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Hello, I am a long distance runner currently struggling with a stubborn achilles tendon injury near the insertion point on my right ankle (back of the heel). Recently, i have also developed pain in both peroneal tendons. Despite multiple physiotherapy sessions, consistent strength training, weeks of rest and anti-inflammatory medication, the pain returns as soon as I resume physical activities whether running or even walking. I am feeling extremely frustrated and would greatly appreciate any advice on how to overcome this persistent issue. Are there alternative treatments, rehab strategies or diagnostic steps I should consider?

Nidhi Gupta |206 Answers |Ask -Follow

Physiotherapist - Answered on Jul 17, 2025

Question by Dinesh - Jul 15, 2025Hindi

Ans: Hello Dinesh,
Are you taking important supplements like Vit d3, Vit B12, Calcium, magnesium or have you done your recent blood work to test all these?
What treatment are they doing in the physiotherapy sessions? Are they doing cupping therapy, dry needling, myofascial release?
For strength training are you doing under guidance and fine tuning your core muscles and mainly hip rotators?
Before walking/running are you doing 10 minutes warm up and post the run a proper 10 minutes of stretches to cool down?
It would be a good to also do a dynamic foot scan to understand how your foot pressures are happening as at times a customized foot wear helps a lot.
You would need an in depth evaluation and proper physiotherapy rehabilitation in a very systematic way.
Which city are you from?
Regards,
Dr Nidhi Bajaj Gupta
Founder@ Merahki Holistic Wellness
Insta: merahki_holisticwellness

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About career, I am a physiotherapist (BPT) with 2 years clinical experience. What can i do now?

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jul 14, 2025

Question by Jasbir - Jul 13, 2025Hindi

Ans: Hello Jasbir,

Thank you for reaching out.

As a physiotherapist with two years of clinical experience, you’re in a great position to explore many exciting career paths. You can continue working in private clinics or hospitals, look for opportunities in government health services, or even in public sector organizations.

If you're drawn to work that makes a social impact, the NGO sector can be very fulfilling. There are roles in community-based rehabilitation, disability inclusion, and public health programs where physiotherapists are making a real difference in people’s lives. For those interested in sports physiotherapy it ,is another great option. You can work sports teams, academies, or even at national-level events. Getting PG in sports physiotherapy can really help you stand out in this field.

And if you're thinking long-term and want to explore research or teaching, consider doing a post-graduation—whether in India or abroad depending on your interest and resources.
There’s no one right path, and the beauty of this profession is that it gives you room to grow in many directions. Keep learning, stay curious, and follow what truly excites you. Wishing you all the best in whatever you choose next.

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Hi I'm confused in taking physiotherapy and BDS for my daughter, is physiotherapy has demand?

Nidhi Gupta |206 Answers |Ask -Follow

Physiotherapist - Answered on Jul 14, 2025

Question by Raha - Jul 14, 2025Hindi

Ans: Hello Raha,
As a physiotherapist I can say it has a huge demand. I have more appointments than I can handle. Almost in every home someone requires physio. There are so many branches in physio itself-sports, musculoskeletal, neuro, pediatrics physio etc. After her bachelors she can select according to her passion.
A person should select their career based on their inclination and passion towards a certain profession and they will flourish.
Wishing her all the best!

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Dr my sugar after 1 hr lunch 267 After 2 hr lunch 232 After 4 hr it comes 150 Sometimes i feel relative hypoglycemia I am not on any medicine

Dietician, Diabetes Expert - Answered on Jul 13, 2025

Question by Punit - Jun 10, 2025Hindi

Ans: Based on what you've described, it sounds like you're experiencing postprandial hyperglycemia followed by a steep drop, which can trigger symptoms of relative hypoglycemia even if your blood sugar doesn’t fall below the clinical threshold. This pattern is common in early insulin resistance or prediabetes, especially when meals are high in refined carbs or sugars. Focus on low glycemic index foods like whole grains, legumes, non-starchy vegetables, include protein and healthy fats with each meal to slow glucose absorption and void sugary drinks, white bread, and processed snacks. Eat smaller, balanced meals every 3–4 hours to prevent spikes and crashes. Light activity (like walking) after meals can help reduce post-meal spikes. You may consider getting an HbA1c test and fasting insulin to assess long-term glucose control. Consulting a healthcare provider or endocrinologist for personalized guidance is preferable.

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Instant oats are often marketed as a quick and healthy breakfast option, claiming to be rich in vitamins and essential nutrients. However, many health experts suggest that they are not as nutritious as they appear. Could you please explain why instant oats are considered unhealthy for breakfast? Specifically, how does the industrial processing of instant oats affect their nutritional profile, particularly in terms of fiber, protein, and glycemic index?

Dietician, Diabetes Expert - Answered on Jul 13, 2025

Asked by Anonymous - Jun 24, 2025Hindi

Ans: Instant oats are made by pre-cooking the oats with steam, rolling and flattening them into thinner flakes and drying and sometimes grinding them into finer particles, thus changing how your body digests them. Fiber is reduced slightly, protein is less satiating due to faster digestion. Instant oats have a higher glycemic index than steel-cut or rolled oats. Also, many flavored varieties contain added sugars (up to 12g per packet), artificial flavors and preservatives and sodium to enhance taste. These additions can turn a wholesome grain into a blood sugar rollercoaster and contribute to weight gain, insulin resistance, and nutrient imbalances.

