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Dr. Subashree

Endocrinologist, Chennai

500 at clinic
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Dr. Subashree Endocrinologist, Chennai
500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Subashree
Dr. Subashree is an experienced Endocrinologist in Alwarpet, Chennai. You can consult Dr. Subashree at Dr. Subashree@Girishwari Hospital in Alwarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Subashree 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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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
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I am having high uric acid level and taking medicine zyloric. Does this have any side effect. Also how can deterioration of cartilage of knee joints prevented.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having high uric acid level and taking medicine zyloric. Does this have any side effect. Also how can deteriorat...
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.
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46 years female having hypothyroidism frm last 10 yrs. In between took homeopathy treatment n once had allopathic medicine for 2 months. Now sometimes I feel tat my tongue swollen or enlarged n I feel like chocking. Asked abt this frm Doctor bt did nt satisfactory answer. Wt is this n y it is happening? Weight is nearly 80 kg, too much Hair fall, dry skin n high appetite with depressed looks. Wt to do.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
46 years female having hypothyroidism frm last 10 yrs. In between took homeopathy treatment n once had allopathic med...
Write what nnd how much medicine you r taking now with latest tsh level good luck do no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water.
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My sugar level is as below HbA1c 7.4 Average sugar level 166 mg Presently taking medicine: Zita met plus 1 in the morning bf Glinil-M in the night before dinner. Please advise me to bring to the normal level 80- 120 my age 65.

m.b.b.s,, F.D.R.C.
Diabetologist, Raipur
My sugar level is as below
HbA1c 7.4
Average sugar level 166 mg
Presently taking medicine: Zita met plus 1 in the mor...
Your sugar control is almost near normal, my suggestion is try to do regular physical activity along with proper diabetic diet and avoid sugary products. Do regular meditation and yoga, it is sufficient to reach very good level. All the best.
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Hello Doctor, I had very recently done a Tests thru the Thyrocare Packages. And Below are by results T3 - 98 T4 - 7.8 TSH - 10.65 Can I know what next to be done.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hello Doctor,
I had very recently done a Tests thru the Thyrocare Packages. And Below are by results
T3 - 98
T4 - 7.8...
Do no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat test after one month and report for further advise along with results of other tests.
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Sugar levels are consistently 150 fasting and 250 PP (HBA1C 8.5) Tried Oxra 10 but had to stop due to infection Please advice if insulin is better than strong oral medications. Also confirm if the same nay be discontinued after sugar is under control. I feel medications are causing complications for me also leading to constipation & acidity.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Faridabad
Sugar levels are consistently 150 fasting and 250 PP (HBA1C 8.5)
Tried Oxra 10 but had to stop due to infection
Pleas...
As you know, your diabetes is not under control and its not good for your health. Yes, its better to take insulin to control diabetes when your sugar levels are high with 2 or more oral medicines. And yes, insulin can be discontinued after diabetes is under control, but that should be supervised and decision taken by your treating doctor.
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I am female, aged around 60. Weight 80 kg. And height 4.8 ft. Recently it is found that I have blood sugar (fasting 190). And my doctor prescribe gluconorm pg1. But nothing change. What medicine should I use?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am female, aged around 60. Weight 80 kg. And height 4.8 ft. Recently it is found that I have blood sugar (fasting 1...
lybrate-user, Thanks for the query. I have seen the details, following are my observations: 1)With a BMI of 39.6 kgs/M2 (normal <23 kgs/ M2), you are morbidly obese. This is the main reason for getting diabetes and not being able to control effectively. 2) There is no mention of actual fasting, PP glucose levels and HbA1c% it is not possible to talk about proper control of the condition. 3) There is no mention of dosage of drugs being taken, further no mention of extent of daily exercise, dietary pattern 4) No mention of lipid profile too. My suggestion is please come back with all the necessary details mentioned above, preferably in a private (paid consultation) conversation then I will be able to guide and prescibe if there is a need Please understand almost all the medicines have excellent action, however, there may be a proper drug selection required some times. Hence if interested do come back as mentioned earlier. Thanks.
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Thyroid Disease in Pregnancy

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
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Hello everyone, I am Dr Archana Prabhu. I am an Obstetrician and gynaecologist, practicing in MUmbai. Today I will like to discuss about Thyroid Problems.

