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Dr. Thomas

Endocrinologist, Chennai

250 at clinic
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Dr. Thomas Endocrinologist, Chennai
250 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Thomas
Dr. Thomas is a popular Endocrinologist in Vadapalani, Chennai. You can visit him/her at Vijaya Hospital - Vadapalani in Vadapalani, Chennai. Book an appointment online with Dr. Thomas on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 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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Vijaya Hospital - Vadapalani

#80, NSK Salai,Vadapalani. Landmark: Near Green Park Hotel, ChennaiChennai Get Directions
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Chennai medical centre

#51, Tiruvelluvar salai, Nesapakan, K.K Nagar, ChennaiChennai Get Directions
250 at clinic
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Sir, My blood glucose level is 580 today, how to reduce immediately, send me reply.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir,
My blood glucose level is 580 today, how to reduce immediately, send me reply.
Mr Sayeram, You have to take insulin injections, take advise of a local doctor immediately. This level is too bad, can lead to serious consequences.
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I am 22 years old male and I have Body Weight Of 52 Kg Only. My height is 175 cm. I have no health Problems and I also checked thyroid in the previous month and no problem with that. Is any other Problems Cause underweight. Please gave some advice to increase body weight.

MS - ENT
ENT Specialist,
I am 22 years old male and I have Body Weight Of 52 Kg Only. My height is 175 cm. I have no health Problems and I als...
Body built depends on genes acquired but you can gain wait by regular moderate physical activity like suryanamaskars yoga etc along with proteinaceous organic diet like sprouts, fruits, multigrain roti with chana / rajma, dry fruits n milk.
1 person found this helpful
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In the last one month I have lost 6-8 kgs, my diabetes level was 120 about a month back. Do I need to check it again. My eye sight is also affected due to that. Can you pl suggest what is the problem and how can I put on weight. Thanks Ramesh Mehta Age 54, weight 51 as on 20/6/17.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
In the last one month I have lost 6-8 kgs, my diabetes level was 120 about a month back. Do I need to check it again....
Take diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd and do contact with ultrasound report and blood report s. Bilirubin.
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2 types of dates are available in stores. One type is with full juice, the other one is juice extracted and dried type which is a bit hard to remove outer skin. I want to know whether the dried ones give the same benefits like juicy ones as they are too sweet and may not be good for borderline sugar persons.

MBBS, CCEBDM
Diabetologist, Bangalore
2 types of dates are available in stores. One type is with full juice, the other one is juice extracted and dried typ...
Hi Dates are sweet, whether it's dry or fresh. Dried dates are deliberately dehydrated to remove their moisture and increase their shelf life. It is rich in calcium, iron and fibre when compared to fresh juicy dates. However it's carbohydrate content is high and hence high in calories. Having 1 or 2 fresh dates once in few days can be beneficial but with a good control of diabetes.
1 person found this helpful
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Can damage to the organs done because of type 1 dm reversible? like high creatinine, diabetic retinopathy, diabetic nephropathy etc?

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Diabetes is not a health concern but a condition where sugar in the blood does not allow the absorption of many nutrients, as a result, many other concerns take place. If you want results then you would have to correct the diet, deal with the deficiencies, and make a healthy diet plan. You can contact separately.
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Diabetic foot, it is your foot, look after it.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
Diabetic foot, it is your foot, look after it.
Diabetic foot, after all it is your foot.

Diabetic foot is a very common complication of diabetes, particularly in long standing diabetes or untreated kinds.
Amputation of legs due to diabetes related complication is the second most common cause for amputations after traffic accidents.
Diabetic foot infections can be limb threatening and/ or life threatening.
You can prevent this dreaded complication by doing some simple measures every day.
If you are a smoker stop now. If you have high cholesterol control it now.
Always maintain good control of blood sugar level and be regular with your medicines and insulin.
Walking is a must, if you want to prevent diabetic foot complication, please walk, walk, walk, at least 3-5 km in day. Please make sure you wear good quality sports foot wear while going for walk.
Never walk bare foot, even inside house wear comfortable sandals, while going out wear shoes. No chappals please.
Wear cotton socks, every day a freshly washed pair socks must be used.
Wash your feet twice a day with normal soap and water, pay special attention to space between toes, dry feet with towel, and apply any moisturiser, even liquid paraffin or coconut oil is good enough.
At bed time gently massage your feet for about 10-15 minute, it helps to improve circulation in the small blood vessels.
Take vitamins b complex and omega 3 fatty acid supplements every day, it prevents degeneration of small nerves, a major contributor to diabetic foot.
Take care while cutting toe nails, do not try to cut the nails too short or you may end up injuring the skin, sometimes it is better to use a nail file.
If you notice an injury, scratch or crack on the foot, sole or any where on foot, immediately see a doctor, no matter how small the injury is.

