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Dr. S. Kumar

Endocrinologist, Mumbai

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Dr. S. Kumar Endocrinologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. S. Kumar
Dr. S. Kumar is an experienced Endocrinologist in Mumbai, Mumbai. He is currently practising at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. S. Kumar on Lybrate.com.

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I had an angiogram seven months ago I had one 50% blockage doctor said no need of standing it can be manage by medicines exercise. And I am diabetic since 14 years I am 36 years now and I used to smoke heavily. I have quit smoking since 7 months but I have put on 15 KGS till now since my angiogram. Is it because I quit smoking.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I had an angiogram seven months ago I had one 50% blockage doctor said no need of standing it can be manage by medici...
Mr. Lybrate-user, it is seen that after quiting smoking some weight increase occurs. However, if you have diabetes then regular exercise must have been advised. If you had continued that plus diet control the weight would have remained in check. It essential to control weight for sugar control. If you have no discomfort in exercising then do regular workout and reduce the weight.
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I am taking obimet 500 before and after lunch I am 45 of age, I am doing I hour exercise including fast walk and gym, I am eating sugarless food, like vegetables, fish, chapati and small amt. Of rice I taking this food in 4 parts beside that I am unable to control my sugar level but fact is that I have lot of tension from my home side, please suggest me how I control my sugar level?

MBBS, DGO (cal)
General Physician,
To control Blood Sugar four factors are most important. They are: 1) Exercise, 2) Diet, 3) Medicine, 4) Stress Management. I am not convinced about your taking Obimet 500 before and after lunch. Rather Obimet SR 1 G can be taken after BF only. If that is not controlling sugar you may need to add other medicine. Of course it is not clear what exactly you meant by' not controlled BS? There is no food as such which is sugar/CHO-less. Hope you need to talk to your consultant about your diet. Exercise is very much important but don' t over do or make a chaos of exercises in your life. Brisk walking for 5 KM daily shall be enough for you + some fat burning free hand exercises. You ar not that overweight. Your weight is very much near normal. Keep it below this. Stress management is done by meditation.
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I am 72 years old male. I have heart problem. I went through by-pass surgery in 2000 and implanted pace maker ion 2008. Now I am under medication I have type two diabetic patient also. Now I have hip pain problem. When I walk I feel pain in the hip and right leg. Please advise.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can take rhus tox - 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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I am 74 years old. Suffering from diabetis, thyroid, artirial philberation and sleep apnea and using machine while sleeping. My main problem is how to control irregular heartbeet. At present I am ok but in future problems may arise. I have already undergone electric shocks thrice to set right the heartbeet. The last 4 years back. Now I am using flavadon Mr. Once a day. Kindly advice me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
You are taking trimetazine which is typically given in the management of angina or ischemic heart disease. Either your af is due to an ischemic episode some time back or due to thyroid. Please consult with all your reports as well as medications and ecg with ii long lead. Atrial fibrillation has some other problems too mainly pertaining to clots getting formed in the atria. Ideally there are drugs available for the management of the af which can be given and there are some minimal invasive surgical procedures too. Best of luck.
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I am 38 years old l am having thyroid problem past 2yrs and l am taking 100mg thyroid sodium tablets daily 1 month before my clinical laboratory report shows serum TSH (ECLIA) 17.140 # and serum FREE T3 (ECLIA) 2.86 pg/ mL and serum FT4 (ECLIA) 0.94 ng /dL my Question is what type of thyroid l am having weather hypothyroidism or hyperthyroidism and l am taking thyroxine tablets is it correct or wrong tablet if wrong means please suggest tablets to be taken please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 years old l am having thyroid problem past 2yrs and l am taking 100mg thyroid sodium tablets daily  1 month b...
your tsh level is 17.140 it means you have hypothyroidism. thyroxine is good medicine in this. 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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I have heard that norms of 100-140 figures were designed by vested intrests some time in 1891. They have lost relevence today. Is it so. Most of the persons who consider themselves as diabetic, dont have to face any adverse effect on health. Please tell me the norms in my case. I am 55 yr old married man, with an active life.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
May I know what is your source of information? Usually, such statements are made by irrational, unscientific alarmists who do not have anything better to do. Is your source a verified, peer reviewed source in modern allopathic medicine? or is it some other branch of medicine or baba or swami?
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Tips to cut down on sugary foods

PGDHHM, BDS
Dentist, Gurgaon
Tips to cut down on sugary foods

Sugary foods and drinks can cause tooth decay, especially if you eat them between meals. The longer the sugary food is in contact with the teeth, the more damage it can cause. The sugars found naturally in whole fruit are less likely to cause tooth decay because the sugars are contained within the structure of the fruit. Sugars are also added to a wide range of foods, such as sweets, cakes, biscuits, chocolate, and some fizzy drinks and juice drinks. These are the sugary foods that we should cut down on.

