Health - Rediff Gurus

Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Dec 03, 2024

Question by Ayesha - Aug 07, 2024Hindi

Ayesha, 54, Diabetic, Seeks Advice on Managing Fasting Sugar Level of 150 Despite Active Lifestyle

Ans: Hi Ayesha,

Managing blood sugar levels depends on what you are eating along with exercise. Weight loss can also be because of uncontrolled blood sugar levels. Also, check if your hormones are fluctuating, sugars can go hay-wire because of hormonal shift too. However you need to focus on:

1. Lowering glycemic load: Work on balancing meals like one serving of complex crabs (whole grain roti) + 1 serving pulse + 2 servings fibre (salads/cooked vegetables) This will take care of your post meal blood sugar levels
2. Go for 10 min quick walk post meals, to help sensitise insulin for better blood sugar levels
3. Avoid going for exercise in evening. This can create a dip in blood sugar levels at 3am and a spike in morning
4. Make sure your dinner is balanced for sustained release of blood sugar.
5. You can include a bed time snack (carb + fat + protein combination) to avoid a dip at 3am and which should take care of your fasting sugars. Some examples are a cup of milk with handful nuts/seeds or roasted channa or date roll (with nuts and seeds)
6. Clock in 150 min of exercise in a week with focus on weight training exercises at least 3 times a week. This is proven to show better blood sugar control throughout the day.

I totally understand that working so much and not seeing results can be demotivating but don't feel. Remember, every step you're taking is moving you closer to better health, even if it doesn’t feel that way right now. Please reassess basis the pointers mentioned above and see how you can work on your plan to achieve your goals. You've got this :)

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Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Dec 03, 2024

Asked by Anonymous - Aug 07, 2024Hindi

Vegetarian & Underweight: How Can I Gain Weight Effectively?

Ans: Hey, to gain weight you need to be in calorie surplus. Which means you need to eat more than what your body burns. If you are pure vegetarian you can focus on caloric dense foods to exceed your caloric requirements like seeds, nuts, etc. Along with this focus on engaging in weight training at least 3 times a week + focus on increasing protein intake to support muscle growth. You can increase protein by protein rich foods/supplements.

Remember, focusing on improving muscle should be the goal when trying to gain weight. Muscle will keep you healthy. Verses focusing on increasing only fat (cheese, butter, etc.) Since this will lead to fat gain which will put you at risk for developing diseases.

Also, try to understand why don't you gain weight. Is it stress, or any other habit hindering this. If you work on correcting your root cause, it becomes easier to achieve your goals.

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Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Dec 02, 2024

Asked by Anonymous - Dec 02, 2024Hindi

Caffeine Concerns - Should I Choose Decaf?

Ans: Hello,

Decaf coffee contains significantly lower caffeine compared to regular coffee. However decaf coffee retains antioxidants and certain bioactive compounds that are beneficial for health. For Diabete, both decaf and regular coffee have shown to improve glucose metabolism. However when it comes to heart health, decaf can be a better choice. Since caffeine is known to spike blood pressure. If you are sensitive to caffeine, which means you experience jitters, anxiety after consumption, then decaf is a gentle alternative.

The choice depends on the following:
Caffeine sensitivity: if you experience anxiety, palpitations, restlessness, sleep disturbances, etc. after consuming regular coffee. In such case, decaf can be a better alternative.

Specific conditions: high blood pressure, irregular heart beats (arrhythmia), insomnia, acidity, etc. then a decaf would be a better choice.

To conclude, both decaf and regular coffee offer health benefits but to choose wisely basis the points suggested above. Decaf coffee allows individuals to enjoy coffee’s antioxidant and disease-fighting properties with less risk of caffeine-related side effects.

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Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Dec 02, 2024

Question by dileep - Nov 30, 2024Hindi

61 Year Old Diabetic Struggling with Laziness and Morning Sickness: What Could Be the Cause and Remedy?

Ans: Hey Dileep, you are feeling tired lazy because of high blood sugar levels and insulin resistance. Please work on managing the glycemic load of your meals. Which means try to include one serving on complex carbohydrates, one serving of proteins and 2 servings of fibre (salads/cooked vegetables) on your plate. This will ensure your blood sugar/insulin levels are well controlled, and the symptoms like feeling lazy and tired will significantly go down.

Along with this, it is also important to include some form of exercise into your routine. Focus more on strength training. Studies have shown weight training/strength training helps to sensitise insulin and help in better blood sugar management.

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Pregnant and Feeling Sick? What to Eat at 16 Weeks with Acute Morning Sickness

Ans: When pregnant, you should eat a variety of foods to ensure you, and your baby get the nutrients they need:
Fruits and vegetables:
Eat a variety of fruits and vegetables, including dark leafy greens, to get vitamins and minerals.
Whole grains: Eat whole grains like brown rice, barley, quinoa, and whole-wheat bread.
Protein: Eat a variety of proteins, including lean meats, poultry, fish, eggs, beans, peas, nuts, and seeds.
Dairy: Choose pasteurized dairy products like milk, cheese, and yogurt.
Folate and folic acid: Eat foods that are high in folate and folic acid, such as cereal, spinach, beans.
Omega-3 fatty acids: Eat foods that are high in omega-3 fatty acids, such as fish liver oil, salmon, shrimp
Flax seeds
Iron: Eat foods that are high in iron to make up for the increased amount of blood in your body, green veggies, dates, jaggery, beet root carrots, prepare food in iron pan.
Fiber: Eat enough fiber to prevent constipation, which is common during pregnancy.
Food that can be eaten during acute morning sickness is
1) Ginger
2) Lemon
3) Mint
4) Curd
5) Coconut Water
6) Rice Water
7) Khichdi
8) Bananas
9) Watermelon
10) Toast
11) Jeera Water
12) Ajwain
13) Cardamom
14) Pomegranate Juice
15) Bland Biscuits and Crackers

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Trying to Conceive at 37: What are the Chances of My Baby Having Down Syndrome?

