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Dr. Muthukumar

Endocrinologist, Chennai

400 at clinic
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Dr. Muthukumar Endocrinologist, Chennai
400 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Muthukumar
Dr. Muthukumar is a popular Endocrinologist in Adyar, Chennai. He is currently practising at Arka Center For Hormonal Health in Adyar, Chennai. Book an appointment online with Dr. Muthukumar on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 31 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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Arka Center For Hormonal Health

#5/2, Sastri Nagar, 1st Avenue, Adyar. Landmark: Near Priyalab, ChennaiChennai Get Directions
400 at clinic
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Diabetes - Why It Is The Worst Disease For Your Eyes?

MBBS, MD - Ophthalmology, Fellowship in Vitreo Retina, Fellowship in Cornea
Ophthalmologist, Bangalore
Diabetes - Why It Is The Worst Disease For Your Eyes?

If you are diabetic then it is important that you visit your Ophthalmologist for regular retinal check-ups. Even if you have no eyesight problem at all Diabetes is known to be one of the main causes of blindness in this modern time. If you suffer from bouts of blurred vision then it can be as simple as fluctuating blood sugar levels in the body. Hence, don't make new glasses if your blood glucose is high or fluctuating. Wait until about 3 to 4 weeks after it reaches stable levels.

How diabetes affects your eyes? 
The lens of your eyes can swell due to diabetes, and this blurs your vision.

What are the serious problems that are caused by diabetes? 

  1. Cataract: Cataract occurs when the lens of the eye becomes foggy. Although cataract mostly occurs in people who are above fifty, one can get this at an earlier age in diabetics. It progresses at a much faster rate than usual in diabetics. Cataracts also make retinal assessment more difficult for your Retinal surgeon. Once the diabetes is under control, diabetics can comfortably undergo modern cataract surgery. Healing will be as good as in normals, and visual recovery will be excellent if there is no Retinopathy. The modern topical Phaco surgery and IOL implantation can be performed with a hospital daycare stay of only a few hours, and almost all the activities can be resumed on the very next day. There is no need to stop blood thinners.
  2. Glaucoma: This is another disease that can silently cause blindness in diabetes. Due to the nondraining of fluids from the eye, the intraocular pressure goes up, and this causes damage to the delicate Optic nerve of the eye. The vision remains spuriously good till the end stages. Hence annual eye pressure check-up is mandatory for Glaucoma. Glaucoma tends to run in families. If Glaucoma is diagnosed or suspected, OCT of optic nerves and Ganglion cell layer and Visual fields are periodically performed to assess the possible worsening. Once damaged, the ganglion cells and the optic nerve cannot be rejuvenated. So prevention is the mainstay of treating this disease. Usually, eye drops will be prescribed, which should be used strictly as per advice. Sometimes a surgery is advised.
  3. Diabetic Retinopathy: It is a progressive damage to the fine vessels and to the nourishment of the retina. It can occur in either type 2 or type 1 diabetes. Till end stages of the illness, there may not be any symptoms, and vision will remain good! There are two major types, Macular where fluid accumulates in the central retina, and Proliferative, where retinal ischemia sets in causing vaso proliferation, which cause bleeding inside the eye. If not treated in early stages, both of them can lead to blindness. Retinal LASERS, Anti VEGF injections and vitreoretinal surgery are the common approaches, depending on the seriousness. There has been a tremendous improvement in the surgical techniques in advanced cases.

If you have of diabetes or even borderline diabetic tendencies, it is advisable to periodically check your blood sugar levels, Hemoglobin, Creatinine, Blood pressure & Lipid levels and also get your eyes checked at regular intervals. It is recommended that you need a pupil dilated vitreo retinal assessment as soon as you are diagnosed to have diabetes, and follow up once a year. If you already are suffering from Diabetics retinopathy, you may be asked to review once in 3 to 6 months.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3723 people found this helpful

