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Dr. Usha Ayyagari

MBBS, MRCP - Diabetes & Endocrinology, CCT

Endocrinologist, Chennai

24 Years Experience  ·  0 at clinic
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Dr. Usha Ayyagari MBBS, MRCP - Diabetes & Endocrinology, CCT Endocrinologist, Chennai
24 Years Experience  ·  0 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Usha Ayyagari
Dr. Usha Ayyagari is a renowned Endocrinologist in OMR road, Chennai. Doctor has helped numerous patients in his/her 24 years of experience as a Endocrinologist. Doctor studied and completed MBBS, MRCP - Diabetes & Endocrinology, CCT . You can visit him/her at Apollo Speciality Hospitals in OMR road, Chennai. Book an appointment online with Dr. Usha Ayyagari and consult privately on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 34 years of experience on Lybrate.com. Find the best Endocrinologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Gultur Medical College - 1993
MRCP - Diabetes & Endocrinology - U.k ( London) - 2003
CCT - Oxford Deanery, U.K - 2013

Location

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Apollo Speciality Hospitals

#5/639, Old Mahabalipuram Road (OMR), Perungudi.Chennai Get Directions
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My frasting blood sugar is 213 and please blood sugar is 265. What medicine is require for me?

BAMS
General Physician, Delhi
Get hba1c levels checked & inform for the time being take cap diabeat 2 cap twice daily before meal. Then inform me with reports.
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I have been diagnosed with diabetics, please suggest me the diet to be followed, Whether can I have seasonal fruits like mango, papaya. Etc & how abt dry fruits? Wat type of food is preferable?

M.Sc - Dietitics / Nutrition, Post Graduate Diploma In Hospital Administration (PGDHA)
Dietitian/Nutritionist, Kolkata
I have been diagnosed with diabetics, please suggest me the diet to be followed, Whether can I have seasonal fruits l...
Dear patient. You should take low carbohydrate diet as you are diabetic. Reduce rice or wheat product in your diet take more green vegetables and fresh fruits. But you also take 100 gms of carbs daily not more than that. Fruits like mango contain 15 gms carb & 60 calorie per 100 gms of wt. So you can eat 2-3 mangoes / week but not more than 3. Yup papaya or apple or guava or pear you can take. No dry fruits are high in calorie you an take 5-6 gms 3 days in a week. Avoid fried food, junk food that will elevate sugar level. Take small amount of foods every 3 hours intervals in a day. Do brisk walk for 40 min any time in a day. Thanks.
2 people found this helpful
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She has diabetes and thyroid suffers from severe constipation generally diabetes level is high when it is normal then her b. P becoming low what to do for constipation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
She has diabetes and thyroid suffers from severe constipation generally diabetes level is high when it is normal then...
Mr Kishan, Diabetes and hypothyroidism should be always in control with proper drugs. If hypothyroidism is not in check it can cause constipation. To give any kind of advise i need to know fasting and PP sugar levels, HbA1c%, TSH levels and drugs being taken. So please give those details and come in a private conversation, where I can give specific suggestions. As regards low BP please mention the BP readings.
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Tsh is high but T3T4 are normal but there is no symptoms of thyroid. Tsh is 44. I have use medication for life long or the disease will decrease.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Tsh is high but T3T4 are normal but there is no symptoms of thyroid. Tsh is 44. I have use medication for life long o...
Please first go for anti tpo test. If negative it may be due to iodine deficiency. If positive you have to take life long eltroxin. Use iodised unripe salt in vegetables and on salad. Any quiry ask on line.
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I am 69 years old diabetic type II, hypertension and ckd IIIa patient. My sugar and BP is under control with medicines. Two white spot around 1 cm dia have appeared, one on neck and other on lower part of right leg. Do I need to meet skin specialist.

DHMS (Hons.)
Homeopath, Patna
I am 69 years old diabetic type II, hypertension and ckd IIIa patient. My sugar and BP is under control with medicine...
Hello, lybrate user, yes it can be assessed, locally, or rewing your image of affected part to begine homoeo medication, please. Tk care.
2 people found this helpful
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Uric acid level is little bit higher than normal level. Is it harm. How to control it?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Uric acid level is little bit higher than normal level. Is it harm. How to control it?
Uric acid level if increases more than normal may cause gout.so it needs to be controlled.u can msg me on my consult for more details
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I am 43 years old suffering with type two diabetes last ten years and with regular medicine TRIPIED I and VOGLIBOSE 0.2 Can't control diet that's why sugar levels is always fasting 300 and above. Kindly tell me any Ayurveda which can control sugars.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I am 43 years old suffering with type two diabetes last ten years and with regular medicine TRIPIED I and VOGLIBOSE 0...
Change your diet -Stop eating wheat -which is a gluten which will cause damage to your pancreas. Cut down carbohydrates eat healthy fats Eat plant based diet No dairy products No animal products unless it is organic Do exercise daily change your life style See a diabetic educator for proper dietary advice sleep for 8 hrs daily Reduce weight if you are overweight You may have to use certain supplements which will reduce your sugar and help you to reduce your medicines dosage rule out complications of diabetes on heart, kidney,eyes and nervous system. Diabetes can be mostly reversed with diet and life style changes. If you need specific advice please take a consult.
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Stick With Fitness: Tips for Staying Fit With Type-2 Diabetes!!

