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Dr. Nishant Lal

MBBS

General Physician, TRIVANDRUM

3 Years Experience  ·  400 at clinic
Dr. Nishant Lal MBBS General Physician, TRIVANDRUM
3 Years Experience  ·  400 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nishant Lal
Dr. Nishant Lal is a popular General Physician in Attingal, Trivandrum. He has over 3 years of experience as a General Physician. He studied and completed MBBS . He is currently associated with KERALA INSTITUTE OF MEDICAL SCIENCES HOSPITAL in Attingal, Trivandrum. Save your time and book an appointment online with Dr. Nishant Lal on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 31 years of experience on Lybrate.com. Find the best General Physicians online in Trivandrum. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Govt T D Medical College,Alappuzha,Kerala. - 2014
Languages spoken
English

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Hello, I am facing excessive hair loss for last 3-4 months. I was diagnosed with pcod by a gynecologist who did sonography by herself in her clinic. She said that in both ovary pcod has developed. But after that I went to sexologist and she said that pcod is in only one (left) ovary with 11-12 follicles. Then I went to endocrinologist, who said that at this age (36 yr) pcod is not a big problem as my all blood reports came normal (I.e.hormonal, thyroid and all other reports are within normal range) and periods are very regular i.e. Exactly 30 days cycle. With this she said that hormonal therapy should not be given after 35 years and suggested me follihair and evacuate. Even I am totally not interested in taking hormonal therapy, as my mother had stroke and is paralyzed for last 7 years, but even after taking follihair and evacure for 1 1/2 months, hair fall is there. I am so worried, losing hair at high speed. I'll highly appreciate if you could help me. Thx a lot.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello,
I am facing excessive hair loss for last 3-4 months. I was diagnosed with pcod by a gynecologist who did sonog...
In general, you lose about 50-100 strands of hair each day, but the loss is not visible as new hair grow in their place. However, if you lose more than a 100 strands in a day and more than 200 strands on the day you shampoo, you may be suffering from what is known as excessive hair fall. Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must. 4. Stress gives rise to certain conditions such as alopecia areata, telogen effluvium (hair loss caused post-pregnancy or surgery) and trichotillomania (an impulsive need to pull your hair out), which can cause you to lose significant amount of hair. To avert a hair loss crisis caused by stress, make it a point to do some simple stress-reducing exercises, such as meditation or breathing exercises. 5. Using hair styling products like hair colours and straighteners can cause you to experience hair fall problems. Your hair not only becomes dull and dry due to their use, but also becomes weak and brittle, leading to a gradual loss of hair. Regular oiling and use of homemade hair masks are some of the ways you can try to counter the negative effects of these hair styling products. 6. The drugs that are used in the treatment of cancer not only destroy the fast-growing cancer cells, but also the healthy blood cells in your body. For this reason, consuming foods that possess cancer-fighting properties (like oatmeal, tomato, almonds, garlic etc) is a sure-shot way of fighting the disease as well as averting any side-effects that may arise because of the treatment. 7. Alopecia areata. Lastly, hair fall can also be caused by alopecia areata, which is a kind of hair loss that takes place when your body’s immune system erroneously attacks your hair follicles, and prevents growth of new hair. 8. Genetics. The origin of your severe hair fall or baldness can be traced back to your ancestors. So, your genes can be a factor behind your hair fall problem. If this is the cause, your body then becomes unable to produce new hair. Apart from the changes that you can make in your lifestyle to address the causes of your hair fall, there are also techniques out there that you can employ to permanently treat your problem, such as platelet rich