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Dr. Rajiv Pahwa

MBBS, Postgraduate Diploma Clinical Cardiology (PGDCC)

Endocrinologist, Delhi

26 Years Experience  ·  200 at clinic
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Dr. Rajiv Pahwa MBBS, Postgraduate Diploma Clinical Cardiology (PGDCC) Endocrinologist, Delhi
26 Years Experience  ·  200 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rajiv Pahwa
Dr. Rajiv Pahwa is an experienced Endocrinologist in Rohini, Delhi. He has been a practicing Endocrinologist for 26 years. He has completed MBBS, Postgraduate Diploma Clinical Cardiology (PGDCC) . You can visit him at Pahwa Medical & Diabetes Clinic in Rohini, Delhi. Book an appointment online with Dr. Rajiv Pahwa and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 34 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.

Info

Specialty
Education
MBBS - Mysore University, - 1992
Postgraduate Diploma Clinical Cardiology (PGDCC) - IGNOU, - 2013
Languages spoken
English
Hindi
Professional Memberships
Delhi Medical Association (DMA)

Location

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Pahwa Medical & Diabetes Clinic

B-4/86, Sector-7, Rohini, DelhiDelhi Get Directions
200 at clinic
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Dr. Pahwa's Clinic

BG-18, Ground Floor, Shalimar Bagh, DelhiDelhi Get Directions
200 at clinic
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Sir tsh jab check karwate hai to khali pet karwate hai. Kya thyroid ke goli nahi khani chahie. Or pani pe sakte hai kya. Please suggest me. Mai thyrox 75 le rahi hu. Mera weight 62 kg hai mai 42 year ki hu. Kya mera weight thik hai. Mere dono paroo me aireee fati hui hai kya karoo.

BHMS
Homeopath, Delhi
जी हाँ आपको खाली पेट यह टेस्ट करवना चाहिए । कम से कम 2 घंटे पहले कुछ नहीं लेना चाहिए। वज़न आपके कद के अनुसार ही तय करा जा सकता है। कृपया होमोएपथिक डॉक्टर को दिखाएं।
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I have take diabetes medicine once daily if I test hba1c. If my report less than 5.7 can I leave diabetes medicine for whole life?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I have take diabetes medicine once daily if I test hba1c. If my report less than 5.7 can I leave diabetes medicine fo...
Mr. lybrate-user, Thanks for the query. Usually when one is controlling diabetes effectively HbA1c% does remain well within the range.(around <6 .5%) However, if it goes much below (<5.7%) means one has exceptional control. This is usually due to medication, diet and exercise all combined. So it is difficult to say whether you have no more diabetes and hence medicines can be completely stopped. What needs to be done is one has to stop all medications for a few days or weeks, then test the blood glucose as well as HbA1c% to confirm whether there is no more diabetes. Or do a OGTT. Thanks.
1 person found this helpful
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I want to know the symptoms and diagnosis for hyperthyroidism. What kind of food items should be eat.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Some of the common symptoms of hyperthyroidism are: •Sweating profusely •Intolerance to heat •Increased bowel movements •Slight tremor in the limbs •Rapid heart rate •Unexplained weight loss •Excessive fatigue •Concentration problem •Irregular menstrual cycle •It can lead to irregular heart rhythms and even heart failure in the elderly. •Untreated hyperthyroidism may result in condition called thyroid storm, where a person can suffer from high blood pressure, fever leading to a heart failure. •In Graves’ disease, there may be eye changes and skin changes in addition to the other symptoms.---------- The diagnosis can be made from the symptoms that the patient experiences and a confirmation can be made by diagnostic tests-------------- There’s no such thing as a hyperthyroidism diet, but what you eat matters. Hyperthyroidism—when your thyroid gland produces too much thyroid hormone—can’t be prevented or treated though diet alone. It’s often treated with prescription medication, so see your doctor immediately if you have hyperthyroidism symptoms. But by eating certain foods, you can limit some mild hyperthyroidism symptoms what foods should you eat? 1.From strawberries to blueberries to raspberries—the choice is yours. Berries pack a powerful punch because they’re bursting with antioxidants, which keep your immune system strong. Eat a serving of berries every day. 2.Broccoli is part of the goitrogen family—foods that can decrease the amount of thyroid hormone your thyroid gland produces. Foods that belong to this group are known as “cruciferous” foods. Not a broccoli fan? Other cruciferous veggies include cauliflower, kale, and cabbage. Eat one or more servings of these veggies a day. 3.Salmon contains vitamin D—an essential nutrient that works with calcium to prevent bone loss. Salmon also carries a megadose of omega-3 fatty acids that keep you healthy. Your body doesn’t naturally produce these fatty acids, so you have to get them from food. If you’re not into fish, get your vitamin D from eggs and mushrooms and your omega-3s from walnuts, olive oil, and flaxseed oil. Eats foods with these nutrients daily. 4.Turkey is an excellent source of protein—important because your body needs protein for energy and to build and maintain muscle. Weight loss is a common hyperthyroidism symptom, so eating enough protein can help ensure you stay at a healthy weight. Don’t eat meat? No problem—you can get protein from beans and nuts. Just try to eat protein at every meal. 5.Untreated hyperthyroidism can eventually weaken your bones and may lead to osteoporosis. To prevent this, get 3 servings a day of calcium from yogurt or other dairy foods, such as cheese and milk.
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Top 5 Power Foods For Diabetes!

