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Dr. Sireesha

Endocrinologist, Hyderabad

Dr. Sireesha Endocrinologist, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sireesha
Dr. Sireesha is an experienced Endocrinologist in Somajiguda, Hyderabad. You can consult Dr. Sireesha at Dr. Sireesha Gynec Care in Somajiguda, Hyderabad. Don’t wait in a queue, book an instant appointment online with Dr. Sireesha on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 31 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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#6-3-1186/A/5, Begumpet Land Mark: Near Somajiguda Circle, Opposite Pullareddy SweetsHyderabad Get Directions
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What is the symptoms for diabetes &how to decrease that problem give a daily food take & healthy tips for good skin & hair health.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the symptoms for diabetes &how to decrease that problem give a daily food take & healthy tips for good skin &...
Lybrate-user, most often diabetes hardly produces any symptoms, hence many people do not come to know about it. When fully developed it may cause excess urination, excess hunger, excess thirst, unexplained weight loss and tiredness. Also passing urine in the night 2 or 3 times. A person with diabetes should avoid sweets, deep fried foods, junk foods, pastries, sweetened aerated drinks, fructose corn syrup containing products and high fat milk products. Consume more of green leafy vegetables, salads and permitted fruits about 100 g a day. Exercise daily for at least 1 hour a day, to avoid weight increase and improve insulin action.
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I'm having sugar. It's 225 Post prandial blood sugar. It's 316. I tested serum creatinine 1.05 mg/dl Urine albumin :present (+++) What is this all about. Please advice and Please help me to reduce all this problem. thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm having sugar. It's 225 Post prandial blood sugar. It's 316. I tested serum creatinine 1.05 mg/dl Urine albumin :p...
Hello, The details given show that diabetes is totally uncontrolled. Uncontrolled diabetes can cause a multiple problems with every single vital organ in the body. So it is necessary to achieve a strict blood glucose control. Otherwise it is difficult to control its consequences. Thanks.
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Precautions to be taken by a prediabetes patient in order to not convert into diabetes. Diet to be followed. Chances of converting into diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Precautions to be taken by a prediabetes patient in order to not convert into diabetes. Diet to be followed. Chances ...
Mr. Lybrate-user, a person with prediabetes, has to adapt a modified life style. Which means he should take a properly planned balanced diet, avoid too much of sweets, do not indulge in sweetened aerated drinks, junk foods, pastires and deep fried foods. Also avoid fructose corn syrup containing products, highly processed foods. Refrain from alcohol and smoking. Consume more of green leafy vegetables, salads and fruits. Use whole grain products. Total caloric intake has to be meeting the exact demand based on ideal body weight. Plus exercise daily for at least 1 hour. It is difficult to predict whether diabetes will occur or not and what is the percentage.
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Hi my father has blood sugar level 120 before breakfast but after food he has 218 how to control it? is any new medication is required?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my father has blood sugar level 120 before breakfast but after food he has 218 how to control it? is any new medic...
Mr Arun, I need more information to comment or give advise like - present treatment, dietary pattern, level of physical activity, weight, height and waist circumference. It will be better if you come in a private conversation with all the details, where I will be able to advise specifically or give prescription.
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Hi I am a diabetic n I am loosing my wght constantly n am becoming lean n thin. Kindly suggest how to regain my wght n gain mass without affecting my sugar level.

DHMS (Hons.)
Homeopath, Patna
Hi I am a diabetic n I am loosing my wght constantly n am becoming lean n thin. Kindly suggest how to regain my wght ...
Dear. if your suger level is high you will Continue to lose your wt. *control your sugar level, first. * take,balanced ,easily digestible diet,on time. * go for a brisk walk in d morning to restore circulation of blood * go for meditation as Oxygen will maintain your sugar level. * plenty of water is essential. take care.
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Whats the normal blood sugar level of human?

