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Dr. Srinivas Gattu

Endocrinologist, Hyderabad

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Dr. Srinivas Gattu 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. Srinivas Gattu
Dr. Srinivas Gattu is a popular Endocrinologist in Vanasthalipuram, Hyderabad. He is currently associated with Shreesha Health Care hospital in Vanasthalipuram, Hyderabad. Book an appointment online with Dr. Srinivas Gattu on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 33 years of experience on Lybrate.com. Find the best Endocrinologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Shreesha Health Care hospital

Plot no 5, house no 8-6-747/1, Beside National Home Needs, Sri balaji nagar, sagar highway, B N Reddy Nagar-Vanasthalipuram, HyderabadHyderabad Get Directions
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Hi. Actually I am over obbesed, I tried walking and all but gradually I am gaining too much weight as I am getting bigger since last 4 years I have gained 35 kgs. Can you suggest the best ever idea. Shall I make a thyroid test. I need to loose weight as soon as possible. Waiting for reply -syed imad uddin.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ulhasnagar
Hi. Actually I am over obbesed, I tried walking and all but gradually I am gaining too much weight as I am getting bi...
Hello Mr. lybrate-user Gaining 35kgs is a way too high in past 4 years.. Weight gain is mainly associated with wrong eating habits and a sedentary lifestyle if there are no clinical conditions.. Follow sum simple guidelines >> ■ drink 2 glasses lukewarm water with lemon on an empty stomach. ■have good quality healthy breakfast.. ■ mid morning snack can be any single fruit. ■ again for the lunch you can much on raw salads n vegetable sabzi of your choice (cooked in less oil) with roti. ■ evening snack can be your herbal tea with roasted chana. ■ dinner should be as light as possible (means low calorie) so you can have soups or some kind of chaana chaat or so. See to it that you always have home cooked meals. Limit the portion size of your meals. Avoid fried, junk, sweets. Exercise at least 50mins a day (as per your age a brisk walk is recommended) Also get your TSH levels checked.
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I am insulin dependent now taking novorapid 22-22-22 units and lantus 30 units last 3 years. Previously I took homologue 25/75 for 7 years and developed resistance then switched to Novorapid. Now I am developing resistance to this and FBS is 150 and PP is 260. Advice me.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
I am insulin dependent now taking novorapid 22-22-22 units and lantus 30 units last 3 years. Previously I took homolo...
Dear, Can feel your anxiety about your health. Your insulin dose needs to be increased with help of treating Dr. This isn't due to resistance to insulin that you've been taking. If you use glucose ter to monitor your blood glucose, it'll be very easy to adjust the dose of insulin. Insulin dose is always changing based on your requirements.
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When considering how much a food will raise blood sugar, should I consider its glycemic index or glycemic load? Please help.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
When considering how much a food will raise blood sugar, should I consider its glycemic index or glycemic load? Pleas...
The glycemic Index is a rating system for foods that contain carbohydrate. It helps you know how quickly a food with carbohydrate raises blood sugar, so you can focus on eating foods that raise blood sugar slowly. It gives you an idea about how fast your body converts the carbs in a food into glucose. Two foods with the same amount of carbohydrates can have different glycemic index numbers. The fact a food has a low glycemic index doesn't mean it's super-healthy, or that you should eat a lot of it. Calories, vitamins, and minerals are still important. For example, potato chips have a lower glycemic index than oatmeal and about the same as green peas. But oatmeal and green peas have more nutrients. Portion sizes matter, too. The more of whatever kind of carbs you eat, the more they'll affect your blood sugar. That's what the glycemic load tells you. It's a number you may see along with the glycemic index in lists. Think of it as the glycemic index for a specific amount of that food. You don't have to deny yourself certain food groups or favorite dishes when you follow a low-glycemic eating plan. You focus on eating measured amounts of low- or medium-glycemic foods and trying to eat a balanced diet. Your feedback matters. Thank-you.
5 people found this helpful
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Diabetes - How It Affects Your Eyes?

MS - Ophthalmology, MBBS, FRCS
Ophthalmologist, Gurgaon
Diabetes - How It Affects Your Eyes?

Diabetes is a pervading disease as it does not spare any system of your body. The increased sugar level affects everything from circulation to vision to kidneys. Diabetes is the leading cause of blindness in the eyes in the age group of 25 to 75.

Some of the common eye problems caused by diabetes are listed below

  1. Blurred vision: Increased sugar levels can cause blurred vision. While most people might jump to getting a corrective lens, it may not be needed in all cases. Try getting the sugar levels to normal levels and see the vision improve. It may take up to 3 months, but it is definitely possible to do away with the lens.
  2. Cataracts: Clouding of the lens which is known as cataracts can set in early when there is diabetes. Worsening of cataracts also is at a quicker pace with diabetics. The blurring of vision and glare can set in, which would require removal of the clouded lens and placement of an artificial lens.
  3. Glaucoma: There is always a certain amount of pressure on the eyes, known as intraocular pressure. This pressure increases significantly in diabetics, leading to vision changes and damage to nerves and blood vessels. Glaucoma can cause dryness in the eyes, as there is less amount of liquid that the eye makes. There could also be headaches, eye pains, blurred vision, and vision loss. In addition to eye drops, surgery and laser can also be used for correction.
  4. Diabetic retinopathy: The retina is a layer on which image of an object falls, and from there, a message is sent to the brain to identify an object. However, in people with increased sugar levels, the blood vessels in the retina can be damaged, leading to vision problems and even blindness. Greater the sugar levels, greater the damage. There could be people who have lost vision due to this condition. Periodic checkups are advised to ensure that the vision is constantly monitored. There could be black spots or holes in the vision, flashes of light, and even blurring of vision gradually resulting in a complete loss.

