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Pahwa Medical Centre

Endocrinologist Clinic

Shop.number -2, New Railway Road, New Railway Road,Opposite LAL Nursing Home,Miya Wali Colony Gurgaon
1 Doctor · ₹400
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Pahwa Medical Centre Endocrinologist Clinic Shop.number -2, New Railway Road, New Railway Road,Opposite LAL Nursing Home,Miya Wali Colony Gurgaon
1 Doctor · ₹400
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Our medical care facility offers treatments from the best doctors in the field of Cardiologist, Diabetologist.It is important to us that you feel comfortable while visiting our office. To......more
Our medical care facility offers treatments from the best doctors in the field of Cardiologist, Diabetologist.It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Pahwa Medical Centre
Pahwa Medical Centre is known for housing experienced Endocrinologists. Dr. P. D. Pahwa, a well-reputed Endocrinologist, practices in Gurgaon. Visit this medical health centre for Endocrinologists recommended by 74 patients.

Timings

MON-SAT
10:00 AM - 02:00 PM 06:00 PM - 08:00 PM

Location

Shop.number -2, New Railway Road, New Railway Road,Opposite LAL Nursing Home,Miya Wali Colony
New Gurgaon Gurgaon, Haryana - 122001
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Dr. P. D. Pahwa

MBBS, MD - General Medicine
Endocrinologist
41 Years experience
400 at clinic
Available today
10:00 AM - 02:00 PM
06:00 PM - 08:00 PM
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Effects Of Sugar On Your Skin!

MD - Dermatology, MBBS
Dermatologist, Patna
Effects Of Sugar On Your Skin!

Almost every person salivates over desserts and sweets. One does not need a special occasion to get their sweet tooth going. While the lip smacking sugary delight might impress the taste buds, it is sure to affect the health in a big way. If you thought that sugar was only bad for your waistline and general health, then you need to know that it is equally harmful for your skin. In fact, it can lead to serious dermatological conditions.

Harmful effects of sugar on the skin

A lot of what we eat reflects on our body externally. A number of internal changes can influence the external appearance of the body. Excessive intake of carbohydrates, starch and sugar can have an adverse effect on the skin. It can also accelerate the ageing process. But what triggers these complications needs to be understood and discussed in detail.

Carbohydrates can be simple or complex. Simple carbohydrates (cake, bread; to name a few) break down and convert to glucose rapidly. Increased glucose level implies increased insulin level, and causes inflammation, which affects the whole body. The enzymes produced during inflammation breaks down important proteins, namely elastin and collagen, leading to wrinkles and saggy skin.

Acne problems mainly arise from Glycation (the process through which digested sugar attaches permanently to the collagen). Glycation plays a significant role in accelerating the ageing process.

Complex carbohydrates, on the other hand, is good for health. When ingested, complex carbohydrates break down at a much slower rate. As a result, there is no abnormal increase in the insulin level.

Corrective measures to check the harmful effects of sugar on the skin:

With a little care and preventive measures, the deleterious effects of sugar on the skin can be minimised.

  1. Supplement your diet with foods rich in antioxidants. Lean proteins, fibrous foods and diets rich in good fats are highly recommended. Include beans and nuts that have low glycemic value in your diet. Drink plenty of water.
  2. Food items containing high amount of saturated fats (cheese, ice creams, fried foods; to name a few), and with high glycemic value should be strictly avoided.
  3. Do not compromise with your sleep. A sound sleep and a stress-free life is the mantra to a glowing and youthful skin.
  4. Practice meditation and yoga diligently. The rewarding and positive outcomes will leave you in awe.
  5. Do not skip your meals or indulge in overeating. Have small servings at regular intervals.
1 person found this helpful

I'm suffering from blood sugar this is a new problem but since 26 years I'm on blood pressure medicine. What can I do for blood sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm suffering from blood sugar this is a new problem but since 26 years I'm on blood pressure medicine. What can I do...
Mr. lybrate-user, Thanks for the query. It is necessary to control raised blood glucose with proper medication, diet control and regular exercise. If blood glucose is not strictly controlled, then multiple complications can occur related to almost every single vital organ in the body. So please initiate appropriate treatment. Thanks.
1 person found this helpful
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Kidney Disease Can Increase The Risk Of Diabetes: A New Study By The Washington University

MBBS
General Physician, Fatehabad
Kidney Disease Can Increase The Risk Of Diabetes: A New Study By The Washington University

Diabetes can increase the incidence of kidney dysfunction is quite well known, but as per a recent study conducted kidney disease can also increase the risk of diabetes. Researchers from the Washington University in the US deduced that a likely culprit of the two-way relationship between kidney disease and diabetes is urea.

