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Is this hit and trial approach the right way to control my high blood sugar?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Jun 26, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - May 09, 2024Hindi
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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.

Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm
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.
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Dr Ashit

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Consultant Physician, Internal Medicine and Critical Care Expert - Answered on May 30, 2023

Asked by Anonymous - May 27, 2023Hindi
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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.
Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score

..Read more

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 07, 2023

Asked by Anonymous - Jun 01, 2023Hindi
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Hello Doctor, I am 44. I prefer healthy life and all nice in terms of health, except that I was suffering from gastric issues, IBS and related issues. I had covid also in April 2021 and somewhere in Oct 2021, i started feeling anxious and all negative thoughts. In about Aug 2021, i noticed that my heartbeats is high than normal, which initially i tried to control with routine meditation. But somehow, was not feeling that well from within and mind was like getting anxious, as if , something is happening which i could not understand, what. I visited to MD - Medicine, in Oct 2021. As a process, the vitals were taken and BP reading was taken which was 145/90. The concern MD, which after going through the reading, did not tagged me as BP patient and advised me to have changes in lifestyle with yoga, walking, meditation and dietary changes. I throughly followed the advised and started feeling better from Jan 2022 onwards and it was all nice. Again from Sep 2022 onwards, i started feeling the same issues. And i visited the MD in Oct 2022. From Nov 2022, he put me on 25mg dose of beta-blocker , daily in the morning after breakfast. While, i was on beta-blocker, i was still not feeling that nice from within and i unilaterly took the decision to go for complete blood tests in Nov 2022 end. The results were, - Lipid profile - was disturbed. - Sugar : I was in pre-diabetic range. - Uric Acid : I was on borderline high. I visited the MD with the report and he add another dose of 10 mg of Statins from Dec 2022 onwards. I followed the medication along with dietary changes, yoga & meditation routine and took the tests in Jan 2023, which shows the results as under, - Lipid : Normal - Sugar: I was back to Non-Diabtic range from pre-diabetic. - uric acid - normal. And all other parameters improved too like Hemoglobin - 15 and all other paramters of cbc was normal, thyroid - normal , Liver function - normal - when certain times SGPT was bit on higher sides, but normal in this report. With this report the MD stopped the statin drug from Feb 2022 onwards and advised me to continue with beta-blocker of 12.50 mg instead of 25 mg. I followed the same routine for full Feb 2022 and again took the test in March 2023, and results were as under, - Sugar : non-diabetic - all other paramters - normal - Lipid - Not normal. So again from March 2023, the MD started with the same statin dose of 10 mg and beta- blocker of 25 mg. I took the test in April 2023 and again the reports were normal, so now, again he reduce the statin dose to half ie 5 mg and continued with the same dose of beta-blocker 25mg. My questions: 1. AT present, i follow proper diet schedule as prescribed by dietcian , have been doing meditation and yoga on regular basis. 2. Stress level is minimum. 3. I am feeling overall better. 4. BP levels are always normal 5. Gastric issues, IBS seems to have gone. 6. Sleep patern is improved. My question: a. I feel, in the next visit the MD may stop the statin. Can the lipid profile remain in normal range , when i am follwing all diet patterms , with yoga and exercise. Why the lipid profile became abnormal, previously even when i was following all routine very property ? b. Is it okay to consume beta - blocker 25mg regularly, even after doctor told me to stop statin or may stop my statin in next visit? c. Is there any way to know, to find, if i am feeling better normally or due to medicine? as i am feeling normal and unable to check, what after i stopped beta-blocker? Any other care which i should take and lead a healthy life.
Ans: Hello. These are good questions and a lot of people go through the same stages. Cholesterol levels are generally genetically determined and don't change much from dietary or lifestyle changes. It can be reduced by medications. However if it is the only risk factor for heart disease/stroke, then it need not be corrected unless it is very high, LDL> 160. On the other hand the B blocker, if it was taken only for BP, may be stopped if BP comes down and remains normal. A closer monitoring may be required for that. If BP stays normal or low on taking the medicine, reduce the medicine and recheck, if it still stays low or normal, stop and see. Take it slow.

