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Dr. Ramkumar Md Dm Endocrinologist Aiims  - Endocrinologist, Chennai

Dr. Ramkumar Md Dm Endocrinologist Aiims

DM - Endocrinology, MD, MBBS, DNB Endocrinolog, Fellowship in Diabetes

Endocrinologist, Chennai

18 Years Experience  ·  400 at clinic
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Dr. Ramkumar Md Dm Endocrinologist Aiims DM - Endocrinology, MD, MBBS, DNB Endocrinolog, Fellowshi... Endocrinologist, Chennai
18 Years Experience  ·  400 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramkumar Md Dm Endocrinologist Aiims
Dr. Ramkumar Md Dm Endocrinologist Aiims is a renowned Endocrinologist in Thirumangalam, Chennai. He has been a practicing Endocrinologist for 11 years. He is the only diabetologist and endocrinologist to be certified with both DNB endocrinology and DM endocrinology in Chennai and Tamilnadu. He is a DM - Endocrinology, MD, MBBS. He is currently practising at Dr Ramkumar Endocrine and Thyroid Clinic in Thirumangalam, Chennai. Don?t wait in a queue, book an instant appointment online with Dr. Ramkumar Md Dm Endocrinologist Aiims on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 29 years of experience on Lybrate.com. Find the best Endocrinologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
DM - Endocrinology - All India Institute of Medical Sciences, New Delhi - 2011
MD - Madras medical College - 2006
MBBS - Thanjavur medical college - 2000
...more
DNB Endocrinolog - National Board of Examinations, New Delhi - 2011
Fellowship in Diabetes - Auckland, NZ - 2013
Languages spoken
English
Hindi
Professional Memberships
The Endocrine Society
Endocrine Society of India

Location

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Dr Ramkumar Endocrine and Thyroid Clinic

18, JJ Complex, Thirumangalam, Anna Nagar westChennai Get Directions
400 at clinic
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Know more about Diabetes

MBBS, MD - Internal Medicine
General Physician, Delhi
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Types, symptoms and treatment for Diabetes

Hello viewers, mera naam Dr. Ritez Kumar hai. Main M.D Medicine hu and I have a keen interest in treating Diabetes. Aaj hum thoda diabetes ke baare mei jaanege ke kya precautions hai? Kyun hota hai? Aur kaise hum ekatthe ho kar visualize therapy taiyaar karte hai.

Toh pehle hum shuru karte hai ke diabetes hai kya?

Jab bhi hum khaana khate hai toh wo absorb hota hai aur sugar humare blood mein jaata hai. Is sugar ko use karne ke liye insulin naam ki ek hormone ki zarurat hoti hai aur is insulin ka kaam hota hai ki ye aapke cells mein is sugar ko use karwaye. Toh fir, generally diabetes do tarah se hota hai; ya toh aap insulin bana nahi rahe ya aapke body mein insulin resistance hai arthaat insulin aapki body mein kaam nahi kar paa raha hai. Bas inhi do kaarano se diabetes hota hai.

Diabetes ka pata kaise chalta hai?

Generally koi symptoms hote hai jaise ki thakavat aana, bahut zada pyaas lagna, unintended weight loss hona, baar baar pishaab ko janaa, inhi kuch symptoms ke sath diabetes ka diagnosis hota hai. Agar aapke ghar pe kisi ko diabetes hai, agar aap pregnant hai, 30 saal ke upar hai, lifestyle aapki active nahi hai yaani ki baithe rehne ka hi zada kaam hai toh aap apne diabetes ya sugar ka test zaroor karwaye. Diabetes generally do ya teen type ke hote hai ek Type 1 Diabetes hota hai jisme insulin banta hi nahi, iska treatment kewal aur kewal insulin hi hai. Zada tar logo mein Type 2 Diabetes hota hai jisme insulin banta hai par aapki body usse use nahi kar paati. Teesri jo common tarah ki diabetes hai usse hum Gestational diabetes bolte hai jo ki pregnant females mein hota hai. Diabetes ka test bahut simple hai, isme ek blood test kiya jata hai, fasting blood sugar aapka agar 125 ya usse zada hai toh aapko diabetes hai.

