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Dr. Thelmariappan

Endocrinologist, Chennai

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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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English

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Nagamani Hospital

#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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Hi I am diabetic since last 13 years. It is controlled most times. My last hb1c is 6. 6. What exercise should I do and kind of food should I take to keep my hb1c under 6?

MD - Medicine, MBBS
Cardiologist, Panchkula
1. Do a regular walk daily for about 40 to 45 minutes. You can do any other aerobic activity. 2. Avoid food rich in sugars. 3 avoid oily food. 4. Avoids like potates rice frird food sweets etc.
6 people found this helpful
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What is the difference between novamix 30 human 30 insulin both are same or not price differs which one is best.

DNB (Medicine), MBBS
General Physician, Delhi
What is the difference between novamix 30 human 30 insulin both are same or not price differs 
which one is best.
Hi, basically novo mix is a newer insulin analogue with a mix of 30% short acting and 70% long acting insulin. On the other hand human mixyard is a conventional insulin. The difference is in their properties and effectivity.
4 people found this helpful
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I am 29 year old female. I have thyroid problem . Taking thyronorm tablet 50 MCG. I am 153 cm height and my weight is 75 kg. I could not reduce my weight , even though attended fitness class for more than a year. Hence, my doctor suggested me zero fat a sachet for 1 month. I consumed it for 2 days during night time . Felt like shivering. Pls advise whether to consume zero fat a sachet or capsule to loose weight?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 29 year old female. I have thyroid problem . Taking thyronorm tablet 50 MCG. I am 153 cm height and my weight is...
Lybrate-user, looking at your weight and height, there is grade 1 obesity with 32.05 kg /m2 bmi, (normal <23 kgs). This definitely needs reduction. If hypothyroidism is under very good control with tsh levels between 3 to 4 milli units/l, then efforts to reduce weight can be successful. First thing is to bring tsh levels in that range if they are not. Secondly zerofat a (orlistat) is not much beneficial. Along with dietary restriction orlistat can at most help loos about 6 kgs of weight over 1 year. Instead it is better if you stick to a diet plan that gives calories based on your ideal body weight (53 kgs x 20 cals = 1060 per day), plus doing a work out to burn a good deal of calories. Daily 1 hour of brisk walking can help in burning about 270 to 300 calories. If you can jog or run, more calories can be spent. Use more of green leafy vegetables, salad and fruits. Totally avoid junk foods, pastries, bakery items, deep fried foods, sweetened aerated drinks (colas), products containing fructose corn syrup, avoid highly processed packed products. No alcohol and smoking. Drink plenty of water and clear soups, thin butter milk. Avoid high fat milk products. Set a target of loosing half kg per week, and try and cut about 5 to 8% of current weight. If you have any doubts please do come back. Thanks.
1 person found this helpful
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Substance Abuse - Types And Causes!

MBBS, MD - Psychiatry, Senior Resident Psychiatrist
Psychiatrist, Ahmedabad
Substance Abuse - Types And Causes!

Substance abuse is used to describe abuse of a variety of things including tobacco, alcohol, and illicit drugs. These produce a feeling of false well-being and therefore often misused. These are stimulants and tranquilizers, which give a “happy go lucky” feeling and so are misused.

Tobacco: The primary habit-forming ingredient in tobacco is nicotine. While it is commonly used for pleasure and as a stress buster, it also is a major contributor to a lot of health issues including heart disease, lung cancer, breathing disorders, infertility, peptic ulcers, depression, and sleep disorders. For someone who is addicted to smoking, quitting can lead to withdrawal symptoms including tremors, anxiety, and seizures.

Alcohol: Alcohol depresses the depression center in the brain and therefore produces a feeling of high. Getting addicted to alcohol leads to reduced inhibitions, slurred speech, poor muscle coordination, and reduced cognitive skills. Withdrawal can lead to tremors, anxiety, hallucinations, and delirium tremens. Alcohol ups the risk for heart disease, cirrhosis of the liver, and cancer of the digestive tract. In addition, alcohol alters a person’s eating habits and leads to considerable weight gain.

