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Dr. Tv Kumar

Endocrinologist, Chennai

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Dr. Tv Kumar Endocrinologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Tv Kumar
Dr. Tv Kumar is an experienced Endocrinologist in Avadi, Chennai. You can meet Dr. Tv Kumar personally at Subhamathy Clinic in Avadi, Chennai. You can book an instant appointment online with Dr. Tv Kumar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 30 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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Subhamathy Clinic

5 Singara Muthali Street Karayanchavadi, ChennaiChennai Get Directions
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What is initial stage of high blood pressure and blood sugar? And how we protected our self from those diseases?

lybrate
General Physician, Mumbai
What is initial stage of high blood pressure and blood sugar? And how we protected our self from those diseases?
Dear lybrate user, the initial stages of type 2 diabetes & blood pressure are known as pre-diabetes and pre-hypertension. The most important fact one needs to keep in mind is that these are predominantly lifestyle disorders hence one needs to lead a healthy lifestyle in order to prevent these. The following tips could be useful: - Sleep well for at least 6-7 hrs everyday - Eat small meals at regular timings everyday, eat well balanced meals. Do not skip your meals. - Avoid eating outside food very frequently (once a week should be fine) - Reduce the amount of salt you take in a day, and preserved/ processed foods (pickles, papad, ready to eat meals, etc) - Avoid too much of coffee, tea, alcohol and stop smoking or taking tobacco - Exercise everyday starting with 20 mins and increasing it to 1 hr (any form like walking, running, swimming, weight training, or even a mix if fine as long as you do it consistently everyday) - Do not take stress about issues, be positive and try to be happy - In case you have a family history, regular check-ups wih your family physician is preferable Though many of these might seem difficult to follow in one go, but slowly you could adopt these measures, which will help you remain healthy and reduce the likelihood of you developing these cardiovascular disorders. Take care!

My father has been suffering from diabetes since many days. Could you please suggest him right diet?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father has been suffering from diabetes since many days. Could you please suggest him right diet?
if he is suffering form dm t2, then to suggest any diet I need to know fasting and pp sugar levels, present dietary pattern, hba1c% and extent of daily exercise, current treatment with dosage. Without those details it is not possible to give a diet plan as it is highly individualised. In the mean time he should: 1) avoid sweets completely, 2) avoid deep fried foods, junk foods and pastries. 3) avoid sweetened aerated drinks, fructose corn syrup containing products & highly processed products. 4) refrain from alcohol and smoking. 5) consume more of green leafy vegetables and salads, permitted fruits (about 100 g a day). 6) exercise daily for at least 1 hour to keep weight in check. 7) he has a bmi of 29.41kgs which shows he is over weight close to being obese.
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I have been suffering from tyoe2Diabetes since 12 years and I am not able to control it by using insulin. Average sugar comes to 250. Please suggest me how to control it.

MBBS
General Physician, Mumbai
I have been suffering from tyoe2Diabetes since 12 years and I am not able to control it by using insulin. Average sug...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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Best medicine for type 2 diabetics r you give good suggestion I will follow continue with you.

BHMS
Homeopath, Faridabad
Best medicine for type 2 diabetics r you give good suggestion I will follow continue with you.
Hi, Type-2 Diabetes is a lifestyle related problem, so making a few lifestyle changes can lower the chances of developing type 2 diabetes. -Excess weight is the single most important cause of type 2 diabetes, so control or reduce your weight if you are overweight! -Avoid sedentary lifestyle and start get moving. Brisk walking for a half hour every day reduces the risk of developing type 2 diabetes. -Modify your diet: *Choose whole grains and whole grain products over highly processed carbohydrates. The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. *Avoid sugary beverages which have a high glycemic load, and drinking more of this sugary stuff is associated with increased risk of diabetes. *Choose good fats instead of bad fats. Good fats found in liquid vegetable oils, nuts, and seeds. Trans fats or bad fats are found in many margarines, packaged baked goods, fried foods, fast or junk foods. *Limit intake of red meat and processed meats. Nuts, seeds, beans, tofu, or poultry are much more healthful protein choices. -Quit smoking. -Moderate alcohol consumption decreases the risk of type 2 diabetes. -Avoid taking unnecessary stress or tension! And keep an optimistic attitude in life! Medication: Take homoeopathic SBL’s Diaboherb medicine/ 3 times a day daily. Home Remedies: Dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of Indian gooseberry (amla) juice mixed with 1 teaspoon of bitter gourd juice twice a day.
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My fiance weight in 2014 was 56 and 2015 it was 60 and in 2016 is 64, we use to have sex and use to have food from outside, as she is a corporate lady had to eat from outside, she had arthritis but cured and recently diagnosed thyroid which is not that serious, can you please suggest any home remedial food and exercise please, will be glad to hear. TSH Level 4.6.