MD - General Medicine, MBBS
General Physician,
After an over night fast the blood sugar should be less than 110 2 hours after food it should be less than 140
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What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, hashimoto's thyroiditis (ht) is an autoimmune disease with lymphocytic infiltration of thyroid gland, with anti bodidies agaist thyroid peroxidase enzyme (tpo abs) which destroy thyroid secreting cells, leading to deficiency of thyroxine - with resultant hypothyroidism. Thyroid gland is infiltrated with lymphocytes and may appear firm or lobulated. Anti tpo antibodies are detected in serum in patients with ht. One of the causes for ht is reported to be excessive consumption of iodine in salt. Other causes are infectious diseases may be as a trigger. Patients with ht usually have other family members also having some autoimmune disorders like t1 dm or rheumatoid arthritis, or they themselves may have some other autoimmune condition. Treatment ofr ht is giving thyroxine hormone tablets for life time. Iodine per say has no role in the treatment of this condition. In us this is the most common cause of hypothyroidism and is more common in women compared to men.
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A pleasant mrng, sir, would you please apprise me about the symptoms of a diabetic patient & its normal range.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
A pleasant mrng, sir, would you please apprise me about the symptoms of a diabetic patient & its normal range.
Dear Lybrate User, *The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet. *A normal fasting (no food for eight hours) blood sugar level is between 80 and 120mg/dL. A normal blood sugar level two hours after eating is less than 140 mg/dL.
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I have thyroid problem since july, I'm taking tablets for it, will it get cured completely soon?

BHMS
Homeopath, Faridabad
hello, it can be cured completely because your age is not much but i need to know your thyroid report before this confirmation. So please share the reports.Thank you.
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I am taking glynase mf 1 tab daily. I am suffering from thyroid high pressure over weight anxiety depression for anxiety I take anxit plus tab daily. My sugar is not stable as of my eating habits what should I do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Reduce anxiety, regular exercise and consider increasing your medicines. You have not put up your reports, hence I cannot definitely say but glynase-mf is short acting and hence, maybe it is not controlling sugars in the evenings and nights.
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How to lose weight from thyroid. I am taking tablet daily. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
How to lose weight from thyroid. I am taking tablet daily. Please help.
Dear to decrease ur weight you have to do work out daily...Try the remedies below they can help u. 1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4. Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. 6. Do Bhujang asana , Dhanurasana ,Naukasana, Kumbhakasana , Pavanamukthasana daily 10 min per asana. 7. Do running early morning daily and join aerobics in evening. 8. Avoid oily and spicy food..and Constipation.
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What are the symptoms of sugar and what are the methods to keep sugar under control?

Post Graduate Course In Diabetology, MD - Consultant Physician
Internal Medicine Specialist, Indore
What are the symptoms of sugar and what are the methods to keep sugar under control?
Hi symptoms of diabetes are 1 excessive thrust 2 excessive hunger 3 increase urination 4 weight loss 5 delayed wound healing 6 lethargy to keep sugar under control do 1 take regular medication as advised by physician 2 maintain weight 3 eat healthy balanced diet 4 do regular exercise.
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I am a diabetes patients. I have stopped taking sugar or anything which has made of sugar still there is no effect. Could you please let me know anything to make it low down sugar level.

MBBS
General Physician, Srinagar
I am a diabetes patients. I have stopped taking sugar or anything which has made of sugar still there is no effect. C...
Hi and thanks for asking for a question dear lybrate user I suggest you to do following things to control you blood sugar. 1. No sugary diet. 2. Regular exercises. 3. Fibre content foods 4. No carbohydrates. 5. No fatty foods. 8. Drinl enough water 6. You need to change your complete life cycle. If these things do not help you control you blood sugat then you need to eat medicines and may be insulin therapy may be given to you. Thanks.
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I am thyroid patient . I am suffering Back pain I am 34 my weight is 83 hight 5.3.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am thyroid patient . I am suffering Back pain I am 34 my weight is 83 hight 5.3.
Reduce weight and tk physiotherapy treatment best option for reduce back pain. And do exercise and walk for reduce weight.
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I am 25 years male person suffering from knee and other joint pains from 10 months. The level of sr. Uric acid is at 8.9. Recently from 1 month onwards I am getting a sound from my knees when I am walking and also in sleep. What can I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 years male person suffering from knee and other joint pains from 10 months. The level of sr. Uric acid is at ...
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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I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.

