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Dr Chandrakant

Dr Chandrakant Lahariya

Diabetologist, Consultant Physician, Vaccine Expert 

5 Answers | 1 Follower

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Answered on Oct 15, 2024

Asked by Anonymous - Aug 17, 2024Hindi
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I am diabetic as well as having thyroid. I take first meal at 10.30 daily and second and last meal at 15.30 apart from this I take a cup of tea with a toast in morning as well as in the evening. This routine is since March 2024, there is no change in my weight still. Please let me know if I am doing wrong at any place. Or suggest some alternative of the above To reduce the weight and to reverse diabetes. Presently my diabetes is normal My diabetes medicine are Metformin Hydrochloride Prolonged-Release & Glimpride Tablets IP (500mg/1mg) + Voglibose and Metformin Hydrochloride Tablets (0.3mg/500mg)
Ans: For providing advice on weight, I need to know your weight and BMI. However, as you can see in my responses to some of the previous queries, a dietary modifications is very personalised in case of Diabetes. Moreover, person with diabetes should take smaller meals rather than heavy few meals.
More importantly, I need to know your HbA1c and Fasting and PP blood sugar levels and other lipid parameters to comment about the sufficiency of anti diabetic medication you are taking.

Your schedule indicate that you seem to be doing intermittent or time restricted fasting. This has proven benefit as the VLCD or very low calorie diet. VLCD with around 800 Kilo Calories a day, is a standard of diabetes care in many country including the UK. However, please ensure that you are not developing hypoglycemia or low sugar levels.

Regarding weight reduction strategies and reversal/remission of diabetes, a more personalised discussion with a physician is needed.

Dr Chandrakant Lahariya
Senior Consultant Physician & Diabetologist
Centre for Health: The Speciality Practice, New Delhi
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Answered on Oct 15, 2024

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Hello ! My fasting sugar is 140 and after BF sugar goes to 140-210. I am taking metformin sr.500 mg in Morning and 1000 mg at Night. Still not stable. Please advise what else to do. I do brisk walking and jogging and diet is mostly fruits and vegetables.
Ans: The level of blood sugar you have indicated are suggestive of diabetes mellitus type 2 and the metformin you are taking is clearly insufficient.

Ofcourse, need to have more dietary modifications and increased physical activity. Get body weight within normal range (please see previous answer if you wish to understand more).

Please do following:
1. A comprehensive blood test. Specially when people have diabetes, there are chances of high Bp, deranged lipid profile. and other blood parameter changes.
2. Please get HbA1c done along with fasting adn 2 hr after breakfast blood sugar levels.
3. Your medications need to be increased as currently, the sugar levels are high. There is a concept called, legacy effect. which essentially mean a tight and early control in blood sugar results in better diabetes outcome in long run. The Hba1c should be less than 7, preferably around 6.5% to reduce the possibility of macro and microvascualr complications of diabetes.
4. Do charting of your blood sugar level for some time, with Glucometer. May consider CGMs (Continuous Glucose monitoring), which provides 14 day reading for every five minutes of sugar level in once body. This may help a physician to suitably modifiy your medication.
5. Visit a physician with above set of information.

Best wishes,
PS: In such queries, mentioning age, duration of diabetes, BMI/Body Fat, height, weight and BP can help in providing more personalised information.
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Answered on Oct 15, 2024

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