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Dr. R.Tolstoy

MBBS

Endocrinologist, Coimbatore

150 at clinic
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Dr. R.Tolstoy MBBS Endocrinologist, Coimbatore
150 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R.Tolstoy
Dr. R.Tolstoy is one of the best Endocrinologists in Peelamedu, Coimbatore. Doctor is a qualified MBBS . Doctor is currently associated with Aquest Clinic in Peelamedu, Coimbatore. Don’t wait in a queue, book an instant appointment online with Dr. R.Tolstoy on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. Find the best Endocrinologists online in Coimbatore. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - NA -

Location

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Aquest Clinic

No 84/67,Balan Nagar, Mkp Road, Peelamedu.LM: Near Priya stores, CoimbatoreCoimbatore Get Directions
150 at clinic
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I am suffering from diabetics for the last 5 years. I have started insulin 30/70---with 40 ml syringe. Please ADVISE WHICH one whether 40iuor 100iu should be used. Further when I use 100iu --15 units the reading is less than 100 fasting while as when I use 40iu with 40 ml syringe the fasting reading is more than 150, what shall I do? Please advise.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I am suffering from diabetics for the last 5 years. I have started insulin 30/70---with 40 ml syringe. Please ADVISE ...
You must use right syringe with 40 you / 100 you insulin. Please donot exchage. Both are good. But new insulin all are are based on 100 you. So prefer this.
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Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.

PDDM, MHA, MBBS
General Physician, Nashik
Hi My uric acid is 6.02 .Is it in normal range. Or shall I have to take medication for it.
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). The first thing you should do is to eat foods that are high in fiber, This is because fiber rich foods absorb uric acid from the blood. Your kidneys then 'throw' out the excess uric acid. Try to eat Oatmeal, Spinach, cauliflowers and Isabgol in milk if possible.  Please use olive oil to cook your food. Kindly avoid vegetable oils because they become unhealthy when heated twice. This leads to rancid fat in the body. These destroy vitamin E, that in turn controls uric acid levels. Olive oil also curbs uric acid by itself.  Vitamin C chewable tablets taken 500 mg daily lower uric acid levels within 4 to 8 weeks.  Try to stop intake of sweets, cakes and pastries. Saturated fats are bad for you.  Many fruits have got potent anti-oxidant properties, like celery seeds, grapes and tomatoes, and these prevent harmful toxins from attacking your organs - releasing uric acid.
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Hello how many type diabetes in the world now? If I have my fasting blood sugar 140 need to eat tablet regular? Until 5 years with out medicine I keeping my blood sugar 140 please tell about it. After meals my blood sugar 200 but the fasting time 140.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello how many type diabetes in the world now? If I have my fasting blood sugar 140 need to eat tablet regular? Until...
Hello, there are mainly 2 types of diabetes are present. T1 dm where there is no insulin produced in the body, these patients need for treatment and survival only insulin injection. T2 dm where there is lack of insulin or/and there may be resistance to its action. This is commonest variety with 90 to 95% patients belonging to this category. It runs in the families. Can be treated by oral drugs and / or insulin. Fasting sugar >126 mg and pp 200 mg and above is diagnosed as diabetes. This needs treatment. Reducing hyperglycemia is a must to prevent or delay the long term complications of diabetes. Drugs, controlled diet and weight reduction and exercise are part of the treatment.
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I have suffering from blood pressure and sugar pls tell how to control these two naturally and without taking more tablets.

MBBS
General Physician, Cuttack
I have suffering from blood pressure and sugar pls tell how to control these two naturally and without taking more ta...
Prevention 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment prevention of Diabetes Control of BP Control Of Bp 1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2.reduce your weight if overweight 3.Reduce salt intake 4. Drink plenty of water 5. Take bland diet,avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, Fruits , 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8.Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp regularly and consult Physician for treatment
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I have thyroid 5.5 tsh and what is the medicine for it. And what time to take medicine every day.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I have thyroid 5.5 tsh and what is the medicine for it. And what time to take medicine every day.
medicine for hypothyroidism is thyroxine tablets. It should be taken early morning before taking anything else and for two hrs no food should be taken.
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My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days m feeling frequent urination. Is it any serious?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days ...
Lybrate-user, fbs between 108 mg to 125 mg is considered as pre- diabetes. There is no treatment required, but better to take precautions like avoiding excess sweets, junk foods, pastries, bakery items, sweetened aerated drinks (colas), fructose corn syrup containing products, highly processed food products and high fat milk products. Consume more of green leafy vegetables, salads, and fruits. Use whole grain products, avoid refined flour like maida. Exercise daily for at least 1 hour. To diagnose diabetes fasting should be >126 mg & pp > 200 mg/100 ml. So please check pp level and inform.
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I am pregnant (ist trisemester). My tsh was 17.25 on 28 may 2015, so I consulted an endocrinologist nd he put me on tab. Thyrox 50 mcg nd recommended ft4, tsh after six weeks. Now I hv done the test nd latest report shows tsh as 5.23 so, can you advice me further dose or treatment.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am pregnant (ist trisemester). My tsh was 17.25 on 28 may 2015, so I consulted an endocrinologist nd he put me on t...
Madam, it appears that the treatment is helping you as the levels have come closer to normal. However, dosage may have to be increased to 75 mcg and tsh levels need to be checked again after 6 weeks. Better to consult your endocrinologist for exact dosage.
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I have depression problem with me as well as thyroid due to Two three year back typhiod.

MBBS, DPM
Psychiatrist, Bangalore
I have depression problem with me as well as thyroid due to Two three year back typhiod.
Dear Vikash, Typhoid sometimes precipitates depression. Please remember both are treatable conditions. Thyroid is a hormonal function that need replacement for life. With treatment you will lead a normal life.
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Are my symptoms consistent with thyroid disease? Could my symptoms be the result of anything else and what Investigations do I need to have performed to make a diagnosis? Help me sir.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr Vimmy,How do I know whether your symptoms are of hypothyroidism or not, because no symptoms are mentioned. To know if you have hypothyroidism get the thyroid assay done, results of that will help in deciding. Any good clinical /pathology lab does these tests.
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