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Dr. N S Pratap Chandran

MD - Physical Medicine, Diploma in Diabetology

Endocrinologist, Thiruvananthapuram

16 Years Experience  ·  200 at clinic
Dr. N S Pratap Chandran MD - Physical Medicine, Diploma in Diabetology Endocrinologist, Thiruvananthapuram
16 Years Experience  ·  200 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. N S Pratap Chandran
Dr. N S Pratap Chandran is a popular Endocrinologist in Ambalamukku, Trivandrum. He has over 16 years of experience as a Endocrinologist. He has completed MD - Physical Medicine, Diploma in Diabetology . You can meet Dr. N S Pratap Chandran personally at Dr. Pratap's Clinic in Ambalamukku, Trivandrum. Book an appointment online with Dr. N S Pratap Chandran on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Trivandrum 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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Specialty
Education
MD - Physical Medicine - University Of Kerala - 2001
Diploma in Diabetology - Vinayaka Missions University - 2009
Languages spoken
English

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Thiruvananthapuram Neyyardam Rd, PoojapuraThiruvananthapuram Get Directions
200 at clinic
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Hello I want to know is Himalaya Tagara safe for a diabetic patient. Age is 53 and diabetes on the border line. Is it ok to have the pill?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello I want to know is Himalaya Tagara safe for a diabetic patient. Age is 53 and diabetes on the border line. Is it...
Mr. Lybrate-user, tagara, is supposed to be helping in calming down the mind and also inducing sleep. It seems to be fairly safe, from various reports that are published. But my advise is better not to go in for any medication for sleep induction. If one exercises regularly for over 1 hour a day, maintains blood glucose levels well with in normal limits, practices pranayam and simple relaxation techniques, then there is no need for such medications. Thanks.
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My 70-year-old mom admitted to hospital with hypertension and high blood sugar last week. She got discharged from hospital after three days with normal BP and blood sugar with medications for BP and Blood Sugar. But now she is feeling nauseatic and urgency for nature's call intermittently. Is it matter of worry? Please suggest.

PG Diploma In Clinical Cosmetology (PGDCC), MBBS
Cardiologist, Mumbai
My 70-year-old mom admitted to hospital with hypertension and high blood sugar last week. She got discharged from hos...
Hello. It seems she had accelerated hypertension because of which she was hospitalised. To control accelerated bp, give injectables including diuretics, which cause reduction in bp soon and frequent urination. On discharge injectable drugs are shifted to oral. Do check her bp at home even, because diuretics tend to cause dehydration and fall in blood preesure more during summers. If this is so, do consult your physician. Some orthopedic medicines include analgesics which cause gastritis, do take it after meals and antacids along.
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I am 22 yrs old lady and and I'm just suffering from thyroid. It is jst started now and I wanna become Mama. My thyroid level is 10.249 and I'm started prescribe medicine. What should I do to become Mama.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 22 yrs old lady and and I'm just suffering from thyroid.  It is jst started now and I wanna become Mama. My thyr...
first thing is to take thyroxine tablets in the prescribed dosage every day with out fail. Then exercise regularly so that weight is maintained. Avoid soya containing foods, cabbage, cauliflower, broccoli, mustard and coffee. Use whole grain flour for making breads (rotis), take good amount of green vegetables (other than those mentioned), fruits, onions and garlic. If your hemoglobin is normal and your monthly cycles are normal then there should not be any difficulty in having a baby. Consult your gynecologist.
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I'm a 30 yrs old female & a thyroid patient too. I'm taking thyronorm 50 mg daily. From past 4-5 days my knees and anklets are swelled & paining badly. Since today morning my fingers are also paining. What could be the cause & suggest treatment please.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm a 30 yrs old female & a thyroid patient too. I'm taking thyronorm 50 mg daily. From past 4-5 days my knees and an...
do tests uric acid ..and can take tab. combiflaim sos. IN HYPOTHYROIDISM:--- where there is 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 bad habits . Avoid stress. Some Relax during work. Go for walk, 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 may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
1 person found this helpful
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My mother has hypothyroidism problem, please tell what precautions should be taken and how to identify whether her thyroid level increased or not?

DM - Endocrinology
Endocrinologist, Hyderabad
She should take her medicine regularly empty stomach and check tsh every three monthly initially to adjust doses.
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How Diabetes Can Affect Vision

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Can Affect Vision

Diabetes is the condition where the blood glucose levels in your body tend to be quite high and can have an adverse effect on many of the organs in your body. The eyes are no exception and can be quite adversely affected by diabetes as well.