plasma, mesotherapy, stem cell therapy, ozone activated platelet rich plasma & hair transplant. In order to have healthy volume of hair on your head, the rate of hair loss and replacement should be in tandem. With age, your hair growth cycle shows signs of slowing down and factors like age, disease, and hormonal changes among others affect the pace at which an individual hair follicle moves through the 3 phases of the hair cycle. A disruption in your hair cycle can give rise to loss of hair that’s rapid and unexpected. Hair loss or alopecia can affect both men and women. So what can cause your hair to fall at an alarming rate? The reasons behind hair loss could be many, but here are 6 major ones: 1. Lack of protein in your diet When you exclude protein from your diet, your body starts to conserve the protein that it has by altering the growth cycle of your hair. In such cases, your hair enters into the resting stage, resulting in zero hair growth. In India, 9 out of 10 people are said to suffer from low amounts of protein in their diet, with 91% vegetarians reporting protein deficiency. 2. Iron deficiency Iron plays a very important role in the transportation of oxygen to the different organs of the body. Lack of iron in your diet (which is the principle reason behind anaemia) can give rise to several health problems including hair loss. Your body attempts to direct oxygen to important organs so as to support their functioning. As a result, your scalp witnesses a low supply of oxygen, which causes hair loss. 3. Vitamin D-3 deficiency Deficiency of vitamin D-3 gives rise to a type of hair loss called Telogen Effluvium (TE). This is a temporary hair thinning phenomenon that takes place when the all the hair on your scalp enter the resting phase at the same time, subsequently causing you to shed a large amount of hair later on. 4. Smoking Smoking can also affect the health of your hair, especially the rate at which it falls and the number of strands lost in a day. A research carried out by the Harvard School of Public Health has revealed that smoking can cause a rise in a hormone called dihydrotestosterone (DHT). An increase in DHT level prevents new hair cells from growing and causes hair follicles to reduce in size with each hair cycle. As a result, the area on your scalp that gets affected by DHT experiences a lack of hair growth. 5. Use of testosterone supplements in gym Intake of testosterone in the form of supplements and injections to build muscle mass can trigger hair loss in men. This takes place when the testosterone in these supplements gets changed into DHT, thereby affecting your hair loss rate and amount. 6. Past illnesses (dengue, TB and typhoid) Falling of hair can also be brought on by illnesses such as typhoid, TB and dengue as the hair growth cycle comes to a stop. Hormonal or metabolic stress that is experienced during the course of such diseases may cause hairfall. What are the treatments available to cure hair loss? 1. Hair transplant Hair transplant is a minimally invasive surgical technique that transfers hair follicles taken from other parts of your body to the balding area. Known by the name of Follicular Unit Transplantation, this hair loss treatment can help to bring back the natural appearance of a fuller head of hair. Hair follicles are harvested using two procedures- follicular unit extraction and strip harvesting. Procedure can vary from 4-8 hours or more depending on the case. 2. Platelet- Rich Plasma (PRP) Platelet- Rich Plasma (PRP) is another treatment alternative that can reverse hair loss. It’s a simple non-surgical procedure that lasts about 60-90 minutes. In this form of hair treatment, the patient’s own blood cells, more specifically blood platelets are injected into the scalp. Usually 8 sittings are required with each sitting being 2 weeks apart for better results. 3. Low Level Laser (Light) Therapy (LLLT) This form of hair therapy utilises light energy of a specific wavelength and threshold to stimulate cellular activity, thereby promoting hair growth. Various controlled clinical tests have revealed its effectiveness in encouraging hair growth in both the genders.
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I am 46 years old male, having Flu (Cold) from the last 2 days. What medicine to take.

