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Dr. Pragya

Endocrinologist, Delhi

300 at clinic
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Dr. Pragya Endocrinologist, Delhi
300 at clinic
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Personal Statement

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 30 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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B-45/87, Ramesh Nagar, DelhiDelhi Get Directions
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I am 15 years old. I want to ask that my grandma is suffering from diabetes from about 1 week her sugar level is increased so I want your suggestion what to do.

MBBS
General Physician, Cuttack
I am 15 years old. I want to ask that my grandma is suffering from diabetes from about 1 week her sugar level is incr...
She has to consult diabetologist with blood report for medicine. She has to go for regular walk,reduce weight if over weight, control diet by avoiding sweet and excess carbohydrate
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Mam my FP 164 PP is 230 Random 200 m I diabetic if yes whats my percussion and diet.

MBBS, cc USG
General Physician, Gurgaon
Mam my FP 164 PP is 230 Random 200 m I diabetic if yes whats my percussion and diet.
Hi your Reports reflect Diabetes Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available consult Diabetologist for further management
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One patient who affected in diabetes since 20 years long, recently one finger pf right leg amputed by doctor. Please tell what will do?

C.S.C, D.C.H, M.B.B.S
General Physician,
Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter.
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Hello CAN DIABETIC PATIENT WITHOUT TAKING MEDICINE can controlled, IF HE CAN ABLE TO CONTROL DIABETIC, PLEASE TELL HOW?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hello CAN DIABETIC PATIENT WITHOUT TAKING MEDICINE can controlled, IF HE CAN ABLE TO CONTROL DIABETIC, PLEASE TELL HOW?
If sugar levels are high enough you need to take medicines regularly..kindly let me know the current blood sugar status..till then follow the following tips: Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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I have allot of uric acid in my body so please advise me what is d best diet for me to reduce the uric acid in my body.

MBBS
General Physician, Cuttack
I have allot of uric acid in my body so please advise me what is d best diet for me to reduce the uric acid in my body.
1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2.Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6.Reduce weight if overweight 7. Take medicine after consulting physician.
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How to control diabetes? How to gain muscles? How to loose weight? What type of food do we in dieting?

MBBS
General Physician, Mumbai
How to control diabetes?
How to gain muscles?
How to loose weight?
What type of food do we in dieting?
We need to control sugar levels with medication exercise and following a diabetic diet and eat low fat and high protein content in your diet for dieting
1 person found this helpful
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I am 62 year old, I have diabetes and ckd with highpertension from 2013. Pl suggest me diet, pl send me personalised answer.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 62 year old, I have diabetes and ckd with highpertension from 2013. Pl suggest me diet, pl send me personalised ...
With high blood pressure you want to have a diet low in sodium and fat. you should eat more low-fat protein sources, whole grains, and plenty of fruits and vegetables.
1 person found this helpful
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Can a diabetic patient take lemon mixed with honey or can it be taken without honey?

M.B.B.S
General Physician, Surat
Generally, there's no advantage to substituting honey for sugar in adiabetes eating plan. Both honey and sugar will affect your blood sugar level. Honey is sweeter than granulated sugar, so you might use a smaller amount of honey for sugar in some recipes. So, used without honey.
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Hi doctor, can you pls tell me, if I am taking thyronorm 25 every day. What is the right way to take thyronorm 25? I mean empty stomach and with a full glass of water or can be taken with little water for better results? please tell me sir.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi , the amount of water will not have an impact on the end result' although as perhaps recommended by your doctor, best to have the thyroid medication first thing in the morning on an empty stomach. Work on your lifestyle--eat healthy meals, workout consistently and plug problematic behaviors. Doing this will ensure that your medication strength doesn't have to be increased. In fact, with the assistance and aid of your physician, you could even lower it if you manage to successfully increase your body's thyroid hormone function. Hope this helps. .
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Recently I had joint, doctor asked to check serum uric acid. It is 7.37 (fasting. What is the reason behind high serum uric acid. Whether I have to take medicine for life long like sugar. What I have do to maintain serum uric acid within limits without medication. My ht-167cm, wt-62kg. Pl guide me properly.

