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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 42 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

Location

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Thiruvananthapuram Neyyardam Rd, PoojapuraThiruvananthapuram Get Directions
200 at clinic
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I am 36 years old and undergoing treatment for psychotic depression since 1.5 years. Also diagnosed with thyroid. I have put on lot of weight around stomach and waist. Can you please suggest me a diet plan and exercises to reduce weight fast.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 36 years old and undergoing treatment for psychotic depression since 1.5 years. Also diagnosed with thyroid. I h...
1) If you are taking meal 2 times a day, you can have the same 4 times in divided doses. 2) Try to avoid gluten containing food like bread, pizza, and burger. 3) Always eat fresh food. 4) No oily & junk food. 5) You can have sprouts, salads, fruits or fruit juice in breakfast rather than bread, toast or artificial protein shake. 6) Don’t eat immediately after exercise or yoga. 7) Stretching exercises 10 minutes. 8) Brisk walk 5 km daily or 25 minutes 9) Yoga- surya namaskar & different yogasana for 25 minutes.
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Can I take thyroxine to improve my metabolism. Or its necessary to chek first, or its only taken in case if hypothyroidism.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Can I take thyroxine to improve my metabolism. Or its necessary to chek first, or its only taken in case if hypothyro...
No, it is only required if you are suffering from hypothyroidism. Taking unnecessary medicines can harm your body.
1 person found this helpful
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I am 18 years old and I am suffering from diabetes. Is there any possibility to completely cure diabetes in this age.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I am 18 years old and I am suffering from diabetes. Is there any possibility to completely cure diabetes in this age.
Hi, There has been no successful treatment found yet to completely cure a patient of Diabetes. But with good diet, exercise and medication it can be controlled optimally. Good diabetic control leads to less complications of heart, nerves, eyes, kidneys etc. In your case, you are suffering with Type 1 diabetes. Your pancreas are not producing insulin. Hence only option is to give insulin from outside. Stopping your insulin injections will lead to devastating effects, so please continue with your insulin injections and be brave to face the challenges of your condition. I wish you good luck Thank you.
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62+ M. Diabetic and hypertensive and under treatment for 20 years. Presently having diabetic neuropathy. Advice.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Control sugar profile, daily walk, take diabetic diet, more salads in food, take multivitamins with vit B6, B12, and folate, take extra care of numb areas of your body, get glycosylated Hb checked three monthly and take diabetic medicines regularly.
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My sugar level is 292 I am 42 year old I am losing weight also recently I hv started taking tablet fr sugar pls tel me hw to control sugar and to gain weight.

MBBS, MD - General Medicine
General Physician, Delhi
My sugar level is 292 I am 42 year old I am losing weight also recently I hv started taking tablet fr sugar pls tel m...
Continue the medicine. No need to gain weight. That is ok. Will decrease initially. But as the sugar levels are contolled it will stabilise. Eat high fiber food like salad. Roasted chana. Take walk.
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What are the symptoms of hypothyroid and what are precautions to minimize the symptoms.

