Dr Raj Kumar Lalwani's Diabetes and Heart Care

Dr Raj Kumar Lalwani's Diabetes and Heart Care Comprehensive Diabetescare and for all Diabetes related Heart problems,Hypertension,Cholesterols,Neu

During my clinical practice in internal medicine and diabetology, I developed a practical dietary strategy to enhance fi...
18/02/2026

During my clinical practice in internal medicine and diabetology, I developed a practical dietary strategy to enhance fiber intake among patients who faced barriers to consuming raw salads, particularly elderly individuals, patients with dental pain, and younger adults with poor adherence to high-fiber diets ( all those who don't like a plateful of salad)
The method involved preparing a blended vegetable pulp using fiber-rich, low-glycemic vegetables such as cucumber, spinach, lettuce, and tomatoes, served alongside major meals. To improve palatability and cultural acceptability—particularly among patients accustomed to Indian dietary patterns, a small quantity of apple cider vinegar, roasted cumin powder, garlic powder salt, pepper/paprika, or fresh lime juice was added. This preparation preserved the fiber matrix while improving compliance. In my clinical observation, regular pre-meal or co-meal consumption of this vegetable pulp was associated with attenuation of postprandial glucose excursions, likely through delayed gastric emptying, modulation of carbohydrate absorption, and enhancement of satiety. The idea has been successfully tested by me in managing gestational diabetes. This low-cost, culturally adaptable intervention may serve as a practical addition to dietary glycemic management strategies.☺️😊

24/09/2025

Jenny ( not her real name) was puzzled.
Despite taking all her medicines exactly as prescribed, walking daily, and avoiding careless eating, her fasting glucose remained high and her HbA1c stubbornly stayed above 7.6. She had many questions on her mind, but her physician’s busy schedule rarely left room for detailed discussion.

One of her friends suggested she try our counselling services.
Through the Nutroptimin Lifestyle Guide, Jenny learned some important truths:
1. Taking pills is not the complete treatment. What really matters is whether those medicines are able to control blood glucose consistently for at least 22 hours a day. This requires regular monitoring, not just compliance.
2. Walking helps—but how you walk matters. The pace, distance, and frequency all make a difference. If your heart health permits, a brisk walk that makes you sweat and prevents you from speaking in full sentences is ideal. At least 150 minutes of such activity per week is recommended, with no more than a 24-hour gap between sessions—otherwise the benefits fade.

Friends, were you aware of these details?
Do you feel that the Nutroptimin Guide truly empowers people with diabetes through practical counselling?

If your answer is yes, then join us, and recommend Nutroptimin as a credible source of health literacy that can help you live a better, healthier life!

Some believe patients care more about a doctor’s availability than their knowledge. I respectfully disagree. While being...
28/05/2025

Some believe patients care more about a doctor’s availability than their knowledge. I respectfully disagree. While being responsive is important, I believe true care comes from being fully present, offering sound medical judgment, emotional support, and compassion whenever we are with a patient.,and most importantly, an effective treatment.

I value my personal time to recharge, learn, and grow, so that when I do see a patient, I can offer the best of my skills, attention, and empathy. For me, it’s not about being constantly available, 24x7 all through the year; rather, it’s about being meaningfully available. That is what defines my commitment as a physician.I love my profession and love to serve my community.🙏

04/02/2025

Every experienced clinician has a few practice tricks they keep to themselves—small yet powerful strategies that set them apart as more effective disease managers. 😀
In my diabetes practice, I follow certain approaches that make me one of the more sought-after specialists in South Delhi. 🙏
My patients consistently achieve better glucose control than others, yet my colleagues often find it hard to believe that my non-comorbid patients maintain A1c levels below 7% while those with comorbidities are well-controlled between 7.5% and 8.5%.

Today, I’m sharing one of these strategies—one that any clinician or patient,reading this, can adopt.

The 4/11 Plan for Random Glucose Testing:

Most Indian patients consume three meals between 8 AM and 9 PM.
Instead of conventional glucose monitoring, I recommend a structured yet seemingly random testing approach:
1. Day 1: Measure blood glucose at 4 AM and 4 PM
2. Day 2: Measure blood glucose at 11 AM and 11 PM
Repeat this twice over 8-10 days in different combination

This simple strategy provides a complete picture of a patient’s glucose fluctuations, dietary impact, insulin production capacity, pre- and post-prandial peaks, hypoglycemia risk, and reactive fasting hyperglycemia.
By carefully analyzing these readings, you can make precise adjustments to medications, insulin dosages, meal composition, or portion sizes.

