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Dr. Sivakumar

Endocrinologist, Chennai

250 at clinic
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Dr. Sivakumar 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. Sivakumar
Dr. Sivakumar is an experienced Endocrinologist in Triplicane, Chennai. You can consult Dr. Sivakumar at Sakthi Hospital and Research Centre in Triplicane, Chennai. Book an appointment online with Dr. Sivakumar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 36 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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Sakthi Hospital and Research Centre

No: 175, Big Street, Triplicane. Landmark: Near To Indian Bank, ChennaiChennai Get Directions
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Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for diabetes. Does it really exists and how it can be helpful for me? I am taking tablet meantime 500 1 tab twice kindly do needful and advice me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor. I am manisha female 47 year old. I am known case of diabetes and few days ago I read about vaccine for ...
lybrate-user, I am not aware of any vaccine being developed for treating or preventing diabetes. Normally vaccines are used or developed against infective diseases like - small pox, polio, mumps, measles, hepatitis, HIV etc (all viral infections) or bacterial diseases like pneumonia, TB, typhoid, etc. Diabetes can only be controlled by proper drugs, diet restriction and exercise. Thanks.
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Sir, I am 35 years old and I have diagnosed diabetes recently, my question is that now we are in the morden medical science where we can change almost everything in human body like heart, kidney, lungs, eyes, etc so why we can't replace panceas for relief of diabetic patients? please answer.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
It is still in research stage. But if the diabetes is type-2 and you are obese you can cure it by getting bariatric surgery done.
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My husband is 35 yrs old & suffering with chronic pancreatitis and diabetic. Please suggest what measures he has to take for diabetes control, he is also having legs pain. Kindly give some solution.

FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist, Ahmedabad
Please send complete reports including ct scans, usg etc. Does he have pain? diabetes due to chronic pancreatitis needs to be tackled very seriously as sugar level fluctuates quite often and chances of decreasing blood sugar is also high if diabetes is corrected too aggressively.
1 person found this helpful
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If someone' s family has a history of diabetic disease.Does avoiding sugar intake at early age helps in controlling the disease?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I don't think so. No doubt that hereditary factor plays an important part in diabetes but avoiding sugar doesn't guarantee that u will be less prone to diabetes. Leading a stress free life, exercising regularly and taking a nutritious life can help you in this aspect rather than consuming less sugar.
1 person found this helpful
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My father age is 65 years. He is suffering from diabetes last 12 years. He is under diabetic treatment & regular ate 1 tab trivoglitor 2 before lunch. Now his FBS is 393 mg/dl and PPBS is 558 mg/dl. What should I do? Kindly help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father age is 65 years. He is suffering from diabetes last 12 years.
He is under diabetic treatment & regular ate ...
Mr. Lybrate-user, the levels mentioned are exceptionally high, need urgent reduction. It shows that the present treatment is not at all beneficial. Ina controlled diabetes fasting is closer to 100 mg and pp about 150 to 160 mg / 100 ml and hba1c% <7. The above levels can rapidly lead to serious long term complications related to diabetes. It is better if he is shifted to insulin injections. Otherwise it is difficult to control the sugar levels. He should also undergo an eye examination to see if there is diabetic retinopathy. (eyes to examined after dilating the pupil). If you are willing to shift to newer treatment,
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I am 36 years old my sugar levels are 160-190 before food and 240 after food. Bp is normal, I am 140kgs, I do smoke and drink, so I am not taking any medicine but want to control my sugar levels by diet. Pleases suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 36 years old my sugar levels are 160-190 before food and 240 after food. Bp is normal, I am 140kgs, I do smoke a...
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 sugar 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.
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My fasting blood glucose level is 112 and post prandial is 143 and hba1c is 6.6 should I start treatment for diabetes or should modify my diet and physical activity

MBBS, MD - General Medicine
General Physician, Pune
Most important is diet and exercise. Please go for these very religiously. And keep on checking your sugar monthly. HbA1c after 3 months. Best luck Dr Abhijeet Baldota MBBS MD MEDICINE Diabetologist
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Top 5 Things All Diabetics Must Do

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Top 5 Things All Diabetics Must Do
Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body.
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.
3624 people found this helpful

I am a diabetic patient i am 40 years what kind of food I can avoid, and what kind of food I can take ?

