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Dr. Raj Kumar Lalwani

Endocrinologist, Delhi

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Dr. Raj Kumar Lalwani Endocrinologist, Delhi
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Raj Kumar Lalwani
Dr. Raj Kumar Lalwani is an experienced Endocrinologist in Shalimar Bagh, Delhi. You can visit him at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. Raj Kumar Lalwani on Lybrate.com.

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Hindi
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Association of Physicians of India (API)

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Max Hospital-Shalimar Bagh

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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I am teacher. I often do a desk job. So how do I prevent myself from being diabetic. What control measures I should take nd what should be my diet.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am teacher. I often do a desk job. So how do I prevent myself from being diabetic. What control measures I should t...
Mr. Lybrate-user, if you are keen on preventing getting t2dm, then adapt a modified life style, which means 1) exercise regularly for more than 1 hour every day, 2) maintain normal body weight (60 kg), 3) avoid too much of sweets, deep fried foods, junk foods and pastries. Also avoid sweetened aerated drinks, fructose corn syrup containing products, high fat cheese, alcohol and smoking. Consume more of green leafy vegetables, salads and fruits. Always use whole grain products and flour, do not use refined flour like maida. These changes will help in preventing diabetes.
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Sir I have thyroid since 6 years T3 is 1.18 T4 12.00 TSH 0.03 I tried for getting pregnancy 3 years but not getting pregnancy and also I have prolactin is 63.1 and previous prolactin is 39 and I used the thyronorm 100 mg and my previous thyroid report is i.e. May 27 2016 t3 is 1.1 t4 is 13.40 tsh is 1.43 and May 2 2016 is TSH is 7.5 Married life is running 4th year but not getting pregnancy. My menses are getting very different previous 4 months getting like this that is sep 8, oct 5, in between I used promoxure pills means getting late in nov 15, dec 10 2016 and jan 1 2017. Sir Please suggest me to take how much dose in thyroid and taking good food for taking good vegetables and also menses for getting like this. Is there any effect pregnancy for me for getting menses like this. Sir Please suggest me am so depressed about this Thank You.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
lybrate-user, For getting conception TSH level has to be maintained below 2 mU/L. Plus menstruation should be regular. Along with this prolactin levels also need to be <15 ng/ml. So please maintain both these hormonal levels in the above mentioned range. You may have to take certain medication for reducing prolactin and to maintain TSH (<2mU/L), take appropriate dose of thyroxine. Plus consult your gynecologist. Thanks.
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There are 2 questions. 1. From the last 3 years I am having regular trouble that is my sugar level becomes low. It is happening 4 to 5 months intervals regularly by these timings I became tired and I used to go doctors and getting trips. So please suggest me to maintain the sugar level at normal for all the time. And Question no. 2. Recently I used to take mutton soup in the evening time when I am going home from office. So my question in this is I am having regular acidity complaints so taking soup regularly is advisable or not.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
There are 2 questions. 1. From the last 3 years I am having regular trouble that is my sugar level becomes low. It is...
Mr. A lybrate-user, Hypoglycemic episodes are seen usually with Insulin injections, as sometimes food intake or dose of the drug may not match. With oral anti-diabetics such episodes are less likely to occur. Since you have not mentioned any details about current treatment or actual blood glucose levels and HbA1c%, it is difficult to make any specific comment. If you are aware of the time when these episodes tend to occur, then it is better to take some snacks around that time. As regards mutton soup causing acidity, then best is to avoid it. Because any spicy food or liquid can stimulate stomach acid secretion. Thanks.
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6 years old girl child diagnosed with type 1 diabetes mellitus was taking insulin for 1 month and another 1 month she took only keto diet, no insulin, is it safe? Is keto diet reliable for 6 years old? What is the further treatment of it?

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
6 years old girl child diagnosed with type 1 diabetes mellitus was taking insulin for 1 month and another 1 month she...
It's not safe at all. Don't experiment with child's life. Take her to an endocrinologist in your city and follow instructions.
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Diabetes - Can It Lead to Nerve Damage?

MBBS, DNB (General Medicine)
General Physician, Delhi
Diabetes - Can It Lead to Nerve Damage?

Patients with diabetes are likely to suffer from nerve damage. This condition is known as diabetic neuropathy. An increase in the blood-sugar level can damage nerve fibres, especially in the legs and feet. Diabetic neuropathy is a common complication for people suffering from diabetes.

Types of neuropathy

  1. Peripheral neuropathy: This is the most frequently occurring form of diabetic neuropathy. It can affect the legs, feet, hands and arms of a person. Some of the common symptoms include numbness in the leg or arm, cramps, reduced reflexes and muscle weakness. This is accompanied by other problems such as joint pain, ulcers, and deformities.
  2. Autonomic neuropathy: This part of the nervous system controls the intestines, heart, stomach, lungs, eyes and sex organs. Diabetes can wreak havoc in these vital organs. Some of the common symptoms include bladder problems, vomiting, nausea, erectile malfunction, fluctuation in body temperature, decreased or increased sweating, and irregular heart rate.
  3. Radiculoplexus neuropathy: This form of neuropathy affects the nerves in areas such as the thighs, legs, buttocks, etc. This condition is mostly witnessed in people suffering from type 2 diabetes. The symptoms are often observed on one side of the body, which includes abdominal swelling, pain in the thigh, hip and buttock, weight loss, difficulty in getting up from a particular position.
  4. Mononeuropathy: This form of neuropathy attacks a particular nerve and is mostly found in older adults. It doesn’t have any long-term implications. Some of the symptoms include paralysis of the face, pain in the chest, difficulty in focusing the eye, and pain in the foot.