MBBS, cc USG
General Physician, Gurgaon
I am 46 years old male, having Flu (Cold) from the last 2 days. What medicine to take.
Steam inhalation carefully by steam inhaler twice a day for 2-3 days Tablet Levocetrizine 5 mg, (if no drug allergy)one tab at bedtime today Consult privately
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I am suffering from constipation since last 2 months, please suggest me some good medicines or exercises for easy passage of tools.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from constipation since last 2 months, please suggest me some good medicines or exercises for easy pas...
Suffering from constipation .... You can take 2 tab. Charcoal at night. syp. Aristozyme 10 ml after meal. avoid fast/oily foods,alcohol,smoking,junk foods,fatty foods, take plenty of liquid diets.dalia,green veg.,fiber meals,juice,lassi, if not cure then go for few tests .i.e. stool r/m, stool c/s, cbc, blood sugar,lft,and endoscopy of large intestine. Do yoga/go for walk.
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Over discharge of precum causes any dishealth in body. Wat happen. Why precum often comes when I think sexy scenes. How can avoid it. Please suggest me food and prevention.

BAMS, MD Ayurveda
Sexologist, Lonavala
Over discharge of precum causes any dishealth in body. Wat happen. Why precum often comes when I think sexy scenes. H...
Try the following remedy it will surely help you 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day this is very helpful. Your problem is permanently cure by ayurvedic treatment.
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I am 17 years old, I can not sleep early and can not wake up early! tell me a remedy for this?

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
I am 17 years old, I can not sleep early and can not wake up early! tell me a remedy for this?
Sir, eat fruits and vegetables. Go for regular walks. Do yoga, breathing exercises, meditation. Avoid mobile games, late viewing of tv. Get back to me with details of work, treatment taken till now.
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Premature ejaculation problem tell how I can reach satisfactory level. Premature ejaculation period is 20-30 seconds.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Premature ejaculation problem tell how I can reach satisfactory level. Premature ejaculation period is 20-30 seconds.
Hello- 1)Best Cure for Premature ejaculation: Correct Your Focus If you are over stimulating your brain with thoughts of sexual fantasies, how great it’s going to feel when you’re inside that hot, moist vagina and you’re constantly thinking about your penis… I can guarantee you are going to lose control and ejaculate early. This may be within seconds or minutes of either being outside or inside her vagina. 2)The Second Best Premature Ejaculation Cure Requires Controlling Performance Anxiety Being constantly anxious and uncertain of the right mechanics which govern the sexual act, leaves you with more questions than answers. And if your mind is in your penis, once more you will overstimulate your brain and ejaculate early. 3)The Third Best Cure for Early Ejaculation is Taking Control of the Sexual Act The reason why so many men struggle to overcome their premature problem is because they don’t understand the problem! For instance, Kegel exercises are great for strengthening the penis muscle, but contracted at the wrong time will actually cause early ejaculation. Timing is everything. You need to understand, how to time specific thoughts and actions so you can stay hard and in control.
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I always get vomit while traveling. Can you suggest me how to come out of this without taking tablets.

BHMS
Homeopath, Delhi
I always get vomit while traveling. Can you suggest me how to come out of this without taking tablets.
Hmm, it does happen to lot of people. You may take cocculus indicus 200 one dose before travelling. You will get it from homoeopathic store.
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I have constipation and numbness in my stomach and shoulders. Kindly suggest what should I do to get rid of constipation and numbness.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have constipation and numbness in my stomach and shoulders. Kindly suggest what should I do to get rid of constipat...
Do consult gastroenterologist to get rid of constipation and do consult neurologist to get rid of numbness.
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I am 20 years old from last 3 month I am surfing from sciatica. I try many medicine but they just pain killer and I am also a runner. I try full body massage also but the is going down very slow. So you tell me how to I sleep.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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I'm facing excess sweating from my body, excessively from palms, face and legs. What should I do?

MBBS
General Physician, Cuttack
Excessive sweating could be due to 1.Anxiety, nervousness 2 Obesity, Diabetes, Thyroid problem, Tuberculosis 3.Alcoholism or due to effect of some anti hypertensive and psychiatric drugs 4. Investigate yourself to rule out these diseases 5.Avoid anxiety and nervousness 6.Try some anti antiperspirant lotion or roll on. 7.Consult skin specialist for advice
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Can PCOS Affect my Health in the Long Run?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Can PCOS Affect my Health in the Long Run?

Long Term Health Consequences of PCOS

You are at greater risk of developing the following long-term health problems if you have PCOS:

1) Insulin resistance and diabetes

If your blood glucose does not stay normal, this can lead to diabetes. One or two in every ten women with PCOS go on to develop diabetes at some time. If you have PCOS, your risk of developing diabetes is increased further if you:

- Are over 40 years of age
- Have relatives with diabetes
- Developed diabetes during a pregnancy (known as gestational diabetes)
- Are obese (body mass index or BMI over 30).

2) High blood pressure

Women with PCOS tend to have high blood pressure, which may be related to insulin resistance and to being overweight, rather than the PCOS itself. High blood pressure can lead to heart problems and should be treated.

3) Heart disease in later life

Developing heart disease is linked to health conditions such as diabetes and high blood pressure. If you have a high cholesterol level you may be advised to take medication (statins) to reduce the risk of heart problems.

