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Dr. D Killivalavan

MBBS, Fellowship in Diabetology

Endocrinologist, Chennai

9 Years Experience  ·  200 at clinic
Dr. D Killivalavan MBBS, Fellowship in Diabetology Endocrinologist, Chennai
9 Years Experience  ·  200 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. D Killivalavan
Dr. D Killivalavan is a popular Endocrinologist in Kilpauk, Chennai. He has helped numerous patients in his 9 years of experience as a Endocrinologist. He has completed MBBS, Fellowship in Diabetology . He is currently associated with Be Well Hospitals in Kilpauk, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. D Killivalavan 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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Specialty
Education
MBBS - Stanley Medical College & Hospital Chennai, - 2008
Fellowship in Diabetology - dr mgr university, - 2014
Languages spoken
English

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no15 bank street.kilpauk chennai-10, ChennaiChennai Get Directions
200 at clinic
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I have a uric acid problem what type of diet should I take? And what type of diet I don't take.

MBBS
General Physician, Cuttack
1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight
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Hi am 27 woman, 14 weeks of pregnancy. Recently I supposed to do blood test and every thing is normal expect thyroid result its shows range of 3.606 which is above range doctor advised me to take tablets but before marriage when I do regular check up my thyroid range is 2.5. Why it has been increased now and will it continue even after delivery, is there any food to avoid for these, please advise.

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Hi am 27 woman, 14 weeks of pregnancy. Recently I supposed to do blood test and every thing is normal expect thyroid ...
Hi lybrate-user, thyroid levels may change in pregnancy & it is advisable to take proper medications to control them as they may affect the baby's brain & other organ development. Please follow your doctor's advise.
70 people found this helpful
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How Diabetes Affects the Nervous System

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
How Diabetes Affects the Nervous System

Diabetic neuropathy is a nerve disorder caused by diabetes. The high blood sugar from diabetes affects the nerves and over time increases a person's risk for nerve damage. Keeping blood sugar levels within the target range recommended by your doctor helps prevent diabetic neuropathy.

Types of Diabetic Neuropathy:
Diabetic neuropathy can be classified as Peripheral, Autonomic, Proximal, or Focal. Each affects different parts of the body in various ways...

Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, and hands.

Autonomic neuropathy affects the nerves that control involuntary body functions such as digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.

Proximal neuropathy causes pain in the thighs, hips, arms, or buttocks and leads to weakness in the legs and hands, resulting in difficulty in walking, standing, picking up objects, buttoning your clothes, etc.

Focal neuropathy results in the sudden weakness of one nerve or a group of nerves, causing muscle weakness or pain. Any nerve in the body can be affected.

How Diabetes Causes Damage to the Nervous System?
There are several factors that are likely to contribute to nerve damage through diabetes...

  • High blood glucose, a condition associated with diabetes, causes chemical changes in nerves. These changes impair the nerves' ability to transmit signals. 
  • High glucose levels affect many metabolic pathways in the nerves, leading to an accumulation of a sugar called sorbitol and depletion of a substance called myoinositol. These changes are the mechanism that causes nerve damage. Nitric oxide dilates blood vessels. In a person with diabetes, low levels of nitric oxide may lead to constriction of blood vessels supplying the nerve, contributing to nerve damage.
  • Presence of mechanical injury like carpal tunnel syndrome in a diabetic patient worsens its symptoms and prognosis
  • inherited traits increase susceptibility to nerve disease
  • lifestyle factors, such as smoking or alcohol use

Symptoms:

  1. Numbness, burning sensations, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
  2. Either hypersensitivity to touch or insensitivity, even to hot and cold temperatures
  3. Weakness in muscles and loss of reflexes
  4. indigestion, nausea, or vomiting
  5. diarrhea or constipation
  6. dizziness or faintness due to a drop in blood pressure after standing or sitting up
  7. problems with urination
  8. Changes in gait and balance
  9. Injuries that are taking longer to heal and are more prone to infections

Prevent Diabetic Nerve Damage:
Keeping your blood sugar levels in your target range, set with your doctor, may help prevent nerve damage from ever developing. The best way to do this is by checking your blood sugar and adjusting your treatment. It is also important to get to and stay at a healthy weight by exercising and eating healthy foods.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

4460 people found this helpful

MD - Medicine, MBBS
Endocrinologist, Delhi
Insulin needs to be adjusted while travelling long haul journeys;travelling east will shorten one's day and hence reduced dose of insulin is required. Travelling west means longer day and insulin dose to be increased.
1 person found this helpful

My sister having type 2 diabetes how can I keep my sister's sugar level maintained?