Ek test hota hai HbA1c jo ki teen mahine ka average batata hai aapke sugar ka, agar aapka HbA1c 6.5 se zada hai toh bhi aapko diabetes hai. Zadatar time ab hum random ya khane ke baad wala sugar nahi karte lekin fir bhi agar aap kabhi karate hai aur 200 se zada aata hai toh aapko further test ki zarurat hai ye pata karne ke liye ke aapko sugar hai ya nahi hai. Diabetes se diqatte kya hoti hai? Dekhiye, diabetes jo hai wo ek progressive bimaari hai as such bade saare logo ko lagta hai ki ye jo thakavat hai, ye jo weight loss ho raha hai, ye normal lifestyle ka part hai but aisa hai nahi, diabetes aapke body ke har part ko involve karta hai. Major complications jo ho sakte hai jaise aapko dil ka daura padh sakta hai, lakwa maar sakta hai, pair mein gangrene ho sakta hai, pairo ki nase such sakti hai jiske wajah se aapko chalne mein diqqat aa sakti hai, aankhein kharaab ho sakti hai, gurde kharaab ho sakti hai, pet ki diqqat ho sakti hai, sexual activity mein diqqat aa sakti hai, koi bhi chota infection bahut jaanlewa ho jaata hai, isliye diabetes ka control bahut zaruri hai aur jitna early hum iska treatment start kare utna hi aapke liye faidemand hai.

Ab diabetes ke liye treatment kya hai?

Diabetes ke treatment ko hum generally do bhaago mein divide karte hai; ek hai lifestyle management aur dusra dawaiya. Lifestyle management mein main humesha apne maarizon ko samjhata hu ke ye dawaiyon se zada important hai. Lifestyle management mein teen cheezein aati hai: weight control, diet and exercise. Weight control mein bhi fir teen cheezein aati hai ke aapko motivated hona hoga ke aap weight lose karna chahte hai ya nahi aur iska exercise pattern bhi hum individualize karte hai ke aapko kya karna pasand hai. Agar aapke ghutno mein dard hai toh shayad aap walking na kar paaye, aapke liye cycling better hai. Agar aap yoga karne chahte hai toh uske liye bhi hum individualize karege but depend karta hai aapko pasand kya hai. Issi tarah se se diet ko bhi individualize kiya jata hai. Ye sabhi ko pata hai ke diabetes mein sugar nahi khana hota, aaloo ki cheezein nahi khaani hoti hai, but regional differences hote hai, cultural differences hote hai aur us hisaab se hum aapko batate hai ke kya khana hai aur kya nahi khana. By and large, complex carbohydrates, fresh fruits, jo ki bahut zaada meethe na ho, healthy portion of vegetable and salads.

Ek rule of thumb hai jo ki har diabetic patient ko follow karna chahiye. Exercise ke baare mein kam se kam aadha ghanta, bahut acha ho agar aap 45 minutes har din walk kar paaye, kam se kam hafte mein 5-7 din. Diabetes mein medicines bahut tareeke ke hote hai, maine pehle bhi bataya ki Type 1 diabetes ka ilaaj sirf aur sirf insulin hai, Type 2 diabetes mein different medications hai aur diabetes bahut hi advancing field hai jisme ke din ba din naye drugs aa rahe hai. Ye aap apne doctor se mile, aapke kis level ka diabetes hai, aapko sath mein kya complications hai, aapke tests kya reveal karte hai, aur aap kis regimen ko follow kar sakte hai, us hisaab se hum aapke diabetes ka plan banate hai. Aqsar hum sugar ki mareezon ko ye pata nahi hota kea cha sugar control bolte kisko hai. Acha sugar control hum tab bolte hai jab aapka bhuke pet wala ya fasting wala sugar 140 se kam ho. Agar random karwa rahe hai ya khan eke do ghante baad wala karwate hai toh wo 180 se kam hona chahiye aur teen mahine ka average batane wala HbA1c, 7 se kam rehna chahiye. Agar aap ye teeno goal achieve karte hai, iska matlab hai ke aapka sugar acha control hai.

Agar aap humare sath judna chahte hai, diabetes ka treatment karwane chahte hai ya kuch aur jaanna chahte hai toh, please contact me through lybrate.com. Thank you so much.

Type Diabetes
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Dr. my mother is 40 years old she is having a blood sugar which is 428 pp and 308 in fasting she has consulted a Dr. and now she wants to consume Apple cider vinegar pls suggest me when how and how much she will have to consume?

