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Dr. R. Ram Kumar

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

Endocrinologist, Chennai

32 Years Experience
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Dr. R. Ram Kumar MBBS, DRM, Fellowship in Diabetology, Post Graduate Diplo... Endocrinologist, Chennai
32 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 32 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 33 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
...more
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)
...more
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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thyroid centre

VA placa villa appartment 34/8 R block 4th main road anna nagarChennai Get Directions
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I'm diabetic patient I'm not using medicine is any problem for me I'm only 26 years old.

3 months Internship of Dietitics/Nutrition, PG diploma in Dietitics/Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Moradabad
I'm diabetic patient I'm not using medicine is any problem for me I'm only 26 years old.
No its not problem if you have your normal diebetic ratio. You can control your diebetes by healthy diet and any workout. But always remember that your diebetic ratio should not be up and down. If it is then medicine is important for you.
1 person found this helpful
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Endocrine System & Diabetes - Understanding The Relation!

MD - General Medicine, CCEDM, Fellowship In Neurology & Stroke, Post Graduate Diploma in Clinical Endocrinology & Diabetes
Internal Medicine Specialist, Navi Mumbai
Endocrine System & Diabetes - Understanding The Relation!

Endocrinology deals with hormones, hormone systems and hormonal disorders. The organs that come under endocrinology are pituitary gland, adrenal glands, ovaries or testicles, thyroid gland and pancreas. These organs maintain the chemical balance of the body by secreting hormones which regulate all the body systems.

Diabetes is the name for a group of diseases which are characterized by abnormalities in the absorption of glucose and blood sugar levels.

Relation between the endocrine system and diabetes:

The hormone insulin is secreted by the pancreatic beta cells called the islets of Langerhans. It is a peptide hormone that metabolizes carbohydrates, proteins and fats, stimulates the conversion of glycogen or stored protein to usable glucose and also helps the body cells to absorb the glucose. The movement of ionized or free calcium (Ca2+) is also somewhat dependent on insulin.

Insulin is secreted from the pancreas in two phases - the first phase occurs when blood sugar level is high and need to be absorbed into the cells while the second phase is associated with a slower production not influenced by blood sugar.

Types of diabetes and how they are affected by the endocrine system

  1. Type 1 diabetes mellitus: This condition is caused by underproduction of insulin by the pancreatic beta cells. It is called 'insulin dependent diabetes mellitus' (IDDM), since it is directly influenced by the hormone.
  2. Type 2 diabetes mellitus: This type of the disorder is not directly dependent on insulin. It is usually caused by obesity and lack of physical exercise. The cells develop resistance to insulin and because of that blood sugar is not absorbed properly. This eventually leads to under-secretion of insulin.
  3. Gestational diabetes mellitus: Pregnant women might develop high levels of blood sugar even if they did not have diabetes in the past. This occurs due the changes in the regular hormonal cycles and secretion of pregnancyhormones and can result is complications and miscarriage.

Sub-specialties of diabetic endocrinology

  1. Diabetic renal disease: The kidneys filter the blood. If there are chronically high levels of sugar in blood, hormones like erythropoietin (regulates production of red blood cells) and renin (regulates blood plasma and fluid content) are not produced. As a result, the kidneys' capacity is reduced and waste materials build up in blood.
  2. Diabetic vision problems: Insulin problems may cause the blood vessels supplying the retina (light sensitive eye tissue) to expand or contract. This causes blurry and distorted vision and pain in the eyes.

 

4999 people found this helpful

Respected Sirs PLEASE HELP THIS OLD MAN OF 70 YEARS ,AS I AM IN TROUBLE .WHAT IS THE REMEDY OF ANTI TG SO HIGH Based on the feedback given earlier by Drs in this forum I have done an Anti- TPO Antibody test and also repeat TSH, FT3 and FT4 tests on 28/06/2014. Apollo Diagnostics have also MEASURED Anti-Thyroglobulin. While all the test results are OK, Result of Anti-Thyroglobulin IS NOT OK TSH is 4.76 µIU/mL, Free T3 is 3.14 pg/mL ,Free T4 is 0.89 µIU/mL ,Anti-TPO is 38.6 (<60 U/ml: Anti-TPO Negative, Anti-Thyroglobulin is 161.0*(Too Much)[>=60 U/ml: Anti-Tg Positive].I DO NOT KNOW THE IMPLICATION OF ANTI TG SO MUCH POSITIVE ORIGINAL CASE HISTORY OF THE PATIENT Without any symptom my wife (62 years) went for T3, T4, THS test as a routine check up ON 28/03/2017 1) Although TSH Level is Elevated is 7.87 uIU/ml (Normal Range-0.27-4.90), 2) T3 Level is Normal at 1.40 ng/ml (Normal Range-0.80 -2.0) 3) and T4 Level is Normal at 11.35.ug/dL (Normal Range-5.1-14.1). endocrinologist was consulted. The doctor opined it as Subclinical Hypothyroidism (beginning) and recommended Thyroxine Supplement.(Thyronorm 25 mcg) and advised to see him after 3 months of taking medicine and repeat tests. As a precautionary measure AFTER 28 DAYS ONLY I DID a REPEAT TEST FOR TSH ONLY in the same laboratory AND SURPRISINGLY TSH WAS FOUND TO BE ONLY 0.07 (Normal Range-0.34-5.60) I again went to the doctor concerned and he advised to STOP THYRONORM PLEASE ADVISE NOW. With thanks.

