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Dr Chandrakant

Dr Chandrakant Lahariya  |154 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 21, 2024

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I've been a 35-year-old male diabetic for the last 2 years. I joined Sugarfit program for diabetes reversal at that time my weight was 73 kg and my height is about 6 feet. I had followed their medication and diet instructions which reduced my HBA1C from 8.5 to 7 but at the same time my weight was reduced to 63 in about 4-5 months initially they were saying it water loss and other things. As my weight is not increasing even after work out and protein intake. medicine precribedwere istamet 50/100- breakfast and dinner, oxramet10/500-lunch and I m on following sequencing salad-protien -fibre-carb-fire and grainless dinner, still my sugar is not under control and HBA1C is 8 in these month I m not sure whether they are treating my properly or not now my concern is on both weight gain and controlling blood glucose and sugarfit is not concern about my health not responding they do not have custumercare no . Please guide me what to do .
Ans: Pankaj Ji,
You are young and that age, aggressive and effective control of blood sugar is important. You are on nearly full dose of 3 anti-diabetic medications. and apparently doing a lot of physical activity, yet your blood sugar is not under control.

I would advise that please either switch to insulin or consult a physician to get medications restructured.

Regarding weight reduction, if it is fat loss, you need not to worry. However, if it is muscle loss, then, you probably need a little more attention. Some of the muscle strengthening exercises would help.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi
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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |125 Answers  |Ask -

Physiotherapist - Answered on Nov 19, 2024

Asked by Anonymous - Nov 19, 2024Hindi
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Hi Sir, I am a handicapped person, my age is 43 and 5 years ago I met with an accident due to which I have a plate implanted in my thighs as my femer bone was damaged badly of same polio leg & now it has the plate, fixed on 15 screws, I had gain weight after C- session, as of now I am 96kg, I need to lose my weight but my problem is I can't do jogging, walk or any physical exercise. Can you please suggest me something thru which I can lose my weight till 25-28 kg, I am doing work from home so most of the time. I be busy in office work due to which my physical activities are too less
Ans: Thank you for sharing your concerns. It’s important to use sensitive language, so instead of the term “handicapped,” you may identify as a person with a disability. Now coming to Weight loss, it is achievable even with limited mobility by focusing on proper nutrition and customized activities. Create a calorie deficit by consuming balanced meals rich in protein, fiber, and healthy fats, while minimizing processed foods. Stay active with seated exercises like arm movements, resistance band training, or light weight lifting. Even you can throw basketball against wall to keep burning calories, bicycle with your arms instead of your legs etc .Practice mindful eating with portion control, slow chewing, and adequate hydration. Take short breaks from work to stretch, and consult a physiotherapist for personalized advice. Track your progress through weight or measurements and celebrate small victories to stay motivated. If your disability is significant, consider applying for a disability certificate for additional support. I wish you good luck...
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Dr Shyam

Dr Shyam Jamalabad  |79 Answers  |Ask -

Dentist - Answered on Nov 15, 2024

Asked by Anonymous - Nov 14, 2024Hindi
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Doctor, could you kindly recommend specific brands of toothpaste suitable for children of different age groups? I’m particularly interested in knowing which brands would best support their dental health at various stages of development, considering factors like fluoride content, flavor, and overall safety. Could you provide guidance on which options are most effective for toddlers, young children, and older kids?
Ans: Hello
For toddlers and young children, it's essential to choose a toothpaste that is safe and effective for their developing teeth and gums. Here are some recommendations:

1. *Fluoride-free toothpaste* (0-2 years): For infants and toddlers, a fluoride-free toothpaste is recommended. Look for a toothpaste specifically designed for this age group, like "Baby Toothpaste" or "Training Toothpaste". Please note that Fluoride, although extremely beneficial when used locally can lead to fluorosis if accidentally ingested. This is the reason toddlers need to use fluoride-free toothpastes.

2. *Children's toothpaste with low fluoride* (2-6 years): For young children, a toothpaste with a low fluoride concentration (around 500-600 ppm) is suitable. This helps prevent fluorosis (white spots on teeth) while still providing cavity protection.

3. *Gentle ingredients*: Opt for a toothpaste with gentle ingredients, to minimize irritation.

