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Dr. Raghupathy

Endocrinologist, Bangalore

Dr. Raghupathy Endocrinologist, Bangalore
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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. Raghupathy
Dr. Raghupathy is one of the best Endocrinologists in Hebbal, Bangalore. You can consult Dr. Raghupathy at Bangalore Baptist Hospital in Hebbal, Bangalore. Book an appointment online with Dr. Raghupathy on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 32 years of experience on Lybrate.com. You can find Endocrinologists online in Bangalore 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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Bellary Road,Between Mekhri Circle and Hebbal Flyover,Hebbal. Landmark: Near-Government Verterinary CollegeBangalore Get Directions
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I am a diabetic patient recently I checked Hba1c found that 9.5 which medicine I have to take now am taking medicine Glycomet 250 twice a day. Pls suggest any other medicine. I have cholesterol also.

BHMS
Homeopath,
I am a diabetic patient recently I checked Hba1c found that 9.5 which medicine I have to take now am taking medicine ...
Dear Lybrate User, One of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as DIABETES MELLITUS. Once a patient is diagnosed with Diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her Post. Prandial Blood Sugar level reaches 200. If Post. Prandial Blood Sugar level reaches 200 then patient can take Homoeopathic Mother Tincture GYMNEMA SYLVESTRA Q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc
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I am 68 years old taking treatment for type 2 diabetes and bp. I had undergone prostate enlargement operation, bye pass surgery and operation for stones in kidney in the year 2009. Now my sugar level is less than 200 and bp is130/80. The problem is I go for twice in a week for bowls and it is hard please advice.

FMAS, MS
General Surgeon, Gandhinagar
I am 68 years old taking treatment for type 2 diabetes and bp. I had undergone prostate enlargement operation, bye pa...
Respected lybrate-user hi have more liquids green leafy veg fiber curd. Isabgul 3 teaspoonful at night with glass of leuk warm water at night for 15 days. Morning walk of 30 minutes & yoga for 20 minutes will help tremendously dear thanks regards.
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My uric acid is 1.1 mg/dl. I am a 24 year male. Uric acid count in my blood is very low as compared to the normal count which is more than 4.5 mg/dl. What should I do. What are the medicines I should take and what type of diet should I adhere to.

MBBS
General Physician, Cuttack
My uric acid is 1.1 mg/dl. I am a 24 year male. Uric acid count in my blood is very low as compared to the normal cou...
1 Take protein rich diet like mutton,egg,fish(Sardines)prawns 2.Take mushroom,plenty of green leafy vegetables like broccoli,cauliflower,cabbage,spinach,bean,peas etc
1 person found this helpful
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I am male-61 yrs. I hv diabetes and also facing problems of water blisters (diabetic bullae) on my legs/hands recurrently. My wt is 79.8 kg, My HBA1C is 7.5. Need concrete diet advise by a dietitian to overcome problem of weight, skin diseases by way of water blisters. It would be a grt help to me. Pl revert years reply soonest possible. Many thanks.

