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Dr. Sriram

Endocrinologist, Chennai

0 - 600 at clinic
Dr. Sriram Endocrinologist, Chennai
0 - 600 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sriram
Dr. Sriram is a trusted Endocrinologist in Royapuram, Chennai. Doctor is currently practising at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Sriram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 38 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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No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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No.110/111, Ground Floor, Burma Colony,Perungudi . Landmark: Behind State Bank of India, ChennaiChennai Get Directions
600 at clinic
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#4, West Mada Church Street, Royapuram, Landmark: Near To Axis Bank ATM.Chennai Get Directions
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Hi doctor. I am diabetic. I smoke and drink alcohol but only socially. What home remedy can help my sometimes feeling of being impotent. Sometimes it just does not work the way it should. And when it does it does not harden to full potential. Help please? Ps. Mostly I ejaculate too quick.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hi doctor.
I am diabetic. I smoke and drink alcohol but only socially.
What home remedy can help my sometimes feeling...
Hello- Erectile dysfunction (ED) affects as many as 30 million men in India. Almost half of men over age 75 experience ED, according to the National Institutes of Health. ED is commonly called “impotence.” It’s a condition in which a man can’t achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido. A)Natural home remedy using drumstick flowers Boil a handful of drumstick flowers in 1 glass of milk Drink it when lukewarm Sip it every day for 1-2 months This is a good tonic to overcome sexual debility. B) Natural home remedy using ginger and honey Crush ginger to a paste Take 2 tsp of this ginger paste Add 2 tsp of honey Mix well Have this 3 times a day.
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My father aged 50 has low thyroid level that is tsh is 0.26 very high alkaline phosphate is 173.52 low blood urea nitrogen is 4.99 low bun by sr creatinine ratio is 7.68 and low creatinine is 0.65 what does this report represent and rest of all result are within normal range is it symptoms of any disease tell me medicines for him.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
My father aged 50 has low thyroid level that is tsh is 0.26 very high alkaline phosphate is 173.52 low blood urea nit...
Please get his serum calcium, phosphorus and 25-hydroxy-vitamin-D levels tested. He has a very strong likelihood of having vitamin-D deficiency. Once we confirm it, it has to be treated. Rest all OK. Do not worry.
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Hi In serum blood test my mother's uric acid level is 6.4 (5.2 - 5.7). Is this serious?

MBBS
General Physician, Mumbai
We have to correlate lab findings with the symptoms that she is having to ascertain the seriousness.
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I am 42 years male, suffering from border line sugar problem, f 147 & pp 174 from last one year, I am not taking medicine for it. What I should do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
You are pre diabetic. Adopt a strict life style change and can avoid progression to diabetes. Bmi must be 24 kg per sq meter. Waist <90 cms, daily 1 h plus exercise, no sweets, no deep fried foods and no smoking and alcohol.
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Hi I am a diabetic from last 7 years / type 1, please advice me good medicine in the form of tablets .

BAMS
General Physician, Delhi
Get sugar levels checked withh hba1c levels along with kft that will decide the medicines & dose & any other disease or family history must be considered.
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For a normal human how much wil be sugar levels and in diabetic how much wil sugar levels. If a man has 160 means he had sugar r not. How much is good control of sugar levels.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
For a normal human how much wil be sugar levels and in diabetic how much wil sugar levels. If a man has 160 means he ...
A normal person has blood sugar in the range of : fasting levels less than 100 and 2 hr post food sugar less than 140. fasting levels above 125 and post food levels 200 and above is considered diabetic. any level in between is seen in a person at risk of developing diabetes in the near future (prediabetes). 160 in fasting is diabetic , whereas 160 seen 2hrs after food is prediabetes. the closer the sugar level is to the normal levels, the better is the control.
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I am suffering from diabetes from last 3 Years want to resolve this please help as soon as possible.