5. *Flavor and texture*: Select a toothpaste with a child-friendly flavor and texture to make brushing teeth a fun experience!

Most popular toothpaste brands offer multiple options for toddlers and young children.
In addition to these there are a few brands specially formulated for children which are ethically promoted (not commercially advertised, but sold through chemists on dentists' prescriptions) You may speak to your child's dentist for specific recommendations.

Remember to always supervise your child while brushing teeth and teach them proper oral hygiene habits from an early age!
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Dr Shyam

Dr Shyam Jamalabad  |79 Answers  |Ask -

Dentist - Answered on Nov 14, 2024

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Dr. Shyam, I had my teeth cleaned 6 months ago and after that was done I saw discoloration on certain teeth that wasn't there before. Years ago I had my teeth cleaned and one particular tooth after the cleaning was sensitive to touch. I had a crown put in from two different dental offices. The first one did the crown right, but was trying to charge me $3,500 more than the agreement they made with Medicare. Medicare corrected that. I other dentist did a crown and it didn't go all the way up to my gums and is sensitive to especially cold things. I'm not having very good experiences with dentist by and large. Can't find an honest one or one that can actually do the job right. I feel being on Medicare your a target to bring in money. Not sure what to do next. Supposed to go back and have them redo the crown that didn't go to my gums, but it also was ttd place to didn't clean my teeth right and discolored some of them. Any suggestions on how to trust there is actually an capable and honest dentist out there who can perform properly?
Ans: Identifying a capable and honest dentist is crucial for your oral health and well-being. Here are some tips to help you find one:

1. Ask for referrals: Ask friends, family, or coworkers for recommendations. They can provide valuable insights into a dentist's work quality and bedside manner.

2. Check credentials: Ensure the dentist has the necessary qualifications, certifications, and licenses. You can verify this information with your state's dental board or professional organizations like the American Dental Association (ADA).

3. Check online reviews: Look up the dentist on review platforms. Pay attention to the overall rating and read the comments to understand the strengths and weaknesses. At the same time, do not rely on reviews alone as these can be manipulated, fake reviews can be easily generated.

4. Evaluate their communication style: A good dentist should listen to your concerns, explain procedures clearly, and answer questions patiently. Ensure you feel comfortable asking questions and discussing your treatment.

5. Assess their facility and equipment: A well-organized and modern dental office with up-to-date equipment is a good sign.

6. Check their approach to preventive care: A capable dentist emphasizes preventive care, including regular cleanings, exams, and education on oral hygiene.

7. Be wary of over-treatment: A honest dentist will not recommend unnecessary procedures. Be cautious if you feel pressured into extensive treatments.

8. Trust your instincts: If something feels off or you don't click with the dentist, it's okay to explore other options.

10. Schedule a consultation: Many dentists offer initial consultations or meet-and-greets. Use this opportunity to assess their approach, ask questions, and gauge your comfort level.

By following these steps, you can increase your chances of finding a capable and honest dentist who prioritizes your oral health and well-being.
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Pushpa

Pushpa R  |29 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Nov 14, 2024

Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |125 Answers  |Ask -

Physiotherapist - Answered on Nov 14, 2024

Dr Shyam

Dr Shyam Jamalabad  |79 Answers  |Ask -

Dentist - Answered on Nov 14, 2024

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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |125 Answers  |Ask -

Physiotherapist - Answered on Nov 13, 2024

Asked by Anonymous - Sep 15, 2024Hindi
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Hi sir , Iam male 27 years planning to reduce my current weight of 86KG hence planning to hit the gym. Iam concerned of abdominal fat. I left gym 3 yrs back when my weight was average 69kgs. However due to no physical activity weight increased. Now iam planning for reducing weight and also improve my strength with good muscular lean body not bulk. Please guide me sir thanks
Ans: It’s wonderful that you’re enthusiastic about getting back into the gym to work towards weight loss and a lean, toned physique! As a physiotherapist, I suggest scheduling regular check-ins with a physiotherapist to monitor your progress and make any necessary adjustments to your exercise routine. To effectively lose fat, particularly around the abdomen, while building muscle, try a balanced approach that incorporates both cardio and strength training. Start with 20-30 minutes of moderate-intensity cardio—like brisk walking, cycling, or jogging—three to five times per week to increase calorie burn. For strength training, focus on compound exercises such as squats, lunges, push-ups, and rows, with three sessions per week. Begin with lighter weights, increasing gradually as your strength builds, and focus on good form to develop lean muscle without bulk.