Ans: Considering your age 37 and husband 39 and planning to have a baby
The chance of having a child with Down syndrome increases with the mother's age:
Age 25: The chance is about 1 in 1,200
Age 35: The chance is about 1 in 400
Age 40: The chance is about 1 in 100
Age 45: The chance is about 1 in 30
If you're over 35 and thinking about getting pregnant, you can:
Get genetic counseling to learn more about your risk
Get regular checkups
Eat a variety of healthy foods
Get regular exercise and plenty of rest
Avoid smoking, vaping, drinking alcohol, and using cannabis or other drugs
To start folic acid (vit B6 and B 12) and DHA 3 months prior to conception.
Learn about prenatal testing for chromosomal conditions like your gynae will perform serial ultrasound at different trimesters like NT SCAN, anomaly scan, fetal 2 D echo and blood markers like dual marker and NIPT to rule out any form of congenital anomalies.

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Dec 02, 2024

Asked by Anonymous - Nov 28, 2024Hindi

41 & Single: Can I Still Have a Healthy Baby?

Ans: While stories about women giving birth in their 50s, 60s, and even 70s make for good headlines, these pregnancies are usually accomplished with donor eggs and in vitro fertilization (IVF). There is no set oldest age when you can get pregnant naturally, but fertility starts to decline as you age.
Due to advances in technology surrounding fertility, pregnancy, and delivery, it's possible to safely have a baby at age 40. However, any pregnancy after age 40 is considered high risk.
Pregnant people over age 35 are more at risk for complications like miscarriage, congenital disorders and high blood pressure.
Firstly, we like to investigate an completely
Baseline blood test
Hormonal test
Amh level (to know fertility potential)
Usg pelvis to rule out any fibroids, cysts
Xray ecg
Then can plan pregnancy
We can screen for babies well-being during pregnancy by serial ultrasound and blood markers and nipt to rule out any abnormalities.

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Dec 02, 2024

Asked by Anonymous - Sep 09, 2024Hindi

Worried About Shrinking Breasts After Surgery? - 46 Year Old Woman Seeks Advice

Ans: According to Mayo Clinic, during pregnancy, the ligaments that support a woman’s breast might stretch as it gets fuller and heavier. This stretching is often one of the common causes of breast sagging post-pregnancy.
Foods that are rich in estrogen include:
Soy products: Tofu, edamame, tempeh, soy yogurt, and soymilk are rich in isoflavones, which are phytoestrogens.
Nuts and seeds: Almonds, flaxseeds, peanuts, sesame seeds, and sunflower seeds are rich in estrogen.
Fruits: Apples, berries, grapes, peaches, pears, and plums are rich in estrogen.
Vegetables: Broccoli, Brussels sprouts, kale, onions, spinach, and sprouts are rich in estrogen.
Grains: Barley, oats, and wheat germ are rich in estrogen.
Plant-based liquids: Beer, coffee, olive oil, red wine, and tea are rich in estrogen.
Eggs and milk: These animal products contain high levels of estrogen.

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Komal Jethmalani |370 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Dec 01, 2024

Asked by Anonymous - Nov 29, 2024Hindi

Second-time bride worried about weight gain wants yoga tips

Ans: Congratulations on your upcoming wedding! Yoga can be a great ally in your journey to tone your face and belly, as it combines physical exercise, mindfulness, and breathing techniques. However, lifestyle and dietary changes are mandatory for weight loss. Maintaining a healthy dietary regimen with low carbohydrate and fat foods, adequate protein and high fiber diet will aid in weight loss. Include foods like whole grain cereals, fruits, vegetables, beans, low fat dairy foods, lean meat, etc. Control portion size and have regular meals daily. Avoid fast foods, sugary drinks, high fat foods, etc. and adopt a regular exercise schedule. Drink plenty of water and sleep well.

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Pushpa R |36 Answers |Ask -Follow

Yoga, Mindfulness Expert - Answered on Nov 30, 2024

Question by Pandugala - Apr 15, 2024Hindi

93 kg and Postpartum Weight Gain: How Can I Lose 23 kg?

Ans: I understand how challenging it can feel to lose weight, especially after a C-section. It’s important to approach weight loss with patience and consistency.

Here are some tips to help you:

Start slow: Begin with gentle yoga poses like Cat-Cow, Bridge Pose, and Child’s Pose. These are safe for post-C-section recovery and help strengthen your core and back.
Focus on breathing: Pranayama (breathing exercises) like Kapalbhati and Nadi Shodhana can boost metabolism and calm your mind.
Avoid overexertion: Your body has undergone changes after childbirth. Avoid intense exercises initially, as they can cause strain.
Healthy eating: Focus on smaller, balanced meals with fresh fruits, vegetables, whole grains, and lean proteins. Avoid sugary and processed foods.
Consistency matters: Even 20–30 minutes of yoga daily can make a big difference over time.
Why seek guidance? Practicing with a yoga coach ensures safety, especially with your C-section recovery. A coach can guide you on suitable poses, breathing techniques, and relaxation methods to achieve your goals without injury.