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Latest Questions
Ramalingam

Ramalingam Kalirajan  |11484 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 13, 2026

Asked by Anonymous - Oct 10, 2026
Money
I am a 54 year old male working abroad. I have below investments. I have below investments so far: PPF 55 lakhs,EPF 36 lakhs, MF (total cumulative) 5.5 crores ,Employee superannuity+gratuity 14.5 lakhs, NPS 17 lakhs Monthly MF SIP ongoing 2 lakhs Company FD 10 lakhs Gold 16 lakhs. I am well covered in life insurance as well as medical insurance. My question is 1) My wife is getting a one time windfall of Rs .80 Lakhs as part of her share in her ancestral property. a)Pls guide me on how to invest this money b) what are the ways to save on tax eg. rbi relief bonds etc? c) if rbi relief bonds how much is the maximum limit d) beyond that limit where should i remaining balance?
Ans: Thank you for sharing your investment details. You have built a substantial investment portfolio through regular investing. The key now is to invest your wifes Rs.80 lakh windfall in a tax-efficient manner without adding unnecessary risk.

» Assessment of Your Current Portfolio

– Your existing investments are spread across mutual funds, EPF, PPF, NPS, company deposits and gold.

– Your mutual fund corpus is already substantial, with an ongoing SIP of Rs.2 lakh per month.

– Therefore, the entire windfall need not go into equity mutual funds. Your decision should depend on your retirement age, expected expenses, tax residency and the level of risk you are comfortable taking.

– Since you are working abroad, your residential status under Indian tax laws is important. The tax treatment of your investments and interest income can differ based on whether you qualify as a resident, NRI or RNOR.

» 1. How to Invest the Rs.80 Lakh Windfall

First, keep the money in your wifes name if she is the legal recipient of the ancestral property proceeds. Maintain proper documents showing the source of funds.

Consider dividing the money into three broad purposes:

– Safety and liquidity: Keep a suitable amount in bank deposits or other low-risk instruments for emergencies and expenses expected in the next few years.

– Stable income: Consider suitable government-backed or high-quality fixed-income options, after checking eligibility, taxation, lock-in and withdrawal rules.

– Long-term growth: Invest a portion in diversified, actively managed equity mutual funds if the money is not required for at least 7–10 years.

Since your existing mutual fund corpus is already Rs.5.5 crore, avoid putting the entire Rs.80 lakh into equity without reviewing your overall asset allocation. Your present equity exposure may already be sufficient for your retirement goals.

» 2. Can You Save Tax Through RBI Bonds?

It is important to distinguish between tax-saving investments and investments that offer safety or regular interest income.

RBI Floating Rate Savings Bonds are generally considered for investors seeking government-backed interest income. However, they are not a tax-saving instrument.

– Interest earned is taxable according to the applicable income tax rules.

– Investing in these bonds does not automatically provide a deduction under Section 80C.

– The bonds have a seven-year maturity period for ordinary individual investors, with premature encashment permitted only under specified conditions for eligible senior citizens.

– Interest rates are reset periodically, so the income may change over time.

Hence, these bonds can be considered for the safety and income portion of the portfolio, but not as a way to reduce tax on the windfall itself.

» 3. What Is the Maximum Investment Limit in RBI Bonds?

– There is no maximum investment limit in RBI Floating Rate Savings Bonds.

– However, these bonds are available to eligible resident individuals and HUFs. If your wife is an NRI, she would not be eligible to invest in these bonds under the current eligibility rules. Confirm her residential status before proceeding.

– The interest rate for July–December 2026 is 8.05% per annum, payable half-yearly. The rate is reset periodically.

– The maturity period is seven years, and liquidity is limited. Premature encashment is allowed only for eligible senior citizens after the specified lock-in period.

Therefore, these bonds may suit the stable-income portion of your wifes portfolio, provided she is eligible and can accept the lock-in.

» 4. Can You Save Capital Gains Tax on the Ancestral Property?

This is an important point to clarify before investing the money.

– If your wife received the property through inheritance, the inheritance itself is generally not taxable as income.

– However, if the ancestral property was sold and Rs.80 lakh represents her share of the sale proceeds, capital gains tax may arise. The taxable gain is not necessarily the entire amount received.