Including core exercises, like planks, Russian twists, and leg raises, will help to strengthen and tone your abdominal muscles; however, remember that fat loss from specific areas requires overall body fat reduction. A high-protein, balanced diet will be crucial for supporting muscle growth and managing hunger, so aim to reduce processed foods and sugars. Consistency is essential—maintain a regular exercise schedule, and ensure you have rest days for recovery. With dedication, you’ll see steady improvements over time. Best of luck, and don’t hesitate to reach out if you need further guidance!
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Pushpa

Pushpa R  |29 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Nov 11, 2024

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I am 70 years old. Since last month I am having swelling and severe pain in left knee.I have wear in both knees due to age. I practice yoga and exercise for almost whole life but due to this pain there are limitation in my workout and yoga .
Ans: Knee pain can be challenging, especially when it affects your daily yoga practice. At your age, it’s common for joints to wear down, which can lead to pain and swelling. While continuing to stay active is important, focusing on gentle, supportive movements will help.

Start with Gentle Knee-Strengthening Exercises like Ankle Pumps (raising and lowering the ankle while lying down) and Straight Leg Raises. These can help improve circulation and strengthen the muscles around the knee without putting strain on it.

Practicing Supported Chair Yoga can also be beneficial, as it reduces the load on your knees. For example, try Chair-assisted Forward Bends or gentle Twisting Poses to stretch and strengthen other parts of the body while keeping your knees safe. Simple Meditation and Pranayama (breathing exercises) can help manage pain by calming the mind and reducing tension.

It’s best to work with a yoga coach for personalized guidance. A coach can help you modify your practice safely and effectively, ensuring you stay active without worsening the pain.

Listen to your body, and take it slowly. Healing takes time and gentle care.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Pushpa

Pushpa R  |29 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Nov 11, 2024

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Hi mam I am 44 years old wt 98kg i have a very sedentary job I do yoga and strength training and have more protein each meal. Still there is no change in my wt mam. Pls help. I have fatty liver and high cholesterol. Trying to reduce wt for the past 4 years. Joined strength training tried 10k steps pilates zumba with frequent injuries, paleo diet, nutritionist and diet charts, intermittent fasting. No change in wt mam. Kindly help
Ans: I understand that it’s challenging when you've tried so much without seeing results. First, let’s take a step back and focus on your body’s needs gently.

With a sedentary job, focus on regular movement throughout the day. Try standing up every 30 minutes, stretch lightly, or do simple yoga poses to keep your metabolism active. Instead of intense workouts, consider a balanced approach with gentle yoga and mindful breathing exercises that reduce stress and support digestion. High stress and lack of movement can slow down your metabolism, even with a good diet.

Since you have fatty liver and high cholesterol, try adding more fiber-rich foods like vegetables, fruits, and whole grains, and reduce saturated fats and processed foods. Sometimes, weight loss comes slowly because the body needs to heal internally first.

For weight loss and liver health, practicing Kapalbhati Pranayama (skull-shining breath) can be very effective. This breathing technique boosts metabolism, aids digestion, and helps reduce belly fat, which is especially beneficial for managing cholesterol and liver health. Start with 1-2 minutes daily and gradually increase.

Incorporate Twisting Poses like Ardha Matsyendrasana (Half Lord of the Fishes Pose) and Supta Matsyendrasana (Supine Twist). These poses stimulate the liver and support detoxification, which is important for weight loss. Practicing Surya Namaskar (Sun Salutations) at a slow pace can also improve metabolism while being gentle on the joints.

Since you’ve faced injuries, working with a yoga coach can be helpful. A coach can guide you safely through these techniques, making sure they’re effective and aligned with your health needs.

Consistency and patience are key. Small daily steps with the right guidance will gradually bring positive results.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Dr Chandrakant

Dr Chandrakant Lahariya  |154 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 10, 2024

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