MBBS
General Physician, Davanagere
Dr. my mother is 40 years old she is having a blood sugar which is 428 pp and 308 in fasting she has consulted a Dr. ...
See apple cider vinegar (acv) said to lower the post prandial blood sugar. But there are no investigation or trials has been done to prove that. Any way your mum's sugar level are very very high. You should start (if not started yet or adjust the dosage of the current medication. There s no harm in trying acv, try one glass of luke warm water with one tablespoon of acv in early morning on empty stomach.
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I am 59 years male. Am on Olmesartan 20 mg once daily for BP, Metformin 500 mg twice daily as my HBA1C was 6.7 since Feb 2016. I am having severe fatigue with lot of tingling sensations in foot. Hence was given calcium 500 mg once daily. Now today during investigations the TSH is 5.5. HBA1C 6.2 Some Dr. say I need Thyronorm 25 mcg. Is it needed. Does this confirm that I am having Hypothyroidism. Please suggest/clarify.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
I am 59 years male. Am on Olmesartan 20 mg once daily for BP, Metformin 500 mg twice daily as my HBA1C was 6.7 since ...
It is just subclinical hypothyroidism. Some doctors are of the opinion that it needs to be treated in elderly people and with other comorbid conditions like diabetes. Others prefer to wait and see whether it progresses further. Your fatigue and foot complaints are not related clinically to either diabetes or thyroid disorder considering your reports. There are several other causes. You need to be evaluated for that.

I am 35 years old male and I had taking thyrox 100 mcg last 5 years but nowadays I have problem with gases and goes to latrine 4 to 5 times a day then what should I do? I had used dose of thyrox 100 mcg to 50 mcg?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. If yu are on treatment for hypothyroidism (100 mcg Thyroxine), then best way to judge whether treatment is adequate or not is to check TSH level, it should be maintained between 3 to 4 mU/L. With that most of the symptoms will be in check So whether to reduce or change the dose can only be answered by looking at TSH level. As regards the other complaints those could be related to indigestion. Please increase the water intake and also do regular exercise, which will help in better digestion. Most important is to control hypothyroidism well. Thanks.
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I am a diabetic for last 28 years. My Hb1AC was 7.1. However I was having pain in left hand while walking since November. Physiotherapy was taken to reduce neural pains but cardiologist diagnosed it as angina. unfortunately I had an anterior septal infarction on 3rd Jan 2016, thrombosis was done with Elaxim and on angiography block in 1.5mm LAD pipe was seen, where standing or by pass is not possible. Under treatment with Angispan TR 2.5 BD.

PGP In Diabetologist, Fellowship in Non-Invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I am a diabetic for last 28 years. My Hb1AC was 7.1. However I was having pain in left hand while walking since Novem...
yes, diabetic patients may not have classical angina pain. it is recommended to have bypass in diabetics, but in single vessel disease angioplasty with stent has excellent results .go with your treating doctors advice.
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My uric acid level is 7.4 and I am 28 years old. I have pain in my legs, ankle.i take zurig 40 last 20 days but still I am suffering from pain in my legs, ankle. What can I do?

BPTh/BPT
Physiotherapist, Agra
My uric acid level is 7.4 and I am 28 years old. I have pain in my legs, ankle.i take zurig 40 last 20 days but still...
Hello lybrate-user you can do contrast bath means hot and cold three min hot then one min cold for thrice a day ten ten min.
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I had polypectomy before three months and I was advised to take thyronorm 12.5 mcg. Now after testing thyroid levels my test report suggests thyronormalcy as the TSH seems to be within reference range. Could you please advise whether I can stop taking thyronorm or still to continue with this?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS, DOMS, MS - Ophthalmology
Endocrinologist, Bangalore
I had polypectomy before three months and I was advised to take thyronorm 12.5 mcg. Now after testing thyroid levels ...
To the best of my knowledge, There is no direct relation between cervical polyp and Thyroid status. Regarding your question on Thyroid meds, please bear in mind that TSH is NOT a reliable independent indicator of Thyroid "normalcy" and "normal" is not "optimal" Thyroids have to be managed based on clinical and lab parameters taking into consideration coexisting metabolic and hormonal imbalances.
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My serum creatinine is 1.6 for the last 4 months. All other blood parameters are within normal range. In Urine fine traces of Protein noticed. I am a diabetic and hypertension. What should I do. What should be my diet pattern.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Diabetologist, Thane
My serum creatinine is 1.6 for the last 4 months. All other blood parameters are within normal range. In Urine fine t...
Dear lybrate-user, Your kidneys are filtering 45 ml of blood per minute instead of normal 60 ml. That means that kidneys are functioning less optimally than normal for your age, gender. You need to control your blood sugars and BP very stringently. You should be prescribed renal safe medication. You’ve not shared your prescription. Regards.
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