C.S.C, D.C.H, M.B.B.S
General Physician,
Eat more vegetables and minimum of rice. Wheat, butter sweets etc. Reduce intake to one third of what you eat now. Send me the report in ask privately option. Www. Lybrate. Com/drsajeev.
3 people found this helpful
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Am a diabetic for last 20 years. Fasting :99 PP BS :112 Hba1c: 6.6 Kidney function Blood urea :26 Serum creatinine: 1.2 Serum uric acid: 4.1 Serum calcium :9.0 In view of above, any further advice please.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Am a diabetic for last 20 years. Fasting :99
PP BS :112
Hba1c: 6.6
Kidney function Blood urea :26
Serum creatinine: 1...
Mr. lybrate-user, Your diabetes is in very good control. Keep it up. No further advice, what you are following now appears to be working very well for you. Maintain the same. Good to know, some one who is so conscious about maintaining a good control Thanks.
1 person found this helpful
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Can you please tell me how can I diabetes and high b p patient. please answer me.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Can you please tell me how can I diabetes and high b p patient. please answer me.
You need to do some investigations and start on regular medicines along with exercise and recommended diet.
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Sir, I am 40 years old and have a thyroid problem from past 3 years. I have Used tablets couple of days. Suggest me a doctor for permanent treatment.

BHMS
Homeopath, Navi Mumbai
For medicine free life, homeopathy is option. You have to undergo a short course of medicine. But proper analysis and evaluation is needed. Please consult a skilled homeopath soon. All the best.
1 person found this helpful
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Sir. Everyone tells for kidneys better performance one should take minimum 8 glasses of water. I consume 1 cup tea (with milk and sugar) and 8 to 9 cups of black tea (without sugar) daily. Is there any problem for taking this much daily? Is it a replacement for water?

MBBS, Post graduate in diabetology, fellowship in pain medicine
Diabetologist, Howrah
Sir. Everyone tells for kidneys better performance one should take minimum 8 glasses of water.
I consume 1 cup tea (w...
Avoid milk in tea. No problem in taking 8 cups of tea with reference to your kidneys, but there may be other problems. So try to keep it within 5 cups per day. Don't try to replace water with tea.
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My wife's age is 41years, menopause not happened yet, have thyroid problem, and also she is suffering from hair loss problem. Please Suggest

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
My wife's age is 41years, menopause not happened yet, have thyroid problem,  and also she is suffering from hair loss...
We have specialized tablets to control hair fall. These tablets clear blocks at the root of hair follicles thereby giving them proper protein and nutrition and hence hair becomes thick and strong and follicles that are devoid of hair acquire nutrition and grow hairs in them. At the same time, medicine retards destruction of estrogen, thereby reducing hair fall. Above all else, medicine strengthen liver so that absorption of calcium and phosphorus from food increases. This is how it is complete hair care system. Regards
2 people found this helpful
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Has a high sugar blood she is using janumet 1000 & Demicron but still the measurement is high over 250. your advise is appreciated.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Has a high sugar blood she is using janumet 1000 & Demicron but still the measurement is high over 250. your advise i...
Hello, clearly more medicines are advised to be taken in this case scenario. More details are required before anything further can be prescribed.
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Chronic Diabetes - Things You Must Understand!

MBBS, CCEBDM
Diabetologist, Bangalore
Chronic Diabetes - Things You Must Understand!

Diabetes is a known and common medical condition in which glucose or sugar levels gradually build up in a person's bloodstream. In such conditions, enough insulin is not present for moving sugar inside your cells. When such a situation arises, sugar is utilized for obtaining energy. Due to this, your body will tend to rely on alternative sources of energy in the muscles, tissues, and organs. This process continues resulting in a chronic disorder.

