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Dr. Ramam

Endocrinologist, Hyderabad

100 at clinic
Dr. Ramam Endocrinologist, Hyderabad
100 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ramam
Dr. Ramam is a trusted Endocrinologist in Gandhi Nagar, Hyderabad. You can meet Dr. Ramam personally at Sri Narmada Hospital in Gandhi Nagar, Hyderabad. Save your time and book an appointment online with Dr. Ramam on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 39 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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Sri Narmada Hospital

Door No. 1-1-770/A/1/1, New Bakaram, Gandhi Nagar, Landmark: Near Canara Bank, HyderabadHyderabad Get Directions
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I feel hungry a lot, and am getting fat every day. Is this the symptom of diabetes or something.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, excess hunger is a symptom of diabetes along with excess urination and excess thirst. Better get your thyroid test done as well as blood sugar. Those resuls will give clear idea. Thanks.
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I am 34 year old & my uric acid level is 11. How can I control it. Also I want to know that how can I increase my sexual strength.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints. Tab. Bencid 500 mg once a day. by meditation you can increase your sexual power. avoid stress. take drop. zenseng it is not harmful.
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Goodbye Diabetes !!!!!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ulhasnagar
Goodbye Diabetes !!!!!

You can overcome your diabetes by gaining some knowledge about what to eat and what not.

1)Completely stop consumption of sugary foods, artificial sweetness, canned juices and any other sweet preparation.

2)Start substituting your wheat flour with bajra/jowar flour/whole wheat flour to reduce your glucose intake.

3)Include a plate raw veggies before your meal to increase your fibre content as it helps to lower down your sugar levels.

4)Substitute your meals with red or brown rice instead of white rice to increase fiber.

5)Flaxseeds (not to roast) are an excellent source of fibre n omega 3 fatty acids n are known to reduce your glucose levels naturally.

6)Cinnamon tea is one of best remedies to reduce your insulin dosage as it contains chromium pincolate which diverts the glucose from the food we get to the muscle cells n must be taken after dinner.

7)Drinking of kokam water before meals (soaked in water for two hours)
Helps to bring down your sugar levels and is a natural cure for diabetes.

8)Fruits that have high glycemic index are not recommended like mango, chikkoo, custard apple etc

9)Lastly exercise for at least 50mins a day is a key to achieve good health.

For a more detailed diet chart and how to plan your menus for issues like diabetes, thyroid, anemia, obesity, gastritis, pregnancy, gastric ulcers consult privately.

My FBS is 130 Where it lower down to 90 by evening. I am diabetic since 1 year, but I am controlling by disease through diet and exercise. Please tell me what can I do to lower down my FBS up to 80.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
You can limit quantity of food at dinner. This will bring down fasting to some extent. You are taking galvus if yes you can take galvus (50) before dinner as well. Vildagliptin in monotherapy won't precipitate hypoglycemia. At your age hba1c target should be 6.5.
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Hi, a wonderful Good evening. I am age 31 unmarried. Recently I got sugar positive reports and thyroid. Am not using any medicine for sugar. Without using medicine how can I had normal sugar reports? Is it possible with insulin leaf? I want to get marriage. If I will get marriage, iß any problem while pregnancy? please answer question.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Depending upon your sugar values, your diabetes can be controlled with lifestyle changes i.e. Diet and exercise. You can get married and have children. During pregnancy, the treatment plan changes
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Hello doctors My mom has some problems. Like paining in her body like in joints every part of body joints and she get tired very fast even can't walk too much. She has thyroid problem taking 25 number tablets is there any serious problem for pains in body are it's just side effect of thyroid sometimes her half body pain we are really confused about this problem even can't sleep in night . Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, the problem of joint pains could be due to uncontrolled hypothyroidism. She is on treatment with 25 mcg thyroxine, that may not be adequate. Please get a tsh level test done and report the same. When hypothyroidism is in good control tsh should be between 3 to 4 mu/l. In that case most of the symptoms go away. So please do that test, and come back. Thanks.
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Am diabetic and mother of a 4 month old baby. please suggest me a diet chart. I urgently need it.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Dear lybrate-user, a breastfeeding mother with diabetes is a special situation and it'll be prudent if you visit a diet specialist who'll see your body profile and give you appropriate diet. In general avoid high calories food like sweets, fats etc. Also remember that for sugar control in pregnancy and breastfeeding period only insulin is allowed. Regards.
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What are the symptoms of diabetes and how it it be cured does it take too long to cure.

MBBS, MD - Medicine
General Physician, Delhi
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. It can't be cured completely but you can keep it controlled by taking these precautions.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Probiotics drugs used in gut diseases like diarrhoea, found effective in reducing blood sugar also, so helpful to diabetics patients. Consult doctor.
8 people found this helpful

Hi I am a diabetic n under insulin control. I do get erections very quickly but I cannot hold it for long due to PE problems. Kindly let me know how to get out of dis problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If diabetes is there for long time and even if it well controlled, there is certain amount of damage to small vasculature, which can cause ED. But it is absolutely important to achieve a strict blood glucose control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. Then you might consider using a drug like PDE-V Inhibitor. Thanks.
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I am a diabetic patient for about 25 years. My age is 66 years please advise me what to do.

