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Dr. Ramanathan Ramkumar

MBBS

Endocrinologist, Chennai

250 at clinic
Dr. Ramanathan Ramkumar MBBS Endocrinologist, Chennai
250 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ramanathan Ramkumar
Dr. Ramanathan Ramkumar is a trusted Endocrinologist in Ambikapuram, Chennai. He studied and completed MBBS . You can consult Dr. Ramanathan Ramkumar at K M Speciality Hospital in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Ramanathan Ramkumar 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.

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No. 453/454, R.K. Shanmugam Salai, ChennaiChennai Get Directions
250 at clinic
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#453/454, R.K. Shanmugam Salai. Landmark : Near K.K. Nagar Bus Stop.Chennai Get Directions
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Hi, My dad has diabetics. and now he is suffering from some kind of burning sensation through his legs. He has been taking several treats and medicines. Its been quite few months now. But we do not see any improvements. Need advise as why this happens and any ayurvedic treatments.

MBBS, MRCGP ( UK), D Diab (UK)
Endocrinologist, Hyderabad
Hi, My dad has diabetics. and now he is suffering from some kind of burning sensation through his legs. He has been t...
Hi, Your dad is suffering with diabetic peripheral neuropathy. Chronically high blood glucose can affect nerves of arms/hands, legs and feet. Patients can experience symptoms like burning sensation, pin prick sensation, stabbing pain, numbness etc of their hands and feet and if severe may go to the arms and legs too. Management; 1) Good control of blood glucose with proper diet, exercise and diabetic medications.Once the nerves are affected, they may not fully recover, but atleast his condition will not worsen and sometimes his symptoms will improve too. 2) There are medicines which can help with the neuropathy. They can be taken orally or can be use as creams. please check with your doctor. 3) In some patients acupuncture and physiotherapy have also worked. Hope this helps you Thank you
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My blood glucose level in random is 240. Should I go for diabetic screening if so what type of tests are required to confirm diabetic.

MBBS, CCEBDM
Diabetologist, Bangalore
My blood glucose level in random is 240. Should I go for diabetic screening if so what type of tests are required to ...
Hi Your Random blood sugar is high. You have to get HbA1C test. This is a three month average blood sugar test and helps in confirming diabetes.
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I am 39 years old, my blood sugar level is 142 after fasting and 200 after food also level of try glyceride is 630 what kind of meditation I need? kindly reply.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 39 years old, my blood sugar level is 142 after fasting and 200 after food also level of try glyceride is 630 wh...
You start with glycomet sr 1 gm 1-0-1 and lipikind f at night for cholesterol. You send the complete lipid profile and hba1c privately. Your weight? diet has to be 1/3 of what you eat now. Contact me.
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HELLO Dr. I am 25 year old unmarried girl mera problem ye h k mujhe p.cos problem 2009 s mera m n Dr. S suggest s tab s kafi tablet khai h gyliciphag hyponid farface syocare srup jaise kafi kuch m n 2015 m jab thyroid test karwaya 25 aaya mera TSH AB THODA KAM HO K 8.45 a gaya h but Dr. mein m peroid s nahi ho paa rahe m n koi b peroid ki tablet khane b band kar re m n last period k liye diene b khai the aur mera (FSH) 5.3 aur (LH) 19.33 aaya h aur prolectin b ab normal h Dr. Ab m kya karun jis s mera period thik ho please help me.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
HELLO Dr. I am 25 year old unmarried girl mera problem ye h k mujhe p.cos problem 2009 s mera m n Dr. S suggest s tab...
you are having pcod that is not a disease but a change in the body. you look unmarried. you have to think of cutting down your weight. ideally the problem in you is anovulation. unless you ovulate regular your periods wont come. but the treatment is ideally started after you get married as you dont need ovulation now. even if you take tablets now your periods would come regularly till you are on the tabs but once you stop them the periods would return back to the what they were before. so be patient and dont bother about your periods
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Hello doc. My daughter has hypothyroid. From last 12 years. I too have thyroid. Family history. ANd pcod. Periods are irregular. Age- 25. She is over weight. Height 5.3.weight 75 .i want to get her married. How to loose her weight tried gym. Yoga diet. everything no result at all. Doctor please help. She is mentally disturb now. Due to no result and family pressure.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Hello doc. My daughter has hypothyroid. From last 12 years. I too have thyroid. Family history. ANd pcod. Periods are...
Dear lybrate user, your daughter needs to get rid of her ocd and needs treatment for ocd, pcod and obesity. Marriage is not the solution, it will create more problems in her life, if she gets married without getting treated for her ailments. She probably has low self esteem and may have a few suppressed emotions. It is advisable that you take her to a counsellor. The counsellor will help her to open up and express her feelings. The counsellor will help her to modify her thought processes and thereby will help her have higher self esteem and confidence. This will motivate her to take care of her body and mind and thereby help her in reducing her weight and discard thoughts which are harmful.
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Hi doc, I am age 35 years at 28 years of age I got diabetes from then it' s under control but very frequently I have infection on my penis skin and it' s troubling my life what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
You have to control diabetes first and then have to get the infection checked as we may have to think of phimosis or balanitis.
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My father right arm is very paining from last 3 months. and I think diabetes is the reason. am i right.?

