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Dr. R. Ram Kumar

MBBS, DRM, Fellowship in Diabetology, Post Graduate Diploma in Diabetology (P...

Endocrinologist, Chennai

31 Years Experience
Dr. R. Ram Kumar MBBS, DRM, Fellowship in Diabetology, Post Graduate Diplo... Endocrinologist, Chennai
31 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. R. Ram Kumar
Dr. R. Ram Kumar is a popular Endocrinologist in Chintadripet, Chennai. He has been a successful Endocrinologist for the last 31 years. He is a MBBS, DRM, Fellowship in Diabetology, Post Graduate Diploma in Diabetology (PGDD) . He is currently associated with Thyroid Centre in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R. Ram Kumar on Lybrate.com.

Lybrate.com has an excellent community of 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.

Info

Specialty
Education
MBBS - Bangalore University, - 1986
DRM - BOMBAY UNIVERSITY, - 1990
Fellowship in Diabetology - IMA, - 2009
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Post Graduate Diploma in Diabetology (PGDD) - - 2011
Languages spoken
English
Professional Memberships
Indian Radiological and Imaging Association
Indian Medical Association (IMA)
Indian Academy of Paediatrics (IAP)
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Indian Society of Nephrology (ISN)
American Association of Clinical Endocrinologists (AACE)
Society of Nuclear Medicine (SNM)

Location

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Thyroid Centre

60, Sanipandhram Street, Chintadripet, Sanipandhram Stret. Landmark: Landmark: Near Kalyana Mantapam, ChennaiChennai Get Directions
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My mother's blood sugar level is about 270, which is really high. Can you tell me what diets should be taken and what type of exercises can help?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
for a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for long hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise like brisk walking, strength training or yoga and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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My mom 48 years old suffering from type 2 diabetes and her sugar level is 178 mg/Dl not much high. Always she will be in a state of fatigue not able to walk. Is this because of type 2 diabetes?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Increase her zinc content and iron content of the diet. Non veg are excellent sources of both these nutrients. This will reduce her fatigue
1 person found this helpful
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My grandmother aged 60yrs, is having high sugar level it is never going down to 180. please give some suggestions and suggest diet and some better medicines.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
●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,fried foods,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 ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats  ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS:  Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean
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I am 26 and my weight is 90 and diabetic and afraid to take any slimming pills. What to do and how to reduce ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello intact slimming pills are not much help. You have to reduce your dietary intake by 15 to 20 per cent daily, then increase your exercise to about one and half hour at least 5 to 6 days a week. Totally avoid deep fried foods and direct sweets. Target a reduction of 2 kg per month. Then you may be able achieve it.
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I'm 38 years old and I have hypo-thyroidism for 2 years. My neck shows in enlarged than its normal size and also my 1 eye shows in big. Im taking neo-mercazole10 and beta cap tr40 tablets. What should I do.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you are taking wrong medicines....neo-mercazole takes in hyperthyroidism. and thyroxine takes in hypothyroidism. pl. send your reports and consult again.
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I am 37 years old male, I suffering with diabetes for the last 4 years, and for the last 1 year I am suffering with gas trouble also, please prescribe good medicines asap.

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Please take following herbal supplement - nutridiabe - 1 tablet twice a day. For better control of your blood sugar it is totally herbal medicine and very safe for long term use. Digestn - 1-2 tablets after lunch & dinner or whenever required. This will solve your gas problem. Both medicines are totally herbal medicine and very safe for long term use. For detailed discussion/suggestions, please send health details privately. Thanks.
4 people found this helpful
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My blood sugar level after meal is 202 is it normal or not? I have facing itching problem and dryness in my skin. Kindly suggest me.

PG Hom, London, BHMS
Homeopath, Mumbai
Hello madam, blood sugar level of 202 post lunch is not normal and you must undergo further testing. You have to undergo a test named hba1c which will help to determine your blood sugar level over past three months and in turn help to understand if you are suffering from diabetes. For itching and dryness, you can apply hydramost lotion all over your body or only on the area where you get itching. Dryness causes itching which in turn increases the dryness and further increases itching.
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My sugar lever remains 120 fasting and 195 pp and am not taking any medicines. Should I start to take medicines?

MD , MBBS
General Physician, Aligarh
Dear, First of all tell me your ht wt and age and tell is it type1 or type2 diabetes. Try to first change your lifestyle. Avoid oily and fatty stuff. And pure form of carbohydrate I mean sugar rice etc. Try to do 45 min fast breast walk.
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If you r a type 1 diabetic girl with 6 HbA1C always and her husband is non diabetic, but her mother in law is type 2 diabetic but on insulin with poor control and her real brother and sisters are Heart Patient, Brain stroke, Paralysis and parkinson disease. Will this condition can effect the child of type 1 diabetic with some other genetic disorders.

