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Dr. Thomos Koshy

Endocrinologist, Mumbai

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Dr. Thomos Koshy Endocrinologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Thomos Koshy
Dr. Thomos Koshy is one of the best Endocrinologists in Mulund West, Mumbai. You can meet Dr. Thomos Koshy personally at Holy Trinity Hospital in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Thomos Koshy on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 27 years of experience on Lybrate.com. You can find Endocrinologists online in Mumbai 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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1st Floor, Heritage Building , J N Road,Mulund West, Landmark: Apna Bajar & Near Rymonds ShowRoom, MumbaiMumbai Get Directions
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I have got my thyroid tests done. T3 & t4 are normal but tsh is quite high. Which medicines should I start?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. High TSh (above 10 mU/L) suggests one has hypothyroidism. This needs to be treated with synthetic thyroid hormone in adequate dose. Thanks.
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I am 60 years old male under medication for diabetes and cardiac problems for the past 20 and one year respectively. My problem is now I am loosing my weight considerably every month. I am taking a protein supplement also along with low fat milk. Can you please suggest a remedy for this?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 60 years old male under medication for diabetes and cardiac problems for the past 20 and one year respectively. ...
Mr you have not mentioned whether blood sugar levels are in control, I need to know fasting, pp and hba1c levels and the medication being taken to give a proper advise. Weight loss may occur if diabetes is uncontrolled. Please furnish all the information.
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Diabetes

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
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Here are types, symptoms and diagnosis of diabetes.

Hi viewers I am Dr. Neelum. I am consultant in endocrinology and diabetology. Today I will be briefing you regarding diabetes because it’s a major it’s a big public health problem and it is spreading like an epidemic Diabetes is basically a disorder in which our glucose is not able to get utilized by the body for lack of insulin either or when the insulin is not able to act the way it should act in the body tissues. And in that case we have two major types of diabetes. That is type-1 Diabetes and type-2 Diabetes. In type-1 diabetes there is absolute depletion of insulin and the patients are usually lean and they are requiring insulin for their diabetes control for entire life. And type-2 diabetes patients are usually obese and they have family history of diabetes, diabetes run in their family and they usually have insulin resistance.

They can be well controlled initially with diet, lifestyle modifications and medicines. And subsequently in the late stages or maybe, when it is not controlled with the medicines, they may require insulin. Now there is another variant of diabetes that is GDM; Gestational Diabetes Mellitus which is seen in pregnant females. And why it is important to know that? Because nowadays. Due to screening of diabetes and during pregnancy it is picked and sugar controls have to be in target range because there is fetal development and metabolic programming is done so it is important to have a healthy baby for which sugars should be adequately controlled via lifestyle modification, diet, if not then insulin is also given.

Then the other less type of diabetes are also known which are syndromic diabetes, which I am going to discuss here, because the important ones and the major ones are type-1 and type-2 And the cause of concern is that initially it was thought that type-2 diabetes is seen after 40, but it is not the picture. It was always there in kids, now it is increasing in alarming proportions. The kids are more glued to the screen and gadgets and they are having more type-2 diabetes because they have sedentary lifestyle, their food choices are little, they are more into binging, snacking and they are not that much physically active. And even younger kids in their teens and, adolescence and young adults, they are also having type-2 diabetes. So all this has to be picked because they develop complications first than adults. So how do we pick whether you have diabetes or not? So the symptoms are polyphagia, osmotic symptom typically these may not be in all the patients. You have to have a high index of suspicion.  If you have family members who are diabetic or obesity or hypothyroid or hypertension, their blood sugar should be checked.

Now how do we diagnose diabetes? Well blood tests which are done to detect diabetes are very simple. They are fasting blood sugar and 2 hours pp. we have sudden cutoff. And there is one more test which is called HPA1C. So HPA1C tells you monthly average blood glucose which comes in percentage. If it is above 6.5% and fasting blood glucose is above than 126mg/dl then you are labelled as diabetes. So in this part I’ll be speaking about the diagnosis which I have just spoken and in the next part I’ll be telling you once are diagnosed with diabetes, how can you have control over the diabetes and how can you follow up to have a good glycemic control?

