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Dr. P M Gopinath

Endocrinologist, Chennai

Dr. P M Gopinath Endocrinologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. P M Gopinath
Dr. P M Gopinath is an experienced Endocrinologist in Saligramam, Chennai. He is currently associated with Sooriya Hospital in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. P M Gopinath on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 41 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 1/1, Arunachalam Road, Saligramam. Landmark: Opposite AVM Studio, Near To Vodafone Mini Store & Behind Hitech Diagnostic Center, ChennaiChennai Get Directions
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How to recognize blood sugar high without blood test. What should be the precaution if want to avoided high blood sugar.

Diploma in Diabetology, MBBS
General Physician, Warangal
How to recognize blood sugar high without blood test. What should be the precaution if want to avoided high blood sugar.
Maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life there is excessive urine hunger thirst loss of wt symptoms may prese nt.
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My father is suffering from diabetes, even he did not eat anything irrelevantly and take all the prescribed medicines properly. But then also he feels weak and sometimes pain in feet. Can you suggest what to eat? how to eat, and when to eat for a diabetic person? And also tell a brief daily routine. (he is a employee in a factory and works in shifts)

CDIABT, MBBS
Endocrinologist, Mumbai
My father is suffering from diabetes, even he did not eat anything irrelevantly and take all the prescribed medicines...
A diabetic should have frequent small meal (in every 2-3 hrs he should eat something. The diet should be low in carbohydrate and high in protein and fibre.
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I need to know about the symptoms of sugar in adolescents. Because I think I might be having it. And please tell me it's effect on my body.

MD PEDIATRICS, DNB PEDIATRICS, ESPE FELLOWHIP IN PEDIATRIC ENDOCRINOLOGY, VISITING FELLOWSHIP PEDIATRIC ENDOCRINOLOGY USA
Pediatrician, Mumbai
I need to know about the symptoms of sugar in adolescents. Because I think I might be having it. And please tell me i...
Diabetes mellitus which is high blood sugar often causes increased appetite and urination, tiredness, infections of skin. Sometimes increased sugar also leads to diziness. It is often associated with obesity and darkning of skin of neck, axilla and groin (acanthosis). If you have any of above get blood sugar checked.
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Im 46 years, regular check doing for sugar and is it enough by checking guluco meter or hav to check in lab. Recently checked that 160 Bf.

MBBS,Dip.Diab,M.Diab,DCCIP(Joslin),CCEBDM(PHFI)
Endocrinologist,
Im 46 years, regular check doing for sugar and is it enough by checking guluco meter or hav to check in lab. Recently...
Normal values are fasting 70 to 110 and after food 2 hours 70 to 140 mg/dl. But mind it these are statistical and decided by governments and studies show that even below these levels a person may suffer changes like retinopathy. Glucometer test is enough.
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Hi doctor If a diabetic doesn't do exercise and also he/she takes tea and eat rice occasionally but takes medicines daily. Can such person keep control his/ her blood sugar level normal.

MBBS
General Physician, Mumbai
Hi doctor
If a diabetic doesn't do exercise and also he/she takes tea and eat rice occasionally but takes medicines d...
You can check your blood sugar regularly to see if it is in normal levels. Your medicine can be modified if needed and so can be your lifestyle and diet. So go ahead and enjoy what you want. K keep your doctor in confidence.
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Every morning im taking bitter gourd juice as im diabetic. Iis it good for diabetes. How it works.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Every morning im taking bitter gourd juice as im diabetic. Iis it good for diabetes. How it works.
Mr. lybrate-user, For diabetes only known medicines are from modern medicines. Others are claimed to be beneficial, but not proven clinically. May be helpful as an additional therapy. Hence, if strict control of blood glucose has to be achieved then appropriate medication in correct dose is a must. Plus diet and exercise also play equally important role. Thanks.
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Is this very harmful during diabetic patient having rice in daily basis and mango.

