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Dr. Sriram

Endocrinologist, Chennai

0 - 600 at clinic
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Dr. Sriram Endocrinologist, Chennai
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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 43 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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M.V. Hospital for Diabetes & Diabetes Research Centre

No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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M.V. Centre for Diabetes

No.110/111, Ground Floor, Burma Colony,Perungudi . Landmark: Behind State Bank of India, ChennaiChennai Get Directions
600 at clinic
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M.V. Hospital for Diabetes & Diabetes Research Centre

#4, West Mada Church Street, Royapuram, Landmark: Near To Axis Bank ATM.Chennai Get Directions
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My father is 52 years old. He has diabetes. Right now his sugar level is high. He also has blood pressure. Doctor says there has been leakage in his kidneys. Can anybody educate me on this?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
My father is 52 years old. He has diabetes. Right now his sugar level is high. He also has blood pressure. Doctor say...
High blood suagr and pressure can cause changes in kidney. Think of it like the holes of the filter are bif and protiens are leaking out into the urine. He will need to control both sugar and pressure very fast and keep it maintained in normal levels.
4 people found this helpful
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Hello Doctor I am a 25 year old female. My TSH is 27.40. Is it normal or I should contact to doctor. Please suggest.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
Hello Doctor I am a 25 year old female. My TSH is 27.40. Is it normal or I should contact to doctor. Please suggest.
it's not normal. it's hypothyroidism. you would need medicines and diet. I could help you with the exact doses and diet. private consult for proper Treatment
1 person found this helpful
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10 Symptoms That Signal Hypothyroidism. Do You Have Any Of These?

M.B.B.S., M.D.
General Physician, Delhi
10 Symptoms That Signal Hypothyroidism. Do You Have Any Of These?
10 symptoms that signal hypothyroidism

When your thyroid malfunctions, you may face difficult health issues. Hypothyroidism leads to excessive weight gain and a lot of other medical ailments. It can be identified by a bunch of symptoms which if present, should not be taken lightly.

1) weight gain - if there is sudden and unexpected weight gain, this is the earliest and definite sign of an underactive thyroid gland. This means that there are strong chances of lowered levels of t3 and t4 hormones in the body, leading to slow metabolism in the body. People suffering from hypothyroidism face increased body weight which becomes difficult to lose despite maintaining healthy diet and exercising rigorously.

2) constant fatigue - if you have slept well the night before, yet you are tired and if this is a regular feature, then chances are that your thyroid gland is underactive. Being low in energy, it gets difficult to complete daily chores or exercise.

3) swelling in the neck - another telltale sign would be goiter - an abnormal swelling in the neck. The thyroid gland mainly concentrates iodine from the blood to create both the thyroid hormones. If there is iodine deficiency in the body, this process gets disrupted resulting in hypothyroidism.

4) hair loss - hypothyroidism causes hormonal imbalance which in turn causes hair loss. If there is sudden, unexplainable hair loss, chances of hypothyroidism are high.

5) imbalance in body temperature - if you are suddenly feeling too cold, it is advised to get your thyroid tests done.

6) brittle nails - if your nails have become brittle, get chipped very easily and look weak, this could be an indication of hypothyroidism.

7) mood changes - the weight gained and the excessive fatigue, both trigger massive mood swings which at times, the person has no control over.

8) constipation - the contractions of the digestive tract get weakened due to low levels of thyroid hormones resulting in constipation. Chronic constipation without any apparent reason could be an indicator of hypothyroidism.

9) irregular menses - if your periods are irregular, do not take it lightly. This could be most likely because of hormonal imbalances which are caused by hypothyroidism.

10) slower heart rate - if your heart beats at less than 60 times per minute, it could be because of the interference by thyroid hormones.

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diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
29 people found this helpful

I am 66 Years old person anddiabetichaving good health having exercise for 3 hours daily in the morning (e. G. Walking Gymnastic, Yoga, Mudra, Asan, Weight lifting) even then blood sugar is near about 200 advise how to control.