Symptoms of chronic or Type 2 diabetes
Warning signs of type 2 diabetes usually develop very slowly. You might have it for years without even knowing about it. Due to excessive sugar building within your bloodstream, fluid tends to come out from tissues. In turn, your thirst might increase and lead to frequent and excess urination because of additional water consumption. If you have chronic diabetes and is unaware of it, then gradually fluid might be pulled out from eyes' lenses and lead to blurred vision along with an inability to focus properly.

Some patients with type 2 diabetes also get affected by frequent kidney, skin, bladder infections. Due to high blood sugar level, such infections might take a long time to heal completely. If you possess dark patches and velvety skin especially in the folds of neck and armpits or any other body parts, then it will be a wise decision to consult your physician immediately as it is another warning sign of chronic diabetes.

Besides increasing thirst, another basic and contradictory symptom of type 2 diabetes is increased hunger along with weight loss. Despite consuming more food than usual to cope up with the increased hunger, an individual having high blood sugar may lose weight. You might also feel irritated or tired if the cells of your body are deprived of sugar. Various other symptoms including foot pain, yeast infections, itchy skin, numb feeling, etc. are also present and the signs become severe and more dangerous with the progress of the disease.

What is the perfect time to visit a doctor?
If you notice any of the above mentioned symptoms of chronic diabetes, then that is the best or perfect time to see a physician. It is not mandatory that you will definitely have this health disorder if you observe any symptom within yourself. If you have excessive work pressure for a couple of days, then for sure you will feel exhausted. But, that does not mean your fatigue is the warning sign of diabetes. For being, sure enough, it is best to consult a trained medical practitioner.

Without proper treatment, diabetes can also become threatening to life. This chronic health disorder might result in complications related to heart, and during pregnancy, it can prove deadly.Maintaining a healthy eating habit, controlling weight, performing a daily physical exercise and consuming recommended medications will help in controlling high blood sugar level.

Type diabetes

I am 43 years old man and had a CABG (bypass surgery) before 4 months i.e. On 11-06-2015. I have well managed diabetic problem also. Can I use 'Tadalafil' tablets now which was prescribed my diabetic doctor before my surgery.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am  43 years old man and had a CABG (bypass surgery) before 4 months i.e. On 11-06-2015. I have well managed diabet...
no,don't take it on ur own .first u have to be clinically assesed for the same..get in touch with the cardiac surgeon who did bypass and ask him in detail
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I am 74 years old. Suffering from diabetis, thyroid, artirial philberation and sleep apnea and using machine while sleeping. My main problem is how to control irregular heartbeet. At present I am ok but in future problems may arise. I have already undergone electric shocks thrice to set right the heartbeet. The last 4 years back. Now I am using flavadon Mr. Once a day. Kindly advice me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
You are taking trimetazine which is typically given in the management of angina or ischemic heart disease. Either your af is due to an ischemic episode some time back or due to thyroid. Please consult with all your reports as well as medications and ecg with ii long lead. Atrial fibrillation has some other problems too mainly pertaining to clots getting formed in the atria. Ideally there are drugs available for the management of the af which can be given and there are some minimal invasive surgical procedures too. Best of luck.
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My mother had diabetics and now I am aged 58 years, I am walking briskly for 5 km daily and I am not having cholosterol, what is my changes of having diabetes ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It all depends upon your mental status. If you r mentally fit and health conscious then chances r almost very very less.
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How can we know regarding heart attack? Means angiography is necessary to know if patient has high BP, Cholesterol, Thyroid and sugar about 200 (random).

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How can we know regarding heart attack?
Means angiography is necessary to know if patient has high BP, Cholesterol, T...
Mr. Lybrate-user, the various things you have mentioned are some what inter related but everything can not be predicted as you may be thinking. Various things can cause problem with heart. High cholesterol can cause blocks in the coronary artery which can lead to angina or later myocardial infarction (heart attack). High blood pressure puts extra work load on the heart. Diabetes does affect large blood vessels (coronary artery) and also aids dyslipidemia. Tests like echocardiogram and angiography do help in identifying possible causes leading to heart attacks.
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