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Dr. Mubarak

Endocrinologist, Chennai

300 at clinic
Dr. Mubarak Endocrinologist, Chennai
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Mubarak
Dr. Mubarak is an experienced Endocrinologist in Parrys, Chennai. You can consult Dr. Mubarak at Dr Kamakshi National Hospital in Parrys, Chennai. You can book an instant appointment online with Dr. Mubarak on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai 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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No.15, 2nd Line Beach Road ,Jaffar Serang Street, Parrys. Landmark: Opp To Customs Office, ChennaiChennai Get Directions
300 at clinic
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My free t4 is 4.2 and tsh is 0.02 and I am taking eltroxin 75 mg but I am loosing body weight day by day. It reduced from 66 kg to 60 kg in last five months.

PDDM, MHA, MBBS
General Physician, Nashik
My free t4 is 4.2 and tsh is 0.02 and I am taking eltroxin 75 mg but I am loosing body weight day by day. It reduced ...
You have gone into hyperthyroidism now. Kindly consult further for detailed assessment and dose adjustment.
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Sir, I am a diabetic patients and my sugar level very high. How I control my sugar level? Advice me.

MBBS, MD - Medicine
General Physician, Delhi
Sir, I am a diabetic patients and my sugar level very high. How I control my sugar level? Advice me.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.
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Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my sugar level. I'll be waiting for your rpy.

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my suga...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. But, the evidence based medical advice, on diet for diabetics, is not that restrictive and allows a lot of room for having fun with food! All the expert agencies on diabetes in the world, such as ADA, AACE, IDF and our own ICMR, have published guidelines on managing your diet in diabetes, which we at FWI analyzed to formulate our advice for diabetics, which you will find below: The three most important considerations in diet management in diabetic people are: Managing the carbohydrate intake to control blood sugar Managing the overall calorie intake to lose weight or to maintain a healthy weight Keeping the intake bad fats and salt in check to reduce the risk of CVD 1. Managing the carbohydrate intake to control blood sugar Diabetes is a primarily a disease of insulin resistance or insulin deficiency, in which the physiological action of insulin, that of helping in uptake of blood glucose by body cells and thereby keeping the blood sugar levels in control, is less than adequate. All dietary carbohydrates are broken down by our digestive system into glucose, which then is added to the blood. Therefore, the most important consideration to prevent or delay complications of diabetes is keeping the blood sugar levels in control Diabetics have to know their carb containing food very well and monitor their carb intake on regular basis, but they are not required to give up totally on sugar, rice or sweets, contrary to what is the general notion! Same amount of carbs whether as whole grains or table sugar, will raise the Post Prandial (two hours post meal) blood sugar to nearly the same level, so substituting regular roti with say a laddoo, once in a while is OK, provided you make sure that laddoo gives the same amount of carbs as the rotis you have given up and your overall calorie intake in the meal is constant as well. This you can manage by portion size control and carb counting But having laddoos instead of roti regularly is not a good idea because good sources of carbohydrates such as whole grains have proteins, dietary fiber, vitamins and minerals in addition, whereas bad sources such as table sugar or laddoo will not have these and will give you empty calories. Also, these sweets will be more calorie-dense (1 tablespoon sugar gives 60 calories whereas one roti gives nearly 80 calories) and will not be very filling! So, if you want to have simple sugar or sweets occasionally, make sure that you replace the healthy carbs with these sweets, such that same amount of calories and carbs are provided by them and don’t just add sweets to your regular meal Remember, quantity control and moderation are absolutely imperative! 2. Managing the overall calorie intake to lose or maintain a healthy weight Losing excess body weight helps in patients with diabetes in several ways. Besides this will help you in controlling your risk of heart diseases and a host of other diseases at the same time! In diabetes, even losing 3-5% of your existing body weight will result in better blood sugar levels, but losing up to 10% results in better blood lipid profile and reduced risk of heart disease To know more, go to ‘weight loss for diabetics’ and read your way into fitness! 3. Keeping the intake of ‘bad’ fats and salt in check to reduce the risk of CVD The complications of CVD, include heart attack, stroke (brain attack), foot gangrene etc. All complications of CVD, which is the biggest cause of death in diabetics Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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I am taking Galvus 50 mg BD and 250 mg Metformin BD. GI is good but PPBS crosses 140 sometimes. I take the dose half an hour before lunch and dinner. Can the morning dose be taken before breakfast? Also, what should be the time gap between the dose and the meal?

