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Dr. Vignesh

Endocrinologist, Chennai

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Dr. Vignesh Endocrinologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vignesh
Dr. Vignesh is a trusted Endocrinologist in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. You can book an instant appointment online with Dr. Vignesh on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I am 28y old and type 1 diabetes problem is sugar level not control I am insulin use morning 40unit and 20 unit night.

MSc
Dietitian/Nutritionist, Hyderabad
I am 28y old and type 1 diabetes problem is sugar level not control I am insulin use morning 40unit and 20 unit night.
The key is to eat in moderation at regular intervals, and not to starve yourself. Start your day with a good and healthy breakfast like a cereal and milk combination for e. G oats/ dalia porridge with low fat milk or curd. Between your lunch and breakfast you can have a light mid-morning snack, i. E, a fruit perhaps, and follow this by a balanced meal in moderate quantity for lunch. Have plenty of vegetables which will keep you full and cut down on the amount of rice/ chapatis that you are having. Also cut down on your fat intake and reduce oil in cooking. Avoid fast food, junk food, sugary food and soft drinks. Along with this, do not forget to exercise regularly.
1 person found this helpful
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I have a cut in my sole of foot like if cutting an apple with knife. I have been using turmeric, aloevera and vit e paste, Now it is healing. My blood sugar is high. I don't feel pain even it is cut. Please advice me. Yours grateful.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have a cut in my sole of foot like if cutting an apple with knife. I have been using turmeric, aloevera and vit e p...
Mr. Lybrate-user, if you have a big cut on the sole of the foot, first thing is to control blood sugar strictly, with fasting around 100 mg and pp 150 to 160 mg and hba1c%<7. Otherwise healing may be affected. Then use some systemic antibiotic to control or prevent any infection, then do proper dressing by using antiseptic ointment.
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My age is 32 years today I have done my test of Fasting & Post lunch diabetic test results are Fasting 123, post lunch 221 means I have Diabetic or not and what stage it is. My height is 5.3,weight 78 kgs. I am taking Bp tablet Telmisartan 80 mg+chlorthalidone 12. Mg and Nicardia retard 10 mg in the morning BP showing Normal values regularly. Please suggest now am I diabetic or which stage, please suggest me what to do. Thanks and look forward for your valuable suggestion.

MD - General Medicine, PG in Diabetology, PG Diploma In Clinical Cosmetology (PGDCC)
General Physician, Asansol
My age is 32 years today I have done my test of Fasting & Post lunch diabetic test results are Fasting 123, post lunc...
Your fasting sugar indicate that you are pre diabetic stage & post lunch sugar indicate that you are suffering from diabetes in initial stage, according to your height & weight your BMI is 29.9 it means you are overweight near obese class 1, I don't know your HBA1C or average 8 to 12 weeks blood sugar. At first you should take balance nutritional diet, avoid sweet & sweetened agent,(direct sugar intake &which made with sugar) do exercise, half an hour walking daily beneficial to you& try to reduction your body weight. After two months you recheck your blood sugar level & hba1c (our target level FBS 70 to 130 mg/dl, PPBS- < 180 mg/dl & HBA1C <7% ). I hope you will be in our target level & continue your diet & exercise, otherwise you should take help a local diabetologist or endocrinologist. Good luck.
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Iam 27 yrs old, suffering from infertility problems like pcos, unicornute uterus. Wat are my chances of getting pregnant?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Effective treatments are available for PCOS that increases your chances substantially. Unicornuate uterus if linked to single tube and ovary may reduce the risks but it is still possible
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My grandfather had suffered from blood sugar and my father had also suffered from blood sugar too. Is this a heredity that me also will suffer from blood sugar too. If yes what should I do to prevent myself from such a problem?

MD - General Medicine, MBBS
General Physician, Kottayam
My grandfather had suffered from blood sugar and my father had also suffered from blood sugar too. Is this a heredity...
Yes ther is a chance for you to develop diabetes. You can delay the onset by diet control exercise and frequent monitoring of blood sugar,
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About thyroid what if the disease come what the symptom of disease how to control. The disease.

