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Dr. C.r. Ashok Kumar

Endocrinologist, Chennai

Dr. C.r. Ashok Kumar Endocrinologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. C.r. Ashok Kumar
Dr. C.r. Ashok Kumar is a popular Endocrinologist in Pozhichalur, Chennai. You can consult Dr. C.r. Ashok Kumar at Dhanam Clinic & Diabetic Centre in Pozhichalur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. C.r. Ashok Kumar on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 28 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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Dhanam Clinic & Diabetic Centre

No. 8, Pozhichalur Main Road, Pozhichalur Land Mark: Near Pozhichalur Panchayat OfficeChennai Get Directions
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Sir mujhe diabetes hain to my abhi jaha par rahraha hu waha par temperature -40° hain to mujhe kuch use advise dijiye ki my apni health banake rakhu.

MBBS
General Physician, Cuttack
Sir mujhe diabetes hain to my abhi jaha par rahraha hu waha par temperature -40° hain to mujhe kuch use advise dijiye...
You have to ensure that your diabetes is fully under control. If it is not under control you may develop frost bite leading to gangrene of foot at such extreme low temperature. If possible you should avoid going to such area. Take your medicine regularly. Avoid taking sweets, high calorie food and carbohydrate rich diet. Take adequate protection against cold exposure and take extreme care of your hands and feet. Before going to that area, do your blood sugar test and consult Diabetologist for necessary advice
2 people found this helpful
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My dad 61+ age is a diabetic patient. His sodium level has gone low, now after fluid restriction and salt intake he has gained back sodium level to 138, he has blood pressure also but that is normal with the help of medicine, now he is feeling dehydrated and confused. What shld he do.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My dad 61+ age is a diabetic patient. His sodium level has gone low, now after fluid restriction and salt intake he h...
Hello, His BP has to be closely monitored and so his sodium levels. I think the physician whom you consult should be either change the medicine or the dosage golf the medicines, due to flactuating sodium levels. He should avoid any sort of stress and anxiety. Over exercise can also harm. Seek a second opinion.
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My mom has got Type 2 Diabetes, endocrinologist has prescribed her to take Glycomet 500 mg tabs with gilmipride and Glycomet 250 mg without gilmipride. Does it effect her if she doesn't take Tab that contains gilmepride. My mom is 48 years old, 48 kg BW.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
My mom has got Type 2 Diabetes, endocrinologist has prescribed her to take Glycomet 500 mg tabs with gilmipride and G...
Endocrinologist's decision must be logical and it should be respected. He must have some calculations in mind. He ll do the best which is available in allopathy. But the limitations and capacities of modern science can not stop advancement of disease and effects of disease in the long run. Neuropathy, retinopathy etc creep in many people inspite of many best treatments. This does not mean that allopathy is bad. It saves life. Whereas the aftereffects of disease and medicine may be checked by herbal support. Herbs may not save life in emergency in present day scene but definitely benefit in lifestyloe disorders and chronic diseases like dm. I suggest you not to play with decision of endocrinologist. If any apprehensions, get second opinion only from an endocrinologist only and not from general doctors. I suggest you continue with your current regime.
1 person found this helpful
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Should flax seeds to be taken in powdered form or in solid form. I am also a diabetic person.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
Should flax seeds to be taken in powdered form or in solid form. I am also a diabetic person.
Hello sir, You can take them either ways as u comfortable. Flaxseeds are good for diabetes. Take 1 tsp flaxseed powder with lukewarm water on empty stomach. Thank you
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Thyroid profile is like this T3 is 119 T4 is 6.68 TSH is 7.57 what is the problem in above test results

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello Your TSh is on higher side, which suggest subclinical hypothyroidsm, please get your FT4 level as whether you require any treatment or not will depend on the same Also are you having any abnormality related to lipids, heart, diabetes etc? As further management will be dependent on all these factors Thanks Dr Joozer Rangwala
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I am 17 yr girl having hypo thyroid t3 is 1.06, t4 is 7.6, tsh is 6.03 (present, suffering with thyroid since 8 yrs my height is 5.4ft my weight is 75kg can I grow taller my mom height 5.7 ft my dad height is 5.11. I want to grow tall.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 17 yr girl having hypo thyroid t3 is 1.06, t4 is 7.6, tsh is 6.03 (present, suffering with thyroid since 8 yrs m...
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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Hi I am 42 yrs old last two years I am suffering from left knee arthritis some doctors are telling after testing uric acid problem.

