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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 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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#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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I am having BP and Diabetic and I take the following medicines Metmofin 1 in the morning along with losakind H but of late I have ED problems plus I get cuts on the foreskin could you please tell if this happens because my sugar level goes up which at times is around ave 170 to 180 pl suggest as to what I should do? I am also taking some herbal drugs like himalayas karela lasun gokushara and some unicare drugs for ED.

MD - Homeopathy
Homeopath, Aurangabad
I am having BP and Diabetic and I take the following medicines Metmofin 1 in the morning along with losakind H but of...
It is natural for a man to feel erection when he is sexually aroused. The muscles, nerves, hormones and blood vessels all work together and maintain an erection. If a man is unable to obtain and maintain erection of penis during sexual activity if a man has difficulty in getting firm or erection or is unable to maintain an erection during the sexual penetration, he is most likely has a condition called Erectile dysfunction. It is normal for a man not to be able to achieve erection on some occasions, but if it is regular then it needs attention. Inability to achieve full erection could be either due to psychological or medical reasons and can be treated with right guidance and treatment. Psychological reasons includes chemistry with your sexual partner, any guilt, fear of intimacy negative feelings depressions can affect the erection. Medical conditions like thickening of the walls of the arteries, obesity, heart diseases, prostate disorder, any injury to the pelvic region or any other such underlying diseases that affects the proper flow of blood to the penis can cause erectile dysfunction. External factors like tobacco use, alcohol consumption and drug abuse can also restrict the blood flow resulting in erectile dysfunction. In most of the cases erectile dysfunction is due to any underlying medical condition. Good diet and daily exercises are very important to keep you mentally and physically fit. It will improve both your psychological and medical well-being. If any psychological factor is causing trouble, then meditation, breathing exercises like Pranayam staying away from stress and anxiety, talking more with your partner about the problem may help. The best treatment option suitable to your problem can be considered after a detailed analysis of your symptoms and case history. Get in touch with your nearest homeopathy doctor to get right treatment advice.
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I am 23 years old female with hypothyroid. I am taking tablets for last 20 days. My tsh was 8.26. How long it will take to cure this thyroid?/ and want should I do?/ Please help me.

MD-Physician, Dip. Endocrinology, Dip. Diabetes
Endocrinologist, Jabalpur
I am 23 years old female with hypothyroid. I am taking tablets for last 20 days. My tsh was 8.26. How long it will ta...
See if it is subclinical then at least 1 -2 yrs you will have to take minimum post your full thyroid report.
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Any alternate to stop bp and sugar tablet daily ?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist,
You have mentioned that you (or the patient) have type 1 diabetes. If this is true, there is no way you can stop insulin.
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Sir, I am 55 years old. My uric acid remains 6.2 to 6.5. Please guide me what type of treatment I must be obtained. I am also diabetic but take one tablet daily in the morning before breakfast. My sugar remains normal i. E. Fasting 96 on 23/08/2015.

MBBS
General Physician, Faridabad
Sir, I am 55 years old. My uric acid remains 6.2 to 6.5. Please guide me what type of treatment I must be obtained. I...
your uric acid is in normal range. upto 7 it is normal. you may take less of protiens like milk paneer, cheese, pulses etc.
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Hi I am 30 years old, have been diabetes since 2007. I am taking insulin regularly as per instruction. But my weight is 54.700 that is not growing. What are the key to improve it effectively without carb and protein?