Take it one day at a time. You’ve got this, and I’m here to help!

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 30, 2024

Asked by Anonymous - Nov 24, 2024Hindi

Can I find a permanent solution for my debilitating Diabetic Neuropathy?

Ans: The solution is in effective control of blood sugar levels.
also, take vit B12 and some other multivitamins.
good foot care and balanced diet.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
New Delhi, India

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 30, 2024

Asked by Anonymous - Nov 20, 2024Hindi

Elevated Fasting Sugar with Normal HbA1c: What Should I Do?

Ans: If you are not diabetic or not on medication, please change your lifestyle.
The Hba1c should be less than 6 or preferably 5.7.
if with fasting is this much and HbA1c 6.3, that would mean your post meal values are high.
Need to reduce carbs in the diet as well.
Next time, please get both fasting and 2 hr post pradial blood sugar levels done along with Hab1c

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
New Delhi, India

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 30, 2024

Question by nasir - Nov 24, 2024Hindi

Is My 6.3 Sugar Level at 65 Normal?

Ans: If you are not diabetic or not on medication, please change your lifestyle.
The Hba1c should be less than 6 or preferably 5.7.
if with fasting is this much and HbA1c 6.3, that would mean your post meal values are high.
Need to reduce carbs in the diet as well.
Next time, please get both fasting and 2 hr post pradial blood sugar levels done along with Hab1c

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
New Delhi, India

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Dr Shyam Jamalabad |82 Answers |Ask -Follow

Dentist - Answered on Nov 29, 2024

Question by COLD - Nov 15, 2024Hindi

Concerned About My Son's Baby Bottle Tooth Decay: Can it Affect His Future Teeth?

Ans: Hello
This type of tooth decay is rather common in children. Most parents dismiss it as inconsequential because "milk teeth fall off anyway" and do not seek professional advice. I am happy to note that you are concerned and have already consulted a couple of dentists.
As long as your son's decayed teeth are asymptomatic, I would agree with your local dentists that, for now, no procedures should be done.
The logic is simple. A visit to the dentist is stressful even for adults. I imagine it would be even more so for a child of 4 or 5!
If the teeth in question are free from pain or underlying infection, we (the dental fraternity) would rather not expose the child to procedures which could potentially instill in him a lifelong fear of dentists and dental clinics.
However I strongly urge you to take your child for periodic check ups to ensure the decay doesn't spread unchecked and/or can be treated in time if the need arises. Please note if these teeth get infected and the infection is left untreated, the permanent teeth can also get damaged.
Also, you (the parent) need to inspect the said teeth and surrounding gums regularly to spot gum boils or swellings. If you spot any of this or if the child complains of pain please consult your dentist at once.
It goes without saying that he should brush his teeth with even more care. Ideally after every meal. Children cannot be fully trusted to brush their teeth well, so it's always wise for a parent to supervise.
If your son is a fussy eater you could consider giving him Calcium supplements. This will not help his current teeth in any way, but the permanent teeth which are due to erupt a few years later will hopefully be more resistant to decay.
Hope this answers your question.

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Dr Shyam Jamalabad |82 Answers |Ask -Follow

Dentist - Answered on Nov 29, 2024

Asked by Anonymous - Jun 18, 2024Hindi

Scared of Dentists: How to Find a Kind and Gentle One with Gum Problems?

Ans: Hello
I understand your anxiety. A visit to the dentist can be stressful, especially if you have had a bad experience.

Here are some key factors to help you identify a good dentist:

1. *Qualifications*: Check for a degree from a reputable dental school and valid licenses.

2. *Experience*: Consider a dentist with extensive experience in general dentistry or specialized fields like orthodontics or oral surgery.

3. *Communication*: A good dentist listens attentively, explains procedures clearly, and answers questions patiently.

4. *Chairside manner*: A caring and compassionate attitude can make dental visits less stressful.

5. *Up-to-date technology*: Modern equipment and digital X-rays indicate a commitment to quality care.

6. *Sterilization and hygiene*: Ensure proper sterilization techniques and a clean environment.

7. *Continuing education*: A good dentist stays updated on the latest techniques and advancements.

8. *Patient reviews*: Research online reviews and ask for referrals from satisfied patients.

9. *Professional affiliations*: Membership in organizations like the Indian Dental Association (IDA) or local dental societies indicates a commitment to ethical standards.

10. *Comfort level*: Trust your instincts and choose a dentist with whom you feel comfortable discussing your concerns and treatment options.

11. *Clear treatment plans*: A good dentist explains procedures, costs, and alternatives clearly.

12. *Emergency care*: Find out their policy for handling dental emergencies and after-hours care.

13. *Office hours and location*: Consider a dentist with convenient office hours and a location that suits your needs

By evaluating these factors, you can find a skilled and caring dentist who meets your oral health needs.