4) Cancer

If you have less than three periods in a year), the endometrium (lining of the uterus) can thicken and this may lead to endometrial cancer in a small number of women.There are different ways to protect the lining of the womb using the hormone progesterone. You should visit your doctor if you are having lesser number of periods in a year. She will then prescribe a medicine to help you get the period. PCOS does not increase your chance of breast, cervical or ovarian cancer.

5) Depression and mood swings

The symptoms of PCOS may affect how you see yourself and how you think others see you. It can lower your self-esteem.

6) Snoring and daytime drowsiness

PCOS can lead to fatigue or sleepiness during the day. It is also associated with snoring.

8 people found this helpful

Hi I am getting only 3 to 4 hrs sleep in the night. How to improve it. I do not sleep in day time. Please. Help me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Is Shaving an Itchy Penis Solution?

MD - General Medicine
Sexologist, Delhi
Is Shaving an Itchy Penis Solution?

In recent years, some papers and magazines have reported an encouraging theory concerning itchy penis problems. Maintaining good penis health helps avoid this problem, but even the most hygienic man still suffers from an itchy penis occasionally. Anything that helps decrease the chance of an itchy male appendage is welcome news. But is there truth to this particular theory, which holds that the increasing popularity of pubic hair shaving is impacting the need to scratch?

An old custom

Of course, people have been de-nuding their nether regions for centuries, with it documented at least as far back as the ancient Egyptians. But, if "trend" stories can be believed, it does seem that there has been an upturn in the amount of pubic shaving in recent years, in both women and men.

Why shaving?

But why should removing pubic hair have a positive impact on an itchy penis? There are two general lines of thought in this area.

One, by shaving away the pubic hair, a man is "cooling off" his midsection a bit. Less heat generates less sweat, which in turn brings less bacteria. Bacteria cause rashes and irritation that initiate the need to itch.

Two, shaving not only shaves away any pubic lice which might be in the area (and responsible for some of the most persistent genital itching), it also removes their "habitat" and thus keeps them from returning to create problems anew.

These are good explanations. Unfortunately, there are some flaws in this reasoning which may impact how much good shaving might do.

The flaws

So what are the flaws in the arguments in favor of pubic shaving to reduce the likelihood of an itchy penis?

Starting with the "cooling off" theory, there is definitely some validity to it. A shorn manhood area is indeed cooler, and therefore may reduce sweat-related itchiness. However, some men find that the act of shaving actually enhances itchiness, from cuts or scrapes. Waxing may eliminate this, but even then the absence of a thatch of hair removes a protective layer from the skin. Exposed, it may react negatively from rubbing against underwear or trousers, or to chemicals in soaps, cleansers and detergents. So it seems that for some men there is a trade-off which may negate the anti-itching gains experienced.

What about the lice issue? Indeed, one reason why shaving in far-ago Egypt was popular was the belief that it helped eliminate nasty crabs. And it is true that shaving (or even better still, waxing) is likely to remove some of the nasty little buggers from the skin. However, it is not likely to remove them all. Certainly reducing the number of pubic lice present would help to reduce itching, but it would not eliminate it. More importantly, the lice left behind would continue to reproduce. Reducing pubic lice is good, but ultimately a man really needs to take steps to get rid of them entirely.

Basically, shaving may play a role in diminishing the problem of an itchy penis, but more conclusive steps may need to be taken to truly address the issue. Certainly using a superior penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) to help maintain the overall health of the penis should be part of any battle against an itchy penis. Itchiness is often related to the general health of the penis skin. Using a crème that can create a moisture lock by combining a high-end emollient (like Shea butter) with a powerful hydrator (like vitamin E) is one way to keep the penis hydrated and supple. For extra help, be sure the crème also includes vitamin C; as a key component of collagen, vitamin C gives needed tone and elasticity to penis skin.

My nail in my legs are discoloured. The nail are emitting foul odour. Who can I keep nail clean.

PDDM, MHA, MBBS
General Physician, Nashik
Fill a bowl with warm water mixed with a few drops of liquid hand soap and add about 2 tablespoons of hydrogen peroxide. Soak your nails in the solution for at least 5 minutes. Rinse your legs well with warm water. Buff your nails lightly with a nail buffer to restore shine.
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Hi doctor. I am suffering with cold from more then one month. Please suggest me the best medicines. Thanking you.