Tips to cut down on sugars

For a healthy, balanced diet, cut down on foods and drinks containing added sugars.
Instead of sugary fizzy drinks and juice drinks, go for water or unsweetened fruit juice
Swap cakes or biscuits for a currant bun, scone or some malt loaf with low-fat spread.
If you take sugar in hot drinks or add sugar to your breakfast cereal, gradually reduce the amount until you can cut it out altogether.
Rather than spreading jam, marmalade, syrup, treacle or honey on your toast, try a low-fat spread, sliced banana or low-fat cream cheese instead.
Check nutrition labels to help you pick the foods with less added sugar, or go for the low-sugar version.
Try halving the sugar you use in your recipes - it works for most things except jam and ice cream.
Choose wholegrain breakfast cereals, but not those coated with sugar or honey.

My mom is a diabetics patient for last 4 years Is the any home made medicine to control this disease or complete cure?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My mom is a diabetics patient for last 4 years Is the any home made medicine to control this disease or complete cure?
Hello, Diabetes is not a disease ,it is a metabolic disorder so it csnnot be cured,but can easily be managed. Cinnamon with water early morning helps drastically to maintain ideal sugar levels. Eating diet rich in fiber also helps.
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I had high uric acid 2 months back and now its come to 2.15 but still I am getting pain in my toes and knees. Should I go to a specialist if yes which one should I go to.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I had high uric acid 2 months back and now its come to 2.15 but still I am getting pain in my toes and knees. Should ...
You should visit orthopedician Take bath with lukewarm water adding salt to it Do ankle pumps Do knee & ankle isometric exercises Apply hot fomentation Can apply pain relieving gel if pain persists.
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My wife 53 yr. Diabetic fasting 135 pp 185 please advise homeo & ayurveda medicine.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife 53 yr. Diabetic fasting 135 pp 185 please advise homeo & ayurveda medicine.
Diabetes affects all organs in the body – Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient and doctor should be in constant touch for regular follow up and advice. The common symptoms are:-Both types of diabetes have some of the same tell-tale warning signs. Hunger and fatigue. Your body converts the food you eat into glucose that your cells use for energy. But your cells need insulin to bring the glucose in. If your body doesn't make enough or any insulin, or if your cells resist the insulin your body makes, the glucose can't get into them and you have no energy. This can make you more hungry and tired than usual. Urinating more often and being thirstier. The average person usually has to pee between four and seven times in 24 hours, but people with diabetes may go a lot more. Dry mouth and itchy skin. Because your body is using fluids to make pee, there's less moisture for other things. You could get dehydrated, and your mouth may feel dry. Dry skin can make you itchy. Blurred vision. Changing fluid levels in your body could make the lenses in your eyes swell up. They change shape and lose their ability to focus. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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HI today I check my sugar which was 230 in empty stomach and 310 after breakfast now I am taking care of my diet but I have one query can I eat watermelon,