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Dr Shyam Jamalabad |82 Answers |Ask -Follow

Dentist - Answered on Nov 29, 2024

Asked by Anonymous - Nov 15, 2024Hindi

Why My Front Teeth Are Turning Black? - A Dentist Answers

Ans: Hello
Dark stains on front teeth can be caused by various factors, including:

1. Poor oral hygiene: Inadequate brushing and flossing can lead to plaque and tartar buildup, causing stains.
2. Coffee, tea, and wine consumption: Chromogens in these beverages can bind to tooth enamel, causing discoloration.
3. Tobacco use: Smoking or chewing tobacco can cause significant staining.
4. Trauma or injury: Blood from the injury can seep into the tooth, causing discoloration.
5. Medications: Certain medications, like tetracycline and doxycycline, or iron supplements can cause tooth discoloration as a side effect.
6. Other factors include enamel hypoplasia (caused by a deficiency of Calcium) or fluorosis (caused by exposure to an excess of fluoride during the tooth developmental stage)

To address dark stains on front teeth, consider the following options:

1. Professional scaling and polishing. In severe cases teeth whitening or bleaching may be necessary.
2. Dental bonding or veneers
3. Enamel microabrasion (for fluorosis or enamel hypoplasia)
4. Improved oral hygiene habits
5. Avoiding stain-causing beverages or using a straw
6. Quitting tobacco

Consult a dentist to determine the best course of treatment based on the underlying cause and severity of the stains.

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Pushpa R |36 Answers |Ask -Follow

Yoga, Mindfulness Expert - Answered on Nov 29, 2024

Question by vasudeva - Oct 22, 2024Hindi

As a 32-year-old woman who's looking to lose weight, how many surya namaskaras should I do each day?

Ans: The number of Surya Namaskaras (Sun Salutations) you can do in a day depends on your fitness level, experience, and time availability. Here’s a guideline to help you determine the right number for your practice:

1. For Beginners
Start with 4 to 6 rounds (1 round = 2 sets, right and left side).
Gradually increase to 12 rounds over a few weeks as your stamina and flexibility improve.
2. For Intermediate Practitioners
Aim for 12 to 24 rounds daily, depending on your energy and time.
This takes about 20-40 minutes and provides a full-body workout.
3. For Advanced Practitioners
You can do 50 or more rounds if your body is conditioned for it.
Many practitioners aim for 108 rounds as a meditative or spiritual practice during special occasions or festivals.
Tips for Practicing Safely:
Warm-Up: Begin with light stretches to prepare your body.
Maintain Proper Form: Quality is more important than quantity to avoid injuries.
Listen to Your Body: Stop if you feel tired or experience discomfort.
Stay Hydrated: Keep water nearby, especially for longer sessions.
Cool Down: Finish with restorative poses like Balasana (Child's Pose) and Savasana (Corpse Pose).
Consistency Over Quantity:
Even a small, daily practice of Surya Namaskara can bring immense benefits to your physical and mental well-being. The key is to be regular and mindful.

If you’d like to explore how to tailor your practice for your fitness goals, let me know!

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

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Dr Anshuman Manaswi |4 Answers |Ask -Follow

Plastic-Aesthetic Surgeon, Emergency Care Consultant - Answered on Nov 29, 2024

Asked by Anonymous - Nov 29, 2024Hindi

Worried About My 17-Year-Old Daughter's Skin Problems: Help!

Ans: Usually at this age, these problems come. But a combination of many such issues as elaborated by you means that she may need lifestyle changes like avoiding fast food, using sun protection, decreasing stress and sound sleep. These apart from specialized care of your skin issues are needed. Please see a qualified specialist for the same.

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Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Nov 28, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Can Bitter Gourd and Clutter Beans Help My Diabetic Mother?

Ans: Both bitter gourd and cluster beans are well-researched for their blood glucose-lowering properties, making them excellent additions to a diabetes-friendly diet. However, how you prepare them significantly impacts their nutritional value.

For instance, frying these vegetables or adding excessive salt, jaggery, or oil can strip away their health benefits and may even increase bad cholesterol or blood pressure, doing more harm than good.

To maximize the benefits:
Include bitter gourd and cluster beans 2-3 times a week in their simplest form—lightly cooked as a regular vegetable dish.

Also, always remember one food/ingredient will not positively impact her overall blood glucose levels. It's her overall diet (which should be low in glycemic load), stress, sleep routine and exercise which impacts her glucose reading. Make sure everything is well managed.

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Niharikka Budhwani |6 Answers |Ask -Follow

Dietician, Lifestyle, Nutrition Expert - Answered on Nov 28, 2024

Asked by Anonymous - Nov 28, 2024Hindi

Should I Avoid Rice with High Diabetes?

Ans: If you have uncontrolled blood sugar levels, you need to work on managing overall glycemic load of the meal. You can eat rice but here are a few tips to incorporate:

1. Cook rice a day prior. Refrigerate it for 8-12 hours and reheat it microwave the next day. Resistant starch is formed by overnight refrigeration of rice which doesn't allow blood sugar levels to spike.
2. Add a tea spoon of ghee/coconut oil to this rice. This will further slower down absorption of glucose and help you manage post prandial blood sugar levels
3. Eat in a balanced way to lower the overall glycemic load of the meal. Which means along with one serving of rice include 1 serving protein (dal/non veg), vegetable, and salad. This will also help you manage post prandial blood sugar levels.

Along with this, please try to find out the root cause (diet & lifestyle habits) for your uncontrolled blood sugar levels and work on that to see better results.

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Dr Anshuman Manaswi |4 Answers |Ask -Follow

Plastic-Aesthetic Surgeon, Emergency Care Consultant - Answered on Nov 28, 2024

Asked by Anonymous - Nov 27, 2024Hindi

Hair Smoothing Gone Wrong: How to Fix Uneven Curls and Straight Hair?