These simple measures can save your limbs from dreaded diabetic foot, you need to do it every day, life long.
5 people found this helpful

Common Miscarriage Causes

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
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Hello I am Dr. Mohan Raut, a practicing gynecologist from last 27 years and partner of ICPRM, India's first immunotherapy Center for treatment of patients with repeated miscarriages, IVA failure, rod implantation failure.

Today I am going to discuss about various causes that lead to repeated miscarriages.

Miscarriage is a traumatic experience for a woman and when it happens repeatedly it can be devastating. The problem of repeated miscarriage is huge because it affects almost 1% of couples. So at any given moment the number of patients suffering from this problem is really high. There are five common causes of this problem, those are;

  • Genetic factor-  In this case, there are chromosomal or genetic abnormalities in the pregnancy and because of which the fetus can't grow, leading to miscarriage.
  • Structural problems-  Structural problem in uterus or the womb. Here there can be double uterus. There can be a curtain or septum within the uterus which leads to compromise in the space allowing pregnancy not to grow leading to miscarriage.
  • Endocrine group-  The problem arises in conditions such as diabetes, mellitus, thyroid ( hypothyroidism or hyperthyroidism), a condition called as PCOD or polycystic ovarian disease. These can lead to repeated miscarriages 
  • Infection Certain viral infections and infections like toxoplasma can infect the pregnancy leading to miscarriage.
  • Autoimmune factor or autoimmune disorders- This includes formation of antibodies against mother's own group and conditions like anti-thyroid antibodies, or antibodies against for a phospholipid part of the mother's body. The conditions known as collagen disorders are responsible for this and lead to repeated miscarriages.

Now when all these factors are tested, it has been found that almost 50% of couples with repeated miscarriages show that all these tests are normal. Then what is the cause in these couples? And in these couples the cause is found to be called as alloimmune factor or there is immunological rejection of pregnancy by the mother.

Now what is this alloimmune problem and how pregnancy is nature's miracle? I will discuss these in my next video.

For more information you can contact me on www.lybrate.com. Thank you.

 

3710 people found this helpful

Hi, I was prediabetes 3-4 months back now have lost weight, n hba1c is 5.6 never was under diabetes medicines. But still I am feeling hunger every 2 hr having all the symptoms of hypoglycemia .how to overcome this.

BHMS
Homeopath, Secunderabad
Hi, I was prediabetes 3-4 months back now have lost weight, n hba1c is 5.6 never was under diabetes medicines. But st...
Start having wholesome food ( natural or organic ) and avoid all kinds of junk food and sweetened beverages. Start exercising for 30 minutes everyday. Have patience and wait for the body to adapt to the healthy lifestyle. Do not worry about Diabetes but take all the healthy measures. Learn Yoga ( pranayam and meditation also ) which can be very beneficial for you.
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PDDM, MHA, MBBS
General Physician, Nashik
What are the symptoms of a thyroid condition?

Thyroid issues can be difficult to spot at first since many of the symptoms are also indicative of other health conditions. The symptoms of thyroid dysfunction can also vary in severity from person to person. If you have other medical conditions, symptoms associated with those conditions may be more severe due to underlying thyroid issues. The cause of thyroid disease, severity of thyroid hormone deficiency and the length of time the body has been deprived of the correct levels of hormones all affect symptom severity.

Here are some signs to look for that might indicate a thyroid condition:

Feeling run down, exhausted, drowsy and/or fatigued, even with proper rest

Feelings of depression or lack of interest in things previously enjoyed/Increased and/or heavier menstrual periods, PMS, fertility/miscarriage issues

Constipation, even with adequate fiber intake

Forgetfulness, difficulty concentrating, difficulty learning or feeling like you are in a 'fog'

Unexplained weight gain beyond a few pounds, increased fluid retention and/or puffy face

Dry and/or itchy skin, even with regular moisturizer use.

Dry, brittle nails and hair (with or without  thinning)

Hoarse voice and/or difficulty swallowingIntolerance to cold, especially in extremities such as fingers and toes

Muscle cramps

If you have been experiencing any of the above symptoms,feel free to consult me.
With the proper care, it's completely possible to lift the fog and feel like yourself again.

Dr surbhi agrawal
consultant physician, diabetologist and wellness expert
24 people found this helpful

The Impact Of Diabetes On Your Eyes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
The Impact Of Diabetes On Your Eyes!