MBBS
General Physician, Mumbai
HI today I check my sugar which was 230 in empty stomach and 310 after breakfast now I am taking care of my diet but ...
Watermelon is a good fruit of choice for diabetics due to low glycemic load. However more than a bowl is not advisable.
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My son is 12 years old and his TSH value is 4.82. How to reduce this value. What is the normal TSH value at this age. Is thyroid disorder reversible in this age.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, tsh normal range is 0.5 to 6 milli units / ml. So the value mentioned is within the normal range. No need to worry for now.
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Dear doctor, I am trying to lose weight for that I have cut down the sugar consumptions. Instead I wish to take raw natural sugar for drinking tea and coffee? Can I go for it? Or is it the same like consuming the sugar? Pls make me clear doctor. Thank yu.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Trivandrum
Dear doctor, I am trying to lose weight for that I have cut down the sugar consumptions. Instead I wish to take raw n...
Hi, if you wanna lose weight you must take care of your diet & regimen. Its better to avoid raw natural sugar also. Do not bunk your breakfast. Eat light diet at night. Drink plenty of water. Do pranayama, surya namaskara, bhujngasana in morning hours. Avoid junk food, coke items, deep fried, red meat.
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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 53 year old man .I am diabetic with mild ar. And taking following medicine; tab glimepride 1 mg (1od) tab okamet 500 mg (1bd) tab met xl 25 am (1od) tab remipril 10+5 m 91od) blood sugar 115 & 171 bp 130/70 I am working in a construction co. And job is mostly sitting. For past 3 months my both feet are swelling in the evening. Please advise treatment.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Many diabetics have a similar problem, but the reasons might be different. To ascertain the cause of your feet swelling, meet your diabetologist.
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What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, hashimoto's thyroiditis (ht) is an autoimmune disease with lymphocytic infiltration of thyroid gland, with anti bodidies agaist thyroid peroxidase enzyme (tpo abs) which destroy thyroid secreting cells, leading to deficiency of thyroxine - with resultant hypothyroidism. Thyroid gland is infiltrated with lymphocytes and may appear firm or lobulated. Anti tpo antibodies are detected in serum in patients with ht. One of the causes for ht is reported to be excessive consumption of iodine in salt. Other causes are infectious diseases may be as a trigger. Patients with ht usually have other family members also having some autoimmune disorders like t1 dm or rheumatoid arthritis, or they themselves may have some other autoimmune condition. Treatment ofr ht is giving thyroxine hormone tablets for life time. Iodine per say has no role in the treatment of this condition. In us this is the most common cause of hypothyroidism and is more common in women compared to men.
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Fasting sugar is139 and after meal it is 129. Is she a diabetic? Plss suggest treatment.

BAMS, MD Ayurveda
Sexologist, Lonavala
Fasting sugar is139 and after meal it is 129. Is she a diabetic? Plss suggest treatment.
You can go for following remedy it will help you natural home remedy using bitter gourds: 1. Remove the skin and seeds of 4-5 bitter gourds 2. Crush them to a make a paste 3. Press this paste on a sieve an extract the juice 4. Drink this juice on an empty stomach every morning this remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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I am 25 years old female. Sometimes my hands and legs become numb mostly hands. Specially while sleeping or lying down. I am suffering from hypothyroidism (hashimoto'd DS), migraine, G6PD deficient.- History.

BHMS
Homeopath, Delhi
I am 25 years old female. Sometimes my hands and legs become numb mostly hands. Specially while sleeping or lying dow...
Hi Anam Numbness of your hands could be related to thyroid problem. There might also be deficiency of vitamin B-12. You should start exercising daily for 30 minutes. simple aerobics will be enough. Start taking calcium, vitamin-D and Vitamin B-12 supplements. One tablet of calcium daily and One for Vitamin B-12 daily For vit.-D take cholecalciferol sachet weekly for 6 weeks. This solution is for now but it wont be permanent. For a permanent solution your thyroid problem needs to be treated and that is POSSIBLE with HOMOEOPATHIC medicines; you will be cured and there wont be any need of taking thyronorm. Your migraine will also get cured. For this a proper consultation is required so that your case can be analysed and treatment given accordingly. For this you can consult any good homoeopath or me as you are in Delhi only. Otherwise you can make good use of Lybrate.
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What is difference between type one diabetics and type two diabetes? Did exercise helps in the regulating diabetics.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
What is difference between type one diabetics and type two diabetes? Did exercise helps in the regulating diabetics.
Exercise will help in both types of diabetics as we burn callories i. E. Sugar. Regularating diabetes means one has to maintain bl. Sugar fasting &post pradial (@hrs, after lunch) &also hba1c below 6.00. Disciplined diet, exercise, sports, yoga, meditation etc. Helps to maintain bl. Sugar. Stress management is also essential as we get stress induced diabetes. Type r mostly on insulin inj, type2 is treated with drugs & at times insulin. In borderline cases diet & excesise also helps.
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I am suffering from diabetes, BP and prostrate since 5 years however all are under control I am 59 years old my weight is 70 kg height 5'2" working accounts and finance department pure vegetarian my question is that treatment of prostrate without operation?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
I am suffering from diabetes, BP and prostrate since 5 years however all are under control I am 59 years old my weigh...
Dear lybrate-user, prostate complaints you are mentioning are common in males post the age of 50 years, termed as BPH. (Benign Prostatic Hyperplasia). It can be treated with medicines based on the degree of BPH and other factors. Kindly consult me personally with all relevant documents. I can definitely guide you.
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