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I recently read that having coffee or tea with biscuits in the morning is considered one of the worst combinations nutritionally. It mentioned that this pairing offers no real nutrition and only leads to sugar cravings. Could you explain why this combination is harmful, and what healthier alternatives can be paired with morning tea or coffee to ensure a more balanced start to the day?

Dietician, Diabetes Expert - Answered on Jul 13, 2025

Asked by Anonymous - Jun 24, 2025Hindi

Ans: Most biscuits are made with refined flour and sugar, offering little to no fiber, protein, or essential nutrients. Many packaged biscuits contain trans fats or hydrogenated oils, which raise bad cholesterol (LDL) and lower good cholesterol (HDL), increasing heart disease risk. Tea contains tannins that can increase stomach acidity. Paired with sugary biscuits, this may worsen acid reflux, bloating, or indigestion. Tannins in tea can interfere with iron and calcium absorption, especially when consumed with nutrient-poor foods like biscuits. Wait at least 1 hour before or after meals to enjoy tea or coffee, especially if the meal includes iron-rich plant foods. Healthier alternatives that may be paired with tea or coffee include nuts and seeds, fresh fruits, whole grain crackers, roasted chana, boiled mung or sprouts, etc.

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My mother made mukhwas at and its recipe includes flax, chia, sesame, fennel, and pumpkin seeds all of which are nutrient-dense and fiber-rich. Is this kind of homemade mukhwas a better kidney-safe alternative? And are there any precautions for patients with kidney concerns (like diabetic nephropathy) regarding frequency of intake or ingredient adjustments?

Dietician, Diabetes Expert - Answered on Jul 13, 2025

Asked by Anonymous - Jun 26, 2025Hindi

Ans: Homemade mukhwas made with seeds like flax, chia, sesame, fennel, and pumpkin can indeed be a kidney-friendly alternative—especially when compared to commercial varieties that often contain added sugars, artificial colors, or supari (betel nut), which may not be ideal for kidney health. High fiber content from flax, chia, and pumpkin seeds supports digestion and blood sugar control. For individuals with diabetic nephropathy or other kidney concerns, moderation and ingredient awareness are key. Seeds are rich in phosphorus and potassium. Excess intake may be problematic for advanced kidney disease. A small teaspoon once or twice daily after meals is generally safe, but avoid grazing on it throughout the day. Chia and flax absorb water, so ensure adequate fluid intake unless on fluid restriction.

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Hello Sir, actually I have only son who's suffering from minor ADHD problem and he can't able to pay attention to his studies properly and going to appearing class 10 board exam i m really worrisome for him will u help me that how should I make him able to pass the board exam please Sir.

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jul 12, 2025

Question by Premlata - Jul 03, 2025Hindi

Ans: Dear Ms. Premlata,
Thank you for your message, and I truly appreciate your concern and dedication toward your son’s well-being and education. I would strongly recommend getting a formal assessment done by an educational psychologist or rehabilitation psychologist, or special educator. This will help identify your son’s specific needs and guide you with appropriate remedial strategies. Based on the results, you can explore individualized learning support or remedial classes that use interactive and multi-sensory teaching methods. It would also be helpful to speak with your son’s school authorities and request exam accommodations such as extra time, a quiet exam room, or a writer if required. These supports are permitted under CBSE and state education boards for students with attention-related difficulties, provided you submit the necessary documentation. Also Physical activity, mindfulness exercises, or even short walks can help him stay focused and relaxed. If you are in Mumbai Ummeed Child Development center is one of the organization, similarly in Delhi, Action for Autism can be considered. Wishing your son very best.
.

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Hello doctor My child is getting diarrhea and stomach ache. He is 10 yrs old and weight is 32 kg. Which medication should be given

Dr Deepa Suvarna |157 Answers |Ask -Follow

Paediatrician - Answered on Jul 10, 2025

Question by Nisha - Jun 08, 2025Hindi

Ans: You need to visit your pediatrician. This is not a forum for prescribing medicines without a proper consultation

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Hi Sir, I have ACL surgery, but I can see plate has been gone inside the bone. Please suggesy

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jul 09, 2025

Question by Dipesh - Jun 25, 2025Hindi

Ans: Dear Mr. Dipesh. Thank you for your query. As a Physiotherapist, I could only advise you to please go for follow up with the orthopedic surgeon who has operated you. Surgeon will assess you and may order MRI investigation based on his observation , examination and your sign and symptoms. Wishing you a quick recovery.

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What precaution required to keep healthy our heart??? Or to avoid heart attack??

Nidhi Gupta |206 Answers |Ask -Follow

Physiotherapist - Answered on Jul 07, 2025

Question by Shiva - Jul 06, 2025Hindi

Ans: Hello Shiva,
It is important to get our nutrition right and doing some form of exercises like brisk walking, swimming, weight training, yoga etc as per your body type.
Some form of breathwork and meditation can also help.
Also to have a good deep sleep for at least 7-8 hours is important.

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Hello Doctor, I am 57/Male. My problem is that i have been feeling no sensation around some part, approx 3 square cm. area of my right foot near thumb and finger adjacent to it for the last 2-3 years. I have been taking medicine to control BP (amlodipine/atenonol 50/5 mg) since 8 years. My BP remains around 150/85. Kindly advice is there any serious issue or should I visit Doc for this issue.

