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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 32 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)

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60, Sanipandhram Street, Chintadripet, Sanipandhram Stret. Landmark: Landmark: Near Kalyana Mantapam, ChennaiChennai Get Directions
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Why Do Diabetic People Need to Eat Fat?

PG Diploma Nutrition and Dietetics, B.Sc - Home Science
Dietitian/Nutritionist, Delhi
Why Do Diabetic People Need to Eat Fat?

Diabetes is a condition that affects the pancreas to the extent that they do not release the required quantity of insulin, which can lead to a high blood sugar level as the body starts to absorb excess glucose from the food that it ingests. This can be of various types and have different implications for different patients. While many experts insist that keeping a low cholesterol level and low weight is a primary requirement for treatment of diabetes patients, there are a number of myths in this regard. Not eating fat is one such myth that we are out to prove wrong today.

So read on to find out why diabetic people need to eat fat:

  1. Saturated Fats and Trans Fats: There are studies that demonstrate how saturated fats can actually prove to be beneficial for diabetes patients. These can be found in various sources like fish and nuts. This releases heptadecanoic acids, which can normalise the blood sugar levels as well as the insulin and triglyceride levels in the body.
  2. Dairy Fat: The use of milk and yogurt as well as butter can actually be help in bringing the blood sugar levels down. It also shows up favourably on the lipoprotein markers. Butter in particular is known to have clarifying properties that can bring down the risk of diabetes as well. One must take care to use dairy products that are fat free. 
  3. Animal Fat: Having meat which releases fat and having dairy products like cheese and milk which releases healthy saturated fats are two different things. One can replace carbs and meat with these kinds of products so that there is better absorption and creation of quality animal fats which can actually help the insulin levels.
  4. Monounsaturated and Polyunsaturated Fats: Food items like fish and nuts that carry high levels of Omega-3 fatty acids as well as monounsaturated and polyunsaturated fats can help patients suffering from diabetes by clearing the bloodstream of cholesterol and high lipid levels. This also prevents the risk of heart disease and arterial blockages. These kinds of fats are also found in flax seeds, soya products and walnuts. 

Going low on carbohydrates and avoiding sugar is usually recommended for patients suffering from diabetes. Yet, it is important to have your fill of essential fats as mentioned above with the help of dairy products, clarified better, omega three fatty acids, dry fruits, soya products and some amount of vegetable oils, as these actually have a number of benefits for these patients. These kinds of fats are not known to cause heart disease or high cholesterol.

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I have diagnosed with diabetes and my fasting blood sugar is 170 and urine is ++. My age is 35 years. What should I do.

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
I have diagnosed with diabetes and my fasting blood sugar is 170 and urine is ++. My age is 35 years. What should I do.
Take small amount of food. Avoid starchy foods. Take plenty vegetables, whole fruits, unrefined foods. Use fenugreek seeds with 1 cup water on an empty stomach in the morning. Use vinegar 1-2 tablespoon before meals can help to slow the post meal sugar level. Avoid underground vegetable, banana, pumpkin. Drink lots of water to be hydrated always and to lowers the calorie intake. Avoid fast foods, junk foods, processed foods. If you are taking medicine then adjust food intake. Do regular exercise to stay healthy and to lower the blood sugar level. Diet and exercise both will help to reduce medicinal dose.
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I am male (44 years old). Did my routine blood test. Some of the readings are not good for e. G. Uric acid: 8.9 (3.5 to 7.2) SGPT = 60 (<50) TSH = 10.5 (. 55 ~ 4.78) Vit B12 = 185 (211 ~ 911) Vit D = 14.69 (30 ~ 100) HBA1C = 5.8 I am planning to add following in my routine: - 1. Sunlight exposure 15 to 20 mints a day 2. Cod liver oil 3. Physillium husk lemon in water before lunch 4. Oats meal in breakfast Please advise what more can I do to improve my readings.

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
I am male (44 years old). Did my routine blood test. Some of the readings are not good for e. G.
Uric acid: 8.9 (3.5 ...
Hello lybrate-user, kindly incorporate the following protocol- uric acid- to reduce it have 12-15 glasses of water/day, restrict beans, pulses, red meat, cabbage, cauliflower, tea, coffee. Increase intake of fruits and vegetables. Vitb12- its found only in animal products so add low fat milk and milk products. Hba1c- increase your intake of fibre rich foods like whole grain cereals- oats, barley, methi seeds, flaxseeds, salads before meals, eat small frequent meals every 2-3 hours. However it is advised that you consult a clinical dietician for a diet prescription.
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Hello ma'am /sir. Please advise I am 5thmonth 1 week (21 week) pregnant lady nd hypothyroid patient. So I am taking thyronorm 50 mcg as advised by doctor. But now also in second trimester my tsh level is 5.24.my sugar fasting is 115nd random130. Hemoglobin is 10.4.according the ultrasound my baby weight is 415gram in 21 week. Please advise everything is normal. We are enclosing report for better understanding.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
You need to increase the dose of thyronorm since upper normal level of TSH during pregnancy is 2.5. Kindly do so under the supervision of the Endocrinologists. Beyond 12 weeks of pregnancy fetus's thyroid functions independent of mother's thyroid. So fetus is not likely to be harmed due to present dose that the patient is taking.
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When doctor confirms that patient is diabetic, what are fast & PP range for male & female.