MBBS, MDRC (Diabetology), M.D.R.F.A.D.A
Diabetologist, Hyderabad
Top 5 Power Foods For Diabetes!

Your nourishment decisions matter a great deal when you have diabetes. Some are superior to anything others. Nothing is totally beyond reach. Indeed, even things that you may consider as 'the most exceedingly bad' could be periodic treats, in minor sums. Yet, they won't help you nutrition wise and it's least demanding to deal with your diabetes on the off chance that you for the most part adhere to the 'best' choices.

1. Dark chocolate: Chocolate happens to be rich in flavonoids and examination demonstrates that these supplements lessen insulin resistance, enhance insulin affectability and gruff yearnings. Be that as it may, not all chocolate is made equivalent. In a recent report from the Copenhagen University, individuals who ate dim chocolate made the report that they had the feeling more or less like eating some sweets and salty, or greasy foods contrasted with volunteers given milk chocolate, with its lower levels of useful flavonoids (and, regularly, more sugar and fat, as well).

2. Broccoli: Broccoli is hostile to diabetes. Likewise with different cruciferous veggies, similar to cauliflower and kale, it has one compound that is called as sulforaphane, which triggers a few calming forms that enhance blood sugar control and shield blood vessels from the cardiovascular harm that is regularly a result of diabetes.

3. Blueberries: Blueberries truly standout, they have both fiber that is insoluble (that 'flushes' out fat of the framework you have) and solvent fiber (which backs off the purging of your stomach and enhances blood sugar control).

4. Oats: You may not consider oatmeal a superfood, but rather it can lessen the danger of creating sort 2 diabetes. Oatmeal contains high measures of magnesium, which helps the body use glucose and discharge insulin appropriately. An eight-year trial demonstrated a 19 percent decrease in sort 2 diabetes' danger in ladies with a magnesium-rich diet, and a 31 percent decreased danger in ladies who consistently ate entire grains.

5. Fish: Fish is a thinning star, rich in protein, it will keep you fulfilled; additionally, it contains an extraordinary kind of fat that cools inflammation. Thousands of studies demonstrate that individuals with the most astounding blood levels of omega-3 unsaturated fats have less extensive inflammation, the very inflammation that prompts and compounds diabetes and weight issues.

4645 people found this helpful

I am 57 years old male and diabetic for two years and is under fair control by taking 2 mg Glucoryl mv2 in the morning, also hypothyroid for last 16 years but under control with weight averagely 90 kg. Also my Uric Acid is slightly above the limit. Kindly suggest a fair diet.