B.Sc. - Dietitics / Nutrition, PG diploma in Applied Nutrition
Dietitian/Nutritionist, Vadodara
I am male-61 yrs. I hv diabetes and also facing problems of water blisters (diabetic bullae) on my legs/hands recurre...
You have not mentioned your height. For diabetes you need to avoid sugar, jaggery and honey. In fruits you need to restrict banana, chickoo, mango, sitaphal, watermelon, sugarcane, muskmelon, grapes etc. Yo0u need to avoid deep fried foods like farsan and namkeen etc. In vegetables you need to restrict potato, sweet potato, yam, beetroot and carrot etc. Try to consume more of salad, Vegetables and whole grains. Eat small and frequent meals. Do not consume any of your meal heavy. Start taking fenugreek seeds whole or powder in the morning as it will help you keeping your sugar up to normal. Do more of yoga, breathing exercises and weight loss exercises under expert's observation. Your HBA1C should be 5 or below.
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I am a diabetic since last 12 yrs. I take 1 mg glimpride 1bd 500 my metformin 1bd. With this medication my sugar levels are under much control. I do meditation and eat simple food with lots of veggies and fruits. My major problem is with fasting blood sugar level which is mostly between 140-150. This really causes lots of tension.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
I am a diabetic since last 12 yrs. I take 1 mg glimpride 1bd 500 my metformin 1bd. With this medication my sugar leve...
There is no reason to be tense continue glimipride and take metformin 1000 mg at dinner and 500 mg at breakfast repeat sugar after 7-10 day for further you can consult privately after 10 days with F and PP report.
2 people found this helpful
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Hi, I am touching 70 and am parkinson patient. I am also diabetic. My sugar level used to be maximum 180. I take almonds in the morning about 30 pcs. I feel it has increased my sugar level. Is it due to more no of almonds. How many almond and walnet should I take daily. Kindly also suggest other dry fruit which may control my sugar level and give strength.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, I am touching 70 and am parkinson patient. I am also diabetic. My sugar level used to be maximum 180. I take almo...
Sir, taking dry fruits almonds, walnuts is good but these also have fair amount of carbs. Ideally daily 5 almonds, 25 grams of walnuts are recommended. Excess is not much helpful, will add to blood sugar. Most important aspect of the treatment is proper anti diabetic drugs ether the oral ones or insulin injections. In addition dietary control and exercises.
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I am diabetic and well under control. Starving/empty stomach is 95. What should be the post lunch glucose level.

BHMS
Homeopath,
I am diabetic and well under control. Starving/empty stomach is 95. What should be the post lunch glucose level.
Dear lybrate user, you do not need any medication unless your post-prandial blood sugar level reaches 200.
2 people found this helpful
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I am 22 years old I have diabetes what is the perfect diet for me. Please tell me.

