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Dr. V.P. Sriram

Endocrinologist, Chennai

400 at clinic
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Dr. V.P. Sriram Endocrinologist, Chennai
400 at clinic
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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 41 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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Meenakshi Diabetic Clinic

46/7,18th Cross Street, Indra Nagar, Adyar,Near Indra Nagar Shopping Complex,Chennai Get Directions
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VALSAI DIABETIC AND PHYSIOTHERAPY CENTRE

No 55A, Vinayagar Koil Street, Next to Hanuman Temple,Chennai Get Directions
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Hello respected doctors. I am girl age 21 m suffering from thyroid frm lst 3 yrs. Now my thyroid level is 19. Um facing many problems like hair fall weakness weight loss I am just 44. Give me some valuable treatment for hairfall n for weight gain. Also describe which oil n shampoo can I use. My hair is dandruff free. Thank you.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hello, I would better recommend you for homoeopathic treatment for thyroid. It because since your age is small, and you having those pills from so young age is not worth. Homoeopathy will help you to reduce it and bring back your normal thyroid profile. And once it becomes normal, no need for any extra oils and shampoo for hair. But till then you use tresemme shampoo and conditioner. Those products are good and reliable too. Take care.:)
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I am 24 years old suffering from disease a kind of obesity am 54 yrs I think I have thyroid but not sure I dnt find any symptoms of thyroid I have a bit menstrual problem I get my periods regularly but bleeding will remain only for two day I eat very less but my weight is increasing day by day. Firstly want to reduce my weight please give any solution.

FASNC, Dip. CBNC, DRM, MBBS
Nuclear Medicine Physician, Lucknow
I am 24 years old suffering from disease a kind of obesity am 54 yrs I think I have thyroid but not sure 
I dnt find ...
Thyroid has nothing to do with weight gain! moreover, don't presume, get your thyroid profile tested, if you really have thyroid. It can be cured by medicines! 1.
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Sir meri mom ki age 53 hai unka fasting sugar report 103 hai or khana khane ke baad 191 hai toh sir pls aap batayenge ki sugar blood mein aa chuka hai or ye control ki ja sakta hai or kitni tension ki baat hai sir.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Sir meri mom ki age 53 hai unka fasting sugar report 103 hai or khana khane ke baad 191 hai toh sir pls aap batayenge...
No tension. No worry. She is Okay. Blood Sugar is little extra and that can be controlled by restricting carbohydrates and sugars. Eat less maida /biscuits/juices/ Sweets. Take whole grain like wheat /Dalia _Raagi / salads / beans /oats etc. Do daily exercise. This way she will be fine.
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My sugar level is 164 after 1 hr glucose. I am 8 month pregnant. Is it normal. Should I quit eating fruit. Should I totally stop eating sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My sugar level is 164 after 1 hr glucose. I am 8 month pregnant. Is it normal. Should I quit eating fruit. Should I t...
lybrate-user, Thanks for the query. If 1 hour glucose (after OGTT 75 g) is 164 mg then it is not considered as Gestational diabetes. If it crosses 180 mg, then only GDM is diagnosed. It is better to take a healthy diet. Do not take sweets, but consume good deal of healthy foods and fruits. Thank.
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I am 55 years old male suffering from thyroid from June 2015. I take thyrox-25 regular. How long the medicine is regularly take by me please Advice. Thanking you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Rajkishor, Treatment for hypothyroidism is for life time. This is a condition due to deficiency of thyroxine an important hormone secreted by thyroid. Therefore, there is a need for supplementation and that too for life time. Plus you have to keep checking TSH levels periodically to see if the dose of thyroxine is adequate or needs an increase.
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Please suggest me the diet plan for hypothyroid. And is it possible that the tsh levels fall from 40 to 0.15.

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Please suggest me the diet plan for hypothyroid.
And is it possible that the tsh levels fall from 40 to 0.15.
Diet plan Drink 1 litter of warm water with 1/3rd tea spoon mineral salt before fresh Before Breakfast Option no. 1 – Take any three vegetables and any one fruit cut into small pieces. Add two tea spoon malli or olive oil. Option no. 2 – shock one tea spoon Chia seeds in 100 ml water and live for 10 mints. Then add 200 ml curd, add one scoop lipolyzer powder. Lunch (1.30 pm) Option no. 1 -- 2 chapatti (BrownXatta)+ Any Veg or non-veg+ Curd + Salad Dinner (7.30-8.00 pm) Option no. 1 – Veg Soup with Butter Option no. 2 – salad + any veg or non-veg Option no. 3 –paneer tika Option no. 4 - one tea spoon Chia seeds in 100 ml water. Then add 200 ml milk Evening snacks – Green Tea with nuts and seeds like almonds, cashew, pista, walnuts, peanuts, flax seeds, sesame seeds. Eat 28 gm pumpkin seeds daily and 28 gm sunflower seeds daily. Replace your white salt with Mineral Salt Lipoquick bullets – one tablet empty stomach in morning You have to avoid - Avoid wheat, rice, pulses and sugar and any item made from these items like daliya, poha, corn flakes, oats, biscuits, namkeen etc. These products you have to order from amazon.in Nutroactive Himalaya mineral salt extra fine grain Lipoquick bullets.
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I am 41 years old I have done blood test. My total. Cholesterol level 199.0, tgl level is 400. And sr. Uric acid level is 7mgs% what can do and which medicine will take.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 41 years old I have done blood test. My total. Cholesterol level 199.0, tgl level is 400. And sr. Uric acid leve...
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . for uric acid take tab. zyloric 100 mg once a day.
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Post graduate certificate course of implantogy, BDS
Dentist,
Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.


