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Dr. N Thanigaimani

Endocrinologist, Chennai

500 at clinic
Dr. N Thanigaimani Endocrinologist, Chennai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. N Thanigaimani
Dr. N Thanigaimani is one of the best Endocrinologists in Gopala Puram, Chennai. You can consult Dr. N Thanigaimani at Dr. Mohan's Diabetes Specialities Centre in Gopala Puram, Chennai. You can book an instant appointment online with Dr. N Thanigaimani on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 34 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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Dr. Mohan's Diabetes Specialities Centre

6B, Conran Smith Road, Gopalapuram, Chennai, Near Sathyam Theatre, ChennaiChennai Get Directions
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I'm a diabetic patient, I have very high blood sugar level, I'm regular with all the medicines but still sugar level is not decreasing. What to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Manjunath, Along with taking appropriate medicines are exercising regularly for more than 1 hour a day? That is vey important as it increases Insulin action and helps reduce resistance to its action. Plus taking a balanced and restricted diet providing exact calories based on Ideal Body Weight, blood sugar levels and extent of daily exercise. These measure are also equally essential. Plus there may be a need to have a re look at present treatment and additional therapy may be needed.
2 people found this helpful
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Hi I am a 21 years old boy having thyroid problems. I am taking thyronorm 50 mcg but the thing is that I became too fat, my weight increased a lot, I can not concentratein my studies And carrieralso physical workout is not helping a lot. Is there is any therapy or alternate medicine to treat this disease?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, if hypothyroidism is well controlled then efforts to reduce weight will be successful. For adequate control of hypothyroidism tsh levels should be around 3 to 4 mili units/l. So please check the levels and inform. Only workout is not going to help, there has to be a properly planned diet, that provides calories based on your ideal body weight and workouts. Should avoid high fatty foods, junk foods, sweetened aerated drinks and pastries. Also refrain from alcohol and smoking. Workout has to be intense, preferably under guidance. Taks for the question.
4 people found this helpful
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My age is 42 years. My sugar level fasting 135 after meal 160 is this right . Right nahi hai kitne level hona chahiye. 42 age me.

MBBS
General Physician, Cuttack
1. Normal fasting blood sugar level is 75-115 mg/dl and post prandial (2 hour after breakfast/ meal) is <140 mg/dl 2. A person is considered diabetic if fasting blood sugar is>. 140 mg/dl and post prandial blood sugar is>200 mg/dl 3. A person havingfasting blood sugar between 115 mg/dl to 140 mg/dl and post prandial blood sugar between 140 mg/dl to 200 mg/dl is considered to be suffering from igt (impaired glucose tolerance) and is prone to develop diabetis if adequate precaution is not taken.
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He has high diabetes. And had gone 3 times in vt condition. And had a ptc. And now he is feeling regularly a breathless. What's your suggestion?

MBBS
General Physician, Ahmedabad
Actually you have not mentioned age of the patient,duration of diabetes,hypertension,and any other complication.Patient must be investigated for cardiac status,any renal complication also.2D echo is must to rule out cardiac failure.Xray chest for lungs and bronchial tree and cardiomegaly.Hypertension will cause heart complication.So in short,go for complete cardiac work up.
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Mera uncle ko diabetes he. Mera bhai ram ko diabetes nai he. Agar mera bhai ram mera uncle ka jhootha khana yeh jhotha pani pia to. Usse bhi diabetes hoga kya. Please mera doubt clear kijiye.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, diabetes is a non-communicable disease, it does not spread by eating used food or water (jhootha khana ya pani lenese). This ia condition due to deficiency of insulin or resistance to its action or both. If your uncle has it, it is possible that it may spread to his children. Plus your uncle being a close relative of yours, you or your brother may get it because of spread in the family due to heredity.
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Hi. I am on Eltroxin 25 mg since 6 months. My TSH now is 5.90. Am I supposed to change my medication?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, when on treatment tsh levels should be brought down to 3 to 4 milli units / l for complete relief from all symptoms. At 5.90 milli units/l many symptoms may be still remain. It is necessary to increase the dose by bout 12.5 mcg per day. Then check tsh after 6 weeks to see if that has been beneficial. Thanks.
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Sir which type of food we have to give for Bypass Surgery patient who has diabetic?

