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Dr. Thelmariappan

Endocrinologist, Chennai

Dr. Thelmariappan 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. Thelmariappan
Dr. Thelmariappan is a trusted Endocrinologist in Vasantha Hospital, Chennai. You can visit him/her at Nagamani Hospital in Vasantha Hospital, Chennai. You can book an instant appointment online with Dr. Thelmariappan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 29 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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#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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Have started taking R cinex 600, combutol 1000, pyzina 750 (2wice daily) and benadon. I am also taking the previous medicine also. I.e. Eltroxin 100 for thyroid, glisen 2 & cetaphil xr 500 (2wice daily) for diabetes, olmy 40 for BP, rozavel 5 for cholesterol, febuget 40 for uric acid. Kindly suggest the diet/nutrition chart for me.

PDDM, MHA, MBBS
General Physician, Nashik
Have started taking R cinex 600, combutol 1000, pyzina 750 (2wice daily) and benadon. I am also taking the previous m...
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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NowI am 28 years old and I have diabetes from age of 14. I am taking insulin from 14 years 2 times daily 40 unit at morning 30 unit at night and I am also taking tablet pizoMF 7.5 at morning and night before food and istamet 50/500 at lunch but at night I can't sleep properly between 2 to 4 hour wake up at night. After my duty I feel tired but still I can not get a proper sleep.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
NowI am 28 years old and I have diabetes from age of 14. I am taking insulin from 14 years 2 times daily 40 unit at m...
Please decrease your night insulin by 5 units. Measure your midnight blood sugar by glucometer. You might be suffering with mid night hypoglycemia,
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Hi I am 50 years old I suffring from daibaties f b s 160 to 170 ppbs 240 rendam 222 please advise me

MD - Medicine, MBBS
Cardiologist, Panchkula
It is uncontrolled diabetes. 1. Reduce weight if overweight. 2. Do exercise regularly. 3. Avoid oily food. 4. Avoid sugars. 5. Get the detailed investigations. And follow regular medical advice.
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I am 41 year old have uric acid increased.

MD - Internal Medicine, MBBS
Endocrinologist,
Summary reducing the amount of uric acid levels in the blood can help to prevent gout attacks. This can be done by: achieving a healthy weight limiting alcohol avoiding/reducing foods high in purines drinking plenty of fluid limiting foods sweetened with fructose eating plenty of fruit and vegetables consuming low-fat dairy products.
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Can you suggest to prevent the diabetes in future ?

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist,
Can you suggest to prevent the diabetes in future ?
Hi, your weight seems to be ideal for your height. Just take care of your diet, avoid fatty foods and perform regular exercise 5 days a week, minimum 30 min.
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Hi sir, Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg daily, after 1 and half month I used to start 50mg after 10 days I go for test my TSH result is 0.11. Can you please suggest me how much MG I used daily. Can you please help me.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
Hi sir,
Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg ...
Hi First: medicines are mandatory. Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs. Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know. Take care
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I am 13 years girl and I am diabetic since 2 years I am using insulin from 2 years I just want to come to tablets what should I do for keeping my sugar levels normal.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am 13 years girl and I am diabetic since 2 years I am using insulin from 2 years I just want to come to tablets wha...
From your age, I assume you are a type 1 diabetic. If so, insulin is the only option for you. However, if you are a type 2 diabetic, you have many choices of medicines available today. So, please provide more info.
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My friend has diabetes, and recently he has lost a lot of weight. I think he looks too think and am concerned about his health. Is this type of weight loss normal for a diabetic?

M.D. Internal Medicine
Endocrinologist, Mumbai
My friend has diabetes, and recently he has lost a lot of weight. I think he looks too think and am concerned about h...
Weight loss in diabetes usually signifies uncontrolled diabetes. He probably needs to change/or adjust his anti diabetic medicine dosages he may improve faster with short course of insulin therapy (if he is not taking). Some times associated illness like hyperthyroidism, tuberculosis, hiv, cancer could also be responsible for weight loss. He may need investigation for same if no improvement in weight after diabetes control. He may improve faster if changes his diet to high protein, nutritionally rich diet if his all other reports are normal and he can improve to normal weight suitable for his height.
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I am a thyroid patient. My thyroid rate is 23.73. What should I do? i am already taking thyronorm 100mg.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a thyroid patient. My thyroid rate is 23.73. What should I do? i am already taking thyronorm 100mg.
your condition indicates for sign of thyroid.you can take tab. thyorox 125 mcg. You can take 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. 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 alcohl if you take.
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I have removed my wisdom teeth in january, but still I feel some leakage of fluids in my wisdom teeth place. I have applied many gels. I am a diabetic too. (During removal of teeth doctor has used hammer for removal. Please help.