MBBS
General Physician, Jalgaon
I am taking Galvus 50 mg BD and 250 mg Metformin BD. GI is good but PPBS crosses 140 sometimes. I take the dose half ...
Yes you can take it 20 minutes before breakfast also you can take 20 minutes before meals I will suggest few points please do regular morning and evening walk take salads and fruits more as vitamins minerals and fibres in them are good for health don't fear about sugar content of fruits can add tab dibecon by himalaya 1 1 as a natural antidiabetc to your regular treatment.
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I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are increased to 7.10.d doctor whom I consult is out of town. Shld I continue using 62. 5 mg medicine or my dose to b changed?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothyroidism n I use thyronorm 62.5 mcg medicine daily. Recently wen I got my tsh done my thyroid levels are...
Lybrate-user, when hypothyroidism is in good control tsh values should be between 3 to 4 milli units/l. 7 milli units, means there is no proper control. This can lead to reappearance of some of the symptoms. So it is essential to increase the dose to 75 mcg, then after 6 weeks check the tsh level, and if level as mentioned above, then continue the same dose. Thanks.
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My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My back of the neck is turning dark. Is it a symptom of diabetes? What should be done to overcome this situation.
Mr. Lybrate-user, in case of increasing insulin resistance there is darkening of skin on the neck including back of neck, under arms and groin. It is call as acanthosis nigricans. It is also a major sign in t2 diabetes particularly in overweight and obese patients.
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What is commonly understandble interpretation of tsh/ hypo thyroidism/hyper thyroidism ?

C.S.C, D.C.H, M.B.B.S
General Physician,
T3 (triiodothyronine) free (serum) top of page 0-6 years: 2.4 -4.2 pg/ml 7-17 years: 2.9-5.1 pg/ml > 18 years old: 2.3- 4.2 pg/ml 3.5 - 6.5 pmol/l t3 (triiodothyronine) reverse (rt3) (serum) top of page birth-6 days: 600 -2500 pg/ml > 7 days old: 90 -350 pg/ml adults: 0.11 - 0.32 ng/ml 0.04 - 0.29 nmol/l t3 (triiodothyronine) total (serum) top of page cord blood: 14 -86 ng/dl 1-7 days: 100 -470 ng/dl 8- 364 days: 105 -245 ng/dl 1 -9 years: 94 -269 ng/dl 10-19 years: 102 -200 ng/dl > 20 years old: 80 -200 ng/dl adults: 0.8 - 2.0 ng/ml 0.9 - 2.8 nmol/l t4 (thyroxine) free (serum) top of page 0.8 - 1.8 ng/dl 10 - 23 pmol/l t4 (thyroxine) total (serum) top of page 4.5 - 12.5 g/dl 58 - 161 nmol/l for personal discussion you are welcome to ask privately in this site.
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My blood sugar fasting range between 115 to 125. But on random checking it is 120 around. I stopped eating sugar. My hv1ac in June on checking was 5.7 I am confused what to do. I met with an accident 4 years ago and having pain in left knee so I can not walk for a long period Please advice me remedy of both problems. Thank you. Jitender.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
My blood sugar fasting range between 115 to 125. But on random checking it is 120 around. I stopped eating sugar. My ...
1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water you need med also ,for medicine contact on private chat. Good luck.
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I am a 45 yrs female suffering from thyroid from last 14 years using thyronorm 100 mg having a large tummy not in proportion with body fatness looking for tummy tuck.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 45 yrs female suffering from thyroid from last 14 years using thyronorm 100 mg having a large tummy not in pro...
if your hypothyroidism is in control, then please start a strict exercise schedule, preferably under the instructions of an instructor and simultaneously reduce food intake by at least 20 plus % daily. Do a lot of abdominal stretch exercises, this should help.
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I am 51 yrs old, For last five month I am suffering from type 2 diabetic due to some tension. Time to time sugar level high and some time normal. What should I do? Please suggest me. Thank you.

