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Dr. R. Ram Kumar

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

Endocrinologist, Chennai

30 Years Experience  ·  at clinic
Dr. R. Ram Kumar MBBS, DRM, Fellowship in Diabetology, Post Graduate Diplo... Endocrinologist, Chennai
30 Years Experience  ·  at clinic  ·  ₹ online
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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 30 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 26 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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60, Sanipandhram Street, Chintadripet, Sanipandhram Stret. Landmark: Landmark: Near Kalyana Mantapam, ChennaiChennai Get Directions
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My wife 53 yr. Diabetic fasting 135 pp 185 please advise homeo & ayurveda medicine.

C.S.C, D.C.H, M.B.B.S
General Physician
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My wife 53 yr. Diabetic fasting 135 pp 185 please advise homeo & ayurveda medicine.
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are:-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.

Dear sir my father is 68 and he suffering from diabetes from 8 years. He has become very week these days. This month he suffered from 3 viral fever as a result he became very week. What should I do please suggest some measure. Please.

PDDM, MHA, MBBS
General Physician
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Dear sir my father is 68 and he suffering from diabetes from 8 years. He has become very week these days. This month ...
He must exercise daily for at least 30 minutes, maintain your ideal body weight, follow a good diet, sleep properly, drink water throughout the day to keep your body hydrated, avoid alcohol and stop smoking if he does.

I am 39 years old I am suffering from joint pains. My uric acid, esr is also high not so much. So please suggest what to do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 39 years old I am suffering from joint pains. My uric acid, esr is also high not so much. So please suggest what...
Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.

Which type of diabetes is hereditary? how many generations it can affect? and what are the precautions to take in order to avoid it? Please tell me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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Which type of diabetes is hereditary? how many generations it can affect? and what are the precautions to take in ord...
type 2 is hereditory and presents late in life ,type 1 is autoimmune destruction of pancreas and presents early Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible

Sir, I have a complaint of bleeding from my Gum. Also I am having bad breath. I am 46 and diabetic. Please suggest medicine.

BDS
Dentist
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Sir, I have a complaint of bleeding from my Gum. Also I am having bad breath. I am 46 and diabetic. Please suggest me...
Bleeding gum can be periodontists periodontitis can reduce glucose tolerance which make diabeties more uncontrolled and diabeties can worsen the periodontitis so you have to control both of them simultaneously please do not ignore.

My husband has sugar for the past 14yrs. There is always fluctuation in sugar levels. Please suggest me some remedy and what diet should be given to him?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips blog on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.

I am a 50 years old female and have sugar, diabetic patient last 1 year. What should I do? Please help me.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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I am a 50 years old female and have sugar, diabetic patient last 1 year. What should I do? Please help me.
Avoid junk food, sugar, fried food and fruit juices. Exercise daily and if required take medicene perscribed by your doctor.

For a diabetic which is good alcohol drink and how much ml should he take per day or week? If beer can be taken by a diabetic person? If so how much ML? Please reply.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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For a diabetic which is good alcohol drink and how much ml should he take per day or week? If beer can be taken by a ...
Strictly speaking, diabetic should avoid alcohol completely. But if you insist on taking it, ensure that your blood sugars and all other parameters are normal. Then, you may take one 30 ml drink of hard liquor (usually containing around 45% alcohol) per day. However, if you are on Insulin, avoid alcohol.

I am a 65 years old male suffering from High BP and diabetic since last 7 years. Recently I am getting white patches on my elbow and ankles. What may be the reason and treatment?

MBBS
Sexologist
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I am a 65 years old male suffering from High BP and diabetic since last 7 years. Recently I am getting white patches ...
White patches can be due to uncontrolled sugar. You need to have sugar in control. And it will subside itself. Go for your glucose levels and hba1c levels. Do reply with reports.

Precautions to be taken for diabetic person?

General Physician
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Precautions to be taken for diabetic person?
Avoid sweet and sweet product, Do regular exercise, take timely food and medication.. avoid fasting.