DHMS (Hons.)
Homeopath, Patna
Hi, obaesity, being common, now a days due to irregular life style, - can be reduced, by opting - certain natural norms in life. Go for a brisk walk in d morning to restore blood circulation to nourish d whole body. *tk, plenty of water to eliminate toxins and to regulate metabolism to burn fats cell. Go for meditation to reduce your stress and to nourish cell& tissues to curb fats cells. * go for cycling, jogging, swimming, skipping, gardening, playing badminton. * opt staircase, instead of a lift. * tk, oats with green tea in d breakfast. * tk, salad, fruits, sprouts in ample qty in lunch. * consume salad, fruits whenever you feel hungry. Avoid, caffeine, nicotine, alcohol, junk food, cookies, burger, pizza. Homoeo medicines which r administered gently, acts rapidly without any adverse effect, thereof. @ phyto berryq -10 drops, thrice, with little water before each meal. @ thyroidinum 30-6 pills, thrice a day. Tk, care.
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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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Sir my mom has high sugar since last 2 years. What precautions she should take to get rid of such health problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir my mom has high sugar since last 2 years. What precautions she should take to get rid of such health problem?
Mr Suail, If she has diabetes, then regullar treatment with proper drugs, diet control and exercise all these three things have to be followed for life time. Diabetes is a condition that can only be controlled there is no cure. She should avoid sweets, deep fried foods, junk foods and pastries. Consume more of green leafy vegetables, salads and about 100 g a fruits per day. (no banana, grapes, chikkkoo and mango). Should exercise daily for 1 hour, brisk walking is good enough and must. Avoid ghee, butter, high fat cheese.
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Hello sir/madam my sister is pregnant from 2 month. But she has type-2 diabetes with now blood sugar level is 135 mg/dl at fasting. She taking Sitagliptin nd glycomet gp2 forte as medication. Again before 6 month she having increase t3 and t4 level. With constant decrease TSH. Is she is safe during pregnancy? Or any precaution is taken during her pregnancy? Kindly tell.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hello sir/madam my sister is pregnant from 2 month. But she has type-2 diabetes with now blood sugar level is 135 mg/...
Hello, firstly get her to see a gynaec right away to confirm the pregnancy. Who wud then refer her to any endocrinologist for her sugars and thyroid levels. She wud probably be asked to stop sitagliptin as itz unsafe in pregnancy but please do this only after seeing the doctor as he wud put you on alternative meds. Her thyroid wud be checked again. But please visit the doctors as therez a risk to the baby also with this sugar level and meds.
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I am suffering from diabetes recently detected. My sugar level was 370 (F) and 501 (PP) .and I am also suffering from high bp for which I am taking medicine and it is under control. Doctor I want to know about the diet intake for diabetes and way to keep it under control.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am suffering from diabetes recently detected. My sugar level was 370 (F) and 501 (PP) .and I am also suffering from...
Mr. lybrate-user Verhese, Thanks for the query. The blood glucose levels mentioned are seriously high. It is absolutely essential to bring those under control very quickly. Ideally fasting should be < 100 mg, PP 150 to 160 mg & HbA1c5 <6.8. With such high levels there is a severe resistance to yur Insulin action due to glucotoxicity and lipotoxicity. Therefore, it is better to initiate the treatment with Insulin injection along with oral drugss, achieve a strict and good control of blood glucose. Then after about 3 to 4 months we can discontinue Insulin and control the blood glucose with oral drugs, diet and exercise. If you are only on oral drugs now, it will be difficult to achieve a quick and necessary glucose control. As regards the diet, I need to know the present dietary pattern, extent of daily exercise and drugs (if already treatment has been started). Following are certain precautions to be taken: 1) Stop all sweets, deep fried foods, avoid junk foods, pastries, bakery items and all foods made from maida. 2) Increase the intake of green leafy vegetables, salads and fruits. 3) Always use whole grain flour for roti and chapati. 4) Avoid fructose syrup containing foods, colas and red meat. 5) Refrain from alcohol and smoking. 6) Exercise daily for over one hour. If you are looking for specific instructions and even treatment please come is private conversation (paid consultation, then I will be able to even prescribe if there is any need. Thanks.
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MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Thyroid diseases and Diabetes are quite closely related to each other. All diabetics, especially Type 1 diabetics, should undergo screening for thyroid diseases as adviced by their Diabetologists. As thyroid diseases are more common in women, all female diabetics should definitely get screened too.
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