MBBS, CCEBDM
Diabetologist, Bangalore
Stick With Fitness: Tips for Staying Fit With Type-2 Diabetes!!

Type 2 diabetes is commonly seen in adults, but nowadays its prevalence is rapidly increasing in young adults and even teenagers. It is a chronic disorder that adversely affects the way your body processes and metabolizes the glucose (blood sugar). 

In Type 2 Diabetes, your body either resist the effects of insulin, a hormone that controls the sugar flow into the cells or does not produce adequate insulin to maintain a normal glucose level. Incorporating a healthy living, with the focus being on eating healthy and exercising regularly (for about 30-45 minutes) can help keep Diabetes Type 2 in check.

  1. Take small and frequent meals i.e. 4-6 times a day spread across regular time intervals. Also, carry a quick fix of carbs that can come to aid when the sugar levels drop. 
  2. Foods rich in fiber and complex carbohydrates, such as bread, vegetables, fruits and whole grain cereals should be at the top of the priority food list. Stay away from fatty or fried food. 
  3. Keep a check on your glucose level regularly at home with the help of a blood glucose meter. 
  4. A three monthly HBA1C test (three-month average blood sugar) can help to know overall blood sugar control. 
  5. Limit consumption of alcohol and completely cut down on tobacco. 
  6. Get up from your couch and hit the nearest jog course or do the exercise of your choice. There is no substitute to physical activities if you are on your way to control Diabetes; be if any type. 
  7. Assess cholesterol and blood pressure count periodically. 
  8. Because of nerve damage and poor blood circulation, your foot may have to bear the brunt of this disorder as well. Take good care of your feet. Check your feet for swelling, red spots and blisters; wear special shoes with a soft pair of socks that can keep your feet dry. Get your feet examine by special instruments for blood circulation and sensation in feet. 
  9. Diabetes damages oral health as well. Visit a dentist for a gum and tooth checkup at least a couple of times in a year. 
  10. Get your kidneys and retina tested as diabetes may weaken the blood vessels of these areas.

Type diabetes

I am 46 years old, during FBS & PLBS Method: GOD - POD fasting sugar 156 Green Ppt (+) and post lunch 231 Brick Red Ppt (++++). what is the remedy to control the above levels without using regular medicine?

MBBS
General Physician, Ahmedabad
I am 46 years old, during FBS & PLBS Method: GOD - POD fasting sugar 156 Green Ppt (+) and post lunch 231 Brick Red P...
Hi , your fbs and ppbs both are high. So I advice for hba1c to know the exact status. Check your medicines do not contain any sort of steroids. Follow diet plan, less carb. Less fat, high fibers diet. Avoid oily, fast and junk food, cold drink and juices, and dairy products also. If hba1c is high drugs are mandatory. Have a regular exercise also.
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Health Tips For Thyroid Health!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Thyroid is an important endocrine gland which is located in the neck. It produces triiodothyronine and thyroxine hormones which are known as t3 and t4 respectively. Iodine is necessary for the production of these hormones. These hormones are necessary for the proper working of our body. They increase the cholesterol, fat, protein and carbohydrate metabolism. Common problems of the thyroid gland are over activity or hyperthyroidism and under activity or hypothyroidism. The important causes of thyroid disorders are graves’ disease and hashimoto’s disease. Enlargement of the thyroid gland is known as goiter.

Foods for hyperthyroidism

When the thyroid gland starts producing excessive hormones, it is known as hyperthyroidism. This has various symptoms like increased heart rate, sudden weight loss, irregular heartbeat, anxiety, bulging eyes, sensitivity to heat and sweating, goiter etc. Hyperthyroidism can be controlled by using certain particular foods.

1. Foods belonging to brassica family
Consume foods like cauliflower, brussels sprouts, peanuts, cabbage, broccoli, kale, mustard greens, turnips, rutabagas, soybeans, spinach etc which contains goitrogens.
• goitrogens helps to block the ability of thyroid to use iodine and hence slows down the activity of the thyroid.
• eat raw cruciferous vegetables to get maximum benefit as goitrogens are active in the raw state.

2. Include more berries
Add at least one serving of berries in your diet plan to control hyperthyroidism.
• blueberries, raspberries, strawberries contain anti-oxidants which improves your immune system.

