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Dr. S.Arumugham

Endocrinologist, Chennai

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Dr. S.Arumugham Endocrinologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. S.Arumugham
Dr. S.Arumugham is one of the best Endocrinologists in Ambikapuram, Chennai. You can visit him/her at Arumugham's Clinic in Ambikapuram, Chennai. You can book an instant appointment online with Dr. S.Arumugham on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 38 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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My serum creatine is 1,5 I am diabetic. My glucose fasting is 119. And my glucose pp is 198, I am on meditation. Please give advice how to lower the creatine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My serum creatine is 1,5 I am diabetic. My glucose fasting is 119. And my glucose pp is 198, I am on meditation. Plea...
Mr. lybrate-user Kumar, Creatinine 1.5 mg is marginally high. One need not worry much. Take enough liquids, that should help. Strict blood glucose control will help in improving or maintaining kidney functions in good shape. Avoid taking excess proteins and excess physical activity. Even these precautions are needed when creatinine much higher. Thanks.
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From past 6 years suffering from diabetic and taking medicine GLYSIS-M AND JALRA 50/500 I M WORRIED STILL HOW MANY DAYS.

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
From past 6 years suffering from diabetic and taking medicine GLYSIS-M AND JALRA 50/500 I M WORRIED STILL HOW MANY DAYS.
this has to be taken whole life. But if you want to reduce the dosage or want to feel better, then eat balanced diet...
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How to control diabetes? How to gain muscles? How to loose weight? What type of food do we in dieting?

MBBS
General Physician, Mumbai
How to control diabetes?
How to gain muscles?
How to loose weight?
What type of food do we in dieting?
We need to control sugar levels with medication exercise and following a diabetic diet and eat low fat and high protein content in your diet for dieting
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Dear doctor I am 44 years old. My sugar level after food 250 some times 350 at present I am taking medicine GLYCOMET-GP 2 Forte. And my two foots including foot fingers very painful some times pining my foot pain and I am taking medicine PREGABALIN-75. Pls any body advice me take any other medicines kindly help to me. Eagerly waiting for your reply soon sir. Thanks. Hussain.

MBBS
General Physician, Cuttack
Dear doctor I am 44 years old. My sugar level after food 250 some times 350 at present I am taking medicine GLYCOMET-...
Your blood sugar is very high and is not controlled with the medicine. You may have to start insulin. Consult physician/diabetologist for advice 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 6. Consult diabetologist for advice and treatment.
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Hi ,im suffering with type 1 diabetes from last 15 yr, I joined gym 2 months before, im taking rice twice a day, due to this im getting shape, my friends are telling to avoid egg ,they are saying it may lead to skin allergies & hernia. So please give me diet chart for protien to shape my body.

PDDM, MHA, MBBS
General Physician, Nashik
Hi ,im suffering with type 1 diabetes from last 15 yr, I joined gym 2 months before, im taking rice twice a day, due ...
Eggs do not cause allergy to everyone, you can have them specially the whites. Also incorporate pulses and soya products in your diet.
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Goodafternoon doctor. I am a thyroid patient since 2 years. T3 is 3.84pmol//l, T4 14.50 TSH 4.37. I am 35 years old lady. Pl suggest me something to reduce weight gain. Regards.

PDDM, MHA, MBBS
General Physician, Nashik
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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Total cholesterol is 230, HDL is 33, Triglycerides is 211, LDL is 157, VLDL is 42.2, TC/HDL is 6.9,LDL/HDL is 4.7 and VOV-HDL is 196.6. Please advice me what I should do. And medicine I should take. I have no BP, SUGAR. ECG IS ALSO NORMAL.

Diploma in Cardiology, MBBS
Cardiologist, Delhi
Total cholesterol is 230, HDL is 33, Triglycerides is 211, LDL is 157, VLDL is 42.2, TC/HDL is 6.9,LDL/HDL is 4.7 and...
Keep your ldl below 100. Exercise daily. It will increase your hdl also no any medications required. Just lifestyle modifications.
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I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor changed me to Diamicron MR30 before food and Jalra 50/500 after food. I have been taking since past 30 months. Now my HB1AC level is 9.10 (Avg 214 Blood Sugar). What could be the reason? I am on proper diet and exercise too.

MBBS, D.P.H
General Physician, Gurgaon
I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor c...
Mr. lybrate-user good evening the medicine other than diabetes continue, you require following management of drug 1. Amaryl 1 mg 1/2 hour before breakfast 2. Janumet 100/1000 in morning after breakfast 3. Amaryl 2 mg before dinner 1/2 hour 4.obimet 1000 mg after dinner 5. Read health tip on diabetes and diet on at following link and follow instructions 6. You may consult to local endocrinologist for this change for follow up 7 before change of treatment you require following investigation a. Fbs b. Ppbs c. Lipid profile d. Sr. Creatinine all test after 10- 12 hours fasting consult on line by text chat for onward management before starting above treatment.
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I have problem of sugar I want same tips to cure my sugar I want to make it in level.

