Komal Jethmalani

Answered on Dec 07, 2023

Question by Aniket - Oct 12, 2023Translate

I am diabetic since last 15 years and taking insulin and tablets since last 8 years. It is observed that there is a protein leakage from my urine. Urinary protein is 2326.5 mg/ 24 hrs. my creatinine is 1.3 mg/dL. my doctor has given me following medicines - Cyblex M80 twice a day , calciguard twice a day , Unistar 5/75mg once in a day , glipon 20mg once in a day , telma 20 mg once in a day. Apidra Insulin 10 units in afternoon and 6 units at night, Toujeo insulin 8 units at night. I want ask you Sir, how much protein and water should i consume daily.

Ans: It is important to consult a healthcare professional or a registered dietitian for personalized dietary recommendations based on individual health status and medical history.

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Answered on Dec 07, 2023

Question by Sumukh - Oct 18, 2023Translate

What's the Best Breakfast for Diabetics? can they go with Samosa Kachori Upma and Poha ??

Ans: Meals for diabetics should consist of high fiber foods like vegetables, whole grains, fruits, beans, etc. and protein rich foods like low fat dairy products, eggs, lean meat, nuts, etc. Samosa and Kachori are deep fat fried foods which will increase harmful trans fats in your diet and increase calorie intake. Upma and Poha can be had in moderate quantity provided it contains vegetables, pulses or vegetables to blunt the glycemic index caused by the cereal. A good breakfast for type 2 diabetes should include complex carbohydrates, healthy fats and proteins to help regulate blood sugar levels. Some options include oatmeal with nuts and berries, whole grain toast with avocado and scrambled eggs, or a smoothie with fruits, vegetables, and protein foods like low fat dairy products or beans/pulses. It's also important to drink plenty of water and avoid sugary drinks. It's always a good idea to consult with a dietitian or healthcare provider for personalized advice.

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Answered on Dec 07, 2023

Question by sarvesh - Oct 25, 2023Translate

hi mam, i am a heart patient and have been implanted an ICD (device), am taking a pill for BP control & two tablets for sugar control, my weight is 84 kg, i want to control my weight, may you please advice me a diet & other advise

Ans: The process of managing one's weight in order to reach or keep a healthy body mass index (BMI) is known as weight management. A mix of regular exercise, a balanced diet, and lifestyle modifications may be necessary for this. Before beginning any weight-management program, it's crucial to consult with a healthcare provider, particularly if you have any underlying medical concerns. Follow a balanced diet by including salads and vegetables in both meals to increase fiber consumption, protein rich foods like milk and milk products, dals, legumes, soya, millets, nuts , seeds, cereal -pulse combinations, eggs, chicken, fish to increase metabolism . Avoid high fat and high carb foods and remain within nutritional budgets. Ensure regular exercise.

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Answered on Dec 06, 2023

Question by Nitin - Nov 14, 2023Translate

Hi Komal My age is 47 and I have type 2 diabetes for last 10 years I take medicines for diabetes and for cholesterol and triglycerides My BMI is 30 and weight is 88 kgs I have fat only at my belly with a paunch Whatever measures taken in past to reduce weight through diet control and physical activity results in some weight loss only to be regaiñed in sometime Pls suggest any specific diet / process by which belly fat is reduced significantly Regards Nitin Gupta

Ans: The layer of fat that is accumulated around the abdomen is known as "belly fat," and it is sometimes blamed for giving the appearance of a protruding or bulging belly. People acquire belly fat for a variety of causes, such as stress, poor food, lack of sleep, genetics, and physical inactivity. In order to get rid of belly fat, you need to combine stress management strategies, a good diet, regular exercise, and enough sleep. Belly fat can be reduced with a diet heavy in fruits, vegetables, whole grains, lean proteins, and low in processed foods. Planks and crunches, two exercises that work the abdominal muscles, can also be beneficial. Furthermore, controlling stress levels and obtaining adequate sleep might help avoid the sugar spikes.

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Answered on Dec 06, 2023

Question by Santosh - Nov 14, 2023Translate

I don't have any issues but my fasting sugar is 140, Is there any concern? Please assist

Ans: Fasting blood sugar level of 140mg/dl is indicative of diabetes. I would encourage you to consult a medical practitioner and get your blood parameters checked. It is advisable to take action immediately.

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Answered on Dec 06, 2023

Asked by Anonymous - Nov 15, 2023Translate

At the age of 35, I was diagnosed with diabetes. Currently, I'm 43 yrs. I represent a lower-class family where medical treatment is highly impossible. Post corona no regular income. Survival has become a burden of the beast. Only through food intake I can minimise or balance the sugar level. Doctor, kindly provide a proper food guide. I represent the orthodox IYER and pure vegetarian family. Can I consume white rice in a lesser proportion on a daily basis? Coffee without sugar? I have stopped taking bakery food items. During festivals can I partake in HOME MADE "CHICKPEA FLOUR PATTIES"[CHANE KE AATE KEE PAITEEZ? GHAR KA KHAANA?] WHAT IS PROCESSED FOOD MEANT? KINDLY GUIDE ME. NAMASTE.