Risk factors of diabetic neuropathy

  1. Being overweight: An increase in body weight increases the chances of diabetic neuropathy. A body mass index (BMI) of greater than 24 is considered to be alarming for a patient suffering with diabetes.
  2. Smoking: Smoking narrows the arteries, thereby reducing the flow of blood to the feet and the legs. This increases the chance of diabetic neuropathy.
  3. Kidney disease: Diabetes can cause great damage to the kidneys, which increases the level of toxins in the body. This situation can aggravate to diabetic neuropathy.
  4. Poor control of blood-sugar levels: A poor control of blood-sugar levels is the biggest risk factor of diabetic neuropathy. Keeping the blood-sugar level under control helps the nerves to maintain a healthy condition.

Common complications of diabetic neuropathy

  1. Digestive problems: Nerve damage can lead to diseases such as diarrhoea, bloating, nausea, vomiting and a loss of appetite. It can also result in a disease called gastroparesis; this is a disease which doesn’t let the stomach empty at its usual rate.
  2. Limb loss: Gradual nerve damage can affect the limbs of the body. Diabetic neuropathy slowly damages the soft tissues and the skin, which eventually results in the loss of a limb. If you wish to discuss about any specific problem, you can consult an endocrinologist..
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I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs twice a day and supradol tab twice a day but there is some progress with respect to inflammation, swelling and Pain on my left ankle and foot. How can I get full relief permanently? Please advise I am a diabetic patient.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs tw...
For osteoarthritis ayurvedic medicines work very well. You have to continue the treatment for 6months so that there is no relapse. You have to lead a healthy life in terms of food as well as exercise. Do daily yoga and walking for atleast half an hour. Avoid eating sour and chilled food items. Im sure you will be ok.
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Multivitamins and Infertility

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Multivitamins and Infertility

Multivitamins & Infertility

Nutrients that can help to support a healthy conception include:

  • Antioxidants “ protect cells from damage by free radicals in environmental and other toxins
  • Coenzyme (Q10) “ an important antioxidant and ˜energy nutrient within every cell
  • Vitamin E “ an antioxidant that may promote circulation to the reproductive system, including to the placenta
  • Vitamin C “ an antioxidant important within the ovary itself. As the developing egg needs vitamin C to mature and ovulate, more vitamin C is used up around the time of ovulation
  • Mixed carotenoids “ Vitamin A (retinoid) is involved in creating DNA. In small amounts it is essential for healthy foetal development, particularly for the immune system and eyes. However, you should avoid taking too much Vitamin A
  • Manganese “ involved in enzyme functions that have antioxidant effects and transfer genetic information
  • Zinc “ one of the most important nutrients for a healthy reproductive system. Involved in sexual development, ovulation and the menstrual cycle
  • Selenium “ an antioxidant that supports normal conception
  • Omega-3 fatty acids “ improving omega-3 fatty acids ensures that a woman’s fat tissue stores retain a reserve of these fatty acids for the developing foetus, a healthy pregnancy and optimally fed newborn
  • B-Vitamins “ Vitamin B12, B6 and folate are three B vitamins significant for the reproductive system
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I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopathic) medication?

BHMS
Homeopath, Solan
I am 52 yrs old. I am suffering from diabetes from last 4 years. So please suggest me medicine (ayurvedic or homeopat...
Thuja 1m 3 doses. 1 acid phos q 10 drops in half luke water. 2 syzygium jambolanumq 10 drops in luke warm water. 3 sanicula q 10 drops in luke water 10 drops daily twice aday. And biocombination number 7. Remove sugary things and do exercise, yoga daily.
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I am diabetic, although diabetes is well under control with medicines, but still I suffer from peripheral neuropathy. Libido very low. Erection not very good. Kindly advise.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Dietitian/Nutritionist, Ahmedabad
I am diabetic, although diabetes is well under control with medicines, but still I suffer from peripheral neuropathy....
hello Anand, contrary to popular belief Diabetes is not always progressive disease. It may be reversed or progress can be stopped. it might have been difficult for you but it is very important to lose weight for you. many of the diabetic medicines unfortunately increases weight. But if you reduce weight by 30 kg, your diabetes will improve and you will need very less medicine. All the problems associated will also go down. there is a general approach and a specific approach as per individual patients metabolic profile. i will give you a general approach to try for 4 weeks. 1. do not eat anything sugary or sweet. 2. eat plenty of salad in lunch and dinner 3. Eat only 3 times per day. 4. do atleast 30 min of exercise every day of any kind. you will need to continously monitor your fasting and post meal sugar and reduce dose as per advise of your treating doctor, once you start losing weight.
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Home Remedies For Diabetes