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
I am suffering from diabetes from last 3 Years want to resolve this please help as soon as possible.
First of all you can't cure diabetes but you can control it by proper diet and regular physical exercise.Do exercise like,swimming,walking,sit ups,push ups.Eat small amount of food frequently.Take lots of whole fruits,vegetables,unrefined foods.Take whole grain,whole wheat,oats small amount.Eat fish,egg white,cottage cheese,yogurt,mushroom,tofu,soy product.Use healthy fat.Avoid fast foods,junk foods,processed foods.No sugar,juice,fruit juice.soft drinks.Avoid underground vegetables,banana,pumpkin.Drink lots of water specially before meals.Proper rest and stress free life.These will help you.
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My mother age is 65, diabetic patient, taking medicine regularly. Now a days for last 5 days she is feeling head is moving for 5/6 times daily. Checking pressure it is OK though she is taking pressure tablet. Then we met with Medicine doctor and he has given tablet vertin 16 and omeg for gas. My question is whether the prescribed medication is correct? With regards.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
My mother age is 65, diabetic patient, taking medicine regularly. Now a days for last 5 days she is feeling head is m...
Dear lybrate-user, this symptoms at this age need to be evaluated diligently. The first thing responsible for this kind of presentation in a aged diabetic is low sugar. Pl rule out by checking sugar at the time of giddiness. Also check bp in standing position as bp may fall in satnding position which may make her feel giddy. The medicines given by doctor is harmless and can help if the giddiness is because of vertigo. Hope this helps.
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My sugar level is 115 in the morning without breakfast. am I diabetic? Pleaase advise.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
My sugar level is 115 in the morning without breakfast. am I diabetic? Pleaase advise.
You are prediabetic. Please also check your ppblood sugar hba1c and lipid profile. Please change life style brisk walking low carbohydrate diet.
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Hi my mom has thyroid problem she also taking medicine thyroxine but still not feel good, so suggest prosecutions we need to take for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi my mom has thyroid problem she also taking medicine thyroxine but still not feel good, so suggest prosecutions we ...
Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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. flax oil, 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 can help,
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My grandpa is a diabetic patient .his sugar levels in fasting is 140 after fasting it is about 280 .so I want to know how many units of insulin should he take per day.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My grandpa is a diabetic patient .his sugar levels in fasting is 140 after fasting it is about 280 .so I want to know...
That depends on how many insulin units your grandpa is taking currently! Insulin prescription is never an absolute prescription which is only and completely linked to sugar values. Let me explain you by example. You and your friend ran the same distance when exercising in the morning. Would it be correct to say that you both will have the exactly same amount of food- No, obviously not because you both will be of different built. Similarly, the treatment of diabetes is individualised for a person and not customised based on reports. Since your grandpa's sugar is uncontrolled we need to increase his insulin dose but by how much - that can only be decided by his current treatment order.
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Addison's Disease - What You Should Know About it

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Addison's Disease - What You Should Know About it

While cold and cough are common, diseases like Addison’s disease are rare. It is also known as chronic adrenal insufficiency or hypocortisolism as it is a result of insufficient production of hormones like cortisol and aldosterone by the adrenal glands. This disease can affect men and women of any age.

There are two types of Addison’s disease. These are:

  1. Primary adrenal insufficiency: In this case, the adrenal glands themselves have a problem.
  2. Secondary adrenal insufficiency: If the hormone production in the adrenal glands is restricted by a problem that has started somewhere else like the pituitary gland, for example, it is known as secondary adrenal insufficiency.

Primary adrenal insufficiency is more common of the two. This could be triggered as a result of autoimmune diseases or a long lasting infection such as HIV, tuberculosis and some fungal infections. Cancer can also cause this type of Addison’s disease.

Secondary adrenal insufficiency is usually caused by a problem with the pituitary gland or the hypothalamus as they are responsible for the production of hormones that stimulate the adrenal glands. Damage caused to the pituitary gland by tumors or radiation and surgery can also interfere with hormone production. Prolonged and improper use of steroid hormones can also trigger this condition.

