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Dr. Tv Kumar

Endocrinologist, Chennai

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 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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Subhamathy Clinic

5 Singara Muthali Street Karayanchavadi, ChennaiChennai Get Directions
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My blood sugar is F = 110 PP= 140, Gly. Hb=8.1,I am Consuming glycomet 850SR 1tb/d. Afterbreakfas. Whether Dose should be adjusted. Also suggest Diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood sugar is F = 110 PP= 140, Gly. Hb=8.1,I am Consuming glycomet 850SR 1tb/d. Afterbreakfas. Whether
Dose shoul...
Mr. lybrate-user, Looking at the data presented, present blood glucose levels look good, but HbA1c% shows that long term control is not good. So it difficult to advise whether dose had to be increased or maintained. One has to look at blood glucose levels 'over a number of days. Since HbA1c% is high, dose of the drug used can not be reduced. Thanks.
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15 years I was suffered with Type 2 diabetes used allopathy medicines, inoculation morning 35 evening 22,, cloistral tab night BP medicine 1tab morning, ISTMATE 500MG1 M&1N Used, sugar levels fasting 110 after dite 190, bp 80/140, Iwas change the medicines in Ayurveda medicine we get suggestion what used medicines.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
15 years I was suffered with Type 2  diabetes used allopathy medicines, inoculation morning 35 evening 22,, cloistral...
ur sugar levels are in good control ,but that doesn't mean u can stop medicines..switchover to ayurveda or any other pathy at this stage will only harm u
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Intracytoplasmic Sperm Injection (ICSI) - How It Can Help You Get Pregnant?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Intracytoplasmic Sperm Injection (ICSI) - How It Can Help You Get Pregnant?

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

  1. Poor sperm perms motility

  2. Semen where sperm concentration is low

  3. Male infertility with unidentifiable cause

  4. Poor sperm quality, with sluggish sperms

  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)

  6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. First step is the sperm collection; a screening is first done

  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision

  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.

  2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

  1. A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization

  2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus

  3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected

  4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 % 

    If you wish to discuss about any specific problem, you can consult a gynaecologist.

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I am 60 year old male. I am suffering from diabetes for 6 to 7 years kindly advise effective with reasonable cost preferably Ayurveda.?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am 60 year old male. I am suffering from diabetes for 6 to 7 years kindly advise effective with reasonable cost pre...
Ayurveda is only offers roi (return of investment), so thanks to our self less forefathers who only shared that dm can reverse and to be maintained n it takes individual efforts. Thanks you trust ayurveda. Start yoga soon n now u'll find large group to move on the path. Though you controlling dm at good but most of dm cases may land in its complications of arteries n nerves. Modern shares its idiopathic? it means so many things involved in this. Yet modern medicine science to be enriched. Yeah those r accepting d things as well. Till you meet ayurveda Dr. You can rely on 3gm mixture of amala, haldi n daru haldi in equal proportion at night/early morning with warm water.
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I have thyroid. Can I take thyroxine tablets at 4.30 am? Why because I have to go class at 5.30 am. Then after I have break at 9.00 am for breakfast. Please give a clarity when I have to take tablet for free motion?

International Academy of Classical Homeopathy, BHMS
Homeopath,
hi -thyroidinum 200 every week then after 1 month one dose of 1M -Spongia 30(3 times a day) -Fucus Q 4 times a day - Iodium 30 (3 times a day) Calcare phos 12c 3times day for 12 days Lapis alb12c 3times day for 12 days Lycopus3c 3times day for 12 days Calcarea iod12c 3times day for 12 days
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I am dibatic patient level fasting 135 and after meal 180 to 200. Kindly suggest safe medicine.

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes affects all organs from foot to hair. You need to keep a strict control by self monitoring blood glucose (smbg) by glucometer and keep a record to titrate the dose. Diet has to be designed for your calorie needs depending on your age and physical activity. Check your hba1c and send me reports. Now you start with glycomet sr tablets 1-0-1 and check fbs, 2hr ppbs and hba1c after a week and send your reports to me. A diabetic need a constant regular support of a doctor which I can provise you if you remain in personal touch by asking privately.
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I have 8.5 uric acid and 34 HDL. (LDL AND TOTAL CHOLESTEROL IS PERFECT). Regular smoker and drinker. Age about 48.

