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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.
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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 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.

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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 suffering frm diabetes for 18 years.i am 48 years. i am taking gluco red forte twice a day. I am suffering from increased heartbeat suddenly or when i do some heavy work... is it normal??

MBBS, CCEBDM
Diabetologist, Bangalore
I am suffering frm diabetes for 18 years.i am 48 years. i am taking gluco red forte twice a day. I am suffering from ...
Hi Common causes of increase in heart rate could be stress, anxiety, exercise, Low blood sugar, intake of alcohol or caffeine and anemia. If in case you notice breathing difficulty, chest pain, giddiness or fainting episodes you need to consult a doctor.
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At present my fasting blood sugar is 86 and HbA1C is 6.3. I consume the the three medicine: 1. Amaryl 1 mg 2. Gluformin XL 1000 mg. 3. PioPod 15. Should I continue this? Plse suggest me.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
At present my fasting blood sugar is 86 and HbA1C is 6.3. I consume the the three medicine:
1. Amaryl 1 mg
2. Gluform...
Dear, your sugars are well controlled with this therapy. Hba1c is also excellently controlled. But I observe that your bmi is slightly higher. In this context piopod 15 may lead to weight gain. Although it's a very good medicine to make insulin act better, weight gain negates it's good effect. You can use other newer drugs with good track records in place of piopod. But if you are comfortable with existing treatment then all the three medicines are available as a single tablet too which can reduce the number of tablets and expenses too. Also amaryl 1 mg may make you feel low on sugar sometimes manifesting as excessive hunger or tremors. So observe sugar levels at home at various different time i. E before lunch, before dinner or randomly at 6 pm. This will help you to detect low sugar if any.
3 people found this helpful
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I am 25 years old. I have lost some hair. To grow hair on that area what I should do now? I have hypothyroid problem.

BHMS
Homeopath, Faridabad
I am 25 years old. I have lost some hair. To grow hair on that area what I should do now? I have hypothyroid problem.
Hi. Let me tell you about hairfall. In layman's language, hairfall can be divided into 2 types - temporary hairfall and permanent which is called 'Hairloss' rather and leads to bald areas of smooth and shiny surface. In temporary hairfall, hair grows back again from the same hair root, but in case of permanent hairloss, because of formation of DHT (Di- Hydro -Testosterone) around hair root it gets choked up which subsequently affects the blood supply to the hair and thus hair root is lost forever. (There are different pattern and types of hairloss, because of different reasons like Alopecia Areata, Telogen Effluvium, Scarring Alopecia, Traction Alopecia, etc.) Causes of hairrloss: Many factors are responsible formation of this DHT or male/ female pattern baldness - hereditary, post-illness/ ailment, post-delivery, post- chemotherapy, nutritional deficiencies, hormaonal imbalance, insufficient sleep, sudden loss of weight, stress/ tensions/ excessive anger any other underlying diseases, etc. Management: Take diet rich in protein like non-veg., eggs, pulses, legumes, sprouts, nuts (sp. walnut and almonds), iron-rich food like green vegetables, also take flaxseeds, green tea, soyabean, fruits, salads, etc. Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200/ twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. (N.B.: With the help of homoeopathic medicines, we can only prevent further progress of the hairloss, means it will get arrests in the present condition in case of progressive baldness. But, in case there are areas of baldness which has gone smooth and shiny, you will have to choose an option of Hair Transplant along with theses medications!).
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Gone through for annual health check up on 22-May-2017 at 11: 30 am in12 hours fasting. I got attached report where fasting sugar is 91 and post breakfast is 81 which seems not be correct. Kindly confirm I has taken cup of Tea and omlet of 2 egg.

Diploma in Endocrinology, M.Sc.- Endo, Diploma in Diabetology
Endocrinologist,
Gone through for annual health check up on 22-May-2017 at 11: 30 am in12 hours fasting. I got attached report where f...
Yes. It may sometimes happen depending upon hours of fasting, activities etc. Don't worry Fasting and PP sugar reports r within normal limits.
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I have hypothyroid problem shall I drink cool water or not please suggest some food habits about it.

