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Dr. Vijayaganapathy

MBBS

Endocrinologist, Chennai

at clinic
Dr. Vijayaganapathy MBBS Endocrinologist, Chennai
at clinic  ·  ₹ online
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vijayaganapathy
Dr. Vijayaganapathy is a trusted Endocrinologist in Alwarpet, Chennai. He is a MBBS. You can consult Dr. Vijayaganapathy at Thyroid Clinic in Alwarpet, Chennai. Book an appointment online with Dr. Vijayaganapathy on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 29 years of experience on Lybrate.com. Find the best Endocrinologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - NA -
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English

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No 432 E 1 Parsn Flats, Ttk Road, Alwarpet.Chennai Get Directions
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Sir am suffering from blood uric acid. My blood uric acid level is 9. And also drugs like zyloric and febumac are not suiting me. Every time I take d drug I get rashes all over my body and am unable to make a fist even. What other tablet can I take for blood uric acid am suffering from.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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High protein diet or improper excretion due to kidney disease may lead to high uric acid concentration in blood. If allopathic treatment is not suiting u. You must switch over to ayurvedic treatment, which is safe and 100% effectively.

Hi i am 10 year diabetic case the bsl at fasting is normal but post meal remains invariably between 150-200. The insulin hm 30/70 is 34 units at bf and 12 at dinner besides 1 tab of glycomet 1g at lunch.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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Reduce the morning dose of insulin to 30 units. Take tab voglinorm 0.3 mg along with food thrice a day. Measure your blood sugar levels with a glucometer before & 2 hours after each major meal (ie, a total of 6 readings). Also try to measure your blood sugar levels when you have symptoms like sweating & uneasiness. We can then decide.

I am not facing any blood sugar related problem. However As per annual medical check this year my pp level was 419 mg/dl & fasting sugar 213 mg/DL. Then I went for HbA1c test there it came 7.4%. Request advise.

C.S.C, D.C.H, M.B.B.S
General Physician
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I am not facing any blood sugar related problem. However As per annual medical check this year my pp level was 419 mg...
You are definitely diabetic and it may not any symptoms initially. You need treatment .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 and doctor should be in constant touch for regular follow up and advice. The common symptoms are :-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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 & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.

Hello sir/madam, My wife is pregnant from 2 month. But she has a complications of type-2 diabetes before 6 month. But now a days the sugar level is normal I.e. 128 mg at fasting. Again she is having increasing t3 & t4 level with constant decrease of TSH. So tell me sir is she eligible for mother or not and is there any risk in her pregnancy.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello sir/madam, My wife is pregnant from 2 month. But she has a complications of type-2 diabetes before 6 month. But...
Hello, if she has diabetes then through out pregnancy blood glucose levels should be between 90 to 120 mg. This is all through the day. Otherwise pregnancy out come is affected. Can lead to miscarriages, large baby etc. She has to be on insulin with very strict glucose control. However t 3 & t4 being high tsh low is fine. It would have been better if actual levels were mentioned. Thanks. Most important is strict blood glucose control.

I am 29 yrs old and I have diabetes from last 3 yrs. It is coming around 150 in fasting and 240 after meal. I am taking gluconorm g1. please suggest.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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I am 29 yrs old and I have diabetes from last 3 yrs. It is coming around 150 in fasting and 240 after meal. I am taki...
Hi thanks for the query. 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.

What's the Normal blood sugar Levels for people with diabetes.

C.S.C, D.C.H, M.B.B.S
Pediatrician
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What's the Normal blood sugar Levels for people with diabetes.
Optimum control is to keep blow 100 fasting and, 140 2 hours after food. Ask privately for personal guidance.

I am 30 year old male and have hypothyroidism from last 2 year and taking thyroxine 25 mg/day what should I do for permanent cure.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 30 year old male and have hypothyroidism from last 2 year and taking thyroxine 25 mg/day what should I do for pe...
You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.

How to diabetes control.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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How to diabetes control.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight. 3- Split your meals and eating in moderate amount:-, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Eat your food slowly, chew well. 6- Proper Exercise and work outs:- Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients.

I have type 2 diabetes. How should I control my sugar level? Please advise.

M. Sc. Foods, Nutrition & Dietetics
Dietitian/Nutritionist
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I have type 2 diabetes. How should I control my sugar level? Please advise.
Dear try to include high fibre, moderate protein foods, low glycemic index foods. Also take guava leaf juice, or black jamun karela juice on empty stomach.

My thyroid level tsh level z 3.47.and from 8 months am suffering from cold. Like neck pain, it z always paining below my ear. I don't HV running nose and I feel cough remains their. I take clavam medicine.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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It is a case of kafa avrit Vata according to ayurveda. I advise you to take tablet kafa kuthar rasa one tablet three times daily for three months. U can msg me on my consult for more discussion.