Ans: Management of blood sugar levels for Type 2 diabetes can be done by following a balanced diet. Include a good source of fiber containing food with every meal or snack. -Start the day with some whole grains, oats. Eat less potatoes. Instead, try brown rice or less well known grains like bulgur, wheat berries, millet, or hulled barley or quinoa. Include beans/legumes which are an excellent source of slowly digested carbohydrate as well as a great source of lean protein. Eat lots of vegetables and fruits. Avoid fried, fast foods and high fat and sugar foods. Ensure regular exercise for at least 40 minutes daily. Any food that has been altered from its original state is considered processed. Foods that have been chopped, cleaned, heated, pasteurized, canned, frozen, dehydrated, blended, or packed might all fall under this category. Foods with additional nutrients, tastes, salts, sugars, fats, or preservatives may also fall under this category.

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Answered on Dec 06, 2023

Asked by Anonymous - Nov 15, 2023Translate

Hi madam, my wife is type 2 diabetic since she was 8 years old and now she is 35. What precautions our children have to take not to get diabetes?

Ans: Your wife has juvenile diabetes which is insulin-dependent. High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth. Consult a medical expert and a diet specialist. Make sure that the blood sugar levels are tightly controlled. High fiber, low carbohydrate, high protein and low fat diet is recommended,

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Answered on Dec 06, 2023

Question by Thomas - Nov 30, 2023Translate

Hai Kamalji, I am Thomas, 61 Years Old Please advice me to control the Diabetics with following situation. I had Post COVID pneumonia and had diabetics. now I am taking Insulin in the morning and night with 15 unites. Now taking food as follows Morning :- 2 Idly or Dosa or Boiled Banana or Reva Uppuma Afternoon :- Vegetable Curry Evening :- One Cup Tea with Milk Night :- 2 Apple, Papaya (Fruits) I am taking the diet as above. But the sugar level is not coming down. Also the weight is gaining. I had effected severe and was in ventilator for 22 days. Heavy dose of steroid is injected while in the treatment time.it was in March 2021. Physical exercise also reduced due to Knee issue. Even though the HbA1c is around 7.4 to 7.6 Kindly suggest the diet modification to control the diabetics at this stage.

Ans: In order to maintain normal blood sugar levels, follow a high fiber, low carbohydrate, adequate protein and low fat diet. Include foods like vegetables, fruits, whole grains, pulses and legumes, nuts, etc. Avoid having too many fruits in a day. Have small frequent meals. Make sure that Idly, Dosa etc. is made from oats, or whole grains than rice as they have a high glycemic index. High protein foods are important to blunt the glycemic index so include eggwhites, low fat dairy products, soya, etc.

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Answered on Dec 06, 2023

Question by DP - Nov 21, 2023Translate

My son's hemoglobin lever is 17.6. How to decrease it?

Ans: A high hemoglobin count occurs most commonly when your body requires an increased oxygen-carrying capacity. I would suggest taking advise from a medical practitioner.

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Answered on Oct 07, 2023

Asked by Anonymous - Oct 04, 2023Translate

Sir, I am losing weight constantly from 83 kg to to 78 kg in three months during midnight it sweats a lot my hands are trembling,paining and hungry .if I pass urine that time ii would almost faint .I have BP iam taking rancil 10 mg My sugar levels are fasting sugar is 102 pp is 113and H1ABc 4.7 CRP 0.80 . I met diabetic doctor she suggested to meet nephrologist .he told me that be because of BP and infection in urine it is happening.he prescribed pregablin 75 and changed by BP 50 mg for 7 days.he ask me to stop taking non veg foods salt 5 grams per day.only certain fruits should be taken. But I am not satisfied with the doctor assessment.beacuse he has not cleared why I am losing wait how to stop and regain the weight .pls explain me whether I would be able regain my weight and will be healthy

Ans: Midnight sweats and trembling are indicative of hypoglycemia. An HbA1c of 4.7 indicates good control of blood sugar levels. I suggest taking advise from a specialist to understand your health condition.

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Answered on Oct 07, 2023

Question by simon - Aug 24, 2023Translate

Hello Mam, I am 69 . Like to have some advice on the daily food intake to control blood sugar without medication. The routine food intake Morning at 6 am 1 glass ajwan seeds water with palm jaggery drink + 1 glass black light coffee. At 9.30 beak fast 2 chappti of mixed flour wheat, flax seeds, little millet with veg curry + 1 or 2 elaichi banana 2 p.m. lunck 2 chappati same combination with veg curry + some non veg fish or small portion of meat + cut mix seasonal fruits such as apple, pappaya, peer, mango etc. 5.30 pm green tea with snaks such as diet chivda/brown bead with butter + half of madras banana. 9.30 p.m. dinner 1 bowl salad (cucumber/tomotto/onion/ dressing olive oil/apple cider venegar filtered + small portion of scrambled egg white + cut mix seasonal fruits such as apple, pappaya, peer, mango etc. Sleep time 11 -11.30 Pls. adv. if any changes required in the food intake and or life style.

Ans: To control blood sugar spikes, avoid having foods with a high glycemic load and glycemic index. Fruits like Banana, mango, pear do have a high glycemic index. Frequent consumption of these fruits in a day will increase the glycemic load. Ensure a regular exercise regime to lower body fat.

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Answered on Oct 07, 2023

Asked by Anonymous - Sep 12, 2023Translate

I'm 66 years old. My fasting blood sugar is 91 and Hba1c is 6.2. Am i diabetic ? How should I modify my diet. I'm a rice lover.

