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Dr. Sivakumar

Endocrinologist, Chennai

250 at clinic
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 35 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: 175, Big Street, Triplicane. Landmark: Near To Indian Bank, ChennaiChennai Get Directions
250 at clinic
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My father in-law is a diabetic patient. He has diabetic foot. One month ago he underwent a surgery and his thumb had been amputated. Can he take Oats?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
My father in-law is a diabetic patient. He has diabetic foot. One month ago he underwent a surgery and his thumb had ...
Mr. lybrate-user, Oats can be taken by a person with diabetes, there is no problem at all. However, since he has had a severe complication related to diabetes it is essential that blood glucose levels are maintained strictly as advised by his physician. Ideally fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c% <7. Please see that these levels are constantly maintained. Thanks.
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Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 2012. Currently my throid level is 4.16 and doctors have asked me to reduce the weight because I am suffering from knee pain recently. Can I get the solution / guidance to loose weight so that I can have my throid controlled as I have started walking daily as an exercise. My job profile is alsways at the desk. Also I need a solution for my knee pain problem. Currently I am taking calcium supplementary called glucosamine tablets.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 201...
Your BMI is 30.30kg/m2 which is showing you are obese. The ways to reduce weight are mainly two 1) reduce the food intake, 2) exercise and burn extra calories. There are drugs like orlistat tabs which does help in reduction of weight (about 6 kg in a year), but has certain side effects. Since you complain of knee pain, can try some stretching exercises and abdominals which do not put strain on knees. Also alternately join yoga classes learn asanas that help. Set a target of reducing 2 kgs per month, that can be achieved by cutting down 550 calories from your daily intake. Your caloric intake daily should not exceed 1000 calories and exercising has to continue. Glucosamine is not calcium supplement, it is supposed to help cartilage building but evidence is not there. Calcium tabs can tab veba plus daily one for a few months.
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How to control uric acid levels?

MD - Internal Medicine, MBBS
Endocrinologist,
control high uric acid by avoid few diets i.e. high purine-rich foods, milk products, protein foods, meat, dried beans, dried peas, mushrooms, whey proteins which are used in zym, diuretic medicines. Eat balanced diet , eat banana, take amino acid rich diets, L- glutamine like supplements, whole grain, oats, green veg., low cholesterol foods, plenty of water in day time, Do test Kidney Function Test every 6 months to monitor levels of uric acid. Consult doctor always for medicines. Do not take medicines by self.
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My blood glucose is 197 fasting, random prandial 297 n chrolestial 135 - prescribe treatment, cure and precaution wih diet ?

MD - Pathology
General Physician, Amritsar
My blood glucose is 197 fasting, random prandial 297 n chrolestial 135 - prescribe treatment, cure and precaution wih...
You will have to take treatment in medical supervision. With regular blood sugar level assessment. No sugar at all. Take a diet low in carbohydrates and fats and rich in proteins. Take plenty of fresh fruits and salads. No mangoes. Brisk walk will help but do as advised by physician. Get your treatment started early as blood sugar levels above 200, cause damage to all body organs.
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What is the perfect diet of diabetes.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
What is the perfect diet of diabetes.
●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil  ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats  ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS:  Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean
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I am 28 year old having diabetes problem.What can i do?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
I am 28 year old having diabetes problem.What can i do?
Get a proper blood test done, checking fasting, after food sugar, hba1c%, lipid profile etc, and consult your doctor for proper medication. Also do regular exercise and avoid sweets, deep fried foods, fruits like mango, grapes, chikkoos and bananas and smoking and alcohol.
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Best in house medication to improve thyroid problem.

MD - Internal Medicine, MBBS
Endocrinologist,
Best in house medication to improve thyroid problem.
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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Obesity and Diabetes

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
Obesity and Diabetes

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus.

Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes: Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk: Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.

2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.

3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-

Choose whole grains and whole grain products over highly processed carbohydrates.

  • Skip the sugary drinks, and choose water, coffee, or tea instead.
  • Choose good fats instead of bad fats.
  • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor.

3351 people found this helpful

I am type 2 DM since one year. Taking insulin. Need to learn my diet plan for a day. Sugar level F 120 PP 180.

MBBS
General Physician, Delhi
I am type 2 DM since one year. Taking insulin. Need to learn my diet plan for a day. Sugar level F 120 PP 180.
4-5 small meals per day inclusive of fresh vegetables & fruits, along with total calorie intake of upto 2000 calories/ day.
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I am 75 years plus, was diagnosed with diabetes about 7 years ago and am on metformin 500 bd, galvus 50 bd, telma 80 od, atorva 10 od and atenolol 50 od. The diabetic parameters are within permissible limits ,tested six monthly. Doctor says since the above medicines appear to be controlling the disease, continue for life. Is this safe and right or is any periodic regulation required.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 75 years plus, was diagnosed with diabetes about 7 years ago and am on metformin 500 bd, galvus 50 bd, telma 80 ...
Mr. Lybrate-user, the medicines being taken are quite safe, hence can be continued for long time. Whether for life time is difficult to answer. Because as one get old, blood glucose control varies. Similarly kidney function may get affected due to diabetes itself. Periodic assessment is always required. Thanks.
1 person found this helpful
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I am 39 years old am suffering from sugar can you please help me out to get sugar control.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 39 years old am suffering from sugar can you please help me out to get sugar control.
Ramaji, If you have diabetes (T2), there is need to take appropriate treatment, take proper balanced and restricted diet and do regular exercise for over 1 hour a day. Drugs to used will depend upon severity of diabetes, weight and level of daily physical activity. You will have to avoid sweets, deep fried foods, junk foods and pastries. Consume more of green leafy vegetables, salads and fruits. If you are looking for specific treatment suggestions then please come in a private conversation with details like fasting and PP sugar levels, HbA1c%, dietary pattern and level of exercise and drugs being taken with dosage.
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My fasing sugar is 87 and pp 177. Kindly advise me on the diet to reduce pp further.

