Khandelwal Diabetes, Thyroid & Endocrinology Clinic

01/07/2025

As part of panel discussion on launch of Wegovy/ozempic (once a week inj semaglutide) in Delhi. Another long awaited molecule for chronic weight management as well as diabetes management. Multiple other benefits including decreased risk of heart disease in long term. To be taken strictly in consultation/medical supervision and after advice of your treating doctor.

25/06/2025

How much visible fat (oil/ghee/butter) should be consumed for you and your family in a month.
Very important to know!!

Dr Deepak Khandelwal Sr Consultant Endocrinologist Shares the bebfit of Reduction in Consumption of Edible Oil/Ghee in Daily Diet.Reduction of mere 10% in co...

25/06/2025

Another injectable weekly molecule for chronic weight management & Diabetes management in Indian market now that we were waiting for long- semaglutide once weekly injection (ozempic/wegovy).
Talking about this in Metabalance meeting at Heritage Resort, Manesar.

24/06/2025

Always good to be in Bhopal..Masterclass on newer challenges in diabetes by Dr. Sachin Chittawar. His masterclasses are now superhit academic programs in Bhopal with good academic content and dedicated audiences.
Had good discussions on insulin techniques, insulin regimens, hypoglycemia and other important aspects. Thanks to Dr. Sachin Chittawar for this mega show and kind invitation to Bhopal.

22/06/2025

Our recent publication on knowledge and practices related to insulin injections among diabetes patients on insulin therapy published in International Journal of Diabetes in Developing Countries.

https://link.springer.com/article/10.1007/s13410-025-01520-y?utm_source=rct_congratemailt&utm_medium=email&utm_campaign=nonoa_20250619&utm_content=10.1007%2Fs13410-025-01520-y

17/06/2025

Our latest publication on MASLD (fatty liver disease) in lean vs. Obese PCOS females published in Indian J Clinical Practice..
Fatty liver is quite common in obese PCOS girls, on the contrary lean PCOS females are also at risk for fatty liver because of underlying insulin resistance.
Early metabolic screening is needed in young women and girls with PCOS.

https://ojs.ijcp.in/index.php/IJCP/article/view/1207/909

16/06/2025

Axes of Care meeting yesterday at Le Meridian, Delhi. A well attended meeting with almost 150 top Physicians and PG students of Delhi/NCR attended this meeting.
Top speakers including Prof SK Sarin, Vice chancellor and Director, ILBS, Prof Sanjay Kalra, Endocrinologist, Karnal, Dr. Sachin Chittawar, Endocrinologist, Bhopal, Dr. Gagan Priya, Endocrinologist, Mohali, Dr Arpit Garg from Patiala and Dr. Rahul Chauda from Ghaziabad.
Too good scientific discussions, full halls every time and good learning for everyone.

11/06/2025

Top most speakers for Axes of Care program coming Sunday.
Prof. SK Sarin, Chancellor & Director, ILBS will be speaking on latest updates in MASLD.

10/06/2025

Ozempic or Mounjaro for weight loss?
Listen to this video by Dr. Deepak Khandelwal..

Managing weight through Medicines has been a off late a trend. Newer Molecules are showing Promising results in favorable outcomes in terms of Reducing weigh...

08/06/2025

EDECKS 4.0 Program at Lady Hardinge Medical College for postgraduate (MD) Residents. Invited to speak on case based approach to Hypopituitarism. Thanks Prof. Anupam Prakash HOD, Medicine and Prof. Ghanshyam Pangtey for this opportunity..

Key messages
1. Hypopituitarism is deficiency of one or multiple pituitary hormones.
2. It is often missed in Clinical practice.
3. In central hypothyroidism TSH can be low/normal/slightly high in presence of clearly low free T4
4. Important to rule out and treat central hypocortisolism before starting thyroxine in central hypothyroidism
5. Imaging of pituitary hypothalamic area is must in Hypopituitarism
6. These cases should be referred to Endocrinologist for proper management
7. Hormone replacement is generally lifelong in these cases.

02/06/2025

At Chandigarh Mid term ESICON (Endocrine Society of India) conference speaking on Spontaneous Hypoglycemia. Wonderfully organised event. Thanks to organisers for this wonderful show.

Hypoglycemia in a person without diabetes not on any glucose lowering medications.
Key points
1. Spontaneous Hypoglycemia is uncommon
2. Body has solid defence mechanism to prevent Hypoglycemia
3. Important to document low RBS from lab venous sample, not to go by Glucometer reading here.
4. Important to document Whipples triad.
5. Causes broadly are hyperinsulinemic and hypoinsulinemic
5. Hyperinsulinemic are further Insulinoma, NIPHS (Non insulinoma pancreatigenous Hypoglycemia syndrome), Insulin autoimmune syndrome, factitious insulin use.
6. Hypoinsulinemic causes are critical illnesses, sepsis, organ failure, GH and cortisol deficiency, non islet tumor paraneoplastic Hypoglycemia
7. Detailed history including drug history very important
8. These cases need referral to specialists, Endocrinologist.

30/05/2025

How much oil/ghee a person should consume.

All your favourite food either parantha, chole bhature, samosa, pizza, fried food have oil or ghee because fat is the one which makes your food tasty.

In this article we will talk about which oil/ghee is good for us and how much average amount we should take in a day or in a month.

Fats are the main sources of energy for the body. Fat is also required for the absorption of fat soluble vitamins such as vitamin A, vitamin D and vitamin E, but the type of fat and the total amount of fat consumed daily play an important role in maintaining the state of health.

Firstly, Lets burst out the biggest myth that you get energy only from Oil/ghee-

Dietary fat is a calorie dense nutrient. There are 9 calories in 1 gram (g) of fat, 4 calories in 1 gram protein and 4 calories in 1 gram of carbohydrate. Fat has more than twice the amount of calories than the same amount of carbohydrates or protein. But including too much of fat in your diet may contribute to excess body weight and increase in your cholesterol levels which increases risk of heart related problems. Hence, it is very important to know right amount of fat needed for your body.

How much oil to take?
Daily requirement of Adult men and women (visible fat): 2 tsp/day (10 ml), Pregnant and lactating women: 3 tsp/day (15 ml/day).

Infants: 7-24 months: 2-3 tsp/day(10-15ml), Children (3-9 years): 2-3 tsp/day, Adolescents (10-17 years): 3tsp/day (15ml)

Above recommendation is for visible fat.

A healthy adult person hence should limit total visible fat to 500-600 ml of oil/ghee per month. Suppose there are 4 adult members in your family so total visible fat intake in a month (including all oil/ghee) should be less than 2 litre in a month.

Also, It is important to understand that this amount is recommended when it is assumed that your intake of outside food (other than homemade food) is negligible, which is extremely unlikely in current social scenario. Also, these recommendations are for normal healthy persons; this amount may further need to be reduced if you are suffering from obesity, diabetes, blood pressure or any other lifestyle diseases.

In our next article, we will discuss about various types of fat, how to choose amongst different oils and which oil are better to be consumed.

Article written by
Dt. Shweta Sharma
Clinical Nutritionist & Diabetes Educator
Khandelwal Diabetes, Thyroid & Endocrinology Clinic