If you are diabetic, know that high blood pressure level can take a severe toll on your eyes in the form of blurry vision, cataract, glaucoma and retinopathy, if left unchecked. It can even lead to partial/complete blindness in young adults. Nonetheless, a strict control over your blood sugar count would prove effective in preventing such eye complications in the long run.

How does diabetes affect the eyes?

  1. Blurry Vision: Diabetes can cause swelling of the eye and damage to your vision. In case you are already using glasses, it might bring about fluctuations in your optical power. Once your blood sugar count gets back to the normal level; that is within the range of 70 to 130 milligrams per deciliter, your vision would be normal again; though this might take some time (about 3 months).

  2. Cataract: Eye lens works just like a camera, helping you to focus on a particular object. Cataract is a condition wherein this lens gets clouded with debris. Nevertheless, diabetic patients are more vulnerable to cataracts as compared to others. It has to be removed with a surgery wherein an artificial lens replaces the blurry eye lens.

  3. Glaucoma: Pressure starts building up within the eyes when fluids do not get drained out normally. This damages the nerves and blood vessels, thereby causing vision loss, blurred vision, watery eyes and headaches. Generally, glaucoma can be cured with laser, surgery, eye drops or medicines. Medications do help in alleviating eye pressure, reducing excessive fluid production and facilitating drainage. Having said that, diabetics are likely to develop neovascular glaucoma, a rare complication wherein new blood vessels form on the iris (the ring-shaped colored region in the eye), obstructing the normal fluid flow and further increasing the eye pressure.

  4. Diabetic Retinopathy: The retina is a cluster of cells behind the eyes that absorb light and converts them into images which are then transmitted to the brain through the optic nerve. High blood sugar levels damage the tiny blood vessels of the retina, leading to a condition called Diabetic retinopathy.

The stages of diabetic retinopathy

The retina requires a constant blood supply via a network of small blood vessels. In due course of time, a high blood sugar count might damage those blood vessels; primarily across three stages:

  1. Background Retinopathy: This is a condition wherein tiny lumps develop in your blood vessels, causing slight bleeding that usually does not affect your eye sight.

  2. Pre-proliferative Retinopathy: This is a condition characterized by significant bleeding from the eyes as a result of the blood vessels being severely affected.

  3. Proliferative Retinopathy: Proliferative retinopathy is a condition wherein new blood vessels and scar tissues that bleed easily develop on the retina, leading to vision loss.

Are you at risk?

The risks of Diabetic retinopathy increase if one is suffering from diabetes. Apart from this, certain other factors could also aggravate the chances of this disorder:

  1. Rise or fall in blood sugar

  2. Rise in the blood pressure level

  3. High cholesterol

  4. Pregnancy

  5. Excessive consumption of tobacco

When should you call a doctor?

  1. When you experience spots in your vision

  2. In case of blurred and fluctuating vision

  3. Impaired color vision

  4. Sudden loss of vision

  5. Redness and pain in the eyes

These signs serve as an early wake up call. However, it’s not mandatory for these signs to indicate towards diabetic retinopathy.

How to protect your eyes from diabetes and keep them healthy?

  1. Get your eyes checked periodically and try and maintain a steady blood sugar count.

  2. Take the prescribed medicines on time.

  3. Try to achieve and then maintain optimal weight levels.

  4. Avoid a sedentary lifestyle and engage in some sort of physical activity.

  5. Control your cholesterol levels by picking the right kind of foods.

  6. Abstain from smoking and limit alcohol consumption.

  7. Opt for a healthy diet comprising of green and leafy vegetables, oily fish, tuna, salmon; protein rich foods such as beans, nuts and eggs; citrus fruits such as oranges; pork and oysters.

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

2 people found this helpful

Ask 10'll get an answer right down the middle so I'll ask on here. I know with Peri and menopause sugar isn't it's not good in general for anyone and you always hear watch your caffeine (because of hormones) So, which is chocolate or milk.

MBBS
General Physician, Mumbai
Ask 10'll get an answer right down the middle so I'll ask on here. I know with Peri and menopause sugar isn't it's no...
We need to control sugar levels with medication exercise and following a diabetic diet and drink only cows milk to remain healthy
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Sir my mom sugar level is about 150 to 300 please give a brief of her diet cart and what kind of medicines can be used.