MACP, MD - General Medicine, FRCP, MBBS
Endocrinologist, Gurgaon
I have hypothyroid problem shall I drink cool water or not please suggest some food habits about it.
It does not matter what temperature is the water that you drink. I am not a big believer in too many dietary restrictions in hypothyroidism. What is important to take the medicine, regularly first thing in the morning on an empty stomach and do not eat for half an hour after taking the pill. Please get periodic tsh levels done! good luck.
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I'm 50 years old. I have sugar. My foot has a small hole. Which. A Finger can enter. It's not Healing up. I took some tests. "histopathology report" Nature of specimen-biopsy---ulcer foot Gross specimen---wedge of skin in 2 pieces larger measuring 3 cm. Smaller measuring 2.5 cm Diagnosis---biopsy---ulcer foot Serial sections studied show Section of skin with expensive hyperkeratosis and mild acanthosis. Consistent with callosity. No active or chronic inflammation or neoplastic Process. This is my report. Kindly explain. Give a solution based on this report. please reply as soon as possible.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 50 years old. I have sugar. My foot has a small hole. Which. A Finger can enter. It's not Healing up. I took some...
Mr. lybrate-user, A person with long standing diabetes should be vary carefull about injuries to feet and toes. Because of neuropathy and improper blood supply the wounds do not heal. So please see that blood glucose is well under control with fasting closer to 100 mg, PP 160 to 170 mg & HbA1c% <7 As regards the present wound it is necessary to consult a diabetic foot specialist immediately. Thanks.
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I am 19 years old. I get tired easily. Im not able to sleep fell stress depressed. I too feel like diabetes symptoms. I feel very thirsty hunger. I go to washroom many times. Can I gey some solutions on this.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
I am 19 years old. I get tired easily. Im not able to sleep fell stress depressed. I too feel like diabetes symptoms....
Its very unlikely to have diabetes mellitus at your age, still if there is family history of diabetes please get you blood sugar levels checked. The symptoms of frequent urination, thirst and increased appetite along with sleep disturbance and fatuigability also coincide with depression with comorbid anxiety disorder. So if your blood sugars are within normal limits, please consult a mental health expert.
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Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical treatment doctor diagnosis him some tablets. My question is when he took Telvas 40 tablet he feel low BP at same moment. What is its side affect after taken this tablet?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical...
unless bp below 100 /80 mm hg no worry also if nò chakkar giddiness vertigo no need to worry but with above complaìnts or if no is less than 100 / 60 mm. in this case reduce dose of telvas to 20 mg.and give some fruit juìce alone and make him lie down till ok.
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Hello I am 49 Running, Past 2-3-4 year I am suffering the pain after meal . Even after breakfast also. I am not suffering with BP or diabetic or any other major or critical problem. Pls advice

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Hello I am 49 Running, Past 2-3-4 year I am suffering the pain after meal .
Even after breakfast also. I am not suffe...
If the pain is in you abdomen, you might be suffering from gastritis or gastric ulcer. It is advisable to consult a doctor. 1. Have small frequent meals at regular intervals instead of 3-4 large ones. Have protein rich snacks like lassi/buttermilk/curd/dhokla/khandvi/steamed chicken momo/whole egg/besan chila in between main meals. 2. Drink 3 litres water daily but not with meal. 3. Avoid having tea, coffee, cold drinks, alcohol, smoking, tobacco, painkillers, fried or spicy food.
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Hi, Does ghee lead to accumulation of fat? Can a thyroid patient consume ghee without any side effects?

BHMS
Homeopath, Secunderabad
You have to view things in a holistic way to understand the concept. If you are not active physically and have a familial background of cardiac problems , then is important to be health conscious and avoid fats in excess. A small amount is harmless . Therefore be active ( exercise every day, learn yoga and pranayam etc ) and eat only healthy food ( include fruits and vegetables everyday ) and burn your calories. Ensure to maintain an ideal weight. One should also go for regular health check up at least once a year.
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Hi doc, I am age 35 years at 28 years of age I got diabetes from then it' s under control but very frequently I have infection on my penis skin and it' s troubling my life what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
You have to control diabetes first and then have to get the infection checked as we may have to think of phimosis or balanitis.
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My 25 years sister has recently gaining 2-3 KGs unnecessarily. Mostly around the belly and the waistline. She has very active and healthy lifestyle. No recent changes in diet or lifestyle or anything. She did test for thyroid profile. Here are the results: 1. T3 (Tri-iodithyroxine), Serum - 95 ng/DL (Reference range: 70-149) 2. T4 (Thyroxine), Serum - 6.16 ug/DL (Reference range: 4.5-12.0) 3. TSH (Ultrasensitive), Serum - 0.546 uIU/ml (Reference range: 0.49-4.67) How do these results look? What could be the reason of increasing fat belly and weight? Please help. Thanks.

