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.
Book Clinic Appointment
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
Submit a review for Dr. Shilvi MathewYour feedback matters!
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?
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.
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.
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
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.
Sir I am 65 years old and having diabetic problem for 15 years. On 4th of this month my right side of the face weaken and saliva drooling from right side of the mouth. Admitted in hosp. Ct scan, mri scan of brain taken. Finely Dr. Said I am having bells palsy. He advice me for physiotherapy and renerge plus tab. Going through the internet I found some advise to take prednisolone tab 2 time for 10 days. Can you pl tell me what I should do now. 9 days pass now and no improvement. Kindly advice me what to do? when I calf I feel like some. Fluid in the head. Like water goes inside ear. Pl tell me. Thanks.
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.
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:
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).
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.
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:
having had inflamed testes (orchitis)
a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas
having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles
lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.
Male fertility is also thought to decline with age, although to what extent is unclear.
Causes of Female Infertility:
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.
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:
age – female fertility declines sharply after the age of 35
Polycystic Ovary Syndrome (PCOS)
gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage
medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases
lifestyle factors such as stress, being overweight or underweight, and smoking.
Treatment Methods for Males:
Surgery can correct blockage or obstruction in the testes.
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.
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:
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.
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
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.