CDIABT, MBBS
Endocrinologist, Mumbai
A diet which is low in carbohydrate, low in salt, low in fat, high in protein and high in fibre is recommended.
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My sugar test result is 122 (Fasting) and 182 (PP). Please tell me some medicine.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Medicine for diabetes depends on many factors. You need to provide detail information about your medical history in order to suggest you further.
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If I have sugar so how can. I control on it I try many medicines but it is not working.

MBBS
General Physician, Cuttack
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, 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, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, 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 sugar 3 monthly and hba1c six monthly
3 people found this helpful
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I'm 26 year old man and having joint pain in all fingers and other joints. My uric acid level was high and I have been taken tablet" feburic40" since last 1 and half month under observation of doctor. Now uric acid level is under control, but still facing joint pain in some fingers in less amount as compare to earlier. What I should do further.

MD - Homeopathy
Homeopath, Aurangabad
Rhus tox 30 take 1 drop 3 times x 7 day take above is homeopathic medicine and available in homeopathic store also safe to take and no side effects for future management contact me cont along with you med.
1 person found this helpful
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Benefits of Having Orange In Your Diet

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Benefits of Having Orange In Your Diet

#1 Boosts Immunity

Oranges is an excellent source of vitamin c. A single medium-sized orange can fulfil about 72% of your daily requirement for vitamin c. Since vitamin c plays a crucial role as an antioxidant by protecting your body against the damage caused by free radicals generated in the body. It therefore reduces inflammation in immune related conditions like rheumatoid arthritis and osteoarthritis. Although debatable, researchers suggest that vitamin c also plays an important role in strengthening immune responses of the body, protecting against recurring cold and cough or any other common infections. Here are 11 ways to include oranges in your diet.


 

#2 Helps prevent ageing of skin

There's a reason why oranges are popularly used in the beauty industry. Several beauty products including face packs, masks and creams that are available contain orange extract as a key ingredient. That's because vitamin c present in oranges also helps prevent skin damage, by eliminating free radicals. Vitamin c, being involved in synthesis of collagen, an important component to maintain skin's overall appearance and texture, prevents premature aging and wrinkling of the skin. Apart from vitamin c, oranges are packed with vitamin a that help keep the skin membranes healthy. Here are 8 fruit packs you can make at home for beautiful skin.


 

#3 Protects the eyes

Vitamin a in oranges helps keep mucus membranes in the eyes healthy. Available in the form of carotenoid compounds like lutein, beta carotene and zeaxanthin, vitamin a is protective against age-related macular degeneration, a vision-related condition that causes blindness. Besides, it also plays an important role in allowing your eyes to absorb the light. You may also read tomatoes- natural remedy for good vision.


 

#4 Help prevents heart disease

This is yet another health benefit of oranges which is attributed to its vitamin c level. Free radicals generated during various reactions taking place in the cells can trigger oxidation of cholesterol, causing the oxidised molecules to aggregate and stick to the walls of the arteries. This leads to build up of plaques that eventually block the arteries, causing heart attack, coronary artery disease or even stroke. Vitamin c in oranges takes care of these free radicals and neutralises them, thus playing a role in preventing heart disease. Besides they also contain flavonoids like hesperidin that lowers cholesterol level and prevents the arteries from getting blocked.


 

#5 Helps brain development

Folate/folic acid or vitamin b9 present in oranges promote brain development and keep the vital organ in mint condition. In fact, these nutrients also make orange a healthy fruit for pregnant woman as it prevents the baby from having neurological disorders later. Oranges also contain phytonutrients called polyphenols that play a role in development of learning and memory functions of the brain.


 

#6 Helps prevent cancer

Oranges contain a compound called d – limonene that has been shown to play an important role in preventing various types of cancer like lung cancer, breast cancer, skin cancer, etc. Additionally, the antioxidants and vitamin c help promote the body’s immunity which helps in fighting cancer cells. Oranges are highly fibrous fruits, which contributes to its cancer-protecting effect. A study revealed that about 10 to 15 per cent of colon cancer cases are caused by mutations in the dna. These mutations can prevented by consuming vitamin c rich sources like oranges. Here are some other health benefits of vitamin c you should know


 

#7 Pevents constipation

Oranges are a very good source of soluble and insoluble fibre, which helps keep your stomach and intestines healthy by preventing problems like irritable bowel syndrome. The fibre content in them adds bulk to the digested food and reduces transit time of feces, preventing constipation and straining.