MBBS, MD - Medicine
General Physician, Delhi
I am 66 Years old person anddiabetichaving good health having exercise for 3 hours daily in the morning (e. G. Walkin...
200 is not very bad. You hv not mentioned any meds. 1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.
3 people found this helpful
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Hi, I am a 33 year old male with diabetic history which has been under control with insulin. I am having sharp pains in the right side of abdomen and at the back. The pain seems to spike with geavy breathing or instant body movement.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.
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What should include in diet of diabetic patient ?kindly explain meals frm morning to night as patient already taking Sugar ,Bp medicine?

MBBS
General Physician, Cuttack
What should include in diet of diabetic patient ?kindly explain meals frm morning to night as patient already taking ...
1.Avoid sweets, sugar/honey,/excess calorie and carbohydrate rich diet, all refined food like maida, pasta, starchy food like rice, potato,(sweet potato is good for diabetes, bakery item processed food 2.Avoid sweetened fruit like banana, mango,litchi, chickoo,sapota, seethaphal,jackfruit, grape etc. You Can haveapple/pear/ papaya/guava/ jamun/ mausami 3.Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. 4.Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. Avoid red meat. Take fish/chicken. 5.Avoid alcohol and carbonated drinks like soft drink, include more fiber in the diet like pulse/green leafy vegetables, legume 6. Adhere to a proper diabetic diet after consulting dietitian.
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My relative 75 years old Type II diabetic ,bp normal under medications (Allopathy) my question is the person has to be without medicine both BP and diabetic for some days say 20 days. Is it advisable to remain without medication for 20 days (The circumstances compulsion) advise us on this ,any other alternative precaution can be taken? Until we use the medicines-no other generic also possible. If it is dangerous what is the alternative.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
My relative 75 years old Type II diabetic ,bp normal under medications (Allopathy) my question is the person has to b...
Hi, It is not advisable to stop blood pressure and diabetes medication . You relative's BP and diabetes is under control due to medicines. If they are stopped BP and blood glucose will raise. Very high blood pressure can lead to stroke. High blood glucose can lead to osmotic symptoms and your relative can fall ill. There definitely will be other alternatives to the medicines that he is taking . Ask him to consult a good doctor as soon as possible. Hope this helps you. Thank you
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My wife Shalini is 5'4" and weighs 77 kg. Inspite of regular walks, yoga and exercises and keeping deit in control, she is not loosing wait, she don't have thyroid. And how to reduce her breast size, she is having 40 D size which becomes very uncomfortable to wear dresses. Please advise.

M.Phil biotech and PGD Dietitics
Dietitian/Nutritionist, Panchkula
My wife Shalini is 5'4" and weighs 77 kg. Inspite of regular walks, yoga and exercises and keeping deit in control, s...
For a normal weight reducing diet, the quality of food is reduced as per the reduced calorie restrictions. Emphasis is given or more roughage and liquids. The following items are deleted:- a) butter, ghee and coconuts chutney. B) fried food items. C) egg yolk. D) nutrition. E) high calorie fruits like banana. This diet provides about 1000-1200 calories and 40-45gm of protein.
26 people found this helpful
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I am 30 years old unmarried woman. I have 5.79 uIU/ml TSH. My doctor prescribed me THYROX -25. I am worried. Will it create any problem in my future married life? What should and shouldn't I eat with TSH at a level of 5.79?Is there any exercise or natural medicine to control my TSH level? Please help me out.