BAMS
Ayurveda, Ambala
I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.
You should follow this diet chart to control & treat the diabetes. * in morning, drink 1-2 glass of luke warm water empty stomach & walk for 15 minutes to detoxy the body. In breakfast, take 2 chapatis of gram flour (besan) with a bowl of cooked vegetables (green leafy vegetables only) * in lunch take 2 chapattis of wheat flour with a bowl of cereals (dal) with a bowl of curd. * in evening, take a bowl of salads or a fruit like apple / orange / pear/ melon. * in night, take a bowl of boiled soyabeans with raw vegetables like tomatos/ cucumber/ onion. After dinner avoid taking milk & walk for atleast 15 minutes after dinner. * avoid food items like rice, potatos, banana, chiku, sweets, candy& chocolate.
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I suffer from Diabetes and Hypertension! I am 62 and weighs 61 KG. I got married and have two children! I use Telma 20 1 tab, Januvia 100 1 tab, Glycomet- GP 0-5 1/2 tab two times, Ecosprin-AV 75 1 tab, Polybion CZS 1 tab and Bon D 1 tab. I walk and do small exercise. Please tell me how to improve my health.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
I suffer from Diabetes and Hypertension! I am 62 and weighs 61 KG. I got married and have two children! I use Telma 2...
Mr. Lybrate-user ji. Thanx for the question. This is a good news for you because you are taking good and perfect medicine. Continue it these will kept your blood sugar under control and as well as you are doing walk or following small frequent meal. This is also good for a diabetic patient. Now you are talking about improve health. So increase your protein intake 40 gm par day because in diabetes patients protein goes down thats why patient look leen. Than add panner or panner chilla with minimum oil. 1 whole egg. Soyabeen chaat 1 bowl. Peanuts. Bhunna or boiled channa. 4 almonds and 1 walnut. 2 piece of chicken or fish and mutton but only in tanduri form, grill form, steam form.
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Dark chocolate curb Diabetes and Heart Disease

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Dark chocolate curb Diabetes and Heart Disease

Researchers have found that a dark chocolate bar daily could reduce the risk of developing diabetes and heart disease shaped. It was found that those who ate 100 gm of chocolate a day equivalent to a bar had reduced insulin resistance and improved liver enzymes.

2 people found this helpful

I am 48 years old now suffering from diabetic from last 2 months. What I do for my health ?

MBBS
General Physician, Delhi
Regular brisk walk 30 min. Avoid sugars. Dont use high carb diet such as potatoe and rice. Minimal fatty diet means minimal can use guava in fruits and keep your sugar controlled any way regular measurements needed probaly biweelky and please tell the medications your taking.
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Management of hypothyroidism.