The findings, published in the journal Kidney International, are significant because urea levels can be lowered through medication and diet, for example, by eating less protein. These findings are of great help as they give a better understanding of the kidney disease, elevated levels of urea and the increased risk of diabetes in the body.

3 people found this helpful

I am 24 years old (female. I am suffering due to hypothyroidism from last 12 years. I am take Thyrox 50 mg. But suddenly my TSH level is increased. Now my TSH level is 6.48.And I have suffering due to hair fall from 2 months. Now what can I do? Please give me opinions. Please help me out.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 24 years old (female. I am suffering due to hypothyroidism from last 12 years. I am take Thyrox 50 mg. But sudde...
Thanks for the query. When one is on treatment for Hypothyroidism with adequate dosage of Levothyroxine, then TSH is well controlled and maintained around 3 to 4 mU/L, at that level all the symptoms are in check. Since your TSh level is 6.48 mU/L, there is a need for increasing the dose of thyroxine from present level to 62.5 mcg per day. Then check the TSH after 6 to 8 weeks and values come to the above mentioned level, then same dose needs to be continued. If TSH is still higher than recommended, then there has to be a further increase in the dosage. Only maintaining correct TSH level will help in overcoming all the symptoms including hair fall. Thanks.
2 people found this helpful
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Complications of Diabetes

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
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How diabetes affect you from head to toe?

1 person found this helpful

Gestational Diabetes

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Play video

How diabetes can affect mother and child both?

1 person found this helpful

Can diabetic patient eat walnut. Please advised us and which dry fruit can consume by them. Please suggest

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can diabetic patient eat walnut. Please advised us and which dry fruit can consume by them. Please suggest
Hi, Lybrate-user, Thanks for the query. A diabetic person can eat walnuts and other dry fruits too. But quantity has to be very limited. About 4 to 5 kernels of walnut, 5 almonds per day. Others dry fruits like cashews should be 2 to 3 pieces. Resins also very limited quantity. Thanks.
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I have a very specific query. Do all the fruits contain sugar (s) as Fructose & not glucose? Eating any fruit [whole & not juice] does not increase Blood Glucose levels. If yes, then can a diabetic person eat all the fruits in whole form in any quantity? Thanks.

BHMS
Homeopath, Secunderabad
I have a very specific query. Do all the fruits contain sugar (s) as Fructose & not glucose? Eating any fruit [whole ...
Yes, a daibetic person can eat any fruit but with caution. The total calorie requirements of your body is important (based on the intention to maintain your ideal weight ). A nutritionist or a dietitian can help you with a list of your favourite food and how much to consume according to your calorie needs. As you know anything we eat is converted into glucose for energy consumption, and through complex mechanism converts extra glucose into storage forms. But in case of Diabetes, due to insulin resistance or deficiency, the body is not able to use the glucose properly. With proper diet, exercise (and yoga), and proper medications - this can be managed. Read more about Daibetes and lifestyle changes from the internet and get empowered with the correct knowledge.
1 person found this helpful
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I am a diabetic patient for the last 10 years & Thyroid last 25 years. My HBA1C at Present is 7.5 and TSH is 34. TS3 & TS4 are within the table. I am taking Thyronorm 100 mcg EVERY DAY MORNING. PRIOR TO 1.5 MONTHS I WAS USING THYROCAB 75 mcg also at night times. Since TSH was 12 that time, doctor told me not to have thyroid tablets night time. But Now TSH IS 34. KINDLY ADVISE. REGARDS

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic patient for the last 10 years & Thyroid last 25 years. My HBA1C at Present is 7.5 and TSH is 34. TS3 ...
Lybrate-user, Thanks for the query. For a diabetic person it is essential to achieve a strict blood glucose control. That means fasting blood glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <7. That too considering your age HbA1c% should be <7. As regards TSH, in a well controlled hypothyroidism patient TSH should be around 3 to 4 mU/L, then only one will be free from all the symptoms of thatcondition. If TSH is 34 mU/L, means current dosage is not adequate. It has to be increased. Thanks.
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Hello. Recently for a job medical certificate, it was found that my husband had high sugar both in his blood and urine (around 400. He had been taken a small tablet dosage for sugar and was also on a diet and exercise. We don't know how this sudden rise happened. Please suggest some ways to bring down the sugar level. It's really urgent.