Ans: An HbA1c of 6.2 mg/dl is indicative of prediabetes. Ensure following a diet with adequate protein foods like beans, low fat dairy products, lean meat, eggs; high complex carbohydrates like fruits, vegetables, whole grains, etc.; and low fat foods. Have small, frequent meals with low glycemic index foods. Follow regular exercise regimen. Avoid sweets, alcohol, high fat foods, fast foods, etc.

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Answered on Oct 07, 2023

Question by Mohammed - Sep 09, 2023Translate

Hello ma'am,I'm a 37 year healthy person,during a random blood sugar testing i was handed a reading of 290 fasting sugar and 320 pp sugar levels,strangely i dont feel any of the symptoms of diabetics,i rarely get hungry,my legs don't hurt don't have sudden blood sugar level spikes,i only eat when I'm hungry and walk and exercise and eversince then i have totally left sugar,white bread n maida and all spike inducing foods,i haven't started any medication just having karela juice two times a day,i want my diabetics to go into remission and have my pancreas to heal naturally( have already brought down my fasting sugar level to 200 now in a month ) please suggest necessary dietary amendments and other helpful insights to lead healthy and normal life

Ans: Blood sugar levels may rise due to hormones being released in response to stress as well. It would be advisable to check with your physician. Follow a healthy diet comprising of complex carbohydrates, adequate protein and low fat foods. Include whole grains, beans, fruits, vegetables, lean meat, eggs, etc. Do aerobic and strengthening exercises daily and have meals with low glycemic index and load. Have small, frequent meals.

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Answered on Oct 07, 2023

Question by S - Sep 04, 2023Translate

Hi. I am Madhu, 52 yrs old male. My fasting blood glucose is 125 and post prandial is 201. How do I bring down post prandial levels and my HbA1c is 8. Please help.

Ans: An HbA1c of 8 indicates high blood sugar levels. You can follow a high fiber, more complex carbohydrate, adequate protein and low fat diet. Include whole grains, beans, fruits, vegetables, lean meat, eggs, etc. Avoid sweets, alcohol, high fat foods, fast foods, savouries, etc. Adopt a regular exercise regimen with both aerobic and muscle building exercises to increase lean mass.

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Answered on Oct 07, 2023

Asked by Anonymous - Sep 03, 2023Translate

Hi! Komal, I am doing intermittent fasting (8:16) and eat twice a day with no snacking in between. I start with dry fruits, fruits, salads and then normal food (dal, chawal, roti sabji) I do this because I have been given to understand that a certain amount of insulin is released every time that one eats. However, I feel I am stuffing myself (both time) Please let me know if I spread my meals during the eating window, will the amount of insulin released remains constant irrespective of the amount of food taken? I don't want insulin spike as I am looking at developing insulin sensitivity and loosing weight. PS: I don't binge when I have my 2 meals. It is one roti and little rice. Many thanks!

Ans: The rise in blood glucose levels triggers the release of insulin from the pancreas. The blood sugar spikes depend on the amount and quality of carbohydrates in your diet. Complex carbs, high fiber and protein blunt the blood sugar spikes. You can spread your meals during the eating window based on your activities. Post workout the meal should have a high protein diet to ensure muscle build up.

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Answered on Oct 07, 2023

Asked by Anonymous - Aug 28, 2023Translate

Sir, my HbA1C is 6.6. My FBS is between 112 to 134 and PP Sugar is between 104 to 123. I am on Glyciphase SR 500mg one tab along with Tab Foxiga 10mg one tab once after BF. Doing Yoga three days a week one hour each and liberal walking. I am very cautious and trying to avoid carbohydrate. But my weight is not decreasing. Constantly around 94kg. What else can I do? Please help.

Ans: Weight loss is a slow process. You should focus on body fat loss and increase in lean mass, Your diet should consist of complex carbohydrates, adequate protein and low fat foods. Include whole grains, fruits, vegetables, beans, etc., to add a high fiber diet to blunt your blood sugar spikes. Avoid sweets, fast foods, alcohol, high fat foods, etc. and ensure regular exercise daily to build muscle mass.

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Answered on Sep 22, 2023

Question by Rajesh - Aug 01, 2023Translate

I am 52 Years Old having Diabetes and hypertension since last 5 Years .Since 2021 Feb ,after a bout of Herpes Zoster ,i am having substantial swelling on my Left ankle .I also Had Corona in March That Year .I have Consulted Several specialists Pertaining to Heart ,Kidney and Physician as well .I was suggested Wearing Compressed socks on my Left Leg ( He ruled out Varicose Veins and deep Vein Thrombosis ) )Can you help me Regarding this

Ans: To control diabetes and hypertension, maintain your normal BMI( Body Mass Index). Exercise more than 30 minutes / day. Reduce sodium intake / day. Include 1 teaspoon(5 g of > Salt). Follow a low fat and low carbohydrate diet. Adequate high quality protein foods are important. Avoid refined carbs especially sugar, bakery items. Eat potassium rich foods ( green leafy veggies, tomatoes, coconut water, > lemon, orange, banana, dates, etc. to lower hypertension. Avoid high glycemic foods like sweets, fried foods, alcohol, savouries, etc. Include plenty of fruits and vegetables in your diet to increase the fiber content and blunt blood sugar spikes. Exercise regularly.

