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Dr. V.P. Sriram

Endocrinologist, Chennai

400 at clinic
Dr. V.P. Sriram Endocrinologist, Chennai
400 at clinic  ·  ₹ online
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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. V.P. Sriram
Dr. V.P. Sriram is a popular Endocrinologist in Adyar, Chennai. He is currently practising at Meenakshi Diabetic Clinic in Adyar, Chennai. Book an appointment online with Dr. V.P. Sriram on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 34 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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No 55A, Vinayagar Koil Street, Next to Hanuman Temple,Chennai Get Directions
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46/7,18th Cross Street, Indra Nagar, Adyar,Near Indra Nagar Shopping Complex,Chennai Get Directions
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Sir my husband 43 yrs old diabetic on metformin 1000 bid s creatinine increasing now 1.3 urine albumin nil now ultrasound showings fatty liver and grade 1 renal pharenchymal change.

C.S.C, D.C.H, M.B.B.S
General Physician
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Sir my husband 43 yrs old diabetic on metformin 1000 bid s creatinine increasing now 1.3 urine albumin nil now ultras...
His diabetes is not properly controlled. Diabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient should be under proper guidance for regular follow up and advice. 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & lifestyle.

I am 48 years old. I under went bypass surgery last December 2013. I am a diabetic. I am using glucomet SR 500, concor 2.5, and Toneact 10 daily. Now, for the past 20 days, I have conticipation problem. Pl advice me

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Take gandharva haritaki an ayurveda medicine in tablet form at night 2 tablets with warm water. Also take a glass of milk at night every day.

Symptoms of hyper calcemia.

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician
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Abdominal symptoms: constipation nausea pain poor appetite vomiting kidney symptoms: flank pain frequent thirst frequent urination muscle symptoms: muscle twitches weakness psychological symptoms: apathy dementia depression irritability memory loss skeletal symptoms: bone pain bowing of the shoulders fractures due to disease (pathological fractures) loss of height spinal column curvature.

I am 32 years old man suffering from diabetic type 2 last one year. So what shall I do ?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 32 years old man suffering from diabetic type 2 last one year. So what shall I do ?
Mr nitesh, please tell me are you taking any medications if yes what are those? because without medicine there is no way one can control diabetes. So please start treatment with appropriate drugs. Also exercise and take a restricted diet matching the needs of your body and avoid sweets, sugar and smoking and alcohol.

Hi doctor I am 24 year old I am suffering from hypothyroidism is there any surgery thru which I can cure isn't want to take medicine for life time.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi doctor I am 24 year old I am suffering from hypothyroidism is there any surgery thru which I can cure isn't want t...
Lybrate-userji, hypothyroidism is a condition arising because of thyroxine hormone deficiency. Thyroxine is produced by our thyroid gland and it is essential for development and normal functioning of brain and most vital metabolic reactions in the body. If not made available from outside it will lead to severe problems like swelling of whole body, affection of brain function, weight gain, menstrual problems, anxiety and depression, dry skin, dry hair, hair fall, difficulty in conception and getting healthy babies. Therefore, the hormone has to be supplemented for lifetime. There is no option. There is surgery indicated in this condition. Thanks.

I am having pain in my shoulder and I am not able to move my hand upward and I am having thyroid and diabetes also What should I do.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist
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I am having pain in my shoulder and I am not able to move my hand upward and I am having thyroid and diabetes also
Wh...
HI, YOU SHOULD TAKE ACUPRESSURE TREATMENT. TAKE BIOCHEMIC KALI PHOS 6X+NAT SULPH 6X.4TAB EACH THRICE A DAY WITH WARM WATER.

Hi, I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is 402, and HBA1c is 10.2, Last almost 3 years my sugar has gone up drastically I am taking Azulix 2 MF thrice a day and Pinorm 20 in morning and cilaheart 10 at night with clopitab cv 10. Please advice how I can can notrol my sugar properly.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi,
I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is...
Mr. Lybrate-user, your diabetes is totally uncontrolled, which really bad. As it can lead to a series of lonterm complications in relation with eye (retinopathy), kidney (nephropathy), peripheral neuropathy, problems with blood supply to lower limbs and coronary artery disease. You need to make special effort to bring sugar levels rapidly under control. You may need to shift to insulin injections right away, because looking at blood sugar levels it appears your beta cell reserve is almost nil. So taking oral drugs is not going to give any more benefit. Plus usual treatment guideline says when hba1c% goes beyond 8 to 9 % it essential to use insulin injections. By not doing so you are inviting serious complications.