MBBS
General Physician, Faridabad
The thyroid gland is a small gland that sits in front of the windpipe and that works with pituitary gland to know how much hormone needs to be secreted to keep you healthy. The thyroid gland takes iodine, found in many foods and iodized salt, and converts it to thyroid hormones. [1] There are two conditions that can affect the thyroid gland. One is hypothyroidism, which is when you have an underactive thyroid.[2] The second condition is hyperthyroidism, which is when you have an overactive thyroid and produce too much thyroid hormone.[3] Having a healthy thyroid is important, and treating conditions of the thyroid is important for it to return to being healthy. There are lifestyle changes and medications you can use to get and keep a healthy thyroid. 1 Eat the right vegetables and fruits. Eating fresh vegetables and fruits will help you maintain thyroid and overall health. You should also eat vegetables and fruits high in antioxidants, such bell pepper, cherries, tomatoes, blueberries, and squash.
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Hello . I am of Age 36. Diabetic since last 5 years. Obese. 101 kg weight. 5'11 height. Pls suggest me diat plan. Fasting 180 pp 230 Medicines Gluconorm G2

MD - Pathology, MBBS
Pathologist, Ahmedabad
Get HbsAc done Have regularly exercise. Get your medicine and /or doses revised So far as diet is concern you totally stopped sugar in any form , stopped sugar intake in any form. Avoid fatty food. Select citrus fruits. Reduce your weight by 30 k in next three years time. Exact calories wise menu can be prepared but you have to come personally after thorough examinations with reports.
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I am diabetic TYPE 2 Morning I am taking Diabetic Guard, Kerala/Gurmar/jamoon ras And homeopathy tablets. In fasting Blood sugar showing 220. Kindly give suggestion.

BHMS
Homeopath, Delhi
I am diabetic TYPE 2
Morning I am taking Diabetic Guard, Kerala/Gurmar/jamoon ras
And homeopathy tablets. In fasting ...
your fasting blood sugar is not showing that your diabetes is controlled. U need to change your medications.
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Sir I am a Insulin dependant diabetic. I heard you are undertaking surgery for diabetes. Pl get me details.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir I am a Insulin dependant diabetic. I heard you are undertaking surgery for diabetes. Pl get me details.
its in research laboratories in america only...whereby pancreas transplantation is attempted..not in india yet,,and it isn't very popular choice either.just stick to ur insulin schedule daily
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6 Essential Lifestyle Changes Every Diabetic Patient Must Make!

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
6 Essential Lifestyle Changes Every Diabetic Patient Must Make!

Diabetes is very restrictive - living with the disease however does not imply that you stop enjoying. By bringing about certain changes in your lifestyle, you can still live your life to the fullest. For better management of your disease, these are some of the changes that you can make to improve your blood sugar levels and keep your condition under control.

1. Stay fit with physical activity
The first lifestyle change you can make is to increase your level of physical activity. This can help you in burning extra calories, thereby keeping your blood sugar levels in check. Spending 30 minutes a day exercising is ideal.
If you’re not fond of exercising or don’t have the time for it, even performing simple activities like walking, vacuuming or doing your laundry can help to lower glucose levels while burning calories.

2. Maintain a healthy BMI
Likewise, try to lose those extra kilos that may be weighing you down and increasing your sugar levels. You don’t have to lose all the weight in one go, you can do so little by little. To lose weight gradually and consequently achieve a healthy BMI, you must have more of fruit and vegetables and less of sugary items and processed food along with exercising regularly.

3. Make the right food choices
When it comes to food, you should consume whole grain foods instead of refined carbohydrate alternatives. Make every meal a balanced one with starches, fats and proteins included in the right amount. Furthermore, avoid beverages that come with high sucrose or fructose content, as they don’t offer much in terms of nutrition, and instead just add to your calorie count. Some of the foods you can include in your diet are bitter gourd, cinnamon, green tea, amla, jamun etc.

