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Dr. V. Sri Nagesh

Endocrinologist, Hyderabad

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Dr. V. Sri Nagesh Endocrinologist, Hyderabad
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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. V. Sri Nagesh
Dr. V. Sri Nagesh is a popular Endocrinologist in Sanjeeva Reddy Nagar, Hyderabad. You can visit him at Skorts Multi Specialty Clinics in Sanjeeva Reddy Nagar, Hyderabad. Book an appointment online with Dr. V. Sri Nagesh 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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Skorts Multi Specialty Clinics

Vengal Rao Nagar.LM: Beside ICICI Bank & Opp to Kalyan Nagar Wedding Hall, HyderabadHyderabad Get Directions
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I am diabetic and taking insulin 2 times a day 15 units . I checked my blood sugar level today and it was 384 RBS . Could you please help me to get down my sugar level .My age is 45 years and suffering from last 3 years

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
You need a supportive treatments along with these medicines, then your sunger level comes to normal range then we will reduce your insulin dose.
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Healthy snacking for weight loss and diabetes...

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Healthy snacking for weight loss and diabetes...

Boiled black chana,

Boiled chickpeas,

Roasted Bengal dal

Fresh veggies.

3 people found this helpful

diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
29 people found this helpful

I have high sugar 360, and my weight is 105 kg I want to know the success rate of this bariatric surgery and also I want to know that will this surgery helps me out to control my sugar level or not?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have high sugar 360, and my weight is 105 kg I want to know the success rate of this bariatric surgery and also I w...
lybrate-user, Thanks for the query. Bariatric surgery is one of the very good options to control obesity particularly morbid (BMI >40 kgs/M2). It also does reduce at times cures diabetes particularly if it is less than 5 years old. Long standing diabetes is not reversed, but there will be better blood glucose control due to less fat, better insulin action. Thanks.
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What should we eat when we have diabetes in breakfast and lunch and dinner. What precaution should we take during diabetes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
What should we eat when we have diabetes in breakfast and lunch and dinner. What precaution should we take during dia...
Dear Lybrate User, To maintain proper blood glucose level you need following things to do- 1.Include more fibers in your diet. More soluble than insoluble. 2. Dont give food gap more than 2-3hrs between meals. 3.Drink min 2ltrs of water during day time. Reduce water consumption after 6pm onwards. 4. Increase your protein intake specially veg proteins. 5.Do exercises regularly min for 1hrs min. 6.Increase your vegetables and fruits consumption. 7. Avoid simple sugar, maida related junk foods.
1 person found this helpful
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Infertility - A Complete Guide!

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Infertility - A Complete Guide!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

What is thyroid problem in women? What are symptoms in women facing with thyroid problem and How does it effect on women's fertility?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
What is thyroid problem in women? What are symptoms in women facing with thyroid problem and How does it effect on wo...
Symptoms of hypothyroidism are UNEXPECTED WEIGHT GAIN , FATIGUE, WEAKNESS, DRY HAIR AND HAIR LOSS, DRY SKIN, COLD INTOLERANCE ,MUSCLE CRAMPS OR MUSCLES ACHE. thyroid are same in male and female. it affects preganancy. if a women have uncontrol thyroid she can not get preganacy.
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Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Which medicine is better to control blood sugar metformin 1 gm or gemer 1 please thanks with regards.
Mr. lybrate-user, Thanks for the query. Both the brands mentioned are having same drugs, both are equally good.
1 person found this helpful
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Which vegetables are good for diabetes patient and what things should be avoided?

