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Dr. T.R.Gnanasambandam

MD - General Medicine, Post Graduate Diploma in Diabetology (PGDD)

Endocrinologist, Coimbatore

16 Years Experience  ·  200 at clinic
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Dr. T.R.Gnanasambandam MD - General Medicine, Post Graduate Diploma in Diabetolo... Endocrinologist, Coimbatore
16 Years Experience  ·  200 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. T.R.Gnanasambandam
Dr. T.R.Gnanasambandam is a popular Endocrinologist in Uppilipalayam, Coimbatore. Doctor has been a successful Endocrinologist for the last 16 years. Doctor studied and completed MD - General Medicine, Post Graduate Diploma in Diabetology (PGDD) . You can meet Dr. T.R.Gnanasambandam personally at Aiswariyam Diabetic Centre in Uppilipalayam, Coimbatore. Don’t wait in a queue, book an instant appointment online with Dr. T.R.Gnanasambandam 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. Find the best Endocrinologists online in Coimbatore. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD - General Medicine - Volgograd State Medical University - 2002
Post Graduate Diploma in Diabetology (PGDD) - Annamalai University - 2008
Awards and Recognitions
Best Doctor Award Honoured By Coimbatore District Collector
Golden Achiever Award
Professional Memberships
Indian Medical Association (IMA)
Foreign Medical Graduates Association,FMGA

Location

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Aiswariyam Diabetic Centre

#No.20, Kutchinaidu layout, Lakshmipuram, Masakalipalayam Road, Landmark : Near Reliance Fresh, CoimbatoreCoimbatore Get Directions
200 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am thyroid gland not work. 0 years started in medicine. Small hospital to high hospital doctor checkup in the case. Some doctor talk with blood test t3, t4, tsh etc. Now in 29 year. Some time no eat the medicine. Now eat every morning 2 pices the after teeth. Sometimes head ache, lost some memories, some time talk nice and shaking some others. Doctor: how to remove the medicine? doctor: which food or medicine avoid the thyroid? how to came from thyroid gland?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
It appears that you are having both t2dm and hypothyroidism. Please understand both these conditions can be controlled only by taking regular medications. For diabetes one has to take oral anti- diabetic drugs or insulin injections and for hypothyroidism thyroxine tablets for the whole life. There is no escape from this. As regards food in case of diabetes you have to avoid direct sugar & sweets, plus deep fried foods and fruits like mangoes, bananas, chikoos & grapes. And maintain your weight near normal for your height which is a bmi of 23 kgs/ m2 yours is 25.16 kgs/m2. Plus no smoking and alcohol. This life style has to be followed strictly.
1 person found this helpful
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Higher TSH - 252 (1 month back) Under going medicine TYROUP 75 mg After 1 month dose TSH - 100 Kindly suggest what is the treatment and do I have to take medicine life long.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, your tsh levels both earlier and current are exceptionally high. Therefore dosage of thyroxine 75 mcg is too low. When on treatment and on good control tsh levels should be between 3 to 4 milli units /l. So your current dose is very inadequate. With this dose hypothyroidism symptoms will not be controlled. Plus you will have to follow all instructions regarding taking the dose like early morning on empty stomach and nothing to be taken after that for 2 hours. Plus avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, mustard, peanuts, radich and coffee. Use whole grain flour for chapati and roti, (no maida, or other refined flour). Consume more of green leafy vegetables and fruits. To decide on the correct dose I need to know weight, height and t4 levels. Treatment has to be taken for life time. There is no option. If not properly treated then it can lead to serious consequences. Thanks for the question.
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Hi, I am 40 years old. My height is 165 cm weight 66 Kg. I am diabetic from last 2 years. My sugar level is 140 fasting. Still I am not taking allopathic medicine only home remedies. When I press my thumb I am feeling little pain in my thumb. When I try to pick something like glass of water, or heavy thing, many times I realize that I am unable to pick weight. My thumb not helping me to pick weight.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi, I am 40 years old. My height is 165 cm weight 66 Kg. I am diabetic from last 2 years. My sugar level is 140 fasti...
Mr. lybrate-user, Thanks for the query. Fasting glucose 140 mg is high, suggesting uncontrolled diabetes. Please inform what is the PP glucose and HbA1c%? That will give a clear idea about how the situation is. Not taking any medicine is inviting problem. Because uncontrolled high blood glucose leads to a multiple long term complications associated with eye (retina), kidneys, peripheral nerves, small and large blood vessels, lower limbs and heart. Hence it absolutely necessary to achieve a strict blood glucose control with fasting < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. It is difficult to say what may be the problem with the thumb. But controlling blood glucose is absolutely essential. Thanks.
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How To Reduce Thyroid Problem. My Mom, s Age Is 47. According To Latest Reports Her TSH Level Is 83.08 mIU/L Against Reference Range 0.35 - 5.5.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. TSH 83.08 mU/L is too high, signifying severe hypothyroidism. This needs urgent treatment with appropriate dosage of levothyroxine. Dosage has to be calculated on the basis of patients age, weight, height, T4 & TSH values. Plus she has to avoid soy beans and soy containing food products and exercise daily. Also consume more of green leafy vegetables and fruits. If you have any specific questions do come back. For giving specific prescriptions you need to come in a private conversation, where I will be able to give a prescription. In this communication we are supposed to give only general guidelines. Thanks.
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I am 64 years having diabetes, psoriasis with stomach and weight problem. How to reduce my stomach and weight at present my weight is 76.4 I also having gas trouble with low digestive problems.