Some eye care tips:

Now that we know diabetes affects the eyes adversely, the following are some effective tips to ensure good eye health is maintained.

  1. If sugar levels are not well controlled, more frequent checkups are advised, else, annual checkup should suffice.
  2. Monitor and control the blood sugar and A1c levels
  3. Monitor and control blood pressure levels, as combined with higher blood sugar levels, the damage is exponential
  4. Quit smoking
  5. Monitor and control cholesterol levels
  6. Healthy diet with lots of vitamins, minerals, and protein
  7. Exercise to help in improving overall quality of life. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.
3747 people found this helpful

My mother is a diabetic patient since a year. From 8-9 months, she feels very stressed and starts crying very frequently. On being diagnosed, she was detected to have hyper tension. But the doctor says it will be a very slow recovery process. Can you please suggest something that may help in her early recovery.Please tell.

MBBS
General Physician, Mumbai
My mother is a diabetic patient since a year. From 8-9 months, she feels very stressed and starts crying very frequen...
Regular follow ups, keep her happy as much as possible. In today's world of entertainment, there are umpteen tv channels and sources of laughter. Laughter is the best medicine. Or helps a person destress. Other things that can be tried are karela juice, jamun juice, methi powder, cinnamon powder avoiding sugar completely. And counselling. She will be fine. Now a days diabetes and hypertension are very common. Do let me know if I can be of any help. I understand what you are going through, as I have a similar situation. She will be fine.
1 person found this helpful

I am 50 I have undergone uterus removal surgery. After which I developed diabetes the Dr. is telling it will last for three months I will gradually decrease. I was not a diabetic before. Is it correct. Please advise. Thank you.

BAMS
Ayurveda, Bangalore
I am 50 I have undergone uterus removal surgery. After which I developed diabetes the Dr. is telling it will last for...
Hi, Women are prone to diabetes and hypertension during their menopausal age or after attaining menopause. Detection of diabetes at the age of 50 yrs has to be treated with medicines for the rest of the lifespan. Only diabetes detected during pregnancy in age group of 20s or 30s (gestational diabetes) may disappear after delivery of the child. Therefore, please keep checking your blood glucose levels regularly and keep taking medicines prescribed by your doctor.
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Hello Sir, Can sugar patients eat fish. If they should consume how many grams of fish they should eat. Let us know Thanking you.

Diploma in Family Medicine
Diabetologist, Delhi
Hello Sir,
Can sugar patients eat fish.
If they should consume how many grams of fish they should eat. Let us know Th...
Hello lybrate-user diabetic patients can eat fish. How much.?? Quantity depends upon your body requirements. Body requirements can be measured by: ideal body weight* 30/40/50 30 - sedentary lifestyle 40 - moderate lifestyle 50 - active lifestyle where as ideal bodyweight can be calculated by - for female - 21 *(height in metre square) for male - 23*(height in metre square) now 1) fish cutlets - I cutlet - 75 calorie 2) fish cultlet in garlic butter - I serving - 284.7 calorie 3) fish fenugreek curry - I serving - 196 calorie 4) fish and green mango curry - 1 serving - 388 calorie 5) fish ambotik - 1 serving -290 calorie 6) pomfret fried (100gms) - I serving - 205 calorie. I think I have solved your query Dr. Anup singh dwarka delhi.
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I am 32 years old. My Uric Acid 7.9.I am pure vegetarian. Please suggest diet for high uric acid.

MBBS
General Physician, Mumbai
I am 32 years old. My Uric Acid 7.9.I am pure vegetarian. Please suggest diet for high uric acid.
Take high fibre diet .plenty of fresh fruit and green vegetables .reduce milk and daals. Exercise daily. Stay stress free.
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Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she was strabismus is it because of the diabetes?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Hi, Mom has type 2 Diabetes she is taking insulin at regular bases and the sugar level is at normal. Yesterday she wa...
Strabismus is also called Squint. Usually, it is a chronic condition. However, in hypoglycemia, during the attack, some patients squint. I can't comment on your mother's condition without more info. In the meantime, take her to an Ophthalmologist.
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Sir very good afternoon sir my mom have sugar so please tell me what to eating so please tell me sir.

