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Dr. Vikram

Endocrinologist, Chennai

Dr. Vikram Endocrinologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Vikram
Dr. Vikram is an experienced Endocrinologist in Thiruvanmiyur, Chennai. Doctor is currently practising at Vitalife Clinic in Thiruvanmiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Vikram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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Vitalife Clinic

44, East Coast Road , Kottivakkam, Landmark:1 Km from Thiruvanmiyur RTO, ChennaiChennai Get Directions
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I am 55 years old having diabetes since 15 years, both the legs paining mostly night down taking tablets glimmy 2 2mg 2 times morning n night.

MBBS
General Physician, Delhi
Diabetes affects the nerves in our limbs adversely. That is why, limb pain is a common complaint among diabetics. What you can do is, take folic acid andethyl cobalamine, eat lots of green vegetables, have milk and milk products. Exercise regularly and keep your blood sugar under check.
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Sir I have the problem of headache and stomach pain regularly please suggest me any medicine. Or tell me the symptoms of the above mentioned disease. And I have the problem of diabetes sometimes. Please suggest any medicine.

BAMS, MD Ayurveda
Sexologist, Lonavala
Sir I have the problem of headache and stomach pain regularly please suggest me any medicine. Or tell me the symptoms...
i would recommend you to follow the following home remedy Natural home remedy using green tea and lemon: 1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief surely you will get results, if it dosent work then you must consult ayurvedic doctor.
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I am 34 year female diabetic on drugs glimeperide 3mg+ metformin 1500. I feel frequent leg cramps mainly at night. Kindly advise any treatment.

Advanced Aesthetics
Ayurveda, Gulbarga
You take ayurvedic medicines also and both are continue. Madiphala rasayana and tab- hyponid, for 1 month and recheck your sugar level minimum for best result these 3 months.
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I am 31 years old. My tsh level us 11.82uiu/ml. Have I a hypothyroidism? which foods I should avoid?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 31 years old. My tsh level us 11.82uiu/ml. Have I a hypothyroidism? which foods I should avoid?
By now you must have started treatment with thyroxine tablets in dosage as advised by your doctor. Foods to be avoided in hypothyroidism are soya beans, corn, canola, saffllower, flax seed & canola oil, cauliflower, cabbage, tapioca, mustard, peanuts, rapseeds, turnip, sweet potatoes, brussels sprouts, eggs red meat, pears, strawberries, peaches etc. You should take iodised salt, sea foods, salt water fish, celtic sea salt, whole unrefined grains, dairy products, garlic & onions.
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FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
Hair Loss Trigger: Thyroid Problems

The thyroid is a butterfly-shaped gland at the front of the neck. It produces hormones that regulate many processes throughout the body. If the gland makes too much or too little thyroid hormone, the hair growth cycle may falter. But hair loss is rarely the only sign of a thyroid problem. Other symptoms include weight gain or loss, very dry skin or eczema, sensitivity to cold or heat, and changes in heart rate.

3 people found this helpful

Common Insulin Alternatives

DDF, FCCP, MD , MBBS
General Physician, Delhi
Common Insulin Alternatives

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

  1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 
  2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
  3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
  4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
  5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Related Tip: "Living Well with Type 2 Diabetes"

3306 people found this helpful

My father and I went for shopping last sunday and in the mall there was some health checkup going on. They checked sugar level of my father's blood and it turned out to be 240. Is it ok to have such a figure?

C.S.C, D.C.H, M.B.B.S
General Physician,
My father and I went for shopping last sunday and in the mall there was some health checkup going on. They checked su...
No. He is in diabetic range. If you can check his fbs, 2hr ppbs and hba1c and cbc and send report to me I can suggest medicines and further action.
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She is having fever for 2-3 days. She has diabetes and high blood pressure. What to do?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
She is having fever for 2-3 days. She has diabetes and high blood pressure. What to do?
Belladonna - 30 / 5 drops in little water thrice a day for two days. Revert back after two days with feedback.
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Very heavy knee pains and unable to sit BP is normal but some times high Sugar levels are high and taking tablets.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Very heavy knee pains and unable to sit
BP is normal but some times high
Sugar levels are high and taking tablets.
Knee advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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I am 36 years old, recently detected thyroid. Please tell me how to care my health. Food, exercises etc.

BHMS
Homeopath, Secunderabad
Hi , better to take homoeopathy medicines to cure hypothyroidism permanently. Avoid cabbage and cauliflower and drink adequate water along with medicines. May I know you recent thyroid profile levels?
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10 Ways To Boost Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
10 Ways To Boost Your Fertility

Pregnancy can be easy and smooth, while on the other hand, it might be time consuming, marred with conception difficulties all along the way. Pregnancy may seem exciting to some, whereas it can be stressful for others. Regardless of whether it is the first child you are planning or have had a successful pregnancy previously; there are some tips you need to keep in mind in order to improve fertility and give birth to a healthy child.

