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Dr. S.Arumugham

Endocrinologist, Chennai

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 30 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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plot 636, d.no. 51, dr. ramasamy salai, ChennaiChennai Get Directions
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I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.

MBBS
General Physician, Jalgaon
I am diabetic type 2 from last 05 years, I feel lethargic through out the day, how to improve this problem.
Please Your weight is too much Please reduce It Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads, vegetable juices and soups more Avoid oily spicy and fast food Avoid outside food totally Avoid non veg food Continue your current diabetes treatment Take Cap ayurslim by Himalaya 2....2 after food Tab supradyn 30 1 Reconsult after 15 days.
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My tsh level is 3.8 and my hb1ac level is 5.6. And doctor suggested thyronorm 50 mg and glycomet 500 mg. My sugar level is normal thn also doctor suggested me to take glycomet 500 mg. Can you please help me .wht the use of glycomet 500 mg as l have normal sugar level.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist, Hyderabad
My tsh level is 3.8 and my hb1ac level is 5.6. And doctor suggested thyronorm 50 mg and glycomet 500 mg.
My sugar lev...
Dear Sir, Both your TSH and HBA1C are in Normal range, though you are very near borderline for Pre-diabetes (HbA1C between 5.7 % to 6.4% is prediabetes). I am not sure why you have been started on Thyronorm either. Was you TSH greater than 5 before? You can stop the Glycomet, but you need to decrease weight. Your BMI which is ration of weight/height square is 27.1. Your ideal BMI should be around 23. So you need to lose approximately 19 kgs. F you stop Glycomet and you do not lose weight within a couple of years you may well be in PreDiabetic range or with Overt diabetes. So my advise is stop Glycomet, eat a healthy balanced diet with plenty of vegetables/ both in salad form or a Sabji which is cooked in less oil. At least half your plate should be of vegetables. 1/4 plate should be of carbohydrate- like rice/roti/chapati/phulka etc. Include plenty of whole grain foods like millets etc. 80% of remaining 1/4 plate should be of protein-pulses-dals, eggs, non veg etc. 20% should be fats/oil. Eat 2 fruits /day. Drink semi skimmed milk 1glass/day. Take curd/buttermilk from semi skimmed milk. Can take one handful of nuts/day. Avoid high calorie food like sweets or junk food. Most important is to exercise -at least 45 min of moderate exercise per day- like cycling, brisk walking, jogging, swimming etc. Aim to lose 2 kgs weight per month. Hope this has helped you. I wish you best of luck Thank you.
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One month back I consulted a doctor because of feeling unwell. He told me that I was attacked by diabetes and given a tablet gemer forte. I used it for one month until my glucose levels become normal. Now from last ten days onwards though I am not taking any tablet but my glucose levels are normal both in fbs and ppbs. So now shall I stop my treatment or it should be continued. Please reply the answer as early as possible.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
One month back I consulted a doctor because of feeling unwell. He told me that I was attacked by diabetes and given a...
You can solve your problem permanently by reducing your weight. 1. Eat every two hours mini meals. Don't eat big meals. Take more green vegetables/salads. 2. Eat whole grain food/grains like ragi, wheat instead of refined grains like maida/ sooji/ white bread etc. 3. Reduce foods with high GI Index like potato, white rice, banana, mango. 4. Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc. 5. Eat daily fruits with low/medium GI index like apple, guava, mosambi, orange. 6. Eat lot of proteins like dals, sprouts, egg, chicken etc with every minimeal. 7. Take chapatis made of multigrain atta. 8. Drink lot of water. One glass every hour. 9. Daily intake of these helps- fenugreek seeds, tulsi, cinnamon, flax seeds, almonds. 10. Do at least 30-45 mins of exercise everyday.
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I am 29 year old female. I have thyroid problem . Taking thyronorm tablet 50 MCG. I am 153 cm height and my weight is 75 kg. I could not reduce my weight , even though attended fitness class for more than a year. Hence, my doctor suggested me zero fat a sachet for 1 month. I consumed it for 2 days during night time . Felt like shivering. Pls advise whether to consume zero fat a sachet or capsule to loose weight?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 29 year old female. I have thyroid problem . Taking thyronorm tablet 50 MCG. I am 153 cm height and my weight is...
Lybrate-user, looking at your weight and height, there is grade 1 obesity with 32.05 kg /m2 bmi, (normal <23 kgs). This definitely needs reduction. If hypothyroidism is under very good control with tsh levels between 3 to 4 milli units/l, then efforts to reduce weight can be successful. First thing is to bring tsh levels in that range if they are not. Secondly zerofat a (orlistat) is not much beneficial. Along with dietary restriction orlistat can at most help loos about 6 kgs of weight over 1 year. Instead it is better if you stick to a diet plan that gives calories based on your ideal body weight (53 kgs x 20 cals = 1060 per day), plus doing a work out to burn a good deal of calories. Daily 1 hour of brisk walking can help in burning about 270 to 300 calories. If you can jog or run, more calories can be spent. Use more of green leafy vegetables, salad and fruits. Totally avoid junk foods, pastries, bakery items, deep fried foods, sweetened aerated drinks (colas), products containing fructose corn syrup, avoid highly processed packed products. No alcohol and smoking. Drink plenty of water and clear soups, thin butter milk. Avoid high fat milk products. Set a target of loosing half kg per week, and try and cut about 5 to 8% of current weight. If you have any doubts please do come back. Thanks.
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Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 2012. Currently my throid level is 4.16 and doctors have asked me to reduce the weight because I am suffering from knee pain recently. Can I get the solution / guidance to loose weight so that I can have my throid controlled as I have started walking daily as an exercise. My job profile is alsways at the desk. Also I need a solution for my knee pain problem. Currently I am taking calcium supplementary called glucosamine tablets.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 201...
Your BMI is 30.30kg/m2 which is showing you are obese. The ways to reduce weight are mainly two 1) reduce the food intake, 2) exercise and burn extra calories. There are drugs like orlistat tabs which does help in reduction of weight (about 6 kg in a year), but has certain side effects. Since you complain of knee pain, can try some stretching exercises and abdominals which do not put strain on knees. Also alternately join yoga classes learn asanas that help. Set a target of reducing 2 kgs per month, that can be achieved by cutting down 550 calories from your daily intake. Your caloric intake daily should not exceed 1000 calories and exercising has to continue. Glucosamine is not calcium supplement, it is supposed to help cartilage building but evidence is not there. Calcium tabs can tab veba plus daily one for a few months.
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My HBa1c is 5.7 which I tested yesterday & it was 6.1 about 4 months before. Fasting sugar ranges b/w 115~120. I have lost 15 kg since last one year. I am taking 500 mg glyciphage twice daily. Also, my stomach is bad (constipation) for 8-9 months. My sleep is also not fully relaxing for many years. But, last one year or so has been really bad interns of weight loss & continuous constipation. I tried homemade remedies but not much relief. Please advice if my sugar medication is the cause of my weight loss & how do I get rid of bad stomach which is troubling me the most. I am thinking of castor oil even to have some relief. Thanks in advance.