MD - Internal Medicine, MBBS
Endocrinologist,
Management of hypothyroidism.
Hypothyroidism Treatment & Management The treatment goals for hypothyroidism are to reverse clinical progression and correct metabolic derangements, as evidenced by normal blood levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Thyroid hormone is administered to supplement or replace endogenous production. In general, hypothyroidism can be adequately treated with a constant daily dose of levothyroxine (LT4). Thyroid hormone can be started at anticipated full replacement doses in individuals who are young and otherwise healthy. In elderly patients and those with known ischemic heart disease, treatment should begin with one fourth to one half the expected dosage, and the dosage should be adjusted in small increments after no less than 4-6 weeks. For most cases of mild to moderate hypothyroidism, a starting levothyroxine dosage of 50-75 µg/day will suffice. Clinical benefits begin in 3-5 days and level off after 4-6 weeks. Achieving a TSH level within the reference range may take several months because of delayed readaptation of the hypothalamic-pituitary axis. In patients receiving treatment with LT4, dosing changes should be made every 6-8 weeks until the patient’s TSH is in target range. In patients with central (ie, pituitary or hypothalamic) hypothyroidism, T4 levels rather than TSH levels are used to guide treatment. In most cases, the free T4 level should be kept in the upper third of the reference range. After dosage stabilization, patients can be monitored with annual or semiannual clinical evaluations and TSH monitoring. Patients should be monitored for symptoms and signs of overtreatment, which include the following: Tachycardia Palpitations Atrial fibrillation Nervousness Tiredness Headache Increased excitability Sleeplessness Tremors Possible angina The updated guidelines on hypothyroidism issued by the American Thyroid Association in 2014 maintain the recommendation of levothyroxine as the preparation of choice for hypothyroidism, with the following considerations:[5, 6] If levothyroxine dose requirements are much higher than expected, consider evaluating for gastrointestinal disorders such as Helicobacter pylori –related gastritis, atrophic gastritis, or celiac disease; if such disorders are detected and effectively treated, re-evaluation of thyroid function and levothyroxine dosage is recommended. Initiation or discontinuation of estrogen and androgens should be followed by reassessment of serum TSH at steady state, since such medications may alter levothyroxine requirement. Serum TSH should be reassessed upon initiation of agents such as tyrosine kinase inhibitors that affect thyroxine metabolism and thyroxine or triiodothyronine deiodination. Serum TSH monitoring is advisable when medications such as phenobarbital, phenytoin, carbamazepine, rifampin, and sertraline are started. When deciding on a starting dose of levothyroxine, the patient’s weight, lean body mass, pregnancy status, etiology of hypothyroidism, degree of TSH elevation, age, and general clinical context, including the presence of cardiac disease, should be considered. The serum TSH goal appropriate for the clinical situation should also be considered. Thyroid hormone therapy should be initiated as an initial full replacement or as partial replacement with gradual increments in the dose titrated upward using serum TSH as the goal. Dose adjustments should be made upon significant changes in body weight, with aging, and with pregnancy; TSH assessment should be performed 4-6 weeks after any dosage change. Reference ranges of serum TSH levels are higher in older populations (eg, >65 years), so higher serum TSH targets may be appropriate. A meta-analysis of randomized, controlled trials of T4-triiodothyronine (T3) combination therapy versus T4 monotherapy for treatment of clinical hypothyroidism found no difference in effectiveness between combination therapy and monotherapy with respect to side effects such as bodily pain, depression, fatigue, body weight, anxiety, quality of life, and total low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol and triglyceride levels.[36] A study of athyrotic patients found a high heterogeneity in these patients’ ability to produce T3 when treated with levothyroxine. Approximately 20% of these athyrotic patients did not maintain normal free T4 or free T3 values despite a normal TSH.[37] However, it is unclear whether more physiologic treatments offer any benefit, even in subgroups of hypothyroid patients. In patients who continue to have symptoms (eg, weight gain and fatigue) despite normalization of the TSH level, one should consider causes other than hypothyroidism, rather than simply increasing the thyroid hormone dose on the basis of symptoms alone (see DDx). In some cases, however, symptom persistence is the result of a polymorphism of the deiodinase 2 enzyme, which converts T4 to T3 in the brain; these patients may benefit from combined LT4-liothyronine (LT3) therapy, using a physiologic LT4-to-LT3 ratio in the range of 10-14:1.[4] Most patients with hypothyroidism can be treated in an ambulatory care setting. Patients who require long-term continuous tube feeding routinely require intravenous (IV) LT4 replacement because the absorption of oral agents is impaired by the contents of tube feeds. Alternatively, tube feeds can be withheld for 1 hour while the patient receives an oral preparation of LT4. It should be noted that oral and IV preparations of LT4 are not equivalent; consequently, great care must be taken in switching between these formulations. Patients with severe hypothyroidism requiring hospitalization (eg, myxedema) may require aggressive management. Overreplacement or aggressive replacement with any thyroid hormone may precipitate tachyarrhythmias or, very rarely, thyroid storm and should be balanced against the need for urgent replacement. Risk is higher with T3 therapy. Surgery is rarely needed in patients with hypothyroidism; it is more commonly required in the treatment of hyperthyroidism. However, surgery is indicated for large goiters that compromise tracheoesophageal function.
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