MBBS
General Physician, Cuttack
I am 51 yrs old, For last five month I am suffering from type 2 diabetic due to some tension. Time to time sugar leve...
1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment
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Hello Doc, I am 35 years old man and suffering from high uric acid. The percentage is 10. What should be my diet etc. I feel very lethargic and do not feel light and enjoy my day. Life has become like hell. Please guide me Doctor so that I can live my life energetic and joyful.

BHMS
Homeopath, Sindhudurg
Hello Doc, I am 35 years old man and suffering from high uric acid. The percentage is 10. What should be my diet etc....
There are many homoeopathic remedies for uric acid benz acid, ledum pal, nat mur, bella, ferrum phos, bry, lithium carb etc.
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57 years old, male, fasting 120 pp 145 guide to getting remedy for fasting get lowered ?

MD - Medicine, MBBS
Cardiologist, Panchkula
This called impaired fating glucose. It is prediabetes means you can develop diabetes later. Do regular exercise. Avoid refined sugars. Avoid fatty and fried foods.
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My father has diabetes and I am overweight. My recent checkups suggest that my sugar level and insulin level are OK. How can I keep myself out of danger.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
My father has diabetes and I am overweight. My recent checkups suggest that my sugar level and insulin level are OK. ...
as i'm ayurved consultant ,i'll recommend you to start detoxification procedures(PANCHAKARMA) for better & fast results along with ayurvedic medicines. diet & exercise are 2 basic lifestyle to follwed by you strictly
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Hi I'm 21years old female. Wat wud b the normal range of thyroid stimulating hormone? If I'm a 1st trimester pregnancy? please answer me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm 21years old female. Wat wud b the normal range of thyroid stimulating hormone? If I'm a 1st trimester pregnanc...
Hi, normal range of tsh is said to be 0.6 to 6 milli units /ml. However, in pregnancy it is advised that tsh levels should be maintained between! st trimester 0.1 - 2.5 milli units. 2nd trimester 0.2 -3 and 3rd trimester 0.3 - 3 milli units. If tsh levels anytime during pregnancy go over 2.5 milli units/ml, t4 levels should be checked to see if hypothyroidism is subclinical or overt. If t4 level is low, diagnosis is overt hypothyroidism which can impair infant's neurocognitive development. There are also risks of premature birth, low birth weight and miscarriage. So in the first trimester you should maintain tsh level closer to 2 milli units. So proportionate increase in thyroxine is needed.
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I am a 40 years old diabetic patient and also I have bp it's 138/88, I take tablet Olmesar 20 after food but last 3 days some reason I didn't take medicine my bp goes to 150/100 and also my creatinine level 1.4 but my sonography test of KUB is ok, but my urine has yellow and also bed smell of it, my uric acid level is 7 so I take furic 40 mg from last 1 month, bloodsugar fbs is 110 nd pp is 108, HBA1C is 5.6, please tell what my reports say and how to control my all these things? Please give suggestions and also tell what should I eat and what I not eat?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am a 40 years old diabetic patient and also I have bp it's 138/88, I take tablet Olmesar 20 after food but last 3 d...
Your report is fairly good control and you need to continue medication as usual . Uric acid is not too much and can be controlled Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). Normal values will vary from laboratory to laboratory.To reduce the uric acid levels in blood, you may need to limit intake of alcohol, sugary foods and reduce purine rich foods like meat, poultry, seafood and pulses. Vegetables such as cauliflower, asparagus, spinach, peas and mushroom also contain a lot of purines
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I'm using lymecycline for acne. Since three days I'm suffering from fever n so doctor prescribed me paracetamol twice a day and azithromycin 500 mg once a day for 4 days. Can I take both the antibiotics together?

