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Dr. P. Shiva Shankar

Endocrinologist, Hyderabad

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Dr. P. Shiva Shankar Endocrinologist, Hyderabad
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. P. Shiva Shankar
Dr. P. Shiva Shankar is a trusted Endocrinologist in Yousufguda, Hyderabad. You can consult Dr. P. Shiva Shankar at HYDERABAD DIABETES CENTRE in Yousufguda, Hyderabad. Book an appointment online with Dr. P. Shiva Shankar on Lybrate.com.

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HYDERABAD DIABETES CENTRE

Siri Estates, Image Hospitlas Ln, Yousufguda, HyderabadHyderabad Get Directions
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How did uric acid gets increased in our body and what are its symptoms & preventive measures?

MBBS, MD - Internal Medicine
General Physician, Delhi
How did uric acid gets increased in our body and what are its symptoms & preventive measures?
Dear lybrate-uservery good question. You See uric acid is a by product or breaking doennof certain molecules in the body. Especially it is acomponent of break down of cells. Normally our body is a perfect machine which is efficiently able to throw out this uric acid. Uric acid can increase if there is excessive intake of products that produce it like alcohol, spinach, red meat etc. Or if the enzymes that are used to process it are deficient. Or if the kidneys are not working, as uric acid is excreted through kidneys. Acute hyperuricemia can cause severe pain and swelling in a single joint. Most commonly it affects the great toe. Avoiding alcohol, red meat; drinking plenty of water are some of the ways to avoid it. Regards.
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Mai 38 sal ka hu aur 3 sal se sugar pesent hu 2 month pahle tak sugar borderline tak tha uske bad mera sugar level fasting 230 aur pp 380 hogaya fir maine amril 1 mg aur formet 500 use kiya uske 7 day bad sugar level fasting 120 aur pp 180 hogaya maine medicin continue rakha aaj 1 month bad fasting 70 aur pp 130 hai ab Kya karu medicin continue rakhu?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Mai 38 sal ka hu aur 3 sal se sugar pesent hu 2 month pahle tak sugar borderline tak tha uske bad mera sugar level fa...
Please do a HbA1c Test. If the reading comes below 6.00, then you can discontinue the medicine. However please take proper advice of a doctor before discontinueing with the medicine.
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I am suffering from diabetes at the age of 15 years now I am 22 am using insulin every day what is the solution.

Dietitian,Nutritionist & Health Management, Sports Nutritionist, Health Coach
Dietitian/Nutritionist, Gurgaon
I am suffering from diabetes at the age of 15 years now I am 22 am using insulin every day what is the solution.
Hi lybrate-user, I hope you're doing. Diabetes is a lifestyle or genetic disease which can lead to several problems if not taken care of. Can I know which type of diabetes you have? Is it Type 1 (INSULIN DEPENDENT - FREQUENT INJECTION) OR TYPE 2 (ORAL MEDICATIONS? Now talking about lifestyle, you need to very careful about what you're putting inside your body. Our body is like a temple, if you take care of it religiously it will give you back positive feedbacks. Think like this. Now I can assure you if you've Type 2 diabetes it can be reversed following a change in your lifestyle in terms of DIET, SLEEP PATTERNS AND EXERCISES. Diet Key Points - 1) Try to eliminate simple carbs like bread, potatoes, pasta etc. 2) Replace carbs with good fats like avocado, macadamia oil, olive oil, desi ghee, eggs, cottage cheese etc. 3) Try to eat moderate amount of protein as it gives you a feeling of satiety and does not have much impact on blood sugar levels. For ex. Eggs, Chicken breast, Cottage cheese, Tofu etc. 4) Try to drink more water and keep yourself hydrated. Every individual needs are different and hence a whole diet plan needs to be customized according to one's lifestyle, blood reports and eating habbits to make sure they stay on the track without any hassle. For any more information or plans regarding diabetes you can connect with me and Ill be glad to help you. Thanks & Regards,
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At the site of subcutaneous injections of insulin over a period of 25-30 years a dark patch has developed. Is there any topical applicants which can improve cosmetic appearance of the skin.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You need to rotate your injection site.. come to the same site after 7 days. You can try thrombophob ointment over the I jection site & see..
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I have sugar type 2 and I take daonil tablets. 5 mg and please tell me that how many times do sugar test in a month.