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
Hi I am 30 years old, have been diabetes since 2007. I am taking insulin regularly as per instruction. But my weight ...
If your weight is 54 then it is ok because if you're increaseing your weight your chances of increasing diabetes more so 54 weight is perfect weight for you.
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I am a diabetes patient. And I wanna loose my weight. How can I loose weight and to low my diabetes. It is creating too much problems in my daily life. How can I make it better? I am in stress and tension also.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am a diabetes patient. And I wanna loose my weight. How can I loose weight and to low my diabetes. It is creating t...
Dear Lybrate User, *Avoid oily, maida, dry, junk foods. *Physical exercise like brisk walking, jogging, swimming, cycling will helps a lot to burn fat and active. *Practice yoga, breathing exercise.
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Hi, Mujhe hypothyroidism h my tsh level is 1.35 h m 100 mg ki goli khati hu Kya ye kam nahin ho sakti h kyuki mere doctor ne ise 12 mcg se sidhe 100 mg kardiya, agar me din me let jati hu to Mera body me akdan ho jati h or me bahut lazy mahsus karti hu, or Mujhe bhi complex ki bhi kami h to kon si medicine khani chahiye, or diet me Kya lena chahiye?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Hi, Mujhe hypothyroidism h my tsh level is 1.35 h m 100 mg ki goli khati hu Kya ye kam nahin ho sakti h kyuki mere do...
You can reduce it to 88ug and see whether tsh remains under control or not. Take lot of fruits, they are not rich in B complex and other vitamins.
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My dad is diabetic.& also he is obese. What are the measures we should take about diet and physical activity? What are measures I should take to avoid family related diabetes & obesity?

Diploma in Diabetology, MBBS
General Physician, Amritsar
My dad is diabetic.& also he is obese. What are the measures we should take about diet and physical activity? What ar...
5 percent weight loss if you are obese and 45 mn of physical activity can push diabetes for 3 years in most of people.
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My husband he is 32 years old. His father is a diabetic and heart patient and my husband is the elder son is he having chances of getting diabetic and heart related problems if s what precautions should be taken ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
Hi . Just follow healthy life style eating on time, avoid oily spicy, outside food, ask him to keep his bowel clear by eating more fiberous food like salads. The most important thing sleep 8 hrs continuously. Pranayama for stress manegment. If he do panchakarma according to his body type (prakruti) once in a year then no more any chance of above problems. Any query and for diet chart consult me.
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I am suffering form Diabetes, How can i reduce my sugar level please advice ?

Diploma in Diabetology, MBBS
Endocrinologist,
Take your prescribed medicines on time. Follow a regular diet and exercise schedule. Get your blood tests done as advised. And never miss any follow-up with the doctor. Diabetes is easily manageable if you follow these simple routines. :)
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What are symptoms of Diabetes. What is solution of this disease? What is duration of this course.

MBBS
General Physician, Mumbai
What are symptoms of Diabetes. What is solution of this disease? What is duration of this course.
Increase in thirst,appetite,urine output are few symptoms of diabetes and We need to control sugar levels with medication exercise and following a diabetic diet
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Hi For diabetes control--fbs-119.Please advice

C.S.C, D.C.H, M.B.B.S
Pediatrician,
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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I am 37 years old female suffering from hypothyroidism because of that had gained weight so what should I do to loose it. Please suggest.

