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Dr. T P Karkandu

Endocrinologist, Chennai

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Dr. T P Karkandu Endocrinologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. T P Karkandu
Dr. T P Karkandu is a popular Endocrinologist in Medavakkam, Chennai. He is currently associated with K M Hospital in Medavakkam, Chennai. You can book an instant appointment online with Dr. T P Karkandu 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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K M Hospital

64, Medavakkam Tank Road, Kailpauk, Land Mark: Near HDFC Bank, ChennaiChennai Get Directions
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K.M.Hospitals

#64, Medavakam Tank Road, Kilpauk, chennaiChennai Get Directions
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K M Hospital

64, Medavakkam Tank Road, Kailpauk, Land Mark: Near HDFC Bank.Chennai Get Directions
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I suffer from thyroid and I am Over weight. Can you please suggest me to reduce it. Please.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I suffer from thyroid and I am Over weight. Can you please suggest me to reduce it. Please.
Losing weight and keeping it off, is not an easy task and often we are frustrated by failed attempts at doing so. The cause of such failure, mostly, is not making the attempt in a comprehensive and disciplined manner. A comprehensive lifestyle modification program for weight loss not only helps you lose weight but also leads to significant betterment of blood sugar, lipids, bp levels etc. And thus reduces your health risks of diabetes and cvd but also make you feel more in control of your life. Therefore, if you have not been able to lose weight on your own, should consider getting into one of these. The components of such a program should be the following: diet modification and calorie restriction: the diet plan you should follow should be driven by the following principles: it should be aligned to your eating preferences in terms of food and frequency of eating, as much as possible ; no diet plan (low fat or low carb, 4-5 meals a day or more or less frequent meals etc.) has been prov.
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The swelling come in my legs sugar level after meal 193 and age 46 years suggest me.

PDDM, MHA, MBBS
General Physician, Nashik
Please get your blood pressure checked and revert back to me for further assistance. Dr. Surbhi agrawal consultant physician and diabetologist
1 person found this helpful
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I am a diabetic since last 20 years and on insulin since last 10 years. Currently, I am taking gluconorm g4 forte - 2 tabs bl & bd, trajenta duo 2. 5/850 2 times, ecosipirin 75 mg 2 times, novorapid insulin 15 units bl and envas 5 mg 2 times daily. Please tell me what is the function of trajenta duo. Is it necessary for me to take this drug and what will happen if I do not take it?

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , what is your age? what is your fasting blood sugar and hba1c levels? what is your bp? have you done any other tests like urine test or other blood reports? first you must understand what drugs you are taking gluconorm g 4 forte has glimepiride 4 mg plus metformin 1g trajenta duo has liragliptin 2. 5 mg and metformin 850 mg.
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Respected sir/madam. I am suffering from gastric, acidity from last 6 months. I am using "zinetac 150 mg & DSR cap. Pls suggest me for best medicine.

MBBS
General Physician, Cuttack
Respected sir/madam. I am suffering from gastric, acidity from last 6 months. I am using "zinetac 150 mg & DSR cap. P...
Continue medicine and along with it follow the advice given below 1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2.Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4.Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation.
1 person found this helpful
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Treating Diabetes With Homeopathy - Is It Possible?

BHMS
Homeopath, Navi Mumbai
Treating Diabetes With Homeopathy - Is It Possible?

Diabetes mellitus is a chronic condition wherein the body doesn’t metabolise sugar properly. Insulin, a hormone produced by the pancreas, is responsible for carrying the sugar or glucose, from the bloodstream to the individual cells. When the pancreas fails to produce insulin, glucose builds up in your bloodstream and enters your urine.

