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Dr. Rashmi N.P

Endocrinologist, Chennai

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Dr. Rashmi N.P Endocrinologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rashmi N.P
Dr. Rashmi N.P is an experienced Endocrinologist in Royapuram, Chennai. She is currently practising at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Rashmi N.P 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.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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I have thyroid since 8 months and I have very irregular periods and I am trying to conceive what to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have thyroid since 8 months and I have very irregular periods and I am trying to conceive what to do?
Lybrate-user, hypothyroidism causes irregularity of menstrual periods. But if is well controlled, then all the symptoms disappear including menstrual irregularities. To achieve good control tsh levels should be between 3 to 4 milli units when on treatment. Further, if conception is desired then tsh levels have to be brought down to 2 to 3 milli units/ml. Otherwise conception may not occur, if occurs, fetal development may be affected and pregnancy outcome may not be good. So please see that tsh levels are brought down to 2 to 3 milli units even before you conceive. If you have any doubts please come back. Best of luck.
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My husband had monor diabetis but he is constantly losing body mass so wat should we do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a registered dietitian and doctor who will help you in losing your weight. Let me know your food intake details. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to weight loss on some diets can be dramatic in the short term, but there's more of a chance of rebound weight gain. Set yourself a realistic target and aim to lose between (0.5-1.0kg) a week I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. Don't fall for self dieting or fad diets availiable online they have harmful effects in the long run, if you lose a lot of weight very quickly, you may not lose as much fat as you would with a more modest rate of weight loss. Instead, you might lose water weight or even lean muscle tissue, since it's hard to burn that many fat calories in a short period. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight loss, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.
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I am suffering from hypothyroidism. Recent test showed tsh as 17.25. Endocrinologist put me on thyrox 50 mcg. My hairs are becoming white. Is it due to thyroid? please tell any solution.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hypothyroidism. Recent test showed tsh as 17.25. Endocrinologist put me on thyrox 50 mcg. My hair...
you can use cap. vit.E 400 mg once a day for white hair. 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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On a packaged food it is printed as" Nutritional values per 100Gr" what are the contents to be verified on packaged food before eating by a sugar patient? How to judge it is to eat or not by sugar patient.

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
On a packaged food it is printed as" Nutritional values per 100Gr"
what are the contents to be verified on packaged f...
Hello lybrate-user. Look for total carbohydrates and sugar content both are important But usually glycaemic index is not written on labels glycaemic index is ability of any food to increase blood sugar immediately after eating that food so a food is bad even if carbohydrate content is low but glycaemic index is high You have to Google glycaemic index Inshort All processed grains have high glycaemic index so they are bad Whole grains oats have low glycaemic index so they are good.
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I am 46 years male having high uric acid in blood and high cholesterol. How I will get relieve from this? What is the restriction should I follow? Is it curable through Yoga?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 46 years male having high uric acid in blood and high cholesterol. How I will get relieve from this? What is the...
Mr. Lybrate-user, increased uric acid in blood is due to a metabolic aberration, where an enzyme is lacking which breaks down purines. Therefore, only certain medications which help in excreting uric acid are helpful. Plus taking restricted diet, avoiding high purine containing foods like red meat, organ meat, certain fishes like sardines, trout, herring, scallops, salmon, haddock and mushrooms and mussels. You can take eggs, milk proteins and other vegetable proteins. Also avoid alcohol, sweetened aerated drinks and fructose corn syrup containing products. This is not a curable condition. As regards cholesterol diet restriction and exercise and yogasanas will definitely help in controlling it effectively. Thanks.
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My daughter is 08 years old, she is suffering from typhoid. Her blood report shows leucocyte count total, tlc, wbc count total is 22300. She is continuing her medicines. I need further advice regarding care and proper diet, do's and don'ts for her.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
Rest more liquids like juices soft diet less of fat in diet usually she will recover completely in 2-3 wks time.
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Fasting blood sugar - 129 and PPBS - 179, is it diabetes if so what is the diet plan to control.

BHMS
Homeopath,
Fasting blood sugar - 129 and PPBS - 179, is it diabetes if so what is the diet plan to control.
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 should take the following Homoeopathic medications:- 1) Homeopathic URANIUM NIT 3X TABLETS (R.S. BHARGAVA company). Take one tablet thrice daily, in empty stomach 2) 30 drops of Homeopathic Mother Tincture GYMNEMA SYLVESTRA Q, 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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Hi sir, I am 66 years old retired Rly employee. I am a diabetic, obsess, constipation problem, nights I get up min 5 times for urinal, suffering from severe left hand shoulder pain for past two months. Please give me your suggestion.

MBBS
General Physician, Mumbai
Hi sir, I am 66 years old retired Rly employee. I am a diabetic, obsess, constipation problem, nights I get up min 5 ...
We need to control sugar levels with medication exercise and following a diabetic diet and for constipation eat food with high fibre content in your diet and For pain take tablet paracetamol 650 mg and do physiotherapy treatment
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I am diabetic and I am taking metformin 1gm and glimiperide 3mg twice daily yet fbs is more than 120 mg. Please kindly advise.

MBBS
General Physician, Delhi
Continue with it and get screened yourself for blood sugar fasting and pp weakly. Also tell your pp levels.
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I got diabetics as its 110 to 150 I am having gimme1 tablet early morning any medicine by which my sugar will be normal always.

Diploma in Diabetology, MBBS
General Physician, Warangal
I got diabetics as its 110 to 150 I am having gimme1 tablet early morning any medicine by which my sugar will be norm...
maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life take plenty vegetables and fruits in 2 / 3 servings take high fibre low calorie food check sugar levels frequently
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Which vegetables are good for diabetes patient and what things should be avoided?