Vaidya Visharad
Sexologist, Narnaul
My 25 years sister has recently gaining 2-3 KGs unnecessarily. Mostly around the belly and the waistline. She has ver...
Water And Citrus Juices •Make sure that you consume at least 10 to 12 glasses of pure water every day. •You can also replace one or two glasses of water with citrus fruit juices like lemon juice or orange juice to provide you the natural vitamins that help in losing weight. •Water will help you to flush out the toxins in your body.
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Diabetes: At A Glance

MD - Medicine, MBBS
General Physician, Gurgaon
Diabetes: At A Glance

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called Hypoglycemia and if the blood sugar levels are too high, it is called Hyperglycemia. Both are extremely harmful for a patient.

Type 1 and Type 2 and Gestational Diabetes:

Type 1

In Type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have Type 1 diabetes. Patients with Type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from Type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational Diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of Diabetes

  1. Frequent urination
  2. Extreme hunger or thirst
  3. Weight loss
  4. Problems with vision
  5. Tingling or numbness of the extremities.
  6. Unexplained fatigue
  7. Dry skin
  8. Cuts or sores that heal slowly
  9. High number of infections

Who is at greatest risk for developing diabetes?

People who:

  1. are 45 or over
  2. are overweight
  3. are habitually physically inactive
  4. have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
  5. have a family history of diabetes
  6. are members of certain ethnic groups (including Asian American, African American, Hispanic American, and Native American)
  7. have had gestational diabetes or have given birth to a child weighing more than 9 pounds
  8. have elevated blood pressure
  9. have an HDL cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
  10. have polycystic ovary syndrome
  11. have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing Type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

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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.
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My mother aged 60+ suffering from thyroid since 2years ago her (t3) 89,(t4) 8. 1& (tsh) is9. 85. Now she is taking thyroxine 100mg. Your advice for medicine & diet.

PDDM, MHA, MBBS
General Physician, Nashik
She must be taking thyroxine 100 mcg. Please consult further for detailed management. Dr surbhi agrawal consultant physician and diabetologist
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My age is 27 sugar fasting 115 Pp 136 doctor told me to take melmet 500 mg tablet for two months can I stop the tablet after two months pls advice.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
My age is 27 sugar fasting 115 Pp 136 doctor told me to take melmet 500 mg tablet for two months can I stop the table...
You are at risk of developing diabetes. Exercise and healthy eating habits are much more effective than medicine to prevent diabetes. Yes you can stop tablets.
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Hi I am diabetic, my sugar level stays between 275 to 400, can you please advise a homeopathic solution, don't want to resort to allopath as they are not very effective. I have started exercises already.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take following medicine:- Dr. Reckeweg's r - 40 / 10 drops in little water thrice a day for one month. Regular exercise at least half an hour in the morning and half an hour at evening. Revert back after one month with feedback. Best wishes.
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I am suffering from pain in my lower legs. Blood test shows less of vitamin D and excess of Uric acid and LDL cholesterol. Although I have started medicines yet I do not know exact reason of it. I am 70 year old retired person with 153 cm height and 90 kg wt.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from pain in my lower legs. Blood test shows less of vitamin D and excess of Uric acid and LDL cholest...
Mr. lybrate-user, Looking at your weight and height it is clear that you have grade 1 obesity with a BMI of 30.5 kgs/M2. Your ideal body weight should be closer to 65 kgs, hence, carrying an extra weight of 25 kgs. This itself can be a major reason for various problems. Plus if uric acid is hige (above 7 mg/100 ml), then that to may contribute to joint pains. You may have avoid high purine containing foods like red meat, organ meats, certain fishes like sardines, salmon, scallops, herrings, haddock and mushrooms and mussels. Also alcohol and aerated drinks need to be avoided. Thanks.
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I am 46 years old & I am diabetic. My sugar levels is 183 (f) 323 (pp). I am taking metformin ip 850 mg 1 tablet each after breakfast, lunch & after dinner. I am also taking gliclazide er tablet 30 mg before meal (one time only). Before taking this I used to take glykind m. When it did not work then my doctor suggested above medecines. Still my sugar is still not in control. Kindly advice me what to do. Kindly suggest better medecine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Looking at the details I suggest you should shift to long acting basal analogue insulin like injection basalog, start with 6 units once a day and increase the dose based on daily blood sugar levels. You will have to do self monitoring of sugar levels. One of the oral medications namely metformin with glimepiride to be continued.
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