Let's look at the various problems you could face if you have diabetes:

1. Blurry vision: Diabetes can cause the lens in the eye to swell and this will affect the way you see. Because of the increased lens size, the eyes have difficulty in focusing on objects resulting in blurry vision. You will have to get your blood sugar levels back to normal and only then the vision will begin to correct itself. This will however take time to happen.

2. Cataract: Blurry vision for an extended period of time which progressively gets worse can be a symptom of cataract. Although cataracts can develop even with normal patients, they tend to accelerate and happen earlier in adults who have diabetes. Cataracts are usually fixed with surgery where the natural lens is removed and replaced with an artificial lens.

3. Diabetic retinopathy: Diabetic Retinopathy and Retinal Detachment are one of the leading causes of blindness in adults who suffer from diabetes. The retina is a very important part of the eye which allows us to see the images by capturing light and then sending them to the brain via the optical nerve. With diabetic retinopathy the smaller blood vessels in your retina may get damaged and thus end up causing damage to your vision. This can be of three types:

  1. Proliferative Retinopathy: In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye , and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels.
  2. Background Retinopathy: Background or nonproliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. With this condition, damaged blood vessels in the retina begin to leak extra fluid and small amounts of blood into the eye.
  3. Maculopathy: The macula is the central area of your retina. It is responsible for all your sharp vision, such as used for watching TV or reading. It can become damaged in diabetes, with leaks developing (oedema).

4. Glaucoma: This is a condition where fluids build up inside the eye and it results in the pressure within it building up. This may damage the blood vessels within the eye and cause vision changes. Problems within the eye may not be detected till you experience vision loss. Some of the symptoms of glaucoma may include:

  1. Blurry vision
  2. Watering from Eyes
  3. Difficulty in vision
  4. Pain in the eyes
  5. Lights appear to have halos
  6. Headaches

Treatments: Blurry vision also tends to go away slowly once the level of blood glucose is controlled either via medicines or by diet changes. However, glaucoma or diabetic retinopathy may require a range of medicines to ease the pressure on the eye or to discharge fluid buildup. If none of these works, then relevant surgery may be required to resolve the problems.

4917 people found this helpful

I have recently gone through LFT. Where I found my SGPT and SGOT Levels are very high. About 5 times from range for SGPT, and about 3 times SGOT. I WANT TO KNOW, IS MY LEVER HAVING SOME PROBLEM? IF YES THEN HOW BIG IT IS?

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
I have recently gone through LFT. Where I found my SGPT and SGOT Levels are very high. About 5 times from range for S...
The report is not good. This shows liver is under some infection. SGOT SGPT if both are that much elevated then proper treatment has to be started. So first thing you should do is see a Gastroenterologist immediately. You need to stop alcohol immediately if applicable, avoid fried and fatty foods. Take simple home cooked meal, go for walk daily, have fruits like coconut, banana etc. It will take few months to bring things to normal.
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My dad blood sugar level is 300 now hes having fever and kidney problem too so what food should he eat and suggest some mild medication.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
First his sugar level must be controlled by insulin. If not other conditions will not controlled. If infection is causing fever a suitable antibiotic can be given. Get his blood urea and creatinine checked.
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Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for diabetes. Does it really exists and how it can be helpful for me? I am taking tablet meantime 500 1 tab twice kindly do needful and advice me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for ...
lybrate-user, I am not aware of any vaccine being developed for treating or preventing diabetes. Normally vaccines are used or developed against infective diseases like - small pox, polio, mumps, measles, hepatitis, HIV etc (all viral infections) or bacterial diseases like pneumonia, TB, typhoid, etc. Diabetes can only be controlled by proper drugs, diet restriction and exercise. Thanks.
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Would you please tell me what are the precautions we should for diabetes patient?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Would you please tell me what are the precautions we should for diabetes patient?
Avoid extra salt oil & maida products. Avoid fruit juices. Avoid mango banana chickoo grapes custord apple. Avoid dates cashew kismis. You can have almonds. Daily 40 min walking is must. Frequent small snacking instead of large meals. Increase dietary fiber intake.
1 person found this helpful
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My father is suffering from Diabetes, kindly suggest that what diet should maintain and which foods should avoid?

Diploma in Diabetology, MBBS
General Physician, Warangal
My father is suffering from Diabetes, kindly suggest that what diet should maintain and which foods should avoid?
Sugary items should be avoided oil and salt should be consumed in moderation high fiber low glycemmic index food should be consumed 4to5times aday.
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I am 60 years old. My TSH 9.37 T4 10.5 T3 1.38 UREA 18 CREA 0.42 U.ACID 5.1. I have severe joint pain. Energy less. Fatigued. What is the reason for that? Is for TSH and is it needed to consult an Thyroid specialist?

