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Dr. T P Karkandu

Endocrinologist, Chennai

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Dr. T P Karkandu Endocrinologist, Chennai
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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 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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64, Medavakkam Tank Road, Kailpauk, Land Mark: Near HDFC Bank, ChennaiChennai Get Directions
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#64, Medavakam Tank Road, Kilpauk, chennaiChennai Get Directions
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64, Medavakkam Tank Road, Kailpauk, Land Mark: Near HDFC Bank.Chennai Get Directions
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I am suffering a long time from gas, acidity, vomiting and dizziness. After testing found fatty lever, high triglyceride, and high uric acid. I am working in computer minimum 8 hours per day. I also feel senseless little finger in both hands. Please suggest how to control these problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering a long time from gas, acidity, vomiting and dizziness. After testing found fatty lever, high triglycer...
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.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.
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I am diagnosed with type2 diabetes. Hba1c 8. 3. Doctor prescribed janumet, twice a day. After 3 months, my hba1c came to 5. 8. I stopped all tabs and exercised regularly with diet control. After 3 months my hba1c is 6. 9. Shall I continue without tablet. I want to control diab without tab. Is it ok with this hba1c

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , yes, your blood sugar levels are ok at present and it is because of your exercise and diet. However this may also be what we call as a" honeymoon" period and your diabetes may bounce back. Do keep a regular check on your sugar levels. For the time being you may discontinue the tabs.
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I am diabetic patient ,taking medicine since last seven month, one tablet before in morning after break fast and one tab. After dinner. ( Glyciphage 500 mg) my fasting suger after this medice remain 112-125 & PP 140 to 160. Please give your advice/ suggestion regarding my existime medicene.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear do you know the allopathy medicine will give side effect on your Kidney . So try to use the best Ayurvedic Medicine . You call me so that I will prescribe suitable Ayurvedic Medicine .Ok
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Type 2 diabetes and Exercise :

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
Type 2 diabetes and Exercise :
Type 2 dm is a preventable disease, when a person with a positive family history adapts a modified life style - exercising more than 1 hour every day, taking a balanced diet, avoiding excess fats (particularly deep fried foods) and maintaining weight nearer ideal body weight, there is every possibility of either preventing or postponing the onset of t2dm.
Similarly a person with t2dm should also follow a regimen of regular exercise to burn extra calories, make insulin work better and prevent adding additional weight to already existing. Regular exercise particularly out door activity gives a feeling of well being and freshness. Ideal exercise is brisk walking for at least one hour or if one can jog or run nothing like it. I am myself a t2dm patient but I do jog over 12 to 16 kms evry alternate days. I also run half marathons like scmumbai marathon since last four years, plus kaveri trail marathon at srirangpattan and bangalore marathon. Exercise for half an hour just makes you sweat a bit but does not help in loosing weight.
Hence I would advise all diabetes patients to consider out door exercise as part of their life style.
25 people found this helpful

Hi my age is 35 years and from last 5 years I am facing diabetes problem so pls help me to how to control diabetes.

BHMS
Homeopath,
Hi my age is 35 years and from last 5 years I am facing diabetes problem so pls help me to how to control diabetes.
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines you need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in your diet you should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I had blood test for uric acid and it comes 7.5. Pl suggest how to reduce uric acid level.

MBBS
General Physician, Cuttack
I had blood test for uric acid and it comes 7.5. Pl suggest how to reduce uric acid level.
(normal level are 2.4-6 mg/dl in male and in female and 3.4-7 mg/dl. High uric acid can cause gout, arthritis, kidney stone) 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight 7. Take medicine after consulting physician.
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My sugar is 209 p. P & 126 fasting I am taking zeta 100mg daily, my b. P. Always fluctuing some time 80/140, 90/155 and 110/155 I am taking olmezest 10 mg please Give advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
It appears your bp &diabetes both are not in control. To control sugar add tab k glimpses m 1 once before break fast and for bp add mode 5 mg once a day. Then check your sugar and bp after a wee.
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Managing diabetes. Going for walks regularly. Sometimes missing. There is vision loss, I feel. What do you suggest? I go for regular eye check ups. Am using progressive lenses. How can I prevent / minimise?

DNB Ophtalmology, MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
Managing diabetes. Going for walks regularly. Sometimes missing. There is vision loss, I feel. What do you suggest?
I...
Add meditation n pranayam to your routine...Some blur may be associated with a smudge on ur glasses, minor change in power, tear film abnormalities etc. U have already had an eye examination done...n was normal I believe..so just continue with ur healthy living habits.
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One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk
One of the common doubt my diabetic people ask me about drinking whole milk or low fat milk... let me clear the doubt in scientific way..