PDDM, MHA, MBBS
General Physician, Nashik
What are the symptoms of hypothyroid and what are precautions to minimize the symptoms.
Symptoms of Hypothyroidism Fatigue. Weakness. Weight gain or increased difficulty losing weight. Coarse, dry hair. Dry, rough pale skin. Hair loss. Cold intolerance (you can't tolerate cold temperatures like those around you) Muscle cramps and frequent muscle aches. Both lifestyle modifications and thyroxine supplements are required.
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Sir. I bought a blood glucose testing device and tested my daughter's random blood sugar and it was 111. Next day morning tested the fasting sugar and it is 99. She is just 6 years old. Is this normal? Or anything to concern. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir.
I bought a blood glucose testing device and tested my daughter's random blood sugar and it was 111. Next day mor...
Mr. lybrate-user, Thanks for the query. The blood glucose levels mentioned are within normal limt. Nothing to worry. Thanks.
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I am 18 year old and recently know tht I am diabetes patient and yesterday I am doing test fasting and pp fasting is 211.5 PP is 347.5 its very high treatment started but from last month I feel problems in my penis. After searching and known about problem I found tht I am suffering from urinary bladder cancer problem. 1 month ago my weight is 80 kg Now my weight is 69 kg I am tensed now sir. Plzz help me and tell me something.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 18 year old and recently know tht I am diabetes patient and yesterday I am doing test fasting and pp fasting is ...
Zoryl m 1 iis for type 2 diabetes. Type 1 requires life long insulin treatment. Zoryl M1 has glimeperide and metformin. Metformin helps to loose weight and increases insulin sensitivity. According to your height of 5 ft your weight should be in range of 50-53 kgs so you are still on higher side. Instead of googling consult the respective specialist.
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I was gone through a Heart Checkup. My ECG and Echo with color doppler are normal. Fasting blood sugar is normal. HDL 38 and LDL 176. I am 48 years of age and smoke occasionally with no bp and no diabetic. Dr. advised Crestor 10 Mg bed time and TMT. What is your opinion?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was gone through a Heart Checkup. My ECG and Echo with color doppler are normal. Fasting blood sugar is normal. HDL...
Mr. lybrate-user, If ECG & Echo are normal and if you have no symptoms related any cardiac problem, TMT is not necessary at all. Taking Atorvastatin 10 mg may be useful to reduce LDL. Thanks.
4 people found this helpful
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I am 40 years old suffering from diabetes. What I should do to get relief. Kindly give me suggestions. Suffering last 6 month please guide line for lifestyle.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 40 years old suffering from diabetes. What I should do to get relief. Kindly give me suggestions. Suffering last...
Mr. Lybrate-user, to control diabetes following steps need to be taken: 1) take appropriate drugs as prescribed by the doctor, without fail or missing a dose. 2) take a balanced but restricted diet, that should provide exact calories based on ideal body weight, extent of daily exercise and blood sugar levels. 3) daily regular exercise of at least 1 hour, brisk waliking is a good option. 4) consume great deal of green leafy vegetables, salads and permitted fruits (100 g a day) 5) avoid sweets, sweetened aerated drinks, deep fried foods, junk foods, pastries, fructose corn syrup containing products and highly processed foods. 6) you should strive to maintain fasting level around 100 mg, pp 150 to 160 mg and hba1c% <6.8. 7) refrain from alcohol and smoking. All these are the things referred as modified lifestyle. With regards.
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MBBS, DGO (cal)
General Physician,
Understanding Uric Acid and how to manage them.

Uric acid results from the breakdown of compounds known as purines in the body. Purines are both produced in the body and consumed through the diet. Normal values of uric acid in the blood range from 2.4 to 6.0 milligrams per deciliter for females and 3.4 to 7.0 milligrams per deciliter for males. Uric acid levels higher than 7.0 milligrams per deciliter in the blood can cause crystals to form and build up around joints, resulting in a painful form of arthritis known as gout. Many foods contain high levels of purines, and eating these foods can lead to high levels of uric acid in the blood.

Diet Tips for High Uric Acid Patients:
1. Lower fat intake as excess fat reduces normal excretion of uric acid.
2. Liberal fluid intake to keep the urine dilute and uric acid soluble to facilitate excretion by kidney.
3. Restriction or elimination of alcohol.

What to Avoid:
1. Shell fishes, red meat, mince meat, meat extracts, organ
meats, fishes (sardine, roe, makeral).
2. Whole pulses (masur, rajmah, chana, chole, etc.). Other dals
are allowed.
3. Vegetables and fruits - green peas, spinach, French beans,
brinjal, cauliflower, mushroom, chickoo, custard apple.

Diet Rules:
A. Use less salt while cooking. Avoid adding salt while cooking
rice or in chapatti dough.
B. Use adjuncts like tomato, vinegar, cocum, amchur, lime juice,
curd, pepper powder to make the food cooked with less salt
palatable.
C. Remove the salt shaker from the table.
D. Avoid salted nuts/ biscuits, papads, pickles, chutneys.
E. Avoid excess consumption of processed and preserved
foods; eg. Bakery products
F. Caution - Do not overdo on salt substitutes as that might
cause an electrolyte imbalance.

Recommended Foods:
a. Fresh cherries, strawberries, blueberries and other red-blue
berries
b. Bananas
c. Celery
d. Tomatoes
e. Vegetables including cabbage and parsley
f. Foods high in bromelain (pineapple)
g. Foods high in vitamin C (red cabbage, red bell peppers,
tangerines, mandarins, oranges, potatoes)
h. Low-fat dairy products
i. Complex carbohydrates (whole grain breads, cereals)
j. Chocolate, cocoa
k. Coffee, tea

Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood.
Therefore, rather than attempting to find foods that are free of purines and uric acid, it’s important to know how to increase the body’s alkalinity, which naturally reduces the body’s acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.