MBBS
General Physician, Mumbai
I have sugar type 2 and I take daonil tablets. 5 mg and please tell me that how many times do sugar test in a month.
Depends. If your sugar control is good you may do it less frequently. If your dietary control is at par. Your daily routine like exercise etc. Are regular. You observe on an average your sugar levels at different occasion are fairly the same you may reduce frequency. Take different samples like fasting (should be around 120. Random (should be around 200) and pp (should be around 140-150. Check your hba1c once in 6 months and it should be around 6.5-7.00. With danila (glibenclamide) the problem of hypoglycemia is high. It may be better if you change over to similar group if drugs like glimeperide that is less likely to have this risk. Consult your treating physician to get his advice on this.
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I am male 52 years old. Blood sugar normal. Uric acid in control. But my creatinine level is 1.12. How can I control this level. please advice.

M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Ghaziabad
I am male 52 years old. Blood sugar normal. Uric acid in control. But my creatinine level is 1.12. How can I control ...
Creatinine of 1.12 is acceptable for your age otherwise. However if it was lower earlier and recently it has increased then we need to find out the cause. There are no medicines as such to control it or bring it down. If you have blood pressure keep it in control.
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How to reduce uric acid pain the joints. Any medications/treatment for curing uric acid problem permanently.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
How to reduce uric acid pain the joints. Any medications/treatment for curing uric acid problem permanently.
There is no permanent cure, you can control it by medicine only. Take tablet foxstat 40 mg daily bed time. Avoid non veg except eggs, pulses in acute phase. For pain you can take pain killer for 4 to 5 days.
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In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any particular nuts like pits, badam. N r ramachandran.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
In your article foods that can reduce your blood sugar level, you have mentioned nuts. NUTS means all nuts or any par...
Nuts don't reduce blood sugar, they are beneficial if taken in limits. They tend to raise good cholesterol.
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I am having hypo thyroid and goiter. I want to conceive. Which type precautions I will be take? Please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having hypo thyroid and goiter. I want to conceive. Which type precautions I will be take? Please tell me.
Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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. flax oil, 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 can help, for conceive go for all hormones tests with usg pelvis. if all normals you can conceive .
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My TSH Level is 8.16 please suggest am worried and stressed please help I don't wana be on medicine for a lifetime.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My TSH Level is 8.16 please suggest am worried and stressed please help I don't wana be on medicine for a lifetime.
lybrate-user, Hypothyroidism is a thyroid hormone deficiency disorder. Since this hormone is required for development and day to day functioning of brain, plus essential for multiple metabolic reactions in the body. Therefore, it has to be made available every day, through supplement. Hence the treatment has to be for lifetime. There is no option. If one does not take treatment then consequences can be very serious. Thanks.
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My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Please suggest some effective medicines. Thank you.

MSc
Dietitian/Nutritionist, Hyderabad
My mother has high sugar level around 250 after diet and she is taking some medicines but we did see any progress. Pl...
Fallow this diets breakfast take oats or dalia salty one plate, 11am take sprouts one plate in lunch take proper meal like dal, 2chapati, vegetables, salad in evening take green tea with 5pics of badam in dinner take vegetables roti and salad, take proper water like 12glass of water every day add in daily diets sprouts, paneer, rajama, fruits.
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Hi i am 50 years old suffering diabities and suffocation when I take aerocort inhalar i am relief in diabities I take gemer fort 1, 2 times a day my blood sugar is fasting 145 post lunch 250 please suggest what to do for both problem ?

MD - Pathology, MBBS
Pathologist, Ahmedabad
Exercise and diet restriction with medicine to keep blood sugar level within normal range. Aerocort is not suppose to cause suffocation. Probably might be something wrong with method of taking aerocort.
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Dear Sir, five months back I got chest pain I consult doctor he told me it was anxiety after ECG and he assist me to do tsh test ,my value was 7.1 and he given 25 tablet. I took for 2 months and again I checked for tsh my value increased to 7.2 I consult another doctor he told me to take dose 50 levothyroxine, after 15 days I went for test in another doctor the value was 2.80 tsh and he suggested me to use 25 levothyroxine, after three months again I checked with same doctor my value got increased to 4.9 tsh. What I have to do please suggest me. How I can diagnose from this problem as I study in internet I don't​ have any complication that mentioned for hypothyroidism.