Nidhi Gupta |206 Answers |Ask -Follow

Physiotherapist - Answered on Jul 07, 2025

Question by NARENDER - Jul 04, 2025Hindi

Ans: Hello Narender,
If there is sensory loss it is important to consult a Dr. You may first visit your gp and take guidance as to which investigations do you require to understand the root cause.

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I am a full time working mom with a 3 year old, start early and sleep late. I hardly find time to exercise but want to lose 8 kg. How can I manage shifting meals, quick home workouts, and snacks to support my weight loss without burning out?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: Glad to know that you’re still prioritizing your health inspite of your busy schedule. You need a just a rhythm that supports energy and metabolism. Try a light, protein-rich breakfast like a boiled egg with whole grain toast. Include lentils, veggies with whole grain cereals, stir-fried tofu with veggies etc for the main meals. Healthy snacks like roasted chickpeas or nuts, mini veggie wraps, etc., every 3–4 hours can prevent energy crashes and overeating later. Drink plenty of water and maintain an regular exercise regimen.

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I work a desk job (9 -5), usually munch on biscuits with my tea, and have noticed my weight plateau at 75 kg despite daily walking. What diet substitutions and micro-workouts (while seated) can help break this plateau?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: Daily walking is fantastic. But when weight plateaus, it’s often about tweaking the little things. Your tea-time biscuits might be sneakily sabotaging progress. Have a handful of nuts or roasted chickpeas or sprouts instead of biscuits. Micro-Workouts you can do at your desk may include calf raises, seated leg lifts, desk pushups etc. You may reach out to a professional physical trainer for consultation.

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My HbA1c is slightly elevated (6.1%), and I'm worried about prediabetes. Should I avoid white rice entirely? What are the everyday swaps I can make, and when is sufficient to include lean protein and healthy fats?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: An HbA1c of 6.1% falls within the prediabetes range, but thoughtful food choices can make a big difference. You don’t have to banish white rice from your plate, but moderation and pairing are key. Limit portion size to ½ cup cooked. Pair it with protein, fiber, and healthy fats to slow glucose absorption. Try alternatives like brown rice or quinoa for better blood sugar control. Simple, sustainable swaps that help stabilize blood sugar may include whole grain bread instead of white bread; oats with nuts and berries instead of sugary cereals; chickpea or lentil pasta instead of white pasta; veggie sticks instead of chips. Include protein at every meal as they slow digestion, help with satiety and weight management and support muscle mass.

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My 7 year old daughter gets recurrent colds during monsoon and detests khichdi and soups. How can I creatively offer her immunity boosting meals and fluid options that she'll actually eat?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: The key is to how to pack nutrients into dishes that feel more like treats. Some examples may include rainbow veggie parathas stuffed with grated carrots, spinach, bell peppers, and a sprinkle of cheese; fruit-and-nut oat meal; hidden veggie pasta or noodles- add tofu or paneer cubes for protein; fruit-infused water; fruit and nut smoothies etc.

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At age 40, I'm undergoing hormone therapy for recurring cancer after 16 years. As a vegetarian, I want to avoid estrogen-promoting foods and maintain weight. Which plant-based foods should I emphasize and which to limit?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: The strength to combat your problems is commendable. Plant foods that help with weight stability and may support hormone regulation include cruciferous vegetables like broccoli, cauliflower; whole grains like quinoa, oats, brown rice; lentils, chickpeas, black beans; leafy greens; nuts and seeds and flaxseeds (in moderation). Foods to limit may include soy products, refined carbs and sugars, highly processed foods and alcohol.

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I'm diabetic and often skip dinner or snack late at night. Should I eat at fixed times? Is morning milk tea (with minimal sugar) okay or should I switch to alternatives?

Dietician, Diabetes Expert - Answered on Jul 06, 2025

Asked by Anonymous - Jul 02, 2025Hindi

Ans: Timing and food choices can play a big role in managing blood sugar levels. Regular meal times support better glucose control by preventing big dips and spikes. Skipping dinner may lead to nighttime hypoglycemia (low blood sugar), or an early morning spike known as the dawn phenomenon. Late-night snacking can disrupt insulin sensitivity and affect sleep quality—especially if it’s high in carbs. Milk tea with minimal sugar is better than a sugar-laden drink, but still something to watch. Milk contains lactose, a natural sugar which can mildly raise blood glucose.Consider using unsweetened almond or soy milk as a lower-carb alternative.

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Good Afternoon Sir, My latest report fasting-110, PP -71, HbA1c-6.0, age 50 yrs, wt. 70.5 approx, height 166cm, not taking medicine for sugar, presently on Atorva 20 and Concor AM 2.5. What is required to be done to keep sugar in control? Is any medication reqd for sugar?

Dietician, Diabetes Expert - Answered on Jun 30, 2025

Asked by Anonymous - Jun 27, 2025Hindi

Ans: Based on the values you mentioned, a fasting glucose of 110 mg/dL is in the impaired fasting glucose range, just slightly above normal. HbA1c of 6.0% falls within the prediabetes range. Many doctors would recommend lifestyle changes as the first line of action. Follow a balanced diet with controlled carbohydrates, high fiber, and healthy fats. Regular exercise of at least 150 minutes per week of moderate aerobic activity is necessary. Weight management and monitoring glucose regularly is of prime importance. Stress reduction and getting adequate sleep is encouraged.