If you want to have online consultation, you can contact me via lybrate website or you can see me in my clinic which is located in Sushant Lok, Gurgaon.

3416 people found this helpful

I am becoming fat now-a-days .I had fasting blood sugar level of 135 mg/dl today morning. I was diagnosed to be pre-diabetic. Doctor told me to take istamet tablet daily once after breakfast, if not I would become diabetic in 3 years. He told that 70% of people who had this drug were relieved from diabetes. Is it true. Should I continue with this drug? What is your opinion?

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
I am becoming fat now-a-days .I had fasting blood sugar level of 135 mg/dl today morning. I was diagnosed to be pre-d...
Dear lybrate-user, considering your height and weight your bmi looks ok. A fbs (fasting blood sugar) 135 mg% is not prediabetic. It falls in category of diabetes. Never rely only on fbs. Please check plbs (post lunchbs) and three months average hba1c at the onset of treatment. Istamet can't prevent or reverse diabetes.
4 people found this helpful
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I have erection problem and I also have thyroid problem hypothyroidism. I want to ask erection problem can be because of thyroid problem or not?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have erection problem and I also have thyroid problem hypothyroidism. I want to ask erection problem can be because...
Mr Ravi, If hypothyroidism is not well controlled, which evident by TSH levels, then men do develop less desire for sex and erectile dysfunction. So please see that hypothyroidism is well in check. That will possibly increase sexual desire and may reduce the dysfunction.
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My father is high blood sugar. He has tried many things but still his sugar levels are high. please help and give some guidance.

BHMS
Homeopath, Bangalore
My father is high blood sugar. He has tried many things but still his sugar levels are high. please help and give som...
Take homoeopathic medicine Syzgium jambolanum tincture 5 drops in half a cup of water morning or evening acc to his comfort,,if possible ask him to eat syzgium jambolanum that is black jamun atleast 5 to 6 in a week...n try this exercise too- take 2 lady's finger and cut it into 2 halves each n soak it in water overnight n early morning after brushing he can drink that water n eat that lady's finger too...atleast 3 days in a week,i knw its little sticky n odd to imagine but it helps a lot...cut down rice,sweets ...
1 person found this helpful
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I am diabetic with glycomet 500 mg/day. Now is jack fruit and Mango season. How much should I consume.

MBBS
General Physician, Jalgaon
I am diabetic with glycomet 500 mg/day.
Now is jack fruit and Mango season.
How much should I consume.
Please In fact Diabetics should take all kinds of fruits and vegetables regularly, in small quantities, as vitamins, minerals and fibres in them are good for health.
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I am 35 years old male and have following problem1) blood pressure2) cholesterol 247 triglycerides 298 hdl 35 ldl 152 vldl 603) uric acid 9.24) RBC 4.39 MCV 107 MCH 34.5Doctor recommend me----1) Seloken xl 2) Olmark 3) Atchol f 4) febustat 40Please help me.

