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Dr. Srivatsa A

MBBS, Fellowship in Diabetology, Fellowship in Diabetology

Endocrinologist, Chennai

28 Years Experience  ·  500 at clinic
Dr. Srivatsa A MBBS, Fellowship in Diabetology, Fellowship in Diabetology Endocrinologist, Chennai
28 Years Experience  ·  500 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Srivatsa A
Dr. Srivatsa A is a renowned Endocrinologist in Adyar, Chennai. She has helped numerous patients in her 28 years of experience as a Endocrinologist. She has completed MBBS, Fellowship in Diabetology, Fellowship in Diabetology . You can consult Dr. Srivatsa A at Dr. Srivatsa A@Fortis Malar Hospital in Adyar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Srivatsa A on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 26 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 - Gulbarga University, Karnataka - 1989
Fellowship in Diabetology - St. Barthlomew's Hospital , London - 1996
Fellowship in Diabetology - University of Manchester, UK - 1997
Professional Memberships
Indian Medical Association (IMA)

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#52, 1st Main Road, Gandhinagar Landmark : Near Adyar SignalChennai Get Directions
500 at clinic
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I am suffering from diabetes & high bp both. What I should do.?

DNB Cardiology, MD - Internal Medicine, MBBS
Cardiologist,
I am suffering from diabetes & high bp both. What I should do.?
Dear , maintain normal body weight, exercise regularly, take low amount of salt, reduce stress, reduce sugar intake. In addition, since your bp and sugar level are quite high, take medicines to control it under supervision of a physician/cardiologist.
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I have diabetes I am 49year old. I have pain in right some time please give me advice.

MBBS
General Physician, Mumbai
I have diabetes I am 49year old. I have pain in right some time please give me advice.
For pain take tablet paracetamol 650 mg and we need to control sugar levels with medication exercise and following a diabetic diet.
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MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
What should be a ideal blood sugar level in Diabetes?

The Ideal is maintaining both Fasting post sugar at normal range. However more important is to maintain Gly. HB less then 7.0% (7.0%)

How do Gly. HB estimated?

Gly.HB is ideally done on instrument which has traceability to DCCT (Diabetes Control and Complication trial ) In simple word those techniques which are internationally accepted are to be a used for testing. Testing for Gly.HB. Does not require fasting. Gly.HB is never to be used for diagnosis of diabetes.
4 people found this helpful

I am diabetic since last 12 years, otherwise my overall health is o. K. My present age is 60 years and weight is 65 kgs. My fasting glucose level is normally 110-130 and pp glucose level is normally 150-180 but sometimes it goes upto 250 level. I am taking 1 tablet of volibo m 0.3 after lunch and dinner. I am also taking novomix 30 of 18 units each before lunch and dinner. I am regularly walking for 30-45 minutes. Please suggest if I have to change any medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
You seem ok with these med. Except occasional spurts in sugar levels. I would sincerely advise you to get support of some herbal combo along with these med. If you get response in few weeks, you may continue. Uncontrolled and sustained dm will effect your helath by way of neuropathy and retinopathy and other problems. Your diabetologist must have cautioned you.
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I am having a proper six to eight hour sleep and balance diet and regular exercise. Can I have chances to develop a diabetes melitus?

BHMS
Homeopath, Pune
I am having a proper six to eight hour sleep and balance diet and regular exercise. Can I have chances to develop a d...
If you are having family history of diabetes in your family then chance increase but if you r having proper diet and regular exercise then chance reduce.
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I'm 56 years having diabetes since last 7 years. so, what to do to keep it in control?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I'm 56 years having diabetes since last 7 years. so, what to do to keep it in control?
Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity. eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed. if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent.
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Dear Sir, My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some years in spite of medication and precaution his diabetes level being up as when he was using istamet 50/500 two times his diabetes PP level wa around 240 so he consult a diabetes specialist and he prescribed a medicine Gph-2 (Glimepiride 2 Mg and Metformin-500 dose 1-1/2 once in a day before breakfast but now after 20 days medication his pp is 375 which is two high when he consult once more and explained about this he changed the medicine and prescribed Dioglip-h ONE TIME with same composition of GPH-2.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear Sir,
My Father is patient of diabetes from past 25 years and he is well known about diet. But from pat some year...
He needs insulin. CONTROLLING BLOOD SUGAR Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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As per Hba1c results, if it is 12% then are there any chances in treatment by life style modification.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
As per Hba1c results, if it is 12% then are there any chances in treatment by life style modification.
For a diabetic, it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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I am 25 years female. Working in a pvt. Firm. Have some physical disabilities too. Like minor hearing loss. And thyroid patient too. I am a big foods and fatty. Want to be strong. But some times feel low n very alone. So I am in depression. Some time nose bleed very badly. Or I find some alone place to cry loudly. What should I have to do. To cure my self.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 25 years female. 
Working in a pvt. Firm.
Have some physical disabilities too. Like minor hearing loss. And thyr...
You are already having grade 1 obesity with a bmi of 32.66 kg/m2. Plus if your hypothyroidism is not in control, that will add to weight gain and depression. You have not mentioned about current tsh level. If hypothyroidism is well controlled then tsh should be between 3 to 4 mill units/ml. If not all the symptoms of hypothyroidism which include weight gain, aniety and depression will continue to remain and even increase. So please check tsh levels and come back. Thanks.
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I have a sharp pain in my heels from last one week. The uric acid level is 6.2. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have a sharp pain in my heels from last one week. The uric acid level is 6.2. Thanks.
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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I am 45 years old diabetic. Is penis enlargement possible using non surgical methods?