What is Thyroid?

Thyroid is a small endrocrine gland situated in front of the sound box, in the middle of the neck. 

Why is it so important?

The importance of thyroid gland is that it controls our metabolism. It controls the heart rate, skin thickness, texture. It controls our brain, mood, nervous systems, hair and so many other things are controlled by Thyroid. Any thing goes wrong with thyroid. If secretion becomes more, we call it as hyperthyroidism or if secretion become less, we call it as hypothyroidism. THere are problems, out of these problems, 75% of the problems are Hypothyroidism. THat means the secretion through thyroid glands are sub normal. So, I would like to discuss Hypothyroidism.

What happens in Hypothyroidism and how do we come to know that we are suffering from this problem?

Usual problems are;

  • Excessive weight gain
  • Sudden weight gain
  • Swelling in the feet or legs
  • Depression
  • Irritation
  • Lethargic
  • Constipation
  • Dry skin problem
  • Hair loss
  • Difficulty in conceoption
  • Menstrual issues

What happens when patient's thyroid levels are not under control or they are Hypothyroid during pregnancy?

In this case, th baby at its very early stage are exposed to the level of hypothyroidism. There are chances of abortion. In case the pregnancy continues, the baby may develop many complications like, at birth, this baby might be having growth issues i.e, growth retardation.

  • This baby may have jaundice.
  • This baby may develop short stretcher
  • Poor growth
  • Cardiac issues

The very important part here is that mental development of the baby gets affacted by thyroid level. It has been seen when the baby is exposed to low secretion thyroid level in the early months, they develop mental retardation or low IQ.

I dont think that any of the mother would liek to have this kind of baby, that too because of the small thing which she could have checked and be treated and could easily escape from such a complications. Now, they are certain problems which can go really wrong with the mother also if she has hypothyroidism and the levels are not under control. LIke the blood pressure, she may get into preeclampsia. The mother who is suffering from Hypothyroidism are at risk of developing some kind of cardiac problems.

So, friends the important point here is to check thyroid level in your early month of pregnancy. There are levels which are T3, T4 and TSH. Check thema nd if they are shwoing any kind of abnormality, the tablet is started immediately. It is a very small tablet can be taken anytime empty stomach. Throughout the pregnnacy, every 4-6 weeks we have to keep checking thyroid levels and according to pregnancy month, the levels of thyroid are different for the three trimesters.

We have to keep the levels in that particular level. So the dose adjustment and regular checkup are really important. THis can control teh complications and can save the baby and the mother.

If you need any other information, you can contact me through Lybrate.

Thank you.

 

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Hi My husband who is 28 years is having pain and swelling in the foot with difficulty in walking! He has had that in past as well and was diagnosed with high uric acid levels! The recent test says the levels to be 8.5 Now he is on medication but the pain has not subsided! What can be done to normalise uric acid levels or will he hav to take the medication on a regular basis as suggested by the doctor? The medicines he is taking are- Colchicine 0.5 mg Etoshine 90 Superia 20 Febutaz to be started after 10 days Thanx in advance.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi
My husband who is 28 years is having pain and swelling in the foot with difficulty in walking!
He has had that in ...
Lybrate-user, excess uric acid in some patients leads to gouty arthritis. This leads to swelling and pain in various joints. Most often great toe is first involved. The remedy is to take all those medications which your doctor has already prescribed. This condition comes in episodes. Whenever the attack comes it has to be treated with medicines. Along with that patient has to refrain from foods high in purines like red meat, organ meat, certain sea foods particularly fishes like sardines, scallops, herring, haddock, salmon, trout, mushrooms and mussels. Also avoid sweetened aerated drinks & alcohol. Eggs & milk products can be taken. Vegetables also are good. It is not a completely curable condition. Thanks.
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What is the best medicine for diabetes for 15 years child. Present he is using insulin 30/70.