MBBS
General Physician, Jalgaon
Dear Sir,
five months back I got chest pain I consult doctor he told me it was anxiety after ECG and he assist me to ...
Please Have faith in doctors and in medicines Don't go on checking again and again Please Wake up early go for morning walk in greenery Do pranayam and yoga daily Do meditation regularly Take vegetables juices and soups more Take salads and fruits more Add Special Chyawanprash by Patanjali 1 tsf twice a day Continue your thyroid treatment By following above points, doses can be reduced in future
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Using tide 5 mg, amaryl2,telvas40, ecosprin75,aldactone 25, metoprolol xl 50, janumet50/1000. Rozvastatin20 for diabetes and cardiac problem since 8 years. Since 6 months no erections. Now my age is 62 years. Height 5`9" weight 82 kgs. Why this problem. Age or disease or weight? One year ago the problem was not severe. Any one suggest a good medicine? Now using gokshura ayurvedic tabs. Since two months. No use. Used tentex royal also no use.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Using tide 5 mg, amaryl2,telvas40, ecosprin75,aldactone 25, metoprolol xl 50, janumet50/1000. Rozvastatin20 for diabe...
For immediate response you can use viagra 50 mg 1/2 hour before intercourse,if you are not taking nitrates. For long-term benefits you use l- arginine powder available as enlarge satchet. One satchet daily at bedtime for 3 months.
4 people found this helpful
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Reason of diabetes. Can it cause due to more eating sugar. How to cure from diabetes?

MBBS
General Physician, Mumbai
Reason of diabetes. Can it cause due to more eating sugar. How to cure from diabetes?
Whenever beta cells of pancreas are damaged sugar in blood rises and in a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
1 person found this helpful
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How often should I test my blood sugar, and what should I do if it is too high or too low?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
How often should I test my blood sugar, and what should I do if it is too high or too low?
Your question doesn't state whether you are a diabetic or not. So I will answer for both situations. If you are not a diabetic, fasting sugar twice on separate occasions is enough to know whether you need to be tested further for diabetes or not. Cut off value for fasting sugar is 126 mg/dl. If sugar on 2 occasions is beyond this then you need treatment. If on the other hand you are a diabetic, then you need a much more extended profile. You need 4 readings in a day to know the trend of your control. Fasting, 2 hrs after breakfast, 2 hrs after lunch and 2 hrs after dinner. I would recommend that you depend on your physician for management of these reports. But if the sugar at anytime is below 70mg/dl then immediately take glucose for avoiding crisis.
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I got diabetes before 2 year but it is increase again 250 can you tell me about some ayurvedic medicine to control it very fast. Please give me some suggestion for control it always and never increase it again in future.

MBBS, D.P.H
General Physician, Gurgaon
I got diabetes before 2 year but it is increase again 250 can you tell me about some ayurvedic medicine to control it...
You can control your bs by mark slight change in your lifestyle 1Regular morning walk 2 Regular exercise . 3 Food should be of low carbohydrates ,low fat, low calorific food, excessive fibrous food, excessive vegetables .No sweet, no dry fruit. 4 Regular appropriate drug at regular tlme 5 regular investigation 6 Keep observing any cardiac, oçular, renal problem.
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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 disease (ht), is an autoimmune disease where there are antibodies prepared against thyroxine secreting cells, this leads to deficiency of thyroxine hormone and hypothyroidism. There is lymphocytic infiltration of thyroid gland, it becomes firm and lobulated. There are anti bodies against thyroid peroxidase enzyme (anti tpo ab). One of the causes for ht is said to be excess iodine intake through iodinated salt. Most of the patients with ht are likely to have other autoimmune diseases like t1 dm, rheumatoid arthritis etc. Treatment is with thyroxine tablets, iodine has no role in this disease.
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