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Dr Chandrakant Lahariya  |169 Answers  |Ask -

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
Thiagarajan Question by Thiagarajan on Oct 25, 2024Hindi
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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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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

..Read more

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Sir/madam My son is an MBA and wants to establish a cafe. Kindly guide. Regards
Ans: It's great to hear that your son is planning to open a cafe. With his MBA knowledge and entrepreneurial spirit, he has a strong foundation to build a successful venture. Here are some steps to guide him.

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Encourage him to prepare a detailed business plan that includes his vision, projected budget, marketing strategy, and operational plans. Choosing the right location with good visibility and foot traffic will be crucial to the cafe's success. He will also need to obtain the necessary licenses and permits, such as food safety approval and business registration, to operate legally.

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Relationships Expert, Mind Coach - Answered on Dec 17, 2024

Asked by Anonymous - Dec 16, 2024Hindi
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We had been Dating since our College days & had a Love Marriage almost 2 Decades ago. My Wife had always been the Dominant one in the Relationship, while I had always been Soft-spoken. She is also much more Capable than me, in terms of Academic as well as Professional Competence, and also very Ambitious. These are some of the Qualities which I always admired in her. Over the years of our Marriage, I had to Compromise on my own Professional Growth, in order to support her Professional Growth. She has a Transferable Job, so I have taken up a Work-from-Home Job which pays much lesser, but allows more flexibility in timings, just to support her Professional Growth, I had given up much better opportunities. I have been literally living like a Stay-at-Home Husband, doing almost all the Household chores & also taking care of both our Children. I have no complaints about any of this, I am doing all this, just because I Love my Wife. My Wife too Loves me a lot, but doesn't seem to Respect me. She feels ashamed to introduce me to her Colleagues in her Office Parties. She often puts me down, in the presence of her Friends & Relatives. She asks others (her Friends, Colleagues & Relatives) for advice, even in matters relating to our Personal Life & gives more importance to their Opinions, compared to mine & has taken several big Decisions, without my Consent/Agreement. She doesn't bother telling me anything about her whereabouts & her Finances. While at Home, she Orders me around like a Boss & talks to me in a Condescending manner. Seeing her attitude, even our Servant Maid, Driver, Watchman & our Teenaged Children also don't treat me with due Respect. Our Neighbours, laugh at me behind my back. I have been Tolerating all this since many Years only because I Love my Wife so much. Many times, I tried to convey my concerns to her but she used to invalidate my feelings, labelling them as my 'Insecurity' or 'Male Ego' even though I never had either of those. She seems to have more time for her Partying with her Colleagues & Friends, rather than having a Productive Discussion with me about my Feelings. Now I am feeling Saturated. I need to do something to Earn Respect from my Wife, Children & the Society as I have realised that my Wife is not up for anything like Couples Counseling & I wouldn't be able to discuss my Feelings with anyone else (almost everyone I know, Respects her more than me). Please give me some Suggestions as to what can I do to become more Respectable in the Eyes of my Wife, Children & our Social Circle?
Ans: Dear Anonymous,
It's heart warming to know that you eased into a role that usually can be not a very 'manly' thing to do. But I guess somewhere your wife has begun to enjoy her dominant status; let me tell you...that part is not easy on a man...
You just adapted to it and slowly, it has begun to erode your self-esteem...
Assume the role that will bring back your self-worth; this will mean actually a career, bringing money home, taking care of your responsibilities as a husband and father. This will also mean a step back from what you are doing at home now...
Your wife may not want the extra chores that you had to drop off and there's bound to be some skirmishes; but better to take all this head on rather than skirt around the issue.
Slowly and steadily inch towards a space where the two of you are equal partners without anyone dominating the other.

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

...Read more

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Relationships Expert, Mind Coach - Answered on Dec 17, 2024

Asked by Anonymous - Dec 14, 2024Hindi
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Relationship
Recently, we had an Arranged Marriage. Before committing for the Marriage, we had a few Months of Courtship Period & got to understand each other well. He seemed to be a very Loving & Caring Person. Once, He asked me whether I was Virgin, I lied saying that I was, because I didn't want to lose such a Wonderful Guy. On our Wedding Night, he got Suspicious as I didn't bleed. Upon further Interrogation, I broke down & confessed the Truth that I had been Sexually Active in my previous Relationships, before getting Married to him. He got Disappointed as he felt Cheated & Betrayed. Since then, he's been sleeping in a seperate Room & not even talking to me properly, there's no Romance between us, at all. He'd also cancelled our Honeymoon Trip to Bali. He comes Home late, often having eaten out, doesn't ask me anything about my Day or even Care about me at all. He's become quite opposite of what he was, during our Courtship Period. Many times, I've tried to break the Ice & build some Chemistry between us, but he told me that he lost all Feelings for me, and he wouldn't even Care if I left him & his House for Good. He was Ready to give me a Divorce, if I wanted to Leave him. But I don't want to throw away this Marriage, I want to try & make it work, but there's no Cooperation at all from his side. He blatantly refused to go for Marriage Counseling with me. In the presence of other Family Members, he tries to act like a normal Husband, just to maintain his image in the Society. But when we both are alone at Home, he acts as if I don't even exist. Now I am getting frustrated, I don't understand what to do? I don't regret all that I did in my Past, I had the Right to Enjoy my Life, when I was Young & Unmarried & I don't owe any Explanation to anyone, about my Past. Now I feel I am being treated too Coldly just for a little White Lie. Did I really do something so Wrong that I don't even deserve to be Loved by the Person, I Married? If it leads to a Divorce, we both have got a lot to lose out on, hence I am trying to avoid the extreme Decision. But I don't have any idea as to how our Marriage can be Repaired & Rejuvenated, when my Husband is not at all interested in the Marriage? Please advise me what to do.
Ans: Dear Anonymous,
If you understand him, your virginity meant a lot to him...that was one of his core beliefs that one preserves their virginity until marriage. Now, he feels cheated as what he believes in has gone against him. It seems very old-fashioned to want the bride to 'bleed' on the first night and conclude that she isn't pure...I get your point, but that are his values...
Can he change and actually look at things differently and save the marriage? YES only if he wants to...he has to commit to it...

For you, the fear of losing him made you hide the fact. Who's right and who isn't? Neither! It's all a matter of the way you look at it; each one will hold their impressions as the truth. So, he's holding onto what he feels is his truth and unwilling to budge and make the marriage work. What can you do? Perhaps apologize for hurting him; he is hurt and angry, isn't it?

It may seem trivial and foolish to you that he gives this so much importance in this day and age. You can't shake people off their beliefs. Anything that you hide eventually comes to bite you; so act wisely...
- talk to him about how you feel about him and the marriage
- tell him what he means to you and why you hid the facts that was most important to him
- lastly apologize to him from your heart

All this may seem 'going over the top' BUT hey, you wish to make the marriage work, right? At times, going that extreme bit can bring back things...So, if there's a 'Feminist' side of you that seems to disagree, keep that at bay for a while and ask: Do I want the marriage?
If YES, then do what it takes...

All the best!
Dear Likitha,
Please download the whatsapp chats and try and get the recording of the phone calls. When your husband denies and says she is just a friend, these things that you collect will be the only proof to actually prove what you are saying. I know this is hard to do but what other way do you have? He does not want to admit what he is doing...

All the best!
Anu Krishna
Mind Coach|NLP Trainer|Author
Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

...Read more

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