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Dr. Shriraam Mahadevan  - Endocrinologist, Chennai

Dr. Shriraam Mahadevan

MBBS, MD - General Medicine, DM - Endocrinology

Endocrinologist, Chennai

19 Years Experience  ·  500 at clinic
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Dr. Shriraam Mahadevan MBBS, MD - General Medicine, DM - Endocrinology Endocrinologist, Chennai
19 Years Experience  ·  500 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Shriraam Mahadevan
Dr. Shriraam Mahadevan is a popular Endocrinologist in Adyar, Chennai. He has helped numerous patients in his 19 years of experience as a Endocrinologist. He is a qualified MBBS, MD - General Medicine, DM - Endocrinology . You can meet Dr. Shriraam Mahadevan personally at Dr. Shriraam Mahadevan@Fortis Malar Hospital in Adyar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shriraam Mahadevan 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.

Info

Education
MBBS - Stanley Medical College, Tamil Nadu - 1998
MD - General Medicine - PGIMER, Changidarh - 2001
DM - Endocrinology - PGIMER Changidarh - 2004
Professional Memberships
Indian Medical Association (IMA)

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Fortis Malar Hospital

#52, 1st Main Road, Gandhinagar Landmark : Near Adyar SignalChennai Get Directions
500 at clinic
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My wife sugar reading is fasting. 214.pp. 302. .what medicine and treatment is recommended?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
My wife sugar reading is fasting. 214.pp. 302. .what medicine and treatment is recommended?
Hello Sir, Your wife is suffering with diabetes. But before prescribing medication online, she should see a doctor personally. The doctor will examine her and do further blood tests like kidney function tests, check her BP, check if she is suffering with any complications of diabetes, check if she is allergic to any medication and then prescribe the correct medicines for your wife which will lower her blood glucose. Kindly consult a diabetologist as we should not be prescribing medication online in a public forum Thank you.
2 people found this helpful
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Hello sir I am 29 years old and I am suffering from diabetes. It affects my health so badly I am not fit. Please tell me its solution.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir I am 29 years old and I am suffering from diabetes. It affects my health so badly I am not fit. Please tell...
Mr sidhu, the only solution is to take appropriate anti diabetic treatment either as tablets or insulin injections and take a restricted diet, plus exercise regularly and maintain near normal weight. If you want specific prescriptions and specific instructions please come in a private conversation with all the deatils like weight, height, waist circumference, fasting and pp sugar levels, hba1c % and type of diet as well as level of physical activity.
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Test and Devices for Diabetes Patient

Homeopath,
Test and Devices for Diabetes Patient

Home management
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:

Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.

Finger-prick test. A typical blood sugar test includes the following:

A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.


To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:

Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:

Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Glycosylated hemoglobin
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.

Urine tests
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.