Ans: As a Aesthetic surgeon I can suggest you to see a Hair specialist doctor and take treatment advised after a physical examination, especially when the treatment u underwent led to hair loss.

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 27, 2024

Asked by Anonymous - Nov 15, 2024Hindi

36 Year Old Woman with Low AMH Seeks Fertility Advice and Weight Management Strategies

Ans: Hello noted
Since you are 36 years and gonna turn 37
Amh is 1.67
And weight 69
So, considering your age and amh being 1.67 one year back, we need to repeat your AMH. Amh is supposed to reduce with age, it means the egg forming capacity of the ovary diminishes with age.
So, you need to focus of conception. At the same time, you can do exercises and dietary changes to reduce your weight
Let both happen hand in hand
And yes, correction of vitamin D, tsh is needed
Have nutritious food, antioxidants, proteins in your diet
Have supplements which help in improving the quality of eggs.

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Pushpa R |36 Answers |Ask -Follow

Yoga, Mindfulness Expert - Answered on Nov 27, 2024

Asked by Anonymous - Nov 22, 2024Hindi

My Morning Meditation Helps Me Start The Day Calm, But One Incident Makes Me Angry And Ruins My Entire Day. What Can I Do?

Ans: To remain calm even when faced with anger, it's essential to train the mind regularly, not just in the mornings. Here’s a simple way to handle it:

Mindful Breathing: When you feel anger rising, pause and take deep breaths. Slowly inhale for 4 counts, hold for 4, and exhale for 6 counts. This simple practice can calm your mind in moments.

Witness Your Anger: Instead of reacting, observe the anger. Tell yourself, "This is just a passing emotion. I don't need to hold on to it."

Practice Gratitude: Shift your focus to something positive—like a good moment from your day. Gratitude quickly softens anger.

Carry Peace Throughout the Day: After morning meditation, visualize yourself remaining calm no matter what happens. This mental preparation helps when challenges arise.

Remember, meditation and mindfulness need consistent guidance to become effective. A yoga or meditation coach can teach you techniques tailored to your personality and lifestyle. Self-practice is good, but expert guidance ensures you build resilience faster and avoid frustration.

When anger disrupts your peace, see it as a signal to return to your breath and inner calm—each time, you grow stronger.

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

Asked on - Nov 27, 2024 | Answered on Nov 28, 2024

Thanks for your prompt response. I will definitely put your guidance to use.

Ans: You're very welcome! I'm glad I could assist you with your queries. If you have any more questions or need further guidance on your yoga or meditation practice, feel free to reach out anytime. Wishing you a healthy and peaceful journey ahead!

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

(more)

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Dr Anshuman Manaswi |4 Answers |Ask -Follow

Plastic-Aesthetic Surgeon, Emergency Care Consultant - Answered on Nov 26, 2024

Asked by Anonymous - Nov 26, 2024Hindi

Can Cosmetic Surgery Permanently Cure Acne Scars? A Teen's Question

Ans: Yes, There are treatments to decrease the acne marks. They may not completely go, but they can be made much less visible.
Depending on the depth of the acne scars non surgical treatments like dermabrasion, lasers, PRP, Fillers etc may help. In severe cases, surgery may be helpful.

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Dr Anshuman Manaswi |4 Answers |Ask -Follow

Plastic-Aesthetic Surgeon, Emergency Care Consultant - Answered on Nov 26, 2024

Asked by Anonymous - Nov 26, 2024Hindi

Worried 40-Year-Old: How Long Does Botox Last if I Don't Continue?

Ans: The effect of Botox takes around 3-4 months to wear off. Usually, the skin will become as it was , if you do not continue. It doesn't become loose.
But it is advisable that if you start the treatment and like the post treatment effect, you should continue it

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Nov 22, 2024Hindi

Should I take a pregnancy test if my period is late after using an emergency contraceptive pill?

Ans: Hey, since you are 44 years, you are in your peri menopausal phase which causes hormonal imbalance
But since have consumed IPILL, which is an emergency contraception, periods can be up to a week late and sometimes even later. If your period is more than a week late, we recommend taking a pregnancy test. You may have some irregular bleeding after you take the Ipill, and before your next period. This can range from spotting to heavy bleeding.
So please do home pregnancy test once to rule out pregnancy. If its negative, then await normal regular periods.

Asked on - Nov 26, 2024 | Answered on Dec 03, 2024

Thank you for your reply. I have done a pregnancy test, and it is negative. Now that one week has passed and I still haven't gotten my period, should I wait or consult a doctor?

Ans: Yes please if pregnancy test is negative
You please visit your gynec
She will advise u the blood hormonal test and usg pelvis if needed
If all good then, you will be given medicines to get your periods.

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Oct 30, 2024Hindi

Adopting a child at 47: Is it too late?

Ans: Noted
Wife 47 yrs and husband 50 years having son 16 yrs old, having a startup business
Can adopt a child but not of same gender which you have from the marriage
The minimum age difference between the child and the prospective adoptive parent must at least 25 years
Composite age of husband and wife is 97 years (if composite age between 90 to 100 years. Can adopt child above 2 years and upto 4 years)

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Oct 22, 2024Hindi

Can a 42-year-old man and a 46-year-old woman have biological children?