PDDM, MHA, MBBS
General Physician, Nashik
Which vegetables are good for diabetes patient and what things should be avoided?
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period only when I take tablets and the bleeding is also very little and last nly for 2 days. I have visited gynecologist they suggested ne livogen tablet still there is no regular period. Recently my gynecologist has taken hormonal test in dat leutinizing hormone level was 14.92 she said that iy is poly cyst and prescribed me vofol myo and padmini tablet. I have been using these tablets from past 10 days. I have got bloated stomach from april 2015 and my stool colour is very dark like black and tarry. From past 1 week I have been suffering from sore hands, tongue, mouth, giddiness, and iam unable to sleep also and also burning sensation in hands and feet sumtyms. Are these due to intake of medicines or any other problem. I have seen in net that bloated stomach, dark black tarry stool and sore hands can be the symptoms of any type of cancer. And giddiness blur vision and burning sensation of hands and legs are due to diabetes. please do repl am really worried am I having cancer or its due to the intake of medicines or do I have diabetes. please do repl. than n advance.

MBBS
General Physician, Mumbai
I am 22 years old unmarried girl. I have been suffering from irregular and absent periods from jan 2015. I get period...
As of now it seems to be due to the intake of medication and for your main problem I will suggest you to take tablet folvite 5 mg twice a day for a month and than once a day for another six months and better to stop hormonal tablets after this period and to do daily exercises and revert back to me after six months
2 people found this helpful
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I am 42 years male TSH is 9.75 Hdl: ldl ratio is bad How it will be cured? By Ayurveda medicine?

BHMS
Homeopath,
First of all you need to walk daily. Take fat free food. Take lots of green veggies. Take food having high fibre. Brisk walking for 40-45 min is very much important factor. With this you need proper homeopathic treatment for this purpose. U can also contact me through Lybrate.
1 person found this helpful
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Sir, I have blood sugar. Fasting- 165, pp- 299. Please guide for my better to cure it. Please send me some tips, so we can upgrade myself.

M.B.B.S., D.M.C.H.
General Physician, Alwar
You should take small & frequent meals. Avoid sweets & carbohydrates rich diet. Go for walk & do exercises daily.
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My father has diabetes and he in st eating stage how can it be controlled properly? Please help me out.

MSc
Dietitian/Nutritionist, Hyderabad
My father has diabetes and he in st eating stage how can it be controlled properly? Please help me out.
Yoga and diet will definitely help in diabetes. There are some asana and pranayam which will help you to control your blood sugar level, like 1 ardh matsyendrasana 2 purna matsyendrasana 3 vakrasana 4 kapalbhati and many more diet has key role in diabetes. Diabetic diet is different for person to person. It is depend of person lifestyle, his blood sugar level. Medication and many more factor. But here are some common tips 1 eat high fiber food like oats, bran, sprouts, beans 2 avoid eating refine flour and its product 3 eat fresh fruits instead of fruit juice. 4 after taking medicines take your meal within half hour.
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I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor changed me to Diamicron MR30 before food and Jalra 50/500 after food. I have been taking since past 30 months. Now my HB1AC level is 9.10 (Avg 214 Blood Sugar). What could be the reason? I am on proper diet and exercise too.

MBBS, D.P.H
General Physician, Gurgaon
I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor c...
Mr. lybrate-user good evening the medicine other than diabetes continue, you require following management of drug 1. Amaryl 1 mg 1/2 hour before breakfast 2. Janumet 100/1000 in morning after breakfast 3. Amaryl 2 mg before dinner 1/2 hour 4.obimet 1000 mg after dinner 5. Read health tip on diabetes and diet on at following link and follow instructions 6. You may consult to local endocrinologist for this change for follow up 7 before change of treatment you require following investigation a. Fbs b. Ppbs c. Lipid profile d. Sr. Creatinine all test after 10- 12 hours fasting consult on line by text chat for onward management before starting above treatment.
2 people found this helpful
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My uric acid present is 7.3. And I am a thyroid patient. My does is 50 mg. Thyronorm. How can I control my uric acid problem.

