Home > Health > Question
Need Expert Advice?Our Gurus Can Help

I'm 45 and my fasting and PP sugar levels spiked. Why?

Dr Chandrakant

Dr Chandrakant Lahariya  |169 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Dibyajyoti Question by Dibyajyoti on Sep 24, 2024Hindi
Listen
Health

Dear Sir, I am 45 years male. I am taking amlodipine-20 at morning and amlovin-5 at night for bp. Five month before I have checked my sugar and found fasting-280 and pp-285 and hba1c-5.9. Then doctor prescribe me metformin-1 gm. One tab daily after breakfast. I was taking it for 21 days and my sugar was come down to normal range. Then I stop to taking medicine and every Sunday I have checked my sugar and always I have found fasting under 110 and pp under 130. But day before yesterday I have found fasting 143 and pp 243.Why it suddenly spike. I never taking any sugary food when from I was detected as high sugar. Please advice me what to do. Thank you in advance.

Ans: You are diabetic and some of the variations in sugar might be related to meal size. However, you need a regular medicine for diabetes and keep healthy lifestyle.
There is a discordance in your Fasting, PP and HbA1c, which means please get these tests done from a NABL accredited laboratory.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
Health

You may like to see similar questions and answers below

Dr Chandrakant

Dr Chandrakant Lahariya  |169 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 16, 2024

Dr Chandrakant

Dr Chandrakant Lahariya  |169 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 15, 2024

Listen
Health
Hello ! My fasting sugar is 140 and after BF sugar goes to 140-210. I am taking metformin sr.500 mg in Morning and 1000 mg at Night. Still not stable. Please advise what else to do. I do brisk walking and jogging and diet is mostly fruits and vegetables.
Ans: The level of blood sugar you have indicated are suggestive of diabetes mellitus type 2 and the metformin you are taking is clearly insufficient.

Ofcourse, need to have more dietary modifications and increased physical activity. Get body weight within normal range (please see previous answer if you wish to understand more).

Please do following:
1. A comprehensive blood test. Specially when people have diabetes, there are chances of high Bp, deranged lipid profile. and other blood parameter changes.
2. Please get HbA1c done along with fasting adn 2 hr after breakfast blood sugar levels.
3. Your medications need to be increased as currently, the sugar levels are high. There is a concept called, legacy effect. which essentially mean a tight and early control in blood sugar results in better diabetes outcome in long run. The Hba1c should be less than 7, preferably around 6.5% to reduce the possibility of macro and microvascualr complications of diabetes.
4. Do charting of your blood sugar level for some time, with Glucometer. May consider CGMs (Continuous Glucose monitoring), which provides 14 day reading for every five minutes of sugar level in once body. This may help a physician to suitably modifiy your medication.
5. Visit a physician with above set of information.

Best wishes,
PS: In such queries, mentioning age, duration of diabetes, BMI/Body Fat, height, weight and BP can help in providing more personalised information.

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |7215 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Dec 07, 2024

Listen
Money
I am 65 year age retired and have no pension. I have made investment in few govt schemes and get some regular income by way of interest but due to inflation and low interest rates scenario emerging pl suggest basket of investment to get regular monthly income of Rs 50000 . I have handsome amount in ppf account which is about to mature
Ans: Your situation reflects prudent planning with investments in government schemes and a maturing PPF. However, inflation and low interest rates demand a diversified strategy for consistent and inflation-adjusted income.

Steps to Achieve Rs. 50,000 Monthly Income
1. Reassess Your Current Investments

Evaluate the performance of your government schemes and compare their returns.
Retain investments offering guaranteed and steady income, like Senior Citizen Savings Scheme (SCSS) or Post Office Monthly Income Scheme (POMIS).
Redeploy funds from low-yield investments to more productive avenues.
2. Utilise the Maturing PPF

PPF offers tax-free corpus. Use this to create a diversified portfolio for stable income and growth.
Split the PPF corpus into equity mutual funds and safer debt instruments.
3. Diversify with Debt and Hybrid Funds

Invest in conservative hybrid funds to generate regular income and protect capital.
Include short-term and medium-term debt funds for steady returns, which are higher than fixed deposits.
4. Set Up a Systematic Withdrawal Plan (SWP)

Use equity or hybrid mutual funds to set up SWPs.
An SWP ensures a steady monthly income while your capital continues to grow.
5. Consider Dividend-Yielding Funds

Dividend-paying mutual funds offer periodic cash flow and potential for capital appreciation.
6. Fixed Income Instruments for Safety

SCSS: Offers assured returns and is tailor-made for senior citizens. Invest up to Rs. 30 lakh as a couple.
POMIS: Provides reliable income for smaller investments.
7. Include Tax-Free Bonds

Invest in high-quality tax-free bonds for steady, tax-efficient interest.
Creating the Income Plan
To achieve Rs. 50,000 per month:

Allocate a portion of funds to safer options like SCSS, POMIS, and tax-free bonds for stability.
Use equity and hybrid funds for growth and inflation protection.
Combine these with SWPs for regular income.
Tax Planning
Interest from SCSS and POMIS is taxable, so invest carefully.
Equity mutual funds have tax-efficient withdrawal options.
Debt funds offer indexation benefits for long-term investments.
Emergency and Health Fund
Keep at least 12 months of expenses in a liquid fund for emergencies.
Maintain your health insurance to handle rising medical costs.
Final Insight

A mix of secure instruments, mutual funds, and systematic withdrawals can comfortably generate Rs. 50,000 monthly income. Periodically review your plan with a Certified Financial Planner to adapt to changing needs and market conditions.