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Answered on Sep 22, 2023

Question by Ijaz - Aug 31, 2023Translate

Hello doctor, I am in Grade I Fatty Liver from 2017 . Does Intermittent fasting or dry fasting for 2 days week help to reduce fat in liver?

Ans: It is important to approach these fasting methods with caution and consult with a healthcare professional before attempting them. Fatty liver is a condition in which there is an increased build up of fat in liver and scarring of tissue. The treatment includes following a very low fat and carb diet. A high fiber diet with lot of antioxidants will enable in lowering the body fat percentage. At least 50% of diet should be raw. Avoid all processed, refined foods and simple carbs. Add omega 3 rich fats like fish, eggs, nuts, seeds. Foods to be included are leafy greens, turmeric, nuts, fatty fish cruciferous veggies, garlic, citrus fruits, etc. Increase physical activity (a minimum 40 mins daily ) and control blood sugar levels.

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Answered on Sep 17, 2023

Question by PRAKASH - Sep 14, 2023Translate

Is butter and deshi ghee can be used by diabatic, and which refined oil should be used in daily use.

Ans: Ghee is rich in saturated fats, has anti-inflammatory properties and supports gut health. It contains natural anti-oxidants and but individuals with high lipid profile should limit their ghee or butter intake. Refined oils are vegetable oils like mustard, safflower, and canola, which undergo a chemical treatment to remove strong odors, tastes, and toxins. They do not have any therapeutic benefits for consumers. Some healthier oil options include olive oil, extra virgin olive oil, and coconut oil for daily use.

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Answered on Sep 17, 2023

Question by Manish - Sep 10, 2023Translate

Hi my name is manish yadav. Weight 68kg and height 5feet and 9 inches. My fasting blood sugar is 113.0 my age 42. What should I do to decrease my sugar leval.

Ans: A fasting blood sugar level of 113 mg/dl is indicative of pre-diabetes. You can lower your blood sugar levels by following a low carbohydrate and low fat diet. Ensure consumption of whole grains like whole wheat, oats, jowar, bajra, beans, pulses, fruits and vegetables, which are rich in complex carbohydrates and fiber. Include adequate protein rich foods in your diet to blunt blood sugar spikes. Have small and frequent meals. Avoid sweets, alcohol, chocolates, fried foods, etc. Follow a regular exercise schedule to lower body fat.

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Answered on Sep 09, 2023

Question by HARSHIT - Sep 07, 2023Translate

Madam I am 27 yrs and recently I had severe headache with blurred vision , my sugar level was checked and it was 390 .physician gave diabetes medicines and my hb1ac 5.7 he has put me on insulin now i am fasting and have not consulted dr i AM taking non veg food 2 times please advise Iam confused

Ans: I am glad to learn that your HbA1c has dropped to 5.7. You must continue the insulin as prescribed by your physician. Fasting may lead to severe hypoglycemia with insulin dosage. You must follow a balanced diet rich in complex carbohydrate and fiber foods like whole grains, beans, pulses, vegetables, fruits, etc. Protein rich foods like lean meat, eggs, low fat dairy products, etc.; are necessary to blunt the blood sugar spikes. Have small and frequent meals. Avoid sweets, high fat foods, aerated water, chocolates. alcohol, etc. Follow daily strengthening and aerobic exercises to increase metabolism and increase lean mass.

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Answered on Sep 09, 2023

Asked by Anonymous - Sep 06, 2023Translate

Hi. I’m a 37yr old female, diabetic since last 10 years. My fasting is in the range of 250-300 and pp is close to 250. I’m on insulin triceba-22 uts/day along with lispro thrice a day with 22/22/12 units respectively. How do I bring my sugar levels down. I also walk for 40min-1 hr every day. My weight is around 55kgs and I’m 5’1.

Ans: A fasting blood sugar level of 250-300 mg/dl is out of range. Ensure including complex carbohydrate and fiber rich foods in your diet like whole grains, beans, pulses, vegetables, fruits, etc. Protein foods like low fat dairy products, eggs, lean meal, legumes, etc.; are very important to offset the blood sugar spikes. Include healthy fats in your diet. Avoid sweets and high fat foods, alcohol, chocolates, etc. Adopt a regular regimen of strengthening and aerobic exercises to lower body fat and increase lean mass.

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Answered on Sep 09, 2023

Question by Manoj - Sep 06, 2023Translate

I am 51years old.my fasting blood sugar between 250 to 350 always.i am taking insulin 4time in a day.how can I control

Ans: Blood sugar levels of 250 to 350mg/dl are out of range. You should consult your family doctor. Dietary control is important , thus start the day with some whole grains like whole wheat, whole oats, millets, etc.
Eat more fiber rich foods like vegetables and fruits. Include beans/legumes which are an excellent source of slowly digested carbohydrate as well as a great source of lean protein. Substitute for meat 1-2 times per week. Avoid sugar and high fat foods like cakes, pastries, chocolates, savories, aerated water, alcohol, etc. Follow a regular exercise regimen to lower body fat.