MBBS
General Physician, Mumbai
My HBa1c is 5.7 which I tested yesterday & it was 6.1 about 4 months before. Fasting sugar ranges b/w 115~120. I have...
yes your sugar medication might be the cause of weight loss. for constipation take plenty of water. take raw fruits and vegetables like ,cucumber, cabbage, apples,sprouts,orange,pear,watermelon. chew your food properly. take isabgol husk with plenty of water. go for long walks.exercise daily. take cremaffin /lactulose syrup if above measures do not work.
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I am suffering from hypothyroidism from last 2 years and taking 25 mg thyronorm tablet, and also I had pcod from last 8 years now I am 27 years old, and recently done with thyroid test and there is minor variation by 0.8mg, but again my doctor suggested me to increase dosage of thyronorm by 75 mg. Is it necessary to increase it as I am having minor variation. And cant it be cured completely. Please suggest is there any treatment for this.(and also previously I was taking glcoment 500mg for pcod and I used to get periods regularly, 2 years back I changed the doctor and they told me to leave glucoment and continue with thyronorm, initially when I undergone test for thyroid at that time also I have just minor variation, I don't remember lab values exactly.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hypothyroidism from last 2 years and taking 25 mg thyronorm tablet, and also I had pcod from last...
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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What should be threshold level of sugar in blood for the age group above 50 years ( Fating and PP) What is HbA1C1 test. What it indicates

