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Dr. K Rama Krishna

Endocrinologist, Hyderabad

Dr. K Rama Krishna Endocrinologist, Hyderabad
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. K Rama Krishna
Dr. K Rama Krishna is an experienced Endocrinologist in Punjagutta, Hyderabad. He is currently practising at Elite Bharthi in Punjagutta, Hyderabad. Save your time and book an appointment online with Dr. K Rama Krishna on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists online in Hyderabad 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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C' Block, Kranthishikara Apts, Panjagutta, Hyderabad, HyderabadHyderabad Get Directions
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Weight gain precedes the onset of diabetes

C.S.C, D.C.H, M.B.B.S
General Physician,
Weight gain precedes the onset of diabetes
Weight gain after age 18 years in women and after age 20 years in men also increases the risk of type 2 diabetes.

The Nurses’ Health Study, compared women with stable weight (those who gained or lost <5 kg) after the age of 18 years to women who gained weight. Those who had gained 5–8 kg had a relative risk of diabetes of 1.9; this risk increased to 2.7 for women who gained 8–11 kg.
Similar findings were noted in men in the Health Professionals Study.

Thus, the excess risk for diabetes with even modest weight gain is substantial.

Weight gain precedes the onset of diabetes. Among Pima Indians (a group with a particularly high incidence of type 2 Diabetes), body weight gradually increased 30 kg (from 60 kg to 90 kg) in the years preceding the diagnosis of diabetes.
5 people found this helpful

I have hypothyroidism since 15 years and taking medicine eltroxin 100 mg since then. Please suggest me the diet for hypothyroidism.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have hypothyroidism since 15 years and taking medicine eltroxin 100 mg since then. Please suggest me the diet for h...
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,
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I'm remarried for 4 years now after my former wife's demise due to heart disease. I've been a diabetic for almost 16 years now. We've no children. My sexual abilities are many times being questioned. Stiffness and longevity in sexual relationship is at stake. I need solution. What needs to be done to fit myself for an enjoyable sexual relationship with my spouse. Please suggest something.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm remarried for 4 years now after my former wife's demise due to heart disease. I've been a diabetic for almost 16 ...
Mr Paul, Erectile dysfunction is a common complication of long standing diabetes. One of the most important need is to have excellent blood sugar control (fasting <100 mg and PP<160 mg) and HbA1c%<6.8. Because if you have not been having strict control of blood sugars then micro vascular damage causes ED. So please give all the details like above and come in a private conversation where I will be able to give specific suggestions. In this communication we are supposed to give only gernrral guide lines.
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I am 67 years old. I am pre-diabetic with latest reading as fasting 110 and pp as 125. I am on a medicine course of glacifeg 850. I also have occassional bouts of uric acid problem when there is acute pain in the joint of a toe thumb. Do I need to continue with the medicine or can I try to manage it through lifestyle and diet.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
A high uric acid level is considered a risk factor for developing diabetes. In addition, you have blood sugar levels in the pre-diabetic range. Continue glyciphage (metformin). You might need to add febuxostat. Get your diabetologist's advice. By the way, how is your kidney function?
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I am 62 years old and am suffering from diabetes for the past two years. I am taking glynaze mf as advised by my doctor. Even then i'm not able to keep it under control. I do walking for about 30 minutes every alternate day. Is this I am having severe back pain and pain in my hands. What should I do to control my diabates. Please reply. Thanks.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Glynase usually works during the first few years & then starts failing. You should consider starting gliptins along with metformin.
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I am diabetic and I am taking metformin 1gm and glimiperide 3mg twice daily yet fbs is more than 120 mg. Please kindly advise.

MBBS
General Physician, Delhi
Continue with it and get screened yourself for blood sugar fasting and pp weakly. Also tell your pp levels.
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Does thyroid 9.06 found recently for first time after prolonged bleeding cause problem with uterus thickening or period irregularity? Can correction of thyroid by taking eltroxin 25 mg be helpful.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
Does thyroid 9.06 found recently for first time after prolonged bleeding cause problem with uterus thickening or peri...
Yes this is hypothyroidism and it can cause these problems. First : medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as reproductive  and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio ,weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya ,nugget, chunk,tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres .Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips,pickles, sauces as they contain  large amount of sodium .Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation :5 pillars of health needed to live the healthiest Hope this helps
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My wife age is 23 and she is suffering in thyroid .so she always had to eat medicine if thyroid.

BHMS
Homeopath, Secunderabad
Based on the reports it needs to be treated. Review the blood reports again after 4 months .One can also start Homeopathy as it is gentle and safe and does not interfere with regular medicines.
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Am a 45 year old diabetic male. I feel cold/hot sensations below my feet. Can you help me understand why this happens.

MBBS
General Physician, Cuttack
Am a 45 year old diabetic male. I feel cold/hot sensations below my feet. Can you help me understand why this happens.
1.It could be due to Diabetic neuropathy. 2.Take one capsule of polybion daily 3.Get your fasting, post prandial blood sugar, HbA1c examined and consult Diabetologist
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Hello, I have a question regarding my father. He is 51 years old and diabetic. The sugar levels generally come out to be below 200. He is addicted to tobacco. I wanted to ask if we can give him nicorex or something for breaking the addiction inspite of the diabetes. Please reply.

