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Dr. Pragya

Endocrinologist, Delhi

300 at clinic
Dr. Pragya Endocrinologist, Delhi
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pragya
Dr. Pragya is a renowned Endocrinologist in Ramesh Nagar, Delhi. You can visit him/her at Health Clinic in Ramesh Nagar, Delhi. Save your time and book an appointment online with Dr. Pragya on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 41 years of experience on Lybrate.com. You can find Endocrinologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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B-45/87, Ramesh Nagar, DelhiDelhi Get Directions
300 at clinic
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I am diabetic patient for last 3years . Please suggest some medicine or any other solution

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
For diabetes, we have seen in our clinic, a vaman karma done in spring season, followed by medicine for 3 months, completely wipes out excessive blood sugar levels. If you can follow some simple lifestyle changes, then you should go for it.
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I'm 25 years old and my weight is about 88 kg I'm a thyroid patient. How can I manage my thyroid level by diet please help me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I'm 25 years old and my weight is about 88 kg I'm a thyroid patient. How can I manage my thyroid level by diet please...
there is no specific diet for hypothyroid patients...just take one thyroxine pill daily without fail...what is your current thyroid hormone levels??dose of thyroxine needs to be titrated accordingly
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I am 28 years, i have base line sugar, cholesterol and high uric acid. What diet plan or what should I eat to make all these normal.

Fellowship in Cardiology, MD, MBBS
General Physician, Delhi
I am 28 years, i have base line sugar, cholesterol and high uric acid. 
What diet plan or what should I eat to make a...
No diet can be devised till you treat the problems with meds. And once you begin your meds you have to just tweak with your food because reducing certain elements of food can cause distaste. Depression. Constipation acidity etc. So please take regular medicine and take normal home food.
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I am advised to get a circumsition done. I am diabitic and 45 years. How safe it is and what is the complete heal up time. Also advice on whther a plastic surgeon or a uro surgeon will be better in this surgery. Any other advice on dos and donts please.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Circumcision can be done by a General Surgeon also, diabetes will be managed by the physician during the admission.
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Is there any difference to have blood sugar test at home through a glucometer device rather than testing at a professional lab. Also, which company's glucometer device is the most accurate one. Thank you Sir/Madam.

MBBS
Allergist/Immunologist, Ahmednagar
Is there any difference to have blood sugar test at home through a glucometer device rather than testing at a profess...
If there are 2-3 patients in home or if someone is on Insulin then only buy glucometer but if your sugar is under control then checking it in lab once a 2mths is good for you instead of frequently n unnecessarily checking on glucometer. Regards.
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MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
Keep blood sugar control tight and add years to your life

Keeping blood sugar levels under good control for many years can reduce the risk of suffering a heart attack, stroke, heart failure or amputation by about 17 percent among type 2 diabetics, a key study has revealed.

A long-term target hba1c average of about 7-8 was found beneficial.

Hemoglobin a1c (hba1c) test gives the average blood sugar status of last 3 months.

For anyone with type 2 diabetes, a growing body of research supports the idea of taking four medications to help their hearts: metformin to control blood sugar, a statin to control cholesterol and other blood lipids, a blood pressure medication and aspirin.

This quartet of drugs, combined with proper diet and exercise, and quitting of smoking, could help millions of people stave off heart attacks, strokes, heart failure and amputations.

The results were reported in the new england journal of medicine.
8 people found this helpful

My blood sugar levels are fasting 269 & pp taking metformin 500?3/day since 10 days what should I do next?

MD
General Physician, Delhi
You can discuss with your doc to start dual drug therapy. Metformin alone won't help in bring sugar level down. If you need any help from me then for detailed treatment consult privately.
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Sir, I have diabetes, I consulted homeopath and he is promising to reactivate pancreas gland as before. Should I go for it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir, I have diabetes, I consulted homeopath and he is promising to reactivate pancreas gland as before. Should I go f...
Are you presently on any medication and which medicines and since when.I am also a homoeopath and if you can provide me the details,I could answer you easily.
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My father has been diagnosed with diabetes. It has been 5-6 years since. But he is just not getting totally free from this disease we are taking every precaution that we can. Doing whatever the doctor is according to the diet chart. If you could suggest something regarding treatment or diet it would be very much appreciated.

MBBS,Doctor of Medicine, CCH
General Physician, Bhopal
My father has been diagnosed with diabetes. It has been 5-6 years since. But he is just not getting totally free from...
Firstly Diabetes is a disease which can be controlled, not cured. He will need to have a strict diet control along with medication. There are many drugs available which can be given to him. If medicines do not work then Insulin can be tried. Don't loose hope, consult a diabetologist and follow his advice.
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I am 46 years old female, having hypothyroid. TSH level is 8.5. Taking thyronorm 62.5mcg. My weight is increasing. What to do? I want to quit thyronorm.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 46 years old female, having hypothyroid. TSH level is 8.5. Taking thyronorm 62.5mcg. My weight is increasing. Wh...
Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months. you can not quit medicines. it is for life time.
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Blood-Sugar Control

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Blood-Sugar Control

Your Take-charge Tool Kit

Blood-sugar control

Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin,  diet  exercise, or some combination of these ,you can cut your risk of complication by anywhere from one  third to three quarters. If you’re diagnosed before you develop complications’ it’s possible

To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and  is now remarkably convenient and relatively pain-free.

Lifestyle

Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.

Drugs

Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.