Dear doctor, I have osteo arthritis of right knee which has become painful for the last 6 - months. There is some medial meniscus damage which is secondary. I also have diabetes for the last 15 yrs which I could control by walking. Because of arthritis I am not able to walk now. How do I manage arthritis of right knee and diabetes? please let me know.

MBBS, MS - Orthopaedics
Orthopedist
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Dear doctor, I have osteo arthritis of right knee which has become painful for the last 6 - months. There is some med...
kindly consider total knee replacement (TKR)surgery. Knee surgery-TOTAL KNEE REPLACEMENT (TKR) is quite safe & gives uniformly good results, in our hands. We have well equipped centers in DELHI. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore .It could be beginning of a serious problem.

Hii my cousin (female) 28 is suffering from type 1 diabetes. Her pancreas is damage. Please tell me preventive measures regarding this.

MBBS
General Physician
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Hii my cousin (female) 28 is suffering from type 1 diabetes. Her pancreas is damage. Please tell me preventive measur...
We need to control sugar levels with medication exercise and following a diabetic diet and since her beta cells are damaged she will have to continue insulin

I am 72 years man having diabetes since twenty years and it is under control. But my haemoglobin level is 9 since several years. What is the way to raise it to atleast 12.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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The best way is to be happy in life. Nw I think most of your work in life is accomplished and nw is the time to give a serious thought to your body. So take a good morning and evening walk. Daily take2 fruits either apple, papaya, pomegranate take green vegetables regularly adopt naturopathy in life take lot of salad along with meals

I have checked thyroid function test. Result is T3 is 138 T4 is 7.3 TSH is 5.3 whether I need to take medicine.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I have checked thyroid function test. Result is T3 is 138
T4 is 7.3 TSH is 5.3 whether I need to take medicine.
Mr. Lybrate-user kumar, at tsh level 5.3 mu/l, it is in the sub - clinical state. Treatment is usually advised when tsh crosses 10 mu/l. However, occasionally, even in sub-clinical hypothyroidism treatment is initiated if t4 level is low and there are severe sympts attributable o hypothyroidism. Presently you do not need any treatment. Thanks.

All the time heart rate showing high even in resting 102 to 107. Few month back I underwent for check up (ECG, echo, TMT) Results are normal. I have diabetes and BP I am taking Gemer 1 for diabetes thalitel LS for BP Please advise.

PDDM, MHA, MBBS
General Physician
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All the time heart rate showing high even in resting 102 to 107. Few month back I underwent for check up (ECG, echo, ...
You should ask your doctor to add beta blocker drug as your antihypertensive if he consider it as good for you. It will control your heart rate.

Hello Dr. I am 23 year old. And my height is not increasing and also have thyroid so what can I do now actually I still take medicine. please suggest.?

B.H.M.S., Senior Homeopath Consultant
Homeopath
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Hello Dr. I am 23 year old. And my height is not increasing and also have thyroid so what can I do now actually I sti...
You can take tub. 10m / 5 drops in little water once in a day for one dose only. Stretching and cycling or jumping exercises will help you increasing the height. Revert back after two weeks with feedback.

Hello doctor. I have blood report. . Which said my fasting blood sugar level is 129. Is diabetic? If yes pls suggest precautions

Vaidya Visharad
Ayurveda
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Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

I am 62 year old man since last 4 months I started getting pain just below my left feet just 2 inches behind my thumb diagnosed by doctor, says uric acid is the cause for all complications now regularly taking medicine. Doctor adviced not to take. Highly proteinous food & not to take whiskey. If I walk more then slight pain start. I take hot water compression then rub with iodex then crept bandage. Please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 62 year old man since last 4 months I started getting pain just below my left feet just 2 inches behind my thumb...
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, driedpeas, 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. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.Take tab. Zyloric 100 mg once a day.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.

I am a diabetic (180 fasting and 240 pp) I have early ejaculation problem and also erectile dysfunction problem please suggest a solution.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Control diabets (as your levels are still high). Diabetics are known to have sex problems. Also get a cardiac work up done. If all are normal and still the problem persists, then get a check up by sexologist and take drugs. Don't take drugs shown in tv as they may not be safe for your health.
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