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Dr. V.P. Sriram

Endocrinologist, Chennai

400 at clinic
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 36 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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46/7,18th Cross Street, Indra Nagar, Adyar,Near Indra Nagar Shopping Complex,Chennai Get Directions
400 at clinic
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No 55A, Vinayagar Koil Street, Next to Hanuman Temple,Chennai Get Directions
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I have irregular periods problem, is that due to thyroid, I am using thyroid medicine from two months, now also it is irregular.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have irregular periods problem, is that due to thyroid, I am using thyroid medicine from two months, now also it is...
Hypothyroidism irregular menstrual period is one of the commonest symptoms. Along with that there may be some times excess flow. Since you are on treatment for just 2 months, it may take a bit longer for complete recovery from symptoms. When treatment is effective tsh levels should be between 3 to 4 milli units/ml. If that is achieved then most symptoms will be in check.
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DIABETES AND THE RETINA! How can people with diabetes protect their vision?

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
DIABETES AND THE RETINA! How can people with diabetes protect their vision?

DIABETES AND THE RETINA! How can people with diabetes protect their vision?

The IMPORTANCE of early treatment

Although a person's vision may be good, changes taking place in the retina may require treatment. Most sight loss due to diabetes is preventable if treated early. The earlier the treatment is given the more effective it is.

In a nutshell: Early diagnosis is vital.

Annual retinal screening appointment is quintessential.

Worsening of vision may not necessarily mean diabetic retinopathy. It may simply be a problem that can be rectified with glasses.

Vision lost to diabetic retinopathy is sometimes irreversible. Women with diabetes who become pregnant should have a comprehensive dilated eye exam as soon as possible. Additional exams during pregnancy may be needed.

Multiple studies have shown that controlling diabetes slows the onset and worsening of diabetic retinopathy. Other trials have also demonstrated that controlling elevated blood pressure and cholesterol can reduce the risk of vision loss among people with diabetes.

Treatment for diabetic retinopathy is often delayed until it starts to progress to a complicated or irreversible stage. Comprehensive frequent dilated eye exams are needed more frequently as diabetic retinopathy becomes more severe. People with a high risk of developing complications may need a comprehensive dilated eye exam as often as every month.

To summarize, early diagnosis of diabetic retinopathy is important.

Don't wait for the vision to deteriorate to have an eye test.

Inform your eye specialist in case you notice changes to your vision.

Feel free to ask questions or express fears about your treatment.

Strict control of sugar, blood pressure and cholesterol reduce the risk of diabetes-related sight loss.

Smoking increases your risk of diabetes-related sight loss.

5 people found this helpful

What is the solution of the diabetes. Plzzz answer me urgently I'm waiting for your reply.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
What is the solution of the diabetes. Plzzz answer me urgently I'm waiting for your reply.
Hello, Diabetes can never go away, it had to be managed. Cut down on refined products. Exercise regularly. Excess sugar and salt to be avoided. Have good amounts of fresh fruits and vegetables.
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I have irregular periods. And I also have thyroid for which I am taking medicines. How can I understand if I am having pcos problem or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I have irregular periods. And I also have thyroid for which I am taking medicines. How can I understand if I am havin...
You have to go for USG, MRI etc and other tests as decided by your gynaec. In Ayurveda AARTAV SHUDDHI is safe, non toxic, non surgical procedure to counter PCOD.
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Im a diabetes patient. From my age of 16 th. Now my age was 24. Still I have the same problem. Daily I inject the insulin. INSUGEN 30/70, 100 Unit. And put the injection unit per day 32 units.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Im a diabetes patient. From my age of 16 th. Now my age was 24.
Still I have the same problem. Daily I inject the ins...
Mr. Lybrate-user, you are having t1 diabetes, in which there is no insulin in your body, as beta cells of pancreas do not produce it at all. So you will have to continue to take insulin injections for life time. Also please get your eyes checked for any retinal changes from a good eye specialist. It is very essential. Also always be in control of your diet and do some regular exercise.
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I am 33 years old and yesterday itself I came to know that I am diabetic. The doctor told me that it is both in my blood and urine. Kindly suggest what is the kind of diet I should start having and if any other precaution that I need to take. With fasting it is 157 and without fasting it is 197.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
You haven't to start on tablet glyciphase 500 mg twice a day after food and check you sugar levels again after 10 days. If they improve continue the same. If not inform me I will advise.
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I am a diabetic last 20 years and taken medicines metformin-3(1+1+1) galvus-50-1/days, dibiglim-2mg (1+0+1). I also walking 3km daily. But my sugar lavel not down last six months. Fasting 170& pp-270. Advice me