MSc
Dietitian/Nutritionist, Hyderabad
What is the best medicine for diabetes for 15 years child. Present he is using insulin 30/70.
Diabetes is a vast subject and normally one diabetic differs from another. The best thing about diabetes is unlike other ailments this if taken care off can be controlled effectively. Diabetes is a problem which requires lot of self-control. Certain foods and lifestyle changes can show long term results on your health. Depending on the type of diabetes you have, your food habits, age and body type your treatment, insulin counts and monitoring should be scheduled. I can help you with carbohydrate counting to correct insulin techniques and monitoring your sugar levels whatever the need be. Diabetics require personalized care when it's about the diet-plans and activities that are needed to be done. A professional advice in this regard is a must in order to manage diabetes effectively. I hold expertise with diabetics as I am a certified diabetes educator apart from being a consultant dietitian. You can consult me privately online for any advice related to diabetes.
3 people found this helpful
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We received the test report today for my wife of t3 t4 and tsh T3 is 92, t4 is 5.7 and tsh is 7.43. Currently she is taking 25 MCG thyronorm tablets daily. So please suggest your opinion.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
We received the test report today for my wife of t3 t4 and tsh
T3 is 92, t4 is 5.7 and tsh is 7.43. Currently she is ...
Dear Sir Your wife's test report are near normal. Please continue Tab. Thyronorm 25 mcg as suggested by your doctor. As it is deficiency of hormone so thyroxine is necessary to keep it in balance. Don't worry at all as it doesn't have any side effects. But please do check Thyroid profile once in 3 month to titrate your medicine.
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I am suffering from hypothyroidism. I need to know what kind of food I should avoid or is there any proper diet chart to treat hypothyroidism?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am suffering from hypothyroidism. I need to know what kind of food I should avoid or is there any proper diet chart...
Avoid foods with artificial colours flavours and preservatives. Have plenty of fresh fruits and vegetables. Have early dinner. Avoid constipation.
1 person found this helpful
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MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Vadodara
If you have diabetes, make sure you take care of your mouth. People with diabetes are at risk for mouth infections, especially periodontal (gum) disease. Periodontal disease can damage the gum and bone that hold your teeth in place and may lead to painful chewing problems. Some people with serious gum disease lose their teeth.
31 people found this helpful

Will honey and lemon with warm water will lead to diabetes if taken for a long time .as my parents are diabetic. Will I be a diabetic if I have this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Davanagere
Will honey and lemon with warm water will lead to diabetes if taken for a long time .as my parents are diabetic. Will...
Dear lybrate-user. In ayurveda madhudaka like one concept is there. Our achara explained take 1 part on water boil up to water reduce up to half of the quantity, allow to cool then mix honey in that then drink. This mixture will call madhudaka. This will even clot in the brain. Good for obesity, diabetics etc. Scientifically spiking after boiling water alone hardness of the water will reduce. Honey acts as a catalyst for all the medicine and food. So, kapha vilayana will takes place so this madhudaka helps for treat diabetics. It will not cause diabetics. But if heat honey or if you add honey in hot water that will convert into toxins. In ayurveda says virudda ahara means virudda ahara will cause toxines,
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I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under control. Lately I am developing cramps in my hand finger tips which aggravated in sleeping position. What is this problem called and how can this be treated.