Illicit drugs (marijuana, cocaine, heroin, methamphetamines): There are a large number of these drugs, which are not to be used but unfortunately are. They are used in various forms including snorting, smoking, chewing, and injections. While most of them produce a feeling of well-being, it is transient, and in the long run, they reduce alertness, energy levels, cause confusion, vomiting, and abdominal cramps. They also affect the health of all body organs including brain, liver, heart, kidneys, lungs, muscles, etc. Sharing of needles also carries the risk of hepatitis B and HIV.

Causes: Whatever the substance being abused, there are some common reasons why a person ends up with abusing them. Some of them include:

  1. Poor social structures: Most of the substance abusers have a poor social structure, for instance, broken families
  2. Poor economic environment
  3. Lack of parental support and/or attachment
  4. Lack of coping skills
  5. Peer pressure
  6. History of childhood abuse

The added concern here is the younger age group at which this problem is seen.

Family and close friends may be the first ones to identify symptoms of abuse, which may include

  • Isolation
  • Non-participative in group activities (which is new) with family and friends
  • Declining performance at school/college/work
  • Disappearing money or valuables
  • Irritable and aggressive

All these could be indicative of an underlying problem, and if they are not open to a frank chat, medical help should be sought. It is definitely not easy to get them out but can be done, if they are willing to and have strong social support.

6 people found this helpful

PDDM, MHA, MBBS
General Physician, Nashik
Type 1 diabetes is generally caused due to auto immune changes in the body whereas Type 2 diabetes is mostly caused by genetic defects. In type 1 diabetes, the body attacks cells in the pancreas that produce insulin. Type 1 diabetes is generally more prevalent in men as compared to women.

Type 1 diabetes is also partly inherited. However, Type 1 diabetes generally needs a trigger such as an infection or something similar that aggravates the body?s reactions to insulin.

Steroids and stress are generally known to be causes of Type 2 diabetes other than inherited genetic defects.

Obesity and a sedentary lifestyle are among the most common causes of type 2 diabetes. Obesity leads to a development of insulin resistance in the body. Insulin resistance occurs in non-obese people as well and many obese people do not develop insulin resistance. It is important that you keep in mind that while obesity in itself may not be a cause for diabetes it is a contributing factor that drastically increases the risk of developing diabetes.

2 people found this helpful

I am 28 years old male .I have received my lab report stating my sugar level is 184 which should be 80 to 130 I guess and have vitamin D at 6.20 is this d sign of a problem?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am 28 years old male .I have received my lab report stating my sugar level is 184 which should be 80 to 130 I guess...
Hello, If it was a fasting level,you need to bring under control tremendously. Vitamin D is available in nuts,eggs,natural sunlight,mushroom,fortified grains etc.
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Getting fat day by day. Dont have any thyroid problems or anything. My inner thighs are quite heavy. Please help by proper medication.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Getting fat day by day. Dont have any thyroid problems or anything. My inner thighs are quite heavy. Please help by p...
Hi, you should go for brisk walk in the morning and evening. Do regular exercise atleast 15 minutes daily. Take lukewarm water with lemon in the morning. Take salad before meals. Drink more water in a day. Don't take rice at night and don't skip breakfast. Avoid junk food and oily food. Avoid soya products. Take frequent meals instead of 3 big meals.
3 people found this helpful
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How much blood pressure level and blood sugar level in the age of twenty two years old boy?

BHMS
Homeopath, Howrah
How much blood pressure level and blood sugar level in the age of twenty two years old boy?
Blood pressure 120/80 mm of hg, and sugar upto 90 fasting and post meal upto 120. It sometimes vary from person to person.
3 people found this helpful
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My age is 47 years I have sugar since 14 years average sugar level is 270 I have sex problem pl advice me medicine to enlarge penis. As well how to control my Sugar level, I am taking janumet 50_500mg.