BPTh/BPT
Physiotherapist, Gurgaon
My father right arm is very paining from last 3 months. and I think diabetes is the reason. am i right.?
Right arm pain can b due to cervical problem or frozen shoulder problem. Tell him to take hot and cold fermentation 1 min each, for 5 reps. Twice in a day. If you need further assistance, please let me know. Thank you.
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There are 2 questions. 1. From the last 3 years I am having regular trouble that is my sugar level becomes low. It is happening 4 to 5 months intervals regularly by these timings I became tired and I used to go doctors and getting trips. So please suggest me to maintain the sugar level at normal for all the time. And Question no. 2. Recently I used to take mutton soup in the evening time when I am going home from office. So my question in this is I am having regular acidity complaints so taking soup regularly is advisable or not.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
There are 2 questions. 1. From the last 3 years I am having regular trouble that is my sugar level becomes low. It is...
Mr. A lybrate-user, Hypoglycemic episodes are seen usually with Insulin injections, as sometimes food intake or dose of the drug may not match. With oral anti-diabetics such episodes are less likely to occur. Since you have not mentioned any details about current treatment or actual blood glucose levels and HbA1c%, it is difficult to make any specific comment. If you are aware of the time when these episodes tend to occur, then it is better to take some snacks around that time. As regards mutton soup causing acidity, then best is to avoid it. Because any spicy food or liquid can stimulate stomach acid secretion. Thanks.
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Maine sugar check karwaya tha aur ye breakfast me 70 tha to kya mujhe mitha khana chahiye aur mujhe thyroid v hai weight bhi badh raha hai.

BHMS
Homeopath, Faridabad
Maine sugar check karwaya tha aur ye breakfast me 70 tha to kya mujhe mitha khana chahiye aur mujhe thyroid v hai wei...
Hello, your sugar level is normal , so can have sweets.Take Proper treatment for thyroid and follow the below tips to lose weight:- 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the evening daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits.
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Hi, doctor, I am aged 47, diabetic as my parents and their parents are diabetic. Tried lot of medicines but it is still the same. 1) Prescribe me the best drugs not insulin. My fast reading is around 200 and my post is around 300. But I never feel the symptoms of diabetic. My weight is 66 kgs for past 10 years. I am not obese. But slim. 2) My wife is not diabetic. Can my children get diabetes. I have got two daughters 12 years and 07 years age.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Hi, doctor, I am aged 47, diabetic as my parents and their parents are diabetic. Tried lot of medicines but it is sti...
What is your hba1c value? what medicines currently you are on. Yes type 2 diabetes is hereditary and it can pass on to your daughters as well. Hereditary familial diabetes in lean are mostly of monogenic forms where insulin secretion defect is more than insulin resistance. So secretagouge is necessarily required and such individual need exogenous insulin earlier compared to type 2 patients.
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I want to as that is levithyroxine sodium and thyroxine sodium same medication. If thyroxine sodium is not available can I replace it with levithyroxine sodium. I was taking thyroxine sodium for almost 10 months.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I want to as that is levithyroxine sodium and thyroxine sodium same medication. If thyroxine sodium is not available ...
yes both are same. In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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Diabetes is a progressive disease

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes is a progressive disease,
An analysis from the united kingdom prospective diabetes study (ukpds) found that 50 percent of patients originally controlled with a single drug required the addition of a second drug after three years; by nine years 75 percent of patients need multiple therapies to achieve the target hemoglobin a1c (hba1c) value, which is the average blood sugar of the last three months.

After a successful initial response to oral therapy, patients fail to maintain target a1c levels (<7 percent) at a rate of 5 to 10 percent per year.

This means that all diabetic patients will start with one drug and will invariably end up with three with or without the addition of insulin within 10 years.

A1c should be done every three months until <7 percent and then at least every 6 months and should be preferred over the fasting sugar levels. It represents the average blood sugar of the last three months and the value should be kept lower than 7%.

Regardless of the initial response to therapy, the natural history of most patients with type 2 diabetes for blood glucose concentrations is to rise gradually with time.

Initial treatment of patients with type 2 diabetes mellitus includes education, with emphasis on lifestyle changes including diet, exercise and weight reduction when appropriate. Monotherapy with metformin is indicated for most patients and insulin may be indicated for initial treatment for some.

