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Dr. Ravi Jayam

Endocrinologist, Hyderabad

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Dr. Ravi Jayam Endocrinologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ravi Jayam
Dr. Ravi Jayam is an experienced Endocrinologist in Dilsukhnagar, Hyderabad. He is currently associated with TKR'S Icon Hospital in Dilsukhnagar, Hyderabad. Save your time and book an appointment online with Dr. Ravi Jayam on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 38 years of experience on Lybrate.com. You can find Endocrinologists online in Hyderabad 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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From last three months my fasting sugar level is between 100to110 please advice me

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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I am 25 years old female and am taking medicines for Hypothyroid & Acne. I am experiencing Constipation since childhood but now it's turning severe (Maybe because of medicines) and I am having stomach pains. I don't want to take more medicines. Please suggest some remedies/treatments.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 years old female and am taking medicines for Hypothyroid & Acne. I am experiencing Constipation since childho...
Take natural 2-tab. Charcoal at night before bed. Syp. Livoluk 10 ml at night.This can help cure in constipation. take green veg., salaad in meal.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation you may go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . Do not eat papaya if you diabetic. go for walk daily in morning.
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I am a 57 year old border line diabetic. I want to control my sugar level through life style management. Kindly advise.

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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My weight is losing day by day im 29 age male is it is thyroid problem or hyperthyroidism please give best remedy for this my TSH level I 0.31.

BHMS
Homeopath, Delhi
My weight is losing day by day im 29 age male is it is thyroid problem or hyperthyroidism please give best remedy for...
you have hyperthyroidism.take strawberries to blueberries powerful punch because they’re bursting with antioxidants, which keep your immune system strong. Eat a serving of berries every day,cauliflower, kale, and cabbage. Eat one or more servings of these veggies a day,Vitamin D and Omega-3s and take protein rich diet.
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I am 25 years old diabetic. My hba1c 6.6 and fasting 4.7.it is ramadan month started .i take metformin 500 mg once daily. Can I eat fruit if yes which fruit can I eat and how much quantity? Can I eat date ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 25 years old diabetic. My hba1c 6.6 and fasting 4.7.it is ramadan month started .i take metformin 500 mg once da...
Lybrate-user, it appears your blood sugar levels are well controlled as evident from hba1c%. So you can eat fruits like papaya, orange, sweet lime, apple, guava, water melon, pear and pomegranate. You have avoid mango, banana, chikkoo and grapes. The quantity of fruits has to be limited about 100 g a day. Dates are too sweet, not recommended in diabetes. But 1 or 2 pieces may be taken.
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I am diabetic and used to climb up & down stairs upto 21 floor as part of physical work daily. Please tell me does it affect me? as some told me that it will create problem for me.

PDDM, MHA, MBBS
General Physician, Nashik
I am diabetic and used to climb up & down stairs upto 21 floor as part of physical work daily. Please tell me does it...
As long as you are comfortable doing it that is you don't get breathless with it. It is okay for you.
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Mam can a thyroid person with thyroid 6 can loose weight in a month that too upto 3-5 kg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mam can a thyroid person with thyroid 6 can loose weight in a month that too upto 3-5 kg.
What do you mean by" thyroid 6" if one is having hypothyroidism then weight will invariably increase. But if treatment is on and tsh levels have become normal then weight reduction is possible by diet restriction and regular exercise. Reducing 3 to 5 kg may be tough. 2 to 3 kg reduction is possible by reducing daily intake by 550 cal.
1 person found this helpful
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I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opinion to know about the medicines and other general advice.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 65 years old suffering from type 2 diabetes for the last 30 years. I am under medication. I need specialised opi...
Pls message your questions about medicines for diabetes and other general information. Will be glad to answer your questions.
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I have uric acid problem. Kindly advise what food to avoid and what food to take in this condition? Please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid high protein diets, Diuretic medications , Drinking too much alcohol, Genetics disorder , hypothyroidism , Immune-suppressing drugs, Niacin, or vitamin B-3, obesity, psoriasis, Purine-rich diet — organ meat, dried beans, driedpeas, mushrooms and other foods. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take amino acid diet, l- glutamine , whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.
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Is it OK to give insulin (Lantus) after meal if somehow the dose before meal gets missed?

CCEBDM , CCGDM, CCDR, CCMTD
Diabetologist, Delhi
Is it OK to give insulin (Lantus) after meal if somehow the dose before meal gets missed?
Yes, as lantus has long action, so nothing to do either you take before or after meal. But don't skip your meal ever and follow meal chart. Good day.
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I am suffering from diabetes, recently I have got sugar attack ,now I am recovering ,but my mental problems are increasing. While lying on bed I always used to shake hand and making counting to 1 to 100. I am also having cough problem. Please tell me good cough syrup ,cough problem is increasing day by day. I am feeling breathlessness while taking to any body. Please help me to improve my mental health.