Ans: Noted
Husband 42 yrs
Wants to marry a woman 46 yrs and concerned about conception
Firstly, ita important to understand that as age advances the egg forming capacity of women diminishes and same with males, the sperm quality, quantity, motility also gets affected.
We need to evaluate the AMH LEVEL in woman to detect the ovarian function and other hormonal test also.
We need to do semen analysis in males after 3 to 4 days of abstinence
Chances of conception above 40 is 3 to 5 percent
But it's not impossible and can happen with assisted reproductive techniques.
Ivf Icsi techniques

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 26, 2024

Question by paresh - Nov 24, 2024Hindi

Is this menopause? 43-Year-Old with Short Periods, Acidity, Weight Gain, Hair Loss, and Breast Discharge

Ans: At age of 43, there is a hormonal imbalance which can result in weight gain, scanty menses, hair fall, discharge from nipple.
It can be due to stress, diet changes or lifestyle changes
Watery discharge from nipple can be due to impaired, raised prolactin level which can and treated with medicine under supervision of your doctor
To check for hormones
TSH, prolactin, LH, FSH, estradiol level, and correct accordingly
Weight gain can be taken care by correcting hormonal imbalance, dietary changes (including proteins less carbs, less oily and fatty food), exercises (Zumba, cardio, daily walks)
Hair fall can be taken care of by improving nutrition, including vitamin A, C, D, iron, biotin, zinc, protein, essential fatty acids and taking supplements under doctor supervision

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Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Nov 21, 2024Hindi

Help! My wife hasn't had her period since October - Am I a father again?

Ans: History noted
Since she missed her periods, tsh higher side
Urine pregnancy test twice negative
I would advise
1) to get one usg pelvis done to rule out any cyst
2) hormonal test
Tsh , prolactin
Since TSH is high, advisable to start thyroid medications tab thyronorm to bring down the tsh level to within normal limits
If usg pelvis is normal
Can give withdrawal bleed in form of progesterone pills to get periods.
Keep a watch on further cycles
If still irregular, then to keep on cyclic oral contraceptive pills to regularize periods
To maintain menstrual diary
To control TSH LEVEL

Asked on - Nov 28, 2024 | Answered on Nov 30, 2024

Thanks Doctor and your advice means a lot for my wife health. I will follow your advice and I will report you after diagnostic tests and med

Ans: Yeah, please if pregnancy test is negative
You please visit your gynec
She will advise you the blood hormonal test and usg pelvis if needed
If all good then, you will be given medicines to get your periods.

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Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Nov 22, 2024Hindi

44-Year-Old Woman Worried About Delayed Period After Emergency Contraceptive Pill

Ans: Hey, since you are 44 years, you are in your peri menopausal phase which causes hormonal imbalance
But since have consumed IPILL, which is an emergency contraception, periods can be up to a week late and sometimes even later. If your period is more than a week late, we recommend taking a pregnancy test. You may have some irregular bleeding after you take the Ipill, and before your next period. This can range from spotting to heavy bleeding.
So please do home pregnancy test once to rule out pregnancy. If its negative, then await normal regular periods.

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Gynaecologist, IVF expert - Answered on Nov 26, 2024

Question by Twisha - Nov 19, 2024Hindi

What can I do to manage my PCOD? (18 year old female facing irregular periods and financial constraints)

Ans: Polycystic ovary syndrome (PCOS) is a hormonal condition that can cause irregular or absent menstrual periods.
Higher amounts of androgens in PCOS can interfere with egg development and ovulation, leading to skipped or absent periods.
One of the best ways to cope with PCOS is to maintain a healthy bodyweight, eat nutritious foods and exercise regularly.
LIFESTYLE CHANGES:
Eating healthy foods, exercising regularly, and maintaining a healthy weight can help regulate your menstrual cycle
BIRTH CONTROL PILLS:
Combination oral contraceptives (COCs) can help regulate menstrual periods and treat acne and hirsutism. It can take up to six months to see if birth control is effective.
ANTIESTROGENS:
These medicines can help with skin and hair growth problems
METFORMIN
This diabetes medicine can help control ovulation and androgen levels, which can make menstrual cycles more regular
Supplements containing
Myo ionositol, chirositol, vitamin D, chromium also helps in maintaining pco

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Pushpa R |36 Answers |Ask -Follow

Yoga, Mindfulness Expert - Answered on Nov 25, 2024

Asked by Anonymous - Nov 24, 2024Hindi

Can Hernia Patients Practice Anulom Vilom, Kapalbhati, and Bhastrika?

Ans: If you have had hernia surgery, it is important to be cautious with yoga practices, especially breathing techniques like Anulom Vilom (Alternate Nostril Breathing), Kapalabhati (Skull Shining Breath), and Bhastrika (Bellows Breath).

Anulom Vilom is generally safe as it is a gentle breathing technique. It does not involve any strain and can help calm the mind and improve oxygen flow.
Kapalabhati involves forceful exhalation and can put pressure on the abdominal area. This is not recommended immediately after hernia surgery or for those with weak abdominal muscles.
Bhastrika involves deep and forceful breathing, which can also strain the abdomen. It should only be practiced if your doctor and yoga coach confirm it is safe for you.
After surgery, the abdominal area needs time to heal, and any strain can cause complications. It’s best to avoid practices that create pressure in the abdomen until fully recovered. Always check with your doctor first.

To practice safely, work with a yoga coach who can guide you on suitable techniques based on your recovery and health. A coach ensures you practice without risking harm.

