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Dr. Vandhana

Pediatrician, Delhi

400 at clinic
Dr. Vandhana Pediatrician, Delhi
400 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vandhana
Dr. Vandhana is a popular Pediatrician in Saket, Delhi. You can visit him/her at Dr. Vandhana@Chikitsa Hospital in Saket, Delhi. Book an appointment online with Dr. Vandhana and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 25 years of experience on Lybrate.com. You can find Pediatricians 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/4, Saket, Opposite Gyanbharathi School, Near Malviya Nagar Metro Station, DelhiDelhi Get Directions
400 at clinic
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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
4 people found this helpful

I had 6 month baby & from last two -three days he is having watery stools. We are giving him cefixime & vizylac drops. Kindly suggest what to do.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Dont worry take ars. Alb 200 dose/per stool stop feeding also watch for dehydration. U can try above homeopathic medicine.
1 person found this helpful
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My baby 1 and half year has got her DPT vaccination today but in the evening our pet bite her by mistake. He z also vaccinated. Do my child needs rabipur??

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby 1 and half year has got her DPT vaccination today but in the evening our pet bite her by mistake. He z also v...
Yes child must get rabipur as dpt wold only cover tetanus so no need to take tetanus vaccine but rabipur is required.
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My daughter is 3 months, she is active in all manner like a normal baby but she sleep less comparatively to other children. I am worried since she have less weight otherwise no health issues. Kindly suggest.

Diploma in Child Health (DCH)
Pediatrician, Amritsar
My daughter is 3 months,  she is active in all manner like a normal baby but she sleep less comparatively to other ch...
Every baby has his own sleep pattern so nothing to worry. Please give him exclusive breast feeding with vit. B and vit. D and calcium.
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Hi, my 2.6 years old girl has weight 8.3 kg only since one years last we have given therapy for t. B after Dr. Advice then otc drug albendazole I syrup one time dose have given for worms since I am pharmacist. Please guide.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Normal weight for this age is around 12kgs. 80%& above is considered as normal she's slightly at a lower level. Give a boiled egg daily along with fruits and vegetables.
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Hi Child girl 6 is breathing through mouth for last 6 months but since 15 days the same has aggravated. Finally she has enlarged adenoids which are not responding with antibiotics. Any effective nasal drop for relieving pressure in nose apart from otrivin or tab or else.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
You may give steam inhalation 2-3 times a day then use Furapray nasal spray twice a day along with Tab.Montair LC Kid once a day,keep body with side during sleep so there wil no nasal obstruction.
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My son 15 month s has loss appetite and runny nose, with a slight diarrhea, he's not taking milk, rice, etc. I noticed that his molar tooth upper is coming out, can it be because of this ? he had a fever for 2 days but now normal, it's been 4 days now altogether.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Yes, fever, blocked or running nose, teething and any infection can cause reduced appetite. It will pass.
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My son about 9 years old is a patient of ADHD.He has no interest about any kind of teaching & learning. He has destructive nature.

M.D.( Pediatrics), DCH
Pediatrician,
Visit child guidance clinic,where paediatrician,paediatric psychotherapist and psychiatrists are working in close cooperation.
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Sir my baby suffer by ischemic fits or seizures. Please tell me the best treatment to cure this condition.

MD - Paediatrics
Pediatrician, Aurangabad
Please let me know what's your baby is doing, if you mean baby is holding breath for longer time turns whitish/blue, if baby is becoming pale and remains playful , then it's breath holding spells, but if blue then she need immediate medical attention.
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It's with respect to my 15 month old son. Could you please advice a list of fruits we can feed him with? His general diet like what should we give him for breakfast lunch evening filler and dinner. He is just about 10.5 kgs. Has been a colic child.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
It's with respect to my 15 month old son.
Could you please advice a list of fruits we can feed him with?
His general ...
Any seasonal fruits n good nourishing diet including milk and its products prepared at home can be given any time as per desire of child. Colic child, probably you mean he had frequently pain in abdomen. If so that doesn't matter.
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One of my friend, child was born yesterday, normal delivery. Its boy baby and baby is not crying. What will be the reason of not crying and please advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
One of my friend, child was born yesterday, normal delivery. Its boy baby and baby is not crying. What will be the re...
If baby cried within stipulated time after birth, It is not necessary baby should cry every now n then. He may not be crying because he must be satisfied of his hunger.
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My baby is not foods. Always say no to dal & green veg. please suggest wot to do?

