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Dr. Sunil Singhvi

Endocrinologist, Chennai

Dr. Sunil Singhvi Endocrinologist, Chennai
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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. Sunil Singhvi
Dr. Sunil Singhvi is a renowned Endocrinologist in Ambikapuram, Chennai. He is currently associated with Singhvi Health Care in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Sunil Singhvi on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 31 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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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

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My mother cholesterol is increase so we have to go which doctor and her age is 51 and she also diabetes patience BT not more it's ok.

BHMS
Homeopath,
My mother cholesterol is increase so we have to go which doctor and her age is 51 and she also diabetes patience BT n...
Dear lybrate user, give your mother homoeopathic mother tincture fucus vesiculosus q, 30 drops, thrice daily, after meals, in a cup of water to decrease her cholesterol level.
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I am having hypothyroid, can I eat fruits and veggies rich in protein for maintaining my weight?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am having hypothyroid, can I eat fruits and veggies rich in protein for maintaining my weight?
lybrate-user, You must be aware about which of the vegetables to be avoided in hypothyroidism. Leaving those you can consume all others in good quantity. But vegetables hardly give any proteins, they provide vitamins and few minerals. Best source of protein would be eggs, fish, dressed chicken, if you are taking, otherwise pulses and milk. So beans are to be avoided. Thanks.
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My sugar level fasting is 240 .What should be my meal plans?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician,
Fasting 240 is quite high. Get done fbs and pp2bs level on same day and also hba1c value and revert back. R u taking any medicines for diabetes? if yes, which and since his long and previous fbs pp2bs and hba1c values? blood. Pressure level? cholesterol? revert back with all these.
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Dear sir I am a 33 year old male (90kg 170cm).My fasting glucose level came 110 mg/dl & pp glucose level came 209 mg/dl, also my serum uric acid came 9 mg/dl please advice.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.
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My mother's age is 50 years. She had diabetes from last 3 years, she is using glycomet 500 mg daily twice morning one and evening one. Her latest blood sugar test results are: fasting Blood sugar : 90 mg post lunch Blood sugar: 150 mg. She had rice in the morning and after 4 hours we have taken post lunch sample, without taking any tablet. Without tablet her post lunch sugar level is normal, means we can stop to take tablets? Is her sugar levels come to normal?

PGD Maternal Child Health, MBBS
General Physician, Akola
My mother's age is 50 years. She had diabetes from last 3 years, she is using glycomet 500 mg daily twice morning one...
Do it after 2-3 days without medicine and see again. If it comes normal do it again after a week and if consistently both the samples, fasting and post meal remain normal, then stop medicine but continue dietary restrictions and exercises. Afterwards do monthly follow up checks and act as per reports.
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I am 42 year old man and I am having diabetes since 2 years ago but last 4 months I am suffering pain in my teeth its a quite low pain but shall I go for dental surgery.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I am 42 year old man and I am having diabetes since 2 years ago but last 4 months I am suffering pain in my teeth its...
How is your sugar control. You can definitely go ahead with your surgery provided the sugar control is good. You have to understand that everything is inter related. Bad sugars lead to bad teeth (infection) and bad teeth can lead to bad sugars so check your hba1c and fasting sugars.
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Sir diabetes ke sath jeene bale byakti ke jivan me kya medical problem aati hai yadi bo apna glucose level sahi nahi rakhe sath hi batay ki high glucose level and low glucose level in blood ka body per kya effect hota hai.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
Sir diabetes ke sath jeene bale byakti ke jivan me kya medical problem aati hai yadi bo apna glucose level sahi nahi ...
Diabetes affects all body systems ,if blood glucose level not in control then chances of diabetes complications increases more rapidly
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My father went through a test B.M.D[DEXA] [LUMBER SPINE], his LUMBER spine T-Score is -2.3, Result is OSTEOPENIA, His Vitamin D test (Method: CLIA, SAMPLE: Serum) score is 39.40. His age is 77, He is also a diabetic patient since 20 years. So please advise me treatment for his problem .