PDDM, MHA, MBBS
General Physician, Nashik
I am 35 years old male and have following problem1) blood pressure2) cholesterol 247 triglycerides 298 hdl 35 ldl 152...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated. Continue treatment.
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Sir how can hyper thyroid (THS) can be controlled with out taking medicines. And how can hyper Thyroid can be cured once for all.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Malik, Any disease related to thyroid either hyperthyroidism or hypothyroidism both need to be treated with necessary medicine. Without that there is no way one can control these conditions. Plus these can not be cured, can only be controlled. They remain with us for life time. Some times after a course of antithyroid drug treatment hyperthyroid may completely go away. So my suggestion is to get proper treatment.
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I am suffering from rheumatoid arthritis (32.1) and have anti CCP value 51 since last 4 months. I started taking medicines since 2 months adenoma (1-0-1), Indometh 25 (1-1-1), Ocid 20 QRS (1-0-1) Artilage (1-0-1) , Folic acid 5 mg ,Qfer (iron tablet due to low Hb value) and methotrexate 5 mg twice in a week by advise from rheumatologist. I have breathing difficulties due to methotrexate intake hence taking Gabantin 300 (0-0-1) also taking eltroxin 100 for TSH. My ESR was around 88 now lowered to 35, CRP was 43.8,uric acid around 7.5,vitamin d3 21.4 How long should I take these medicines Please tell.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
I am suffering from rheumatoid arthritis (32.1) and have anti CCP value 51 since last 4 months. I started taking medi...
Hi lybrate-user you are on good treatment, though google might show you side effects of these medicines, they are extremely rare and you will be regularly monitored for same, if there is any indication medication will be changed by your rheumatologists accordingly. Unfortunately ra most times is a life long disease in more than 95% of cases, so treatment is usually continuous like diabetes and hypertension. The side effects and damage caused by not taking medicines is much more than taking medicines. If you don't keep ra well controlled by taking medicines regularly then it can be life threatening also. Don't think that you are having side effects by reading google, consult and talk to your rheumatologist. As I said the side effects are very rare. Usually ra medicines are safe with minor issues for prolonged periods even 20 years safety of continuously taking these drugs has been documented.
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I am type 1 diabetic for 15 years, on novo mixtard 30/70 twice a day until last month. For last two years, my hba1c is disturbed. Recently after making a regular note of the my blood glucose levels throughout the day, for two months now, my doctor switched me to novomix 30/70. Even after that, the blood glucose levels, specially after lunch, arnd 7 pm, were elevated. Please note that I took insulin at breakfast and dinner time. Then I started taking it three times a day, before each meal. Now the blood glucose levels are better after lunch, but very sporadic in the morning over the last one week. I am also having problems in controlling hypoglycemic episodes. I have had many instances, when, fot example, if my fasting blood glucose level came out to be 60, and I took 5-10 gms of glucose, it shot upto 250. I am shocked because the ada advises 15 gms of glucose in an hypoglyic event. I have observed this in general, that whatever I eat (i eat mainly low glcyemic foods), my body's glucose senstivity is so high, that my blood glucose levels shoot up enormously. I am also suffering from hypothroidism for three years now. Recently, my urine microalbuminuria levels came out to be 180 microgram/mg of creatinine (two readings, spaced out over a month). In addition to insulin, I am also taking thyronorm 75 mg soon after I wake up, glycomet 500mg before each meal, voglibose 0.2 mg after breakfst and lunch, nervz-b after brkfst, telmisartan 20 mg after breakfast and storvas 10 mg at night. Please suggest what can I do to have a tighter blood glucise control, advise if I need to make dietary changes, chanes in insulin type or any other medications.

MBBS, DGO (cal)
General Physician,
The problem may lie in any of the three i) the dose and type of insulin is not properly tuned or working and it is not cared by your consultant. Ii) your diet is not properly planned and some how not matching your need or iii) your lab is giving wrong reports. For first two you can discuss your diabetologist he is suppose to give you a logical answer acceptable to a knowledgeable person like you. You are quite an educated person and aware of your disease. Your awareness about diabetes is quite commendable, I felt. So I believe none can give you any bullshit. If you feel it is not satisfactory you have right to change your consultant. Look sir, 5-10 g of glucose can never shoot you blood glucose from 60 to 250 mg%. They are giving wrong report. Your microalbumin / creatinine ratio is alarmingly high. It is indicating towards diabetic nephropathy. There must be some lack somewhere - either in medicine side or from your side that you have not compiled properly with advises. I am afraid you need a second opinion from a reputed institution's diabetic care unit.
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I am diabetic taking glucomet gp 1. Suger level around 230 but feeling un comfortable at times. why?

