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All diabetic patients who fast should be aware of certain facts if they fast during Ramzan, he further added.
All patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.
Type 2 diabetes will be controlled by diet and may require no special precautions.
Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after the predawn and/or sunset meal.
The exercise program for patients with diabetes on diet control should be modified to avoid lower blood sugar level. Exercise should be done 2 hours after the sunset meal.
Food restriction and dehydration may cause some cardiac risk in the elderly.
The choice of drugs in diabetes may require consultation with a doctor. Drugs that act by increasing the production of insulin are to be preferred. Some patients on metformin may fast safely with minimal complications. However, two-thirds of the total daily dose should be given just before the sunset meal and rest one-third before the predawn meal. Patients on pioglitazone may require no change in dose. Patients on sulfonylureas may require medical clearance before commencing fast.
Insulin dose also needs to be modified during the fast. Usually two doses of insulin, one before each meal, are sufficient.
If the blood sugar falls below 60, then the fast should be immediately broken.
Fast should also be broken if blood sugar rises to more than 300.
Patients should avoid fasting on sick days.
Hi I gave xylomist nasal drops to my 4 months old baby by mistake. I am worried. Can you help me on wat to do.
My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithral. But in morning on an empty stomach after drinking water he gets vomiting. Pls help.
My daughter, 15 years old is still having nocturnal bed wetting. Please advise me how this can be corrected.
If you know the features of a healthy newborn, you would not required to call your busy family physian/pediatrician so many times. If your baby is/has
5. Passing urine: >6 times/24 hrs
6. Feeding well
7. Gaining weight
My baby boy is around 4 and half months old. He refuses to take milk from right breast suddenly. He fusses when I put him in my right breast. I am worried whether I ll end up with low milk supply. Please advise.
My 1 year child last 10 hours can notice khasi. So what. Can I do. I give all medicine but can't stop khasi. please help me for baby.
Hi, I have 3 year old daughter. She is not gaining weight at all. She eats well but then to no growth. I' m very much worried. 2 months before I did some test in which the result was low hemoglobin and more count of wbc. Please help
My son (19 months) does vomit every almost 10th day. Yesterday night same happened. He did vomit whole night, like 7-8 times in a night, around every 1.5 hour. He took milk around 5 am and he vomited in just 5 min, then in morning he just a sip of water and he vomited same, after 1 hour he is having fever and cranky. He is not eating anything. Doc always give some powder to increase bacteria in stomach which digest food. What to do? No clue for why it happens and when it will stop.
My 4 year old son has expressive language delay, will everything get well by time or some medication or therapies are required?
My daughter has persistent cough sometimes please prescribe some antibiotic to cure it she is 4years old.
Hi, My baby is 3 months old he's exclusively on breastfeed and once a while I give him formula milk. I need to leave him and go for 2 nights. Is it advisable to leave and go the baby also does that affect the milk supply of the mother child breast feeding relation?
My sister son, age is 5 years and he is suffering with ITP, DOCTOR TOLD BLOOD platelets got decreased. Actually doctor told to admit in hospital, is this any thing problem and how to cure it permanently .Please help.
Recently we have gone on tour to the western india i. E shirdi, aurangabad etc and travelled in train. My grand son who accompanied us on the tour had diarrohea and had treatment. Now his stomach is bulgy and hard. His age is one year. What is the reason and what treatment he should take?
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.
In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
- This is popularly known as juvenile onset diabetes.
- Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
- People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
- Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
- Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
- Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
- Sometimes, oral medication or insulin injections are also needed.
- Extreme thirst and hunger
- Frequent urination
- Sores or bruises that heal slowly
- Dry, itchy skin
- Unexplained weight loss
- Unusual tiredness or drowsiness
- Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
- Morning at 6: teaspoon fenugreek (methi) powder + water.
- Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
- Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
- Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
- Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
- 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
- 6 pm: 1 cup soup
- 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
- 10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
- Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
- For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
- Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.