4. Have a fixed quantity of food
Apart from knowing the right foods to eat and the balance that you need to maintain between the different types, it is also important to know about portion sizes and carbohydrate count. This is because among the different food classes, it’s chiefly carbohydrates that influence your blood glucose levels. So, you need to keep track of the amount of carbohydrates that you’ve consumed in order to arrive at the right insulin dosage.
In addition to keeping count of your carbohydrate consumption, understanding the right portion sizes for the different types of food is also extremely vital for better management of your ailment. Measuring cups and spoons should be employed to arrive at the right quantities of food.

5. Eat your meals at fixed timings
As a diabetic, you should not go longer than 5 hours without eating as it can cause your blood sugar levels to fall dramatically, making you feel weak and faint. Instead you should have your meals at fixed hours, spacing them out at regular intervals. This will ensure your blood sugar levels are always at an optimum point.

6. Control your stress
Stress is a risk factor for Type 2 diabetes. When you’re under stress, your body produces stress hormones (cortisol) that can cause your blood sugar levels (and even blood pressure)to rise. So, preventing or controlling stress becomes necessary to keep your diabetes under control.
Let not your diabetes get in the way of enjoying life! If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3468 people found this helpful

Type 2 Diabetes & The Ayurvedic Way Of Managing It!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
Type 2 Diabetes & The Ayurvedic Way Of Managing It!

Although this disorder has been present among people since the inception of mankind, the rate of increase among the number of patients in recent years is alarming to say the least. The primary culprits are lifestyle issues such as bad diet, lack of physical exercise and stress. However, some people are genetically predisposed to it as well. Diabetes is a silent killer as complications caused by it are one of the largest killers on the planet.

The Ayurvedic route
Ayurveda has a long history of successfully dealing with this scourge dating back thousands of years. Diabetes is known as ‘Madhumeha’ and is often classified as ‘Maharoga’ as it causes multiple complications. The Ayurvedic route has many facets such as exercises, filtering toxins and balancing the ‘doshas’ through diet and herbs to control the effects of diabetes. Let’s look at some of the remedies for controlling and correcting symptoms of diabetes in Ayurveda.

  • Diet: This is one of the most important changes that you need to make in your life to control symptoms of diabetes. Certain food types are an absolute no-no in Ayurveda if you have diabetes while certain other types of food are encouraged as they help keep it in control.
  • Food types encouraged in Ayurveda: Amla, bitter gourd, fenugreek seeds (methi), spinach, jamun, drumsticks, garlic, turmeric, snake gourd, barley, wheat, tulsi, pepper, soya bean, cucumber and bel (Indian Bael) among others
  • Food types discouraged in Ayurveda: Processed sugar or any food that contains a high amount of it, unrefined sugar in large quantities, sugar cane juice, oil, jaggery, ghee, cakes, alcohol, foods rich in carbohydrates such as rice or rotis in excess quantities, curd, junk and oily foods, butter, cold drinks and sweets among others
  • Home Remedies and herbs: Ayurveda prescribes many forms of juices and concoctions which can be easily prepared at home to control blood sugar levels and also limit the symptoms. Some of the herbs and preparations used in the treatment of diabetes are mentioned below.
    • Bitter gourd juice or Karela taken early in the morning
    • A mixture of aloe vera gel and ground bay leaf (tez patta)
    • Banyan tree bark prepared in boiled water
    • Cinnamon powder boiled in water
    • Neem, turmeric and tulsi preparations
  • Yoga and exercises: Exercising and ensuring that the metabolism is kept active to check blood sugar levels is of utmost importance when you are diabetic. Yoga is one of the best methods to accomplish this. In general, light walking is prescribed but there are certain yoga poses which are especially beneficial for diabetes. Some of these are:
    • Shalabhasana or the locust pose
    • Ardha matsyendrasana or the half spinal twist pose
    • Peacock pose or Mayurasana
    • Katichakrasana or the waist rotating pose
    • Naddishuddhi Pranayama
    • Surya namaskar among others

However, it is important that you are proficient in the easier forms of yoga first and then have proper instruction before you try the harder poses.