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Answered on Sep 02, 2023

Question by Sudhir - Aug 18, 2023Translate

I am 67 years, Male, 165 Cms. Ht. Weight 94 Kgs. My B.P. is normal 130/80 . My Angioplasty in year 2010 and C.A.B.G. in 2015 is done. I want to reduce my weight, but not happening. I go for 45 minutes morning walk everyday. Please suggest any suitable diet for weight reduction.

Ans: To lose body weight, focus on reducing body fat and increasing lean mass. Follow a diet rich in high fiber, complex carbohydrates, and high protein foods. Avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeens. Include foods like whole grains, vegetables, fruits, nuts, beans, pulses, eggs, lean meat, soya, nuts, etc. Avoid high glycemic foods. Keep a regular exercise regimen.

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Answered on Sep 02, 2023

Question by Kakoli - Aug 25, 2023Translate

Madam,I am 51 years old .I am diabetic for the last 7 years.My weight is 73 and height is 5'2.My HBA1C is 6.5 at present.And fasting sugar is between 100 to 114 and PP ranges between 136 to 150.Presently I am on Jardiance 25 ,half tab in the morning and Tenglyn M 500 after dinner.What should be my diet and how do I reduce my sugar.

Ans: A diet to reduce blood sugar levels should include high fiber and complex carbohydrates like whole grains, vegetables, fruits, beans, pulses, etc. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeens. Protein foods should be had in every meal. Starchy or root vegetables should be eaten in moderation along with other fiber rich veggies. High glycemic index foods should be restricted. Adopt regular exercise.

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Answered on Sep 02, 2023

Question by Ajay - Aug 21, 2023Translate

Hii I am 56 yrs old (Male). Height 5.10 inches Weight 81 kgs My fasting is 135 to 145 Pp is 130 I eat 1bhakri,dal, sabzi, little salad for lunch and dinner I also have fish 3 days a week Half cup if milk tea in the evening with some snacks. I go to the gym Every day How to reduce fasting sugar levels

Ans: A fasting blood sugar level of 135 to 145mg/dl is indicative of out of range levels. An HbA1c test will give a clear picture of your blood sugar levels. For monitoring and controlling blood sugar levels, you must focus on a high fiber and complex carbohydrate diet including whole grains, fruits, vegetables, beans, pulses, etc. Protein foods are important to avoid blood sugar spikes. Have small frequent meals. Avoid sugars, white bread, chocolates, high fat foods, savouries, etc. Exercise regularly to reduce body fat and increase lean mass.

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Answered on Aug 31, 2023

Asked by Anonymous - Aug 17, 2023Translate

I am 45 years of age. My fasting is 136 and post lunch is 186. I am not taking any medicines. In the past also i had similar range. But my dietry changes and exercise i managed to lower the range. My question is should i start medications since i control somewhat effectively when i see the higher range. I am apprehensive of starting the Medicines as once started it cannot be stopped. Please advise. Thanks

Ans: If your blood sugar levels are not within normal range despite dietary modifications, you can take appropriate advise from your physician. Lifestyle modifications are long term; consistency and compliance are required for effective results. Healthy dietary behavior must be followed irrespective of being under medication. Monitoring blood glucose levels, dietary management, maintaining physical activity, keeping weight and stress under control, monitoring oral medications are the essentials of Diabetic management.

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Answered on Aug 31, 2023

Question by M - Aug 16, 2023Translate

Hi komal ji, good morning I'm Sandeep, post graduate. My age is 33. Recently I was diagonised with prediabetes. My fasting blood sugar is 160-170 and PPBS is 280. So please suggest me the right way to treat my health condition. Thanks in advance.

Ans: A fasting blood sugar level of 160-170mg/dl and PPBS of 280mg/dl is indicative of Diabetes. You should consult your physician for appropriate medication. A diet rich in fiber, protein foods and low in simple carbs and fats are the dietary modifications required. Have foods like whole grains, vegetables, fruits, beans, nuts, etc. to offset blood sugar spikes and increase satiety value. Avoid sweets, pastries, cakes, chocolates, white bread, aerated water, fatty foods, etc. Small frequent meals will be beneficial in controlling blood sugar levels. Strengthening and aerobic exercises are necessary to lower body fat and increase lean mass.

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Answered on Aug 31, 2023

Asked by Anonymous - Aug 15, 2023Translate

I am 55 years old, weight 115, height is 183 cms blood sugar level fasting 188 PP is 205 please advice what type of diet I should follow.

Ans: Fasting blood sugar levels of 188 is indicative of Diabetes. To control blood sugar spikes, you need to reduce weight by lowering your body fat percentage. A diet with complex carbohydrates like whole wheat , quinoa , Brown rice , oats , Broken wheat (dalia), sprouts , lentils , salads , green leafy vegetables and whole fruits should be taken in diet as they help in delaying the process of sugar release from foods. Small and frequent meals to be taken. A brisk walk for minimum 30 minutes 5 days a week is compulsory. Exercise is important to lose body fa and increase lean mass.

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Answered on Aug 31, 2023

Asked by Anonymous - Aug 04, 2023Translate

Hello Madam. My wife is currently 40th age. Recently we did blood test and confirmed Prediabetic. I understand that we can reverse this condition if appropriate healthy lifestyle is adopted. Doctor has asked to consult Dietician for the same. We are vegetarian. Please suggest

Ans: You can prevent or delay prediabetes from turning into type 2 diabetes with early lifestyle changes. A balanced and healthy dietary modifications with regular exercise is the key to reversal of prediabetes. Include complex carbohydrates in your diet such as brown rice, whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and dals. Avoid starchy or root vegetables, sugar, pasta, white bread, flour, and cookies, pastries. Add protein foods(like low fat dairy products, beans, pulses, soya, etc.) in your diet to offset blood sugar spikes. Have a low glycemic index diet. Sleep well and drink plenty of water.