Foods identified that lowers your Uric Acid

1. Water
Water flushes out toxins including excess uric acid from the body. Have at least 10- 12 glasses of water daily.

2. Cherries
Cherries have anti–inflammatory substances named anthocyanis that help reduce uric acid levels. It prevents the uric acid from crystallising and being deposited in the joints. Cherries also neutralise the acids and help prevent inflammation and pain. 200 gms per day is very effective in bringing down uric acid.

3. Apple
Malic acid in apple neutralises uric acid and thus provides relief to the sufferers. You should consume one apple daily after a meal.

4. Lime
The citric acid found in lime is a solvent of the uric acid .The juice of half a lime squeezed into a glass of water should be taken twice daily.

5. French bean Juice
Another effective home remedy for gout is French beans juice. The healthy juice can be consumed twice everyday for treating gout or high uric acid.

6. Celery seed
This is a popular home remedy to lower uric acid levels in the body. Have celery seeds extract to get best results.

7. Berries
Berries especially strawberries, and blueberries have anti-inflammatory properties so include them in your diet.

8. Apple Cider Vinegar
Drink apple cider vinegar. Add 3 teaspoons of vinegar to 8 ounces of water and have it 2-3 times every day to treat uric acid.

9. Pinto Beans
A diet rich in folic acid can help lower uric acid naturally. Folic acid rich foods like pinto beans, sunflower seeds and lentils should be included in your diet.

10. Vegetable Juices
Carrot juice in combination with beet and cucumber juice is also very effective. 100 ml each of beet juice and cucumber juice should be mixed with 300 ml carrot juice and taken daily.

11. Low fat dairy products
Low fat dairy products like milk, curd help lower uric acid level.

12. Foods rich in Vit C
Include Vitamin C rich foods and supplements in your daily diet to reduce uric acid in the body. It disintegrates uric acid and forces it out of the body through urine. Good sources of vitamin C are Awla, Guava, Kiwi, Sweet lime, oranges, capsicum, lemon, tomato and green leafy veg.

13. High-fiber foods
According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol , Oats, Broccoli, apples, oranges, pears, strawberries, blueberries, cucumbers, celery, and carrots, barley.

14. Bananas
Bananas are also beneficial in lowering uric acid.A banana-only diet, consisting of eight or nine bananas per day for three or four days, may alleviate the swelling and inflammation of joints caused by gout or other forms of arthritis more rapidly.

15. Green tea
Consume green tea on a regular basis to control hyperuricemia (high uric acid levels) and lower your risk of developing gout.

16. Grains
Eating grains that are more alkaline such as jowar, bajra are helpful to reduce the level of uric acid in the body.

17. Tomatoes, broccoli, and cucumbers
Tomatoes, broccoli, and cucumbers are some of the veggies that you need to start including in your meals. Tomatoes are one of the best vegetables that you could have for lowering uric acid. Fresh tomato is alkaline by nature and when it is exposed to the blood stream it increases the alkalinity of the blood.

18. Dark Chocolate, cocoa
Theobromine is an alkaloid that is similar in structure to caffeine. It is found mainly in the cocoa bean and is at the highest levels in dark chocolates. Theobromine also can relax the bronchial muscles of the lungs and according to a small study, was more effective than codeine in relieving coughing. According to Dr. Shmuel Halevi at Acumedico.com, theobromine has the highest concentration of uric acid per gram of food than any other substance”, as reported by Livestrong.

19. Raw vegetables
Raw vegetables like potatoes or corns are effective to reduce uric acid in the body. Have them raw or steam these vegetables.

20. Omega-3
Essential fat Omega 3 from flaxseeds, walnuts, fishes like salmon, herring, mackerel, sardines reduces inflammation and swelling



13 people found this helpful

What are the most important warning signs to look out for in terms of diabetic emergencies, and when is calling 911 necessary?

MBBS
General Physician, Mumbai
What are the most important warning signs to look out for in terms of diabetic emergencies, and when is calling 911 n...
If suppose you are diabetic and are on medication than if there are any signs of hypoglycaemia or hyperglycaemia with complaints of breathlessness and giddiness than you can term it as emergency and can call the control room
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Overall cholesterol 221. Creatinine 0.92 Is it alarming? My sister had a kidney transplant. Fasting sugar 94. Pls advise.