MBBS, MD
Endocrinologist, Delhi
Sir my mom sugar level is about 150 to 300 please give a brief of her diet cart and what kind of medicines can be used.
She should avoid sweets, sugar,jaggery, honey,sweet fruits like banana, mangoes,cheekoo, grapes etc. Take small frequent meals instead of large ones at a time. Regular exercise is very helpful. Take medicine if required as advised by your doctor.
4 people found this helpful
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Sir, My father is a diabetic patient. Please guide me what he should eat & not eat? Guide me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Sir, My father is a diabetic patient. Please guide me what he should eat & not eat? Guide me.
What Not to Eat. Sugar - Sweets - Fruit Juices - Maida based products - Potatoes - White Bread - Honey - Mangoes - Chikoo - Any Mithai - Colas of all types - All fried / oily stuff - Biscuits - Cakes - pastries - Sooji based items - Full cream milk - Alcohol ---- You need to avoid all these foods which are simple carbohydrates. These will disturb your body system and aggravate the diabetes problem. As for the foods to eat you can refer to the other doctor's recommendations.
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I am a 56 years old male diabetes from last ten years take tab. JALRA m 50/1000 BD AMARYL 3 BD nowadays SUFFERING BODY PAIN.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 56 years old male diabetes from last ten years take tab. JALRA m 50/1000 BD AMARYL 3 BD nowadays SUFFERING BOD...
Mr. lybrate-user, With current treatment is your blood glucose level under control? Ideally fasting should be closer to 100 mg, PP 150 to 170 mg & HbA1c%<6.8. If this is achieved, then one remains fairly healthy. It is difficult to say there is constant body pain. One may look at Vitamin D3 and calsium supplements along with regular exercises. Thanks.
1 person found this helpful
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My friend having a problem of thyroid (goitre) So kindly provide the medicine for the same.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, It has to be properly investigated to see if goitre is causing hypothyroidism or thyrotoxicity. So by simply mentioning goitre no medicine can be prescribed. Plus in this communication we are supposed to give only general guidelines and no prescriptions. Hence, if you are (your friend) looking for specific treatment advise, then please come back with following details: Thyroid assay results, body weight, height and details of any symptoms experienced. Thanks.
5 people found this helpful
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I am suffering from from type 2 diabetes since 2005 .Though my condition was under control since six months my condition has shown regression .Earlier doctor had prescribed glycomet gp2 twice daily along with Ava's ez .My blood sugar was under control from 2005 I.e.it was 85 fasting sugar and 130 pp always .Suddenly my shot to fs175 andpp 250 .in one month .Our .Dr. Immediately prescribed insulin inj 30 units in morning and 20 units in evening .Itis three months that I have been taking insulin and sugar is 100fs and 150 pp with insulin. Please advice regarding continuation of treatment or change in course and program.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from from type 2 diabetes since 2005 .Though my condition was under control since six months my condit...
Hello, Thanks for the query. Looking at the blood glucose levels mentioned, it appears that presently your diabetes is in good control. Please tell me whether you are only on Insulin or along with that there are oral drugs also? Ideally blood glucose should be: FBG < 100 mg, PP 150 to 160 mg & HbA1c%<6.8. That helps one to remain free from long term complications of diabetes. Thanks.
1 person found this helpful
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Hi I am a diabetic and under insulin control. Need to know that I take viagra 50 gm twice or thrice a week b4 doing sex with my wife, will it have any negative effect on my sexual life or health on its regular use.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hi I am a diabetic and under insulin control. Need to know that I take viagra 50 gm twice or thrice a week b4 doing s...
no, but consult with your doctor before taking such medicines. your problem needs evaluation ,as it can be corrected with proper diagnosis. try to find a permanent solution for your problem ,as you are young
1 person found this helpful
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I am diabetic my hba1c is 5.8 without medicine only diet and exercise I am 27 year old diabetic patients can always suffering complications like kidney disease heart problem in life and what average life expectancy of type 2 diabetic patients in India.

DNHE
Dietitian/Nutritionist, Delhi
I am diabetic my hba1c is 5.8 without medicine only diet and exercise I am 27 year old diabetic patients can always s...
Relax. Your condition has prompted you take effective diet and lifestyle measures. You can have a good life expectancy like a normal person or even better with such a control.
1 person found this helpful
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I am a 47 year old mail. I have high blood sugar, and have undergone 2 surgeries for abcyss. I am taking blood sugar medicines. I am looking for permanent cure from blood sugar. Please advise.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
I am a 47 year old mail. I have high blood sugar, and have undergone 2 surgeries for abcyss. I am taking blood sugar ...
you can control your blood sugar levels. you can consult with me regarding further management with latest blood sugar levels report
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