MBBS
General Physician, Cuttack
1.Do steam inhalation by steam inhaler 2-3 times daily with Karvol plus inhalant capsule. 2.Put otrivin nasal drop 1 drop thrice daily. 3.Take one tablet of Levocetrizine(5mg) at bed time. 4. If you have recurrent attack of cold you may be having sinusitis/allergic rhinitis 5. consult ENT specialist
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My age is 25 years and I am just 40 kgs and I hardly gain weight, I am eating good meals every time full of protein and fats. I had blood tests for thyroid and sugar but both were normal. What should I do, my friends tease me because I am too skinny.

BHMS
Homeopath, Chennai
My age is 25 years and I am just 40 kgs and I hardly gain weight, I am eating good meals every time full of protein a...
Underweight is a term describing a person whose body weight is considered too low to be healthy. The definition usually refers to people with a body mass index (bmi) of under 18.5 a weight 15% to 20% below that normal for their age and height group. Low weight may be due to improper diet, reduced assimilation from intestine, illness, metabolism, genetics etc. Thus first we have to rule out any such condition, with this have a healthy diet with more proteins (legumes, eggs, fish, lean meat, vegetables and fruits, drink plenty of water and go for regular exercise. A homoeopathic constitutional treatment will definitely help you a lot.
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I am 25 years old male and suffering from minor head injury and I have been suffering from a minor headache in the back of my head some time. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 25 years old male and suffering from minor head injury and I have been suffering from a minor headache in the ba...
Homoeopathy has good treatment without causing adverse effects. Take homoeopathic medicine arnica 200 twice daily in the morning and in the evening and give feedback after 6 days.
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I have stomach problem for last three days, when it was empty and when it comes full get a pain, what I will do?

MBBS
General Physician, Cuttack
I have stomach problem for last three days, when it was empty and when it comes full get a pain, what I will do?
Take one tablet of meftal spas twice daily after food and one tablet of rantac150mg twice daily before food. Take bland diet,avoid spicy food and drink plenty of water. If no relief,consult
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Ma 22 years old male. Used to drink and smoke occasionally. Now given up. I also used to masturbate on the daily basis. But now I feel thati am suffering from erectile dysfunction after being failed during first tym sex. please suggest me some cure.

MBBS, MD - General Medicine
General Physician, Delhi
Ma 22 years old male. Used to drink and smoke occasionally. Now given up. I also used to masturbate on the daily basi...
Use these in diet dark chocolates, oyester, eggs, bannana, spinach, asparagus, garlic, carrots, walnuts, pumpkin seeds, yogurt.
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My father has diabetes of 235. 4 mg/dl after meal and 151 mg/dl before meal what should he eat and what should he avoid and also what should be his daily routine to control the diabetes. His age is 53 years and he is losing his weight. He lost 5 kgs in 6 months without doing any any diet or exercise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father has diabetes of 235. 4 mg/dl after meal and 151 mg/dl before meal what should he eat and what should he avo...
Mr. lybrate-user, Thanks for the query. When blood glucose is high, kidneys are not able to retain it. So a large quantity is lost in the urine (Glycosuria). This causes exhaustion and weight loss. So to improve health it is absolutely essential to control; diabetes very effectively with FBG<100 mg, PP 160 to 170 mg & HbA1c % <7. This needs appropriate drug treatment. Then restricted diet and regular exercise are also equally important. Following things with regard food have to be kept in mind: 1) Avoid sweets, deep fried foods, junk foods, pastries, bakery items and all foods made out of maida. 2) No aerated sweetened drinks (colas), no foods with sweetcorn syrup content. 3) Should increase the intake of green leafy vegetables, salads and permitted fruits (100 g a day), 4) Use whole grain flour for roti and chapati 5) Refrain from alcohol and smoking. Plus exercise for at least 1 hour a day. If you have any doubts please come back. It is better if you give all details like current FBG, PP & HbA1c%, dietary habits, extent of execise and come in a private conversation then I will be able to guide specifically. Thanks.
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