Some fertility boosting factors are:

  1. These fantastic swimmers are at the very root of male fertility. Some important components which need to be taken into consideration are sperm count, sperm motility (the ability of the sperm to swim around the female reproductive tract) and morphology (shape and size of a sperm). In order to have all these parameters in check and working fine, one needs to abstain from smoking and limit alcohol consumption among many other lifestyle modifications.

  2. Having unprotected vaginal intercourse during the woman’s fertile days in a month helps improve chances of conception.

  3. Fertility becomes a challenge when you are either overweight or underweight. The weight of a woman affects ovulation (The release of eggs from the ovaries) and causes hormonal imbalance; factors which make it very difficult to conceive. Keep your weight levels in check and that could prove primarily essential in bettering your fertility.

  4. Staying well nourished boosts your odds of conceiving! Make sure to include enough protein, iron, zinc, vitamin C, and vitamin D in your diet, because deficiencies in these nutrients have been linked to lengthened menstrual cycles (and therefore less frequent ovulation) and a higher risk of early miscarriage. Consult gynaecologist if you should take a daily multivitamin supplement. And be sure to eat protein-rich foods, such as meat, fish, low-fat dairy products, eggs, and beans.

  5. Beware of STDs or Sexually Transmitted Diseases. One is the most prone to STDs of any kind if he/she happens to engage in unprotected sexual intercourse; having a number of sexual partners just ups the chances of getting afflicted by STD. Protected vaginal intercourse helps prevent STDs, thus enhancing fertility and subsequently, chances of conception.

  6. According to several studies, the lubricant one chooses surprisingly plays a significant role in determining fertility. Not all lubricants boost fertility and sperm motility (sperm count). Baby oil or egg whites are a few good examples of such lubricants.

  7. While a limited amount of caffeine consumption is good, overdoing it might spoil and hamper fertility. Limit caffeine intake and keep it within a level of 200-250mg a day.

  8. Smoking, besides playing havoc with every organ in the body, affects the reproductive organs and thus fertility. In men, it leads to reduced sperm count and in women, it causes DNA damage. Stub the bud right now and never get back to it.

  9. Certain toxic chemicals can lead to female and male infertility. So it is advisable that you stay away from chemicals such as pesticides, organic solvents and lead, the primary toxins which pose a severe threat to fertility.

  10. Exercising regularly can never go wrong. It gives you the strength and stamina, boosting your overall health. However, vigorous exercises, especially when you are trying to conceive, will do you no good. It might adversely lead to the suppression of certain hormones such as progesterone (pregnancy stimulating hormone) and might affect ovulation, hence affecting fertility. Aim at a regular 20 minutes session of light exercises; mild cardiovascular exercises such as walking can work wonders, especially in such circumstances.
3724 people found this helpful

Hello. I am diabetic and my urine routine test showed prtiens++ though sugar was not detected. Also creatinine was little high. Pls suggest. My sugar has been under control.

Fellowship in Diabetes, MD Physician
General Physician, Ahmedabad
Hello. I am diabetic and my urine routine test showed prtiens++ though sugar was not detected. Also creatinine was li...
Dear lybrate-user, its good to hear that your sugar levels are under control. As you might be aware that diabetes is a progressive disease. It affects gradually all the vital organs of our body if not kept under control in form of micro and macro vascular complications. As your urine - routine test shows presense of protein (known as proteinuria) and you said that your s. Creatinine was also high, I would suggest you to get a usg abdomen & pelvis done to know the cause of the same. Even it would be better if your lab reports can be reviewed as the necessary treatment can be initiated for the same. Thanks.
4 people found this helpful
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Sir, My Father 60+years old and Diabetic last 20+yrs, PP and Fasting normal. Abhi Tab. Gluconorm G1 le rahe hain iske pahle Dipride M2 le rahe the. Sir, but pichhle kuchh dino se right hand me kampan ho rahi hai, suggest me plz.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir, My Father 60+years old and Diabetic last 20+yrs, PP and Fasting normal. Abhi Tab. Gluconorm G1 le rahe hain iske...
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.
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Sir one of my relative has diabetes problem from last 3-4 years. He take medicine when sugar level increases. Please suggest the diet chart and any medicine to cure the problem. His age is 48. Height is 5'7" and weight is 70.