3. Omega -3- fatty acid and proteins
Omega -3- fatty acid helps to control the hyper stimulated thyroid gland. Proteins are necessary for the building of muscles and to provide energy for the body. Protein sources also contain l-glutamine which helps in rebuilding the gut and de-inflaming the body.
• eat cold water fish, flaxseed oil and nuts to get the omega-3-fatty acid necessary for the body.
• include soy, turkey, walnuts, salmon, tuna and trout in your hyperthyroidism diet.

4. Dairy products
Hyperactivity of the thyroid gland can remove the calcium from your blood. The body compensates this loss by leaching calcium from the bones. This can cause osteoporosis.
• include three servings of yoghurt, cheese, milk or cottage cheese in your daily diet. 

5. Spinach and collard greens
If you are allergic to dairy products, you can get your daily supply of calcium from vegetable sources like spinach collard greens etc.
• figs, prunes and sesame seeds are also excellent hyperthyroidism foods.

6. Zinc
This is another vital component of hyperthyroidism diet. The hyperactive thyroid gland can deplete the zinc.
• include almonds, walnuts, pumpkin seeds, peanuts which are rich in zinc in your diet.

7. Fiber rich foods and anti inflammatory foods
Fiber rich foods are beneficial for the proper working of the thyroid gland. Anti inflammatory herbs help to reduce the inflammation of the thyroid which is the reason for hyperthyroidism.
• include whole grain foods, like oatmeal, whole grain breads, brown rice etc in your food.
• the anti inflammatory herbs to be included in your diet are turmeric, ginger, rosemary, cinnamon and oregano.

8. Antioxidant rich foods and vitamin d
It is also necessary to consume antioxidants and vitamin d rich foods in the diet. This will reduce the oxidative stress caused by hyperthyroidism. Vitamin d can reduce the inflammation and auto- immune reactions of the body.
• avocados, olive oil broccoli etc contain antioxidants.
• salmon is a good source of vitamin d. You can get your daily dose of vitamin d from eggs, mushrooms etc.
• spend 20- 30 minutes in the sun to get the necessary vitamin d for the body.

9. Cassava, sorghum, and millet
These food items contain cyanogenic glucosides which blocks the iodine availability of the gland.
• these foods increase the immune function and gives protection from osteoporosis

10. Vitamin c and vitamin e
These vitamins are helpful in reducing the oxidative stress caused by the hyperactivity of thyroid glands.
• all the citrus fruits are rich in vitamin c.
• bell peppers, olive oil, wheat etc are a good source of vitamin e.

Foods for hypothyroidism
Underactive thyroid gland releases too little hormones. This condition is known as hypothyroidism. The symptoms include unusual weight gain, feeling cold even on warm days, lethargy and fatigue, puffiness of the face, constipation, depression constipation, dry skin, goiter etc. This is a lifelong condition however the impact of hypothyroidism can be controlled using appropriate diet. Changing the diet and lifestyle prevents the flares of symptoms which could disrupt your daily activities.

1. Iodine rich foods
Make sure that you consume a diet that is rich in iodine. Some of the most common foods that you can think about that is rich in iodine are:
• seaweeds and sea foods
• salt water fish
• nori rolls
• sushi
Be certain to use iodized salt while preparing food as it is found to be very effective for hypothyroidism.

2. Bananas
One of the most commonly found fruits are bananas. Try to include bananas in your daily diet as it is a good food for hypothyroidism.
• take at least two to three bananas a day. Make sure that you eat ripe bananas.
• you can also at times consume a banana milkshake that is prepared with low fat or skimmed milk.

3. Water
One of the best known remedies to treat all kinds of disorders as well as hypothyroidism is pure drinking water.
• make sure that you drink at least 8 to 10 glasses of water a day.
• water will help to flush out all toxins in your body.
• it will also prevent you from getting dehydrated so that your body does not store more fat and hence you do not gain excess weight.

4. Eating more fruits and vegetables
Try to include more fruits and vegetables in your diet. This will help you to stay healthy and is highly recommended to prevent hypothyroidism.
• it would be better for you to choose a complete veg. Meal plan full of greens and vegetables one or two days in a week.
• you also need to follow a strict fruit plan diet for a day in a week to fight hypothyroidism.

5. Selenium rich foods
Going for foods that are rich in selenium will help in fighting hypothyroidism.
• make sure to make onions and dairy products as part of your daily diet.
• you also need to occasionally include chicken, salmon, tuna and meat in your daily diet. Try to use one product a day.
• it is important for you to use a lot of garlic in your food preparation.
• brazil nuts as well as whole unrefined grains also help in fighting hypothyroidism and you need to take them at least once a week.

6. High fiber diet
It is important for you to take a high fiber diet so that you do not gain weight that easily and this will help to prevent hypothyroidism.
• add beans, oatmeal and whole wheat to your daily diet to improve your bowel movement and to reduce the cholesterol levels in your body.
• make sure that you only consume brown rice and not white rice in any form when you suffer from hypothyroidism.