MBBS
General Physician, Faridabad
tell me what you want know, can take tab zyloric 1tab tds. avoid proteins, milk, paneer, cheese. i will advise you to stop smoking at the earliest, restric drink also, it will be good for you. it will help. welcome for further help.
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Can subclinical thyroid be cured? I had after my abortion. If I take proper care in diet and do meditations and yoga regularly. In June I had 7.2 after a month it went normal without meditations only through proper diet. But in October it's 6.2. Can it be cured without medicines and if I have to take medicines then is it for life long.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
thyroid can not cured without medicines. pl. take medicines for thyroid. and also take diet as iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight also.
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I am 64 years old. My blood sugar is slightly above desired level. What are the food and medicine suggestions?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 64 years old. My blood sugar is slightly above desired level. What are the food and medicine suggestions?
Mr. lybrate-user, Your query is very general, so it is difficult give any answer. Because medication is decided on blood glucose levels severity, HbA1c%, patients weight and extent of exercise etc. Unless all the details are made available there is no way I can give any suggestions. About foods one should avoid sweets, deep fried foods, junk foods, pastries, bakery items and sweetened aerated drinks. Consume more of green leafy vegetables, salads and permitted fruits. Thanks.
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Hi Doctor, what are the symptoms of Thyroid to Girls, if thyroid test is positive can this curable.

BHMS
Homeopath, Chennai
Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypothyroidism is Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an auto immune disorder in which the antibodies are produced by the immune system against its own tissue, which in turn attacks the thyroid gland resulting in hypothyroidism.Severe Iodine defficiency can also lead to hypothyroidism . Natural Homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Top Homeopathic Remedies for Hypothyroidism Calcarea carb , Sepia ,Lycopodium, Graphites and Nux Vomica are the leading homeopathic remedies for hypothyroidism The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter. You can easily take an online consultation for further treatment guidance
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What are the precautions o be taken by diabetes patients and what are their daily food diet to decrease the sugar level.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What are the precautions o be taken by diabetes patients and what are their daily food diet to decrease the sugar level.
DIABETIC DIET ADVICE: ●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,fried foods,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 flour Learn how to live with diabetes: It is common to feel overwhelmed, sad, or angry when you are living with diabetes. You may know the steps you should take to stay healthy, but have trouble sticking with your plan over time. Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favourite music. Eat well: stick to a diabetes meal plan .chose foods that are lower in calories, saturated fat, trans fat, sugar, and salt.Eat foods with more fibre, such as whole grain cereals, crackers, rice, or pasta. Set a goal to be more active most days of the week. Start slow by taking 10 minute walks, 3 times a day.Twice a week, work to increase your muscle strength. Use stretch bands, do yoga, heavy gardening (digging and planting with tools), or try push-ups. Check your feet every day for cuts, blisters, red spots, and swelling. Brush your teeth and floss every day to keep your mouth, teeth, and gums healthy. Stop smoking. Ask for help to quit. Keep track of your blood sugar. Check your blood pressure if your doctor advises and keep a record of it. At each visit, be sure you have a: blood pressure check,foot check,weight check Two times each year, have an: HbA1C test. It may be checked more often if it is over 7. Once each year, be sure you have a: cholesterol test,complete foot exam,dental exam to check teeth and gums,dilated eye exam to check for eye problems,urine and a blood test to check for kidney problems
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I am a diabetic patient and I have also a 16mm kidney stone. What are the reasons of kidney stone. Please tell me?

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
I am a diabetic patient and I have also a 16mm kidney stone. What are the reasons of kidney stone. Please tell me?
Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form. Types of kidney stones Knowing the type of kidney stone helps determine the cause and may give clues on how to reduce your risk of getting more kidney stones. Types of kidney stones include: Calcium stones. Most kidney stones are calcium stones, usually in the form of calcium oxalate. Oxalate is a naturally occurring substance found in food. Some fruits and vegetables, as well as nuts and chocolate, have high oxalate levels. Your liver also produces oxalate. Dietary factors, high doses of vitamin D, intestinal bypass surgery and several metabolic disorders can increase the concentration of calcium or oxalate in urine. Calcium stones may also occur in the form of calcium phosphate. Struvite stones. Struvite stones form in response to an infection, such as a urinary tract infection. These stones can grow quickly and become quite large, sometimes with few symptoms or little warning. Uric acid stones. Uric acid stones can form in people who don't drink enough fluids or who lose too much fluid, those who eat a high-protein diet, and those who have gout. Certain genetic factors also may increase your risk of uric acid stones. Cystine stones. These stones form in people with a hereditary disorder that causes the kidneys to excrete too much of certain amino acids (cystinuria). Other stones. Other, rarer types of kidney stones also can occur.
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I have high tsh and normal t3 and t4. The report says I have mild subclinical hypothyroidism. I have done the test twice and got the same result. What measures should I take with respect to my diet, exercise and sleep? Also is it possible to cure it completely? I'm 42 and female. What other health risks should I look out for? Thank you.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You need to start the medication if not started, If already on the medication then you need to increase your current dose.You will need to reduce your weight by following a proper diet & doing regular exercise... however that can happen only once your TSH is normalised.
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Hello is this Thyroid test normal? My endocrinologist said it is normal Free T3 2.9 pg/ml Free T4 1.4 ng/dl TSH 0.94.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Although the lab parameters are normal, I would note that the FT3 could be considered suboptimal. If you have symptoms such as abnormal weight gain, low energy levels, dry skin, hairfall, low moods, etc, I would investigate further for metabolic imbalances and treat the same. This may or may not include Thyroid supplementation. Secondly, in cases of infertility, prediabetes or depression, I would treat with T3 supplementation rather than T4 for a period of time under close supervision.
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Hello doctor my self Geeta devi I am 40 year old married women I have blood sugar and high blood pressure problem last year what should I do please tell me doctor.