I am 51 year, male, having diebetics for the last 10 years, I also have reflex problem and burning sensetion in the night, I take medicine for dieabatics and some times omez for aciditity and reflex off late I have been having omiting in the nights, and early in the morning while brushing my teeth, in the nights I wake up for urination, and urine stinks too much, suger level are 120 on fasting and 185 on ppbs, ecg is ok and I keep getting pain in chest.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 51 year, male, having diebetics for the last 10 years, I also have reflex problem and burning sensetion in the n...
You are suffering from vidagdhajeerna. The best treatment is langhana. Be exclusively on diet of boiled & salted moong for 5 days. Nothing else. Have mix of saunf/ jeera & ajwain after every meal. Drink water boiled with dhaniya seeds. Revert & consult privately after 5 days for further guidance.

What are all the signs and symptoms present in hypothyroidism patient and its treatment?

PDDM, MHA, MBBS
General Physician
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What are all the signs and symptoms present in hypothyroidism patient and its treatment?
Major symptoms include fatigue, cold sensitivity, constipation, dry skin and unexplained weight gain. Treatment is usually with thyroxine supplements.

How to avoid the diabetes?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician
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How to avoid the diabetes?
Following are the tips to prevent onset/or control diabetes 1-Control Diabetes by Losing Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight.This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman:waist of 80 cm or more & for man:waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Spliting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves ur metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals.Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat.It will help maintain your blood sugar at a healthy level and wont let it to fluctuate.Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories ,extra weight and controlling glucose level.Brisk walking for 30 min.atleast five times a week is the best and easiest way of excersicing.You can also try Cycling,swimming,dancing.Timings for exercise should be fixed and regular.Avoid heavy exercise.Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat:Limit fats and sweets.Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fiber and complex carbohydrates:-as they are easily broken down to basic sugars. Add whole grain foods in your diet.Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks.Instead include high-fiber carbohydrates like wheat bran,flaxseed and methi seeds to your wheatflour.This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated.Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc..just 1 tsp(5 gm)is sufficient for a healthy diabetic hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories .choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc.So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc.Do not have more than two cups of tea or coffee every day.Try green tea instead.

MBBS, DGO (cal)
General Physician
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Understanding Uric Acid and how to manage them.

Uric acid results from the breakdown of compounds known as purines in the body. Purines are both produced in the body and consumed through the diet. Normal values of uric acid in the blood range from 2.4 to 6.0 milligrams per deciliter for females and 3.4 to 7.0 milligrams per deciliter for males. Uric acid levels higher than 7.0 milligrams per deciliter in the blood can cause crystals to form and build up around joints, resulting in a painful form of arthritis known as gout. Many foods contain high levels of purines, and eating these foods can lead to high levels of uric acid in the blood.

Diet Tips for High Uric Acid Patients:
1. Lower fat intake as excess fat reduces normal excretion of uric acid.
2. Liberal fluid intake to keep the urine dilute and uric acid soluble to facilitate excretion by kidney.
3. Restriction or elimination of alcohol.

What to Avoid:
1. Shell fishes, red meat, mince meat, meat extracts, organ
meats, fishes (sardine, roe, makeral).
2. Whole pulses (masur, rajmah, chana, chole, etc.). Other dals
are allowed.
3. Vegetables and fruits - green peas, spinach, French beans,
brinjal, cauliflower, mushroom, chickoo, custard apple.

Diet Rules:
A. Use less salt while cooking. Avoid adding salt while cooking
rice or in chapatti dough.
B. Use adjuncts like tomato, vinegar, cocum, amchur, lime juice,
curd, pepper powder to make the food cooked with less salt
palatable.
C. Remove the salt shaker from the table.
D. Avoid salted nuts/ biscuits, papads, pickles, chutneys.
E. Avoid excess consumption of processed and preserved
foods; eg. Bakery products
F. Caution - Do not overdo on salt substitutes as that might
cause an electrolyte imbalance.

Recommended Foods:
a. Fresh cherries, strawberries, blueberries and other red-blue
berries
b. Bananas
c. Celery
d. Tomatoes
e. Vegetables including cabbage and parsley
f. Foods high in bromelain (pineapple)
g. Foods high in vitamin C (red cabbage, red bell peppers,
tangerines, mandarins, oranges, potatoes)
h. Low-fat dairy products
i. Complex carbohydrates (whole grain breads, cereals)
j. Chocolate, cocoa
k. Coffee, tea

Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood.
Therefore, rather than attempting to find foods that are free of purines and uric acid, it’s important to know how to increase the body’s alkalinity, which naturally reduces the body’s acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.


Foods identified that lowers your Uric Acid

1. Water
Water flushes out toxins including excess uric acid from the body. Have at least 10- 12 glasses of water daily.

2. Cherries
Cherries have anti–inflammatory substances named anthocyanis that help reduce uric acid levels. It prevents the uric acid from crystallising and being deposited in the joints. Cherries also neutralise the acids and help prevent inflammation and pain. 200 gms per day is very effective in bringing down uric acid.

3. Apple
Malic acid in apple neutralises uric acid and thus provides relief to the sufferers. You should consume one apple daily after a meal.