4 people found this helpful

Hello DR's, My TSH level was 11 during my 3rd month of pregnancy. I was medicated to have thyrox 2.5 and am having now at 6 months after delivery. I have three qs regarding this 1. I lost my baby due to trisomy 18. Will this thyroid not detected before pregnancy could cause this? 2. Due to need to continue the tablet even now? 3. Am taking it regularly, but for the past two days I feel a pain in throat, what can be reason?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello DR's,
My TSH level was 11 during my 3rd month of pregnancy. I was medicated to have thyrox 2.5 and am having no...
I am rather surprised that thyroid testing was not done before pregnancy. Because it is now recommended that every female desirous of having a baby must get her thyroid test done. If tsh levels are high particularly in first trimester then embryonic development is definitely affected, causing congenital defects. Secondly during pregnancy if tsh is high there can be affection to fetal development, misscarriage or fetal death. So it is recommended that tsh levels should be maintained between 0.1 to 2 even before expected conception. Plus through out the pregnancy levels should be: 1st trimester 0.1 to 2.5, 2nd trimester 0.3 to 3 and 3rd trimester 0.3 to 3.5 milli units. If these levels exceed then above mentioned problems are a possibility.
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Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metamorhin 500 mg, would like to know can I take these tablets? I usually avoid tablets, Can I take only one out of these which is metamorphin which is cheaper, Current prescription is to take Januvia 50 mg in early morning half an hour before breakfast and Metamorphin to be taken at night after finishing the dinner I would like to change the schedule to Metamorphin in the morning half an hour before breakfast thats it, I do not want any other medicine apart from it, I am Fitness freak and I take care of my diet with millets recently I had stopped medicine for 15 day the symptom I had is frequent urination, then I consulted a Junior doctor who suggested for a fbs and ppbs test in which the result was fbs 97 and ppbs 193, based on which junior doctor suggested to take metamorphin tablet alone in the morning then no further tablets in day can you help me here which schedule to follow, appreciate your response as I need a super expert advice on this Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metamorhin 500 mg, would like to know can I take these tablets? I usually avoid tablets, Can I take only one out of these which is metamorphin which is cheaper, Current prescription is to take Januvia 50 mg in early morning half an hour before breakfast and Metamorphin to be taken at night after finishing the dinner I would like to change the schedule to Metamorphin in the morning half an hour before breakfast thats it, I do not want any other medicine apart from it, I am Fitness freak and I take care of my diet with millets recently I had stopped medicine for 15 day the symptom I had is frequent urination, then I consulted a Junior doctor who suggested for a fbs and ppbs test in which the result was fbs 97 and ppbs 193, based on which junior doctor suggested to take metamorphin tablet alone in the morning then no further tablets in day can you help me here which schedule to follow, appreciate your response as I need a super expert advice on this.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metam...
Its quite surprising that with a report of 97/193 some one has prescribed Diabetic medicines for you. Kindly repeat all your tests again from a different lab. Take your reports to a different doctor. Diabetes medicines should not be taken in this manner. They can create problems in case your body doesn't need them. Better to be sure.
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What is the main reason s of adiabatic how can control this. Any tips control diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the main reason s of adiabatic how can control this. Any tips control diabetic.
Mr Jiju, Diabetes Mellitus is a metabolic disease. Occurs due to either deficiency of Insulin hormone secreted by Islets of Langerhans in Pancreas, or resistance to it's action or both. In T1 DM there is complete lack or absence of Insulin. This causes derangement in carbohydrate, protein and fat metabolism. Specifically seen by increased blood glucose levels. Later it affects every single system in the body causing serious damage. T2 DM even though familial, is still preventable disease, if one follows healthy life style like regular exercise, proper diet, and maintains normal weight.
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Should I stop medicine of diabetes which I have started within a month as it is in control now and I am regularly walking for one hour stopped sweets and diet also in control.

BHMS
Homeopath, Chennai
Should I stop medicine of diabetes which I have started within a month as it is in control now and I am regularly wal...
No. It is not advisable to change or stop treatment on the basis of one single test. Wait for 2 more tests. If you are determined to stop your medications, focus on correcting and planning a correct diet and activity and work life balance, one that you can follow without pain through life. That way you will not go back into diabetes, once out of it. Remember, it is stress that triggers body to go into illness. Learn to manage and balance it.
2 people found this helpful
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Hi, I am 27 years old just got blood test fasting blood sugar is 107. I am diabetic. Is there any permanent cure for blood sugar with homeopathy?

MD - Homeopathy
Homeopath, Hyderabad
Hi, I am 27 years old just got blood test fasting blood sugar is 107. I am diabetic. Is there any permanent cure for ...
Yes, we have permanent cure for diabetes. But your fasting blood sugar is normal only. If you are a diabetic before then you can get cured by homeopathy.
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Respected doctors, whenever I take insulin around my navel 1 or 2 droplets of insulin gets wasted. Kindly tell me what is the units of each droplets of insulin and what is the best size of insulin needles--0, 6 or 0.8 or otherwise. Thanks in advance.

MD - General Medicine, MBBS
General Physician, Kolkata
Respected doctors,
whenever  I take insulin  around my navel 1 or 2 droplets of insulin gets wasted. Kindly tell me w...
Your technique may need modification. Pinch the skin, introduce the needle perpendicularly, not at an angle. After you have injected the insulin, count to 10 to allow some time. Then remove the needle and do nothing to the injection site. You can always use pen device to ensure consisted delivery of insulin with negligible discomfort.
2 people found this helpful

Dear Dr. my sugar level iat fp is 140 and at pp 190 at present iam taking glored forte 500 mg before break fat and after break fast vobit. 2 mg the same I continue for supper also. Is it ok.

MBBS
General Physician, Mumbai
Dear Dr. my sugar level iat fp is 140 and at pp 190 at present iam taking glored forte 500 mg before break fat and af...
We need to control sugar levels with medication exercise and following a diabetic diet and you can continue your present medication
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Hi i am suffering from thyroid. treatment plx Also suffering from kidney stones and arthritis.