In fact, there are good reasons to believe that whole milk, full-fat yogurt, cream, and high-fat cheeses may be better for you than their low-fat alternatives.

Reason #1:  Saturated fat is not harmful to your health

Reason #2:  Low-fat and non-fat dairy products are higher in casein

Casein is a very sticky protein in milk that is quite difficult for humans to digest.  Milk proteins are designed to nourish baby cows, who are outfitted with a special enzyme (rennet) that can break apart casein. Humans do not make rennet, which is one of the reasons why dairy products can cause constipation and other digestive problems.

Reason #3:  Low-fat and non-fat dairy products are higher in whey

Whey proteins raise blood insulin levels just as much as pure sugar does.  Even though lactose, the sugar that naturally occurs in milk, has a low “glycemic index” and therefore does not raise blood sugar very much, whey proteins trigger big insulin spikes in body and destabilize blood sugar and hormone levels, lead to carbohydrate cravings, fatigue, mood swings, and obesity.

Reason 4:  High-fat dairy products contain less protein

This means that people who have dairy protein sensitivities may tolerate them better.  People who have trouble with dairy foods are almost always reacting either to milk carbohydrate (lactose intolerance) or milk proteins (dairy allergy and sensitivity), not to dairy fat. This is why many dairy-sensitive individuals are able to eat butter and heavy cream, which are extremely low in protein.

Reason #5:  High-fat dairy products taste better

They improve the flavor, digestibility, and absorption of foods and are more satisfying, therefore you may find yourself naturally eating less.

Bottom line:  The lower the fat content, the higher the protein content

People who consume the most high-fat dairy products, have a 23-percent lower risk of developing type 2 diabetes than people who have one serving or less but there was no association between intake of low-fat dairy products and lowered type 2 diabetes risk.

Keep in mind that, you choose unsweetened varieties, since sugar and other refined carbohydrates raise insulin levels and disturbs blood sugar levels.
And MODERATION is the key for all the food .

Thank you for reading and i Hope it has helped you.

Source: Diabetologia

47 people found this helpful

Can we eat walnut in summers? if diabetic patient then when and how much? thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can we eat walnut in summers? if diabetic patient then when and how much? thanks.
Mr g walnuts are a good source of many nutrients like omega 3 fatty acids, other essential fatty acids, vitamin e, many minerals like manaenese, magnesium, potassium, zinc, calcium, iron & selenium. Many antioxidents and b complex vitamins are also present. 25 g per day should be taken daily which would meet 90% daily requirement of omega 3 fatty acids. They are good for diabetic person.
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I am 30 years old man I am having diabetes. I need solution without putting insulin.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 30 years old man I am having diabetes. I need solution without putting insulin.
Best medicine for diabetes is is insulin in both t1 & t2 dm. However, t2 can be contolled quite well by oral drugs along with strict diet control, weight reduction and regular exercise. If you want any specific medications to suggested please come in a private conversation where I can advise specific drugs.
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My father in law is 73 years old, I am having diabetes 235. Low hemoglobin 6.1. What vegetable diet do you suggest?

PDDM, MHA, MBBS
General Physician, Nashik
My father in law is 73 years old, I am having diabetes 235.  Low hemoglobin 6.1. What  vegetable diet do you suggest?
Consume a low-fat, high-fibre diet helps. Eat lot of fruits, vegetables (at least 4-5 helping a day) along with whole meal, cereals and lentils.
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Infertility - Ayurvedic Remedies are the Solution!

MD - Ayurveda
Ayurveda, Delhi
Infertility - Ayurvedic Remedies are the Solution!

Fertility is a potential for reproduction. In other words, fertility is an ability to have babies or to reproduce. When fertility rate in a community, increases more babies are born. To produce an offspring it depends on age, health and other factors of the woman. When we talk about fertility rates it means the number of births that happen during a certain time period in a specific location. On the other end, lack of ability to reproduce is termed as infertility. There are various treatments to deal with fertility issues and one of the ancient and natural as well as a trusted treatment is Ayurveda.

Causes
Female infertility is caused due to structural problems like blocked fallopian tubes, a defect in cervical canal, uterine fibroids or polyps. Hormonal imbalance leading to ovulation problems too can cause infertility. In males. infertility may have anatomical, psychological, hormonal or lifestyle related causes. The cause of infertility in approximately 20% of couples can't be determined using the currently available methods of investigation. From Ayurvedic perspectives, shukra dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality shukra dhatu can cause infertility in males & females.

Symptoms

Failure to reproduce

Ayurveda For Infertility

Ayurveda is one of the world's oldest holistic healing systems. It is based on the belief that health and wellness depend on a delicate balance between the mind, body and Spirit. The primary focus of Ayurvedic medicine is to promote good health, rather than fight disease. Fertility problems are increasing these days for many young couples. There are many factors which account for this like Lifestyle, delayed marriages, diet, etc. But Ayurveda not only does explain how to increase fertility with herbal supplements, but it also focuses on how to have healthy children.