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Health1

Sir meri age 30 year hai mera first time fasting sugar 149 aur PP 347 aur Hba1c 9 aaya hai 15 din baad parhej aur exercise se fasting 118 aur PP 214 hai kya Mujhe medicine khana chahiye aur Hba1c 9 Bina medicine ke kam ho sakta hai

Dietician, Diabetes Expert - Answered on Jun 30, 2025

Question by rohit - Jun 28, 2025Hindi

Ans: With high blood sugar levels and an HbA1c of 9, you must consult your family doctor. He may prescribe medicine and suggest a lifestyle change. Ensure to maintain a body weight with normal BMI and follow a balanced diet with low refined carbohydrate foods like white bread, maida preparations and more complex carbohydrates like fruits and vegetable. Protein intake should be adequate with focus on low fat dairy products, eggs, lean meat, nuts, beans etc. Avoid high fat and high sugar foods like cakes, pastries, fast foods, aerated water, etc. Follow a regular exercise schedule with strength training. Drink plenty of water.

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With so many kids starting their day with sugary cereals, how does this impact their concentration and energy levels during school hours? And what are some tasty, protein-rich breakfast swaps that parents can prepare to help children avoid sugar crashes and stay active through the morning?

Dietician, Diabetes Expert - Answered on Jun 25, 2025

Asked by Anonymous - Jun 24, 2025Hindi

Ans: Children who eat high-sugar cereals tend to consume twice as much refined sugar at breakfast compared to those who eat low-sugar options. This may lead to blood sugar spikes followed by sharp crashes, which can cause fatigue, irritability, and difficulty concentrating. Some tasty, kid-approved options to keep them energized and focused include scrambled eggs or omelets with cheese and veggies, moong dal/besan cheela with paneer or veggies mixed, oats ldli with veggies and sambhar. You may add to this a glass of milk or curd to pack protein and calcium.

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I'm 29 years old and I'm diabetic for 4 years and married for 2 years. Now I'm pregnant with our 1st baby, but I'm little anxious about it. How diabetes is gonna impact on the baby?

Dietician, Diabetes Expert - Answered on Jun 24, 2025

Asked by Anonymous - Jun 24, 2025Hindi

Ans: Congratulations on your pregnancy! It’s completely natural to feel a little anxious, especially when managing diabetes alongside such a big life change. However, with careful monitoring and support, many people with diabetes go on to have healthy pregnancies and healthy babies. Elevated blood sugar levels can cause the baby to grow larger than average, which may lead to complications during delivery. Also, babies born to mothers with diabetes may produce extra insulin in response to high glucose levels in the womb, which can cause their blood sugar to drop after birth. Babies exposed to high glucose levels in utero may have a higher chance of developing metabolic issues later on. To lower these risks, keep your blood sugar in target range. Regular monitoring and adjustments to your insulin or medication regimen can help. Your medical or healthcare team will guide through nutrition, physical activity, and medication adjustments tailored to pregnancy.

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Health2

Dr Deepa Suvarna |157 Answers |Ask -Follow

Paediatrician - Answered on Jun 17, 2025

Asked by Anonymous - Jun 17, 2025

I have oily skin which is acne prone, I'm a teenager, so should I start using skincare? And I have actually used skincare frm dot&key, it felt heavy on my skin at first (i did use it recently, it was fine this time) bit I start sweating everytime after I'm done with the routine but i still have to empty those skincare, so is it safe to use them? Is it really okay to go visit a dermatologist to enquire on how to care for my skin? And will it be costly?

Ans: Yes, visit a dermatologist

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I'm 28 and my wisdom teeth are growing sideways, pushing my other teeth. My dentist suggests surgery, but I'm scared. What are the risks of not removing impacted wisdom teeth?

Dentist - Answered on Jun 15, 2025

Asked by Anonymous - Jun 11, 2025

Ans: Hello

Not removing impacted wisdom teeth can lead to several potential risks and complications, including:

1. Pain and discomfort: Impacted wisdom teeth can cause recurrent pain, swelling, and discomfort in the jaw, gums, and surrounding teeth.
2. Infection: Impacted teeth can be difficult to clean, increasing the risk of infection, abscesses, and cysts.
3. Damage to surrounding teeth: Impacted wisdom teeth can push against adjacent teeth, potentially causing damage, crowding, or orthodontic issues.
4. Gum disease: Impacted teeth can create pockets that trap bacteria, leading to gum disease and potentially affecting overall oral health.
5. Tooth decay: Impacted teeth can be challenging to clean, increasing the risk of tooth decay and cavities.

When to Consider Extraction
1. Symptomatic teeth: If you're experiencing pain, discomfort, or other symptoms related to your wisdom teeth.
2. If your dentist recommends removal due to potential risks or complications.

Schedule regular dental check-ups to monitor the development and health of your wisdom teeth.
This helps your dentist or oral surgeon to determine the best course of action for your specific situation.

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After watching an Instagram video, I have started doing oil pulling with coconut oil every morning for my oral health. Is it effective? Can oil pulling actually prevent cavities and gum disease, or is it just a wellness fad?