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Answered on Aug 16, 2023

Question by deepti - Aug 14, 2023Translate

Hello, Komal ji. My mother is a diabetic patient since 19 years. Her HBA1C slways in higher side 8.5 but pp and fasting comes between 120 to 135. She's taking her medicines. What are the reasons of high HBA1C.

Ans: An HbA1c level of 8.5% for a diabetic is out of range. Fasting blood sugar levels of 120 to 135 mg/dl must also be lowered. While following a diabetic diet, ensure that it is within her nutritional requirements. Reduce intake of simple carbs like white bread, white flour, sugars, cakes, cookies, sweetened beverages, etc. Include a high fiber diet with foods like green vegetables, fruits, whole grains, oatmeal, beans, etc. Adequate protein is important in every meal so include foods like low fat dairy products, beans, dals, eggs, lean meat, nuts, etc. Physical activity is important to increase energy expenditure and lower the blood glucose levels.

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Answered on Aug 16, 2023

Question by Raghavendra - Aug 12, 2023Translate

Hello doctor my age is 44,height 5.4", weight is 58, fasting sugar is 200, pp sugar is 320,I am taking glycomet Gp1 and glycodab 2 tablets morning and night two times kindly sagest me

Ans: Your fasting and Postprandial blood sugar levels are out of range. You need to review your medication with your doctor. Follow a balanced diet with more complex carbohydrates such as brown rice, whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and dals. Avoid simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeens. High glycemic index foods should be restricted. These foods raise sugar levels very quickly. Choose high fiber foods like vegetables in every meal. Follow a regular exercise regimen and focus on body fat loss.

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Answered on Aug 04, 2023

Asked by Anonymous - Aug 01, 2023Translate

Hi Doctor Could you please suggest a diet regime for a vegetarian with grade 2 non alcoholic fatty lever patient. The patient has undergone a kidney transplant surgery in 2014. The lipid profile is perfect but SGOT is slightly elevated. The Alkali phosphate and GGT is also evelavated. Blood protein is pm lower side. The patient has already lost around 7 kgs in last 7 months or so. Regards

Ans: The diet for Non alcoholic fatty liver condition includes fruits and vegetables especially leafy greens, high-fiber plants like legumes and whole grains like oatmeal. Restrain from foods and beverages including those high in added sugar, salt, refined carbohydrates, and saturated fat . Avoid alcohol. Antioxidants from garlic, turmeric, coffee, green tea, sunflower seeds and omega 3 oils will help protect your liver from damage. Focus on lowering your cholesterol levels, maintain ideal weight and adopt regular exercise.

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Answered on Jul 30, 2023

Asked by Anonymous - Jul 29, 2023Translate

Hello ,i started walking and jogging 4.5 kms avg for the past three months .I reduced my food intake particularly carbohydrates. I am taking thyronorm 25 m cg regularly. Suddenly my weight got reduced 83.5 to 78.5 . No i am under weight i should around 81.is it ok . or i have to change my diet

Ans: Measures to being fit include eating a healthy, balanced diet and regular exercise. Calorie deficit in your diet should be done only based on your BMI, nutritional requirements and any prevalent health condition. Eating less than your requirements can lead to nutritional deficiencies and loss of lean mass which will be seen as a loss of body weight. Make sure to include high protein foods like low fat milk and milk products, lean meat, eggs, beans, sprouts, nuts, etc.; high complex carbohydrates like whole grains, fruits and vegetables, etc. Avoid high fat and sugary foods. Drink plenty of water and sleep well.

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Answered on Jul 29, 2023

Question by Nyla - Jul 26, 2023Translate

I am 52 year old have diabetes from last 10 years Hbalc 8.5.enable to get it down

Ans: An HbA1c of 8.5 is indicative of hyperglycemia or uncontrolled diabetes. This if long term can lead to serious complications. For lowering your blood sugar levels, focus on healthy carbohydrates like whole grains, oats, cereals, legumes, dried beans, peas, lentils, low fat dairy products fruits, vegetables in your diet. Importance of portion control to help control your blood sugar, Choose fiber rich foods restrict saturated fat. Restrict refined & simple carbohydrates like sucrose, glucose or fructose, white rice, white bread, table sugar, jaggery, sweets, honey, corn-syrup and alcohol. Exercise regularly to reduce body fat.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 26, 2023Translate

My age is 64 mysugar after fasting 174 how can I reduce my sugar advise me sapsuls

Ans: Normal fasting sugar levels are between 70-100 mg/dl. A level of 174 mg/dl indicates blood sugar levels are out of the normal range. Consult a doctor for blood tests to be done and advise on medication. Do lifestyle modifications such as dietary restriction of sugar and physical exercise daily. Follow a healthy balanced diet and include fiber rich foods like whole grains, vegetables, fruits, beans, nuts, etc. in your diet. Have a high protein and fiber rich diet to increase satiety and blunt blood sugar spikes. Avoid high fat and sugary foods.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 26, 2023Translate

My Age 75 Fasting Sugar 110 . My PPBS 230 My Pre Dinner 220 Insulin intake Morning 30 Predinner 22 . Crazy for Sweets. HBA1C 8.5. Advice and Impact on future health

Ans: Your blood sugar levels are out of range. You can review your basal and bolus insulin dosage. If uncontrolled, long term high blood sugar levels can lead to complications thereby impacting future health. Reduce your sugar cravings by having a protein rich diet. Include high fiber foods in every meal to increase satiety. Include complex carbohydrates whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and dals. Avoid simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeens. Have low fat and healthy oils like olive or mustard oil. Have low glycemic index foods. Focus on portion size. Adopt a daily exercise regimen.

