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Dr Chandrakant

Dr Chandrakant Lahariya

Diabetologist, Consultant Physician, Vaccine Expert 

125 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 30, 2024

Asked by Anonymous - Oct 27, 2024Hindi
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Hello Dr... I am 46 years old moderately built with a weight of 92 kgs, 5' 11", and a waist size of 40 inches (slightly obese). No Diabetes, BP, or any other lifestyle diseases. Slightly higher levels of LDL and good HDL. I have a history of CVT and I have been on warfarin for 12 years and my PT INR levels are between 1.8 to 2. I am a vegetarian with discipline in eating at the right intervals - 8 am, 1 pm, and 6:30 pm daily. I am moderately alcoholic once a month with a couple of beers or any hot drink with a limit of 2 drinks only during gatherings or parties. I am trying to lose weight and from last month, I started doing warmup exercises in the early morning for 45 mins along with Suryanamaskars and Pranayam (for which I had taken training during my childhood. In the evening I walk for 30-40 min 2.5-3.5 km. My problem is that after started working out since one month, I feel extremely sleepy between 1:30 to 2:30 pm (after lunch and take a nap of 15 min). And again I feel extremely sleepy between 5:30 to 6:30 which is forcing me to take a nap for 15-20 min. Both the times I get into sound sleep and snore as my wife complains. Night I go to bed at 10:30 and get up at early morning 4:45 but do not snore. Is this related to any underlying health issues that I need to get tested?
Ans: There are a few issues which can be noted:
1. Please increase your night sleep time to around 7 to 8 hours.
2. Consult a dietitian to work on reducing weight.
3. There should not be any reason that you have day time snoring but not in night time. It might be linked to day time sleeping posture. However, in general people who are obese more likely to snore. You can consult a sleep medicine specialist to get this worked out.
4. Eat fruits and vegetables in the diet. Vitamin D, B12 and E supplementation for shorter duration may help you in feeling revitalised, provided you may have deficiency.

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

Answered on Oct 29, 2024

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Hi Komalji, I'm 61 years male with HbA1C- 9.36 FBS @180 and Random sugar level @ 265 calculated in recent lab tests . My LDL cholesterol (71) and BP is in control even though i am taking 10 mg of Rostarvasten tablet for cholesterol and Janumet 50/1000mg daily once after dinner and Diamicron XT 60mg once in a day before breakfast for sugar . Is this medication Ok or do I have to take Needle injected insulin to reduce my sugar level .If so how much quantity per day?
Ans: The acceptable HbA1c is less than 7% and fasting within 70 to 140 mg% and 2 hr post breakfast within 70 to 180 mg%. Your blood sugar levels are not in control and the medications you are taking are clearly insufficient. Either oral medications need to be increased or (and a better approach) would be to start on insulin.
There are many myths about insulin in people and they fear to get started on insulin. What is not understood that we need to have sugar under control and in good control to prevent the complications. Insulin which is administered is exactly what our body produce - an hormone and when body fails to produce, we need to give injectable insulin.

Please discuss with your doctor and ensure your blood sugar levels falls with in range. Starting on insulin and than adjusting oral antidiabetic medications is a good idea. Your LDL cholesterol is just close to the range and it ismost likely due to 10 mg of Rosuvastatin you are taking, so please continue that.

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

Answered on Oct 24, 2024

Asked by Anonymous - Oct 24, 2024Hindi
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Hi Doctor, I'm 37 yrs Male physically and mentally fit. For last several years I'm following a strict diet where I eat 4 times in a day - Breakfast, Lunch, Snacks, Dinner. Nothing in between. I don't eat junk food. I have 2 questions for you: 1) Lately I have observed an urge to eat in-between (eg. an hour after breakfast) probably due to reduced sugar levels. Is it fine to eat some Jaggery/almonds/cashew in between? 2) When I have early dinner around 7pm, I get an acid reflux at night (especially if I eat Tur dal/any pulses). What can be the reason and what are the ways to tackle acid reflux? Thanks in advance.
Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi
Asked on - Oct 30, 2024 | Answered on Nov 01, 2024
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Thanks Doctor for your reply.
Ans: Best wishes
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