Hello sir, I am 59 years and suffering from sugar thyroid. I take 150 mg thyrox and 10 unit mastered insulin. May I take metformine 500 mg with 5 mg dional?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir, I am 59 years and suffering from sugar thyroid. I take 150 mg thyrox and 10 unit mastered insulin. May I t...
your diabetes, you have not mentioned any details like fasting and pp sugar levels, hba1c%, weight, height and level of physical activity. Also tell me what is the meaning of" mastered insulin. Please give your dietary pattern. It will be good if you come in a private conversation with all these details where I can give specific suggestions and prescription too. In this communication we are supposed to give only general guide lines.
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I got diabetes age of 30 is it avoided if taken care? Please give your suggestions. Thank you.

MBBS, MD - Medicine
General Physician, Delhi
I got diabetes age of 30 is it avoided if taken care? Please give your suggestions.
Thank you.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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My father who is about 55 age suffering with diabetes. So please tell what to do to help him ?

MBBS, DGO (cal)
General Physician,
My father who is about 55 age suffering with diabetes. So please tell what to do to help him ?
Consult a senior and experienced doctor who treat such cases. A diabetologist / endocrinologist is the first preference. Follow his advices. Weight control, regular exercise, dietary (calorie) management, required medicine and regular monitoring for earliest sign of any complication and followup is essential part of management of diabetes. So please do not take it lightly. Do not run after hearsays and un authenticated advices.
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Will a person with Type 2 diabetes under control end up with the need for insulin? I use a insulin daily it is soo painful can I do treatment with insulin. What xan I do plzz tell me more ans more information about diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Will a person with Type 2 diabetes under control end up with the need for insulin? I use a insulin daily it is soo pa...
Mr. lybrate-user, Thanks for your query. Diabetes mellitus is a disease occurring due to deficiency of insulin (pancreas produces less than required amount) or due to resistance to the action of insulin due to excess fat in the body. This is true of Type 2 diabetes. In T1 DM, Beta cells of pancreas are almost fully destroyed, hence there is no insulin at all. In this situation patients have to take insulin for survival and blood glucose control. It T2 DM, initially there is some amount of insulin production goes on. However, as diabetes continues for many years (20 to 25 or even longer), slowly insulin production declines. Therefore, almost every single patient of T2 DM will have to take insulin some time in life to control blood glucose. This happens even when there is good very good blood glucose control in initial years. Thanks.
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diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
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My mom and my dad had diabetes mellitus so its 100% sure that I would have diabetes ?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Palakkad
My mom and my dad had diabetes mellitus so its 100% sure that I would have diabetes ?
You are more prone to get diabetes since you have a strong family history. But you can prevent or at least delay its onset by maintaining a healthy diet and lifestyle practices. So just review your weight and check if it is within the safe limits for your height. Ayurveda has the best of lifestyle guidelines which will surely help you.
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I am 35 M diabetic. My current dose is glimpeide 1 mg + metformin 1000 BD. Still it is 170 fasting pls advice.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am 35 M diabetic. My current dose is glimpeide 1 mg + metformin 1000 BD.
Still it is 170 fasting pls advice.
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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Hello Doctor, I have hypothyroidism and iron deficiency so for that I need medical prescription and protein supplements and if you provide diet chart than it's even good for me.

BSC (Home), cerificate course in child care, diploma course in hospital administaration, master in food service management
Dietitian/Nutritionist, Vadodara
Hello Doctor, I have hypothyroidism and iron deficiency so for that I need medical prescription and protein supplemen...
Hypothyrodisam exercises is very important for stagnant your weight frequent meals and also healthy avoid junk food outside food packed food sauces chaat table salt.
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I am 62 years male. I am diabatic. I am taking medecine for last 5 years. It is glimaday and metaday. Now for last 15 days sugar level on fasting is 200 and pp is 260. Please advice.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Dear your medicines are not able to control your b. Sugar levels. Fasting should be<140 and pp<180. You need further add on/change of medicines now. Raised blood sugar does harm if kept so for a long time.
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