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
If your sugar level is not down with these medicines. It means you are not following diabetic diet plan clearly. So avoid potatoes. Rice. Sweets. Etc.
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I have a daughter of 5-6 years and she is having diabetes of 450-500. Pls suggest me something.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have a daughter of 5-6 years and she is having diabetes of 450-500. Pls suggest me something.
Mr. lybrate-user, She has to be on Insulin multiple doses every day, plus should be taught to take proper diet and avoid sweets. This condition needs a very careful and constantly monitored treatment. So please contact a diabetologist in your town, or in a major hospital, as they will have special days for treating T1 DM and there are group discussions and other meetings held to make children understand about the problem. Online we can not do much. If not properly treated then there can be lot of complications. Thanks.
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Gud mrng. I am diabetic patient. Can I use fenugreek seeds to control diabetic. Pls suggest.

DHMS (Hons.)
Homeopath, Patna
Gud mrng. I am diabetic patient. Can I use fenugreek seeds to control diabetic. Pls suggest.
Hello, it all depends on d grevity of sugar level in d blood.. however, may continue taking in small qty.
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Weight Loss With Hypothyroidism

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
Weight Loss With Hypothyroidism

Thyroid and weight loss

Losing weight with hypothyroidism is a challenging task. All those with hypo thyroid and weight loss on their mind, go for a very low calorie diet which can further lower the body’s metabolism, worsening the problem. Hence the correct approach is needed.
 
Keep a check on your thyroid levels: remember the answer to your weight loss question is solving the reason for weight gain. If you have a thyroid problem and weight loss is your goal, you must keep a check on your thyroid levels. Take your medications regularly and keep your levels as close to the normal range as possible. And you will see your weight coming to normal. Check your thyroid levels every 3-4 months, or at least once in 6 months.

Increase your activity: lowered metabolism is the main hurdle for those struggling with thyroid and weight loss. Increasing the activity levels through exercise will help in increasing the metabolism. Increase your activity levels by including a 30-45 minutes exercise session, be it walking, yoga, tai chi, swimming, cycling or gymming. Take the stairs every time you have to climb up or down. Short medium paced walks after your meals will be beneficial too.

Increase your water and fibre intake:

Hypothyroidism can cause chronic constipation, water retention and edema. Increasing water and fibre intake will help in regularizing bowel movements. Increased water consumption will also help in flushing out your lymphatic system, further helping water retention problems.

Increase selenium intake: to supplement selenium in your diet, include bran, whole wheat, tuna, onions and tomatoes in your diet.

Increase iodine intake: increasing iodine intake will help in improving the thyroid functions. Eat iodized salt. If your doctor advises, go in for iodine supplements as well.

Increase your metabolism: the key for thyroid and weight loss is increasing your metabolism. Here are some tips on how you can do that.

i] Have 5-6 mini meals – Small and frequent meals helps in reducing the sugar spikes and balance the blood sugar level. This will help in avoiding hunger pangs. Small frequent meals help by keeping the digestive system on the go. It helps in burning more involuntary calories and prevents storage of fat.

ii] Green tea – Drinking green tea will increase the metabolic rate and your energy levels. Hypothyroidism makes you feel tired and fatigued all the time. Green tea will help in decreasing the stress levels and will give you the most needed energy kick.

iii] Warm water and lemon – A glass of warm water and lemon early in the morning and after your main meals will help you in keeping the metabolism rate up through out the day.

Thyroid and weight loss:-

Foods to eat: Include a lot of carrots, whole grain cereals, avocado, apricots, fish, asparagus, olive oil and sunflower seeds.

Foods to avoid: Eat less of broccoli, lima beans, cabbage, peanuts, sweet potato, mustard, kale, kohlrabi, linseed and soy products. These foods may interfere with iodine uptake in the body. Don’t cut these foods out completely, just keep these to a minimum.