MBBS
General Physician, Faridabad
Recently I had joint, doctor asked to check serum uric acid. It is 7.37 (fasting. What is the reason behind high seru...
Avoid protein diet, milk and its product, paneer, cheese, non veg etc. Drink 3-4 liter of water daily, morning walk for 1 hr daily, it will help you. Thanks.
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Natural Supplements For Boosting Fertility

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Natural Supplements For Boosting Fertility

Supplements

There is now a great deal of scientific knowledge about the use of nutritional supplements and their beneficial effects on both male and female fertility. As you will see, these supplements can be very effective in re-balancing your hormones, as well as improving you and your partner’s overall health, which are so vital for successful conception.

Scientific research has shown that certain vitamins and minerals can increase your chances of getting and staying pregnant. In order to maximise your chances of conceiving it is very important that you and your partner are in optimum health. By eliminating nutritional deficiencies and improving sperm production and mobility you can dramatically increase your chances of getting pregnant. In order to do this it is essential that you are obtaining the right nutrients and in the right quantities to enhance your success.

Supplements are necessary because even the best diet in the world mayl not contain all the nutrients you need to give you the best chance of conceiving.

Folic acid

It is now known that folic acid can prevent spina bifida in your baby, and it is essential that you get plenty both before and during pregnancy. And that’s not all: folic acid is undoubtedly important, but it is just part of the very important b-complex family of vitamins that are necessary to produce the genetic materials dna and rna, not only of the egg but also the sperm. Together with vitamin b12, folic acid works to ensure that your baby’s genetic codes are intact. Remember: it’s not enough to take folic acid alone when you are trying to become pregnant. All of the b vitamins are essential during the pre-conceptual period. Research has shown that giving b6 to women who have trouble conceiving increases fertility and vitamin b12 has been found to improve low sperm counts.

Zinc

Zinc is the most widely studied nutrient in terms of fertility for both men and women. It is an essential component of genetic material and a zinc deficiency can cause chromosome changes in either you or our partner, leading to reduced fertility and an increased risk of miscarriage. Zinc is necessary for your body to ‘attract and hold’ (utilise efficiently) the reproductive hormones, oestrogen and progesterone.

And it’s equally important for your partner: zinc is found in high concentrations in the sperm. Zinc is needed to make the outer layer and tail of the sperm and is, therefore, essential for the health of your partner’s sperm and, subsequently, your baby. Interestingly, several studies have also shown that reducing zinc in a man’s diet will also reduce his sperm count.

Selenium

Selenium is an antioxidant that helps to protect your body from highly reactive chemical fragments called free radicals. For this reason, selenium can prevent chromosome breakage, which is known to be a cause of birth defects and miscarriages. Good levels of selenium are also essential to maximise sperm formation. Blood selenium levels have been found to be lower in men with low sperm counts.

Omega 3 fatty acids

These essential fats have a profound effect on every system of the body, including the reproductive system and they are crucial for healthy hormone functioning. Omega 3 fatty acids also control inflammation which may interfere with getting and staying pregnant. For men essential fatty acid supplementation is crucial because the semen is rich in prostaglandins which are produced from these fats. Men with poor sperm quality, abnormal sperm, poor motility or low count, have inadequate levels of these beneficial prostaglandins.

Many of the women I see in the clinic have been taking evening primrose oil supplements – an omega 6 fatty acid – for years and have not been eating enough omega 3 oils, or taking them in supplement form, to counterbalance this. Some women are also taking combinations such as omega 3, 6, and 9 in supplement form because they have heard that we need a good balance of all the omega fatty acids. This is true, but you have to take into account what your own levels may be in the first place. It is no good adding in more omega 6 if you have already got enough or in fact too much in your body. (you can now have a blood test to tell you if you have the correct levels of omega 3 to omega 6 in your body see below). To check whether you have sufficient levels of omega 3 please click omega 3 deficiency test (at home finger prick blood)

Vitamin e

Vitamin e is another powerful antioxidant and has been shown to increase fertility when given to both men and women. Men going for ivf treatment with their partners have been given vitamin e, and fertilisation rates have, as a result, increased from 19 to 29 percent. It has been suggested that the antioxidant activity of vitamin e might make the sperm more fertile.