Homeopathy focuses on the overall health of the individual. Homeopathic medicines for diabetes include:
1. Abroma Augusta: This homeopathic medicine is best for diabetics who have weak muscles, increased appetites and frequent urination.
2. Phosphorus: If symptoms include weak vision, Phosphorus is the best remedy for it.
3. Syzygium Jambolanum: This is one of the best homeopathic remedies for diabetes mellitus. It acts efficiently and promptly in lowering sugar levels.
4. Phosphoric acid: If you feel exhausted or weak all the time, either physically or mentally, then Phosphoric acid is beneficial. Weak memory, forgetfulness and numb feet are also treated with Phosphoric acid.
5. Gymnema Sylvestre: Sometimes, diabetics drastically lose weight and have low energy levels. Gymnema Sylvestre is an excellent remedy for such symptoms.

Sometimes one or more homeopathic medicines may be combined to treat symptoms. Some common combinations include:
1. Lachesis, Arnica, Belladonna and Phosphorus are combined in a treatment to treat retinopathy, which is damage to the eyes caused by diabetes.
2. Serum Anguillae, Arsenic Album and Lycopodium are used together to treat kidney damage (nephropathy) in diabetics.
3. Helonias, Sulphur and Phosphoric acid are taken to deal with neuropathy or nerve problems such as numbness in feet and hands.
4. Syzygium Jambolanum is combined with Secale Cornutum to treat skin ulcers, which is a common problem among diabetics.
5. For people suffering from constipation due to diabetes, Natrum Sulph, Defloratum and Carlsbad are the best medicines.
6. To improve weak memory, Phosphoric acid, Nux Vom and Kali Phos are the best remedies for diabetics.
7. Sometimes diabetics complain of extreme, incapacitating weakness. To improve energy and boost overall health, Carbo Veg, Phosphoric acid, Phosphorus and Arsenic Album are recommended.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4962 people found this helpful

I am a diabetic patient for the last 10 years & Thyroid last 25 years. My HBA1C at Present is 7.5 and TSH is 34. TS3 & TS4 are within the table. I am taking Thyronorm 100 mcg EVERY DAY MORNING. PRIOR TO 1.5 MONTHS I WAS USING THYROCAB 75 mcg also at night times. Since TSH was 12 that time, doctor told me not to have thyroid tablets night time. But Now TSH IS 34. KINDLY ADVISE. REGARDS

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am a diabetic patient for the last 10 years & Thyroid last 25 years. My HBA1C at Present is 7.5 and TSH is 34. TS3 ...
Lybrate-user, Thanks for the query. For a diabetic person it is essential to achieve a strict blood glucose control. That means fasting blood glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <7. That too considering your age HbA1c% should be <7. As regards TSH, in a well controlled hypothyroidism patient TSH should be around 3 to 4 mU/L, then only one will be free from all the symptoms of thatcondition. If TSH is 34 mU/L, means current dosage is not adequate. It has to be increased. Thanks.
2 people found this helpful
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Hypercalcemia - Can It Cause Nephrogenic Diabetes?

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Hypercalcemia - Can It Cause Nephrogenic Diabetes?

For many people, “diabetes” often be known as just Type I or Type II diabetes. You will be surprised, but there are several forms of diabetes. We have Diabetes mellitus and there is Diabetes insipidus. This type of diabetes is actually a hormonal disorder that directly affects the kidneys.

The signs and symptoms of diabetes mellitus and diabetes insipidus are the same they cause increased thirst that is almost insatiable. The person tends to always feel thirsty and will urinate much more than usual.
Diabetes insipidus or DI is a fairly uncommon disorder, and it does require proper treatment. Therefore, it is better to have an understanding of the problem and discuss the best possible treatment options.

Diabetes Insipidus explained
The kidneys are the filtering system of the body. One of the things that they filter is the extra fluid in the bloodstream. When there is too much water, it gets stored in the bladder and becomes urine. When the kidneys are working normally, the amount of urine that is created will rise or fall depending on the fluid levels that are present in the body.

When diabetes insipidus is present, this control is skewed. What happens now is that the hormones-mainly Vasopressin produced by the brain and controlled by the pituitary gland- that tell the kidneys to remove the extra fluids malfunction. Vasopressin thus acts as an anti-diuretic. Or sometimes, the kidneys don’t respond to the hormonal signals. At other times, there is a change in the amount of Vasopressin.