PDDM, MHA, MBBS
General Physician, Nashik
Which vegetables are good for diabetes patient and what things should be avoided?
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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Sir I have diabetes. But what kind of food I should eat. Please give answer for that question. Thank you.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir I have diabetes. But what kind of food I should eat. Please give answer for that question. Thank you.
DIABETIC DIET ADVICE: ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean flour
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I am 55 years male and suffering from diabetic and hypertension for the last 15 years and taking insulin and medicine for bp which is almost under control. Every day in the morning time as well as in the evening I feel tiered and weak and also has sexual problem. Pl recommend some tonic for general strength and feeling energetic.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Get your b. Glucose checked by glucometer at that time when you r feeling tired and weak. Low b. Sugar at that time needs to be ruled out. Get your bp checked too. You need dosage adjustments.
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I am suffering from diabetic and my sugar mostly reading under 200. I take medicine onglyza 5 mg od, and reglide 2 plus tds, and night time lantus solostar 20 unit.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, there are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity.
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I am 41 years old housewife. I have sometime pain in left arm, sometime pain in right arm, sometime in chest. As I have thyroid and some overweight. Please tell me why this pain occurs after some few intervals, is their any problem with me, and to whom does I consult too.

MBBS
General Physician, Cuttack
I am 41 years old housewife. I have sometime pain in left arm, sometime pain in right arm, sometime in chest. As I ha...
Do some regular exercise like brisk walking, control your diet and reduce weight. Get your lipid profile , blood sugar tested, take ECG and consult doctor
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1) I often get severe back pain, please advice what could be the reason? 2) what are the symptoms of thyroid. Pls help?

MSPT (Master of Physical Therapy), Certified Yoga Trainer
Physiotherapist, Vadodara
1) I often get severe back pain, please advice what could be the reason?
2) what are the symptoms of thyroid. Pls help?
1) there can be many reasons for your back pain most common can be work over load or strain. Exact reason can be known only after knowing the nature and extent of your pain. The best treatment till that is rest, avoid straineous activities and do light exercises under supervision. 2) thyroid can be hyper or hypo and symptoms differ accordingly.
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If someone suffering diabetes and treatment is going in order to reduce the sugar by providing insulin and other precaution are also taken but the sugar level does not reduces. How to reduce the sugar level?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
If someone suffering diabetes and treatment is going in order to reduce the sugar by providing insulin and other prec...
Hello lybrate user I will begin this answer by stating that there is no such thing as an uncontrollable sugar. Sometimes it is believed that sugars can be uncontrollable because there is a maximal dose of insulin. But I would like to dispel this doubt and tell you there is no such thing as a maximal dose of insulin and the amount of insulin being given to a patient can be escalated to an optimal level so that the blood sugar target is achieved. Also, the following approach of treat to target in the case of diabetes is very important because if the patient is taking the medicine suboptimally then sugars might be slightly controlled but till the point of time that they're completely controlled a patient cannot draw the benefits out of the treatment. What I basically implying is that in the case of diabetes treatment with uncontrolled sugars is almost as bad as no treatment. Hence from your case as I understand that the patient is already on insulin and the only logical thing to do is to escalate the level of insurance so that the sugars are optimally controlled.
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If a 28 guy has sugar, can he control it? What are the precautions he should take?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If a 28 guy has sugar, can he control it? What are the precautions he should take?
Mr. Lybrate-user, any age person can control raised blood sugar, or diabetes provided he/she takes appropriate medicine, observes dietary control and does regular physical exercise. Precautions in general include taking prescribed drugs regularly, avoiding sweets, sugar and gur, deep fried foods, junk foods, pastries, high fat milk products, sweetened aerated drinks and highly processed foods. Consumes a good deal of green leafy vegetables, salads and permitted fruits (100 g a day). Avoids alcohol and smoking. Does regular physical exercise of at least 1 hour a day. In other words follows a modified lifestyle. Regards.
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I have swelling at the base of 1st toe in both the feet. As such there is no pain or fever but flexibility of the toe is affected resulting in pain at the time of walking. I can not wear shoes because of swelling. I am 66 years old. Orthopedics diagnose it a gouty condition. The uric acid is 5.6 mg/dl. Ra factor and c-reactive protein are negative. X - ray reveals bony growth of the toe. I also tried physiotherapy without any positive result. Can any doctor suggest any treatment?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have swelling at the base of 1st toe in both the feet. As such there is no pain or fever but flexibility of the toe...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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I am married ,age-29 years and we are trying for baby past six months, I have hypothyroidism with recent tsh value -8.3micro IU/ml and dosage is 50 mcg of eltroxin, So Am I good enough to conceive with above tsh level or need to take any care or precautions to conceive faster. And what could be the reasons for not conceiving so far. Kindly give your suggestions and help me out in this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am married ,age-29 years and we are trying for baby past six months, I have hypothyroidism with recent tsh value -8...
Lybrate-user, if tsh level is high then conception will not occur. It is recommended that tsh should be <2 mu/l before conception. Similarly trough out the pregnancy also levels should be: 1st trimester 0.1 to 2 mu/l, 2nd trimester 0.3 to 3 mu/l & 3rd trimester 0.3 to 3.1 mu/l. With these levels good fetal development and healthy baby is delivered. If levels are high then pregnancy out come is not good. So please see that before attempting for the baby recommended tsh level is achieved. If you need any help please come in a private conversation with mentioning of current tsh levels. Thanks.
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