Try aligning your patients’ diet and treatment plans with the 4/11 blood glucose levels—you’ll be amazed at the difference it makes!All the best! 😍🙏

29/01/2025

Medicine is a perfect blend of science and art!
When SGLT2 inhibitors were introduced , we began advising patients on the importance of ge***al hygiene. A key part of this guidance is washing the ge***al area after urination—a standard recommendation for anyone taking this class of medication.
However, I have an additional piece of advice that has been incredibly effective in preventing urinary tract infections (UTIs) in uncircumcised males. If you’re outdoors and using a public toilet without access to clean water, simply retract the fo****in and leave it retracted until you’re able to wash properly. This simple step helps keep the area dry and reduces the risk of infection.
Despite being one of the most frequent prescribers of SGLT2 inhibitors, I have not observed an increase in UTIs among my patients. Proper hygiene makes all the difference!👍stay safe!

23/01/2025

This Makar Sankranti, during a WhatsApp video consultation with a patient, a few important points came up that I thought would be helpful for many otherwise healthy individuals as well:
• Sesame seeds have antioxidant and immune-boosting properties.
• Jaggery (Gur) is far superior to white sugar.
• Jaggery does not increase inflammatory reactions.
• Jaggery does not add fructose or raise uric acid levels.
• In terms of calories, jaggery-based products with the same calorie count as sugar-based ones are safer and nutritionally better.

A thumb rule for counting calories in sweets:
1. Gel, semisolid, or high-moisture sweets: Count 2 calories per gram.
2. Dry, low-moisture sweets (those that can be bitten, crushed, or munched): Count 4 calories per gram.
3. Fat-rich desserts/ sweets (e.g., halwa, Mysore pak, creamy cakes, or pastries): Count 6–8 calories per gram, depending on the fat content. More ghee means higher calories.

Ghee vs. Cream:
• Desi ghee has superior nutritional and antioxidant properties and does not increase oxidative reactions.
• Cream has fewer calories per gram than ghee but contains inferior fats and fatty acids compared to our traditional desi ghee.

Key Reminder:
• Consuming 80 calories (about 20 grams) of rewari or gajak is equivalent to adding an additional chapati to your diet!

Enjoy all traditional products in moderation. They are wonderful!
A desi ghee til ki gajak or rewari made with jaggery is far superior in terms of nutrition.
However, for those who are not overweight or diabetic, 20–30 grams a day is appropriate.
Others should count and watch and balance out and adjust their portions carefully.
Take care and enjoy mindfully! 🙏

09/01/2025

Many people struggling to lose weight are excited about the new advancements in therapies now available for weight loss, both with and without diabetes.
This excitement is truly justified, as medications like Tirzepatide and Retatrutide are proving to be serious contenders to bariatric surgery!
However, let’s remain cautiously optimistic and equally prepared for any unexpected side effects.

For now, my advice to all the followers of this page is to stay informed but not get carried away or alarmed by the unjustified criticism circulating on various platforms.

October is recognized worldwide as Lifestyle Diseases Prevention Month. It's alarming that nearly half of the global pop...
01/10/2024

October is recognized worldwide as Lifestyle Diseases Prevention Month. It's alarming that nearly half of the global population is dealing with preventable heart diseases, while a similar number struggle with obesity, metabolic syndrome, or diabetes. Additionally, many suffer from high blood pressure, lipid issues, poor nutrition, insomnia, anxiety, and depression.
These lifestyle disorders are interconnected and have visible, clinically detectable syndromes/symptoms.

One area particularly prone to misinformation(sometimes intentional disinformation by commercial reasons) is nutrition. On social media, many claim expertise after learning just a little about nutritional science, often without challenge or regulation.
While I can't control these voices, I focus on empowering my friends here with evidence-based information.

