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Dr. S.K Nagrani

Endocrinologist, Delhi

Dr. S.K Nagrani Endocrinologist, Delhi
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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. S.K Nagrani
Dr. S.K Nagrani is a popular Endocrinologist in Shalimar Bagh, Delhi. You can visit him at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. S.K Nagrani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 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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Max Hospital-Shalimar Bagh

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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Hi I am 45 year old male, I have diabetic problem, fasting 150, pp 175. What I can do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
You should start ayurvedic drug tab diabecon two tab twice daily, start morning walk, district sugar diet, consult after 10 days with fasting sugar and pp.

Being Diabetic we are advised not to take root vegetables. potatoes and carrot are in the list. Tomatoes creates body pain. Please give the name of the fish in Indian name if possible in bengal.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Being Diabetic we are advised not to take root vegetables. potatoes and carrot are in the list. Tomatoes creates body...
it is better to consume fish for diabetics though I don't agree with previous sentences which you wrote. you can have pomfret, surmai, bangada, manyeli, erle, Mori, etc (Indian names)
2 people found this helpful
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10 Ways To Boost Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
10 Ways To Boost Your Fertility

Pregnancy can be easy and smooth, while on the other hand, it might be time consuming, marred with conception difficulties all along the way. Pregnancy may seem exciting to some, whereas it can be stressful for others. Regardless of whether it is the first child you are planning or have had a successful pregnancy previously; there are some tips you need to keep in mind in order to improve fertility and give birth to a healthy child.

Some fertility boosting factors are:

  1. These fantastic swimmers are at the very root of male fertility. Some important components which need to be taken into consideration are sperm count, sperm motility (the ability of the sperm to swim around the female reproductive tract) and morphology (shape and size of a sperm). In order to have all these parameters in check and working fine, one needs to abstain from smoking and limit alcohol consumption among many other lifestyle modifications.

  2. Having unprotected vaginal intercourse during the woman’s fertile days in a month helps improve chances of conception.

  3. Fertility becomes a challenge when you are either overweight or underweight. The weight of a woman affects ovulation (The release of eggs from the ovaries) and causes hormonal imbalance; factors which make it very difficult to conceive. Keep your weight levels in check and that could prove primarily essential in bettering your fertility.

  4. Staying well nourished boosts your odds of conceiving! Make sure to include enough protein, iron, zinc, vitamin C, and vitamin D in your diet, because deficiencies in these nutrients have been linked to lengthened menstrual cycles (and therefore less frequent ovulation) and a higher risk of early miscarriage. Consult gynaecologist if you should take a daily multivitamin supplement. And be sure to eat protein-rich foods, such as meat, fish, low-fat dairy products, eggs, and beans.

  5. Beware of STDs or Sexually Transmitted Diseases. One is the most prone to STDs of any kind if he/she happens to engage in unprotected sexual intercourse; having a number of sexual partners just ups the chances of getting afflicted by STD. Protected vaginal intercourse helps prevent STDs, thus enhancing fertility and subsequently, chances of conception.

  6. According to several studies, the lubricant one chooses surprisingly plays a significant role in determining fertility. Not all lubricants boost fertility and sperm motility (sperm count). Baby oil or egg whites are a few good examples of such lubricants.

  7. While a limited amount of caffeine consumption is good, overdoing it might spoil and hamper fertility. Limit caffeine intake and keep it within a level of 200-250mg a day.

  8. Smoking, besides playing havoc with every organ in the body, affects the reproductive organs and thus fertility. In men, it leads to reduced sperm count and in women, it causes DNA damage. Stub the bud right now and never get back to it.

  9. Certain toxic chemicals can lead to female and male infertility. So it is advisable that you stay away from chemicals such as pesticides, organic solvents and lead, the primary toxins which pose a severe threat to fertility.