MD - Homeopathy
Homeopath, Aurangabad
I'm using lymecycline for acne.
Since three days I'm suffering from fever n so doctor prescribed me paracetamol twice...
Take following homoeo medicines berberus aquifolium q 30 ml sbl or any company 10 drops 3 times per day in water also apply berberis aq oin. Both avaliable in homoeo medical or online. Take full sleep no late night drink planty water eat vegetables fruits wash face with himilaya face wash
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Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unbearable. She can't walk without holding any support and even can't stand for sometime. Some times she becomes aggressive n speaks very harsh words bluntly. She often forgets many things she has done or spoken. She has thyroid disorder since last 15 years n she was taking a tablet (Thyroxine Sodium Tablets IP, THYROX - 25 ) regularly in the morning empty stomach and she was doing very well with this medication. Now, 3 months before when she had these types of pains we consulted our family physician where her routine checkup had being done on regular basis as directed by the physician. We got some blood tests like Haemogram report, Renal Function, Arthritis Profile, Thyroid Function Test done for it. And the results says : Hemoglobin : 11.3 gm% R.B.C. : 4.18 mill./cu. Mm. W.B.C. : 7820/cu. Mm Platelet. : 3,06,000/ cu. Mm. polymorph. : 70% Lymphocytes : 25% eosinophil. : 02% monocyte. : 03% basophil. : 00% P.C.V. : 35.1% M.C.V. : 83. 97fl M.C.H. : 27.03 pg M.C.H.C. : 32.19% R.D.W. : 14.9% E.S.R. (Automated ) After one hour : 90 mm Serum Creatinine. : 0.99 mg/dl Uric acid : 6.41 mg% RA Test (Quantitative ) : 109.9 IU/ml Serum FT4 Estimation : 14.12 pmol/L Serum U/S TSH Estimation : 12.30 ulU/ml Our family physician proscribed the below medicines for it - Tab Thyrox 50 mcg 1-0-0 empty stomach Tab HCQS 200 (10) 0-1-0 Tab Etova-P 400 (30) 1-0-1 Tab Imutrex 7.5 (4) 0-0-1 every Friday Tab liquid-D3 (4) 0-0-1 every Friday She had completed the course of the above medicines. But there is no result. She has continue her Thyroid Tab as the physician said. We had also consulted other physicians. Some of them said the arthritis problem is because of Thyroid disorder, if she takes Thyroid Tab regularly n do routine checkup regularly then everything will be fine after few months. Some said she needed to take the Thyroid Tab of 50 mcg when she was taking it of 25 mcg. But our family physician never proscribed the 50 mcg Tab before this. Now here is my question Dr. Is/was my mother going under correct/right medication. Is her Thyroid Tab of 50 mcg is okk according to her report I've mentioned above. Shall we go for Ayurveda or naturopathic treatment for her arthritis problem. Give some suggestions for the problem. I will be thankful to you if you can proscribe some medication or remedies or any other treatments for her. Thanks a lot. Regards, Hiral Patel.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unb...
Hi hiral first of all you hv given a really comprehensive history, complements ob that. Your mother is suffering most likely from rheumatoid arthritus seeing her high titres ib ra report and history you gv. Immutrex and hcqs are goid tablets but they start working a bit late and immitrex need to be increased gradually. Initially you need to give some dose of low dose steroids to make the former medicines work more effectively. Normal physicians might not be well trained to treat ra, cobsult a rheumatologist of possible, remember natiroapthy and ayurveda does not lead to complete relied unlike allopathy and if you are late joints might undergo destruction nothing will work after that. Many a times naturopathy and ayurveda gives drugs containing gold and lead, steroid powder you can never check because most of time they are self made powders, we do use steroids for ra in allopathy but most of time its low dose, pt knows abt it and we try to stop it as soon as pt gets totally controlled. We monitor regularly also. Also ra is usually a chronoc diseaae, faster you act lesser the meds required in future.
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I am 69 years female having thyroid problem for over 10 years. What is the difference between hyper and hypo thyroid.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hypo is decreased thyroid function and hyper is increased and both are two diseases and different treatment. If you have any problem send the reports privately.
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Is bajra roti is good for diabetic people and what is the best time to eat bajra roti for diabetic people. And what is best dry fruit for diabetic people and which time he shall eat dry fruit. Morning noon evening or at night. PLEASE ANS FOR BOTH BAJRA ROTI AND DRY FRUITS IN DETAILS.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is bajra roti is good for diabetic people and what is the best time to eat bajra roti for diabetic people. And what i...
Mr. lybrate-user Kumar, Bajra roti is just as good as jowar roti. There is hardly any difference. Both contain mainly starch. It can be eaten for any of the day's meal. All dry fruits are good enough. But almonds and walnuts (akrod) are supposed to be much better. One can eat 5 to 8 almonds and a few walnuts in the morning. Other dry fruits can be eaten occasionally. There is nothing like great benefit in dry fruits. Thanks.
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