MBBS
General Physician, Cuttack
When doctor confirms that patient is diabetic, what are fast & PP range for male & female.
When fasting sugar is more than 140 and post prandial blood sugar is more than 200 a person is considered diabetic.when a person is having blood sugar less than this but more than the acceptable normal limit he has got IGT
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How to control sugar? I am not eating any sweets but I need something which suit my body to.

PDDM, MHA, MBBS
General Physician, Nashik
How to control sugar? I am not eating any sweets but I need something which suit my body to.
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori. Kindly mention your Fasting and pp blood sugar levels and revert.
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I am 26 year old, female. Type 2 diabetic patient for 2 year. I have lost my hair 4m forehead. It looks like a little bald. What can be done to regain my hair? please help me.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Homoeo treatment take kali phos 200 / 1 dose in morning / 7 days cephalandra indica q 20 drops daily 2 times with water. Syzygium jambolanum q 20 drops daily 2 times with water buy german medicine mixed fruit juice daily 2 times dry coconut daily milk cream daily 2 boiled eggs daily morning cheese. Yellow papaya multi vit a-z tab 1 tab at night daily after dinner report me after 7 days You may consult for your any kind health support also there are nutritional treatment very effective.
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My mom is 35 years old and is a teacher by profession she is having thyroid but from a couple of years she is suffering from heel pain she had undergone physiotherapy and kerala treatment also and used many medicines after an x-ray v got to know that the bone backside her feet has grown but now her other foot had so started paining. Her uric acid levels are 5.4.

Diploma in Radio-Diagnosis
Radiologist, Shimla
Kindly get x-ray both foot ap and lateral view send the scan copy of x-ray to me, as per history it is not related to thyroid, or uric acid. It is most likely---spur of calcanium--advised x-ray both calcanium (heal) review after x-ray.
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To determine whether a person is diabetic or not sugar level should be checked on daily basis or hba1c is the proper test which gives average sugar levels of 6 to 10 weeks as written in the same.

C.S.C, D.C.H, M.B.B.S
General Physician,
To determine whether a person is diabetic or not sugar level should be checked on daily basis or hba1c is the proper ...
Initially do fbs, 2hr ppbs and hba1c and if diabetic start medicines and there after check at different times and hba1c every 3 months.
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Why hypertension and diabetes are not permanently curable. When we have lot many doctors in this world, why we cannot prepared the medicine for this, is that a curse for humankind coz I have seen many people who are suffering with these disease.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Why hypertension and diabetes are not permanently curable. When we have lot many doctors in this world, why we cannot...
Mr. Lybrate-user. Diabetes is occurring either due to lack of insulin or resistance to its action, mainly because of being over weight and secondly due inactivity and junk foods. This true incase of t2 dm. In t1 insulin producing beta cells in pancreas are destroyed due antibodies. T1 is an autoimmune disease. These are two main types of diabetes. In both types insulin has to be provided (t1 by injections of insulin) in t2 stimulating insulin secretion. Since this hormone is required every single moment in our body, there is no way of curing the condition. It can only be controlled. Similarly in high bp also there are multiple triggers involved, each can not exactly identified and removed. So cure is not possible. Here too over weight, obesity, inactivity, high fat, excess salt plus various other triggers are active, and the process continues for lifetime, hence only control is possible. Similarly there a host of diseases where ther is no cure available in spite of great advances in medicine. I understand your concern, but that is the fact. May some time later science will be able to find a cure for all diseases, let us hope. Thanks.
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Though all my reports post thyroidecomy after 3 months my tsh is normal and thyronorm 100mcg advice then why this hairfall and weight gain.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Though all my reports post thyroidecomy after 3 months my tsh is normal and thyronorm 100mcg advice  then why this ha...
Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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 oily foods,junk foods, go for walk. go tests from leading lab. reduced you dose if tsh is normal.
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I have thyroid and currently taking thyronorm 125 my tsh level is 14. What is the appropriate dosage for thyronorm to bring back tsh level to normal?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I have thyroid and currently taking thyronorm 125 my tsh level is 14. What is the appropriate dosage for thyronorm to...
Hello, If TSH is at 14 mU/L, it means current dose is inadequate. Dose is dependent on TSH, T4, body weight & height. If TSH is 14 then current dose is less. TSH should be maintained between 3 to 4 mU/L. Thans.
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Hello CAN DIABETIC PATIENT WITHOUT TAKING MEDICINE can controlled, IF HE CAN ABLE TO CONTROL DIABETIC, PLEASE TELL HOW?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hello CAN DIABETIC PATIENT WITHOUT TAKING MEDICINE can controlled, IF HE CAN ABLE TO CONTROL DIABETIC, PLEASE TELL HOW?
If sugar levels are high enough you need to take medicines regularly..kindly let me know the current blood sugar status..till then follow the following tips: Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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Sir very good evening sir my mom have sugar so please tell me what to eating so please tell me sir.