Dentist - Answered on Jun 15, 2025

Asked by Anonymous - Jun 11, 2025

Ans: Oil pulling is an ancient Ayurvedic practice that involves swishing oil in the mouth to promote oral health. Since my knowledge of ayurveda is limited I cannot comment on the effectiveness of this practice.
Some claimed benefits include:
1. Reduced bacteria: Oil pulling may help reduce bacterial load in the mouth.
2. Gum health: Some studies suggest it may help reduce gingivitis and improve gum health.
3. Bad breath: Oil pulling might help reduce volatile sulfur compounds that cause bad breath.

It's important to note that oil pulling is NOT a replacement. It should complement regular brushing, flossing, and dental check-ups.
More research is needed on the subject. While some studies show benefits, more research is required to confirm its effectiveness.
Consult an ayurvedic doctor to know more before incorporating oil pulling into your oral health routine.

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My 7-year-old's new front teeth are growing crooked, and the baby teeth haven't fallen out yet. Should I wait or see a dentist immediately for possible misalignment?

Dentist - Answered on Jun 15, 2025

Asked by Anonymous - Jun 11, 2025

Ans: Hello
You should take your child to a pediatric dentist (Pedodontist) at once. In some cases it is possible to minimize the misalignment with timely intervention. Whether or not any intervention is needed at this time a consultation is an absolute must. Your dentist, after evaluating the case, can give you advice on what treatment may be necessary and at what stage.

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Health1

Question by Mathi - Jun 04, 2025

Dentist - Answered on Jun 14, 2025

MY TEETH RELEASE BLOOD WHAT I AM DO

Ans: Hello
It’s unlikely that your teeth are bleeding. More likely that your gums (the soft pink tissues surrounding and supporting your teeth) are bleeding.
This is not a cause for alarm but certainly calls for a visit to your dentist.
It’s likely that your gums are infected or inflamed. It's possible that your gums are not getting the care and attention they need and deserve.
Trust me, gum problems can be easily treated.
Please talk to your dentist without further delay

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Question by Rudranath - May 28, 2025

Dentist - Answered on Jun 14, 2025

I am 20 years boy in my teeth there is large cavity in one side and my teeth is very dirty please advise me better tooth paste for cleaning

Ans: Hello
At the age of 20, you're much too young to start losing teeth. I suggest you consult a dentist soon. It may still be possible to save the tooth with "the very large cavity" if you consult a dentist soon.
As for your other "very dirty" teeth, there could be external stains or deposits (called calculus or tartar - the result of inadequate or ineffective brushing) which can be easily removed. At worst, there could be multiple cavities caused by tooth decay which can also be restored with fillings or crowns.
Please note that a proper brushing technique and regular brushing will help keep your teeth healthy regardless of which brand of toothpaste you use.

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Health1

Question by Jawed - Mar 05, 2025

Dietician, Diabetes Expert - Answered on Jun 14, 2025

These days, many videos of Diabetes reversal are coming on social media, are they real or fake. Can diabetes be reversed?

Ans: While many social media videos claim miraculous cures, it's important to separate science from hype. Some videos provide legitimate insights, while others exaggerate claims or promote unproven remedies. Yes, Type 2 diabetes can often be put into remission, meaning blood sugar levels return to a healthy range without medication. However, this doesn’t mean it’s permanently cured—lifestyle changes must be maintained to prevent relapse. Research suggests that weight loss, dietary changes, and exercise can significantly improve insulin sensitivity and even restore pancreatic function.

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Question by Dr - May 31, 2025

Dietician, Diabetes Expert - Answered on Jun 14, 2025

Good morning sir/madam...This is G Subbarao,aged 65 years of 5'.3" height with 77 kgs weight. Suffering from diabetics type II since 20 years... Medication is being continued since a long time but glucose levels are still high... Fasting 140 and Post lunch 188. HbA1C ..8.20....suggestions pl regards

Ans: Managing Type 2 diabetes effectively, especially with an HbA1C of 8.2%, requires a combination of medication, diet, exercise, and lifestyle adjustments. As your glucose levels are still high, your doctor may need to adjust your dosage or add new medications. For dietary modifications, limit white rice, bread, and sugary foods. Opt for whole grains, legumes, and fiber-rich vegetables. Include lentils, tofu, nuts, and seeds to help stabilize blood sugar. Avocados, olive oil, and nuts can improve insulin sensitivity. Observe portion control and incorporate exercise & physical activity. Strength training improves insulin sensitivity and muscle glucose uptake. Drinking plenty of water helps flush excess glucose from the bloodstream.

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Dear sir, Can a diabetic patient use khand Deshi instead of sugar. Will it be useful or will it hike blood sugar .

Dietician, Diabetes Expert - Answered on Jun 14, 2025

Asked by Anonymous - Feb 07, 2025

Ans: Desi Khand, also known as Muscovado sugar, is an unrefined sugar that retains natural molasses and trace minerals. While it is slightly superior to refined white sugar due to its additional nutrients, it still has a high glycemic index and can cause blood sugar spikes.

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Question by PRADEEP - May 30, 2025

Dietician, Diabetes Expert - Answered on Jun 14, 2025

My weight is 106 kg and want to maintain about 75-80 kg.age is 55 yrs.height is 5f 9inch.Can it be possible through vegan diet or as you suggest ?