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

3140 people found this helpful

I am 50 years male type 2 diabetic recently administered stent and I am suffering from erectile dysfunction please prescribe medicine to overcome this.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
I am 50 years male type 2 diabetic recently administered stent and I am suffering from erectile dysfunction please pr...
Hi, Since you have got Stent operation done and using tablets for them, I recommend you to discuss your erection problem with cardiologist, as few cardiac medicines might give this side effects.
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I am 51 year old I am suffering from pain in heels of feets from last 1 year and my blood sugar is fasting 105 and after lunch dinner ppbs after half dose of tablet dainoram m is 160 what to do and I am walking regularly 3 km please.

PDDM, MHA, MBBS
General Physician, Nashik
Heel pain is plantar fascitis. Kindly use soft slippers and consult privately for detailed management.
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I am 25 years old. My urea acid increased. It reached. On 8 points. What should I do now? Please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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Diabetes and Footcare

MBBS
General Physician, Chittorgarh
Diabetes and Footcare

Do you realize that around 2.5% of the aggregate diabetics are affected with foot ulcers and related sicknesses. Not just this, progression of ulcers/foot wounds leaves the patient with no other option other than amputation. Studies propose that two third of the diabetic foot ulcers in the long run heel without removals. Specialists encourage diabetic patients to embrace a preventive and powerful way to deal with in order to prevent further complications.

What foot complications can occur in diabetics?

  • Diabetes (both type 1 and ii) causes harm to veins and peripheral nerves that can bring about issues in the legs and feet. Two principle conditions connected with diabetes are peripheral vein ailment (pad) and peripheral neuropathy prompting expanded danger of foot issues.
  • Peripheral artery disease (pad) implies narrowing and solidifying of veins. It causes torment in the calf muscles while strolling and in some cases even ulcers because of absence of oxygen supply to these tissues.
  • Peripheral neuropathy alludes to harm to the little nerves in feet because of diabetes. Side effects incorporate diminished sensation in the nerves of the legs and feet, making it hard to see wounds because of absence of feeling. It additionally causes shivering, agony, or smoldering in the included ranges.
  • Notwithstanding these, diabetic patients may encounter changed foot issues like abundance as corns, calluses, ulcers, agonizing occasions, for example, bunions and contagious diseases.

 
What precautions should a diabetic patient take?


It is fundamental for a diabetic patient to deal with his/her feet and take essential precautionary measures. Some essential foot care tips incorporate

 
1. Be vigilant. Investigate your feet every day before you start your day. Search for lesions, injuries, cuts, blisters and calluses on your feet.

 
2. Wash and wipe your feet every day with lukewarm water along these lines decreasing the odds of diseases. Ensure the toes are dry.

 
3. While rejuvenating or pampering your body with oils/cream make sure your feet is not wet that might create inffection. Apply the moisturizer simply after you have dried your feet.

 
4. Nails ought to be precisely trimmed; cut your nails straight over the length and not from the corners.

 
5. Amid work hours attempt to sit upright; change stances to abstain from being in one position for long; helps in directing sugar levels.

 
6. Amid extended periods of travel, move your feet at customary interims to guarantee an unfaltering blood supply to feet.

 
7. Pick a tolerable pair of shoes that fits well and shields you from stumbling and wounding. Relaxation for your is as essential as is for you.

 
8. Orthotic footwear can be a decent pick for those confronting serious footcare issues. Maintain a strategic distance from plastic or vinyl based shoes.

 
9. You can likewise keep a foot dairy or set up a schedule reserved for your foot care regimen.

 
When a doctor should be consulted?

• Check for paleness/numbness in your feet, a sign for broken nerve conduction. Pink and red feet may not generally be a pointer of goodfeet; rather are characteristic of over the top blood stream denied of sugars. On the contrary if it reoccurs consult the specialist

• Check for undesirable development; these for the most part develop on regions of relentless weight. Make sure that you don’t incise them all by yourself. Rather consult a specialist.