MBBS,Doctor of Medicine, CCH
General Physician, Bhopal
Hello doctor my self Geeta devi I am 40 year old married women I have blood sugar and high blood pressure problem las...
High blood sugar will indicate you have developed diabetes. Raised blood pressure maybe a symptom of hypertension. Both the ailments will require a thorough investigations relating to your heart liver and kidneys and gi system. Physical examination will be a must in your condition. Its very important that you do not delay in getting proper treatment.
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I am 45 year old. I am diabetic patient. I've had surgery 2 years ago. I have serious pain in both the leg. Which doctor should I prefer?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Plese do an arterial dopler of both the legs. If doppler shows some obstruction. You need to visit a vascular surgeon.
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I am diabetic ranging around fasting 85 - 100 abd post lunch 190 to 200. Can I have red wine since less alcohol content. I have doubt that wine may have more sugar content than whisky or vodka / rum, please let me know. thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am diabetic ranging around fasting 85 - 100 abd post lunch 190 to 200. Can I have red wine since less alcohol conte...
If your diabetic on drugs lead a discipline life. Do not be tempted to take alcohol in any form. This in no way is going to help you aldo noe 1. Beer and sweet wine contain carbohydrates and may raise blood sugar. 2. Alcoholic drinks often have a lot of empty calories, making it more difficult to lose excess weight. 3/alcohol can interfere with the positive effects of oral diabetes medicines or insulin. 4. May increase triglyceride levels. 5. May increase blood pressure. So no alcohol in any form good luck.
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I am 45 years old suffering from cirrhosis now I got recognized diabetic also. And my physician has started 20 unit of insulin od. My question is this now will I have to inject insulin life long or it may be for a time period.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 45 years old suffering from cirrhosis now I got recognized diabetic also. And my physician has started 20 unit o...
Mr Deepak, It is difficult give the answer, unless sugar levels (fasting and PP) are mentioned and HbA1c% is known. Some times to control initial severe glucotoxicity Insulin is used along with oral anti diabetic drugs, to bring blood glucose down. Then it may be discontinued. This depends on response.
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My problem is, my wife not get pragnet before 3 years and I live together last 6 month I check to Dr. (Gyeno) but all test are ok I. E hb, vdrl, blood sugar, hiv, hbsag, urine, l, r, thyroid function, hsg and my semen analysis, but no response received.

MBBS
General Physician, Faridabad
My problem is, my wife not get pragnet before 3 years and I live together last 6 month I check to Dr. (Gyeno) but all...
Try if your cycle is regular then take chance on mid of cycle, say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. Or do sex alternate day, more chances but it may happen at any time. Thanks.
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Dear sir, my father had a pain in his ankle he is 49 years old and his weight is 82 kg. When did he go to doctor then doctor did a sugar test and they tested it by digital thermometer then the report came 168 (after morning breakfast )and in evening father did a random test from a reputed lab and report is 95.80 mg/dl through machine testing and the another test he did from lab is CBC and DLC test and the highlighted is TOtal leucocyte count (TLC) is 10140 cell/cmm and Absolute basophil count is 0.01 respectively and after 2 days he again did a sugar test (before breakfast) and i.e 101.61 mg/dl .could you tell me is that normal or how to make it normal.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Dear sir, my father had a pain in his ankle he is 49 years old and his weight is 82 kg. When did he go to doctor then...
Dear lybrate-user, the reports which you have put for your father here, few are normal and few are in prediabetes range. To remove any doubt I would suggest you to get the following tests done 1) HbA1c % 2) Fasting blood glucose (after 12 hour fast overnight) 3) 2 hour post 75 gram gluccon-D blood glucose [take 75 gram glucon D dissolved in a glass of water, and measure blood glucose 2 hours after glucose intake] 4) It is advisable to get a lipid profile done also With these reports please consult an endocrinologist.
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