Whether the excess weight comes from thyroid or other hormonal issues, the key to weight loss is to correct the underlying condition while monitoring your diet, eating the right things and avoiding what’s wrong and exercising. A healthy lifestyle since the very beginning is the solution to every weight related problem, including thyroid and weight loss.

15 people found this helpful

I have gas and acidity problem and also I am suffering from diabetics and blood pressure So recurring some tips or any way to how I can fight with them easily.Please help sir.

BHMS
Homeopath, Faridabad
I have gas and acidity problem and also I am suffering from diabetics and blood pressure So recurring some tips or an...
Hello. Acidity occurs when there is excess secretion of acids in the gastric glands of the stomach. When the secretion is more than usual, we feel, what is commonly known as heartburn, which is normally triggered off by consumption of spicy foods. Here are some home remedies to cure acidity. - Skip the aerated drinks as well as the caffeine. Opt for herbal tea instead. - Have a glass of lukewarm water everyday. - Include banana, watermelon and cucumber in your daily diet. Watermelon juice is great for curing acidity. - Coconut water is known to soothe the system if you suffer from acidity. - Drink a glass of cold milk - everyday. - Have your last meal at least two to three hours before going to bed. - Keeping long intervals between meals is another cause for acidity. Have small but regular meals. - Try to avoid pickles, spicy chutneys, vinegar, etc. - Boil some mint leaves in water and have a glass of this after meals. - Jaggery, lemon, banana, almonds and yogurt are all known to give you instant relief from acidity. - Excessive smoking and drinking will increase acidity, so cut down. - Try chewing gum. The saliva generated helps move food through the esophagus, easing symptoms of heartburn. - Eat Ginger as it aids in digestion. - A simple preparation of lemon water with sugar can be sipped on an hour before lunch to reduce uneasiness. - Have vegetables like drumsticks, beans, pumpkin, cabbage, carrot and spring onions. For diabetes: Type-2 Diabetes is a lifestyle related problem, so making a few lifestyle changes can lower the chances of developing type 2 diabetes. -Excess weight is the single most important cause of type 2 diabetes, so control or reduce your weight if you are overweight! -Avoid sedentary lifestyle and start get moving. Brisk walking for a half hour every day reduces the risk of developing type 2 diabetes. -Modify your diet: *Choose whole grains and whole grain products over highly processed carbohydrates. The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. *Avoid sugary beverages which have a high glycemic load, and drinking more of this sugary stuff is associated with increased risk of diabetes. *Choose good fats instead of bad fats. Good fats found in liquid vegetable oils, nuts, and seeds. Trans fats or bad fats are found in many margarines, packaged baked goods, fried foods, fast or junk foods. *Limit intake of red meat and processed meats. Nuts, seeds, beans, tofu, or poultry are much more healthful protein choices. -Quit smoking. -Moderate alcohol consumption decreases the risk of type 2 diabetes. -Avoid taking unnecessary stress or tension! And keep an optimistic attitude in life! Medication: Take homoeopathic SBL’s Diaboherb medicine/ 3 times a day daily. Home Remedies: Dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of Indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day. For Hypertension: Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take homoeopathic medicine - Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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Best way to keep diabetes in control can you suggest me some treatment related to it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Best way to keep diabetes in control can you suggest me some treatment related to it.
Hello, Diabetes can be kept in good control by following means: 1) Taking appropriate medication as advised and without missing a dose. 2) Taking a restricted diet, that gives exact calories based on ideal body weight, extent of daily exercise. 3) Avoiding sweets, junk foods, deep fried foods, pastries and bakery items, sweetened aerated drinks (colas), fructose corn syrup containing products 4) Consume more of green leafy vegetables, salads and permitted fruits (100 g a day). There are various drugs available to control blood glucose, selection of a drug depends on various factors. Thanks.
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My thyroid report show t3 133 t4 10.3 tsh 50.83 which should be below 5.5 should I take any medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Your thyroid assay results show presence of severe hypothyroidism. This has to be treated and TSH levels should be brought down to 3 to 4 mU/L. If treatment is not initiated then there could be very severe consequences. Thanks.
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Today when I come from walking I check blood sugar its 112 after take 1 cup tea I checked then its 103 I have a blood sugar or not.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Today when I come from walking I check blood sugar its 112 after take 1 cup tea I checked then its 103 I have a blood...
If so far you do not have diabetes already and not under treatment fasting 112 mg% after 10 hrs of overnight fasting it is a borderline impaired fasting glucose. You should do blood sugar 2 hours after consuming 75 gms of glucose more than 126 mg% upto 140 mg% it is impaired glucose tolerance. You can repeat these tests and above mentioned levels of 126 and 140 are prediabetic states hence diabetes can be prevented or postponed by measures like life style changes of reduction of weight, controlled sugar free diet and daily exercise.
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I'm suffering from diabetes what all precautions should I take can you pls help me.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
I'm suffering from diabetes what all precautions should I take can you pls help me.
Go for a walk in the morning. Do regular exercise. Take lukewarm water with half spoon methidana powder. Loose your extra weight this will not only lower your blood pressure but also helps lowering your blood pressure and cholesterol too. No long gapes and skipping of meals. Never miss out breakfast. You should avoid fasting and feasting. Timely and balanced diet is as important as regular medicine intake to control diabetes. Complex carbohydrates and fibre should be included in diet.
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I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.