7. Green tea
One of the best foods known to treat hypothyroidism is green tea. It has antioxidants and will help in reducing body weight.
• it is ideal for you to include green tea in your daily diet and try to skip other drinks like coffee and black tea.
• it would be ideal for you to consume thee to four cups of hot green tea to increase body metabolism and to burn fat.

8. Tyrosine rich foods
One of the best methods to increase the production of thyroid hormones in your body is to consume foods that are rich in tyrosine.
• fish
• lentils
• lean meat
• soy products
• almonds
• bananas
• avocados

9. Coconut oil
Take coconut oil cooked food will help in improving the production of thyroid hormone and will help in preventing hypothyroidism.
• add a tablespoon of coconut oil in your diet every day.
• it helps in increasing metabolism and is also an emery booster.
• make sure that you consume it in moderation depending on your age and lifestyle and structure of your body.

10. Vitamin a, zinc and copper foods

It is ideal for you to consume vitamin a, zinc and copper rich foods in order to increase the production of thyroid hormones in your body.

Vitamin a rich foods
• yellow vegetables
• carrots
• dark vegetables
• eggs

Zinc and copper foods

• lean beef
• dried beans
• spinach
• seeds and nuts
• yeast
• legumes
• oatmeal
• raisins
• organ meats that are range free.

1 person found this helpful

Hi Sir/Mam One day one of my friend mother is fasting and she took pain killer on the same day and she died. How it happened we don`t no please tell me the reason?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Sir/Mam
One day one of my friend mother is fasting and she took pain killer on the same day and she died. How it h...
Mr. Lybrate-user, this could be a simple coincidence, because usually no pain killer can cause such a serious problem, unless it is an anaphylactic (very severe acute allergy). Plus there is no mention of her other ailments. She may have had some other ailments or conditions related to heart which is not mentioned. So no explaination can be given.
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Iam 45yrs old I have blood sugar. Present 230 last 6months have not chek the regularly.

CDIABT, MBBS
Endocrinologist, Mumbai
Iam 45yrs old I have blood sugar. Present 230 last 6months have not chek the regularly.
Diet and exercise is very important for a diabetic patient. Frequent checking of blood sugar will help the doctor in deciding the treatment.
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My sugar level is slitly higher than the normal recomended levels. Should i start taking tablet as advised by doctor or thier is anyotherway out like exercise & diet control ?Please advise .

MD - Consultant Physician
General Physician, Mumbai
You should try exercise and diet control first. But if this does not help you may have to take the medicines.
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I am 61 years diabetic as well as having bp. Have got boils on lower part of feet and walking becomes difficult. Also find difficulty in locating feet in chappals. Advise remedy ?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
You have got complication of dm known as diabetic neuropathy. Very difficult to treat. We have medicines that may recover you. Consult if possible.
1 person found this helpful
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I am 62 year old male and have type 2 diabetes. How many cups of coffee should I drink to get the best of it? I already take Amaryl 2/500 (two every day).

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am 62 year old male and have type 2 diabetes. How many cups of coffee should I drink to get the best of it? I alrea...
Hello, You can use skimmed milk and no sugar. You can have upto 2 cups in a day and avoid its consumption after 6 pm.
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I am 25 years old female and I have hypothyroidism since 6 years and pcod. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 years old female and I have hypothyroidism since 6 years and pcod. What should I do?
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 consut doctor on time.
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Am 61y 6m. Male. Having Blood sugar but well within range. Take 'Glycomate GP 0.5' twice daily before meal. Pressure is normally normal, but once (couple of years back) I was given Telma-20 to be taken after breakfast. Am regularly having it. From the last two days, I am feeling weak; feel tired after the least work. Anything serious?

BHMS
Homeopath, Secunderabad
Am 61y 6m. Male.
Having Blood sugar but well within range. Take 'Glycomate GP 0.5' twice daily before meal.
Pressure ...
Please go for a routine checkup with your doctor. Its always better to go for an annual health checkup with your doctor even if everything is better. Some routine tests like CBC, ESR, blood sugar with HbA1c, thyroid, liver and renal profile, urine routine etc can be done to ensure all is well. Do not anticipate anything but be careful and follow a healthy lifestyle. Follow up regularly to check BP and sugar.
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I am diabetes person last 5 years. What should l take for buster Also my heart operation done in 2010 and put one stain I have sex problem. Please advice me.

MBBS
General Physician, Cuttack
I am diabetes person last 5 years. What should l take for buster Also my heart operation done in 2010 and put one sta...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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I am feeling weak now a days, I have high blood pressure and diabetes, what to do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am feeling weak now a days, I have high blood pressure and diabetes, what to do?
Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
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