 

#8 Improves sperm quality

Death is inevitable, but our legacy may live on through our offspring. The antioxidants and vitamin c present in most fruits, including oranges improves the quality and motility of your sperm thus keeping you fertile. Another vitamin called folic acid also is an essential nutrient for maintaining healthy sperms that you can obtain from oranges. It also protects the sperm from genetic damage, which might lead to birth defects.


 

#9 Great for diabetics

The rich fibre content of oranges has the ability to keep a track of sugar levels in the body, preventing diabetes. It is also a good option for those who are diabetic. Also worth mentioning is that good oranges have a sweet taste, and since diabetics aren’t allowed to eat sweets or other sugary foods, they can eat oranges to tingle their taste buds.


 

#10 Prevents hair loss

Orange has high vitamin c content which is required for producing collagen which, in turn, is responsible for keeping the tissues in your hair together. Nobody likes bald patches on their head, and eating oranges can ensure that you do not have to part with your lovely hair as you grow older.

18 people found this helpful

* Fatty liver grade 3 * Spina bifida L5 vertebra seen * Sugar fasting 171 Sugar pp 284 Any time back pain in right leg Any time full body harassment.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Keeping your diabetic condition, fatty liver grade 3, you need to follow a 1700kcal moderate carbohydrate, moderate protein, high fibre, high antioxidant, high omega 3 fatty acid rich diet plan, you can schedule your meal timings from your wake up time, but make sure you are maintaining 2-3 hour intervals and consuming the mentioned foods and portions at the appropriate meals. Do follow it to the maximum for best results. Make flaxseed, drumstick leaves, curry leaves powder and sprinkle 30 gm daily on all the foods you consume throughout the day. Consume lot of leeks and lettuce smoothie which is high in fibre content. Also you can consume raw lady's finger water soaked overnight for your diabetes condition. Substitute multigrains in the place single cereal or millet like rice or wheat or ragi to increase the fibre content in your diet for your fatty liver.
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Sir, leaking of blood internally in eyes, physically not visible, I am a diabetic my age is 45, can anyone help me out please send.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi it appears you have proliferative retinopathy, which can affect your vision permanently. So please consult a retina specialist immediately. Also see that your blood sugar is under very good control. This a major complication of diabetes. Do not waste any time and visit a good eye hospital today only. You have already delayed a lot. This is an emergency. Thanks.
14 people found this helpful
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Sir, I am a diabetic patient due to this my weight is losing so much so how can I maintain my fitness?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If your blood sugar is not in control, then there is a possibility of loosing weight as more glucose is excreted. So first thing is get your sugar level in control. Fasting should be closer to 100 mg and pp 150 to 160 mg, when on treatment. Then only your health is likely to improve.
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My Dad Is a diabetes patient now his sugar level is 15 milimole. Now doctor have suggested him to take insulin. Now question is if he start taking insulin and the sugar level comes in control then he need to continue it or not? While taking insulin if sugar level comes in control than he has to continue or stop taking insulin? Now Which Medicine Should He Take After Control?