MBBS
General Physician, Jalgaon
I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.
Please Your weight is too much Please reduce It Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads, vegetable juices and soups more Avoid oily spicy and fast food Avoid outside food totally Avoid non veg food Continue your current diabetes treatment Take Cap ayurslim by Himalaya 2....2 after food Tab supradyn 30 1 Reconsult after 15 days.
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I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via natural conception. I don't drink, don't smoke at all and IT engineer by profession with no exposure of any heat whatsoever. It's been over 10 months since we are trying for our second baby and we aren't getting result. We had a rigorous tests done for my wife and she is all fine as she was during 1st conception hence with repeated semen analysis it's discovered that I have Azoospermia God knows how come it got developed in me :(. I have absolute no surgery or something hitting my testis which could ever lead to this. Doctor has advised me to go for Testicular Biopsy some have advised IUI / IVF. I want to know do I really need IVF as I strongly believe that I must be having sperms but it's not just coming through ejaculation. Please advise.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via nat...
Azoospermia means your semen doesnot contain sperms. It could be due to either lack of production or due to obstruction of the tube which delivers the sperms at sex. In patients of azoospermia, is the volume of the ejaculate (semen) is good and fructose test is positive, it could mean there is no production. If the fructose if absent it suggests ejaculatory duct obstruction. Usually hormones tests like FSH, LH, Inhibin B levels are advised and on their basis, some hormonal treatment can be offered. Normal volume, PH and fructose being present and presence of GPC (glyceryl phospho choline) means there is NO obstruction, But Normal Volume, PH and fructose positive but NO GPC means it is vas deference epididymis level obstruction. Low volume, PH and fructose negative and NO GPC means it is ejaculatory duct obstruction So het the hormone tests done, GPC levels tested, and meet a urologist or andrologist who can guide your treatment. In patients who have sperm production but tubal block, the sperms can be aspirated by TESA or MESA but these need to be sued for IVF only. If the hormone levels are low, and there is NO obstruction, there are injections which can help increase the production. In patient who have never had a child or are not affording the expensive testicular biopsy, TESA, MESA,IVF, gynecologists also can suggest a donor semen insemination as a attempt for those who want a pregnancy desperately. So decide for yourself and then meet an andrologist or urologist.
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I am 65 years old and having diabetes for the last 20 years. I take reclimet twice. My sugar level was fasting 120 and after meals about 180. The doctor has added galvus met twice daily. I am feeling weakness and losing weight also. Kindly suggest should I continue with galvas met or kindly suggest some other medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 65 years old and having diabetes for the last 20 years. I take reclimet twice. My sugar level was fasting 120 an...
Mr your sugar levels appear to be fairly good. The prescribed medicines are working well. But if you find difficulty with galvus met, you may try voglibose 0.3 mg along with each meal the brand is tab k - vog 0.3 mg I also want to know how active you are, because daily 1 h of exercise even brisk walking can help control blood sugar better.
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What is the symptoms of sugar. How to identity this problems. Please help me about this. THANKS.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
What is the symptoms of sugar.
How to identity this problems.
Please help me about this.
THANKS.
Increased thirst, increased appetite, increased urination, loss of weight, blurring of vision and skin infections are few symptoms of diabetes, diagnosis is confirmed by blood test.
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