BAMS
Ayurveda, Bangalore
I am 60 years old. My TSH 9.37 T4 10.5 T3 1.38 UREA 18 CREA 0.42 U.ACID 5.1. I have severe joint pain. Energy less. F...
Hi, Your TSH values are very high. All your symptoms are due to increased TSH levels. Please consult an endocrinologist and get treated at the earliest.
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Dr. is it right to check blood sugar every feed we have. What is the normal blood sugar after having dinner like chapatis/ millets at night? My blood sugar shows 131 after one hour of my dinner (I ate only Upma) at night .I am fully tension pls suggest me.

MBBS, MD( GEN.MED) , PGDDM, FID( DIAB)
Diabetologist, Kottayam
Dr. is it right to check blood sugar every feed we have. What is the normal blood sugar after having dinner like chap...
Ok. Your sugar is normal. Post prandial sugar <140 is normal but better to get Fasting blood sugar and HbA1C to confirm.
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Tsh is 26 against a max. 0f 5. Esr 15 against max. Of 7. These tests were done when complained of ibs. I am taking medicines for thyroid. For ibs what should be done?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you can take medicines for thyroid..tab. thyronorm 150 mcg before meal.and for ibs you cut out such items as carbonated beverages, vegetables — especially cabbage, broccoli and cauliflower — and raw fruits.Fiber supplements. Taking fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), with fluids may help control constipation. Fiber obtained from food may cause much more bloating compared with a fiber supplement. If fiber doesn't help symptoms, your doctor may prescribe an osmotic laxative such as milk of magnesia or polyethylene glycol.
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My mother takes very much tension and she also has a very high sugar rate last time tested it was fasting-278, PP-375 so is there any topic to worry about and if yes then how to solve it.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
My mother takes very much tension and she also has a very high sugar rate last time tested it was fasting-278, PP-375...
Dear lybrate user, high sugar levels are definately a cause for you to worry about your mother. Stress can be major contributing factor for high sugar levels. It appears to me that your mother is emotional kind of person. She may not sharing her feelings with anyone. But that causes tension. She needs an outlet to express her emotions. I would suggest you to take her to a counsellor who will help her to relieve of her intense feelings. Once her tension is released then she will be able to think rationally and will have lesser stress.
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Am 28 year old my fasting blood sugar range is 99, is there any sign of diabetic.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Am 28 year old my fasting blood sugar range is 99, is there any sign of diabetic.
No. FBS of 99 mg% doesn't fall under diabetic range. But to be very sure, do your PPBS and HbA1c too.
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MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Why fasting sugar sometimes more than post lunch sugar?

Blood sugar level is a result of two controlling factors
1. Sugar Intake
2. Insulin response by the pancreas after meal. The pancreas creates insulin which brings down the blood sugar level. A heavy meal will cause increased secretion of insulin in a normal healthy adult. So surprisingly the heavier the meal (sweet Food) you consume lower will be blood sugar level. In patients, on treatment who takes tablets / Insulin before meal the same effects are seen.
During treatment of diabetes fasting sugar is maintained at higher level then post lunch sugar to prevent complication of hypoglycemia during sleep.
10 people found this helpful

I am 39 year old male. I am suffering from diabetic type 2. My bloodsugar fasting is 190. I have taken gymnemma sylvestra but all in vain. Suggest me what to do. I dont take allopathy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 39 year old male. I am suffering from diabetic type 2. My bloodsugar fasting is 190. I have taken gymnemma sylve...
If you want to control your diabetes (blood sugar) then there is no alternative other than taking allopathic medication. Till date there is no other treatment for established diabetes other tahn either oral anti diabetic drugs or insulin. If you are not willing to take these drugs then I am not aware of any other treatment you are very young, so please rethink because diabetes if uncontrolled affects all the systems in the body like kidneys, heart, blood vessels (small and large), eyes, nerves and legs. If you are willing to change please inform me.
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I have uric acid of 7.4. I do good amount of gym and running. So I need protein intake but doctors advised to avoid protein. Are there some alternatives such as protein supplement without purine content. Please advise.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
take boiled eggs without egg yolk..with milk...7.4 uric acid is well acceptable and demand no treatment increase intake of fluids/water daily..uric acid will wash out of the kidneys
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Why diabetic patients getting hypoglycemia after prolonged use of diabetic medicine. And how it occurs then why they get coma.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
Why diabetic patients getting hypoglycemia after prolonged use of diabetic medicine. And how it occurs then why they ...
If you feel hypoglycemia than to have 4 teaspoon sugar immediately with water. Reduced your medicine dose. Increase your small frequent meal in every 2 hour. When you go to bed than to have 1glass tonnes milk with 2 to 4 marie or salty biscuits this will help or prevent coma at night.
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