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Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 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
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
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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Sir i got 1.92 lakh rank in jee mains and 112k rank in vit , delhi genral boy with ews which college wiil i get. Suggest please
Ans: Ujjwal, There are numerous reputable private engineering institutes offering admission with JEE Main All-India ranks up to 1,92,000 and VITEEE ranks up to 1,12,000. Some colleges where you can try for admission include Amity University Noida; Sharda University Greater Noida; Galgotias University Greater Noida; Bennett University (Greater Noida); Manav Rachna International Institute Faridabad; Lingaya’s Vidyapeeth Faridabad; SRM University Sonepat; Ansal University Gurugram; Jaypee Institute of Information Technology Noida; JSS Academy Noida; Chandigarh University Mohali; Thapar University Patiala; Lovely Professional University Jalandhar; ; and SRM University Delhi-NCR Sonepat. These institutes maintain NBA/NAAC accreditations, modern computing and AI labs, experienced faculty, strong industry partnerships and placement cells recording 70–90% branch-wise placements over the last three years.

Recommendation: Prioritise Amity University Noida for its established Noida Tech Zone location, diverse specialisations and 85% placement consistency; next choose Sharda University Greater Noida for its expansive labs, research collaborations and 80–85% placements; follow with Galgotias University for its tier-1 NBA accreditations, industry-aligned curriculum and 75–80% placement record; then opt for Bennett University for its Ivy-League partnerships and specialized computing facilities; consider Manav Rachna Faridabad for its focused engineering clusters and strong corporate tie-ups. All the BEST for Admission & a Prosperous Future!

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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