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
Hello, I have a question regarding my father. He is 51 years old and diabetic. The sugar levels generally come out to...
Hello lybrate-user. Even nicotine chewing gum can not cure tobacco addiction. Unless he develops very strong willpower. And get his HBA1C checked which reflects 3 months average sugar.
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I have a problem of hypothyroidism and vitamin d deficiency. .How do I lose my weight

Certified Food & Nutritionist
Dietitian/Nutritionist, Jamnagar
Dear Avoid Coffee, Cauliflower, soy beens, mustard. Use iodine salt, increase milk intake, eat green veg and carrots daily. Go for regular 30-45 mnt BRISK WALK. WITH THE BEST OF HEALTH
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Hi I am 35 year old with weight around 50 kg and taking thyronorm 50 daily as tsh is between 7-10 normally. Can I donate blood? Is this hyper or hypo thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi I am 35 year old with weight around 50 kg and taking thyronorm 50 daily as tsh is between 7-10 normally. Can I don...
Sure, why not, no transmissible issues here. And no, no complications getting blood from somebody taking prescribed thyroxine supplementation. As you know transfusion medicine doctors are worried about infections which can be transmitted by receiving blood products from someone with e.g. HIV, hepatitis B, hepatitis C.
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What is the meaning of diabetes type 1 and type 2 because I am having diabetes from last 1 year but my parents was not have diabetes. I don't know the meaning of diabetes type 1 and type 2.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
What is the meaning of diabetes type 1 and type 2 because I am having diabetes from last 1 year but my parents was no...
Diabetes I = also called juvenile diabetes, insulin dependent diabetes. It is due to deficiency of insulin hormone. Usually occur in childhood. Diabetes 2 = also called adult hood diabetes, non-insulin dependent diabetes. It is due to resistance of insulin. You are havinig noninsilin dependent type 2 diabetes,
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My doubt is I having sugar or diabetes. So if you provide symptoms of this I will check the same. Thank you!

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
My doubt is I having sugar or diabetes. So if you provide symptoms of this I will check the same. Thank you!
Symptoms of t2d: 1. Fasting blood glucose: > 100 2. Pp: > 140 3. Weight loss 4. Increased hunger 5. Increased urination 6. Dizziness.
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My morning (fasting) sugar level is often 150. My A1C is always 5. Reason. I take galvusmet 50/500 twice a day. Its always normal before dinner.

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Your FBS is 150 always and your A1c is 5 seems quite unlikely, nevertheless you are on galvus met, can you please tell me what is your PP2BS level? your treatment needs to be modified accordingly Thanks Dr J Rangwala
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My blood uric acid increase and my left leg toe is very pain and I can't able to walk what can I do?

BHMS
Homeopath, Sindhudurg
Homoeopathic treatment-ledum 30 - 4 pills 3 times mag phos 6x -4 pills 3 times calcivita syrup 2 spoonful 3 time. For 8 days and revert back.
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I am suffering from non-alcoholic liver Cirrhosis for the past few years. Besides this Diabetics type 2 and BP. Twice EVL has done through endoscopy. At this moment I approached Acupressure specialist. Every fifteen days one sitting. So far 6 sittings are over. Before starting ACC Pre. Stopped taking medicines for sugar and BP. Recently all the tests are done like LFT, CBP etc. All are in normal stage except Billuribm increased to 2.9. For the last two months foot swelling, terrific itching in the groin (this is there for the last 6 years). Now I am using medicine for dewatering for the last one week and taking only 1Lt of water. I could not able to take food even small quantity. Creatine level is 0.9 only. Now I am very week. In early 1992 it all started with ulcers in the duodenal. Now they are not there. I am a smoker for the last 40 years. Per day 5 cigarette now reduced to 3. What is your advice?

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am suffering from non-alcoholic liver Cirrhosis for the past few years. Besides this Diabetics type 2 and BP. Twice...
In my opinion you should not have stopped diabetes and bp drugs. Swelling can be due to cirrhosis or you may be having proteinuris (that is increased protein in urine due to diabetic kidney disease). Creatinine is affected in later stages of diabetic kidney disease. You have not mentioned about latest blood sugar and blood pressure. Smoking can be the reason of duodenal ulcer. I suggest you to stop smoking because you already have a high risk of heart disease, get 24 hour urine tested for proteins and creatinine clearance, check hba1c, fbs, bp and continue dewatering medicines. Also restrict salt in your diet to less than 2gm/day which means no added salt in salad, curd, no pickles, chutney, no lassi, no bakery products.
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Hello doctor. I am 20 years old female. My tsh level was 8.3. N ow I am taking thyroxine 25 mg. Is there any side effects for taking this tablets? Also .is there any chance for stopping the medicine?

MBBS, Diploma in Cardiology, DTM&H(Diploma Tropical Medicine & Hygiene, PGD PPHC(Post graduate diploma in Preventive and promotive health care
General Physician, Kolkata
Hello doctor. I am 20 years old female. My tsh level was 8.3. N ow I am taking thyroxine 25 mg. Is there any side eff...
Hi Minnu, Risk against benefit. Benefit is much more. side effect need not to worry. Regarding stopping- to early to think.
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My mother 78 years old. After check up blood sugar is diagnosed. sugar level is - Fasting - 167 & p. P. 280. Yet no med. Has been given to her. Pls advice some effective medicine. Thanks!

MBBS
General Physician, Mumbai
My mother 78 years old. After check up blood sugar is diagnosed. sugar level is - Fasting - 167 & p. P. 280. Yet no m...
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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Hi doctor. I am 25 year old, I have autoimmune thyroid disease. so, please tell what to do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi doctor. I am 25 year old, I have autoimmune thyroid disease. so, please tell what to do.?
IN HYPOTHYROIDISM:--- 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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