MD - Internal Medicine
General Physician, Bangalore
Hi uric acid problem usually causes pain in small joints and not large joints like knee joints. First get an x ray of your left knee and revert back.
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Im 45 and diabetic one of my friend returned from abroad on 2/5/16 I was with him on the same day for about 4 hours. Then I never met him. On 17/5/16 he got chickenpox. My question is that did me infected. If so what should do as a preventive measure. Im not vaccinated. Would like to get a detailed advice. Thank you.

MBBS
General Physician, Ahmednagar
Im 45 and diabetic one of my friend returned from abroad on 2/5/16 I was with him on the same day for about 4 hours. ...
Chicken pox is a viral disease. Hundred percent you get in life. If you didn't infected with it during childhood, you sure will get it. If you r infected with it during you r childhood, you definitely will not get it.
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I am becoming fatter day by day. Can it be a thyroid problem? If not then what should I do to loose my weight?

Vaidya Visharad
Ayurveda, Narnaul
I am becoming fatter day by day. Can it be a thyroid problem? If not then what should I do to loose my weight?
Avoid Fried Foods And Snacks It is very important for you to remove fried foods from your diet if you have any intentions of losing weight. • Make sure that you do not include fried chicken, fried meat, fried rice or any other fried snacks in your daily diet. • If you completely eliminate fried foods you can see remarkable changes in your weight in a month or two.
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I have diplopiya and my MRI result shows ischaemic changes of small vessels of brain. I have history of high blood sugar What I do?

MBBS
General Physician, Mumbai
I have diplopiya and my MRI result shows ischaemic changes of small vessels of brain.

I have history of high blood s...
We need to take medication for cholestrol lowering drug and a blood thinner drug along with anti diabetic drugs
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Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my sugar level. I'll be waiting for your rpy.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Hi. I'm a diabetics patients. And i'm 45 yrs old. So please suggest me what to eat nd what to not to maintain my suga...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. But, the evidence based medical advice, on diet for diabetics, is not that restrictive and allows a lot of room for having fun with food! All the expert agencies on diabetes in the world, such as ADA, AACE, IDF and our own ICMR, have published guidelines on managing your diet in diabetes, which we at FWI analyzed to formulate our advice for diabetics, which you will find below: The three most important considerations in diet management in diabetic people are: Managing the carbohydrate intake to control blood sugar Managing the overall calorie intake to lose weight or to maintain a healthy weight Keeping the intake bad fats and salt in check to reduce the risk of CVD 1. Managing the carbohydrate intake to control blood sugar Diabetes is a primarily a disease of insulin resistance or insulin deficiency, in which the physiological action of insulin, that of helping in uptake of blood glucose by body cells and thereby keeping the blood sugar levels in control, is less than adequate. All dietary carbohydrates are broken down by our digestive system into glucose, which then is added to the blood. Therefore, the most important consideration to prevent or delay complications of diabetes is keeping the blood sugar levels in control Diabetics have to know their carb containing food very well and monitor their carb intake on regular basis, but they are not required to give up totally on sugar, rice or sweets, contrary to what is the general notion! Same amount of carbs whether as whole grains or table sugar, will raise the Post Prandial (two hours post meal) blood sugar to nearly the same level, so substituting regular roti with say a laddoo, once in a while is OK, provided you make sure that laddoo gives the same amount of carbs as the rotis you have given up and your overall calorie intake in the meal is constant as well. This you can manage by portion size control and carb counting But having laddoos instead of roti regularly is not a good idea because good sources of carbohydrates such as whole grains have proteins, dietary fiber, vitamins and minerals in addition, whereas bad sources such as table sugar or laddoo will not have these and will give you empty calories. Also, these sweets will be more calorie-dense (1 tablespoon sugar gives 60 calories whereas one roti gives nearly 80 calories) and will not be very filling! So, if you want to have simple sugar or sweets occasionally, make sure that you replace the healthy carbs with these sweets, such that same amount of calories and carbs are provided by them and don’t just add sweets to your regular meal Remember, quantity control and moderation are absolutely imperative! 2. Managing the overall calorie intake to lose or maintain a healthy weight Losing excess body weight helps in patients with diabetes in several ways. Besides this will help you in controlling your risk of heart diseases and a host of other diseases at the same time! In diabetes, even losing 3-5% of your existing body weight will result in better blood sugar levels, but losing up to 10% results in better blood lipid profile and reduced risk of heart disease To know more, go to ‘weight loss for diabetics’ and read your way into fitness! 3. Keeping the intake of ‘bad’ fats and salt in check to reduce the risk of CVD The complications of CVD, include heart attack, stroke (brain attack), foot gangrene etc. All complications of CVD, which is the biggest cause of death in diabetics Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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I have a problem of thyroid, because of that my whole body is paining at all the time. So please tell me some solution of this problem?