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Answered on Jul 29, 2023

Question by MARLENE - Jul 23, 2023Translate

My HB1AC is 8.4. How do I reduce it. I am regularly taking my diabetes medication

Ans: An HbA1c of 8.4 indicates uncontrolled diabetes. This can lead to a decreased quality of life due to complications. Lifestyle modifications including following a balanced low glycemic index diet along with exercise is needed for lowering a high HbA1c. Include complex carbohydrates such as brown rice, whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and dals. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries, and namkeens. Starchy or root vegetables should be eaten in moderation along with other fiber rich veggies.. Have salads with each meal to balance sugar levels. Exercise regularly.

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Answered on Jul 29, 2023

Question by Sumukh - Jun 19, 2023Translate

Which AATA is good for Diabetics?

Ans: The most beneficial options for flours with a low glycemic index that can be useful for people with diabetes would be – Ragi, Khapli, bajra , buckwheat, almond flour, chickpea flour, oats flour, etc. These can be used along with whole-grain wheat flour in different recipes. Khapli or emmer wheat is less gluten-free and has a less glycemic index which helps in controlling diabetes from the body.

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Answered on Jul 29, 2023

Question by chanchal - May 16, 2023Translate

My weight is 43 this is continuing for a long time now I am 27 years old but the weight is stable it neither increase nor decrease. I also tried protein supplements but that also doesn't work..... should I consult a doctor, if yes which doctor should I consult?

Ans: Using the BMI is considered a good measure of a person’s weight because it compares their weight to their height. If you are underweight, it will depend on whether you may have a genetic background or a medical illness that prevents you from putting on weight. You may have an ectomorph body type. There are interventions doctors can recommend to help a person gain weight. Dietary guidelines for weight gain include increasing the quantities of the food gradually , to eat more frequently, having more nutrient dense foods like inclusion of nuts, dry fruits, starchy vegetables like potatoes, sweet potatoes, carrots, etc. Add healthy unsaturated fats: olive/ coconut oil. Include protein sources in every meal like chicken/fish/egg whites or veg sources like low fat milk and its products, soya and pulses. Consult a registered dietician or nutrition consultant for dietary advise.

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Answered on Jul 29, 2023

Asked by Anonymous - Jun 06, 2023Translate

I am 40yrs old, with 96kgs wt, I started to gain weight and belly fat in the past couple of years (mostly since Covid, was around 80-85 then), can you suggest what diet should I follow (some examples).

Ans: Weight gain when you eat more calories than you burn through activity. That means bring about changes in your eating habits and activity regimen. Follow a balanced and healthy diet plan focused on foods which contain high complex carbs, low fat and adequate protein. Focus more on the intake of whole grains, vegetables, fruits, beans, etc. which will add to your fullness and help in weight loss. Have low fat milk and milk products, avoid sugary foods and beverages, high fat foods, etc. Drink plenty of water and adopt regular physical activity.

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Answered on Jul 29, 2023

Asked by Anonymous - Jun 20, 2023Translate

hello sir, I am 41 years old weighing around 84 kgs height 5'9 inches, and planning for my belly& weight loss, I started eating only 2 times a day(breakfast & lunch) skipping dinner. I am doing 30 mins of exercise along with walking for 30 mins. let me know if you can suggest any diet plan for the same.

Ans: Losing weight is a challenge. Reducing daily calorie intake is the most important factor for weight loss. Focus on changing both eating and activity patterns towards loss of body fat. Aim for a healthy weight. Avoid skipping meals. Distribute the calorie requirements throughout the day based on your personal goals and needs, activities and health condition. A diet plan will consist of low refined carbs, low fat and adequate protein foods. Make sure to include complex carbs from foods like whole grains, vegetables, fruits, beans, nuts, etc. which adds to the satiety value. Avoid high fat and sugary foods, chocolates, fried foods etc. An exercise regimen aimed at body fat loss and increase of muscle mass will be beneficial.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 20, 2023Translate

Madam, Iam 37 years old hight 5', weight 70 kgs Hba1c 6.3 kindly suggest how to decrease

Ans: An HbA1c between 5.7% and 6.4% is Prediabetes. General diet tips to lower A1C levels include being mindful of portion sizes, regular eating habits, spreading out carbohydrate-rich foods throughout the day, choosing less-processed or whole foods such as whole grains, fruits, vegetables, legumes, and nuts and eating a balanced diet complete with healthy proteins, fats, and carbohydrates. Avoid high fat and sugary foods. Exercise plays an important role in lowering your blood sugar levels by increasing energy expenditure.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 20, 2023Translate

My Fasting Sugar is 128 and what kind of diet can be followed. Also, should I go for medications or just by strict diet could be slow down my sugar count.