Diploma in Diabetology, MD - Internal Medicine, MBBS
Endocrinologist, Srinagar
Or blood glucose is not well controlled' will need increase in dose of diabetic medicine' do kft' hba1c' lipids and then will reasses with detailed clinical history for further management of or diabetes.
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She has diabetes nd she even takes medicine nd rarely she eats any sweet thng or sugar thn why it is so tht he blood sugar level is high like 215 or 169 nd so. Also he blood pressure goes down to 170.

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
She has diabetes nd she even takes medicine nd rarely she eats any sweet thng or sugar thn why it is so tht he blood ...
Sugar control depends on optimum treatment and strict adherence to diabetic diet and regular walk. If anything not optimum outof above 3 things you will not achieve gud sugar control. Also regular follow up with your doctor with advised sugar reports mandatory for treatment revision. As diabetes advances in time your treatment need be adequate and may require optimisation.
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I am 33 years old, my weight is approx 105, I am thyroid patient but now thyroid is stay with 1 medicine daily of 50mg, I am very bulky please guide me how to control on my weight ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 33 years old, my weight is approx 105, I am thyroid patient but now thyroid is stay with 1 medicine daily of 50m...
Dear, thyroid needs to be addressed with great lifestyle change, herbs and therapies. A good healthy life style is needed firstly and some form of exercise walk is needed. See what you eat, have a food diary for 6 days, then concern me.
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I am 41 years old and I have sugar. What type of food can I eat please suggest me.