Four years completed but I did not get pregnant. I have thyroid problem but Now it is in control (normal) so Is there any way to get pregnant fast? And period cycle also good. Every month 3rd I was getting the periods so please tell me which time is better to have sex and how to know the ovulation time/day.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Four years completed but I did not get pregnant. I have thyroid problem but Now it is in control (normal) so Is there...
If your thyroid hormones now normal and other hormones also normal then you can get pregnant easy. Good time for sex is 8th days to 15 days after menses period. Ovulation time mostly is 7th days after menses. To confirm ovulation of egg. Pl. Do usg for ovulation of egg. And reply on lybrate. Com
3 people found this helpful
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. I'm a hypothyroid patient and started taking 50mcg of thyroxine, I feel like burden on my heart. Pulse rate is always is above 90 even in rest position sometimes it is reaching 120b/min Could you please advise?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
. I'm a hypothyroid patient and started taking 50mcg of thyroxine, I feel like burden on my heart. Pulse rate is alwa...
in hypothyroidism heart beat may be increases suddenly . do not worry about that it is only for while . Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also. send your reports of thyroid profile for best help. welcome in lybrate.
3 people found this helpful
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My T3 TT4 is normal but TSH 3rd generation is 10. Wich type if this thyroid is. Which treatment is better ayurveda or allopathy. My age 32 years.

MBBS, MD
Endocrinologist, Delhi
My T3 TT4 is normal but TSH 3rd generation is 10. Wich type if this thyroid is. Which treatment is better ayurveda or...
Your test result indicates primary hypothyroid for which you have to take thyroid hormone as your thyroid gland is not producing enough hormone on its own hence pituitary gland is doing extra effort by producing more TSH.
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I am having a high uric acid problem. What should I do in order to reduce it and control it?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills) Drinking too much alcohol Genetics (inherited tendencies) Hypothyroidism (underactive thyroid) Immune-suppressing drugs Niacin, or vitamin B-3 Obesity Psoriasis Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, dried peas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer.
2 people found this helpful
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Hi my name is Sarvesh Kumar. I am 24 years old. My mother suffering from sugar disease, so could you help me to how to control by food.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hi my name is Sarvesh Kumar. I am 24 years old. My mother suffering from sugar disease, so could you help me to how t...
DIABETIC DIET ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●Limit intake of sugar and sugary foods like sweets take ur medicines regularly i hope all this information helps u
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I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.
It is good if you are taking appropriate treatment for diabetes and if it is well controlled, then it is appreciable. But looking at your height and weight it is clear that you are having grade 1 obesity with a BMI of 32 .85 kgs/M2. Your ideal body weight should be 60 kgs. Hence you are carrying 32 kgs extra weight. That it self is a major contributor for high blood glucose. Hence, weight reduction is absolutely imperative. Thanks.
1 person found this helpful
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I am 38 years old suffering type 2 diabetic from last 8 years my blood sugar is frequently up anddown gap of two or 3 month. I have to use 4 mg glimepiride tab 1000 mg metformin daily. Please give me a food suggestion and life style.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 38 years old suffering type 2 diabetic from last 8 years my blood sugar is frequently up anddown gap of two or 3...
Mr. lybrate-user , You have mentioned about the drugs being taken for diabetes, but no dosage. There is no mention about fasting, PP glucose level and HbA1c%, so it is not clear whether diabetes is well controlled at all. At your age it is very essential to achieve a very strict blood glucose control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. If not then you are inviting long term complications of diabetes much early. As regards dietary advice, unless all the details are known, it is difficult to suggest a specific diet. However, please avoid sweets, deep fried foods, junk foods, pastries, bakery items, sweetened aerated drinks, sweet corn syrup containing products and food stuff made up of maida. Avoid alcohol and smoking completely. As regards lifestyle regular one hour exercise a day is most important. Brisk walking is good enough. But if you can jog or run please do. Thanks.
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I am 54 years old guy from pune . I am suffering diabetic and high blood pressure. please tell me what I do what medicine I take?

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent bsl reports and blood pressure and ongoing treatment and revert back to me for further assistance.
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I have diabetes and I can not eat as must have because I do not have enough money.

BHMS
Homeopath, Secunderabad
I have diabetes and I can not eat as must have because I do not have enough money.
If you think smart then you can eat the simple yet routine staple food that you had been eating traditionally. Eat vegetables and fruits which are available according to the season and are cheaper. Do search the internet to know about nutrition value of various types of foods. At the same time you should focus on exercising everyday which does not cost any thing. You can also do Yoga and pranayam which is very beneficial if done sincerely. Please note that exercise is an essential part of Diabetes management. Learn more about healthy lifestyle and management of Diabetes from the internet.
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