Ans: The normal fasting blood sugar level for non-diabetics are between 70 mg/dl and 100 mg/dl. A fasting blood sugar level of 128 mg/dl is indicative of diabetes. An HbA1c blood test measures your average blood sugar levels over the past 3 months. It's one of the commonly used tests to diagnose prediabetes and diabetes. You can follow a strict dietary regimen which will include complex carbs like whole grains, vegetables, fruits, beans, etc.; adequate protein and low fat foods. Avoid white sugar, brown sugar, jaggary, sugar products such as candies, sweets, payasam, cakes, maple syrup, corn syrup. Concentrated foods like sweets, chocolate cakes, pastries, ice creams and fried foods should be avoided. Adopt a regular exercise schedule.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 20, 2023Translate

My blood sugar levels are ,fasting 160 and pp 170.My medications are morning before bfast glimisave 3 ,afternoon after lunch gluvida and night glimisave 3.Since I have BP o take telmisartan and atovasttin.

Ans: Blood sugar levels need to be monitored and controlled by dietary and lifestyle modifications. If your levels are still higher than the target normal levels, you need to further review your dosage and implement tight dietary controls along with exercise. For diet control, ensure to avoid eating refined foods, sugary foods, high fat foods, etc. Have complex carbs, high fiber foods like whole grains, vegetables, fruits, beans, etc.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 19, 2023Translate

Hi Komal, I am 35 years old and 5'8" is my height and 104 kg is my weight. My fast sugar level is 213 and after meal is 348. I am taking any medicine yet. Please advise.

Ans: The target blood sugar levels for people without diabetes for normal fasting blood glucose concentration are between 70 mg/dl and 100 mg/dl and for 2 hours post meal is 140 mg/dl or below. Your blood sugar levels are indicative of diabetes and thus needs medical attention. Dietary and lifestyle modifications will help lower these levels but over a period of time.

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Answered on Jul 29, 2023

Question by Shankar - Jul 19, 2023Translate

Hi Mam, This is Shankar and 39 years old 69Kg weight and 5.10 height. I have fasting level around 180 and after food 250. Hba1c around 11. Taking metformin 500mg morning and night after food. Doing walking around 3km on morning. Please advise to reduce Hba1c.

Ans: A very high HbA1c can cause serious health problems, including heart disease, kidney disease, and nerve damage. It indicates the need to review your medication dosage and include dietary and lifestyle modifications. Follow a diet with low simple carbs from white bread, maida, sugary foods, etc. Include complex carbs and fiber foods like whole grains, vegetables, fruits, beans, etc. Avoid high fat and high sugar foods like sweets, chocolate cakes, pastries, ice creams and fried foods. Exercises should include aerobic and strengthening exercises.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 19, 2023Translate

My sugar is before eating something 132 and after eating 181 my age is 44

Ans: Target blood sugar levels before meals should be 72–99 mg/dl and less than 140 mg/dl 2 hours after a meal for people without diabetes. If your levels are higher than this, you must get blood tests done with an HbA1c to confirm a diabetic condition.

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Answered on Jul 29, 2023

Asked by Anonymous - Jul 19, 2023Translate

Hi mam, My age is 52(Male). My HB1ac 6.1 and having the habit of drinking. Pls advise for HB1ac and also how to quit drinking.

Ans: A HbA1c is indicative of being in the pre-diabetic range. It means that dietary modifications and exercise will help lower this level. Avoid sweets, chocolate cakes, pastries, ice creams and fried foods should be avoided. Adopt a high complex carb, low fat and adequate protein diet. Include cereals, fruits, vegetables, beans, nuts, etc. daily in your diet. Consume foods with low glycemic index and a low glycemic load. Ensure following a regular exercise schedule.

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Answered on Jul 29, 2023

Question by MIHIR - Jul 19, 2023Translate

HELLO MAAM I AM MR SHAH HAVING DIABETES SINCE 12 YEARS AS MY AGE IS 37 YEARS MY BLOOD LEVEL SUGAR ARE VERY HIGH ABOVE 250 BBF AND ABOVE 300 POST I AM DOING 4-5 DAYS A WEEK WEIGHT LIFTING NOT EATING MUCH OUTSIDE JUNK FOOD I AM ALSO TAKING INSULIN FOR LAST 5 YRS AS 6 UNITS FOR BREAKFAST AND 6 UNITS DINNER PLEASE GUIDE ME WHAT TO EAT TO LOWER MY DIABETES

Ans: High blood sugar levels can cause serious health problems, including heart disease, kidney disease, and nerve damage. But with treatment and lifestyle changes, you can control your blood glucose levels. You need to review the basal and bolus Insulin dosage to get blood sugar levels controlled. The main factors to remember for dietary modifications are to focus on complex carbohydrates and fiber from foods like whole grains, vegetables, fruits, beans, etc. Eat foods with a low glycemic index and a low glycemic load. Have adequate protein in every meal and avoid sugary and concentrated sugar foods like sweets, chocolate cakes, pastries, ice creams and fried foods should be avoided. Adopt a regular exercise schedule including aerobic and strengthening exercises.

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