MBBS
General Physician, Mumbai
I have a problem of thyroid, because of that my whole body is paining at all the time. So please tell me some solutio...
For pain take tablet paracetamol 650 mg and start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
3 people found this helpful
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With sugar patient whether the organs will be affected all in a sudden or any symptom for kidney to affect.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
With sugar patient whether the organs will be affected all in a sudden or any symptom for kidney to affect.
Diabetes does not affect the body organs all of sudden, it damages slowly, it is a long drawn process. But if sugar levels are well controlled this process can be almost stopped. So to prevent organ damage, most important action is to control the blood sugar levels.
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I am 82 years old .What are the first symptoms of diabetics? how can it be avoided?

MD - Pathology
General Physician, Amritsar
Increased frequency of urination. Loss of weight. And many other. Just take a good diet and some exercise. Usually. It runs in your genes nothing much can be done.
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Hello. I am diabetic and my urine routine test showed prtiens++ though sugar was not detected. Also creatinine was little high. Pls suggest. My sugar has been under control.

Fellowship in Diabetes, MD Physician
General Physician, Ahmedabad
Hello. I am diabetic and my urine routine test showed prtiens++ though sugar was not detected. Also creatinine was li...
Dear lybrate-user, its good to hear that your sugar levels are under control. As you might be aware that diabetes is a progressive disease. It affects gradually all the vital organs of our body if not kept under control in form of micro and macro vascular complications. As your urine - routine test shows presense of protein (known as proteinuria) and you said that your s. Creatinine was also high, I would suggest you to get a usg abdomen & pelvis done to know the cause of the same. Even it would be better if your lab reports can be reviewed as the necessary treatment can be initiated for the same. Thanks.
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My daughter is only 16 days old. N her tsh level is 6.3. please tell me wat is it mean.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter is only 16 days old. N her tsh level is 6.3. please tell me wat is it mean.
if tsh of her is 6.3.it means she have hypothyroidism. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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, give her tab. thyroxine 75 mcg before meal in morning daily for life time.tests repeat every 3 to 6 months
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What is the difference between type 1 and type 2 diabetes? Which one is curable and which one is incurable?.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
What is the difference between type 1 and type 2 diabetes? Which one is curable and which one is incurable?.
Type 1 diabetes is the kind in which the body cannot produce insulin hormone at all and hence daily insulin injections are needed lifelong to control sugar. Missing injections can prove fatal. Type 2 diabetes is the more common form which is mainly due to unhealthy lifestyles in genetically prone people. Lifestyle changes are the mainstay of treatment in this form and the person can be controlled for quite a long duration with tablets. Insulin becomes necessary after the tablets do not work well, which is usually after many years of diagnosis. Neither form is curable, it can only be controlled with medicines.
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MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
How should Fasting Blood Sugar (FBS) and 2 hour Post Prandial Blood Sugar (PPBS) testing be done properly? Not many are aware of this. Details:
The term Fasting means "no caloric intake for atleast 8-10 hours. This means you should not take any food or drink that contains calories during the 8-10 hours before testing. Thus, plain water is the only thing that can be taken. Usually, FBS is done early in the morning. If you take medicines then, continue taking them as usual. If you exercise daily, do so. But do NOT exercise only for that day alone. It can be dangerous and also will give a wrong report.
Once your blood sample is taken, have your regular breakfast. Note the time of starting breakfast. PPBS is to be taken exactly 2 hours from this time.And NOT 2 hours after finishing.
Some people believe that the food you had for dinner the previous night will affect your FBS the next morning. This is wrong.
2 people found this helpful

Hi doctor I feel exhausted and start like shivering not because of cold, like feeling very low Then if I take water to drink or s nothing sweet to eat, I feel good. Am I suffering from diabetes.

Certified Diabetes Educator , Sports Nutritionist, Registered Clinical Dietician
Dietitian/Nutritionist, Mumbai
Hi doctor
I feel exhausted and start like shivering not because of cold, like feeling very low
Then if I take water t...
Hope you r consuming a good healthy breakfast, every single day. Your symptoms seem to b coz of prolonged lack of food ie long gaos between 2 meals, esp between the last meal of the day n your breakfast.
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I have fbs: 97, ppbs: 270, after three of eating lunch random sugar is: 146 it is diabetiesor not.

PGC Diabetology, MBBS
General Physician, Hyderabad
I have fbs: 97, ppbs: 270, after three of eating lunch random sugar is: 146 it is diabetiesor not.
I think you need to take fasting and pp readings on three different days with a gap of 3 days each for a clear meaningful data.
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