CDIABT, MBBS
Endocrinologist, Mumbai
My age is 47 years I have sugar since 14 years average sugar level is 270 I have sex problem pl advice me medicine to...
For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine will depend upon your blood sugar report. Control your blood sugar to improve your sex life.
3 people found this helpful
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My age is 23 and I am suffering from diabetes from last year nd I now I am taking medicine for control my blood sugar level is there any way bt which I can control my blood sugar level without any medicines.

md general phisician
General Physician, Hyderabad
My age is 23 and I am suffering from diabetes from last year nd I now I am taking medicine for control my blood sugar...
Hello, if you have been confirmed by (general physician or endocrinologist) doctor that you are a diabetic by all tests like fbs, plbs and hba1c. Then never think of controling blood sugar levels without medicines. Because it may lead to complications. So please don't get panic you can control it by diabetic diet and exercise and stressless life. Do yoga, meditation. But please along with diabetic medicines. If it's getting controlled then your doctor may reduce the doses. And let's see further.
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I am having hypothyroidism for last 3 years. Taking thyroid 25mg now my test reports says t3 0.89, t4 7.50, tsh 7.03. What should I do? should I increase the dose to 50mg?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having hypothyroidism for last 3 years. Taking thyroid 25mg now my test reports says t3 0.89, t4 7.50, tsh 7.03....
according to your reports you should be increase your dose from 25 mcg to 75 mcg. take iodine food, go for morning walk. ,take low fat diet, green veg. do not take stress.
3 people found this helpful
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What are the problems with thyroid for men. Can we cure thyroid permanently with english medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
What are the problems with thyroid for men.
Can we cure thyroid permanently with english medicine.
When men possess low thyroid hormone levels, meaning an underactive thyroid gland and low metabolism, men experience such symptoms as: Hair Loss. Fatigue. Dry Skin. Weight Gain. Constipation. Cold intolerance. it may be cured by modern medicines.but not permanently cure.
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Hi, Please suggest me How to treat diabetes pre existing conditions of blood pressure.

D ( Diabetology), AFIH, DNB (F.MEDICINE), MBBS
Diabetologist, Pune
Hi, Please suggest me How to treat diabetes pre existing conditions of blood pressure.
Avoid food having high glcemic index like sweet, rice, idli, dosa, carrot fruits like banana, mangoes, also food having high glucose load like icecreame. Avoid fried foods ,You can use brown rice intead of polish. Eat in binges. Do regular exercise and meditation, check your sugar and follow up regularly.
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Is there is any surgery to overcome diabetes forever. If it is available what is the cost?

MSc
Dietitian/Nutritionist, Hyderabad
Is there is any surgery to overcome diabetes forever. If it is available what is the cost?
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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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
1 person found this helpful
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I am 60 yr old male. Diagnosed with uric acid. My right foot finger has of late had a swelling.(minor though. Kindly suggest me a medicines for gout. And also let me know how long the medicines is to be taken and dosage too! am based in india. Town of jammu. Thanks n regards.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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.
1 person found this helpful
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Hi. I am suresh. I am 25 years old. My problem is I am suffering from thyroid. Recently checked my reports tsh is 7. Free t4 is 1.35 and tpo antibodies value is 102. So please briefly about antibodies value. Is it value higher. Please support me.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Hi. I am suresh. I am 25 years old. My problem is I am suffering from thyroid. Recently checked my reports tsh is 7. ...
Lybrate-user with the limited amount of information provided it appears you are a hypothyroid. It could had been better had you explained when the condition was first diagnosed and are you on any medicine or not. With this test report it is clear that you are hypothyroid and your antibodies are positive. Do not run after how high or high low the levels are. Interpretation is on the basis of either you are positive or negative. Hope this solves your query.
1 person found this helpful
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Post lunch blood sugar test to be taken after food by taking the tablet? Or with out tablet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Post lunch blood sugar test to be taken after food by taking the tablet? Or with out tablet.
Mr. lybrate-user, Thanks for the query. When you are on treatment, it is necessary to take the drug and then test PP blood glucose level. The reason is to find out how the treatment is helping. Thanks.
3 people found this helpful
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Hello Dr. Pls suggest how to control thyroid TSH. Which tablet useful for control. Thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
No cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water less mobile phone for medicine contact with TSH level.
1 person found this helpful
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