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
My sister having type 2 diabetes how can I keep my sister's sugar level maintained?
Timely and balanced diet is as important as regular medicine intake to control diabetes. Diet high in protein for the health of diabetics because it supplies the essential amino acids needed for tissue repair. Pulsese are rich in protein and fibre. Take lukewarm water with half spoon methidana powder in the morning. Junk food should be avoided. Complex carbohydrates and fibre should be included in diet. Use sufficient amount of ginger, onion, garlic, coriander, lemon, greenchilli, black paper, fenugreek seeds, cinnamon, bay leaves in food items. Except fruit juice you should eat complete fruit because it contain fibers which is good for a diabetic.
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My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye side is down as nerves become dead (Not sure in technical / medical language) due to diabetes. But Mom never had diabetes . Also suggested to take one injection but not guarantee of recovery of eye side. Kindly suggest.

DNB Ophtalmology, MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye sid...
Your mom seems to have some disease pathology involving back of the eye. Either her retina or optic nerve. Since she has been advised an intra-ocular injection, it is likely she has some disease affecting her retinal blood vessels. The visual recovery depends upon the status of the central retina- known as macula. This is best evaluated by a test called the oct and a retinal or fundus angiography. I will be better able to help if you can share her reports. Also important is to find thee systemic cause in the body which predisposed to the eye disease. It can be hight sugar. Hight blood pressure. High cholesterol or triglycerides in body. Kidney dysfunction etc. A examination by physician is hence also important.
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My mother is a diabetic patient we do not know any thing about her diet she has blood sugar I request you to please advise her daily diet.

MBBS
General Physician, Jalgaon
My mother is a diabetic patient we do not know any thing about her diet she has blood sugar I request you to please a...
Avoid sugars only take all food items including all fruits in small quantities regularly as vitamins minerals and fibres in them are good for health continue her diabetes treatment.
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I am a blood sugar patient. My age is 44 my sugar is regular up. Nowadays fasting is 180. What should I do. From 7-8 year suffering sugar.

MBBS
General Physician, Ahmedabad
I am a blood sugar patient. My age is 44 my sugar is regular up. Nowadays fasting is 180. What should I do. From 7-8 ...
Dear, you are suffering from 7-8 years, so, fasting, pp, and even hba1c is also must to know how much is under control. Your bmi is about 27.1. So reduce your weight to 74 kg. By exercise particularly aerobic and if possible by resistant exercise also. Have a good diet of low fat, low carbs. You are also advised for other blood reports, like s. Creatinine, sgpt, lipid profile, urine microalbumin, and urine routine. Then contact me. Try best to avoid complication.
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I have irregular periods. And I also have thyroid for which I am taking medicines. How can I understand if I am having pcos problem or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I have irregular periods. And I also have thyroid for which I am taking medicines. How can I understand if I am havin...
You have to go for USG, MRI etc and other tests as decided by your gynaec. In Ayurveda AARTAV SHUDDHI is safe, non toxic, non surgical procedure to counter PCOD.
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My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please help me.

MBBS, MD, FAIIDR
Diabetologist, Vadodara
My mother is 75 year old she suffer of diabetics, hart and BP now she suffer from tongue problem glossitis please hel...
You should consult your doctor locally, for glossitis... please keep her sugar level in control, it helps in recovery from glossitis..
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My Wife's heart beat is around 90 to 100 per minute in normal state when she walks it is around 120, she is diabetic and has cholesterol as well. Is it normal, should I take some steps.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My Wife's heart beat is around 90 to 100 per minute in normal state when she walks it is around 120, she is diabetic ...
Dear Abhirupa, These symptoms may also happen when the blood is weak and there is lack of nutrition to all the different body parts. Depending on the CBC, she should take adequate vitamins, minerals (in natural or ayurvedic form) to strengthen blood and body. Regards.
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Homeopathy and Diabetes

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
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Lifestyle changes along with homeopathy to help you treat diabetes