Ans: Yes, achieving and maintaining 75-80 kg is possible with a well-balanced vegan diet, especially when combined with regular physical activity. A plant-based diet can support weight loss by being naturally lower in calories and rich in fiber, which promotes satiety and better digestion. Include plant-based protein sources like lentils, chickpeas, tofu, quinoa, etc. to maintain muscle mass and keep you full. Even healthy vegan foods like nuts, seeds, and avocados can be calorie-dense. Minimize processed vegan foods and opt for whole grains, legumes, vegetables, and fruits for optimal nutrition. Walking is great, but adding resistance exercises can boost metabolism and help with fat loss. Eating at regular intervals and avoiding late-night snacking can improve metabolic health. A vegan diet can be effective for weight management, but ensuring adequate protein, essential nutrients (like B12, iron, and omega-3s), and exercise is crucial.

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Hello mam, I am a 34-year-old woman, 5'4 in, weighing 72 kg. I follow a strict vegetarian diet, walk 3 to 5 km daily, and eat home-cooked meals. Despite this, I haven't lost a single kilo in months. What am I doing wrong?

Dietician, Diabetes Expert - Answered on Jun 14, 2025

Asked by Anonymous - Jun 09, 2025

Ans: Hitting a weight-loss plateau is common, and there are a few possible reasons why this might be happening. Over time, your body adjusts to a lower calorie intake and burns fewer calories. Even home-cooked meals can have sneaky calorie additions, like oils, nuts, or dairy substitutes. Tracking portion sizes and ingredients more closely might help. If you’ve been walking consistently, you may have gained muscle while losing fat, which can keep the scale from moving even though your body composition is improving. Factors like stress, sleep deprivation, or hormonal fluctuations can cause temporary water retention, masking fat loss. Walking is great for overall health, but adding resistance exercises can boost metabolism and help break through plateaus.

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Hello, I've been working permanent night shifts for several years, and my meal timings are highly irregular. I've developed borderline prediabetes, and I want to include a 45-minute walk in my routine. My question is given my sleep-deprived schedule and odd meal hours, when is the most effective time to walk to improve insulin sensitivity and prevent metabolic decline?

Dietician, Diabetes Expert - Answered on Jun 14, 2025

Asked by Anonymous - Jun 11, 2025

Ans: Given your night shift schedule and irregular meal timings, the most effective time to walk for improving insulin sensitivity is after meals, particularly within 30 to 60 minutes after eating. Walking post-meal helps regulate blood sugar levels by increasing glucose uptake by muscles, reducing the burden on insulin production. Since your sleep schedule is unconventional, you might consider walking after your largest meal, whether that’s breakfast before bed or dinner before work. Additionally, consistency matters—aiming for at least 150 minutes of moderate-intensity walking per week (about 20 minutes per day) can significantly improve insulin sensitivity.

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Question by Md - Jun 11, 2025

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jun 13, 2025

Hlo sir i am facing a health problem due to my increase in body weight. From 2023-2024(2years) i was doing online classes in home preparing for competitive exam due to this my weight increase by 10kg (from 62kg to 82kg) and now i am facing issues like problem in walking, running, lack of stamina and many others physical issue. So please sir can you help me with it, i am going to college in next 2 months. I can't go to gym i can do anything at home like exercises and other things. So please sir give me some tips and suggestions

Ans: Hello Md.. Thank you for your query. Appreciate your are worried about weight gain which is valid concern. Weight gain causes lot of issues which includes breathlessness while walking, less of endurance ( Stamina), back and knee pain. The only way you can reduce weight is less calories intake what is needed for body which we call it as staying calorie deficit , more protein and regular strength and aerobic exercise. However this approach requires consistency and determination. You can still do all these exercises at home which includes push ups, pull up, squats, lunges, dumbbells, resistance exercises, however it requires regularity and daily consistency

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Can you please suggest me the best allied health sciences course?? Among physiotherapy and radiology which is better??

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jun 11, 2025

Asked by Anonymous - May 26, 2025

Ans: Hello. I am not a career counselor but Physiotherapist. From Physiotherapist perspective I would definitely say it is a very good career option with lot of opportunities, However career choices must depend on the individual interest and passion. Wishing you good luck.

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Question by Seshu - Jun 10, 2025

Dr Nandita Palshetkar | Answer |Ask -Follow

Gynaecologist, IVF expert - Answered on Jun 10, 2025

Please answer my questions

Ans: Will do it

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My mother-in-law, who is 58 years old, refuses regular health checkups. She believes in home remedies. She's overweight with knee pain, but doesn't believe in going to the doctor. How can I gently convince her to see a doctor and trust modern healthcare

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jun 06, 2025

Asked by Anonymous - Jun 03, 2025

Ans: I completely understand your concern, as well as your mother-in-law's reluctance to undergo regular health check-ups. You might gently explain to her how crucial these check-ups are for maintaining good health and staying strong for her family's sake. In the meantime, you could encourage her to incorporate simple exercises into her routine, such as VMO strengthening, straight leg raises, static quadriceps exercises, and gentle squats or lunges if she's comfortable, as these can help improve her knee strength and mobility. Suggesting she watch some instructional exercise videos on social media might also inspire her to stay active. As she becomes more consistent with these exercises and starts noticing improvements, she may feel more willing to consult a doctor for further advice and care. The key is to approach the situation with patience and encouragement, helping her see the benefits of both exercise and medical guidance for her long-term well-being