MBBS
General Physician,
Is this very harmful during diabetic patient having rice in daily basis and mango.
Eating not only rice and mango, but anything depends upon the bsl. Please keep a close watch over it and consult a physician. Food chart varies from patient to patient, and is different for different bsl. Regards.
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I am a hypothyroid patient since 2014, please give me some suggestions about diet?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a hypothyroid patient since 2014, please give me some suggestions about diet?
Mr. Lybrate-user, a person with hypothyroidism has to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Plus always use whole grain flour for making chapati and roti. Never use maida or products made with that. Avoid all bakery items, high fat milk products like cheese. Avoid deep fried foods. Consume more of green leafy vegetables and salads as well as fruits.
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I have high thyroid 18. Besides medicine how can I control it. What would be my diet. Help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If STH is 18 mU/ L then adequate dose of thyroxine has to be taken to supplement the daily need, otherwiae all the symptoms will continue to be present. The exact dose of thyroxine depends on TSH, T4 level, body weight and sex of the person. By taking adequate dose one can control TSH very well. Thanks.
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I have been using Otrivin Nasal spray for almost 10 years now for blocked nose without any doctor's advise and I am also detected with diabetes since 1.5 yrs. I know that prolonged use of Otrivin is bad but I do not know exactly about it's ill effects. I am now actually kind of addicted to it but use less. Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have been using Otrivin Nasal spray for almost 10 years now for blocked nose without any doctor's advise and I am a...
As you have no side effects now you try to stop it and check your nose for block. Using levocet m tab will hlep in allergic block this medication provides only temporary relief. Do not use more often, use more sprays, or use longer than directed because doing so may increase the risk of side effects. Also, do not use this medication for more than 3 days or it may cause a condition called rebound congestion. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose.
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My free thyroid profile is FT3: 0.38 pg/ml FT4: 0.41 ng/dl TSH: 5.54 microIU/ml What does it mean for me? What I should be doing? Regards.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My free thyroid profile is FT3: 0.38 pg/ml
FT4: 0.41 ng/dl
TSH: 5.54 microIU/ml
What does it mean for me?
What I shou...
Mr. Lybrate-user, the present readings suggest there is sub- clinical hypothyroidism. This normally is not treated. Only when tsh levels cross 10 milli units/l treatment is given. Only certain precautions need to be observed like avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Because these interfere in the thyroxine action. Since you are also having grade 1 obsity (bmi 36.69 kgs/m2), there appears to be a need for treating the present condition even though it is apparently sub - clinical. Thanks for the question.
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In the month of April I got my sugar checked. It was Fasting 126 and PP 156 and again I got checked my sugar this month and it was Fasting after 12 hours 104 and PP 122. Please suggest whether I have become diabetic and should I start taking medicines to control sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
In the month of April I got my sugar checked. It was Fasting 126 and PP 156 and again I got checked my sugar this mon...
Mr. K, the present blood glucose levels are normal, there is no diabetes. Following are the levels: normal: fasting 70 to 110 mg, pp <140 mg / 100 ml. Hba1c% <5.9. Pre - diabetes: fasting 108 to 125 mg, pp 141 to 199 mg/100 ml. Hba1c% 5.9 to 6.4 % diabetes: fasting equal to or more than 126 mg, pp equal to or more than 200 mg hba 1c% >6.5% thanks.
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Hi, I'm 28 female with 5 months daughter. My TSH value is 41. Please prescribe me some good medication which wont affect my baby while feeding her. Thank You.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi,
I'm 28 female with 5 months daughter. My TSH value is 41.
Please prescribe me some good medication which wont aff...
I need to know your t3 and t4 levels as well. You need to start thyroxine if your tsh is high. It has to be monitored every two months. It doesnt affect breast feeding.
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My grandfather is now 80 and he use to walk straight alone a week before now he can't. Now he want the support to walk . What should be done to him to walk alone. He has a sugar.Please tell.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
My grandfather is now 80 and he use to walk straight alone a week before now he can't.
Now he want the support to wal...
A walking stick will be helpful. With age bone porosity increases. Poor dietary intake of calcium & vitamin d deficiency enhance the osteoporosis process. Dietary calcium sources- dairy products (milk, curd, lassi, buttermilk, chenna), ragi, soyabean/nutrella/tofu/soy milk, rajma, leafy vegetables, dry dates, white sesame seeds (safed til), poppy seeds (khus khus/posto), almonds, fish with bones. Dietary vitamin d sources- whole egg, fatty fish (pomfret, hilsa, salmon, tuna, cod, mackeral, sardine), shiitake mushrooms. Daily 10 mins exposure to sunlight between 12-2 pm with both hands & legs exposed. Resistance/weight bearing exercise (walking/yoga) supplementation can be included as per the prescription of the health professional.
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I am struggling with weight loss. I have lost over 40 kgs in the past 5 years but I have stagnated for over 1.6 years. I have boarder line thyroid and I am on 25 mg medication for the same. Need help to know what I can do to see progress. I workout 5 days a weeks for 45 minutes (strength training) I eat a normal diet with no specialization.