B.H.M.S.
Homeopath,
I am suffering from diabetes, recently I have got sugar attack ,now I am recovering ,but my mental problems are incre...
U can take bioch 6 no 3 tabs 2 times day for 19 days cal carb 12c 3tims a day for wk merc sol 12c 3tims day for 5 days spongia 6c 3tims a day for wk drosera mother tincture 10 drops 2 times in a day for 7 days syzigium jambolanum 6c 3 times a day for 15 days.
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I am suffering from diabetes from diabetes last two years joint pain problems on my knee.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
I am  suffering  from diabetes from diabetes last two years joint pain problems on my knee.
Hi. Hope you keeping a check on your blood sugar level. Joint pain could be due to elevted uric acid level. Please get a serum uric acid test done. There are some simple exercises for knee pain. It would be advisable to consult a yoga teacher or a physiotherapist. If the pain becomes unbearable, you can take a pain killer.
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Sir. Recently I took thyroid test. The results shows T3 90. 31ng/dl T4. 10. 4 microng/dl Tsh. 3. 12micronIU/ml Sir the T3 and Tsh levels shows with in the biological reference interval But the T4 level is very close to the uppermark of interval i. E 10. 9 given inthe test. Do I need to start the thyroid treatment considering it as hyperthyroidism. Pls give me clinical suggestion. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir. Recently I took thyroid test. The results shows
T3 90. 31ng/dl
T4. 10. 4 microng/dl
Tsh. 3. 12micronIU/ml
Sir th...
lybrate-user, Your thyroid test result is normal. There is no need to consider you have either hyperthyroidism or hypo. For hyperthyroidism to be considered TSH levels have to be lower than 0.1 mU/L. So do not worry. In fact looking at your weight and height your BMI is 25.01 kgs / M2 (normal <23 kgs/M2), so you need to exercise daily and reduce a few kgs. Your ideal body weight should be about 55 kgs. Thanks.
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My mother have diabetes from past 12 years, also have diabetic retinopathy since 3 years, hypertension since 4 years .the reports came abnormal so please tell the advice and prescription.

FACS, FRCOphth, Fellowship of the Royal College of Surgeons (FRCS), MS - Ophthalmology, MBBS
Ophthalmologist, Kolkata
My mother have diabetes from past 12 years, also have diabetic retinopathy since 3 years, hypertension since 4 years ...
Diabetes is a condition which can cause many problems. Control of blood sugar, blood pressure and other things like weight loss and dietary advice are essential. A good diabetologist or Endocrinologist should be able to advise your mother about these things. As far as the retinopathy is concerned I would need to see details of her vision and eye examination findings, to be able to give any meaningful advise.
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How should we calculate insulin for type 2 Diabetes mellitus condition ?plz give me with example.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
How should we calculate insulin for type 2 Diabetes mellitus condition ?plz give me with example.
Normally starting dose of insulin for type 2 diabetes is roughly 0.4-0.6 units/kg weight. But in type 2 diabetes insulin resistance is variable. In long standing diabetes pt whose beta cells are exhausted and who is obese insulin requirement may go beyond 2-3 units/kg. HbA1c is approx average of blood sugar control in last 3 months. More HbA1c means more uncontrolled diabetes and may require more insulin. Normally diabetologist starts insulin considering age of patient, duration of dm, HbA1c, obesity, current medication details, co morbidities, meal pattern and few other factors. Its individualised treatment and may not work same in other individual. Even insulin has different analogues and have different duration of action. For e.g. Lantus (glargine) has 24 hr action (basal insulin) and humalog (lispro) has 4 hr action. Human actrapid or huminsulin R (regular insulin) has 6-8 hr action. Etc so dosage and timing of insulin is also variable, it depends on which insulin you are taking or which insulin is suitable for you. I hope this answer help you to understand your doubt.
2 people found this helpful
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Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?
check your BP. Check your eye sight. take crocin pain relief in case of severe headache. take good sleep and rest. avoid stress. inform if not ok.
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MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Generally walking/exercise more than 45 minutes is not of much use in diabetic patients.
2 people found this helpful

I am 50 years old male I am suffering with diabetes cholesterol thyroid diseases all are in good control with medicine but sexual health is very weak, sugar FP 78, PBS 136, random 155, cholesterol total 197, Ldl 127, HD L40vldl30 thyroid t3t4 tsh are normal but I am facing ED and lack of libido how to over come please suggest good medicine ayurveda.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am 50 years old male I am suffering with diabetes cholesterol thyroid diseases all are in good control with medicin...
Eat (wheat+ barley+ots) floor.... In equal quantity after rosting bit... Then make chpaties from this rosted floor... Surely all problem will be cured soon.... For more information call us or visit our clinic Vaidic-Chikitsa Give feedback
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I am a diabetic patient. Now my blood reports are: fasting: 90 mg/dl. PP: 151. Now I am taking about 1400 calories. My weight is 59 kg. Height 5'6" I want to increase my weight. Should I take my calories to increase my weight. Can a diabetic patient drink milk. Please advise. I am also suffering from Pancreatitis. Taking Creon 10000 2*3 & Antoxid 2* 3 daily. Taking Insulin 8 units twice.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
I am a diabetic patient. Now my blood reports are: fasting: 90 mg/dl. PP: 151. Now I am taking about 1400 calories. M...
If you want to increase weight then you can include fibres to your diet. U can have oats, wheat flakes, oats cheela, oats idli in your diet. Because of pancreatitis you should not take milk more than 500 ml in a day or less that 500 ml. Do not skip your meals have short and frequent meals. Avoid eating fruits: mango, litchi, banana, cheeku, grapes, juices, aireated drinks etc. Team Nutrihealth.
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