MBBS
General Physician, Cuttack
Sir very good afternoon sir my mom have sugar so please tell me what to eating so please tell me sir.
1. Do regular aerobic exercise like brisk walking for 30 miinutes daily if possible 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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I am diagnosed for hypothyroidism with 8.5 tsh. I am advised to take eltroxin 25. I have severe skin allergies and 11.5 hemoglobin. Any problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypothyroidism has to be treated by thyroxine hormone. Skin allergy and low hb are separate issues. They need to be treated wuthering specific drugs. Low hb can affect your ability to work, so take cap vitcifol 1 at night for at least 4 months.
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My self name change (Aryan) I have diabetes last 3 month now I give my medical report of blood sugar & urine sugar ketone. Fasting plasma glucose 267.8 mg/DL 2 hrs plasma glucose 450.9 mg/DL Please tell me about my diabetes type . Because my Dr. not give me proper information. I am waiting for your answer . Thanking you .

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
My self name change (Aryan) I have diabetes last 3 month now I give my medical report of blood sugar & urine sugar ke...
It's difficult to decide the type of diabetes from the info provided. At your age, type 2 or mody are the commonest types. However, type 1 could also occur, though less common. The only way to decide would be to do the following tests: 1) serum c peptide 2) gad-65 antibodies 3) hba1c.
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Can I take Neimercasone10 mg for two and half years even when TSH and FT4 are normal.

BHMS
Homeopath,
You have to test your tsh by not taking the medicine atlst for 15 days, if reports are normal then gradually it can be withdrawn or else you have to consult with your doctor.
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Diabetes problem. I am 62 years old. Any ayurvedic medicine which will keep it well under control and normal.

MBBS
General Physician, Mumbai
Diabetes problem. I am 62 years old. Any ayurvedic medicine which will keep it well under control and normal.
We need to control sugar levels with medication exercise and following a diabetic diet and for ayurvedic medication you will have to give us your reading
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Ways To Manage Type 2 Diabetes!

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Fatehpur
Ways To Manage Type 2 Diabetes!

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring 
  4. Blood sugar medication along with insulin therapy, if necessary. If you wish to discuss about any specific problem, you can consult a Endocrinologist.

 

3048 people found this helpful

Diabetes & Kidney - Know Its Complications!

DM - Nephrology, DNB (Nephrology), MBBS , MD - Medicine
Nephrologist, Mumbai
Diabetes & Kidney - Know Its Complications!

At a point when our bodies process the protein we eat, the procedure creates waste products. In kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances, such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amounts of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby, lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood-sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose level high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

  1. Shedding pounds
  2. Eating less salt
  3. Maintaining a strategic distance from liquor and tobacco
  4. Exercising regularly

A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician or nephrologist.

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I am male, 75 years old. Having sugar for 25 years. Controlled by walking and Diabend 40 mg 1 in the morning. 105 Fasting 150 PP. BP on Telmisartan 40 mg 1. My ECG showed RBBD in the yr. 2000 Continuing with Nitocontin 2.6 mg. Till now. No symptoms of any pain in the heart. Shall I discontinue taking this Nitrocontin?

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am male, 75 years old. Having sugar for 25 years. Controlled by walking and Diabend 40 mg 1 in the morning. 105 Fas...
If you don't have any chest pain or breathlessness you can discontinue nitrocontin. But I suggest get a stress echo to and if abnormal your doctor will suggest some medicine.
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Hello sir .according to my thyroid test my tsh serum is 4.49 ulu/ml. My question ls this what is normal units tsh .

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir .according to my thyroid test my tsh serum is 4.49 ulu/ml. My question ls this what is normal units tsh .
Lybrate-user, normal tsh range is 0.5 to 6 mu/l. Considering that your value is within the range. Which means thyroid function is normal. Thanks.
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My sugar level is elevated in my blood and also felling weakness in my right leg. Please suggest precaution for that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My sugar level is elevated in my blood and also felling weakness in my right leg. Please suggest precaution for that.
Dear Mr. lybrate-user, I will suggest you that first get your HbA1C test done that will tell your 3 months average sugar. Check your PP and Fasting on routine basis. Take small meals at short intervals of time. Avoid rice, potato, maida and their products, canned juices, cold drinks. Eat plenty of fruits, green veggies, salads, dal, curd. Drink abundant water to hydrate yourself. Do regular exercise. You can share your report to me for further suggestions on private questions. Thank you.
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I am 31 years old male I am diabetic for last 8 years my problem is I feel sleepy all time and feel exhausted.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 31 years old male I am diabetic for last 8 years my problem is I feel sleepy all time and feel exhausted.
Mr. lybrate-user, Thanks for the query. A person with well controlled diabetes feels as healthy and fit like a normal person. Therefore, it is possible that your blood glucose is not well controlled. Since no specific details are given like Fasting, PP glucose levels, HbA1c%, drugs being taken with dosage, it is difficult to give any opinion or suggestion. Ideally fasting glucose should be maintained <100 mg, PP 150 to 160 mg & HbA1c% <6.8. So if you want specific guidance and help please come back with all the details mentined above in a private conversation (paid consultation) then I will be able to give specific guidance plus prescription if required. In this communication we can only give general guidance, no prescriptions are allowed. Or else please contact a good diabetologist locally and initiate better tratment. It is absolutely necessary to achieve strict blood glucose control, considering your age and prevent long term complications associated with diabetes. Take care. Thanks.
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