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
My baby is not foods. Always say no to dal & green veg. please suggest wot to do?
1. Cipon drop 1ml x12 hrly 1/2 hr before meal time 2. Healthok drop 1ml x12 hrly after food 3. Vit d3 drop 1ml x12 hrly after food. All med for two month.
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Hello doc my height is 5'10 nd my wife, s height is 5 Now I have a child new born baby I want to know baby's height. Baby grows on me or my wife thanks.

B.H.M.S
Homeopath, Lucknow
Hello doc my height is 5'10 nd my wife, s height is 5
Now I have a child new born baby
I want to know baby's height. ...
No it cant be told rt now . Let ur child grow up tke care of babies nutrition . Avoid infections to ur baby. Height growsbrapidly after age of 12 so wait n watch.
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Sir/madam, my son is eight years old his perfectly alright but he is facing problem with his irregular n bad teeth. He was given bottle feeding at younger age. Is this the problem how to solve this.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Bottle feeding may be associated with teeth problems like caries and malacclusion. Better you show to a pediatric dentist.
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She is taking milk from bottle since birth. She was properly sucking the bottle's nipple. But as she turned 1. She started holding bottle by herself and slowly stopped sucking the bottle's nipple. Now the stage is. She holds the bottle for 1 hour in her mouth and doesn't drinks even 30 ml of milk from that bottle. How should I again train her to suck the nipple. Please help.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
She is taking milk from bottle since birth. She was properly sucking the bottle's nipple. But as she turned 1. She st...
Bottle feeding is not advisable at any age. Stop bottle feed rather to train her for bottle feeding. She is 1 year old. She can drink milk from gilas (tumbler). I hope she must have started complementary solids in her diet.
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Importance of Babies-DENTAL HYGIENE.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Importance of Babies-DENTAL HYGIENE.

Many parents mistakenly assume that baby teeth aren't important because they are eventually replaced by permanent teeth. In fact, early dental decay not only threatens the underlying secondary teeth, it can cause severe toothaches.

As soon as the first tooth comes in, parents should begin practicing preventive dental hygiene. Babies should not be permitted to fall asleep while nursing or sucking a bottle; this allows milk to pool in the mouth, and the sugar[lactose] in it can cause extensive tooth decay.

Offering a little water at the end of a feeding rinses any remaining milk from the baby's mouth. The gums and emerging teeth can be wiped gently with a gauze-wrapped finger.

Sugar is the major cause of childhood tooth decay; avoid offering sugary soft drinks and sweet snacks. A chunk of cheese or a piece of fruit are better alternatives that provide important nutrients without harming the teeth.

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I have a baby of nine months , he is getting his teeth .As a mother what should I do make him feel relaxed. Is any medicine to be given or not?

BHMS
Homeopath, Faridabad
I have a baby of nine months , he is getting his teeth .As a mother what should I do make him feel relaxed. Is any me...
Hello, you should give him bc no. 21, 3 tabs twice daily. Chamodent, 2 tabs twice daily. Calciokind, 2 tabs twice daily. These are homoeopathic medicines which helps easy dentition without any side effects.
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Hi, my son is ten months old. He body temperature always falls on 95.7 to 96.7. Is it normal or anything to worry. Please advice. My son s active n playing.

DHMS (Hons.)
Homeopath, Patna
Hi, my son is ten months old. He body temperature always falls on 95.7 to 96.7. Is it normal or anything to worry. Pl...
Hello, Lybrate user, A normal temperature in children is about 97. 5F which might differ slightly from child to child. Tk care.
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My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.

MD - Paediatrics, MBBS
Pediatrician, Jodhpur
My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.
This finding by itself is suggesting umbilical for which no intervention is needed. This provisional advice provided by me stands subject to the actual examination of report/ image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
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