PDDM, MHA, MBBS
General Physician, Nashik
I am 22 years old I have diabetes what is the perfect diet for me. Please tell me.
Preventing or managing diabetes requires clinical interventions as well as lifestyle changes. Medication is only one small part of managing diabetes. The major changes come from self-care activities. There are five essential self-care behaviours that have good outcomes. 1. Diet – Consume a low-fat, high-fibre diet helps. Eat lot of fruits, vegetables (at least 4-5 helping a day) along with whole meal, cereals and lentils 2. Exercise for at least 30 minutes a day, 5 days a week. 3. Medications – Be compliant with the dosages. 4. Testing - Monitoring blood sugar and screening for complications 5. Psychology – Acceptance, coping and problem solving skills
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From last 6-7 year I am suffering from high bp. Diabetic and having thyroid as well. For that I am taking one tablet of ziblok 50 for bp, glimy-1 for sugar and thyroxin50 for thioride, by using this my health is under controll, I want substitute for above in ayurveda. From last three month I have not taken zeblok 50 but my bp is controlled, I am now taking dibicon in place of glimy-1 but iot doesn't work and my sugar level raised to 120-200 kindly advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
From last 6-7 year I am suffering from high bp. Diabetic and having thyroid as well. For that I am taking one tablet ...
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.
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I want to know that my periods have come always late around 35 days, I have hypothyroidism also. But my tsh level is now less then. 01. Please tell me the reason as early as possible.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to know that my periods have come always late around 35 days, I have hypothyroidism also. But my tsh level is ...
there are many cause for irregular menses..do usg for pelvis, and tsh level is going down ..A number of conditions, including Graves' disease, toxic adenoma, Plummer's disease (toxic multinodular goiter) and thyroiditis, can cause hyperthyroidism. Your thyroid is a butterfly-shaped gland situated at the base of your neck, just below your Adam's apple. Although it weighs less than an ounce, the thyroid gland has an enormous impact on your health. Every aspect of your metabolism is regulated by thyroid hormones. Your thyroid gland produces two main hormones, thyroxine (T-4) and triiodothyronine (T-3), that influence every cell in your body. They maintain the rate at which your body uses fats and carbohydrates, help control your body temperature, influence your heart rate, and help regulate the production of protein. Your thyroid also produces calcitonin, a hormone that helps regulate the amount of calcium in your blood. How it all works The rate at which T-4 and T-3 are released is controlled by your pituitary gland and your hypothalamus — an area at the base of your brain that acts as a thermostat for your whole system. Here's how the process works: The hypothalamus signals your pituitary gland to make a hormone called thyroid-stimulating hormone (TSH). Your pituitary gland then releases TSH — the amount depends on how much T-4 and T-3 are in your blood. If you don't have enough T-4 and T-3 in your blood, your TSH will rise; if you have too much, your TSH level will fall. Finally, your thyroid gland regulates its production of hormones based on the amount of TSH it receives. If the thyroid gland is diseased and is releasing too much thyroid hormone on its own, the TSH blood level will remain below normal; if the diseased thyroid gland cannot make enough thyroid hormone, the TSH blood level will remain high. Reasons for too much thyroxine (T-4) Normally, your thyroid releases the right amount of hormones, but sometimes it produces too much T-4. This may occur for a number of reasons, including: Graves' disease. Graves' disease, an autoimmune disorder in which antibodies produced by your immune system stimulate your thyroid to produce too much T-4, is the most common cause of hyperthyroidism. Normally, your immune system uses antibodies to help protect against viruses, bacteria and other foreign substances that invade your body. In Graves' disease, antibodies mistakenly attack your thyroid and occasionally attack the tissue behind your eyes (Graves' ophthalmopathy) and the skin, often in your lower legs over the shins (Graves' dermopathy). Scientists aren't sure exactly what causes Graves' disease, although several factors — including a genetic predisposition — are likely involved. Hyperfunctioning thyroid nodules (toxic adenoma, toxic multinodular goiter, Plummer's disease). This form of hyperthyroidism occurs when one or more adenomas of your thyroid produce too much T-4. An adenoma is a part of the gland that has walled itself off from the rest of the gland, forming noncancerous (benign) lumps that may cause an enlargement of the thyroid. Not all adenomas produce excess T-4, and doctors aren't sure what causes some to begin producing too much hormone. Thyroiditis. Sometimes your thyroid gland can become inflamed for unknown reasons. The inflammation can cause excess thyroid hormone stored in the gland to leak into your bloodstream. One rare type of thyroiditis, known as subacute thyroiditis, causes pain in the thyroid gland. Other types are painless and may sometimes occur after pregnancy (postpartum thyroiditis).
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Dear sir/mam, I am a diabetic patient, pls tell me what type of food will I take?

MBBS, MD - Medicine
General Physician, Delhi
Dear sir/mam, I am a diabetic patient, pls tell me what type of food will I take?
You should avoid anything sweet. No juices, instead have fruits, like apple, guava or pappaya. No oily or fried foods. Potato n rice intake should also be reduced. Try on cutting down on alcohol.
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Daily I am walking for 45- 60 minutes. I am diabetic and sugar level ranging pre - 95-110 and post lunch nearly 200. I want to reduce my weight and currently 75 kgs. Can I have 2 pegs whisky/brandy once in a week or twice.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Daily I am walking for 45- 60 minutes. I am diabetic and sugar level ranging pre - 95-110 and post lunch nearly 200.
...
Post lunch of 200 is a little high. Cut down alcohol intake to once a month and stick to one peg. Continue with your exercise. Check your hba1c. If that is high you will need small doses of medication.
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Diet supplements in Hypothyroidism

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Diet supplements in Hypothyroidism
Your thyroid needs iodine to work well, get enough from iodized table salt, fish, shrimp, and seaweeds. Thyroid needs magnesium also - spinach, lettuce, and other leafy greens are great sources of magnesium. Also cashews, almonds, and pumpkin seeds are another excellent source of magnesium.
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I am 36 year old M am in problem aprpx 1 year bcz my both leg in pen, not proper work in running condition, doctor say uric acid incris. please help me. Awdhesh patel.

BHMS
Homeopath,
I am 36 year old M am in problem aprpx 1 year bcz my both leg in pen, not proper work in running condition, doctor sa...
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.
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What are the main healthy food for the sugar patient. And which food helps to produce insulin?