Do you Have Diabetes?

Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.

According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.

Figure your risk factors.

The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes.  Among the most important factors to evaluate are:

 

Family history

If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).

Ethnic group

The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native  Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.

Weight

Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.

Age

Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.

Keep a sharp eye for symptoms

While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:

  • Excessive thirst

 

  • Increased appetite

 

  • Frequent urination

 

  • Fatigue

 

  • Blurred vision

 

  • Frequent infections

 

  • Tingling in your hands and feet

 

  • Sexual dysfunction

 

Get tested

Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.

What you can expect

When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.

Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.

Where Do you Stand?

Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll  pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.

One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:

  • If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.

 

  • If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.

 

  • Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.

 

  • When fasting  blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.

 

FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT

Prediabetes             -            110-125                -                      Diet Exercise

Diabetes                   -            126-140                -                      Diet Exercise

Diabetes                   -            150-200                -     Diet Exercise Drugs occasional insulin

Diabetes                   -             200+                     -    Diet Exercise Drugs or 24-hour insulin coverage

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Hello, I am suffering from the pain in my right arm from last two weeks. I have slight back pain and all other conditions are OK. No diabetes or no hyper tension. Is there any specific reason for this. Thanks.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello, I am suffering from the pain in my right arm from last two weeks. I have slight back pain and all other condit...
avoid strain full activity like computer work and lifting weight. do hot fermentation and stretching exercise . rest must if it work then OK otherwise physiotherapy treatment for few days
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Hi I am40 years old female suffering from hypothyroidism. I am trying to reduce my weight which is 87 kg and my height is 5ft 2. I am going to gym from last 45 days but I seem to land nowhere. Iam following low calorie diet. Please help.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Thyroid doesn't cause weight gain more than 6-7 kg. So hypothyroidism treatment won't help to reduce weight more than 5-6 kg. What's your lipid profile? hereditary obesity history?
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I am 47 yrs old female taking istamet 50/500. My blood sugar is not cotrolled fasting sugar is 135. Should I change the medicine? what is the right time to take the medicine empty stomach or after meal.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 47 yrs old female taking istamet 50/500. My blood sugar is not cotrolled fasting sugar is 135. Should I change t...
Change to istamet 50/1000 twice daily AFTER Meals...target blood sugars are <130 fasting and <180 post meals...so its a fairly good control
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Sir, I am 40 years old and have a thyroid problem from past 3 years. I have Used tablets couple of days. Suggest me a doctor for permanent treatment.

BHMS
Homeopath, Navi Mumbai
For medicine free life, homeopathy is option. You have to undergo a short course of medicine. But proper analysis and evaluation is needed. Please consult a skilled homeopath soon. All the best.
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I am having pcod and taking ovral r and diamet sr 500 from last 4 months and now I am taking dronis r 20 mg and diamet sr 500 mg. I hav to continue this for next 5 months as per gyno's suggestion. Is this related to pcod and in how many time pcod can be cured.

MBBS
General Physician, Chandigarh
I am having pcod and taking ovral r and diamet sr 500 from last 4 months and now I am taking dronis r 20 mg and diame...
Compete cure of the pcod can not be ascertained you will have to continue with the treatment and then assess it after the specified period
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I am type 2 diabetic patient some time I lose my body balance very hungry and tired it's due to human mixtard can I change my insulin injection.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am type 2 diabetic patient some time I lose my body balance very hungry and tired it's due to human mixtard can I c...
Mr. Lybrate-user, when on insulin some times hypoglycemia (low blood sugar) develops. That may cause some of the symptoms mentioned. If you are doing self monitoring of blood glucose (smbg), at home then you should check the glucose level when you feel such symptoms and see if there really a low level (<70 mg or lower). If it is so, then dosage of insulin may have to be adjusted. To give exact suggestions I need to now your fasting, pp sugar levels, insulin dosage and hba1c%. Then only I will be able to comment. Thanks.
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What is diabetes what effects and what food earn how i maintain diabetes and how i control it?

MBBS
General Physician, Cuttack
What is diabetes what effects and what food earn how i maintain diabetes and how i control it?
1. Normal Fasting Blood sugar level is 75-115mg/dl and Post prandial (2 hour after breakfast/ meal) is <140 mg/dl 2. A person is considered Diabetic if fasting Blood sugar is>. 140mg/dl and Post prandial blood sugar is>200 mg/dl 3. A person havingFasting blood sugar between 115mg/dl to 140mg/dl and post prandial blood sugar between 140mg/dl to 200mg/dl is considered to be suffering from IGT (Impaired glucose tolerance) and is prone to develop Diabetis if adequate precaution is not taken Symptoms of Diabetes 1. Excessive Thirst 2. Frequency of urination especially in night 3. Excessive Hunger 4. Fatigue 5. Blurring Of Vision, irritability, tingling and numbness in hand/feet, fatigue 6. Recurrent boil/fungal infection, Sores or cuts that won’t heal Prevention 1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3Control diet A) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta B) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, C) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) E) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting Dietitian 5. Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly
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Can diabetic drink citrus limetta(mausambi) juice my controlled level (with medicine) is fasting 101 & pp 117.

BAMS
Ayurveda, Bangalore
Can diabetic drink citrus limetta(mausambi) juice my controlled level (with medicine) is fasting 101 & pp 117.
With controlled levels of sugar, you can drink mausambi juice. But do not add sugar to it. Use sugar free tabs instead of sugar.
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