MBBS, MD
Endocrinologist, Delhi
Respected Sirs
PLEASE HELP THIS OLD MAN OF 70 YEARS ,AS I AM IN TROUBLE .WHAT IS THE REMEDY OF ANTI TG SO HIGH Based ...
Reports are suggestive of mild hypothyroidism and if symptoms are not therre we call it as sub clinical. Antithyroid antibodies are done to detect wather hypothyroidism is due to autoimmunity, means body produces antibodies against its own thyroid glands.In your case repeat TSH after 1 month and if found high or patient develops symptoms of hypothyroidism you can start thyroxin in small dose, under supervision of your physician.
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I have thyroid from three years. Since few days am so sleepy, am so hungry. Is this a chance to increase in thyroid levels. My report is normal.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I have thyroid from three years. Since few days am so sleepy, am so hungry. Is this a chance to increase in thyroid l...
Mr. Lybrate-user, it would have been better if you had mentioned the actual test results, as that would have given a clear idea. On treatment tsh levels should be between 3 to 4 mu/l, for being free from all symptoms. Further, it is better ifyou get a blood glucose test done. Thanks.
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For pre diabetes and ldl cholesterol just pp 206 (6 pts more than normal) and ldl 159 (1pt less upto 160 normal) if I need any medicine or by food exercise walk/standing/fruits/frequency of light food can bring this to normal and maintain. Thanks for your anticipated reply.

MBBS
General Physician, Cuttack
For pre diabetes and ldl cholesterol just pp 206 (6 pts more than normal) and ldl 159 (1pt less upto 160 normal) if I...
Your blood sugar and cholesterol level is in the upper limit of normal. Regular exercise, diet control, weight reduction, avoiding oily and fatty food, restricting carbohydrate and sweets can bring down the sugar and cholesterol level. Repeat the test after some time. If not under control medicine has to be started.
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My tsh level is 11 rest t3 and t4 are normal. I am 40 years female with some symptoms of hairfall and mild weight gain.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
By which method these thyroid profile has been done? clia or. Elisa or other method? clia is preffered. You can send picture of report to me if you dont have idea but you can find it on report. And if clia, then go for it again after 1 month, if tsh is high than 5 again with normal t3 & t4, you need to start medicines for that. Your symptoms are likely to be due to hypothyroidism. But before that, I would like to know certain more history. Revert back with me and we will discuss it later. And hypothyroid isn' t a bad disease so do not worry at all.
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I have lake of iron. And hypothyroidism. So please suggest the food should be eaten or avoid. Tsh 12.10 iu/ml Iron 53.3 ug/DL.

PDDM, MHA, MBBS
General Physician, Nashik
I have lake of iron. And hypothyroidism. So please suggest the food should be eaten or avoid.
Tsh 12.10 iu/ml Iron 53...
Include food which are rich in iron in your regular meals. Such foods include: dark green leafy vegetables, dates, jaggery, raisins, nuts, legumes, pulses, etc. Increase your intake of vitamin C rich foods such as berries, sweet lime, orange, etc. Vitamin C help is increasing absorption rate of iron in body.
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Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

One of the major risk factors for cardiovascular disease (CVD) is diabetes. Uncontrolled diabetes can lead to major heart problems. It is thus pertinent to take timely actions to control the insulin-related issues and save ourselves from CVD.

It is important to understand how diabetic patients are more prone to CVD than others to take pre-emptive actions to control it.

  1. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
  2. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.
  3. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
3846 people found this helpful

My husband got blood sugar tested. It is fasting 82 and post meal is 111. His hba1c is 6.4.can you pls tell whether he is diabetic or normal.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My husband got blood sugar tested. It is fasting 82 and post meal is 111. His hba1c is 6.4.can you pls tell whether h...
Lybrate-user, the blood glucose levels mentioned are normal. But hba1c% (6.4) shows pre-diabetes state. Thanks.
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How to managed blood pressure and diabetes in one week? Which season is more important to care our self.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
How to managed blood pressure and diabetes in one week?
Which season is more important to care our self.
Don't take stree, proper sleep, proper diet, proper exercise and workout. Avoid fried foods, junk foods. Constant and regular timings for medication. No skipping of dose. Loose your extra weight this will not only lower your blood but also helps lowering your blood pressure, cholesterol too. You need to bring a little change in your life style, routine and diet. No long gapes and skipping of meals. Never miss out breakfast. No overeating. Food slowly chew well and not to swallow. Use sufficient amount of ginger, onion, garlic, coriander, lemon, greenchilli, black paper, fenugreek seeds, cinnamon, bay leaves in food iteams. Timely and balanced diet is as important. Take small and frequent meals. If you are suffering for high blood pressure then you have to leave pickle, papad, and pouring extra salt. Don't take fast.
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