FMAS, MS
General Surgeon, Gandhinagar
Hello. Recently for a job medical certificate, it was found that my husband had high sugar both in his blood and urin...
Hello dear Lybrate-user, Warm welcome to Lybrate.com I have evaluated your query for your husband thoroughly. This sudden unexpected rise of sugar is definitely in concern with stress underlying.Needs more of life style modifications along with continuation of the current medications as - strict anti diabetic diet - regular walking in fresh air, exercises,YOGA - avoid stress, anxiety - avoid smoking, alcohol if using. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
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Hello mam/sir I am 25 years unmarried In last 2 months back my thyroid level is 6.7 then I take medicine 50 mcg Now present my thyroid level is 0.06 shall I continue my medicine 50 mcg or not and now I have thyroid or not.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. Your TSH is low because of taking Thyroxine. Current level 0.06 mU/L is showing that there may be a need to reduce the dosage by about 12.5 mcg per day to 37.5 mcg. Treatment for hypothyroidism has to go on fro lifetime. From your height and weight it is clear tht your BMI is 28.88 kgs/M2 fairly close to become grade obesity. Your ideal weight shuld be 50 kgs. So you are carrying extra 15 kgs. Please work on reducing the weight. Thanks.
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Infertility - Why It Is More Of A Social Problem?

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
Infertility - Why It Is More Of A Social Problem?

Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities.

Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers.

Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out.

Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or IVF.

2 people found this helpful

Infertility

BHMS
Homeopath, Lucknow
Infertility

Reasons Behind Infertility 

1 person found this helpful

Eye Care During Diabetes!

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Faridabad
Eye Care During Diabetes!

Diabetes is a condition characterized by an elevated level of the blood glucose due to the insufficient production of the Insulin by the Beta cells of the pancreas. The high blood glucose level can also be an outcome of the inability of the body cells to utilize or respond to the insulin produced - a condition termed as Insulin Resistance.

Today, Diabetes has become a raging problem affecting almost every second individual, irrespective of their age, sex or ethnicity. What is even worse is the fact that the metabolic disorder affects a host of the vital body organs including the eyes. In many diabetic patients (diabetes left unmanaged and uncontrolled for long), the high blood sugar or Hyperglycemia can give rise to many eye complications such as:

  • Diabetic Retinopathy (Hyperglycemia that triggers progressive damage of the blood vessels of the retina that can eventually even lead to blindness).
  • Incidences of Cataract (a condition that causes clouding of the clear eye lenses affecting one's vision) and Glaucoma (a severe eye problem that results from the damages to the optic nerve of the eye) are on a rise in diabetic patients.

Thus, it becomes essential to carry out the preventive measure to deal with diabetes-related eye problems and the associated complications.

