production. This includes injectable medicines which comprise of both the hormones, Follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This mode of treatment has been found to improve sperm motility, morphology and count.

  3. Varicocele treatment method is the enlargement of a varicose vein (swollen or twisted vein) in the scrotum (testicles). The objective of this treatment is to correct abnormal sperm shape.

Treatment Methods for Females:

  1. Fertility stimulating drugs: Fertility restoring drugs are known to induce ovulation in women who have ovulation disorders. They tend to work like hormone stimulators such as the luteinizing hormone and follicle stimulating hormone (FSH) which trigger ovulation.

  2. Surgical process: There are surgical treatment methods available to boost female fertility. Laparoscopic surgery is a minimally invasive surgery that reduces or corrects abnormalities related to pregnancy

6 people found this helpful

Healthy Snacks To Manage Blood Sugar!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthy Snacks To Manage Blood Sugar!

Healthy snacks to manage blood sugar are here:

1. Whole grain crackers: Made of oats, cracked wheat, rye and quinoa; this is a healthy option for people who like a little crunch while snacking. To give it a more delicious spin, serve it with a little curd and cottage cheese dressing. The overall nutrition value of this snack is excellent. It does good to your cholesterol and glucose levels.
 
2. Fruits for snacks: This might be the oldest trick in the book but always the best. Go for mixed fruit salads with a tangy orange juice, honey and fresh mint dressing. This should add a new punch to those who are tired of eating fruits. This is a friendly snack for people who have both diabetes and a sweet tooth.

3. Steamed sprouts salad: Steamed sprouts might sound a little boring but make a salad with finely chopped tomatoes, cucumber and boiled beans along with sprouts. Add a dressing with cottage cheese, one tsp of lemon juice and a little salt for a twist. This a great combination of protein and fiber, which helps in controlling blood sugar.


4. Yogurt with fresh vegetables: Add yogurt to a fresh mix of celery, tomatoes, broccoli and carrot. This is a combination that is not only healthy but will also keep you full for a long time. It is rich in enzymes, proteins, vitamins and calcium which are highly essential for your body.


5. Nuts: Nuts are rich in healthy fats which are required for our body. They are also very rich in protein and have a low carbohydrate content. The only catch is the quantity in which they have to be used. A couple of walnuts a day and around 5 to 6 almonds should do it.
 

6. Healthy smoothie: Smoothies are easy to make and a healthy option for an on-the-go snack. Blending refreshing coconut milk to a hand-picked combination of amla, spinach, cucumber and tomatoes should do the trick.


 7. Eggs: When we say eggs, we only mean egg whites. It is a snack that can be had round the clock. It is quick and easy to cook and is good for diabetic patients too.

5 people found this helpful

I want to know Some tips for sugar patient that how to maintain sugar and proper diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, a person with diabetes mellitus should take a balanced but restricted diet, that provides exact amount of calories based on ideal body weight, extent of time spent on exercise daily and severity of blood sugar. He should avoid sweets, sweetened aerated drinks, deep fried foods, junk foods, pastries and foods containing fructose corn syrup, highly processed foods and high fat containing milk products. Consume more of green leafy vegetables and salads. Consume more of fiber containing foods like fax seeds. Use whole grain products, avoid refined flour like maida. Daily physical exercise of over 1 hour is necessary, to avoid weight increase. Exrcise also helps insulin action and reduced resistance to its action.
2 people found this helpful
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Hi my cousin has a problem with sugar nice it came to 400 out of 600 let me know where we a get a good doctor to cure this problem.

MBBS
General Physician, Mumbai
We need to control sugar levels with medication exercise and following a diabetic diet and contact a dr who is nearby his residence
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I am 61 year old male, having insulin dependent diabetes from year 2003. I am taking plain insulin 26-26-26 and lint insulin 16-0-16 each day. I also take metformin 500 mg 1-1-1 and some other small tablet with it, 1-0-1. I have no other problem with my health, except stiffness in ankles and difficulties in climbing the steps in the building. Kindly know me what I should do now to keep myself free from insulin over the period of time in a long run? or is it better to continue with my present medicines throughout my life?