Staged Diabetes Management, MD - Medicine, MBBS
Internal Medicine Specialist, Delhi
Overall cholesterol 221. Creatinine 0.92 Is it alarming? My sister had a kidney transplant. Fasting sugar 94.
Pls adv...
Cholesterol is slightly high. Please reduce fats in diet. Minimise the use of butter cheese and ghee. Fish/ chicken twice a week. Red meat infrequently. Whole eggs 3 in a week, egg whites can be had on other days. Most importantly exercise for 30 mins daily.
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I am 28 yrs of age and my TSH is 8.62 while T3 is 92 and T4 is 6.40. I just got my thyroid test done for first time. Please suggest what I need to do being a male.

MD - Consultant Physician
General Physician, Mumbai
The TSH is higher than normal. Regarding the T3 and T4, you will need to do the Free T3 and Free T4 as they are more accurate. If these values are less than normal, you will surely have to take thyroid hormone supplements. However, if they are within the normal range it is possible that you have subclinical hypothyroidism. You should consult your physician.
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I am having a uric acid level of 7.9mg/dl. Now I am taking ayurvedic medicines. My right thumb finger joint has pain and is swollen, especially when waking up. Kindly advice me.

Master In Occupational Therapy
Occupational Therapist,
I am having a uric acid level of 7.9mg/dl. Now I am taking ayurvedic medicines. My right thumb finger joint has pain ...
Try working on your medicines n go for a regular check up and meanwhile thumb splint can be helpful to immobilize the joint for the time being. It is advisable to take rest during the inflammatory period of the disease and avoid lifting heavy object take proper joint care.
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I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MD - Medicine
Endocrinologist, Ahmedabad
Weakness. Hair fall. Weight gain. Dry skin. Excessive sleepiness and deems on feet are major symptoms.
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How to overcome thyroid problems because it may cause severe problems to our health because I need to know how it will get cured my girlfriend has can you please help me in overcoming?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello" thyroid problems" is rather unclear. Thyroid is the normal gland in us, it produced thyroxine hormone, essential for brain development and functioning. Plus essential for all metabolic activities of the body. There can be hypothyroidism, where deficiency of thyroxine occurs, leading to weight gain, swelling of face, legs, feet, intolerance to cold, slow heart rate, dry skin, dry hair and hair fall, menstrual irregularities, difficulty iin conception, improper fetal development, miscarriage, anxiety and depression. Similarly hyperthyroidism where there is excess of thyroid activity, leading to weight loss, rapid heart rate, protruding eyes, trembling feeling, palpitations, anxiety etc. Both these conditions are well controlled by appropriate treatment. Low iodine in water, and diet can lead to hypothyroidism. That is why iodinated salt has to be used. Still of late cases of hypothyroidism have increased a lot. Another disease is hashimoto's thyroiditis, which also causes hypothyroidism. These can be well controlled, but there is no cure. In case of hyperthyroidism some times thyroid gland is removed, then hypothyroidism develops. In any case treatment usually for lifetime.
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What is maximum dosage of metformin for type 2. Age 64. Weight 91 kg, height 172cm. I take 1000 mg sr bd. I also take pioglitazone 30 in morning, sitagliptin 50 mg. Bd, glynase 10 mg morning and recently started insulin 10 +15 units per day to bring bs under control. Idea is to avoid pioglitazone.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is maximum dosage of metformin for type 2. Age 64. Weight 91 kg, height 172cm. I take 1000 mg sr bd. I also take...
Mr metformin can be taken up to 2500 mg per day. But 100 mg is also a high dose only. If it is not causing any gastro intestinal side effects then no problem. It is really good that you have started on insulin because looking at amount of drugs that you are taking, it is necessary for you to shift to insulin. By doing self monitoring of blood sugar daily you can increase the insulin dosage every alternate day till you reach target fasting level. It is good to reduce or take away pioglitazone.
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What are Lysine and glycine, L arginine. A person having a problem of high uric acid, with the intake of the above trio combo increase the uric acid. Does the combo have side effects on liver also.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Those are types of amino acids which build-up proteins. Yes, if you take that in excess, you will get uric acid accumulation in joints and you will develop gout too. It does not show effect on liver. Still if you have any query, please ask.
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