How to reduce our diabetes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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How to reduce our diabetes.
1. Include whole grains in the diet, such as wheat bread/pasta and brown rice. 2. Cheese and yogurt prepared with skimmed (nonfat) milk may be taken. 3. Use garlic, onion, bitter gourd, spinach, raw banana, and black plum. 4. Make a flour mixture of 1 part barley, 1 part black chickpeas, and 4 parts whole-wheat flour and use this to form pancakes and bread. 5. Avoid sweet, sour, and salty foods, potatoes, sweet potatoes, colocasia (taro), yams, fresh grains and pulses (legumes), whole yogurt (high in fat), and heavy, oily and spicy foods. 6. Avoid sweet fruits like pineapple, grapes, mangoes, etc. 7. Start doing some light exercise, such as brisk walking. Build up to a brisk walk of 30-40 minutes in the morning and again in the evening. 8. Avoid sleeping during daytime.

I have angina and controlled diabetes. As per lipid profile report my LDL is 126. How can I reduce the LDL below 100. Is eating some cheese, few nuts and olive oil harmful to me and increase cholesterol level. Also advise me suitable yoga or pranayam for this if any.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I have angina and controlled diabetes. As per lipid profile report my LDL is 126. How can I reduce the LDL below 100....
Mr. Lybrate-user, to reduce ldl over all fat intake may have to be curtailed. Olive oil and certain nuts are fine, but high fat cheese may have to be avoided. Regular exercise for 1 hour including brisk walking is a very good option. All pranayams and yogasanas are good. If you really do pranayam then it should be 1) bhastrika 3 minutes, 2) kapalbhati 15 minutes, 3) bahya 11 to 21 times, 4) agnisar 11 to 21 times, 5) anulom vilom 15 minutes, 6) bhramari 11 to 21 times & 7) udgit (om) 11 to 21 times. Then it is beneficial. Thanks.

She has a diabetes n her sugar level is too high. Can you please tell me any home made remedy for diabetes.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician
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She has a diabetes n her sugar level is too high. Can you please tell me any home made remedy for diabetes.
Dear lybrate user with the limited amount of information provided it appears that you are concerned about diabetes. It could had been better had you provided us with latest fasting and hba1c levels along with other test reports. For the proper management of diabetes it is advised that the patient should exercise regularly, maintain diet and medicine as advised. Regarding your concern for home remedies it is my humble request not to waste time in them and start on treatment asap. Hope that solves your query. Anything more then please feel free to revert.

Hi, I take 2500 mg Metformin and 30 mg Glynase daily. I eat a plant based diet. My blood sugar levels are not good. Fasting sugar is 220. Please advise better medication. I don't want to start Insulin. Thanks.

Fellowship in Diabetes, PG Diploma In Emergency Trauma Care, MBBS
General Physician
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Hi, I take 2500 mg Metformin and 30 mg Glynase daily. I eat a plant based diet. My blood sugar levels are not good. F...
The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels. So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. Hba1c. 2. Sugar - fasting and pp. 3. Urine - routine and microscopy. 4. Urine microalbumin. 5. Urea and creatinine. Follow up with me and I will set up a wonderful treatment plan for you to control sugar levels.

Hello my question is- is it safe to consume protein from protein supplements if someone is having diabetes and if yes then how much content of it.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello
my question is- is it safe to consume protein from protein supplements if someone is having diabetes and if yes...
consuming protein supplements is fine for a diabetic person. But most of the protein supplements contain a good amount of sugar in the preparation. That is not necessary. If you pick up a preparation free of carbohydrate then it is ideal.

Ayurveda and Hypothyroidism

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Almost all the metabolic processes in a person's body are influenced by the hormones produced by the thyroid gland. The most common types of thyroid diseases caused due to dysfunctional thyroid glands are thyroid nodules, hypothyroidism, hyperthyroidism, goiter, thyroiditis, and thyroid cancer.

Hypothyroidism is when the thyroid gland is underactive and the amount of hormones produced is insufficient. Hypothyroidism can be caused due to multiple reasons such as iodine deficiency, radiation or surgery on the thyroid gland, and drugs such as lithium and phenylbutazone. You should note that treating thyroid is not a speedy process and a reoccurrence of symptoms might also take place. However with the appropriate remedies and proper diet control, one can make sure that these symptoms are less pronounced.