In this post, I want to highlight an important fact: before accepting any media claim about nutrition, it’s crucial to evaluate the full context. For example, while it's true that a plate of poha (about one cup or uncooked 50 grams approx) has 140-150 calories, equating it to 6 teaspoons of sugar is misleading.
Poha has a glycemic index of 45-75, which can be lowered further by adding onions (kanda-poha) or fiber( broccoli).
It’s a good functional ,acceptable(even a replacement) meal that provides sustained energy over 4-5 hours, as it's carbohydrates are slowly digested.
Avoiding poha simply because of its sugar content would be a misguided decision.

09/06/2024

I strongly urge all my medico friends to try the following link and join osmosis.org for online continuing medical education . I persnally love it:

https://www.osmosis.org/invite/ZgLb75p

09/03/2024

Diet control stays central:
Many of the aggressive prescribers of newer weight loss therapies, especially those super excited with semaglutide tend to forget that Diet regulations/proscriptions, lifestyle modifications including exercise and alcohol restriction remain crucial or are rather more crucial with the use of these newer therapies which do show their best efficacy ONLY with traditional non pharmacological measures linked with lifestyle!
So dear friends and all my loved friends on this page please keep in mind that you cannot afford to lose the focus mandated on your diet plan!
A healthy diet still must count calories and calorie density, even when you are on Semaglutide and must emphasise including fruits, vegetables, whole grains, nuts, seeds, legumes, lean meats, and low-fat dairy products with) limited consumption of processed foods. 🙏🙏 (please do send real questions only in your messages and avoid non scientific references and quotes 🙏)

08/02/2024

A very common problem which I have witnessed in my patients is with salads , that many of the seniors and some young also tend to avoid taking adequate quantities with major meals or intermittently!
What I tell these patients I am sharing with you because at this stage I don’t want to keep my unique ideas hidden from my colleagues:😃
1. A dash of vinegar black pepper and a pinch of salt or chat masala after gently simmering (sautéed) or 10 seconds in microwave, the small bits of salad mix ,with half teaspoon of butter/ oil will make it easier for them! As per taste there are dozens of modifications possible
2. Those who find it difficult to bite or find it cumbersome or don’t have time!! To keep eating salads with every bite or in between, for them I suggest their spouses or care takers to make a paste of all the salad ingredients in a mixer jar! Just like making purée, additives as per taste and one teaspoon of this purée like salad blended in a grinder with every bite , can be easily consumed along with the food!
3. Even this paste can be gently heated , making it palatable in winter 😃Idea is to send adequate fibre in your stomach, mixed with food ! It doesn’t matter how it is done
4. A small inclusion of pineapple, orange, apple, strawberry or Yogurt/curd or just some lime and jeera will do wonders!
5. So don’t ever tell me I or our patient cannot eat salad
6. Even those without appropriate teeth to crush salads can easily be given adequate amounts as pasted mix 👍👍🙏

01/02/2024

It is so painful!
They might not be having brains to understand how clever politicians are exploiting them, they may have lost cognitive ability to understand that plural , multiethnic multicultural India can never be overtaken by one religious group, they might have lost all the mental capabilities to appreciate that unemployment, currency value, growth indices are spiralling down and per capita debt is rocketing upward ( today’s budget shows debts increased to 190 lakh crores) and above all they may not be having a set of balls, moral values and spine firm enough to stand up against tyranny, deceit and cruel despotism BUT …surprisingly these disgusting trans@@@ , loud and equally obnoxious , can be seen debating on social media, how Ranveer Kapoor and his wife have been favoured with Filmfare awards which they don’t deserve!
Can you feel proud of being their co-citizen!

Address

B13, Shivalik Road , Gd Floor, Malviya Nagar
Delhi
110017

Opening Hours

Monday 10:30am - 2:30pm
5pm - 8:30pm
Tuesday 10:30am - 2:30pm
5pm - 8:30pm
Wednesday 10:30am - 2:30pm
5pm - 8:30pm
Thursday 10:30am - 2:30pm
5pm - 8:30pm
Friday 10:30am - 2:30pm
5pm - 8:30pm
Saturday 10:30am - 2:30pm
5pm - 8:30pm

Telephone

+919891493411

Website

Alerts

Be the first to know and let us send you an email when Dr Raj Kumar Lalwani's Diabetes and Heart Care posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr Raj Kumar Lalwani's Diabetes and Heart Care:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category