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

Asked on - Nov 25, 2024 | Answered on Nov 25, 2024

Thanks Maam for your guidance. But i had that surgery a long ago i. e 8 yrs ago. Since then I had stopped kapalvati. Is it safe now to practice that and vastrika also? Regards

Ans: Since your hernia surgery was eight years ago, you can gradually try Kapalabhati and Bhastrika if fully healed. Start slowly with gentle practice and observe for discomfort. Consult your doctor first and practice under a yoga coach’s guidance to ensure safety and correct technique. Avoid strain and focus on gradual progression.

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

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Pushpa R |36 Answers |Ask -Follow

Yoga, Mindfulness Expert - Answered on Nov 25, 2024

Question by Muthu - Nov 21, 2024Hindi

56-Year-Old with Knee Pain Due to Cancer: How to Start Yoga as a Beginner?

Ans: Starting yoga is a wonderful step to improve your health, especially when dealing with cancer and mobility challenges. Yoga can help you build strength, improve flexibility, and reduce stress. However, because of your condition, it’s essential to approach yoga carefully and safely.

As a beginner, I recommend starting with simple seated or lying-down poses like Sukhasana (Easy Pose), Balasana (Child’s Pose), and Shavasana (Relaxation Pose). Breathing exercises like Anulom Vilom (Alternate Nostril Breathing) can also help improve energy levels and calm your mind.

Since you have health complications, it’s best to learn yoga under the guidance of an experienced yoga coach. A coach will guide you on which poses are safe and beneficial for your condition. Practicing alone without proper instructions may lead to strain or injury.

Yoga is not just exercise; it’s a journey towards better physical and mental health. Start slowly, listen to your body, and take one step at a time. You will gradually notice improvements in your strength and confidence.

If you need guidance, I’m here to help you start your yoga journey safely.

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

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Dr Nandita Palshetkar |21 Answers |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 25, 2024

Question by sanjeev - Nov 02, 2024Hindi

Can my 53-year-old wife who hasn't had periods for 6 years get pregnant?

Ans: Menopause is the end of a woman's reproductive years and is marked by the cessation of menstrual periods for at least 12 months. During menopause, the ovaries stop producing estrogen and progesterone, and stop releasing eggs, making it impossible to conceive.
So, it's impossible to become pregnant after menopause, until you undergo infertility treatment

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Gynaecologist, IVF expert - Answered on Nov 25, 2024

Question by Silk - Sep 09, 2024Hindi

Is there a way to lower bad cholesterol levels while managing menopause weight gain?

Ans: Yes, menopause is a condition where lot of hormonal changes happen and lots of physical change too.
But we can take care of bad cholesterol by certain dietary changes in exercises:
1) eat soluble fibers which bind with cholesterol and leave the body like beans, peas, oats, apple, carrot
2) eat more plant sterols and stanols which can prevent the body from absorbing cholesterol
3) eat food rich on omega 3 fatty acids, walnuts, flax, avocado, olive oil
4) eat soy protein which bring down cholesterol by 3 to 5 percent like Soya milk, Tofu, soy nuts
5) eat more nuts which lower cholesterol
6) eat food low in cholesterol and saturated fat
7) weight loss with aerobic activity, daily walks and exercise
8) some women need statins to low cholesterol
9) HRT have positive response to low cholesterol but to consult doctor before start

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 22, 2024

Question by aman - Nov 21, 2024Hindi

My Fasting Sugar Is High - 326 After 1.5 Hours - Help!

Ans: These readings are indicative that you have diabetes. It will be useful to know how you developed diabetes but that is secondary. Key is you need to start on medications immediately.

Diabetes control require lifestyle modifications in terms of weight reduction, atleast 30 min of moderate intensity physical activity five days of week or more. Dietary modifications and possibly low calories diet.

In addition, you would need anti diabetic medications in consultation with a physician.

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

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Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 22, 2024

Asked by Anonymous - Nov 15, 2024Hindi

53-Year-Old with High HbA1c: What Foods Should I Eat or Avoid?

Ans: You have diabetes and this require lifestyle modifications in terms of weight reduction, atleast 30 min of moderate inetsnity physical activity five days of week or more. Dietary modifications and possibly low calories diet.

In addition, you would need anti diabetic medications in consultation with a physician.

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

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Dr Shakeeb Ahmed Khan |127 Answers |Ask -Follow

Physiotherapist - Answered on Nov 21, 2024

Question by Jyoti - Nov 20, 2024Hindi

How to Reduce Belly Fat? 18 Yeard Old Sakshi Wants to Know

Ans: Hello Sakshi. Thank you for your query . Reducing belly fat involves a mix of healthy eating, regular exercise, and lifestyle adjustments. Focus on a balanced diet that includes plenty of vegetables, fruits, lean proteins, whole grains, and healthy fats, while avoiding sugary drinks, processed snacks, and late-night eating. Stay active with a combination of cardio exercises like jogging or brisk walking and core-strengthening activities such as planks and leg raises. Aim for 30-60 minutes of exercise most days, but consult a physiotherapist to ensure your workout routine suits your body type and any specific concerns. Staying hydrated with 2-3 liters of water daily and getting 7-8 hours of sleep each night are also essential for reducing belly fat and improving overall health. Also high stress levels may contribute to fat storage around the abdomen. Be consistent and patient with these habits, as gradual changes lead to long-lasting results. I wish you good health and active lifestyle.