MD - General Medicine, MBBS
General Physician, Karimnagar
Hello, to answer your question we need more data. Kindly let us know what medications your dad is using currently. Then we need some lab tests like hba1c which tells us our previous 3 months sugar control and serum creatinine, urine protein level. Then we need an opthal evaluation to rule out diabetic retinopathy. All these play a role to decide on the intensity of treatment patient needs. To answer your question when sugars are uncontrolled if we start insulin the dose that it requires to make sugar levels controlled decides whether we can get him back on medications and stop insulin or not. If the dose that he requires is more then he may have to be continued on insulin. If you people r not willing for the same then at least once insulin and once tablet may be made. Managing diabetes is a complex problem.
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My wife is thyroid patient. Her blood test result T3 - 1.41 T4- 8.81 T. S. H- 0.53 She is taking tyrox 100 mg We got married just four months before. Now we want a child. So is there any problem for her in getting pregnancy at this time. Is there any problem in 100 mg? Can it cause abortion? Medicine was prescribed by a doctor. She is losing her hair also. Please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, her tsh level which is 0.53 milli units/l is with in the recommended level (by american thyroid assocn), for conception. Before conception it is better to have tsh between 0.1 to 2 milli units and even during first trimester. Later 2nd trimeste it should be 0.3 to 3 mill uits and 3rd trimester 0.3 to 3.5 milli units/l. So my suggestion is you can go ahead and try for pregnancy. Hair fall is usually the last thing to get corrected once hypothyroidism comes in control. There is no need to reduce the dose of thyroxine 100 mcg now. May be post delivery you can look at that. Thanks for the question.
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Hi, I am a female 30 years old and recently got a health check up done. According to the reports I have normal T3 (103 ng/dl) and T4 (7.6 ug/dl) levels but my TSH is on a higher side (9.24). What could be the reasons and can it be brought back to normal without medication. Also I have vitamin d deficiency (4.2) could that be the reason?

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
Hello, regular exercise fatty foods, refined flour , tetra pack juices, soft drink avoid avoid green leafy veg like cruciferous veg. if you are non veg. 2 egg boiled every day. water intake at least 2-3 ltrs. per day
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Why do not you try to findout the root cause of diabetes and find the correct therapy and help the human community. Like TB, LEPROSY,CHOLERA, PLAGUE,SMALL POX MALARIA FILARIA etc. These diseases also have symptoms ravaging the community since centuries but the then Scientists investigated ,found the root cause, medicine and cured !BUT NOW DOCTORS ARE INTERESTED IN MAKING MONEY OVER BLOWING AND SCARING PEOPLE WITH SO CALLED DANGEROUS SIDE EFFECTS OF DIABETES WHICH OCCURS IN ALL AGING PROCESS. EVEN WITHOUT DIABETES. HIGH TIME YOU START FREE treatment FOR ALL DIABETICS LIKE TB, LEPROSY,AIDS. Etc. Now there is no institution in the world in diabetic research area.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, You are right that there should be more research in the field of diabetes, and it is happening. The only difference between various diseases which you have mentioned and diabetes is that those are all infections some caused by bacteria and some by viruses. Infections can be cured by using drugs like antibiotics and anti -virals. Plus vaccination so that our body makes antibodies against the invading organism and fights them. But diabetes, hypertension, hypothyroidism, hyperthyroidism are part of non-communicable diseases. Some of them particularly diabetes and hypertension are directly linked with the lifestyle a person follows. T1 diabetes is is an autoimmune disease where our own immune cells produce antibodies against Beta cells which secrete Insulin, destroying them. This leads to diabetes which has to be treated only with insulin injection that too for the whole life. In 1921 Insulin was discovered, which is now helping us save life of scores of diabetic patients. T2 diabetes is increasing mainly because of increasing excess eating, taking in of lot of junk foods, inactivity, indulgence in alcohol and smoking. There is continuous research going on to find out how the patients can be helped. It wrong to say that doctors are not interested in curing the disease and want to make money. Enough efforts are being made. Infact increasing awareness about the disease and change in life style will help us in redcucing diabetes. Thanks.
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I am 50 yr. Old man and a diabetic patient with maximum sugar level of 140 after meals and on taking metformin-500 twice daily. My Blood pressure remains 146/100 in morning with pulse rate of 67-70 / per minute. Sir, which medicine should I take to control my diastolic pressure? At present I am taking amlodipine 5mg. With 12.5% hydrochlorothiazide, but of no benefits. I have now stopped taking tobacco for the last 5-6 days.

MBBS
General Physician, Cuttack
1.Your blood sugar is under control, continue with metformin tablet 2.Your Bp is not under control. The combination of amlodepine with hydrochlorothiazide is effective in controlling Bp. 3.Continue for some days, reduce your salt intake, control your diet, go for regular exercise. 4.Monitor your BP and if still it is not controlled, consult physician for alternative medicine like Telmasatan with amlodepine
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