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father went through a test B.M.D[DEXA] [LUMBER SPINE], his LUMBER spine T-Score is -2.3, Result is OSTEOPENIA, His...
Mr. lybrate-user, At 77 years, it is difficult correct osteopenia. He can be put on Vitamin D 3 and Calcium supplements, plus some regular exercise. Brisk walking is an ideal one. A healthy lifestyle benefits osteopenia patient very effectively. Diet containing dairy products, like cheese, curds, milk is useful. Plus consuming green vegetables also helps. Most important is to keep active. Thanks.
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My mom is 44 years old she has teeth from 10 days it eint cure so doctor told to do test of diabetes after test she is having 190 sugar fbs please let me know permanently solution for diabetes. Soon.

MBBS
General Physician, Cuttack
My mom is 44 years old she has teeth from 10 days it eint cure so doctor told to do test of diabetes after test she i...
1. Do regular aerobic exercise for 1 hour daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, 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, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, 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 sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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Is tender coconut good for diabetic patient? Which vegetables and fruits should be avoided in diabetes.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Is tender coconut good for diabetic patient? Which vegetables and fruits should be avoided in diabetes.
For Diabetes avoid/ reduce fruits with high Glycemic Load like Mango, Banana, Dates, Grapes and Raisins. You can have Guava, Watermelon, Mausambi, Orange, Papaya. Completely avoid ALL fruit juices whether home made or packed. Vegetables are good, except potatoes.
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I am 19 year old male I have got diabetes last month fasting 138 after 172 what shall I do how to control I also take zita met in morning after breakfast please give me details that how I should control and what to eat daily.

BHMS
Homeopath, Gurgaon
You should incorporate physical exercise in your routine. Also take care that your weight should be within normal limits. Increase intake of fiber in your diet in terms of fresh fruits and vegetables and whole grains.
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I have undergone blood sugar test and fbs is 190 and my. Ppbs showing 223 mg/dl. My age is 24 year. What would be the treatment option. And my parents are diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have undergone blood sugar test and fbs is 190 and my. Ppbs showing 223 mg/dl. My age is 24 year. What would be the...
Your blood sugar levels clearly show that you have developed t2dm, at a much earlier age. It would be better if you start treatment with insulin for first few months and control it better, later you can be shifted on to oral anti diabetics. The reason I am saying this is the glucotoxicity that harms the beta cells of pancreas can be better controlled and there is good possibility that beta cell activity revives rapidly with this treatment. Later insulin can be withdrawn and oral drugs can be substituted. Because of your younger age you have to be very careful in getting the sugar levels in good control. For any help you are welcome to ask me.
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Hi. My mother, 60years old with thyroid and borderline diabetes has nail fungus. First it developed in one finger, which changed the texture of the nail. And now it is in the thumb. Wht is the solution for this problem (any medicine that can be used) and can it spread to other nails too. Are there any precautions that should be taken pls help.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hi. My mother, 60years old with thyroid and borderline diabetes has nail fungus. First it developed in one finger, wh...
first diabetic control is needed alongwith thyroid control terbinafine ointment and drug is available for its treatment to be taken under doctor supervision
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I am 48 years old. I under went bypass surgery last December 2013. I am a diabetic. I am using glucomet SR 500, concor 2.5, and Toneact 10 daily. Now, for the past 20 days, I have conticipation problem. Pl advice me

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Take gandharva haritaki an ayurveda medicine in tablet form at night 2 tablets with warm water. Also take a glass of milk at night every day.
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I am 40 yrs old. My height is 163cm and weighs 80 kgs. I find my sugar level high in my blood tests. But some times when I check its normal. I do have very less physical activity. Please advice.