MBBS
General Physician, Mumbai
Sir very good evening sir my mom have sugar so please tell me what to eating so please tell me sir.
She can eat all the green vegetables and also all sprouts and can drink cows milk and can eat chappati and can eat brown bread etc.
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BPTh/BPT, Diploma in Naturopathy & Yogic Science (DNYS)
Pulmonologist, Indore
Our Product KASTUMBHO can treat Pre - Diabetic state and prevent Diabetes.
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I have TSH 6.52 N M PLANNING FOR BABH LAST 1 YEAR. DOCTOR PRESCRIBED ME ADOVA N OVALIFE TABLET. SHOULD I TAKE THYRO MEDICINE. please SUGGEST ME N TELL ME MEDICINE.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have TSH 6.52 N M PLANNING FOR BABH LAST 1 YEAR. DOCTOR PRESCRIBED ME ADOVA N OVALIFE TABLET. SHOULD I TAKE THYRO M...
If you are planning to have a baby, then it is essential to bring tsh levels down to 0.1 to2.0 mill units /ml even before conception. High tsh levels will not help conception and fetal growth, can cause miscarriage and bad out comes. Throughout the pregnancy tsh levels have to be as follows: 1st trimester 0.1 to 2 milli units, 2nd trimester 0.3 to 3 milli units, 3rd trimester 0.3 to3.5 milli units/ml/ so please take necessary steps. Thanks.
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I underwent the test glucose tolerance test oral (75 gms glucose) and the scale read 134 on fast and 212, 2 hrs after taking 75 gms glucose. Then laft intake of sugar rice potato completely. Again underwent the same test after 6 days then the scale read 119 and 146 respectively. Is taking medicine is necessary or can wait. Suggest.

M.D.(A.M.), BAMS
General Physician, Gurgaon
I underwent the test glucose tolerance test oral (75 gms glucose) and the scale read 134 on fast and 212, 2 hrs after...
Definitely. You can wait to start th allopathic medicines. Just by th diet, exercise n nutrition you can get th desired diabetic control. Instead you can start some ayurvedic medicines containing th very effective herbs like vijaysar, gudmar, karela, neem, jamun, ashavgandha etc.
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I suffering from effective distinction , I am diabetic since 20 years , I am 45 old suggest medicine for same.

BAMS
Ayurveda, Ambala
I suffering from effective distinction , I am diabetic since 20 years , I am 45 old suggest medicine for same.
You should follow this diet chart to control & treat the diabetes. * in morning, drink 1-2 glass of luke warm water empty stomach & walk for 15 minutes to detoxy the body. In breakfast, take 2 chapatis of gram flour (besan) with a bowl of cooked vegetables (green leafy vegetables only) * in lunch take 2 chapattis of wheat flour with a bowl of cereals (dal) with a bowl of curd. * in evening, take a bowl of salads or a fruit like apple / orange / pear/ melon. * in night, take a bowl of boiled soyabeans with raw vegetables like tomatos/ cucumber/ onion. After dinner avoid taking milk & walk for atleast 15 minutes after dinner. * avoid food items like rice, potatos, banana, chiku, sweets, candy& chocolate.
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My mother is suffering from Payeria problem since 1 year. She used to take the extracts of Guava Leaf for this problem. But then also she is not getting any relief. She is also suffering from Thyroid problems and having low blood pressure. She is taking thyronorm 50mg and Folvite Tablets 5mg. Please guide me how to prevent from these. She is 45 years old. Hoping for your kind and immediate response.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, pyorrhea is invariably due to unhealthy food habits, not taking enough care to clean the mouth, lack of vitamin c and infection due to injury to gums etc. Proper brushing and regular massaging the gums and use of astringent gels helps in controlling bleeding in gums. Plus regular vitamin c supplement should be used. Use mouth wash regularly to control oral infection. Better to consult a near by dental surgeon.
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My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes in left lobe of thyroid. Features suggesting colloid nodule.

Ear-Nose-Throat (ENT) Specialist, Bangalore
My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes...
I hope all the investigations are done and diagnosis is proved. Thyroid swelling in children are uncommon and needs to be properly evaluated. Reactive lymphadenopathy if not responding to antibiotics I suggest you to get a repeat fnac of thyroid and lymph nodes.
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