7146 people found this helpful

My grandpa is 75 years old he is a sugar patient. Some days before he had a red rash around his elbow. Then after that his elbow became black and its injured now. Its like a little hole formed and puss is coming out. How to cure his elbow? Skin around his elbow is coming off little by little. Please help!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My grandpa is 75 years old he is a sugar patient. Some days before he had a red rash around his elbow. Then after tha...
Lybrate-user, first thing is blood sugar must be in excellent control with fasting around 100 mg, pp 150 to 160 mg and hba1c% <7. Plus get the wound completely drained and cleaned, properly dressed. There is a need for proper antibiotic treatment for a week or more. Then the wound will heal. Thanks.
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How to improve healthy sufficient energetically body by filtering the treatment by providing diabetes?

Homeopath, Vadodara
How to improve healthy sufficient energetically body by filtering the treatment by providing diabetes?
Hello, for diabetes paerson must have to walk or do exercises daily so that his glucose level remains normal. Take medicines regularly. Do pranayam n yoga. Take fenugree granules 8-10 soak in water overnight n den take in morning along with dat water. It will regulate glucose level.
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I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidis...
U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)
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I wanted to know that Can I use" SUGAR FREE TABLET" IN PLACE OF "SUGAR? THATS ALL.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I wanted to know that
Can I use" SUGAR FREE TABLET" IN PLACE OF "SUGAR? THATS ALL.
Mr. lybrate-user, If you do not have diabetes and still want to avoid sugar as part of keeping free from extra sugar, it is better to avoid even the sugar free tabs. Those are not really safe. Thanks.
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Whether we should consume black coffee with minimum sugar level to achieve the claimed results and what is the ideal quantity level in each cup is preferred? Ranga@Coimbatore.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Whether we should consume black coffee with minimum sugar level to achieve the claimed results and what is the ideal ...
Mr. Lybrate-user, there is no specific mention about amount of sugar to be added, but one can consume up to 8 ounces of coffee (240 ml), seems to give many benefits as claimed. If you need to add sugar, you may add about a spoonful. Thanks for the question.
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I am a diabetic since 1998. On Insulin since 2001. Though the fasting sugar is well in control but PP is shooting beyond 200 level. Using Novomix 30 @ 30 units in morning & 20 units before dinner. Kindly advise how to control the PP?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
By reducing the carbohydrate diet in the lunch&dinner By brisk walking By diet planning in consultation with dietician
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Diabetes May Cause Depression, Depression Can Cause Diabetes

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Diabetes May Cause Depression, Depression Can Cause Diabetes

Diabetes is a state where the body suffers from lack of energy due to poor metabolic state. This is construed as depression in many patients as they already feel lethargic and subdued. The fatigued state of body in diabetes can be alleviated by exercise which raises endorphins - substances which are released in the body especially by exercise - providing us the necessary elation so much necessary for our recovery

Managing diabetes may make a person feel alone and set apart from their friends and family due to the number of dietary restrictions they need to follow. Additionally, if the person has trouble controlling their blood sugar level, it may make him frustrated and anxious. Over time, these negative emotions can build up into depression.

Depression can make a person lose his sense of purpose and can make regular tasks feel like too much to handle. Thus, a depressed person may stop taking care of himself. The lack of energy can lead to a loss of appetite or unhealthy snacking. This can trigger fluctuations in blood sugar levels that worsen diabetes.

Thus, depression and diabetes have a cyclic relationship. The good news is that these two diseases can be treated together and managing one of these diseases can have a positive effect on the other as well.

Here are a few ways to treat diabetes and depression:

  1. Regular Exercise: Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.
  2. A Balanced Diet: A balanced diet is essential for good health and can help manage, both these disorders. Along with a balanced diet, there is also a need to abstain from snacking between meals. Reducing the amount of sugar in your meals helps stabilize blood sugar level and control fluctuations. Stable blood sugar level keep a person from becoming increasingly anxious and can thus prevent depression.
  3. Restful Sleep: A good night's sleep can treat, both diabetes and depression. If you have proper sleep, you will awake feeling refreshed and energetic. This positive energy balances the negativity of depression, lowers the urge to snack and helps in stabilizing blood sugar level.
  4. Psychotherapy: Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression. This in turn gives a person the motivation needed to manage his diabetes as well.
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