DHMS (Hons.)
Homeopath, Patna
I am 41 years old and I have sugar. What type of food can I eat please suggest me.
Hello, Tk, 4 Marie, biscuits with a cup of tea -1 cup of sprouts, 1/2 apples -morning at 7.00 am.   • 3 sliced breads with one cup of milk (without sugar, 1 egg,(white portion) at 9.00 am.   •  100 gm of fruits can be taken, avoiding grapes, banana,ripened mangoes.   • 3 breads, or 2 bowl, of rice, 1 bowl of green veg. 1 small bowl of pulses, 2/3 bowl of diluted curds at 2 p.m   • Tk,  4 nos of Marie biscuits with one cup of tea (without sugar) ,1/2 Apple, or,1/2 cup, of sprouts, at 4.00 pm.   • 3 breads, or, 2 bowl of rice, 1 small bowl of pulses, 1 bowl of green vegetable ,1 small bowl of curd in dinner at 9.00 pm.   • Finally, one cup of milk at bed time   • Ensure, sound sleep for 7 hrs.in d night.    • Avoid, direct  sweets, junk food, caffeine, smoking, dust,smoke, spicy,fried -intake. Beverage, alcohol, grapes, banana,ripened mangoes, sugarcane juice, potatoes,sweet potatoes, pea   •  Follow all d instructions of your diebetologist  along with desired medications for your sound health.   •  Homoeopathy can help you in need.   • Report, fortnightly,your feedback matters, please. .stay fit & fine.
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Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unbearable. She can't walk without holding any support and even can't stand for sometime. Some times she becomes aggressive n speaks very harsh words bluntly. She often forgets many things she has done or spoken. She has thyroid disorder since last 15 years n she was taking a tablet (Thyroxine Sodium Tablets IP, THYROX - 25 ) regularly in the morning empty stomach and she was doing very well with this medication. Now, 3 months before when she had these types of pains we consulted our family physician where her routine checkup had being done on regular basis as directed by the physician. We got some blood tests like Haemogram report, Renal Function, Arthritis Profile, Thyroid Function Test done for it. And the results says : Hemoglobin : 11.3 gm% R.B.C. : 4.18 mill./cu. Mm. W.B.C. : 7820/cu. Mm Platelet. : 3,06,000/ cu. Mm. polymorph. : 70% Lymphocytes : 25% eosinophil. : 02% monocyte. : 03% basophil. : 00% P.C.V. : 35.1% M.C.V. : 83. 97fl M.C.H. : 27.03 pg M.C.H.C. : 32.19% R.D.W. : 14.9% E.S.R. (Automated ) After one hour : 90 mm Serum Creatinine. : 0.99 mg/dl Uric acid : 6.41 mg% RA Test (Quantitative ) : 109.9 IU/ml Serum FT4 Estimation : 14.12 pmol/L Serum U/S TSH Estimation : 12.30 ulU/ml Our family physician proscribed the below medicines for it - Tab Thyrox 50 mcg 1-0-0 empty stomach Tab HCQS 200 (10) 0-1-0 Tab Etova-P 400 (30) 1-0-1 Tab Imutrex 7.5 (4) 0-0-1 every Friday Tab liquid-D3 (4) 0-0-1 every Friday She had completed the course of the above medicines. But there is no result. She has continue her Thyroid Tab as the physician said. We had also consulted other physicians. Some of them said the arthritis problem is because of Thyroid disorder, if she takes Thyroid Tab regularly n do routine checkup regularly then everything will be fine after few months. Some said she needed to take the Thyroid Tab of 50 mcg when she was taking it of 25 mcg. But our family physician never proscribed the 50 mcg Tab before this. Now here is my question Dr. Is/was my mother going under correct/right medication. Is her Thyroid Tab of 50 mcg is okk according to her report I've mentioned above. Shall we go for Ayurveda or naturopathic treatment for her arthritis problem. Give some suggestions for the problem. I will be thankful to you if you can proscribe some medication or remedies or any other treatments for her. Thanks a lot. Regards, Hiral Patel.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unb...
Hi hiral first of all you hv given a really comprehensive history, complements ob that. Your mother is suffering most likely from rheumatoid arthritus seeing her high titres ib ra report and history you gv. Immutrex and hcqs are goid tablets but they start working a bit late and immitrex need to be increased gradually. Initially you need to give some dose of low dose steroids to make the former medicines work more effectively. Normal physicians might not be well trained to treat ra, cobsult a rheumatologist of possible, remember natiroapthy and ayurveda does not lead to complete relied unlike allopathy and if you are late joints might undergo destruction nothing will work after that. Many a times naturopathy and ayurveda gives drugs containing gold and lead, steroid powder you can never check because most of time they are self made powders, we do use steroids for ra in allopathy but most of time its low dose, pt knows abt it and we try to stop it as soon as pt gets totally controlled. We monitor regularly also. Also ra is usually a chronoc diseaae, faster you act lesser the meds required in future.
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I have checked and got the report as my sugar level is 157 in fastingwhat to do now?

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
I have checked and got the report as my sugar level is 157 in fastingwhat to do now?
Hi lybrate-user you can do with food and life style management and can check it after 3 months - regular exercise/walking for 30 minutes - reduce carbohydrate intake - consume plenty of green leafy vegetables, cucumber, cabbage - meditation for 35-40 minutes daily please get back if require any clarification
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Dear Sir, Does the Jaggery good for Type 2 Diabetic Patients for use in tea/coffee, Request for an advice. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Sir, Does the Jaggery good for Type 2 Diabetic Patients for use in tea/coffee, Request for an advice. Thanks.
Mr. lybrate-user, Thanks for the query. Sugar and jaggery are the products made from sugar cane juice, hence both are containing sucrose. So there is no difference in their glucose content. Both are bad for a person with diabetes. Both will increase blood glucose rapidly. Thanks.
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Halo I am 41 years old my sugar level in fasting 180 and please is 223 give me advice and I am not taking any medicine

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear, You do have diabetes. Once you ate diagnosed and started on treatment you should follow the following goals. Fasting less than 140. Post paean dial less than 180. You have to do certain baseline tests and start on medications.
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