MD - General Medicine, Diploma in Diabetology
General Physician,
You need to continue your medicines always. Regarding pain and stifness - these are degenerative problems which will be more in diabetic patient. You should check your vitamin -d level. And get your bone density checked. Some time this kind of pain may be due to vitamin -d deficiency. Please take lots of vitamins. You at be having diabetic neuropathy.
1 person found this helpful
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My daughter has type 1 sugar could you please help us how to control her sugar. She is only 6 years old of 20 kg. Please give some diet tips and health remedies.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Sugar can be controlled by adjusting dose of insulin. Avoid sugar, junk food, fried food and fruit juices.
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I have suffering diabetes last 8 years recent my diabetes levels are 266/330 what should I do.

MBBS
General Physician, Cuttack
your blood sugar is very high. Follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet. 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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Hello Dr. I am under medication for thyroid and pcod for past 4 months, even after medication I didn't feel any difference. After medication for pcod I am getting my periods on time do I have any cure from this disease or I should be under medication for life long. Kindly reply me.

MD - Obstetrtics & Gynaecology
Gynaecologist,
No permanent cure for that. All you can do is modify your lifestyle and diet. Reduce weight if you are overweight.
2 people found this helpful
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I am 41 years old having diabetes from last 5years, taking regularly insulin and tablets but still diabetes not in control in random it shows 208 like that and many times body pain what could I can do? Grandfather and my Father diabetes patient?

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
In diabetes diet plays a very important role. You need to be very particular about food choices & timings to control blood glucose levels. Even medicines will not work properly unless you are particularly about food choices. I would suggest you to properly follow the do's and don't of diabetes so to control the blood glucose levels.
2 people found this helpful
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Madam I am 75 years I controlled my HTN diabetes through home my coitus stops in 73 year now it can be possible to do my coitus continue.

PDDM, MHA, MBBS
General Physician, Nashik
Check with your doctor before resuming sexual activity. Participate in a cardiac rehabilitation program to improve your fitness. If you can exercise hard enough to work up a light sweat without triggering symptoms, you should be safe to have sex. Wait to have sex if you have advanced heart failure, severe valve disease, uncontrolled arrhythmia, unstable angina, unstable or severe heart disease. Once your condition is under control, ask your doctor when it’s safe to resume sexual activity.
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Sir, my father age is 61 yrs. He is a diabetic patient. In 2014 he removed his right kidney for tumour. But from few days his hemoglobin level becomes low. In report his hemoglobin is 3 %. What should he do?

MBBS, CCEBDM
Diabetologist, Bangalore
Hi First admit him in a hospital as he needs blood transfusion and thorough evaluation to find the cause for his loss of blood.
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I am 40 years and I am suffering from diabetes from last 8 years last time I check it was 360.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
You need to keep a tab on your sugar levels regularly. Also increase the intake of veggies, salads, whole grain cereals like jowar, bajra, oats, etc and avoid foods high in sugars such as sweets, rice, potato, etc. Take medications on time and ensure you eat small potions at regular intervals. Never skip any meal.
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My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Please suggest some effective medicines. Thank you.

MSc
Dietitian/Nutritionist, Chandigarh
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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I have hypothyroid 35 years of age. Want to go for a child. Will this problem of mine effect my unborn child. Have been on eltroxin since last 10 years. I already have a healthy boy aged 13 years. Thyroid problem started after my son was born. and the levels keep fluctuating. What do you suggest can I go ahead with conception yes or not.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Thyroid problem can affect both mother and child badly. But if thyroid is controlled, there is nothing much to worry. So, ensure that your thyroid is normal before conception.
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My mother underwent thyroid test and in that T3 - 108 T4- 9.3 TSH - 0.16. Can I get to know abt this. And she is using thyronorm 100 mcg. Suggest whether she should reduce the MCG of medicine?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
The thyroid test results look good, except hat tsh is a bit low. On treatment it should be maintained between 3 to 4 milli units. However, at this dose her hypothyroidism must be well controlled. Thyroxine dose can be reduced by about 12.5 mcg, to 87.5 mcg and then test tsh values after 6 weeks if they in the range as mentioned above, same dose can be continued.
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Dear Doctor, I am 41 years old Have been suffering from PE, increasing very rapidly, No diabetes, recently, fat increasing at stamock area only, Could you give me safe solution,

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
1. Don’t Eat Sugar… and Avoid Sugar-Sweetened Beverages 2. Eating More Protein May be The Best Long-Term Strategy to Reduce Belly Fat 3. Cut Carbs From Your Diet 4. Eat Foods Rich in Fiber… Especially Viscous Fiber 5. Aerobic Exercise is Very Effective at Reducing Belly Fat 6. Track Your Foods and Figure Out Exactly What and How Much You Are Eating 7.U need to take balanced diet
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