Basic Life Support (B.L.S), Doctor of Medicine
General Physician,
I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under contro...
Can't say for sure but could be due to neuropathy due to diabetes or any other cause. Kindly elaborate on your symptoms. Include vit b12 rich food in your diet. (like meat fish) or take over the counter available suppliments. Include exercise in your routine. Focusing on your back also. But never involving too much bending and lifting weights together. These are few things coming to my mind with your limited history. You can get back to me if you want more information on d same.
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My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is having sugar and bp.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is...
Hello lybrate-user. Sorry about your father's eye problem. Diabetes and blood pressure are disorders of the blood vessels. They tend to affect most of the organs in the body including the eyes. In the eye, diabetes/ blood pressure may lead to bursting of blood vessels and subsequent bleeding into the eye. This would in turn reduce the vision of the eye. In some cases, it could be improved by surgery or injection in the eye whereas in other cases, it would be irreversible. Thus, the best guide would be a retina specialist. Take the opinion and follow the advice given by the retina specialist. Feel free to contact me for further assistance. Hope my suggestions helped you. Take care-
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I have uric acid count up to 6.6 ml . And my left leg thigh numbness has increased and acute back pain and leg pain . I'm on few medications , but is there anything I still can do ?

BHMS
Homeopath, Chennai
I have uric acid count up to 6.6 ml . And my left leg thigh numbness has increased and acute back pain and leg pain ....
Your body produces uric acid when it breaks down purines — substances that are found naturally in your body, as well as in certain foods, such as steak, organ meats and seafood. Other foods also promote higher levels of uric acid, such as alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose). Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. But sometimes your body either produces too much uric acid or your kidneys excrete too little uric acid. When this happens, uric acid can build up, forming sharp, needle-like urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling, called Gout. Homoeopathy offers permanent cure for such tendency since it is the susceptibility which makes one more prone for high uric acid while under same circumstances other people are normal . Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). Normal values will vary from laboratory to laboratory. Also important to blood uric acid levels are purines.
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I was being treated with combination of metformin, pioglitazone and other drugs since 15 yrs. My HBA1c, Fasting, PP was normal in the last month. But for some other reason I had to change my doctor. And he stooped all the previous drugs and started OXRA 10 with metformin. Noe my Fasting, PP level are increasing every week. It is now 230, 270. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was being treated with combination of metformin, pioglitazone and other drugs since 15 yrs. My HBA1c, Fasting, PP w...
Mr. lybrate-user, Thanks for the query. The glucose levels mentioned are definitely high. It appears that present (new) treatment is not suiting you. Since no details are mentioned in terms of drugs and dosage, it is difficult to comment. If the previous treatment was giving good results with better glucose control, what was the reason for changing? You should tell the doctor that you were better of with earlier treatment and hence, he should revert you to that. Find out what he says. Or else if you want my advise and treatment please come back with following details: current fasting and PP, glucose levels, HbA1c%, drugs being taken with dosage, dietary pattern and extent of daily exercise. Based on those I will be able to give specific guidance or even shift you to earlier treatment. Choice is yours. Thanks.
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My mother has high blood sugar and take 1 metformin tab IP 500 mg daily, tips for her to control blood sugar and maintain healthy life style.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother has high blood sugar and take 1 metformin tab IP 500 mg daily, tips for her to control blood sugar and main...
Mr. Lybrate-user, to control diabetes mellitus she has to do following things: 1) taking her medications regularly, try and maintain her fasting sugar around 100 mg, pp 150 to 160 mg and hba1c%<7.2) take a balanced diet, that provides exact calories based on ideal body weight, 54 kgs) and blood sugar levels. 3) exercise daily for at least 1 hour, brisk walking is a good option, 4) avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat milk products, 5) consume good deal of green leafy vegetables and salads and permitted fruits (100 g a day), 6) no alcohol and smoking. This is basically the modified lifestyle.
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Can Jaggery be consumed by type II diabetic patients. If yes specify quantity per day intake along with time of the day for its consumption to reap maximum benefits. please tell me

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can Jaggery be consumed by type II diabetic patients. If yes specify quantity per day intake along with time of the d...
Hello, thanks for the query. Jaggery is same as sugar. Both are made from sugar cane and contain sucrose. So both are bad in diabetes. Thanks.
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