4. Lime
The citric acid found in lime is a solvent of the uric acid .The juice of half a lime squeezed into a glass of water should be taken twice daily.

5. French bean Juice
Another effective home remedy for gout is French beans juice. The healthy juice can be consumed twice everyday for treating gout or high uric acid.

6. Celery seed
This is a popular home remedy to lower uric acid levels in the body. Have celery seeds extract to get best results.

7. Berries
Berries especially strawberries, and blueberries have anti-inflammatory properties so include them in your diet.

8. Apple Cider Vinegar
Drink apple cider vinegar. Add 3 teaspoons of vinegar to 8 ounces of water and have it 2-3 times every day to treat uric acid.

9. Pinto Beans
A diet rich in folic acid can help lower uric acid naturally. Folic acid rich foods like pinto beans, sunflower seeds and lentils should be included in your diet.

10. Vegetable Juices
Carrot juice in combination with beet and cucumber juice is also very effective. 100 ml each of beet juice and cucumber juice should be mixed with 300 ml carrot juice and taken daily.

11. Low fat dairy products
Low fat dairy products like milk, curd help lower uric acid level.

12. Foods rich in Vit C
Include Vitamin C rich foods and supplements in your daily diet to reduce uric acid in the body. It disintegrates uric acid and forces it out of the body through urine. Good sources of vitamin C are Awla, Guava, Kiwi, Sweet lime, oranges, capsicum, lemon, tomato and green leafy veg.

13. High-fiber foods
According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol , Oats, Broccoli, apples, oranges, pears, strawberries, blueberries, cucumbers, celery, and carrots, barley.

14. Bananas
Bananas are also beneficial in lowering uric acid.A banana-only diet, consisting of eight or nine bananas per day for three or four days, may alleviate the swelling and inflammation of joints caused by gout or other forms of arthritis more rapidly.

15. Green tea
Consume green tea on a regular basis to control hyperuricemia (high uric acid levels) and lower your risk of developing gout.

16. Grains
Eating grains that are more alkaline such as jowar, bajra are helpful to reduce the level of uric acid in the body.

17. Tomatoes, broccoli, and cucumbers
Tomatoes, broccoli, and cucumbers are some of the veggies that you need to start including in your meals. Tomatoes are one of the best vegetables that you could have for lowering uric acid. Fresh tomato is alkaline by nature and when it is exposed to the blood stream it increases the alkalinity of the blood.

18. Dark Chocolate, cocoa
Theobromine is an alkaloid that is similar in structure to caffeine. It is found mainly in the cocoa bean and is at the highest levels in dark chocolates. Theobromine also can relax the bronchial muscles of the lungs and according to a small study, was more effective than codeine in relieving coughing. According to Dr. Shmuel Halevi at Acumedico.com, theobromine has the highest concentration of uric acid per gram of food than any other substance”, as reported by Livestrong.

19. Raw vegetables
Raw vegetables like potatoes or corns are effective to reduce uric acid in the body. Have them raw or steam these vegetables.

20. Omega-3
Essential fat Omega 3 from flaxseeds, walnuts, fishes like salmon, herring, mackerel, sardines reduces inflammation and swelling



What are the main symptoms of the disease diabetes and which type of food are not allowed to eat, please tell me.

MBBS
General Physician
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What are the main symptoms of the disease diabetes and which type of food are not allowed to eat, please tell me.
Increase in thirst, appetite and increase in the frequency of urine are few symptoms of diabetes and we have to avoid food with high glycemic index levels.

Being a diabetic patient, how to improve the metabolic structure of body. My flesh all gone. What type of additional food I have to take to improve the metabolism. I want to become slightly fat look.

MBBS
General Physician
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Being a diabetic patient, how to improve the metabolic structure of body. My flesh all gone. What type of additional ...
Being a diabetic pt you should take nutritious food like leafy vegetables, cereals, lean meat pk like chicken, fish, eggs etc go for morning walk followed by free hand exercises with few yoga and pranayum like kapal bhatee. Avoid alcohol and junk food you should maintain your body wt as per bmi.

I am a 59 years old man having diabetes, high blood pressure, I recently undergone byepass surgery, I am having problems of sleeplessness.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Dear many times after major surgery sleeplessness happens. It should settle down soon. If it doesn't than tou can discuss with your cardiologist in follow up visit.

I am 50 years. I am suffering from diabeties and taking insulin for 2 years morning 25 units and 20 units how to reduce insulin and control over sugar levels.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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If you are suffering from Type 2 Diabetes (the most common type of diabetes), you may be able to reduce your Insulin dose by using the newer medications like DPP-4 inhibitors ("Gliptins"). Also, regular exercise & dietary changes may help reducing your Insulin dose.

I have a doubt. Im suffering from hypothyroidism can you tell me the diet and the exercise.

PDDM, MHA, MBBS
General Physician
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I have a doubt. Im suffering from hypothyroidism
can you tell me the diet and the exercise.
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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