BDS
Dentist, Gurgaon
I have removed my wisdom teeth in january, but still I feel some leakage of fluids in my wisdom teeth place. I have a...
If d socket is healed properly den der should not be any leakage of fluids frm there. Go to a dentist again and he will check it thoroughly. May be d fluid can be your saliva. And saliva secretion is a normal process in mouth.
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I am 56 ;diabetic for 05 yr;now taking metformin 1000mg+glimipride 2mg twice.But my fasting bl sugar remain about 200-210.Please guide me.

DIPLOMA IN DIABETES (U.K), M.D INTERNAL MEDICINE, MBBS
Endocrinologist, Chennai
Adding 10 units of Lantus insulin should solve ur problems. Alternatively u can try some more tablets
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I'm a type 2 diabetic patient. I take 12 unit insulin/one time & glimiipride, metformin. Whether any side effects of insulin?

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
I'm a type 2 diabetic patient. I take 12 unit insulin/one time & glimiipride, metformin. Whether any side effects of ...
No worries about insulin it has no side effects. Until unless you do not monitor your food accordingly.
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After taking Fenofibrate for longer period say 6 months my creatinine level is going up in every check up. to 1.3 from 0.06. Is this side effect? Whether to discouninue Fenofibrate? Please answer. Best Regards

MD - Consultant Physician
General Physician, Mumbai
You have type 1 DM. I do not know your age and the duration of your diabetes. The s. creatinine of 0.06 mg is abnormally low. Is the report right? The s. creatinine of 1.3 is not necessarily high. One needs to take the age and body weight into consideration and then calculate the creatinine clearance. That gives a more accurate picture of the kidney function. Fenofibrate is unlikely to be the cause for the rising s. creatinine.
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My husband nd my. Mother in law both hav diabetics. There is a possibility to convert it in my daughters.

CME Course in Diabetes for Family Physicians, Certificate in Child Health , BHMS
Homeopath, Gurgaon
My husband nd my. Mother in law both hav diabetics. There is a possibility to convert it in my daughters.
Yes there is a possibility. They should lead a healthy life-style, regular exercise and avoid too much junk food or sweets.
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I am 36 years old and for last five year I have thyroid tsh 40 so can you suggest the medicine? Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
With such a high level of tsh you still not on treatment is it? please tell me if you are taking thyroxine tablet and what is the dosage. If no treatment is being taken then you have to start on thyroxine tablets. You may begin with 50 mcg per day, to be taken early in the morning on empty stomach and nothing to taken for two hours after that. After 3 to 4 weeks check tsh levels again if still high then increase the dosage.
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Sir I am a sugar patient type 2. Can you suggest me suitable diet and medicine. Is 40 to 50 ml liquor seldom is harmful ?

PDDM, MHA, MBBS
General Physician, Nashik
liquor adds to calories... kindly mention your recent bsl reports and ongoing treatment and revert back to me for further assistance... Dr surbhi agrawal consultant physician and diabetologist
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I have a diabetes and blood pressure, and I am feeling very weakness whole day, so please give a best protein powder name.

pg general medicene
Ayurveda, Hyderabad
I have a diabetes and blood pressure, and I am feeling very weakness whole day, so please give a best protein powder ...
Dear lybrate-user take aswagandha powder with milk daily morning and evening with milk. Take sprouts in the morning. Do pranayama meditation regularly.
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My daughter is 12 years old. I got a thyroid profile test done for her as she is slightly overweight and could not reduce.The test results came as follows: please advise t3 total 1.56 t4 total 8.90 tsh 6.43.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter is 12 years old. I got a thyroid profile test done for her as she is slightly overweight and could not re...
you can give her tab. thyronorm 0.25 mcg before meal in morning. 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. t
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My sugar is fluctuating. Sometimes fasting is 200 and pp is 140. This fluctuation especially is the sugar is low causes a lot of weakness extending to two-three days. Normally I take 24 units of injectable insulin. What can be the possible reasons for the fluctuation.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
My sugar is fluctuating. Sometimes fasting is 200 and pp is 140. This fluctuation especially is the sugar is low caus...
Blood sugar variations are very common. The cause may be 1. Not following proper dietary restrictions. 2. Not taking the medicines /insulin at the time adviced. 3. Any fever, stress, infection. 4. Reaction of other medicines, not applicable in your case as you are taking insulin. You need to consult with an expert and rectify the problem with proper coordination. I have also attached a painless continuous glucose monitoring device and tuned the dose of medicine /insulin and diet, and achieved control in many patients.
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