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Question by Alamelu - Jun 06, 2025

Dr Shakeeb Ahmed Khan |165 Answers |Ask -Follow

Physiotherapist - Answered on Jun 06, 2025

I wan to know whether physiotherapy has good career growth or b.e in electronics is better which is safer

Ans: Hi Alamelu, Thank you for your question. I'm responding from the perspective of a physiotherapist, not a career counsellor. When it comes to choosing a career, personal interest and passion are crucial. If you're truly passionate about your goals, you're more likely to find both success and satisfaction in your journey.From my experience, physiotherapy is a rewarding profession with diverse opportunities,whether it’s working in hospitals, setting up your own clinic, or exploring areas like fitness and rehabilitation. It can be both personally fulfilling and financially rewarding, especially if you enjoy supporting people in pain, contributing to the recovery process, and promoting inclusion for individuals with disabilities. Wishing you all the best as you pursue your career path!

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My gums bleed slightly when I brush, even though I use a soft-bristled toothbrush. Does this mean that I may have early-stage gum disease?

Dentist - Answered on May 30, 2025

Asked by Anonymous - May 07, 2025

Ans: Healthy gums do not bleed easily. So if your gums bleed it could be an indication of early gum disease. Kindly do not neglect it. Consult your dentist. Gum disease is easily curable. With proper treatment and personalised advice on gum care your gums will be strong and healthy again.

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I've been noticing some sensitivity in my teeth when I have hot coffee or cold drinks. Could this be enamel thinning or receding gums? I am 32. What can I do to stop this from getting worse?

Dentist - Answered on May 30, 2025

Asked by Anonymous - May 07, 2025

Ans: Tooth sensitivity can be caused by enamel thinning amd/or receding gums.

Tooth sensitivity can be managed and potentially reduced with some simple steps:

Oral Care Habits
1. Use a soft-bristled toothbrush: Gentle brushing can help reduce further irritation.
2. Choose a desensitizing toothpaste: Look for products containing potassium nitrate or strontium chloride.
3. Brush correctly: Use gentle circular or vertical motions, avoiding harsh scrubbing.

Dietary Changes
1. Limit acidic foods and drinks: Avoid or reduce consumption of citrus fruits, soda, and sports drinks.
2. Avoid extreme temperatures: Try to consume food and drinks at room temperature.

Additional Tips
1. Visit your dentist: Identify underlying causes and receive personalized advice.
2. Consider a fluoride varnish or gel: Professional applications can help strengthen tooth enamel.
3. Avoid grinding or clenching: Wear a mouthguard if necessary to reduce teeth wear.

By following these steps, you can help alleviate tooth sensitivity and prevent it from worsening. Consult your dentist for further guidance.

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Question by RAMESH - May 27, 2025

Dr Nandita Palshetkar | Answer |Ask -Follow

Gynaecologist, IVF expert - Answered on May 30, 2025

My age is -32Y

Ans: So what is the query?

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Question by K - Jan 03, 2025

Dietician, Diabetes Expert - Answered on May 26, 2025

I am nearing 70 years. My fasting blood sugar for 2023 and 2024 were 110 and 99 and HbA1c was 6.0 each respectively. Kindly advise.

Ans: HbA1c at 6.0 is in the prediabetes range. Prioritize fiber-rich foods such as whole grains, legumes, and vegetables to improve insulin sensitivity. Limit refined carbohydrates like white bread and pastries to prevent blood sugar spikes. Include healthy fats like olive oil, nuts, seeds, and avocado for heart and metabolic health. Opt for lean protein sources (lentils, tofu, Greek yogurt) to balance meals. Stay well hydrated. Exercise regularly including strength training. Regular monitoring is essential.

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I am 52 yrs male. My weight is 70 kg. My fasting blood sugar is 114 and PP is 154. HB1AC is 5.8. Should I start medication or lifestyle changes can help me with my sugar levels?

Dietician, Diabetes Expert - Answered on May 26, 2025

Asked by Anonymous - Jan 15, 2025

Ans: Your blood sugar levels and HbA1c (5.8%) fall within the prediabetes range, meaning you’re at risk of developing diabetes but still have the opportunity to manage it through lifestyle changes before needing medication. Prioritize fiber-rich foods like whole grains, legumes, nuts, seeds, and green vegetables to improve insulin sensitivity. Limit refined carbs (white bread, pastries, processed foods) and sugar (sweets, sugary drinks) to prevent spikes. Increase healthy fats like avocado, walnuts, and olive oil, and opt for lean proteins. Eat balanced meals with complex carbs, fiber, protein, and healthy fats to stabilize blood sugar. Exercise regularly and have regular check-ups to monitor progress.

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Question by ramesh - Feb 26, 2025

Dietician, Diabetes Expert - Answered on May 26, 2025

My wife is diabetic. Started on insulin from february 25. Potassium and createnine levels have imcreased. Kidney stage 3b. What fiet to follow. Are eggs OK. Wheat roti spikes blood sugar. Ramesh gautam

Ans: Managing diabetes alongside chronic kidney disease (CKD Stage 3b) requires a carefully balanced diet that supports both blood sugar control and kidney function while ensuring adequate nutrition. Include low-potassium vegetables like cabbage, cauliflower, bell peppers, Avoid high-potassium foods like bananas, potatoes, oranges, and spinach. Have a controlled protein intake by including lean options like egg whites, tofu, and plant-based proteins are better. Eggs are fine, but opt for egg whites more often, as the yolk contains phosphorus. Use complex carbohydrates from millet, barley, oats. Include healthy fats like olive oil, walnuts, flaxseeds, and almonds (in small amounts to control potassium). Staying hydrated helps flush out waste but should be monitored based on kidney function—consult the doctor regarding fluid restrictions. Reduce salt intake to protect kidney health.