MBBS, MD - Medicine
General Physician, Delhi
Type 1 diabetes is not inherited but type 2 diabetes can be inherited if 1 or both of your parents have diabetes. That also depends on d life style of d individual.
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As a sugar patient I am doing yoga and walking daily. Without medicine is it enough.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Enough or not will depend on your sugar targets acheived or not, meaning your hba1c less than 7%and fasting and pp blood sugar within control.
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Hello. My friend who is 29 years old. He has suffering from sugar disease. His weight is 83 kg and height is 5 ft 10 to 11 inch. How he will control weight and diabetes. What diet should be taken. And how many weight for height should be need.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, diet for a patient with diabetes has to be very specific to each patient. It has to be based on ideal body weight (height in cms - 100), daily extent of exercise, blood glucose levels and present dietary pattern. However, he should avoid sweets, deep fried foods, junk foods, pastries, bakery items, sweetened aerated drinks, fructose corn syrup containing and highly processed food products. Should consume more of green leafy vegetables and salads and permitted fruits (100 g a day). Use whole grain products and avoid maida and products made out of that. Thanks.
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I am suffering from thyroid and pcod and taking 50 mcg thyronorm now my tsh is under control that is 2. But I feel very tired all the time sum time I face pain in my back if I keep standing for long time for work. How to feel energetic and active.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, it is good to know that hypothyroidism is in good control. Usually all symptoms like tiredness and fatigue disappear on good control of hypothyroidism. Since you still feel tired and less energetic, it better to get hb checked. Get a cbc done, which will give full blood cell details. Plus take healthy diet and exercise daily for 1 hour. Also do pranayam. Most often tiredness is more a mental problem. Once you start exercising you will start feeling better. For back pain to there are specific exercises to strengthen those muscles, I am sure once you start doing it you will feel better. Thanks.
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I had Hypothyroid from 2007. I was in medication of medicine name'Thyronorm', I recovered after medication till 6 months same year. I had my blood test this year in January, the level of TSH was normal but when I got my Blood test report for this month the level of my TSH decreased drastically leading to increase in my T3 and T4. I thought this is my exam stress or depression unknown of the checkup. I feel more of breathlessness, mood swings, hunger, thirst, anxious, body pain and low muscle density of contraction. Can you please confirm what is my health problem, Is it Hyperthyroidism?

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
First: medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as reproductive  and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Sometimes due to stress levels, diet sleep habit changes our through gland gers stressed too. During Eltroxin use this us monitored to avoid iatrogenic hyperthyroidism. Kindly share your recent and last TFT report Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know.  Take care
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I am 55 year old female which food increases/produce insulin in our body I am non diabetic My husband is a diabetic with 150 sugar level.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
No food produces insulin, insulin is release in response to food. In diabetics this release is delayed.
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I am 27 year old female suffering from thyroid tsh 12.90 n low blood sugar n low hb n calcium what can I do for this? is it cause any problem in conceiving please reply.

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
You need to be euthyroid first to conceive as hypothyroidism can lead to various complications including abortions. Are you taking thyroxine?
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Mere papa diabetic hai unhe ab kuch samasya uski sarir ki naso me h medicine le rahe hai kuch fayda bhi hai lekin unke pair bilkul bhi nahi uth rahe hai.

MBBS
General Physician, Mumbai
Unhe physiotherapy treatment ki jarrort hai aur aap ek physiotherapist ko ghar par visit ke liye bulaye thode din tak.
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I had a thyroid test as it was suspected and in first test I found that positive with TSH count 10.03 ulu\ml. Please suggest what should I do as my condition physically is not so good?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
With tsh level 10.03 mil unit/ml, doctor must have already suggested the treatment with thyroxine tablets, dosage depends on weight and tsh levels. Please start the same and keep checking thyroid levels periodically to see the dosage is enough or needs to be increased. Along with that exercise regularly to avoid gaining weight. Also avoid soya and soya containing foods, cabbage, cauliflower, broccoli, mustard, radish, peanuts and coffee. Increase consumption of green leafy vegetables, salads, fruits and use whole grain flour for making roti and chapati.
4 people found this helpful
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Hi sir, I am 26 years old male. I am a diabetic type 1 patient. Either I could marry? either diabetic causes impotencecy?

C.S.C, D.C.H, M.B.B.S
General Physician,
Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not erectile dysfunction, which is a concern only if satisfactory sexual performance has been impossible on a persistent number of occasions for some time. Broadly, two forms of erectile dysfunction can affect men's sex lives - the main cause is either medical or psychosocial. Here, psychosocial means psychological effects - including the effects of social relationships - on sexual performance. Of course, medical conditions can also affect psychological wellbeing, and while the main cause of sexual impotence will be medical or psychological, there can be overlap between the two. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed.
4 people found this helpful
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Sir, I am 45 Years old and very recently within 3 months I lost my weight from 85 kgs. To 64 kgs. And on check-up of blood sugar; it is now 452. What should I do now?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
You mean to say that earlier you had no idea about high blood sugar at all? if sugar is 452mg please start treatment right away, preferably with insulin in consultation with your doctor for first few months then can be shifted to oral medication.
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Sir I am diabetic since 8 yrs. My fasting glucose is 171. I am taking Tab glimisave M3forte. Now I tested my lipidprofile, in that creatinine serum is 0.60 which is low. Microalbumin urine 37.8 which is high. Albumin/creatinine ratio 42.95.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Hello, loose your extra weight this will not only lower your blood but also helps lowering your blood pressure and cholesterol too. You need to bring a little change in your life style and routine and diet. Timely and balanced diet is as important as regular medicine intake to control diabetes. High fibre diet including greens and whole grains are to be included in the diet. No long grapes and skipping of meals. No over eating. Avoid junk food. Take small and frequent meals. You can consult me privately online on Lybrate I will you more suggestions.
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