In the absence of contraindications, metformin is usually the initial therapy for most patients with type 2 diabetes.
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What are the complications of diabetes?

Certificate in Diabetes update, Post Graduate Diploma In Hospital Administration (PGDHA), PG Dip Ksharsutra, PG Dip Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Its your age complications Gastric discomfort n intermittent constipation/loose stools, muscle wasting /loss or power, burning/ of feet Numbness of extremities Dizziness/imbalance foot ulcers/wounds (varicose) eye/heart/kidney issues. So on. Do want to face or want to keep away from u. OR reverse them all. We' re in to the Authentic support to Reverse so demand such option.
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Sugar getting down and when use stairs getting swelling in legs.

Diploma in Diabetology, MBBS
Endocrinologist,
Sugar getting down and when use stairs getting swelling in legs.
Walking and exercise cause blood sugar to go into muscles and fat. If you are a long standing diabetic on insulin or sulfonylurea medication you need to adjust dose accordingly. Avoid exercise just after diabetic tablet or insulin or have some carbs food before exercise. Swelling in legs may be due to neuropathy or vascular atheroscerosis. Need more details about it like bp, time span of dm, medication etc consult diabetologist.
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I am suffering Hypothyroid problem for the past 3 years. I take eltroxin 75gm in every day at morning before breakfast . My TSH level is 23 and above. I need your help. Which medicine I take

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
I am suffering Hypothyroid problem for the past 3 years. I take eltroxin 75gm in every day at morning before breakfas...
Thank you for the query. The tsh level should preferably be maintained below 10 (normal range 0.5-4 miu/l). Despite taking l-thyroxine supplements if your tsh is being maintained at 23, it implies that the control is inadequate. Please get a complete thyroid profile done (tsh, ft3 and ft4) and consult your physician/or any doctor in this forum for dose adjustment of medications. I would advice you to get a lipid profile done as dyslipidemia may be associated with hypothyroidism.
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My wife suffers from hypothyroidism with c reactive protien positive and anti tpo to a level of 700. Can she ever get pregnant and if so then how do we plan it?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife suffers from hypothyroidism with c reactive protien positive and anti tpo to a level of 700. Can she ever get...
if c-rp goes normal then your wife will conceive .do not worry . where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, 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 oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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What should be diet for a diabetic patient?

C.S.C, D.C.H, M.B.B.S
Pediatrician,
What should be diet for a diabetic patient?
Low carb, low or no sugar diet with calories designed for individual's need. Send your reports privately and I can help.
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I am 63 year old male, under medication for Diabetic Type II for past 10 years. My sugar level Fasting is 172 & PP is 254. I am taking the following medicines incl. For cholesterol. Glycomet GP 2 Forte 1-0-1 Volibo 0.3 1-1-1 Pioz 7.5 0-1-0 Glycomet Tab 250 0-0-1 Ecosprin 75 0-1-0 Rosuvas 30 0-0-1 Rantac 150 0-0-1 I am going for a walk around 2-3 KM a day and no other work out. Kindly advise me to keep my sugar level under control.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ghaziabad
I am 63 year old male, under medication for Diabetic Type II for past 10 years. My sugar level Fasting is 172 & PP is...
Hi Mr. S. Lybrate-user, with medicines, diet is also the most important thing to maintain you sugar level under control. You have to take proper balanced diet for sugar control take small and frequent meals. Avoid simple carbs like maida and it's product, potatoes, sweet potatoes, rice etc. Avoid fried foods. Include more fiber to your diet. Take more protein. You need a well planned diet chart to follow and you cholesterol levels and sugar level will definitely be under control with in 10-20 days. *** for proper diet chart you can consult privately.
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I have felt always tired even no longer I work. Loss of appetite, is it not the symptoms of diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have felt always tired even no longer I work. Loss of appetite, is it not the symptoms of diabetes?
Mr Santosh Kumar, Feeling tired without any known reason can be a symptom of diabetes. If you have a family history of T2 DM, it is better to get a blood sugar check up done. That will help in clearing the doubt. Apart from feeling tired other symptoms include excess urination, excess thirst, excess hunger and unexplained weight loss. So please a detailed blood check done.
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I am a girl age 21 my weight is just 44. I am suffering from thyroid from last 3 years n my weight is decreasing rapidly. What kind of diet should I take which can increase my weight. N I have hair loss problem. What steps should I take.

B.Sc. - Dietitics / Nutrition, msc in dietetics & food service management
Dietitian/Nutritionist, Indore
I am a girl age 21 my weight is just 44. I am suffering from thyroid from last 3 years n my weight is decreasing rapi...
Take high calorie and high protein diet do excercise or walk regularly. Don't skip brkfst. With brkfst take 1 glass of milk n add 2 badam n 2 anjeer.
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