Diploma in Naturopathy & Yogic Science (DNYS), bachelor Of Science in Nursing
Yoga & Naturopathy Specialist, Gandhinagar
Home Remedies For Diabetes


Natural hone remedies to treat diabetes at home

Diabetes treatment: 15 home remedies to treat diabetes at home (thinkstock photos/getty images)

India is said to be the diabetes capital of the world. With nearly 50 million people in india suffering from diabetes, the country has a big challenge to face. First, let's know what is diabetes. The elevated sugar in the blood is called diabetes. There are two primary reasons behind diabetes - one is when our body stops producing insulin and second is when the body does not respond to insulin that is produced by the body. Insulin is broken down by the body and used as energy, which is transported to the cells. There are two types of diabetes - type I diabetes and type ii diabetes. Let's know about them in a little detail: 

Type I diabetes 


Type I diabetes usually occurs in people who are below the age 20 and that is why it is also called as juvenile diabetes. In this type, the body becomes partially or completely unable to produce insulin. Type I diabetes is an autoimmune disease. In this, your immune system attacks the pancreas from where the insulin is produced, thereby making the pancreas inefficient or unable to produce insulin. Type I diabetes cannot be prevented, it can only be controlled with healthy lifestyle changes.

Type ii diabetes

Type ii diabetes is more common than type I diabetes in india. Type ii diabetes usually happens to people who are above the age of 40. This type of diabetes is caused due to insulin resistance. In this case, the pancreas produces insulin but the body is not able to respond to it properly. There can be many reasons behind type ii diabetes. Some of the reasons can be being overweight, high blood pressure, having a poor diet, taking too much stress, hormone imbalance, certain medications and leading a sedentary lifestyle. Though type ii diabetes can be reversed. 

Let's us know some natural ways by which we can treat diabetes at home: 

What not to eat: 

There are some foods which can negatively impact your diabetes. So, the first thing you need to do is to remove these foods from your diet. 


1. Refined sugar - we all know that sugar, until it is in its most natural form, is bad for people suffering from diabetes. When consumed, refined sugar spikes the blood sugar rapidly. Sometimes even the natural form like honey can cause a sudden spike in the blood sugar levels. So, it's better to avoid refined sugar by all means if you are a diabetic. 


2. Whole grains - grains that have gluten in them should be avoided. Gluten is associated with diabetes as its intake can cause leaky gut leading to inflammation which in turn can lead to auto immune diseases. 


3. Alcohol - alcohol consumption is directly related to diabetes. Alcohol not only damages your liver but also attacks the pancreas that produces insulin. Diabetes is linked with consumption of heavy alcohol which is two to three glasses a day. Beer should especially be avoided as it has a lot of carbohydrates. 


4. Cow's milk - just like whole grains, cow milk can trigger the immune system which can lead to inflammation. Milk coming from sheep and goat is not harmful in fact it helps to maintain the blood sugar level. But the conventional cow milk can be dangerous for you if you are suffering from diabetes. 


5. Gmo foods - gmo foods have the capability to promote diabetes along with causing liver and kidney diseases. Go for products which are labeled as gmo-free. 

What to eat and do 

Cinnamon 

Cinnamon contains a bioactive compound that can help to fight and prevent diabetes. Cinnamon is known to stimulate the insulin activity and thus regulate the blood sugar level. As excess of anything is bad, likewise cinnamon if taken in excess can increase the risk of liver damage due to a compound called coumarin present in it. The true cinnamon, not the one buy from shops (cassia cinnamon) is safer to have.

How to consume cinnamon 

- mix half or one teaspoon of grounded cinnamon with warm water and have it once daily. 

- boil raw cinnamon in 2 glasses of water. Let it cool for 30 minutes and have it daily.

Aloe vera

Aloe vera is easily found in indian households. Though it's bitter in taste, but combing it with buttermilk makes it taste better. Usually, aloe vera is used for beauty purposes but as it has anti-inflammatory properties it can heal the wounds. Due to its anti-inflammatory properties, it is said to control the blood sugar levels. 

Jamun 

Jamun and its leaves have proven to be helpful in lowering the blood sugar levels. Consuming approximately 100 grams of jamun every day is said to show tremendous improvement in your blood sugar levels.

Vitamin c

Vitamin c is not only good for skin but also for diabetes. Recent studies have shown that consuming approximately 600 mg of vitamin c daily can improve the blood sugar level significantly. People who have chronic diabetes should consume foods rich in vitamin c every day. Some foods rich in vitamin c are amla, orange, tomato and blueberry. 

Exercise

One of the main reasons behind type ii diabetes is being overweight. Any kind of physical activity, be it yoga, zumba, aerobics, gymming, playing sports can significantly improve blood sugar level by maintaining your weight. Not only this, walking every day can help to reduce the blood sugar level tremendously. 

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