Types of Diabetes Insipidus
There are four main types of Diabetes Insipidus, amongst these, the central diabetes insipidus is perhaps the commonest and in this the Vasopressin regulation system malfunctions. This causes the kidneys to think that there is too much water in the body and they in turn, continually pull out fluids from the bloodstream and turn it into urine. A patient can sometimes end up urinating 20 litres of urine per day. The second important type of Diabetes Insipidus is Nephrogenic Diabetes Insipidus.

What causes Nephrogenic Diabetes Insipidus?
In Nephrogenic diabetes insipidus, the kidneys are unable to understand what the hormone levels within the body happen to be.
So, there is a breakdown in hormonal communication between the pituitary and kidneys with the pituitary gland producing the right levels of Vasopressin that are required, but the kidneys are unable to absorb the water from the bloodstream as and when requested. This defect typically happens within the tubules of the kidneys.

The most common reasons for nephrogenic diabetes insipidus to occur are

  • Long-term medication use, especially with lithium. People on lithium medication have a 40% chance of developing this form of DI. Long-term antibiotic use with demeclocycline can also increase risk for nephrogenic diabetes insipidus. 
  • Like central diabetes insipidus, nephrogenic diabetes insipidus can also be caused by genetic factors. The symptoms of this DI can be present at birth or may develop slowly throughout childhood.
  • The third reason for nephrogenic diabetes insipidus is hypercalcemia. This means there is too much calcium in the blood.
  • Calcium is problematic for the kidneys and too much of it may cause them to stop responding to the fluctuating vasopressin hormone levels.

Hypercalcemia explained
In hypercalcemia, the level of calcium in the blood is too high and this causes no disturbing symptoms other than nausea, thirst, digestive problems. If left untreated, hypercalcemia can cause confusion and coma.

  1. Hyperparathyroidism: It is one of the reasons behind hypercalcemia. In this, one or more of the four parathyroid glands secrete too much parathyroid hormone which helps control the amount of calcium in blood.
  2. Diet: Eating too much calcium in the diet is another common reason for hypercalcemia.
  3. Too much vitamin D intake: If you take very high daily doses of vitamin D over several months, the amount of calcium absorbed from the digestive tract increases substantially and can lead to hypercalcemia.
  4. Other reasons: Other common bone disorders like Piaget disease where too much calcium is removed from bones and cancer.

Treatment of Nephrogenic diabetes insipidus is usually done by a combination of diuretics and NSAID medications. Taking ibuprofen and other OTC painkillers concentrates the urine within the kidneys and relieves excess urination.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2584 people found this helpful

Dear Doctor, I am 46 years old and diabetic. Having E coli in urine analysis with burning while urination, After that levofloxacin have been used and recovered. Now after few days I am having same problem with burning urination. Is any problem to participate in intercourse with wife. It will be attackable to sex partner also. Kindly suggest me how to cure this e coli? Is there any precautionary diet required? With thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Dear Doctor,
I am 46 years old and diabetic. Having E coli in urine analysis with burning while urination, After that...
Generally utis are not transmitted by sexual contact, unless caused by sexually transmitted infections like chlamidia, trichomoniasis etc. You may have to take another course of antibiotics for may 7 to 14 days to get a cure from it. Thanks.
1 person found this helpful
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I Am 56 yrs male. I Had angioplasty on 2009 Nov. stunned 3 No's. Having review checkup every six months. In last check up lipid profile total cholesterol 148. Triglyceride 152. Hdl 36 ldl 87. And sugar value is 102 fasting. Walking 6 km. Five days in a week, minimum. But weight is 90 kg? Please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I Am 56 yrs male. I Had angioplasty on 2009 Nov. stunned 3 No's. Having review checkup every six months. In last chec...
do not worry Change you life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain foods, Use GARLIC in foods daily ,. Cod liver oil. Take anti cholesterol medicines . one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.
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