MD - Pathology, MBBS
Pathologist, Ahmedabad
Pay full attention towards your life style, diet, drugs, exercise ®ular followup with reports, eye checkup and cosult your physician.
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My mom is a diabetic patient from 5 years. Please suggest some diet. How to balance the sugar level?

MBBS
General Physician, Mumbai
We need to control her sugar levels by medication exercise and following a diabetic diet with low glycemic index levels
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Hello sir I am 23 old boy. I am diabetic patient. I came to know just 20 days before that my sugar level is 375 after fasting now my sugar level is 180 after fasting. Can it will go permanently or not. How I became the diabetic patient despite I'm very health conscious. Before three month I was not diabetic. Report say.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details, I understand your concern. Please answer following few questions: Do your parents or any one in the family have diabetes? Have you been loosing weight over last few weeks or months? Is there excess thirst, excess urination and hunger as well as general weakness during last few weeks or months? The blood glucose reduction that you have reported (from 375 mg to 180 mg) has occurred on its own or after taking any medication? What is the present treatment with details of drugs and dosage? It is necessary to know all these details, before one can look at how to control your blood glucose rise. Another important aspect is that if DIABETES is CONFIRMED then treatment has to go on for Life Time. There is no Cure. If you do not take necessary care, then there can be very severe long term consequences related to every single system in the body. So my suggestion is please initiate appropriate treatment with modern anti diabetic drugs and continue the same. Strict blood glucose control is absolutely essential. Fasting should be <100 mg, PP 150 to 160 mg & HbA1c%<6.8. It will be good if you provide all the details and come in a private conversation then I will be able to guide and help treat your condition effectively. Thanks.
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Some pioneers of Ayurveda like swamy of yogavana hills in kanakpura road claim to cure hypothyroidism. Is it possible to cure hypothyroidism if we have antibodies against our thyroid?

MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Hypothyroidism is caused by the inability of the Thyroid gland to produce Thyroid hormone it results in from destruction of the Thyroid cells no yogic exercise will be able to regenerate thyroid cells.
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My father was experiencing some burning sensation in his feet. He was later diagnosed with increased blood glucose level. Since December 2015 he is taking medicine regularly. The sugar level although in control, there is no relief from burning sensation in feet. Moreover, it was weird to see that the sugar level in the morning was higher than that after lunch. We have consulted many specialists for this, even in pune, but nobody could tell us the reason for higher sugar level in the morning. Moreover the burning sensation has not yet been cured so far. I would appreciate if an expert can guide me about the problem.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
After lunch the hormones work to bring the sugar down so the level may be lower than the fasting. U should not be much worried abt it. Write his latest sugar F/PP, hb a1c, BP and lipid profile and any other test done in past along with details of medicine he is taking on chat for proper assessment and advise, I will help your father to feel better.
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My TSH and Anti TPO level is very high. I am in regular practice of running since last 1 month. But I feel tiredness in my legs specially in knee. Now I can't run from last 2days. Tsh is 34.63 uIU/ml and Anti tpo is 1895.20 IU/ml.

Diploma in Diabetology, MBBS
General Physician, Warangal
Maintain ibw take balance d diet walk daily avoid calliflower cabbage vegetables add cap. Tyrowell. Daily for 1 month lead stress free life tsh level should be below 5.5.
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I am diabetic my FBS-140 mg/dl. Ppbs-170 mg/dl. Im taking Tab- Glycomet SR 500 mg. So I can take Tab voglibose 0.3 mg. What is difference between these two TAB.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Glyciphage increases insulin sensitivity and helps in utilisation of glucose in periphery, also checks glucose output from liver Where as voglibose prevents glucose absorption from gut to blood. You continue Glyciphage, make it twice a day.
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Good Morning Sir/Mam, Myself Ravindra aged 46.3 days back for the first time i've undergone Sugar and Serum Bilirubin test. Sugar-112 (F) and 143 (PP. Bilirubin-2.4. Could you suggest me any precautions? Thank you.

MBBS, MD, Fellowship in Diabetes, Diploma in emergency medicine
General Physician, Pune
Hello Ravindra ur blood sugar levels are normal. Bilirubin is increased for dat u have to maintain strict diet and bed rest. Dont eat oily spicy outside food. Only home made bland food n boiled water u hv 2 take. repeat sr. bilirubin direct indirect after 3 days and consult me in private. Follow up with me. Regards
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My dady age is 48. He is a diabetes patient. He recently get pain in chest at frequent times. What is the reason for this pain? He is an alcoholic. What medication can be used for this frequent chest pain? Prescribe the medication for that?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
No details about the pain. Like exact location type aggravating factors or other complaints. There are wide variety of reasons. He should see a physician for proper clinical examination, investigations if necessary, diagnosis and further treatment. Ordinary Paracetamol 500 mg Tablets gives relief if pains is musculo skeletal.
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Diabetes - The rising epidemic

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Diabetes - The rising epidemic

India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 percent of cases are lifestyle-induced.

Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack.

A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase in cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.

Health promotion strategies

Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [INTERNATIONAL] Diabetes Prevention Program (DPP) shows that small reductions in weight by the moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 percent among those with prediabetes.

In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.

Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high-fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.

Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus, India has a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.

Early diagnosis and prevention is the key to controlling the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.

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