BHMS
Homeopath,
Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to pain & swelling of those affected joints & this condition is clinically known as gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.
1 person found this helpful
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Is born babies effected by diabetes If father is already suffering with diabetes? If yes give me some tips for this problem? Thank you.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is born babies effected by diabetes If father is already suffering with diabetes? If yes give me some tips for this p...
It is not happening as a rule and there is increased chance if nor cared when they grow up and a check up now is needed
1 person found this helpful
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I was suffering form Hypothyroid for the last few months. I conceived in February and my Thyroid in Feb was was well under control. TSH was 1.75. I got another test done today and my TSH is 10.73. My LMP was Jan 9th. I am really worried. Currently taking 37.5 mcg Thyroxine. How much should I increase the dosage to?

MD-Gynaecologist & Obstetrician , MBBS
Gynaecologist, Delhi
I was suffering form Hypothyroid for the last few months. I conceived in February and my Thyroid in Feb was was well ...
Please meet your physician immediately, be very regular with your thyroid medication, follow what he/she suggest as during pregnancy thyroid levels vary & if not controlled can affect the baby.
1 person found this helpful
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Causes and Prevention of Diabetes

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Prevention of Diabetes

Diabetes features as one of the most common ailments in the contemporary times. Mostly assumed as a congenital disease, diabetes is growingly targeting different age groups and often the outburst of diabetes is mostly unmapped. Diabetes is mainly spurred by the presence of high blood sugar content in the patient's blood. In cases where insulin, the sugar absorbing hormone, is not produced normally, the patient becomes more prone to diabetes. Many attribute this phenomenon to the changing lifestyles of the people and their food choices. In clinical terms, however, diabetes is said to be triggered off by the destruction of insulin-producing beta cells in the body.

Besides the genetic susceptibility, there are a variety of causes that result in diabetes:

  1. Obesity and physical inactivity: An imbalance between calorie intake and the burning of the same often results in the storage of excess sugar. This aggravates the risks of cardiovascular diseases. The food and lifestyle choices are directly related to the phenomenon.
  2. Abnormal glucose production by the liver: Normally the pancreas secretes glucagon when the natural percentage of insulin is low and stimulates the liver to produce glucose which is then released into the bloodstream. But under certain conditions, the glucagon level is already high in some people. In such cases, the liver produces glucose thus increasing the risk of diabetes.
  3. Beta cell dysfunction: The beta cells are responsible for the secretion insulin in your body. In case the beta cells stop functioning normally, a medical condition called insulin resistance arises. Under this condition, your body cells stop responding to the insulins secreted and consequently, the glucose content increases thus causing diabetes. Various endocrine diseases contribute to the malfunctioning of the beta cells.
  4. Medicines and chemical toxins: Often certain medications like diuretics, anti-seizure drugs, psychiatric drugs, and drugs to treat HIV may lead to the worsening of the beta cell functions and cause diabetes.

Diabetes can be medically treated as well as its adverse effects can be assuaged by ushering in a few lifestyle changes:

  1. Periodically checking your blood sugar levels
  2. Taking adequate dental care often keeps the blood sugar levels in control
  3. Regularly exercising and being physically active
  4. Avoiding junk food and food with high glucose content
  5. Consuming relevant drugs prescribed by the doctors
  6. Being wary of the side-effects in cases of organ transplantations.
3800 people found this helpful

My bp is 130/80 doctor take me medicine stamlo 2.5 mg for last 2 month before I take medicine my bp is 150/90 so, can I stop my medicine ,my thyroid ,2d, stress test report is normal. Please give me suggestion.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS, MRCP (UK)
Internal Medicine Specialist, Kolkata
My bp is 130/80 doctor take me medicine stamlo 2.5 mg for last 2 month before I take medicine my bp is 150/90 so, can...
Thank you for the query. Prior to starting your medication (stamlo 2.5 mg) your bp was 150/90 mm of hg. The present control of bp is probably due to your medication. If you stop it there may be a sudden shoot up. It is important to reduce your oral salt intake. Please consult your physician before taking any decision to stop the drug. Even if the medicine is stopped, your bp must be monitored to look for any rise. Regards.
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