PDDM, MHA, MBBS
General Physician, Nashik
Kindly mention your recent bsl reports and ongoing treatment and revert back to me for further assistance.
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I am diabetic and my doctor prescribed istamet 500 tablet daily one. Is there any side effects if I take this tablet for a long time?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Till now, there is no known deleterious effect of long term intake of sitagliptin. Metformin has been used for decades by billions of people without any long term deleterious effects. These are the two medicines in your tablet.
1 person found this helpful

Diabetes - Lifestyle Changes Are a Must To Cope With It!

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Diabetes - Lifestyle Changes Are a Must To Cope With It!

If you have just learned that you have been diagnosed with type A diabetes, what would you do to manage it? There are just a few ways of coping with it and they include controlling the blood-glucose levels, managing insulin levels, being fit and active, getting a well-regulated diet and obtaining emotional support from close ones.

  1. Getting proper advice: Type A diabetes implies that your pancreas are no longer able to produce insulin and now it is up to you to monitor your blood-sugar level and administer your insulin levels in order to get rid of the harmful effects of type A diabetes. Though your doctor would be able to advise you better whether you will need insulin injections or any medication, you can beat the negative impacts of diabetes with small and simple lifestyle changes.
  2. Exercise to be fit and healthy: Working out is key to proper diabetes care. In addition to all the benefits you can reap by being fit and active, your diabetes would also respond with stable and lowered glucose levels. With type A diabetes, it is essential to know how your body reciprocates before, during and after exercise, and take proper precautions for treating hypoglycemia or low blood sugar. Your healthcare provider would be able to guide you better and etch out a fitness plan on the basis of your clinical requirements.
  3. Dietary changes for optimum nutrition: Obtaining a perfect dose of nutrition is a crucial piece of the puzzle to cope with diabetes, and it is quite difficult to figure out. Contrary to the popular belief, being diagnosed with type A diabetes doesn’t really mean that you will have to feel deprived and starve. A wide array of delicious meals, snacks, fruits and vegetables await you to be explored. Indulge in citrus fruits, beans, green leafy vegetables, berries, fish rich in omega-3 fatty acid contents, and whole grains to your heart’s content.

Though it is often undermined, emotional support plays a very significant role in caring for those affected with diabetes, regardless of its type. If you are presently combating with type A diabetes, connect with people who go through the similar pain of measuring the daily carbohydrate count, testing the blood-sugar levels endless times in a day and dealing with emotional highs and lows brought about by diabetes. These few things can bring a huge positive difference in your life. If you wish to discuss about any specific problem, you can consult a Endocrinologist.

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How can I reduce my Antibody AntiMicrosomal value. Current value is 5839IU/ml. TSH 3.58 and Free T4 1.10.

BHMS
Homeopath, Secunderabad
There is no way you can directly reduce the values, because these are not diseases that can be treated but indicators. So if you take good care of your health by adapting a healthy lifestyle, your body will start to heal itself. It is also important to go for regular health check ups (and do some basic tests) as a precaution. In a nut shell, spare some time to exercise every day (learn Yoga and pranayam which helps the body to heal naturally and brings back vitality ), and eat only healthy food. If you have any chronic tendency then add Homeopathy which is safe and gentle and can be taken with regular medicines. You can contact me if you need any help.
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Hi I am 29 and single and weight is 54 kg and because irregular period my gynecologist said for blood test and my TSH level is 8.89 and she asked me to have tablet for 3 months is it curable r not and I can reduce to normal level please help me and how?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Hi I am 29 and single and weight is 54 kg and because irregular period my gynecologist said for blood test and my TSH...
Dear Madam, Your TSH is mildly increased, I don't think you got your T3 and T4 levels checked. When TSH is raised and T3 and T4 are normal then that condition is called Subclinical Hypothyroidism. Here a patient may not have any symptoms. When TSH is raised and T3 and T4 are low, then it called Overt Hypothyroidism, here patient may have symptoms like period problems, dry skin, hair loss, weight gain, low mood etc. So without knowing T3 and T4 levels it is difficult to categorise if you have Subclinical or Overt Hypothyroidism. Period problems can be of different reasons too-may be due to other hormonal imbalance. Did your gynaecologist check your FSH, LH, Estrogen, Progesterone etc? Either way whether Subclinical or overt Hypothyroidism, the treatment is the same. You will on thyroxine replacement therapy. You need to take this most probably for lifelong. Once your TSH levels come to normal range, the dose of tablet can be reduced. But do not stop the tablet without informing your doctor, it is very important for young girls to have their TSH in normal range before becoming pregnant. Even though your TSH is in normal range if you stop the tablet, in a few month the TSH will start to raise again. So it is better to be on the least possible dose. Hope this helps you Thank you.
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Hello doctor. I am 43 years male. Weight 98 kg. Having diabetic family history. And tea totaler last week I take health package and found HbA1C 8.5 and AVG 196. SGOT 65 SGPT 76. My doctor prescribe me Metformin 500sr twice daily and Vitamin D3 weekly. Now my FBS is 126 and RBS 115. Can there any alternative for Metformin or I continue the same.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello doctor.
I am 43 years male. Weight 98 kg. Having diabetic family history. And tea totaler
last week I take heal...
Mr. lybrate-user, Thanks for the query. With a HbA1c% value of 8.5, it is a definite indication of having diabetes. Since you have confirmed diabetes, it has to be treated. I am not very sure whether only metformin is enough to control the blood glucose levels. Discontinuing is out of question. Your weight of 98 kgs (if height is 5 ft 1 in) then the BMI is 40.83 kgs/M2 is the main reason for precipitating diabetes. You need to reduce the weight for better control of blood glucose. Thanks.
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