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Houston, Texas

Anatomy instruction at Baylor College of Medicine
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Nalini Ram, M.D.

Ramaswami Nalini, M.D.

Associate Professor of Medicine

Baylor College of Medicine
One Baylor Plaza, ABBR 6th Floor

Endocrine Service
Ben Taub Hospital
BT Annex, Room 222
Houston, TX 77030
Phone: 713-798-1707 (admin contact)
Phone: 713-873-5348
Fax: 713-798-4585


  • M.D.: Kilpauk Medical College, Madras University, TamilNadu, India, 1992
  • Residency: Internal Medicine, State University of New York, Brooklyn, New York and Henry Ford Hospital, Detroit, Michigan, 1994-1998
  • Fellowship: Endocrinology, Metabolism & Diabetes, Henry Ford Hospital, Detroit, Michigan, 2000

Research Interests

  • Ketosis prone diabetes: We are investigating the etiology and pathogenesis of ketosis prone diabetes. We have categorized patients presenting with diabetic keto-acidosis based on the presence or absence of auto-antibodies and beta cell function and have characterized and studied them longitudinally.
  • Metabolic syndrome and heart failure: In collaboration with a cardiologist with heart failure expertise, we have investigated the benefits of collaborative care with focus on health education in patients with metabolic syndrome and heart failure.
  • Bone and mineral metabolism disorders
  • Endocrine complications in pregnancy


  • Hampe C, Nalini R, Maldonado M, Garza G, Hall T, Balasubramanyam A. Association of Amino-terminal-Specific Antiglutamate Decarboxylase (GAD65) Autoantibodies with {beta}-Cell Functional Reserve and a Milder Clinical Phenotype in Patients with GAD65 Antibodies and Ketosis-Prone Diabetes Mellitus. J Clin Endocrinol Metab. 2007 Feb; 92(2):462-7. PMID: 17090642
  • Nalini R, Maldonado M, Balasubramanyam A. A comparison of classification schemes for ketosis- prone diabetes. Nat Clin Pract Endocrinol Metab 2007 Dec; 3(12):E1. PMID: 18026157
  • Nalini R, Gaur LK, Maldonado M, Hampe CS, Rodriguez L, Garza G, Lernmark A, Balasubramanyam A: HLA Class II Alleles Specify Phenotypes of Ketosis Prone Diabetes (KPD) Diabetes Care 2008 Jun;31(6):1195-200. PMID: 18316396
  • Balasubramanyam A, Nalini R, Hampe CS, Maldonado M. Syndromes of ketosis prone diabetes. Endocrine Reviews 2008 May; 29(3):292-302. PMID: 18292467
  • Haaland WC, Maldonado MR, Mansouri DL, Nalini R, Iyer D, Hampe CS, Balasubramanyam A, Metzker ML . The "A-b-" subtype of Ketosis-Prone Diabetes is not predominantly a monogenic diabetic syndrome. Diabetes Care. 2009 May; 32(5):873-7. PMID: 19228875
  • Shaw S, Nalini R: Celiac disease and Metabolic Bone Disease: Case Study. Endocrine News. July 2007
  • Nalini R, Ozer K, Maldonado MR, Patel SG, Villanueva J, Rodriguez L, Hampe CS, Gaur LK, Balasubramanyam A. Presence or absence of a known DKA precipitant defines distinct syndromes of "A-b+" Ketosis-Prone Diabetes (KPD) based on long-term beta cell function, HLA class II alleles, and gender predilection. Metabolism,2010 Oct;59(10):1448-55. PMID: 20170930
  • Balasubramanyam A, Nalini R. "Syndromes of Ketosis Prone Diabetes" in UpToDate: Updated May 2012.
  • Sadeka Shahani, Rodolfo J Nudelman, Ramaswami Nalini, Han-Seob Kim, Susan L Samson. Ectopic corticotropin-releasing hormone (CRH) syndrome from metastatic small cell carcinoma: a case report and review of the literature. Diagnostic Pathology 2010 Aug 31, 5:56. PMID: 20807418
  • Carhill AA, Gutierrez AD, Lakhia R, Nalini R. Surviving the storm: Two cases of thyroid storm successfully treated with plasmapheresis. BMJ Case Reports 2012 Oct 2012.
  • Patel SG, Hsu JW, Jahoor F, Coraza I, Bain JR, Stevens RD, Iyer D, Nalini R, Ozer K, Hampe CS, Newgard CB, Balasubramanyam A. Pathogenesis of Aβ ketosis-prone diabetes. Diabetes 2013 Mar;62(3):912-22.
  • Fernandez , Misra R, Nalini R, Hampe CS, Ozer K, Balasubramanyam A. Characteristic of patients with ketosis-prone diabetes (KPD) presenting with acute pancreatitis: Implications for the natural history and etiology of a KPD subgroup. Endocr Pract 2013 Mar-Apr;19(2):243-51.

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