  10. Exercising regularly can never go wrong. It gives you the strength and stamina, boosting your overall health. However, vigorous exercises, especially when you are trying to conceive, will do you no good. It might adversely lead to the suppression of certain hormones such as progesterone (pregnancy stimulating hormone) and might affect ovulation, hence affecting fertility. Aim at a regular 20 minutes session of light exercises; mild cardiovascular exercises such as walking can work wonders, especially in such circumstances.
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Dear sir, I am using levothyroxine 25 from 6 months, doctor told me because of anxiety my thyroid level was elevated, at start my tsh value is 7.20 and now it is 4.90 does I need to stop tablets, please suggest me. Does I need to use tablets for long time and my current tsh 4.90 was high.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear sir,
I am using levothyroxine 25 from 6 months, doctor told me because of anxiety my thyroid level was elevated,...
Mr. lybrate-user, Usually when TSH level is between 6 to 9.9 mU/L, condition is considered as subclinical hypothyroidism and no treatment is advocated. Sometime treatment is given if there is associated low T4 level and patient has severe symptoms of hypothyroidism. Since you have been already taking the drug, there is no option but to continue it. TSH 4.9 is with in the normal range, however, if you stop treatment, it will again go up. Thanks.
7 people found this helpful
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Hello doctor. My mom is diabetic patient can you suggest me which fruits should be avoided.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hello doctor. My mom is diabetic patient can you suggest me which fruits should be avoided.?
hi, I am a registered dietitian, certified diabetes educator and a doctor (general physician) who will help you in your diabetes problem. Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity by prescription from a registered dietitian eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I am hypothyroid and daily taking 100 mcg eltroxin since 10 years .Is there any side effects, please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am hypothyroid and daily taking 100 mcg eltroxin since 10 years .Is there any side effects, please suggest.
lybrate-user, If you are tolerating the drug, then there is absolutely no problem. It is just like the natural hormone secreted by thyroid gland. In hypothyroidism there is almost nil production of this hormone, so it has to be supplemented daily for lifetime. When you are on treatment it is essential that TSH should be maintained between 3 to 4 mU/L, then only all the symptoms are well controlled. So please do check TSH level periodically. Thanks.
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Which type of fruits a diabetic patient can have? How to control sugar level without any medications? Please provide me a diabetic diet chart that we can follow.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Which type of fruits a diabetic patient can have? How to control sugar level without any medications?
Please provide ...
Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Eat proteins like dals, sprouts, (NV) egg, chicken etc with every minimeal. Drink lot of water. One glass every hour..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.
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Dear sir my sis had all type of diabetic side effect wil you please suggest me to get her in good health.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Dear sir my sis had all type of diabetic side effect wil you please suggest me to get her in good health.
No details of what type of side effects and Medicines taken Any Diabetic has to keep different blood sugar levels within a range. Proper diet at proper time, regular exercise, prompt medications as advised by doctors are most important things. Blood tests are to be done in Fasting state on getting up , 1 1/2 hours after principal meal and just before dinner. Take these readings to your doctor and take that advice
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Dear sir I am suffering sugar problem in last 4 months. After examination fasting 111 and pp 152, without any medicine. please suggest me about control and treatment thanking you pran.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
Dear sir I am suffering sugar problem in last 4 months. After examination fasting 111 and pp 152, without any medicin...
Thanks for your query. Your sugar is very much under control. Try taking a balanced and healthy diet as per your customs and traditions, For more details contact me in private section.
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He is suffering from thyroid. Suggest few aayurvedic medicine and some home remedies.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
take hormone balance twice a day before meal. take hormone therapy from pvt. consult on lybrate.com Eating in hypothyroidism as iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. it help in reducing over weight also
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Dear doctor my father is 56year old and he is a diabetic and he can't Walt and he is always sleepy for he's daily activity we should take care please tell me what to do to change his life style. I took him to the top most hospitals but no use.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Dear doctor my father is 56year old and he is a diabetic and he can't Walt and he is always sleepy for he's daily act...
Following are the tips to control diabetes: 1-losing extra weight: 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: improves metabolic activity and helps reducing weight. 3- split meals and eat in moderate amount 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 food slowly & chew well. 6- proper exercise and work outs: regular brisk walking for 30 min. Five times a week is best. Cycling, swimming, dancing can also be done. 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 and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. Add whole grain foods in your diet. Avoid white bread, pasta, pizza, candies, and snacks. 10-drink enough fluids:-keep your body well hydrated. 11. Fresh vegetables and fruits. Include sprouts in the diet as they are easily digestible 12- avoid excess salt:-in form of pickles/papads/salads etc. 13-avoid alcohol consumption:-alcohols such as beer and wine contains large amount of calories. 14- dairy products:-dairy products are high on fat. So consume skimmed milk products, low fat cheese, yogurt (curd) etc. Try green tea instead.
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I am 57 my sugar level fasting is 160-165 presently i am taking Glyciphase 500 mg only after lunch i take light food in the night pl suggest ayurvedic/alopathic suitable medicine.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
BEST THING IS TO GO FOR NATURAL TREATMENT LIKE AYURVEDA OR YOGA PRANAYAMA THAT WILL PREVENT FURTHER PROBLEMS.
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My mother's age is 40 years. She is having thyroid problem since one year. Since three months she is having pain in the right underarm and arm area. Yesterday she found a small lump in the underarm which is painful. What might be the problem. Is it a cancer? Please reply soon. Thank you.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
it can be due to infection also..cancer probability can be ruled out only after fnac investigation of the node
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My kidney gfr is 53, I am a diabetic of 21 years. Age 62. What diet, precautions etc should I take?