Addison’s disease has a very slow progression and its symptoms develop gradually over time. Some of these symptoms are:

  1. Weight loss and loss of appetite
  2. Extreme fatigue
  3. Hyperpigmentation
  4. Low blood pressure
  5. Craving for salt
  6. Nausea and diarrhea
  7. Pain in the abdomen and joint pains
  8. Irritability
  9. Depression
  10. Loss of body hair and sexual dysfunction in women

Treatment for Addison’s disease involves hormone replacement therapy. This aims at correcting the hormone levels in the body. Hormone replacement therapy includes oral corticosteroids and corticosteroid injections. The dosage of these steroids could vary depending on the situation. For example, the doctor may suggest a temporary high dosage when the patient is in a stressful condition. Along with this, sodium is also recommended especially during the summer months and while exercising. This medication must be taken regularly as skipping a single dose can be dangerous.

In some cases this condition can become life threatening. An addisonian crisis causes a drop in blood pressure, sugar and a spike in potassium levels in the body. This requires immediate medical attention and can be treated with intravenous injections of hydrocortisone, saline solution and sugar.
 

11 people found this helpful

What fruits are good for diabetes and which are bad?

MBBS
General Physician,
Don't eat fruits with simple carbohydrates as grapes. Mango and juicy fruits. Papaya guava apple are good in diabetic patients.
4 people found this helpful
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Muje thyroid hai or me thyronom 125 MCG leta hu abhi mene check karwaya report normal hai per muje kuch dino se gale me kch atka hua hai mehsus ho raha hai khane pine me kuch problem nahi hai per aesa feel hota hai ke gale me kuch atka hua hai.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
What is latest tsh? 1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids For medicine contact on private consultation Good luck.
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I am age of 68 yrs, Diabetes patient depend on insulin. Please advise me. Thanks

M.D., M.B.B.S.
General Physician,
I am age of 68 yrs, Diabetes patient depend on insulin. Please advise me. Thanks
Regular sugar charting, avoid junk food a nd sugar, plenty of water, avoid stress, regular walking, regular fallow up.
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My wife is pregnant 32 weeks. FBS - 97 mg/dl, PPBS after 2hrs 75 gm glucose loading - 186 mg/dl, PPBS after 2hrs - 165 mg/dl, HbA1c - 5.9%. Kindly tell me is gestational diabetes or normal for pregnancy period. If it is gestational diabetes please advise me which treatment shall be done.

MSc
Dietitian/Nutritionist, Chandigarh
My wife is pregnant 32 weeks. FBS - 97 mg/dl, PPBS after 2hrs 75 gm glucose loading - 186 mg/dl, PPBS after 2hrs - 16...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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I am 60 year old backpain and swelling full body. About 10 years old thyroid patient. Present thyroid tsh is 7.6.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use this no pillow under the head. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed thyroid must be looked after by expert. It may have to be further investigated.
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How much blood pressure level and blood sugar level in the age of twenty two years old boy?

BHMS
Homeopath, Howrah
How much blood pressure level and blood sugar level in the age of twenty two years old boy?
Blood pressure 120/80 mm of hg, and sugar upto 90 fasting and post meal upto 120. It sometimes vary from person to person.
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DIABETIC DIET

MBBS
General Physician, Chennai
DIABETIC DIET
The following diet plan can be useful in diabetic patients,

6: 30am- 1 cup of tea (or) milk, without sugar.
2 high fibre biscuit.

8: 00am- 3 idly's (or) 2 dosa (medium size), along with
Mint / tomato chutney.

11: 00am- 1 glass buttermilk along with green salad / sprouts.

1: 30pm- 3 cup of rice along with 1 cup of sambhar / dal along
With 1 cup of vegetable curry / 3 piece
Chicken (medium size)

4: 00pm- 1 cup of tea (or) milk, without sugar.
3 high fibre biscuit / 1cup fruit salad (or) sprouts.

8: 00pm- 3 chappati with 1cup dal (or) vegetable curry.

Avoid refined sugar and sugar products, ground nut, potatoes.




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I am 57 yrs old and when tested for uric acid in blood count was 8.7, is it possible to bring this level down to safe level by controlling food intake and other methods, kindly elaborate.

MBBS
General Physician, Mumbai
As of now we need to take medication to reduce the level and for maintaining it we need to control our dietary intake
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