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I have been on a low-calorie diet for 6 months and lost weight everywhere except my belly. I don't snack, I walk daily, and I have even cut down carbs. I am starting to feel defeated. What should I do?

Dietician, Diabetes Expert - Answered on May 26, 2025

Asked by Anonymous - Apr 17, 2025

Ans: Belly fat can be stubborn due to factors like hormones, stress, sleep quality, and even genetics. To help break through the plateau adjust your diet by cutting carbs. However, you still need enough protein and healthy fats to support metabolism. Include foods like eggs, yogurt and nuts. Eat more fiber-rich foods (like vegetables, legumes, and whole grains) and watch hidden sugars & sodium. Consider adding resistance exercises. Short bursts of intense effort followed by rest can be more effective for fat loss than steady-state walking. Drink plenty of water and practice mindful eating.

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My recent health checkup showed elevated liver enzymes and early fatty liver, even though I've never touched alcohol. I'm vegetarian and eat home-cooked food daily. What changes can I make in my diet?

Dietician, Diabetes Expert - Answered on May 26, 2025

Asked by Anonymous - Apr 17, 2025

Ans: To improve liver health and manage fatty liver, focus on a nutrient-rich diet, portion control, and regular physical activity. Include healthy fats from avocados, nuts, flaxseeds, and olive oil, along with fiber-packed vegetables like spinach, broccoli, and cauliflower. Whole grains, legumes, and antioxidant-rich fruits such as berries and citrus support liver function. Stay hydrated and opt for plant-based or low-fat dairy. Reduce refined carbs, processed foods, sugary drinks, and high-sodium meals while avoiding alcohol. Prioritize small, balanced meals and incorporate daily movement, including strength training, to boost metabolism and overall well-being. Drink plenty of water and practice mindful eating.

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I don't drink, smoke, or overeat, but my job is stressful and I sit at a desk all day. My doctor says my fatty liver is probably due to inactivity and belly fat. I can't obviously quit my job so please suggest some remedies.

Dietician, Diabetes Expert - Answered on May 26, 2025

Asked by Anonymous - Apr 17, 2025

Ans: To support liver health and potentially reverse fatty liver, it's essential to focus on a well-balanced diet, portion control, and active lifestyle habits. Opt for nutrient-rich foods like avocados, walnuts, almonds, flaxseeds, chia seeds, and olive oil to provide beneficial fats. Incorporate leafy greens such as spinach, along with cruciferous vegetables like broccoli and cauliflower, to promote liver function. Whole grains, legumes, and beans can help regulate insulin sensitivity, while antioxidant-rich fruits like berries and citrus fruits (lemons, oranges) aid in combating oxidative stress. Low-fat dairy or plant-based yogurt is a great addition to your meals, and staying well-hydrated with plenty of water is crucial. Limit or completely avoid refined carbohydrates, including white bread and pasta, as well as processed and fast foods high in sodium and unhealthy fats. Cut back on sweets, sugary drinks like sodas and fruit juices, and products containing high-fructose corn syrup. It's also important to eliminate alcohol from your diet to prevent further liver damage. Incorporate regular physical movement into your routine, including strength training exercises, to help improve liver health and overall well-being.

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I have recently been diagnosed with Grade 1 fatty liver through an ultrasound, and my recent blood tests have shown mildly elevated liver enzymes (SGPT: 58 U/L, SGOT: 52 U/L). My lipid profile also indicated slightly high triglycerides (185 mg/dL), but my blood sugar and blood pressure are within normal range. I am 35 years old, 86 kg, and 5 ft 4 inches tall. I lead a sedentary lifestyle and follow a vegetarian diet. I have no major medical history. I would really appreciate your guidance on creating a personalised diet plan to manage and possibly reverse my fatty liver condition. I am particularly looking for advice on foods to include, foods to avoid, portion control, and any lifestyle changes that could support better liver health. Thank you.

Dietician, Diabetes Expert - Answered on May 26, 2025

Asked by Anonymous - Apr 28, 2025

Ans: Managing and potentially reversing fatty liver involves a balanced diet, portion control, and lifestyle changes. Foods you can include are avocados, nuts (walnuts, almonds), seeds (flaxseeds, chia seeds), and olive oil for heart-healthy fats. Leafy greens (spinach, kale), cruciferous vegetables (broccoli, cauliflower), and bell peppers help to reduce liver fat. Add whole grains and legumes & beans to your diet to help with insulin sensitivity. Fruits like berries, citrus fruits (lemons, oranges) combat oxidative stress on the liver. Include low-fat dairy or plant-based yogurt. Drink plenty of water. Avoid white bread, pasta, fast food, processed snacks, high sodium foods and sweets, sugary beverages (soda, juices), and high-fructose corn syrup products. Avoid alcohol completely. have small frequent meals and limit calorie intake. Remain active and incorporate strength training exercises.

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