LCPS, BAM&S
General Physician, Pune
What are the main healthy food for the sugar patient. And which food helps to produce insulin?
In your daily diet, Methi (fwnugreek)seeds, sweet potatoes, turmeric and cinnamon have specific anti diabetes properties. Amla and cocum have indirect benefits. Have them part of your daily diet. But four items are specifically antidiabetic. 1. Rice. 2. Potatoes 3. Fried food in oil and ghee 4. Sweet. Avoid them forever. But having any one of the items once in a while is not harmful. Small amount of desi ghee with roti is good. But don't overdo anything. Eat 200 g of fruity and 100 g of leafy vegetables everyday. Find a good doctor and follow his/her advise always.
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I have diabetes since 4 months, my parrents also have diabetes. Doctor prescribed me to take insulin 32/26 when my sugar level is 465. Now sugar level is 80. Now I am taking insulin 8/6, I want to stop insulin what should I do ?

DM - Endocrinology
Endocrinologist, Hyderabad
u have already come down to so less unit of insulin. probably ur doctor will be stop in near future. maintain good diet and exercise regime so thaty it will be easier to stop insulin.
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

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I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via natural conception. I don't drink, don't smoke at all and IT engineer by profession with no exposure of any heat whatsoever. It's been over 10 months since we are trying for our second baby and we aren't getting result. We had a rigorous tests done for my wife and she is all fine as she was during 1st conception hence with repeated semen analysis it's discovered that I have Azoospermia God knows how come it got developed in me :(. I have absolute no surgery or something hitting my testis which could ever lead to this. Doctor has advised me to go for Testicular Biopsy some have advised IUI / IVF. I want to know do I really need IVF as I strongly believe that I must be having sperms but it's not just coming through ejaculation. Please advise.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I am 34 year Old male with a secondary infertility case i.e. I already have 6 years old daughter which we got via nat...
Azoospermia means your semen doesnot contain sperms. It could be due to either lack of production or due to obstruction of the tube which delivers the sperms at sex. In patients of azoospermia, is the volume of the ejaculate (semen) is good and fructose test is positive, it could mean there is no production. If the fructose if absent it suggests ejaculatory duct obstruction. Usually hormones tests like FSH, LH, Inhibin B levels are advised and on their basis, some hormonal treatment can be offered. Normal volume, PH and fructose being present and presence of GPC (glyceryl phospho choline) means there is NO obstruction, But Normal Volume, PH and fructose positive but NO GPC means it is vas deference epididymis level obstruction. Low volume, PH and fructose negative and NO GPC means it is ejaculatory duct obstruction So het the hormone tests done, GPC levels tested, and meet a urologist or andrologist who can guide your treatment. In patients who have sperm production but tubal block, the sperms can be aspirated by TESA or MESA but these need to be sued for IVF only. If the hormone levels are low, and there is NO obstruction, there are injections which can help increase the production. In patient who have never had a child or are not affording the expensive testicular biopsy, TESA, MESA,IVF, gynecologists also can suggest a donor semen insemination as a attempt for those who want a pregnancy desperately. So decide for yourself and then meet an andrologist or urologist.
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How is Diabetes realted to Cinnamon?

MD - Medicine
Endocrinologist, Ahmedabad
How is Diabetes realted to Cinnamon?
Did you know Cinnamon is good enough to find a place in your medicine box as well as in your spice rack?
The popular spice may help prevent and combat diabetes by acting as an insulin substitute for people with type 2 diabetes. Cinnamon itself has insulin-like activity and also can potentiate the activity of insulin. Cinnamon has a bio-active component that we believe has the potential to prevent or overcome diabetes.

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Please suggest some food items for a diabetic patient if he don't want to take tablets.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Eat little at a time every 2-3 hourly. Don? t eat too much at a time brisk morning walk for 30 minutes regularily dinner 2 hours before going to sleep 10 minutes evening walk after dinner avoid sweets, mango, grapes, colddrinks in particular.
1 person found this helpful
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