B.H.M.S
Homeopath, Patna
Apocynum 1m one drop in a cup of water once daily. Syzygium q 10 drop in a cup of water for 30 days.
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What is the latest treatment for dcm, lvef 25%with insulin defented diabetic, age 51?

MBBS
General Physician, Ahmedabad
What is the latest treatment for dcm, lvef 25%with insulin defented diabetic, age 51?
Hii for them induced cdm with 25%lvef, only angiography and for tripple vein disease, bypass is only treatment. And if heart rate is very low then pacemaker can be placed. Best way to take advice of cardiologist.
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I am 47 male I m suffering from diabetes and high blood pressure. My bp is 130/90 & sugar is 182 pp and 115 fasting. What shall I do?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 47 male I m suffering from diabetes and high blood pressure. My bp is 130/90 & sugar is 182 pp and 115 fasting. ...
I don't think that 130/90 is high b. P, but sugar is really on higher level. You r already taking medicines for sugar still your blood sugar level is on higher side. I wud like to advise regular exercises, diet restrictions, mental and physical rest. If you r interested in ayurvedic medicines then you may consult me.
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I have diabetes from two year. I don't take any medicine diet control. RBS 170 after taking meal.

MSc
Dietitian/Nutritionist, Chandigarh
I have diabetes from two year. I don't take any medicine diet control. RBS 170 after taking meal.
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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What fruits we can eat when the diabetes level is 135 -140 .

PGDD, RD
Dietitian/Nutritionist,
Fruits are not avoided for a diabetic if they are planned well in your diet. Also what is more important is the distribution of the carbohydrates throughout the day. Try to have local and seasonal fruits and not with main meals and in moderate amounts.
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Hi I'm from chennai and 38 years of age. I'm a female and my problem is I have more hairfall during summer months. Is this normal cos I faced the same last summer too. After summer I see less amt of hair falling and again in the months of may to June I face it agn. Is this normal or do I hv to seek any medical help cos I'm really worried loosing hair. Besides I have hypothyroid for the past 1 years and I'm under medication of 50 mg thyronorm daily. My thyroid level is within normal range now after the medication and I'm still taking it. So ruling thyroid could my hairfall b seasonal and if s wil my hair grow back. Please looking for you answer asap. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm from chennai and 38 years of age. I'm a female and my problem is I have more hairfall during summer months. Is...
If you have hypothyroidism and if it is not well in control then its symptoms are continuing to appear or remain. On treatment tsh levels should come between 3 to 4 milli units /l, if not then symptoms do remain. Hair fall is a prominent symptom that lasts longer. So please check tsh levels and see that those are maintained as mentioned above. Thanks for the question.
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Sir please I want to know about diabetes. Is weight decrease related to diabetes?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Sir please I want to know about diabetes. Is weight decrease related to diabetes?
Diabetes mellitus, or simply diabetes, is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells. Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues. There are three main types of diabetes: Type 1 diabetes used to be called juvenile-onset diabetes. It is usually caused by an auto-immune reaction where the body’s defence system attacks the cells that produce insulin. The reason this occurs is not fully understood. People with type 1 diabetes produce very little or no insulin. The disease may affect people of any age, but usually develops in children or young adults. People with this form of diabetes need injections of insulin every day in order to control the levels of glucose in their blood. If people with type 1 diabetes do not have access to insulin, they will die. Type 2 diabetes used to be called non-insulin dependent diabetes or adult-onset diabetes, and accounts for at least 90% of all cases of diabetes. It is characterised by insulin resistance and relative insulin deficiency, either or both of which may be present at the time diabetes is diagnosed. The diagnosis of type 2 diabetes can occur at any age. Type 2 diabetes may remain undetected for many years and the diagnosis is often made when a complication appears or a routine blood or urine glucose test is done. It is often, but not always, associated with overweight or obesity, which itself can cause insulin resistance and lead to high blood glucose levels. People with type 2 diabetes can often initially manage their condition through exercise and diet. However, over time most people will require oral drugs and or insulin. Both type 1 and type 2 diabetes are serious. There is no such thing as mild diabetes. Gestational diabetes (GDM) is a form of diabetes consisting of high blood glucose levels during pregnancy. It develops in one in 25 pregnancies worldwide and is associated with complications to both mother and baby. GDM usually disappears after pregnancy but women with GDM and their children are at an increased risk of developing type 2 diabetes later in life. Approximately half of women with a history of GDM go on to develop type 2 diabetes within five to ten years after delivery.
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My mother, age 59 has Bell's palsy. Blood sugar found high. Fasting blood glucose=187.2 and post meal blood glucose=368.0 Doctor says they need to admit her and give her steroidal medicines and parallel give her insulin. Please advice if any alternative where we can treat her at home with oral medicines Thanks,

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
My mother, age 59 has Bell's palsy. Blood sugar found high. Fasting blood glucose=187.2 and post meal blood glucose=3...
Yes, there are oral steroids that can be given to outpatients. Also, she can be put on Insulin at home. Hospital admission for starting steroids & Insulin alone, is unnecessary.
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I have 7.8% of uric acid in my blood do I have to stop non veg and hard drinks for lifetime.

MBBS
General Physician, Mumbai
Alcohol increase uric acid levels in the blood so stop drinking alcohol and avoid pickles and papads and eat only freshly prepared home made food
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