Protecting the eyes from Diabetes

  1. Controlling Diabetes: Amongst different eye care or preventive measures, foremost is to make sure that diabetes and the blood glucose level are within control. A glucometer can help to monitor the blood glucose levels at home. Regular lab tests for Fasting and Post prandial(FBS, PP2BS) blood sugar tests should be done at a frequency advised by treating physician along with HbA1c. Eliminating the underlying factor can work wonders to avoid the various eye problems resulting from diabetes.
  2. Regular eye-checks: People with diabetes need to be careful. Consult your family physician or a specialist at the earliest for discomforts and symptoms such as a headache, watery eyes, blurred, distorted or double vision. Regular eye-checks and screening tests are equally important to safeguard the eyes from the harmful consequences of diabetes.
  3. Keep a check on other medical disorders: Conditions such as Hypercholesterolemia (elevated levels of blood cholesterol), high blood pressure, along with diabetes, are the worst nemesis that can result in a myriad of eye disorders. Make sure the blood pressure is within the control (to avoid complications, try to maintain a blood pressure below 140/80) and so is the level of bad cholesterol or LDL (Low-density lipoprotein).
  4. Keep your body moving: Exercises and physical activities (morning or evening walks, jogging) can play a pivotal role in keeping diabetes under control, thereby shielding the eyes from problems such as cataract, glaucoma. Keeping the body weight within the healthy and recommended range can also work towards managing the blood glucose level.
  5. Healthy dietary modifications: Diabetic patients should be careful with their choice of foods. Dark chocolates, lean meat, whole grains, fish, cinnamon, turmeric, fruits and vegetables such as broccoli, blueberries, spinach, walnuts, sweet potatoes, asparagus, apricots, apples, to name a few are healthy options for a diabetic patient.
  6. Smoking can spell doom for the eyes and is best avoided.
1 person found this helpful

If a person is a chronic diabetic and takes insulin. He also takes moderate alcohol also, whether his antibody responsored for hiv test shall be delayed and if so, then how much time it will take to show antibodies in elisa fourth gen. Rest. Please clarify in details.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If a person is a chronic diabetic and takes insulin. He also takes moderate alcohol also, whether his antibody respon...
Thanks for the query. I have gone through the details given, as far as I know, there are no studies about the effect of alcohol on antibodies to HIV infection. Basically diabetes makes a person more susceptible to any infection. In case of HIV already bodies immune system is badly compromised. Thanks.
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My mother is 60 years old and she is diabetic and high BP patient. Can she take dry Garlic in diet or empty stomach.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 60 years old and she is diabetic and high BP patient. Can she take dry Garlic in diet or empty stomach.
Mr. lybrate-user, Thanks for the query. Garlic can be taken by any body except one who has allergy to it. It is better to take it as a part of the diet. But most important is to achieve a strict blood glucose control with fasting < 100 mg, PP 160 to 170 mg & HbA1c% <7. Plus BP should be ideally maintained around 130 / 80 mm HG. Thanks.
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Does lemon water helps in uric acid? Does it lower uric acid levels and condition on of gout?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Does lemon water helps in uric acid? Does it lower uric acid levels and condition on of gout?
Mr. lybrate-user Singh, Thanks for the query. Lemon water seem to help in reducing uric acid level as it helps dissolve the uric acid crystals. So lemon water is taken to prevent a gout attack. It appears to be beneficial. Thanks.
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I have Diabetes from last 10 years and I am also suffering from high blood pressure from last 7 years. I am also suffering from Knee problem since 2002. My Left knee is been operated by knee transplant.

mbbs
General Physician,
I have Diabetes from last 10 years and I am also suffering from high blood pressure from last 7 years. I am also suff...
My first and only advice is lose weight. At least 10 kg. Almost all your problems will be solved. Walk 20 minutes a day and eat half of whatever you eat. Replace other half with soups and salads. NO OTHER TREATMENT.
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My TSH is 3.18 micro liter unit /mL FT3 is 2.72 & FT4 is 0.87 Am I suffering from thyroid? If yes than what diet will follow to reduce the risk of thyroid.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
My TSH is 3.18 micro liter unit /mL
FT3 is 2.72 & FT4 is 0.87
Am I suffering from thyroid? If yes than what diet will...
If you have symptoms of Hypothyroidism such as low enery levels, abnormal weight gain, low moods, dry skin, abnormal hair fall, constipation, irregular mensus, etc. I would be inclined to investigate further for metabolic and other hormonal imbalances and treat appropriately. Diet would have to be customised to your condition.
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7 Reasons Of Recurrent Miscarriage

DGO, MBBS
Gynaecologist, Pune
7 Reasons Of Recurrent Miscarriage

Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

  1. Chromosomal Abnormalities: Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
  2. Uterine Abnormalities or Incompetent Cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
  3. Immunologic Disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
  4. Untreated Thyroid Problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
  5. Polycystic Ovary Syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
  6. Bacterial Infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent development of embryo, thus leading to miscarriages.
  7. Lifestyle: Smoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
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