MBBS, MD
General Physician, Bangalore
You are un married now. If you are getting married in near future and plan a family then your tsh should be around 1-2. Moreover high tsh has shown difficulty in conception. Thyroid hormone are essential for developing brain in first trimester of pregnancy. It is also required more normal metabolic need of body
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My son is type 1 diabeties and is taking insulin regularly, in there any alternative way of taking insulin other then injection, is there anychance to come out of this deficiency. Please let me know if it's available.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, juvenile-onset diabetes has become commonplace recently owing to our lifestyles. Expose your daughter to different fruits and vegetables, enroll her into some form of physical activity class which she would enjoy and educate her about junk food and help her make better choices with the same. I would be thrilled to help her out too via one of our programs.
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I have manly boobs. Actually I have lessen weight by running. I thought dat it ws due to water retention but I hve done all d remedies lyk less consumption of sodium, salt, fried, sugar. Other parts like tummy got fit sides got ok but there was no effect on mainly boobs. Can you please suggest me any way to get rid of it.

M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Visakhapatnam
I have manly boobs. Actually I have lessen weight by running. I thought dat it ws due to water retention but I hve do...
Gynaecomastia contains 3 types of tissues fat fibrous tissue and glandular tissue. It needs to be removed surgically.
1 person found this helpful
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I am 38 years old and diabetic. I just want to know is there any permanent cure of diabetes in homeopathy?

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
I am 38 years old and diabetic. I just want to know is there any permanent cure of diabetes in homeopathy?
Dear lybrate-user, cure of diabetes is probably most sought invention currently. Hope it is done in future in any stream of science. As of now no pathy has cure for diabetes. If someone claims to cure your diabetes, please be careful. It could be a trap which may harm you. Regards.
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I am a 66 year old male type II diabetic using Galuvasmet50/1000 and Gluconorm G-1. Can you suggest a cheaper drug than Galuvasmet50/1000 which I am presently using and which is expensive.

MBBS
General Physician, Delhi
Ask your doctor to prescribe tablet gluconorm g 2 two to three times a day with voglibose . Thanks Dr B M GUPTA BP SUGAR & THYROID CLINIC -DELHI 110035

I am Having thyroid, tsh-6.75, but t3 and t4 is in normal but sometimes spinning head problem occurs with weakness. and obesity. Please do help.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Recheck again after 1 month and let. Me know report. Any symptoms of wright gain, easy fatiguability, joint pain, breathlessness on exersion etc?
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I am 39 years just wanna know symptoms of diabetes and hi bp and ways to lower them ?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Having diabetes makes high blood pressure and other heart and circulation problems more likely, because diabetes damages arteries and makes them targets for hardening (atherosclerosis). Atherosclerosis can cause high blood pressure, which if not treated, can lead to blood vessel damage, stroke, heart failure, heart attack, or kidney failure. You can consult me in private for detailed treatment which is available in biochemic system of medicine depending upon symptomatically.
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I am having diabetes range 140 blood pressure 170-110 had taken medicine tally 400 after a month doing exercise it has been reduce to 111-80 should I stop medicine ?

Advanced Aesthetics
Ayurveda, Gulbarga
Medicine can continue and consult doctor once in a month, check up your blood pressure. Ayurvedic medicines can also be started with tab stresswin daily 1 at bed time any queries inform me.
4 people found this helpful
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Am facing these sugar symptoms since past 6 years but when I get it checked. It says SUGAR NIL. Please assist kindly.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Am facing these sugar symptoms since past 6 years but when I get it checked. It says SUGAR NIL. Please assist kindly.
You may be a patient of anxiety neurosis or thyrotoxicosis. So please check thyroid test if normal go to psychariest. Any more quiry always welcome.
1 person found this helpful
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I am 44 diabetic with 250 and 340 recommended fruits and how to reduce blood sugar.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
I am 44 diabetic with 250 and 340 recommended fruits and how to reduce blood sugar.
Light exercise twice a day. Take homeo remedy - gymn. Mt; syzyg mt, ceph mt. 6 drops of each in qrtr glass water four times a day.
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How to do witj diabetes and what we should not eat and we should eat what am9unt of sugar so it will notcmuch effect on body.

CDIABT, MBBS
Endocrinologist, Mumbai
How to do witj diabetes and what we should not eat and we should eat what am9unt of sugar so it will notcmuch effect ...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine will depend upon your blood reports.
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