PG Hom, London, BHMS
Homeopath, Mumbai
Hi, in order to be sure that you dont have diabetes, you can get yourself checked for hba1c test. This test gives the readings of blood sugar levels of the past three months. With this test, you can be sure of whether you do or dont have diabetes.
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My mother (57+ yrs) is under treatment for Hypothyroid (Eltroxin 50 mcg), Hypertension (Olmezest 20 mg) & Osteoarthritis of knee joints (stage-2). Around 7-8 months back, she was diagnosed with mild anemia (Hb 10.6), which got corrected (Hb 12.4) after 2-3 months usage of 'Orofer XT' Around a week back, all of a sudden, she seems to feel lot of gas & indigestion & had to pass motion 15-16 times, out of which last 3-4 times are loose, while rest are normal. She also had stomach pain (around naval chord), which gets relieved after passing motion. This motion got stopped after taking couple of 'Lopamide' tablets in the evening. She was also seen by a medicine doctor on the same day, who had prescribed the following medicines - 1) Citran CT - twice daily for 5-days 2) Vigilac - twice daily for 10-days 3) PAN-D - empty stomach for 5-days. The antibiotic was stopped couple of days back, but she seems to have stomach pain & loose motion (3-times) yesterday evening. Also, she feels gas is not reduced much & she does not have appetite along with weakness. When we talked to the doctor over phone, he advised to continue PAN-D for 2 more weeks & nothing else. Are we on the right track of treatment ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sultanpur
My mother (57+ yrs) is under treatment for Hypothyroid (Eltroxin 50 mcg), Hypertension (Olmezest 20 mg) & Osteoarthri...
Dear sir, please continue the medicine as advised, try to give bael fruit or its churna 10 gms daily. Tell response to guide further. Also try to give pure water.
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Hello Doctor, I'm 25. My father has diabetes and his father had too. What should I do to avoid getting diabetes? Please advice.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hello Doctor,
 I'm 25.
My father has diabetes and his father had too.
What should I do to avoid getting diabetes? Ple...
Hye. Thanks for the query. You need to maintain a healthy lifestyle and healthy weight. A healthy lifestyle involves, choosing a balanced diet and healthy eating plan. A healthy eating plan: Emphasizes fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products Includes lean meats, poultry, fish, beans, eggs, and nuts Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars Stays within your daily calorie needs A healthy eating plan that helps you manage your weight includes a variety of foods you may not have considered. If" healthy eating" makes you think about the foods you can't have, try refocusing on all the new foods you can eat—  Fruits ― don't think just apples or bananas. All fresh fruits are great choices. Be sure to try some" exotic" fruits, too. How about a mango? Or a juicy pineapple or kiwi fruit! When your favorite fresh fruits aren't in season, try a dried variety of a fresh fruit you enjoy. One caution about canned fruits is that they may contain added sugars or syrups. Vegetables ― try something new. You may find that you love grilled vegetables or steamed vegetables with an herb you haven't tried like basil/tulsi. You can sauté (panfry) vegetables in a non-stick pan with a small amount of cooking oil. Commit to going to the green grocery and trying a new vegetable each week. Calcium-rich foods ― you may automatically think of a glass of low-fat or fat-free milk when someone says" eat more dairy products. But what about low-fat and fat-free yogurts without added sugars? These can be had in a wide variety of flavors and can be a great dessert substitute for those with a sweet tooth. A new twist on an old favorite ― if your favorite recipe calls for frying fish or breaded chicken, try healthier variations using baking or grilling. Maybe even try a recipe that uses paneer or soya nuggets in place of higher-fat meats. Healthy eating is all about balance. You can enjoy your favorite foods even if they are high in calories, fat or added sugars. The key is eating them only once in a while, and balancing them out with healthier foods and more physical activity. Some general tips for comfort foods: Eat them less often. If you normally eat these foods every day, cut back to once a week or once a month. You'll be cutting your calories because you're not having the food as often. Eat smaller amounts. If your favorite higher-calorie food is a chocolate bar, have a smaller size or only half a bar. Try a lower-calorie version. Use lower-calorie ingredients or prepare food differently. For example, if your kheer recipe uses whole milk, ghee, whole fat cream try remaking it with non-fat milk, less ghee, light cream. Just remember to not increase your portion size. The point is, you can figure out how to include almost any food in your healthy eating plan in a way that still helps you lose weight or maintain a healthy weight.
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My wife, 66 years, suffered a intracerebral brain hemorrhage stroke more than a year ago. She is not under any medication for this other than her regular drugs for diabetics and hypertension. She still feels numbness around her right cheeks and continues to feel bitter taste in her saliva. Is this a common phenomena as some doctors say? Is there any medicine that can help to improve without much side effects? (She is too sensitive to most of the common medications.)

MD - Ayurveda, Fellowship in Cardiac Rehabilitation, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yoga Instructors Certificate
Ayurveda, Bangalore
My wife, 66 years, suffered a intracerebral brain hemorrhage stroke more than a year ago. She is not under any medica...
Hello. She may feel like that. Use 1 pince of Paccha Karpura (you will get in grocery shop) added in 200 ml of water for gargling twice daily. It'll help her.
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