MD - Pathology
Pathologist, Noida
There is no age wise specific reference range for glucose. WHO protocols says fasting sugar levels below 110 are normal, between 110-125 - impaired glucose tolerance, and > 126 - diabetes. Similarly for PP samples , < 140 is normal, 140-200 is impaired , > 200 is - diabetes . These tests must be repeated at least once, PLUS you must also have some clinical symptoms of diabetes. HBAic test indicates your average blood sugar levels for preceding three months.It is basically to assess whether your sugar levels were controlled during the preceding 3 months or not. Again, a Hbaic > 6.5 % is highly suggestive of diabetes.
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How to control bp and sugar ? How to grow height ?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
How to control bp and sugar ?  How to grow height ?
Height of a person grows only up to 18 years after that bone growth stops hence, there is no increase after that. If a person has diabetes and high bp then apart from taking proper treatment, change in life style has to be observed, like - exercise daily for more than 1 h, avoid sweets, direct sugar, deep fried foods, no extra salt, no smoking, no alcohol. Also avoid red meat, eat more green salads and vegetables.
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How to control my sugar label? my age 23.

MBBS
General Physician,
How to control my sugar label?
my age 23.
U need to follow a diabetic diet and exercise regularly and also take medication as prescribed to you.
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I am suffering from diabetic type II since last 3 years. What are precautions to be taken? Pl advice.

MBBS
General Physician, Cuttack
I am suffering from diabetic type II since last 3 years. What are precautions to be taken? Pl 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, 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, 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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I am type 1 diabetic; having stone in left kidney; infection in stomach, gas problem, piles with Fisher, cervical and gape in l4 nd l5 nd pains in feet too much. Please advice what should i do ?

MBBS
General Physician, Faridabad
I am type 1 diabetic;  having stone in left kidney;  infection  in stomach, gas problem, piles with Fisher, cervical ...
keep sugar under controll, go ahead with treatment according to need. Take tab flagyl 400 three times a day and tab rantac 150 morning empty stomach and before dinner for 5 days. Take tab meftal spas when you have stomachache. It will help. Thank you.
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My diabetes is very high i.e. 450 I'm allowed to be take every medicine for this but no improvement happens Please help sir.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
My diabetes is very high i.e. 450 I'm allowed to be take every medicine for this but no improvement happens Please he...
Please go for insulin. Start with lantus 10 you late night. Inj. Nova rapid 5 units each just before each meal. Monitor by glucometer or by lab. Every 3-4 days. Change the dosage accordingly. You can ask on phone also. Diabetic diet and exercises play great role. For diabetes you can ask any question.
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I am suffering from diabetes 1 year ago pp level is 350 and two month before fasting level is 149.

BHMS
Homeopath, Faridabad
I am suffering from diabetes 1 year ago pp level is 350 and two month before fasting level is 149.
Hello, along with your recent follow the below tips to keep sugar within limits. take Sygyzium 1X , 2 tabs twice dailt before meals , morning and night. 1. take Karela jamun ras from SWADESHI Brand. 2. Powdered cinnamon has the ability to lower blood sugar levels by stimulating insulin activity. It contains bioactive components that can help prevent and fight diabetes. 3. Soak two tablespoons of fenugreek seeds in water overnight. Drink the water along with the seeds in the morning on an empty stomach. Follow this remedy without fail for a few months to bring down your glucose level. Another option is to eat two tablespoons of powdered fenugreek seeds daily with milk. **cut down your sugar and salt intake.**
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Are Kimia Dates, Coconut Water good for diabetic patients? Which other fruit is good for diabetic and arthritic patient?