MBBS, MD - Internal Medicine
General Physician, Delhi
My kidney gfr is 53, I am a diabetic of 21 years. Age 62. What diet, precautions etc should I take?
Dear , you are stage 3 chronic kidney disease, you should have protein less than 0.6 gm/kg day low potassium i. E restrict fruits and fruit juices to less than 100 gm day follow a diabetic diet please give details of your other reports and medications such that we can help you better.
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Hello Doctor! My query is What is the below results in a report indicates Plasma Glucose - Fasting is 117 & Plasma Glucose - Prandial is 168. This is related to my mother reports.

BHMS
Homeopath,
Hello Doctor! My query is What is the below results in a report indicates Plasma Glucose - Fasting is 117 & Plasma Gl...
Dear Lybrate User, One of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as DIABETES MELLITUS. Once a patient is diagnosed with Diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her Post. Prandial Blood Sugar level reaches 200. If Post. Prandial Blood Sugar level reaches 200 then patient can take Homoeopathic Mother Tincture GYMNEMA SYLVESTRA Q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc
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She is 76 diabetic for 32 years. 3 days back her usual checkup indicated her creatinine 2.2.otherwise so far it was between 1.4 tob 1.8.can you pl suggest her diet.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
She is 76 diabetic for 32 years. 3 days back her usual checkup indicated her creatinine 2.2.otherwise so far it was b...
Avoid sugar, junk food, fried food and fruit juices. AVOID pulses, non veg except eggs. Avoid fruits except apple and papaya.
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Hello, I am 27 years old unmarried guy. My thyroid profile tests are as follows. 27 June 2015: Results are: T3 Serum = 2.09 nmol/L (Method: ECLIA), T4 Serum = 104.00 nmol/L (Method: ECLIA) and TSH Serum = 5.430 uIU/mL (Method: ECLIA).(After 5 months. 30 Nov 2015: Results are: T3 Serum = 1.16 ng/mL (Method: CLIA), T4 Serum = 9.30 ng/dL (Method: CLIA), TSH Serum = 9.52 uIU/mL (Method: CLIA) and ANTI TPO= 583.20 U/mL. Took Eltroxin (25mg) for 4 months regularly. 22 April 2016 (Method: ChemiluminescenceMicroparticle Immunoassay): Results are: T3 = 102.0 ng/dL (Method: CLIA), T4 = 6.29 ug/dL (Method: CLIA) and TSH - Ultrasensitive, serum by CMIA = 3.84 uIU/mL. Is everything fine with my thyroid? Shall I need to change my medication? Is there any chance I can get rid of this tablet ever in my life? Thank you:)

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, you seem to have hashimoto's thyroiditis, an autoimmune disease, where there are anti bodies produced against thyroid peroxidase enzyme. This results in destruction of thyroxine secreting cells. Resulting deficiency of thyroxine and hypothyroidism. This needs to be treated with thyroxine tablets and treatment has to continue for life time. There is no option, if you do stop, then there can be reappearance of all the symptoms of hypothyroidism.
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I am diabetic patient age 60. I'm suffering from diabetic problem since 10 years and I changed lot of medicines and now I'm using reclimet 500 mg morning and evening, istamet 500 mg at afternoon. My diabetic level is morning fasting160 and after eating food 200 bp level is normal. Diabetic levels are not decreasing .plz help me to maintain diabetic level .can I change medicine please suggest me tablets for me. please change my medicine for me to control diabetes and suggest me healthy diet. Thank you.

B.Sc. - Dietitics / Nutrition, PG diploma in Applied Nutrition
Dietitian/Nutritionist, Vadodara
I am diabetic patient age 60. I'm suffering from diabetic problem since 10 years and I changed lot of medicines and n...
For diabetes you need to avoid sugar, jaggery and honey. In fruits you need to restrict banana, chickoo, mango, sitaphal, watermelon, sugarcane, muskmelon, grapes etc. Yo0u need to avoid deep fried foods like farsan and namkeen etc. In vegetables you need to restrict potato, sweet potato, yam, beetrrot and carrot etc. Try to consume more of salad, Vegetables, whole grains. Eat small and frequent meals. Do not consumeany of your meal heavy. Start taking fenugreek seeds whole or powder in the morning as it will help you keeping your sugar normal. Your fasting sugar should fall below 140. And after eating sugar should be below 180. About medicines you need to consult you physician.
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As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they. Is dry fruits can really helpful for such people.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
As you said some demerits in dry fruits. A person who is having diabetes consume such fruits, and if so what are they...
You can take them as they are healthy, but make sure to consume them in their natural form & not processed. Fried, coated or salted.
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