• Area under the toe, has a few layers of skin and takes the greater part of your body weight. Subsequently, can be another site of callus development.

• In extreme cases, when an injury has taken over two days to recuperate, instantly reach to a podiatrist/specialist. Postponements can prompt disintegration of the injury site. 


In this way, take out some time each day and assess your feet precisely. Recall that it is these sound feet that is going to take you to places! stay healthy, stay happy!

3 people found this helpful

Sir I am suffering from diabetes mellitus since the last please 10 years, now I am 39. I am using please (amaryl mp1, amaryl mp2, janumet 50/500) one tab daily and voglibose ppg 0. 3 mg twice daily. Last week I checked please fasting sugar and it was around 160. How can I bring my blood sugar to normal? will I have to resort to insulin?

M.B.B.S., Diploma in Family Medicine, Fellowship in Diabetes (Liverpool), Advanced Clinical Course in Cardiology (USA), Certified Diabetologist from USA, CCEBDM, MD - Consultant Physician
General Physician, Hooghly
According to your drug history, u are taking 5 types of antidiabetic drugs simultaneusly at this moment. I would suggest u to check your hba1c, urea, creatinine. If hba1c is higher than 8 % and your creatinine is more than 1. 5 despite taking all these medications, u should switch over to insulin which will be better for your health. For further help, u may be send me private message. Dr. S. Modak, m. D.
3 people found this helpful
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I have tsh value is 6.21 microUi per ml. How can I reduce my tsh value by maintaining food. Pls tel me.

Diploma in Diabetology, MBBS
General Physician, Warangal
I have tsh value is 6.21 microUi per ml. How can I reduce my tsh value by maintaining food. Pls tel me.
Your ibw is58.5 kg maintain ibw avoid calliflower cabbage vegetables walk daily take balance d diet rpt tsh after 1 month in other good lab tsh should be below 5.5.
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I have a problem of thyroid and I have gone up my weight 72 - 73 kg, and I want loose weight. I am 28 years old And I feel very weakness and I always feel tired so pleas help me.

MS - ENT
ENT Specialist,
I have a problem of thyroid and I have gone up my weight 72 - 73 kg, and I want loose weight. I am 28 years old
And I...
First take thyroid supplementation as per your blood status then regular physical activity n balanced diet. Hypothyroid pts have low metabolism hence gain wait easily. Don't consume junk food, oily, fried foods, sweets etc.
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I have type II diabetes since last 6 years and am taking medicines regularly. My sugar level ranges between 120-150 (fasting) and 190-220 (PP). I am taking Glycomet Trio2 Forte Twice a day and Galvus Met 50-500 once at night. Do I have to ask my Doctor to increase my medicines doses to control my sugar level?

MBBS
General Physician, Cuttack
I have type II diabetes since last 6 years and am taking medicines regularly. My sugar level ranges between 120-150 (...
Your Blood sugar is slightly increased.Along with medicine please follow the advice given below 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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One of my uncle have sugar and his sugar level is 270 his age is 49 and weight approx 70 kindly suggest some natural way so that it can come under control with ease Kindly suggest some home made method so that he won't find any difficulty.

MBBS, Fellowship in Diabetes
Diabetologist, Thane
One of my uncle have sugar and his sugar level is 270 his age is 49 and weight approx 70 kindly suggest some natural ...
Dear lybrate-user It seems random blood sugar level. Please do check Fasting /PP, HbA1c, lipid profile. Need to know whether he is hypertensive or not. Treatment generally depends on clinical findings with supportive reports I think he needs treatment at least on trial basis .I would like to prescribe him glycomate SR twice a day for next 2 weeks. You asked for home remedies, then there are fenugreeks (methi) soaked in water overnight n to be consumed in the morning. Karela and jamun is also effective. He should stick to diabetic Diet, no sugar or sugar containing products, lot if green vegetables n fruits. Feel free to call me if needed. Regards.
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