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Dr Chandrakant Lahariya |93 Answers |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 25, 2024

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

Question by Thiagarajan on Oct 25, 2024Hindi

Health

I am aged 77 ( M ) Stent fixed in LAD one year before. Cr 1.4,Sugar F-120 PP-160, BP- 150/65 No protein, Glucose, Blood cells in urine. Taking Linagliptin M 5/500, Metoprolol 25 mg, Dapagliflosine 5, Ecosprine 75, Nodosis 500, Nefrosave 500 per day each. Ticagrelor 90 twice a day. Valuable advice from you requested Regards Thiagarajan

Ans: Mr Thaiagrajan,
based upon your information, it seems that you have Chronic Kidney disease CKD 3a. Some of the medicines are helpful in that. However, I would advise that your Dapagliflozin could be increased to maximum dose of 10 mg (currently, you are using only half of the dose). Dapa which is a SGLT2i category of medicines are proven to benefit in kidney and heart issues as well.
Please discuss with your diabetologist and get your medications reviewed.
Also, please get Urine Albumin Creatinine ratio done which would provide information on microalbuminuria.

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

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Ans: Hello. Apart from the medications, it is important to follow a low carb diet, get regular exercise and at least 6 hours of sleep daily. Also, if you have had a recent stress, sugar can go up. You must also see if there is any infection which may cause the sugars to go up also.

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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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I am 80yrs having sugar fasting 115 and HBA1C 6.2 taking no medicine.Lastyear Report was 108and6.4 .l need your advice

Ans: This does not require medication
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Asked by Anonymous - May 09, 2024Hindi

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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.

Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

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Ans: To get out of the supportive medication, you need to strictly follow certain disciplines in yourlifestyle
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Asked by Anonymous - Oct 24, 2024Hindi

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Resected Madam, I am a 72 years male . I had undergone left hemicolectomy with diversion ileostomy ( open "Surgery" )for carcinoma descending colon on 23 March,2024 and the stoma closure was done on 17th July,2024. As per the consultant Oncologist the carcinoma was localized , did not spread to other parts of the body and I was not advised to undergone chemotherapy etc for the same reason. Kindly advise which Yoga postures I can practice now to ease constipation and also the yoga postures I must not / avoid now. With Kind Regards,

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I worked in construction in 6 different countries as a steel structure erection specialist. I am 60 years old. I am healthy and fit looking for same job @ abroad.

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Good evening sir, As I am working in cement company for many years but in recent I am working in JK super cement since last 5 years at the post of ASM and my age is 45 years can I switch to other cement company

Ans: Yes Promod Sir, you can. By seeking for a senior position, you can, indeed. The first and greatest place to apply for a new job is LinkedIn. Create a powerful and polished LinkedIn profile that showcases your accomplishments over the previous five years. You can either search for a suitable job or set up job alerts to receive notifications. The reputable Cement Industries even accepts direct applications by email from their websites. When applying for jobs, you should have a professionally polished and updated resume. Watch some of my resume-building and other helpful videos on YouTube at edujob360 if you have the time. And please continue with JK Cement till you get a confirmed better offer. All the BEST for Your Prosperous Future.

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Question by Amol - Oct 20, 2024Hindi

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Dear Sir, I am at prediabetic stage and as reffered by doctor I am taking daily 1 tablet of metformin 500 mg. My PP sugar level is below 200 and averagely 140 to 170. Should I continue to take tablet.

Ans: Please let me know what are your fasting and Pp blood sugar levels? what is your HbA1c?
Going by current information, you might need atleast twice metformin 500 mg alongside life style modifications. 140 to 170 pp is high and need more medication.

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Hi Bikky Sir Will taking a remylin D helps in Hemoglobin? is there any relationship between hemoglobin and diabetes. What is the ideal hemoglobin percentage for men and women

Ans: Not sure if this question is for me (as I am not Bikki) but it appeared for me so I am answering this one.

Remylin D is a multivitamin with alpha lipoic acid etc. It is essentially useful supplement. In diabetes and specially those who are on treatment with Metformin etc, there is change in gut microbiota and deficiency of Vit B12 etc, so such supplements are needed. Specially those taking metformin should take such multi-vitamins.

So, Remylin D or any similar multivitamin is not a treatment of diabetes but helpful. This also helps in improving cell size of RBCs and thus treat anemia; it does not benefit in iron deficiency anemia but micro or macrocytic anemias where cell sizes are either big or small.

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