MSc.PhD Nutrition & Diete, Jr. Research Fellowship for PhD, M.Sc - Dietitics / Nutrition - Dept. of Post Graduate Studies
Dietitian/Nutritionist, Mumbai
Sir one of my relative has diabetes problem from last 3-4 years. He take medicine when sugar level increases. Please ...
Hi lybrate-user I wud like to alert you against such drug abuse as your relative to please get a fresh blood test - HnA1C n lipid profile to help understand the ramifications of an un controlled Diabetes. Follow these instructions n let me know abt blood test too Diabetic Diet Moderate to mild elevation in Blood Sugar can easily controlled with a prudent diet n right food combinations. Avoid simple sugars like table sugar, syrups,fruit juices, squashes,jams, marmalades,fried, farsaans,processed foods maida items like breads cakes pizza burgers etc It would be prudent if you also checked your HbA1C, lipid profile, uric acid, vit D 3 n Vit B12 levels Morning- 1-2 glasses of warm water with cinnamon pd 1tsp, jeera pd 1tsp and 1/2 tsp turmeric pd -Boil, cool down and drink. 2. Eat 5-10 almonds, or 5-6 half walnuts plus 10 mint leaves Have Veg juice consisting of dudhi mint, tomato, ginger, and corriander with pepper n lime etc. Mid morning-or breakfast 2egg whites, 2katori vegetables 2 Tbsp oat bran N oat poha or oat suji - make pancake, cutlet or Upma by mixing with vegetables like peas carrot french bean, corriander,capsicum etc 1 pomegranate or apple or orange or Guava or 4-6 water apples or 1 slice papaya Pre- lunch Salad 100 gm Greek yogurt or probiotic curds with max 1-2 % fat or slim curd Lunch 2k subji, 2 rotis of oat plus oat bran atta and 3 tb sp of moong green soaked n boiled or 1-2 k veg dal sambhar or 1 -100 g piece of fish or chicken 4 pm 1 cup green tea or normal tea with 1/2 tsp sugar With 4 Tbsp Makhana or 1 cup oil free popcorn or roasted chana or ragda ir chana chat 5.30 to 6 pm 1tsp powder of methi or cinnamon powder soaked-in 1 glass water Dinner Soup, 250 gm veggies cooked in 1/2 tsp oil 2 -3 rotis of oats mix Plus 2 egg whites. Or veg dal. Or paneer with veggies And oats atta Roti 1-2 plus salad Regards medicines please let me know your test reports Till then no or reduce intake of fried, Farsaan, corbonated drinks, white or brown sugar in any form incl juices, water melon banana, green grapes, seetaphal Sent from my iPhone.
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I am 26 year unmarried girl having hypothyroidism, my tsh is 5.5, and taking thyronorm 25 mcg, now I had gain weight around 20 kg within 4years, now I am feeling helpless to reduce weight, feeling less active and pain in feet after just half an hour walk. Please help me to reduce weight with home remedy.

Vaidya Visharad
Ayurveda, Narnaul
I am 26 year unmarried girl having hypothyroidism, my tsh is 5.5, and taking thyronorm 25 mcg, now I had gain weight ...
Do regular exercise like brisk walking (at least), running, swimming etc. Avoid sedentary and lazy lifestyle. Use min salt. For more details consult me privately.
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I am diabetes patient. Now a days I feel weakness. Due to this some time I feel dizziness. I am not take any medicine. Please tell me right medicine, fruit, and food. I also feel sweaty some time.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetes patient. Now a days I feel weakness. Due to this some time I feel dizziness. I am not take any medicine...
Mr. lybrate-user, If you have confirmed diabetes then taking anti - diabetic treatment is the only option, to control blood glucose. In addition to appropriate medicine regular exercise for more than 1 hour a day and diet control also are equally important. As regards food intake, you should avoid sweets, deep fried foods, junk foods, pastries and other bakery items, sweetened aerated drinks (colas) and fructose corn syrup containing products. Consume good deal of green leafy vegetables, salads and fruits like papaya, pomegranate, orange, sweet lime, apple, pear and guava. With good glucose control fruits intake should be about 100 g a day. In this communication we are supposed to give only general guidelines and no prescriptions. So if you want specific drugs to be prescribed please come in a private communication with all details like Fasting, PP blood glucose levels, HbA1c%, present drugs if any, dietary pattern and extent of daily exercise. Based on those details I will be able to guide. Thanks.
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I have one thyroid problem. I can use the tablets but totally it cure or not, I means total treatment can remove my disease.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, whichever thyroid disease it may be the medication has to continue for lifetime. Particularly in hypothyroidism thyroxine has to be taken for lifetime. There is no cure.
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I Am diabetic and having hypertension since 8 years and I am taking diabitrol 500 mg three times daily after food, aten d and repace 50 after breakfast daily, my glucose bp levels are normal till now, today lab report is fasting 118 and pp 230, urine routine is bilburin 1+, glucose 4+, protein 1+ epithelial2-4/hpf, erythrocytes not seen, leukocytes 5-10/hpf other values are normal, please advice thank you doctors.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I Am diabetic and having hypertension since 8 years and I am taking diabitrol 500 mg three times daily after food, at...
You are diabetic since 8 years and you are only on metformin total 1500 mg per day. It's time to increase medication. I advice you should do hba1c test to look for your last three months average. And increase 500 mg metformin post dinner and add 50 mg sitagliptin (januvia/zita) bbf so that will take care of post prandial high sugars.
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Hi sir, Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg daily, after 1 and half month I used to start 50mg after 10 days I go for test my TSH result is 0.11. Can you please suggest me how much MG I used daily. Can you please help me.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
Hi sir,
Recently I effected to thyroid problem, in my first test my TSH result is 15.5 my doctor suggested use 100mg ...
Hi First: medicines are mandatory. Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs. Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know. Take care
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