For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors:

  1. Sperm/Ovum (Seeds)
  2. Uterus (Soil)
  3. Nourishment (Water)
  4. Time for Conception (Timing of Sowing)

Reproductive health, in both men and women, depends on the health of the reproductive tissue or shukra dhatu. In women, shukra creates the ovum as part of the monthly cycle, and in men, the semen is formed due to sexual stimulation. The shukra is created as part of a long chain of metabolic transformations. It starts with the digestion of food, then goes on to the transformation of food to nutrient fluid, blood, muscle, fat, bone, bone marrow, and finally, to shukra tissue. Healthy shukra tissue, then, according to Ayurveda, depends on the health of all the other tissues in the body.

Foods to Nourish All Seven Dhatus (Bringhana)

  1. Fresh, organic fruits and vegetables
  2. Dairy proteins, including milk, lassi, and panir (a fresh cheese made of milk)
  3. Whole grains
  4. Mung dhal
  5. Soaked almonds or soaked walnuts
  6. Dried fruits such as dates, figs, and raisins
  7. Sweet, juicy fruits such as mangoes, peaches, plums, and pears
  8. If your digestion is strong, eat urad dhal (available at Indian grocery stores) cooked with equal parts turmeric, cumin, coriander, and fennel.
  9. A banana cooked in ghee, cinnamon and cardamom is a tasty and wholesome dessert for people with strong digestion.

Foods to Enhance the Reproductive Tissue (Vrishya)

  1. Asparagus
  2. Broccoli
  3. Milk
  4. Date-milk shake
  5. Mango milkshake
  6. Rice pudding

Spices such as ajwain powder, cumin (which purifies the uterus in women and the genitourinary tract in men), turmeric (to improve the interaction between hormones and targeted tissues), and black cumin.
In general, it's important to eat a wide variety of foods in order to receive all the essential nutrients. Keep trying new vegetables and fruits, and rotate your menus to make sure you're not eating the same thing day after day. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.

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What is the reason behind diabetes? And what precautions should be taken to prevent from us?

MBBS
General Physician, Mumbai
What is the reason behind diabetes?
And what precautions should be taken to prevent from us?
Whenever beta cells in the pancreas are damaged than insulin production in the body is hampered and hence blood sugar in the blood rises and hence we get diabetes.
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MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
diabetes is very common in pregnancy....so better avoid excess of sweets, potato and rice
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Is potato eating is safe or excess eating of potato will cause diabetes? What precaution to be taken for not getting diabetes.

MBBS
General Physician,
Is potato eating is safe or excess eating of potato will cause diabetes? What precaution to be taken for not getting ...
Hi librate user, nice to hear from you, to avoid getting diabetes you should keep a watch on your diet, exercise and body weight. If you don't have diabetes in your family, if you are eating healthy food and doing regular exercise and maintaining your weight, there are very little chances you will get diabetes. Regular exercise should include cycling/ swimming/ brisk walking / jogging / any other outdoor sports activity for at least 30-40 minutes per day, 6 days per week. Thank you.
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I am 45 years old. I am diabetic since last one year using metformin hydrochloride-500 glimepiride 2. But not controlling.

BAMS
Ayurveda,
I am 45 years old. I am diabetic since last one year using metformin hydrochloride-500 glimepiride 2. But not control...
We must find cause of your high bsl even after using medicines kindly consult me so that I can suggest you ayurvedic remedies, diet etc.
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What are the symptoms of diabetes and what precaution should we keep to escape from it.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
What are the symptoms of diabetes and what precaution should we keep to escape from it.
Hello, You cannot escape diabetes, as it is not a disease but it is a disorder. By following a good diet and maintaining ideal body weight and exercising regularly, you can reduced the chances, of getting it. Unexplained thirst, frequent urination, unexplained weight loss, excessive, hunger, lethargyness are some, underlying symptoms, but sometimes it can, just be asymptomatic.
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My father is diabetic patient (age 80 yrs.) Also affected with gangrene on his feet Need advise whether to go for surgical treatment to get his gangrene.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father is diabetic patient (age 80 yrs.)
Also affected with gangrene on his feet Need advise whether to go for sur...
Mr. Lybrate-user, best place to go in sih serious situation is the medical college hospital, which will have necessary expertise and facilities. The condition needs early and vigorous treatment. Thanks.
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Hello sir my wife is having hypothyroid. She is having problem of hair fall. Which is quite high. Please suggest the remedy. Regards.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello sir my wife is having hypothyroid. She is having problem of hair fall. Which is quite high. Please suggest the ...
use hair oil minxidil for hair fall. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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