Advanced Aesthetics
Ayurveda, Gulbarga
Do consult your doctor for proper diagnosis and treatment of this condition. Use home remedies just as an adjunct treatment evening primrose oil is another great ingredient that can help hypothyroid patients. Being high in gamma linoleic acids (clas), primrose oil offers anti-inflammatory benefits and helps increase the levels of thyroid hormones. At the same, it can relieve problems associated with hypothyroidism, such as hair loss and heavy menstrual flow. Exercise doesn? t always have to be gymming or running. Simple acts like climbing stairs or playing with your kids and pets are also some fantastic ways of getting some physical activity. You can walk for the grocery shopping or to the movie theatres. Just be active and don? t sit in one place for a long time. Physical activities not only help reduce weight, but also improve our overall health as well? if you are overweight, then cut down on your weight. A loss in weight is known to significantly lower those nasty dimples from your butt and thighs? improve your cardio routine. Opt for a high interval intensity training rather than walking or running continuously for 45 minutes? stretch regularly for at least 20 minutes a day. You could try chair pose, downward facing dog, the cobra pose, child pose, and tadasana. These are some of the easiest yoga stretching poses? keep your stress away. Stress triggers the formation of cortisol. The higher the levels of cortisol, the lower the ability of your body to burn fat. This in turn worsens your cellulite? drink green tea to pep up metabolism? detoxify yourself internally and externally regularly Diet also 1 cup of warm water with 1 teaspoon each of lime juice and honey and pinch of black pepper have this is an empty stomach twice a day. - increase intake of fruits. Salad and vegetables. - avoid fried and oily foods fatty food likes butter. Purified butter. Whole milk yogurt and chocolates -it is very important to engage daily exercise. Yoga pranayama.
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What one should eat when he is having blood sugar of 182 fasting with insulin.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
What one should eat when he is having blood sugar of 182 fasting with insulin.
blood sugar fasting 182 is high level, n you should take care about it. If the insulin is not working then you may be suffering from insulin resistance. First thing I would like to advice is diet control and regular exercises. Second thing is you may start with some ayurvedic treatment which may reduce insulin resistance. If you r interested to take ayurvedic treatment, you may consult me.
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I am 36 year old lady. My blood sugar is 230. What should I do?

Diploma in Diabetology, MBBS
Endocrinologist,
I am 36 year old lady. My blood sugar is 230. What should I do?
You should consult diabetologist immediately regarding medication after detail investigations of blood and urine. Mandatory test includes hba1c, fbs, ppbs, sr. Creatinine, urine routine. Also start taking diabetic diet and exercise.
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Have hypo thyroid since 3 years and throxin norm is not suiting. What do you have to treat me. Weight gained 25 kg. Very forgetful memory and sleepy all the time without doing anything. Thank you.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist, Hyderabad
Have hypo thyroid since 3 years and throxin norm is not suiting. What do you have to treat me.
Weight gained 25 kg. V...
Hi, It would have been useful if you mentioned the reasons why Thyronorm was not suiting you? Further you did not mention the results of your thyroid function tests. I feel that based on your symptoms your Thyroid function tests may be abnormal. The symptoms that you are describing are of hypothyroidism, so looks like the dose of Thyronorm was not sufficient. Plan: Please get your TSH, fT3 and fT4 done. See an endocrinologist who can prescribe alternative brands of the thyroxine hormone drug. Thank you.
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I am a diabetic for last 11 years. Suggest me measures to prevent it.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I am a diabetic for last 11 years. Suggest me measures to prevent it.
if you are already having diabetes, then there is no way to prevent. Prevention is only possible in the pre diabetic stage. (fasting <126 mg and pp< 200 mg). Once a person has been diagnosed to have diabetes then taking anti diabetic treatment is the only way to control. Good control can be achieved by regular treatment and exercise, restricted diet based on weight and sugar levels. Plus avoiding deep fried foods, juk food, pastries and sweets.
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I am struggling with weight loss. I have lost over 40 kgs in the past 5 years but I have stagnated for over 1.6 years. I have boarder line thyroid and I am on 25 mg medication for the same. Need help to know what I can do to see progress. I workout 5 days a weeks for 45 minutes (strength training) I eat a normal diet with no specialization.

M.Sc - Dietitics / Nutrition, Diabetic Educator
Dietitian/Nutritionist, Yamunanagar
I am struggling with weight loss. I have lost over 40 kgs in the past 5 years but I have stagnated for over 1.6 years...
change with your workout routine and start taking lukewarm oney water in the morning that will help you in achieving your goal
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Here the doctor told me I am a diabetic my blood here under fasting blood glucose. 144 after food. 128. And hb (aic) 9. 4 he suggested medicine k. Glim. M 1 mg daily what is your opinion

M B B S, M. D (Internal Medicine)
General Physician, Nellore
I agree with him. Why? what doubt do you have? in fact, your hba1c is suggesting that you have had far more higher sugar levels since 3 months than what you are mentioning in your reports. Probably, 300 or so.
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