Vitamin c

Vitamin c is also an antioxidant, and studies show that vitamin c enhances sperm quality, protecting sperm and the dna within it from damage. Some research has indicated that certain types of dna damage in the sperm can make it difficult to conceive in the first place, or it can cause an increased risk of miscarriage if conception does take place. If dna is damaged, there may be a chromosomal problem in the baby, should the pregnancy proceed. Whether or not dna damage does have these effects has not been conclusively proven, but it’s worth taking vitamin c and the other antioxidants as a precautionary measure.

Vitamin c also appears to keep the sperm from clumping together, making them more motile.
One study has shown that women taking the drug clomiphene to stimulate ovulation will have a better chance of ovulating if vitamin c is taken alongside the drug. Clomiphene does not always work in every woman, but the chances are often increased when vitamin c is supplemented.

Beta-carotene

This is the vegetable precursor to vitamin a and is completely safe during pregnancy. Beta-carotene is a powerful antioxidant which helps to protect egg and sperm dna from damage by harmful free radicals which can affect the quality of both the egg and sperm. Free radicals are highly unstable and set off a process called oxidation which can have harmful effects on the every cell in the body. Beta- carotene will be contained in your multivitamin and mineral.

L-arginine

This is an amino acid found in many foods and the head of the sperm contains an exceptional amount of this nutrient, which is essential for sperm production. Supplementing with l-arginine can help to increase both the sperm count and quality.
Note: people who have herpes attacks (either cold sores or genital herpes) should not supplement with l-arginine because it stimulates the virus.

L-carnitine

This amino acid is essential for normal functioning of sperm cells. According to research, it appears that the higher the levels of l-carnitine in the sperm cells, the better the sperm count and motility.

Furthermore, by adopting a healthier lifestyle you will be more likely to prevent fertility problems.

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Respected doctor, my grandson asked me that if a non-diabetic takes insulin what will be the reaction. Kindly answer this question.

MS - ENT
ENT Specialist, Bangalore
Respected doctor, my grandson asked me that if a non-diabetic takes insulin what will be the reaction. Kindly answer ...
Insulin reduces sugar in your blood. If normal person takes it then his blood sugar will reduce below normal can be very dangerous.
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Hello Dr. as my reports are showing I have thyroid in which TSH is increase. Bt as far my knowledge I knw that if we are suffering frm sugar we will not get thyroid. So Dr. please clear dis doubt and explain me in detail what to do.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Hello Dr. as my reports are showing I have thyroid in which TSH is increase. Bt as far my knowledge I knw that if we ...
There is no such connection between thyroid and diabetes Infact, people with thyroid problem have a greater association with high blood sugar.
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I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?
The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels. So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. Hba1c. 2. Sugar - fasting and pp. 3. Urine - routine and microscopy. 4. Urine microalbumin. 5. Urea and creatinine. 6. Lipid profile. Follow up with the reports. I will set up a wonderful treatment plan to control your sugar levels. Additionally I will also make a customised dietary plan for you to take care of your sugar levels naturally.
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I am 68 yrs. I am diabetic over 20 years. I am maintaining and it is under control with medicine, insulin and just over 7. But accute foot pain. I am using.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Diabetes must be controlled beyond any shadow of doubt. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days it may have to be further investigated you must have x rays of your feet done. Make sure you are not allergic to any of the medicines you are going to take.
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My father has diabetes from 8years But his sugar is high from last 6months I. E. Nearly 350-400 He is taking diapride m2 tablet daily twice So can you suggest any better tablet for him.

C.S.C, D.C.H, M.B.B.S
General Physician,
My father has diabetes from 8years
But his sugar is high from last 6months I. E. Nearly 350-400
He is taking diapride...
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance... if you keep in touch personally.
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I am suffering from irregular periods in staring time to present I consulted no. of doctors and I tried no of drugs I have thyroid problem also use thyronorm 25mcs tablet but present also I suffer that irregular periods please give any suggestion for me.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am suffering from irregular periods in staring time to present I consulted no. of doctors and I tried no of drugs I...
Hi lybrate-user, you could have polycystic ovarian disease, please share your blood test reports and ultrasound too to guide in best possible way. If you have thyroid problem please correct it first. Please be focused about diet high protein, low carbs, no oily spicy and junk food. Daily exercise for 30 min will add on effect for regularise period. You need get few blood tests to find out cause if not done already.
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