M.Sc - Dietitics / Nutrition, Diabetic Educator
Dietitian/Nutritionist, Yamunanagar
I am struggling with weight loss. I have lost over 40 kgs in the past 5 years but I have stagnated for over 1.6 years...
change with your workout routine and start taking lukewarm oney water in the morning that will help you in achieving your goal
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Hi I am 35 years old and married , , I got diagnosed type 2 diabetics one year back, I am under medication taking 2 tablets daily, my sugar level is 140 and 200, I am suffering erectile dysfunction and premature ejaculation, I am unable have sex, please suggest the medicine and best treatment. Should I go for allopathic or Ayurveda.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)and Dip inYoga and Naturopathy
Ayurveda, Ludhiana
Hi I am 35 years old and married , , I got diagnosed type 2 diabetics one year back, I am under medication taking 2 t...
First of all don't panik. Being diabetic is not the end of the world. Try to hv control over your diet. So that sugar levels r maintained and controlled. E. D. Is also due to diabetes and depression. Enjoy with your partner. There r many medicines in ayurveda with which your problems can b cured. For details you can contact me on private questions.
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As per recent blood test report my fasting sugar level is 103 & uric acid is 7.7. Should I take medicine for that? if yes, please suggest medicine & other precautions, if any.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello there's no need to take any medicine for these levels. But you have exercise regularly so that you do not go to get diabetes.
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My hubby have diabetes last 1 month. His weight 95 kg. He want to get surgery for reduced his weight. It's safe or not?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My hubby have diabetes last 1 month. His weight 95 kg. He want to get surgery for reduced his weight. It's safe or not?
Your husband's bmi is 32.87 kg/m2, thiis is classified as grade 1 obesity. Usually surgery is suggested in morbid obesity (grade 3 +) with a bmi over 40 kg/m2. The surgery is fairly safe, but with this level of obesity he can actually work vigorously and reduce weight with exercise and diet control. Even 5 to 10 % reduction in weight will bring a lot of benefits.
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I'm 19 years old suffering from hyperuricemia (9.3) so please help me to overcome from this.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I'm 19 years old suffering from hyperuricemia (9.3) so please help me to overcome from this.
Hi high levels of uric acid in the blood cause crystals to form and accumulate around a joint. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose A little history Gout has been associated for centuries with overindulgence in meats, seafood and alcohol. The condition was, in fact, considered a disease of the wealthiest people — those who could afford such eating habits. And long before the cause of gout was understood, doctors had observed some benefit of a restricted diet on gout management. For many years, treatment for gout focused on eliminating all foods that had moderate to high amounts of purine. The list of foods to avoid was long, which made the diet difficult to follow. Current understanding More recent research on gout has created a clearer picture of the role of diet in disease management. Some foods should be avoided, but not all foods with purines should be eliminated. And some foods should be included in your diet to control uric acid levels. The purpose of a gout diet today is to address all factors related to disease risk and management. Above all, the goals are a healthy weight and healthy eating — a message that applies to lowering the risk of many diseases. Diet details The general principles of a gout diet are essentially the same as recommendations for a balanced, healthy diet: Weight loss. Being overweight increases the risk of developing gout, and losing weight lowers the risk of gout. Research suggests that reducing the number of calories and losing weight — even without a purine-restricted diet — lowers uric acid levels and reduces the number of gout attacks. Losing weight also lessens the overall stress on joints. Complex carbs. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages and products with high-fructose corn syrup. Water. Keep yourself hydrated by drinking water. An increase in water consumption has been linked to fewer gout attacks. Aim for eight to 16 glasses of fluids a day with at least half of that as water. A glass is 8 ounces (237 milliliters). Talk to your doctor about appropriate fluid intake goals for you. Fats. Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products. Proteins. Limit daily proteins from lean meat, fish and poultry to 4 to 6 ounces (113 to 170 grams). Add protein to your diet with low-fat or fat-free dairy products, such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels. Recommendations for specific foods or supplements include the following: High-purine vegetables. Studies have shown that vegetables high in purines do not increase the risk of gout or recurring gout attacks. A healthy diet based on lots of fruits and vegetables can include high-purine vegetables, such as asparagus, spinach, peas, cauliflower or mushrooms. You can also eat beans or lentils, which are moderately high in purines but are also a good source of protein. Organ and glandular meats. Avoid meats such as liver, kidney and sweetbreads, which have high purine levels and contribute to high blood levels of uric acid. Selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin C. Vitamin C may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin C supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu Here's a look at what you might eat during a typical day on a gout diet: Breakfast Whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries Coffee Water Lunch Roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard Mixed green salad with balsamic vinegar and olive oil dressing Skim or low-fat milk Water Afternoon snack 1 cup fresh cherries Water Dinner Roasted salmon (3-4 ounces) Roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper Water Low-fat yogurt 1 cup fresh melon Caffeine-free beverage, such as herbal tea Dos and do nots Uric acid: Manage high uric acid with nutrition tip #1 High-fibre 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, Spinach, Broccoli to name few. Uric acid: Manage high uric acid with nutrition tip #2 Cold-pressed olive oil Use cold-pressed olive oil in cooking instead of shortening, butter or vegetable oils. Oils that have been subjected to heat or processing turn rancid quickly. Rancid fats destroy vitamin E in your body - this vitamin is necessary for controlling uric acid levels. Olive oil helps you avoid the production of excess uric acid, which is associated with the consumption of rancid fats. Uric acid: Manage high uric acid with nutrition tip #3 Take in a healthy dose of vitamin C To help reduce the amount of uric acid in your system, regularly taking 500 milligrams of vitamin C will decrease your uric acid levels in a month or two. Uric acid: Manage high uric acid with nutrition tip #4 Avoid bakery products Avoid cakes, pastries, cookies and other sugary delights which are rich in saturated fats and trans fats. Uric acid: Manage high uric acid with nutrition tip #5 Celery seed extract This is also a popular natural remedy for gout and uric acid problems. The seeds of the celery plant have long been used to treat gout, rheumatism and arthritis. Celery possesses sedative, antioxidant and mild diuretic action and is considered a urinary antiseptic. In rare cases, this herb is also used to treat sleeplessness, anxiety and nervous breakdown. Although the seeds of this plant are often used in herbal supplements, the roots may also be used. Uric acid: Manage high uric acid with nutrition tip #6 Antioxidant-rich foods Fruits and vegetables such as red bell peppers, tomatoes, blueberries, broccoli and grapes are rich sources of antioxidant vitamins. Antioxidants which are vitamins that prevent free radical molecules from attacking your organ and muscle tissue cells may help lower uric acid levels. Uric acid: Manage high uric acid with nutrition tip #7 Cherries Cherries contain chemical compounds that may help neutralise uric acid allowing your body to eliminate this acid as waste. Some researchers recommend consuming 30 to 40 cherries every four hours during an attack. Uric acid: Manage high uric acid with nutrition tip #8 Apple cider vinegar It is believed that raw, apple cider vinegar can help alleviate high uric acid levels by changing the pH values of your blood. But it has to be raw, un-distilled, un-pasteurised apple cider vinegar; the kind you get from your local health food store. Dr. Sharad advices a simple home remedy" Add 2 teaspoons of vinegar to a large glass of water and stir thoroughly. Drink a glass between 2 and 3 times every day. You can also use it topically: half a cup added to three cups of hot water and soak the affected area for 30 minutes. Reheat and repeat as necessary. Uric acid: Manage high uric acid with nutrition tip #9 Saturated fat, trans fat, sugar and alcohol All these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes. Uric acid: Manage high uric acid with nutrition tip #10 High-fructose corn syrup This is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems. Uric acid: Manage high uric acid with nutrition tip #11 Drink plenty of fluids to help flush uric acid from your body Drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body. Uric acid: Manage high uric acid with nutrition tip #12 Also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia). Uric acid: Manage high uric acid with nutrition tip #13 Limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body Uric acid: Manage high uric acid with nutrition tip #14 Limit or avoid alcohol Alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week. Uric acid: Manage high uric acid with nutrition tip #15 Choose complex carbohydrates Eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight. SEE VERY GOOD SENIOR ORTHOPEDICIAN.
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My sugar level is 154 in spit of taking all prescribed medicine. Met form 1000 twice a day. Advice

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
If you want a tight control of your diabetes. 1 more medicine can be added. But it will depend on your age, co-morbidities, past history etc.
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