MBBS
General Physician, Cuttack
Are Kimia Dates, Coconut Water good for diabetic patients? Which other fruit is good for diabetic and arthritic patient?
1. You can have dates and coconut water 2. Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. 3. You can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato.
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How can we control sugar in our body?

practical course in diabetology , POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist,
How can we control sugar in our body?
Sugar is automatically controlled in body by insulin. If you develop diabetes then you have to control it by diet, exercise n drugs.
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Sir, my dad is facing high blood pressure, diabetes and paralysis (faced in 2014, about 70-75% recovered) For diabetes having around 200 after fasting, using Glyciphage G2 tablet twice daily before breakfast and dinner For paralysis, ceruvin af 75*150 after lunch For blood pressure having around 140-80, using Cinod T twice daily after breakfast and dinner (half tablet) Is this proper treatment? Age: 55 yrs Height: 5.5" Weight: 84 kgs 75*150 after lunch For blood pressure having around 140-80, using Cinod T twice daily after breakfast and dinner (half tablet) Is this proper treatment? Age: 55 yrs Height: 5.5" Weight: 84 kgs.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Sir, my dad is facing high blood pressure, diabetes and paralysis (faced in 2014, about 70-75% recovered)
For diabete...
Cognitive enhancers like nootroplil tablets can be taken thrice daily, it can increase and boost up the stages of recovery, these drugs increaes cognition his blood sugar is very high Gliptins like sitagliptins will be added ,fasting shou; ld not be more then 110 mg/dl Target blood pressure for him is 130/8-0 mm of hg doses will be increased or decreased to achievethat target blood [pressure.
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5 EASY STEPS TO CONTROL DIABETES

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
5 EASY STEPS TO CONTROL DIABETES
5 easy Steps to control diabetes


Tip 1: Get more physical activity

There are many benefits to regular physical activity. Exercise can help you:
• Lose weight
• Lower your blood sugar
• Boost your sensitivity to insulin — which helps keep your blood sugar within a normal range
Research shows that both aerobic exercise and resistance training can help control diabetes, but the greater benefit comes from a fitness program that includes both.


Tip 2: Get plenty of fibre

It's rough, it's tough — and it may help you:
• Reduce your risk of diabetes by improving your blood sugar control
• Lower your risk of heart disease
• Promote weight loss by helping you feel full
Foods high in fiber include fruits, vegetables, beans, whole grains, nuts and seeds.

Tip 3: Go for whole grains

Although it's not clear why, whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Try to make at least half your grains whole grains. Many foods made from whole grains come ready to eat, including various breads, pasta products and many cereals. Look for the word "whole" on the package and among the first few items in the ingredient list.

Tip 4: Lose extra weight

If you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight — around 7 percent of initial body weight — and exercised regularly reduced the risk of developing diabetes by almost 60 percent.

Tip 5: Skip fad diets and just make healthier choices

Low-carb diets, the glycemic index diet or other fad diets may help you lose weight at first, but their effectiveness at preventing diabetes isn't known nor are their long-term effects. And by excluding or strictly limiting a particular food group, you may be giving up essential nutrients. Instead, think variety and portion control as part of an overall healthy-eating plan
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Dear doctor I am diabetic patient at present my sugar level after food 252. Know I am taking GLYCOMET-GP 2mg Forte tab. And some time my two foots very pain and pinching some times under the foot burning. And I am taking PREGABALIN 75mg also. Pls any doctor advice me I am taking correct medicine are I have took any other medicines. Problem is two foots very pain including 10 fingers and some times unbelievable pining and under the foot some times burning pls advice I have to take any other medicines pls write me. I am eagerly waiting for your reply soon doctor. Hussain.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear doctor I am diabetic patient at present my sugar level after food 252. Know I am taking GLYCOMET-GP 2mg Forte ta...
Mr. Lybrate-user, uncontrolled diabetes, does affect various organs and a number of functions in our body. Peripheral neuropathy is one of those complications of diabetes. This leads to pain and burning sensation in feet as well as burning sensation. The drug pragabalin is quite effective for reducing the pain. But prime need is strict blood sugar control - fasting closer to 100 mg and pp 150 to 160 mg, hba1c%<7. If this is not achieved other drugs may not show much benefit. So see tha blood sugar levels are controlled better.
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What is the normal pulse rate for a diabetic patient with BP my pulse rate is 95 per second.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the normal pulse rate for a diabetic patient with BP my pulse rate is 95 per second.
If on medication for bp, the pulse is lower. 95 at resting? is on higher side. Do get bp checked and controlled again with medicines. Yoga & meditation also reduce the pulse, so does walking and other exercises according to constitution.
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