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Dr Shakeeb Ahmed Khan |127 Answers |Ask -Follow

Physiotherapist - Answered on Nov 21, 2024

Asked by Anonymous - Nov 19, 2024Hindi

55-Year-Old with Stents & Knee Issue: How Can I Safely Lose Belly Fat?

Ans: Hello Sir. Thank you for your query. Reducing belly fat requires a combination of calorie control, low-impact exercises, and lifestyle changes, tailored to your health history. Start by maintaining a slight calorie deficit of 200-300 kcal/day, focusing on a balanced diet rich in lean proteins, complex carbs, and healthy fats while avoiding sugary and processed foods. Drink 2-3 liters of water daily to stay hydrated. Engage in low-impact activities like brisk walking for 30-40 minutes daily, which is gentle on the knees and heart-friendly. Incorporate simple core-strengthening exercises such as pelvic tilts, seated knee lifts, and standing side bends to activate abdominal muscles without straining your knees. As your ligament strain heals, consult Physiotherapist about gradually increasing exercise intensity, including light resistance training. Prioritize 7-8 hours of quality sleep and manage stress through mindfulness to lower cortisol levels, which can contribute to belly fat. Small, frequent meals can keep your metabolism active, and tracking progress through waist measurements rather than just weight will help you stay motivated. These adjustments will promote gradual, sustainable fat loss while ensuring safety and heart health. I wish you healthy and active lifestyle.

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Asked by Anonymous - Nov 11, 2024Hindi

My HB1Ac is High - What Can I Do?

Ans: Please monitor blood sugar levels for fasting, 2 hr after breakfast, pre lunch and pre dinner. The medicines can be adjusted accordingly. If you have this HbA1c with these medicines, then either including more antidiabetic medicines or insulin will help.

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Question by Abhi - Nov 05, 2024Hindi

Diabetic with high TG and low HDL: What should I do?

Ans: Your LDL level is very low and you may not need atorva. Please also confirm if you have high BMI or fatty liver. These markers need to be examined and reviewed with a physicians.

regarding improved lipid profile, please reduce weight, increase physical activity, eat a lot of fruits and vegetables. reduce refined sugars.

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Question by Shirish - Nov 05, 2024Hindi

43-Year-Old With High Creatine: What Can I Do to Lower It?

Ans: Please see if you are taking some traditional medicines or some supplement which are protein rich. If creatinine increase is a recent phenomenon that it might be related to acute renal injury. However, if it has increased slowly, then it need further examination. It could be related to diabetic nephropathy.

Please let me know your age to allow me to calculate eGFR which will guide me to provide better advice.

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

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

Question by Pankaj - Nov 12, 2024Hindi

Concerned Diabetic Seeks Help: Is Sugarfit Program the Right Choice?

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 Chandrakant Lahariya |159 Answers |Ask -Follow

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

Asked by Anonymous - Nov 14, 2024Hindi

Early Signs of Diabetes: 48-year-old Woman Seeks Answers

Ans: Polydipsia- excess thirst
Polyphagia - excess hunger
Polyuria - excess frequency of urination.
Weightloss

These are some of the early signs of diabetes. However, one can go on with high levels of sugar in blood without warning signs. Therefore, it is always better to get regular preventive health check ups done.

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Question by Satish - Nov 14, 2024Hindi

High Blood Sugar at 47: How Can I Manage It?

Ans: These levels indicate that you have diabetes mellitus type 2.
You need to be started on medications. Please consult a physician and get started on treatment.

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

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Asked by Anonymous - Nov 14, 2024Hindi

Diabetic with Abnormal HbA1c - Should I Follow Doctor's Advice?

Ans: Please monitor your blood sugar levels by measuring fasting and 2 hr after breakfast blood sugar levels.
Two HbA1c levels seems little confusing and one of two may be incorrect. So, it is better to monitor with fasting and 2 hr blood sugar levels also.
In your anti diabetic medications, one of the essential medicine metformin is missing. I would prefer to add metformin and reduce dapa to 5 mg and might stop tenli.

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

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Dr Chandrakant Lahariya |159 Answers |Ask -Follow

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

Asked by Anonymous - Nov 14, 2024Hindi

Do I Need Diabetic Medication Now? I'm 49, Prediabetic for 12 Years, and Started Gymming

Ans: Your blood sugar levels are at diabetic level and not the prediabetic levels.
I would strongly advise you to start medication along with physical activity and diet control. However, I believe you might have done extensive diet and physical activity and therefore, it is important to start on medication for diabetes. It is related to legacy effect. if you control your sugar levels better in beginning, you can get better control in long run.

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

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

Question by Jagdish - Nov 14, 2024Hindi

Am I Diabetic at 74? My Fasting Sugar is 105 and Post Lunch is 120

Ans: I think this is a very good control of blood sugar levels. Congrats.

regarding Gur or honey, it is better to be avoided but small quantity is not an issue.

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

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

Question by VASANT - Nov 14, 2024Hindi

Is My Suddenly High Fasting Sugar Dangerous?

Ans: Hi Vasant Ji,
Please check whether you have done any change in your diet. Please check your blood sugar levels 2 hr after breakfast and pre lunch and pre-dinner. That will provide a profile of blood sugar levels.

A comprehensive blood check up including HbA1c, lipid profile, liver function test and information on your weight and height and BMI will help me in guiding the treatment. You might benefit from insulin as well

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

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