MD (Hom)
Homeopath, Bangalore
Hypothyrodism is an autoimmune disease, because of that it leads to to arthritis and due to poor metabolism cholosterol stone formation happens. And even calcium oxalate stones, so that while having thyroxine hormones its very difficult to control all the things. With the help of homoeopathic medicines we can make thyroid gland to function properly as well as kidney stones we can remove with out operation and arthritic problem also get resolved consult me on my private chat I will help you.
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Please suggest what food to be avoided and what to be taken in case of high uric acid. Pl.specify food.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Please suggest what food to be avoided and what to be taken in case of high uric acid. Pl.specify food.
The best treatment of Gout consists of restoring the balance of Vata (Air element) and detoxifying the blood. High protein diet should be avoided in cases of increased uric acid. Mix one teaspoon of apple cider vinegar in a glass of water and drink it two to three times daily. If you find this remedy helpful, you can increase the dosage of apple cider vinegar to up to two tablespoons. Take maha rasnadi kwath 2-2 tsf twice a day. Take maha yograj guggul 1-1 twice a day. Kaishor guggul and chandraprabha vati 1-1 twice a day. Avoid junk food. Fermented food. Spicy food. Tea.coffee. Do pranayama early morning. Avoid alcohol consumption. Consult me in private for more details.
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My HbA1c is 6.7, AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 146, FASTING BLOOD SUGAR 168 mg/dL, POSTPRANDIAL BLOOD SUGAR 236 mg/dL, TOTAL CHOLESTEROL 457 mg/dl, HDL 51, LDL-29, TRIGLYCERIDES > 800, Non-HDL- 406, THYROID STIMULATING HORMONE (TSH) C.L.I.A 9.49, Highly Lipemic Sample. What you diagnose and guide me to lower these. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My HbA1c is 6.7, AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 146, FASTING BLOOD SUGAR 168 mg/dL, POSTPRANDIAL BLOOD SUGAR ...
Mr. lybrate-user, Thanks for the query. You have type 2 diabetes, hyperlipidemia with excess cholesterol and very high triglycerides. Plus there is hypothyroidism. All these things need immediate treatment with specific drugs. Very triglycerides can lead to pancreatitis. That and cholesterol both need to be urgently brought down. Similarly blood glucose is also high, needs to be corrected. Same is the case with thyroid gland This means you need to start treatment of all three conditions immediately with appropriate drugs, diet control and exercise. In this communication we are supposed to give only general guidelines, no prescriptions are to be given. If are keen then please do come in a private conversation with details, then I will be able to guide with specific treatment guidelines. Thanks.
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Joint pain problems in my knees, am also suffering from diabetes from last two years.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Joint pain problems in my knees, am also suffering from diabetes from last two years.
X-ray must of knee and tk proper medicine of diabetes to maintain that and tk calcium supplements. Do heat fermentation twice a day and quadriceps exercise. If it work then ok other wise tk physiotherapy treatment for few days best for you.
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I am aged 63 yet I feel I am 22 only and I am also active. I am a diabatic with 200 count for the past 10 years. I am taking volibo 0.2, diamicroan 60, (in the morning), rose day, diamicron 60 and jalra (in the night) along with baslog insuline of 20 pts. Can you give me how to avoid the medicines.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Valsad
I am aged 63 yet I feel I am 22 only and I am also active. I am a diabatic with 200 count for the past 10 years. I am...
Do pranayam.+. Yog.+ take diabetic juice. 20 ml. Twice a day.+. Jivitprdavati. 2 tabs. 3 times a day. My whats app no. Is. 9825129124.
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I am 38 year lady sub total thyrodictmy in nov 2015 and my tsh 14.23 taking thyronorm 150 mg shelcal ct 1-1-1 hydrazid 25 one tab daily but not control tsh and weight grain 82 kg calcium 8.0 please tell solution.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user , If TSH is 14.23 mU/L, means hypothyroidism is not in control at all. Hence, there's a need for increasing the dose of thyroxine from present level to 175 mcg per day & then check TSH after 6 weeks to is if it is down to 3 to 4 mU/L. At that level all the symptoms will be in check. Plus efforts to reduce weight will then show results. Thanks.
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I am 41 year old female. My latest thyroid test showed following results TT3. 73.41 TT4. 10.1 TSH. 6.43. Currently I have 100 mcg thyronorm. Please advise if I need to make changes to the dosage based on the above results.

MBBS, MD - Internal Medicine
General Physician, Ghaziabad
u can increase d dose to 125mcg bbf. make sure u provide a gap of 30 to 45 min between the medicine and break fast. get the thyroid repeated after 1 month.
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I have pcos and high prolactin levels and also thyroid. Which exercises and treatment should I follow?

MBBS
General Physician,
You should consult a endocrinologist for your thyroid problem. Do regular morning walk followed by free hand exercises. Have plenty of water by mouth.
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