MBBS
General Physician, Cuttack
I have problem of sugar I want same tips to cure my sugar I want to make it in level.
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 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 6. Consult diabetologist for advice and treatment.
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Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels are almost good. But my fasting sugar levels are so much raised. My diet does not have any irregular item I eat as my diet plan but I don't know why sugar levels are raising. Please advise me what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Madam I am diabetic from last 10 years now I am 30 years old I am insulin dependent. During the day my sugar levels a...
Without altering your present regime of treatment, I want to your consent to start parallel herbal diabetes support formula. As you improve slowly, more changes can be seen. It's slow but effective. Pl start with drinking/ sipping cinnamon and Withania coagulans strain daily morning and evening. For further advise pl consult.
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Hi, I am 37 year male, having a severe anxiety, I feel nervousness suddenly feel no charm fear of death, it attack on whole body I am very depressed some time I feel life is useless. Please suggest what I do I have diabetes and hypertension too.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Hi, I am 37 year male, having a severe anxiety, I feel nervousness suddenly feel no charm fear of death, it attack on...
You try to detox your body by natural means. Get investigations reports. Practice yogic therapy. Breathing. Diet control. Exercise regularly. Monitor your bp and sugar levels regularly.
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I am dibitic patient from 2007 I take 15 unit morning n 15 unit night my fasting is 171 and pp is 257

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am dibitic patient from 2007 I take 15 unit morning n 15 unit night my fasting is 171 and pp is 257
Take pranacharya diabeto and shilajeet capsule 1-1 twice a day. Take neem capsule 1-1 twice a day. Walk for minimum 45 minutes a day. Take small diet in every two hour. Avoid junk food. Avoid stressfull life. Follow diabetic diet.
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Meri ammi ke feet and knees mai bhut pain rheta hai. Bhut preshaan rheti hai Raat bhar so nhi pate. Unhe diabetes and thyroid hai. Pls tell me how can I help my ammi.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Meri ammi ke feet and knees mai bhut pain rheta hai.
Bhut preshaan rheti hai
Raat bhar so nhi pate.
Unhe diabetes and...
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
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The problems are : 1. Low HDL - Around 35 2. High LDL - Around 150 3. Uric Acid - Around 7 4. High BP - 140 5. Fatty Liver I don't like to use any Allopathy Medicine, if it is not critical. Business person. Stress level is high. Average Sleeping time in a day is around 5-6 hours. Pls. Guide me.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
The problems are :
1. Low HDL - Around 35
2. High LDL - Around 150
3. Uric Acid - Around 7
4. High BP - 140
5. Fatty ...
The Problem over here is insulin resistance. Pl. control ur diet and do adequate exercise. Hi proper sleep for 7-8 hrs. Do meditation to combat stress. You need to be on medications for ur cholesterol. Also if u have a family history of Diabetes, or heart problems, then may I suggest you to start Metformin with the advice of your doctor.
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My mother who is 53yr old is having uric acid level 7.6. What can be done to reduce and what produce this acid level in body?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,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. Bencid 500 mg once a day.
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How Obesity Increases The Risk For Diabetes!

MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
How Obesity Increases The Risk For Diabetes!

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes-

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk-

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-
    • Choose whole grains and whole grain products over highly processed carbohydrates.
    • Skip the sugary drinks, and choose water, coffee, or tea instead.
    • Choose good fats instead of bad fats.
    • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. Consult an Expert & get answers to your questions!

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Hello, My mom (age 76) went for TSH test today. This is her first Tsh test which came 5.47. She is suffering from high bp taking telsartan 20 for d same. Please suggest what shd be done for tsh. Thanks?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, My mom (age 76) went for TSH test today. This is her first Tsh test which came 5.47. She is suffering from hig...
lybrate-user, TSH 5.47 mU/L is with in normal limits. Hence, there is no need to worry about it. No treatment is needed. Thanks.
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If a person has thyroid and has been gaining weight . Is there a medicine which is recommended that can be taken to reduce weight along with exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If a person has thyroid and has been gaining weight . Is there a medicine which is recommended that can be taken to r...
Hello, if weight gain is occurring due to hypothyroidism, then controlling that condition is very important, because if hypothyroidism is not in check, efforts reduce weight will not succeed. So it is essential to bring tsh levels between 3 to 4 milli units/l, then only efforts to reduce weight will show result. Once tsh level is low enough and you are on a balanced restricted diet and regular exercise for more than 1 hour a day, then weight reduction is possible.
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What are the symptoms of diabetes nd what precautions a diabetic person should take? Nd what is the symptoms of low bp?

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
What are the symptoms of diabetes nd what precautions a diabetic person should take? Nd what is the symptoms of low bp?
Symptoms of diabetes are (1) excessive thirst (2) excessive urination (3) increased hunger (4) weight loss (5) tiredness (6) tingling sensation in limbs (7) blurred vision (8) lack of interest. Precautions are (1) change food habits (2) don't smoke (3) keep your blood pressure and cholesterol level under control (4) regular eye checkup (5) regular physical exercise etc. Symptoms of low bp (1) fatigue (2) nausea (3) dizziness (4) clammy skin (5) depression (6) loss of consciousness (7) blurry vision. These are very common.
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My father has diabetes nd diagnosed with thyroid 7 tsh nd he is not eating medicine kya aisa hta h thyroid control na hne ki wajah se diabetes control ni hti h as papa ki diabetes ni hri h control.

MBBS, MD
Endocrinologist, Delhi
My father has diabetes nd diagnosed with thyroid 7 tsh nd he is not eating medicine kya aisa hta h thyroid control na...
Both diabetes and hypothyroid are different problems and are due to different cause hence you have to control both accordingly. Look into the reaso n why his blood sugar is not controlled. He should avoid sugar, jagary,honey, sweets,sweet fruits, do some regular exercise like walking, yoga ect. Take medicines regularly as advised by doctor. And get his blood sugar testing frequently to know about the control.
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