BAMS
General Physician, Delhi
Get hba1c levels then it is decided whether next steps medicines will be given to you or not if medicines overdose is there your problem will increase please let me know, what medicines you are taking with dose. Reply me with by click on private.
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I am suffering from thyroid from last 3 year & taking medicine thirox 50 every day. This time my report THS is 6.14, But t3 & t4 is normal range. Blood test with taking medicine. What you suggest continue same medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from thyroid from last 3 year & taking medicine thirox 50 every day. This time my report THS is 6.14, ...
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. Tests every 3 to 6 months.
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My mother is suffering from diabetes since 5 years. Is her kidney will damage? Please suggest.

MBBS
General Physician, Cuttack
My mother is suffering from diabetes since 5 years. Is her kidney will damage? Please suggest.
If the diabetes is not under control and she has long standing diabetes risk of kidney damage is there.she should monitor her blood sugar three monthly along with Hba1c and consult diabetologist for treatment and advice.You can do renal function test like blood urea.creatinine and urine R/E for albumin to find out whether kidney is affected or not.Along with medicine she should go for regular walk,reduce weight if overweight,control diet by avoiding sweets and excess carbohydrates.she should strictly follow diabetic diet after consulting dietician
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I am a diabatic since 2004, Now a days hunger goes down , i am eat 1 roti in lunch and 4 roti in dinner. however my tummey get big why i dont under stand

Vaidya Visharad
Ayurveda, Narnaul
Hello, Ayurveda point of view obesity is MEDAROG . Good medicine is available . Test your cholestrol and thyroid. for better result use our medicine and see result with in 15 days for order with your test reports details. call us at 09034358529 or visit us at www.malhotraayurveda.com
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I am suffering from diabetes from 3 months, I have consulted a doctor also but there is no use, so please give a suggestion to cure diabetes.

BHMS
Homeopath, Raebareli
I am suffering from diabetes from 3 months, I have consulted a doctor also but there is no use, so please give a sugg...
Bitter gourd, also known as bitter melon, can be helpful for controlling diabetes due to its blood glucose lowering effects. It tends to influence the glucose metabolism all over your body rather than a particular organ or tissue. It helps increase pancreatic insulin secretion and prevents insulin resistance. Thus, bitter gourd is beneficial for both type 1 and type 2 diabetes. However, it cannot be used to entirely replace insulin treatment. Drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Also, you can include one dish made of bitter gourd daily in your diet. For further queries get back to me.
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Green tea helps control diabetes. Let me know how best to take it from following options:- 1- without adding anything. It feels dry on the palate and not at all tasty. 2- with honey - 5 gm. 3- dash of lime - 10-15 drops. 4- tinge of black salt. 5- cinnamon powder -1 gm. 6- ginger - 1-2 gm 7- combination of the above. If so, which items? 8- How many cups a day are needed to give maximum benefits?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Green tea helps control diabetes. Let me know how best to take it from following options:-
1- without adding anything...
No single food helps control diabetes. The green tea can just be another addition to a healthy diet. So, if your diet is planned well you can have your green tea which ever way you like it. (except with honey or jaggery).
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Sir my age 36 years old 4 years back attack sugar after three months control still not taken any tablet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir my age 36 years old 4 years back attack sugar after three months control still not taken any tablet.
If you have diabetes (fasting >126 mg and pp >200 mg) then treatment with appropriate drugs is a must. By avoiding to take drugs you are inviting the serious long term complications of diabetes. Diabetes causes upset in carbohydrate, fat and protein metabolism, it affects small and large blood vessels, affects eyes (retina), kidneys causing total failure, affect neres - neuropathy, affects lower limbs and heart. So proper treatment is absolutely essential. In addition to drugs, strict diet control and exercise to maintain or reduce weight is also necessary.
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I have rasoli problem. How can relief from this problem?

BHMS
Alternative Medicine,
Hello if you have chronic glandular swelling you can get result with homeopathy. For better management consult privately. Thanks.
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Hi my friend has sugar at high level, how to reduce the sugar levels? He is suffering from last 5 years. And right now he is taking medicines but it is not working, could you please refer a medicine.

MBBS, MD - Medicine
General Physician, Delhi
Hi my friend has sugar at high level, how to reduce the sugar levels? He is suffering from last 5 years. And right no...
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. It can't be cured completely but you can keep it controlled by taking these precautions.
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