Best Regards,
K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Shalini

Shalini Singh  |140 Answers  |Ask -

Dating Coach - Answered on Dec 07, 2024

Ramalingam

Ramalingam Kalirajan  |7215 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Dec 07, 2024

Listen
Money
What should be the corpus one should have in order to get 150000 per month post retirement ??
Ans: To determine the required corpus, let’s address key factors like expenses, inflation, withdrawal strategy, and longevity. A comprehensive plan ensures sustainability.

Factors Influencing Corpus
Monthly Income Requirement
Rs. 1,50,000 per month translates to Rs. 18,00,000 annually.

Inflation Impact
With an average inflation rate of 6%, future expenses will significantly increase.

Withdrawal Rate
A safe withdrawal rate is typically 3-4% per year. This ensures the corpus lasts throughout retirement.

Post-Retirement Investment Returns
Assume a conservative return of 7% from a balanced portfolio after retirement.

Longevity
Plan for a 30-35 year retirement horizon to ensure financial independence.

Calculating the Corpus
Using a 4% withdrawal rate, the corpus should be:
Rs. 18,00,000 ÷ 4% = Rs. 4.5 crore.

Adjust for Inflation:
If retirement is 10 years away and inflation is 6%, you’ll need about Rs. 8 crore to maintain the same lifestyle.

Steps to Build This Corpus
Increase Equity Exposure Now
High-growth equity funds can accelerate wealth accumulation during the pre-retirement phase.

Gradual Shift to Conservative Assets
Transition to hybrid or debt funds five years before retirement to protect the corpus from market volatility.

Systematic Withdrawals
Post-retirement, use SWPs in mutual funds to create a steady monthly income of Rs. 1,50,000.

Health and Emergency Funds
Maintain a separate contingency fund to handle medical emergencies and other unexpected costs.

Tax Implications
Equity Fund Withdrawals:
LTCG above Rs. 1.25 lakh taxed at 12.5%.

Debt Fund Withdrawals:
Taxed as per your income slab.

Plan withdrawals tax-efficiently to optimise cash flow.

Final Insight

With proper planning, achieving a corpus of Rs. 8 crore is feasible for a comfortable retirement. Consult a Certified Financial Planner to optimise your investments and roadmap.

Best Regards,
K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Archana

Archana Deshpande  |86 Answers  |Ask -

Image Coach, Soft Skills Trainer - Answered on Dec 07, 2024

Listen
Career
Hi, I have been an introvert guy for my whole life, but somehow I always got good colleagues which became great friends. But from last 5 years I am in a office where very few people works and that too they are not connected to me. Hence, I get a very little exposer with them. Feels so much lonely in office as there is not a lot of workload also. Most of my day goes watching reels on social media. Sometimes i forgot when last i smiled/laughed at office place where I spends 9 hours of my day (I do talk to my family over phone, but can't help my loneliness). what can I do....worried... A very lonely 45 year male.....
Ans: Dear Sunil,

No one is clear cut introvert or an extrovert, look at yourself closely too... in some circumstances you behave like an extrovert and some areas you behave like an introvert.

Be brave and say "hi" to people around you in the office, you be the first one to greet, this itself can be a starting point to making new friends. A smile and a pleasant "hi" is all it takes.
Look for opportunities to connect with ppl in the office, instead of sending mails or reminders to ppl electronically, just walk up to them and speak to them or call them up to say you have sent a mail/reminder. This way you can establish a human connect.
Also check if you can go to the dining area to eat lunch and during breaks.. do not sit at your desk and have lunch.
Social media and watching reels is a "big no" if you are yearning for human connections. I am glad you talk to your family...outside the office, join book clubs, singing clubs, drama clubs or anywhere your interest lies...you can join a classroom to learn and develop a new skill....

Also check if you are getting enough sleep, exercise, fresh air , sunshine during the day....focus on your diet too!!

Hope this helps... take care of yourself!

...Read more

Archana

Archana Deshpande  |86 Answers  |Ask -

Image Coach, Soft Skills Trainer - Answered on Dec 07, 2024

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

Close  

You haven't logged in yet. To ask a question, Please Log in below
Login

A verification OTP will be sent to this
Mobile Number / Email

Enter OTP
A 6 digit code has been sent to

Resend OTP in120seconds

Dear User, You have not registered yet. Please register by filling the fields below to get expert answers from our Gurus
Sign up

By signing up, you agree to our
Terms & Conditions and Privacy Policy

Already have an account?

Enter OTP
A 6 digit code has been sent to Mobile

Resend OTP in120seconds

x