B.Sc. - Dietitics / Nutrition, msc in dietetics & food service management
Dietitian/Nutritionist, Indore
I am 57 years old male and diabetic for two years and is under fair control by taking 2 mg Glucoryl mv2 in the mornin...
U take thin dal ok. Take low calorie high protein low sodium diet. Don't take coffee. Don't drink water immediately after meal. 10-12 glass water you can take.
2 people found this helpful
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What would be the best way to strictly control diabetes and what food should be followed for the diet? please advise.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What would  be the best way to strictly control diabetes and what food should be followed for the diet? please advise.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-is the most significant thing which can make a big difference to your health . It helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :- it will 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 amount, improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is 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 . You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular.Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats .Add whole grain foods in your diet. Avoid 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.  11.Fresh vegetables and fruits:- these contain a lot of minerals as well as nutrients .Include sprouts in the diet as they are easily digestible
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6 Risk Factors Of Developing Diabetic Nephropathy!

MD - Medicine, MBBS
Endocrinologist, Delhi
6 Risk Factors Of Developing Diabetic Nephropathy!

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels. If you wish to discuss any specific problem, you can consult an endocrinologist.
3031 people found this helpful

Ayurveda - The Most Efficient Treatment for Diabetic Patients!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
Ayurveda - The Most Efficient Treatment for Diabetic Patients!

With the increasing number of the diabetes patients in India, our country is moving towards the title of world diabetes capital. Due to a change in lifestyle and food habits health of the people are deteriorating day by day. The unhealthy body reduces the lifespan as well. Ayurvedic treatment is the amazing solution of the cure of this life threatening disease.

Diabetes is a health issue which is caused due to the increased level of blood sugar level in the body. The digestive system of the body breaks food we eat into sugar which is called glucose and sent to all the cells throughout the body. The cells convert the glucose into energy with the help of a special hormone known as Insulin. When body reduces the capacity to maintain the blood sugar level due to lack of insulin in the body then this condition is called diabetes.

The simple Ayurvedic remedies for diabetes which show amazing results in the treatment of the disease.

  1. Bitter goard: This is considered as the most effective remedy in the treatment of diabetes. Consuming bitter gourd juice in empty stomach every morning reduces blood sugar level of the body.
  2. Jamun seeds: The powder of Jamun seed of the leaves of Jamun tree both is used as remedies for diabetes. Chewing Jamun leaves prevents the production of sugar and keeps sugar level of the body maintained.
  3. Cinnamon powder: Cinnamon is also one of the best remedies for diabetes. It improves the functioning of the pancreas and this would increase the production of insulin in the body.
  4. Triphala: This is the mixture of three different herbs, this ingredients are useful for the decrease of the sugar level in the blood. Some of the drug formations used to cure diabetes are :
    1. Asanad tablets
    2. Trivangabhasma
    3. Chadrabrabha
    4. Vasantkusumakar
    5. Shilajitvaji

Diabetes is just not caused due to the lowering of insulin. It is mostly caused due to the lack of proper maintenance of the body. Sufferers should take care of their health by following the healthy lifestyle with the balanced diet, stress management and exercise with the natural herbs prescribed by some expert Ayurveda physicians.

3133 people found this helpful

My t3 3.15 t4 1.61 tsh 4.81 previous tsh 14.98 Eltroxin 50 tab use currently change 50 mg to 25 mg?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My t3 3.15 t4 1.61 tsh 4.81 previous tsh 14.98
Eltroxin 50 tab use currently change 50 mg to 25 mg?
Hello, Thanks for the query. TSH 4.81 mU/L is quite good. It is better if the level is maintained around 3 to 4 mU/L. At that level all the symptoms of hypothyroidism are in check. With present level of TSH you need not change the dosage. But it is necessary to check TSH every 3 to months, till the level is maintained as mentioned earlier. Thanks.
1 person found this helpful
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