Ayurveda:
According to ayurveda, imbalance or disequilibrium in the doshas is the main cause of hypothyroidism. The kapha dosha i. E. The dosha responsible for body fluids and lubrication and pitta dosha i. E. The dosha responsible for fire and water body humors, are vitiated. Lifestyle and diet discrepancies further promote imbalances in the doshas. Hypothyroidism is categorized under the yapya diseases which recur once you cease to take the treatment.

Treatments:
1. It is essential to consume adequate quantities of milk.
2. Apart from that, coconut oil is one of the best remedies for a hypothyroid patient, since it increases slow and sluggish metabolism. Coconut contains mcfas i. E. Medium chain fatty acids and mtcs i. E. Medium chain triglycerides in abundance which help the metabolism be revved up.
3. Ayurvedic herbs useful for treating hypothyroidism are kanchnar, bauhinia variegata i. E. Purple mountain ebony, jatamansi, brahmi, guggulu, shilajit, gokshura, and punarnava.

Remedies:
1. Consume a mixture of indian gooseberry i. E. Amla churna with honey, daily before breakfast.
2. One of the main causes of hypothyroidism is insufficient amount of iodine. Drinking the juice acquired from jalakumbhi i. E. Pistia stratiotes everyday in doses amounting from 11gm to 22gm increases the iodine content and helps treat hypothyroidism.
Ayurveda and Hypothyroidism

Since last month having uti with proteus mirallis bacteria confirmed on urine culture test. My ultrasound kub was normal but after taking so many medicines still I am feeling very burning sensation while and after urination. My uric acid is 6.7. I wanted to know Should I avoid sexual activity or masturbation totally and how much time is more needed for full recovery. Pls help.

BHMS,NDDY
Homeopath
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Since last month having uti with proteus mirallis bacteria confirmed on urine culture test. My ultrasound kub was nor...
Dear lybrate-user you should take homeopathic medicine staph 1m singal dose and take echnisia q daily 15 drp in watet I hope you will get relief.

I am 26 year unmarried girl having hypothyroidism, my tsh is 5.5, and taking thyronorm 25 mcg, now I had gain weight around 20 kg within 4years, now I am feeling helpless to reduce weight, feeling less active and pain in feet after just half an hour walk. Please help me to reduce weight with home remedy.

Vaidya Visharad
Ayurveda
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I am 26 year unmarried girl having hypothyroidism, my tsh is 5.5, and taking thyronorm 25 mcg, now I had gain weight ...
Do regular exercise like brisk walking (at least), running, swimming etc. Avoid sedentary and lazy lifestyle. Use min salt. For more details consult me privately.

I am a type II diabetes since 2003. Recently for last 4 months I am suffering from high sugar . F - 261, PP- 328, HbA1c - 9.6 inspite of my all efforts like walking, taking medicine (Azulix 2 MF Forte -2 daily, amaryl -3 mg 1 daily, Januvia 100 -1 daily) diabetic diet etc. Please help what to do now.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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I am a type II diabetes since 2003. Recently for last 4 months I am suffering from high sugar . F - 261, PP- 328, HbA...
There is some problem in your routine, diet and exercise, and doses of medicine do following 1. No alcohol 2. Maintain body wt 3. No smoking 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5.30 mts walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. For medicine contact with complete blood reports and your problems. Check your bp and lipid profile. You will be guided properly to controll bloosd sugat good luck.

Hi I want know about thyroid h3 level increased Causes & treatment.

MD - Internal Medicine, MBBS
Endocrinologist
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inbalace in thyroid hormones..which r realese by our hormones glands by our body's endocrine system.

Within how much time a non diabetic person injected with heavy dosage of insulin should be treated before it becomes fatal. From internet I saw a person with weight 79 kgs injected 1500 units of lantus was treated and was back to normal. But within what time the treatment started for him wasn't mentioned for not becoming it fatal. So can someone please clarify me.

MBBS, Diploma in Diabetology
Endocrinologist
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Within how much time a non diabetic person injected with heavy dosage of insulin should be treated before it becomes ...
Urgent treatment with intravenous glucose and glucagon injections can control severe hypoglycemia. In case of lantus (glargine) basal insulin action lasts for 24 hrs and starts after 2 -4 hrs. So we can prevent severe hypoglycemia if we start glucose infusion within 2 hrs and maintained for 24 hrs. Different insulin have diff actions.
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