– Depending on the facts, Section 54EC capital gains bonds may offer tax relief when eligible long-term capital gains arise from the sale of land or a building.

– The maximum investment eligible for this exemption is Rs.50 lakh, subject to the applicable conditions and timelines. The investment must generally be made within six months of the transfer.

– These are different from RBI Floating Rate Savings Bonds. Section 54EC bonds are meant for eligible capital gains exemption, whereas RBI Floating Rate Savings Bonds provide taxable interest income.

If the property has already been sold, please check the sale date immediately. The deadline for claiming an exemption may be important.

» 5. Where Should You Invest the Remaining Amount?

If your wife is eligible for Section 54EC bonds and has sufficient eligible capital gains, up to Rs.50 lakh may be considered for that purpose.

The remaining amount can be allocated based on your financial goals.

– Bank deposits or other suitable fixed-income investments for short-term needs and capital safety.

– High-quality fixed-income instruments for the portion meant to provide stability.

– Diversified, actively managed equity mutual funds for long-term growth, if your overall portfolio review shows that additional equity exposure is appropriate.

Do not invest in a particular product only because it offers a tax benefit. Consider liquidity, taxation, maturity and the purpose of the investment.

» 6. My Final Assessment

Your family already has a strong investment base. At age 54, retirement planning, tax efficiency and asset allocation deserve more attention than simply maximising returns.

Before investing the Rs.80 lakh, please clarify these three points:

– Is the Rs.80 lakh received from an actual sale of ancestral property, or has your wife received the property itself as her share?

– Is your wife an Indian resident or an NRI for income-tax purposes?

– When was the property sold, if a sale has taken place?

These details will help determine whether capital gains tax applies, whether Section 54EC bonds are suitable, and how the remaining money can be invested efficiently.

Best Regards,

K. Ramalingam, MBA, CFP,

AMFI-Registered MFD – ARN 4188

www.holisticinvestment.in

https://www.linkedin.com/in/ramalingamcfp/

...Read more

Ramalingam

Ramalingam Kalirajan  |11484 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 13, 2026

Money
my father is 75 years old and my mother is 70 years old, she has stent in the heart, can you recommend which is the best health insurance policy for them. thanks
Ans: Thank you for sharing your parents details. Having health insurance at this age is important, especially when your mother has a heart stent.

» Health Insurance for Your Parents

– At 75 and 70 years, getting a new health insurance policy may be difficult. Premiums can also be high, and some insurers may not accept the application.

– Your fathers health condition and your mothers heart history will be considered during underwriting. Since your mother has a heart stent, the insurer may impose waiting periods, exclusions or other conditions.

– Do not choose a policy based on premium alone. Check the coverage, room rent limits, co-payment, disease-wise limits and claim conditions carefully.

» What You Should Check Before Buying

– Look for a senior citizen health insurance policy that accepts applicants of their ages and offers reasonable hospitalisation coverage.

– For your mother, disclose the heart stent procedure and all related medical details honestly. Ask the insurer in writing whether future cardiac treatment will be covered and from when.

– Check the co-payment clause. If the policy has a 20% co-payment, you may have to pay 20% of eligible hospital expenses yourself.

– Check pre-existing disease waiting periods. Existing heart conditions may not be covered immediately.

– Check whether the policy has limits on ICU charges, room rent, specific treatments or the total amount payable for certain illnesses.

» Consider These Alternatives

– If your parents already have health insurance, check whether it can be continued or enhanced. Keeping existing coverage may be more useful than buying a new policy.

– Check whether they have any employer-sponsored, government-sponsored or other eligible health coverage.

– If new insurance is unavailable or too costly, maintain a separate medical emergency fund. This will help meet hospital expenses not covered by insurance.

» My Assessment

At their ages, I would first check existing insurance and its continuation options. Then compare new policies based on actual coverage and exclusions.

For your mother, written confirmation about cardiac coverage is especially important. Do not assume that a policy will cover heart-related treatment simply because the insurer accepts her application.

Please share these three details for a more suitable assessment:

– Do your parents currently have any health insurance? If yes, what is the sum insured?

– Which city do they live in?

– Does your mother have any other medical conditions apart from the heart stent?

With these details, we can narrow down the available options and identify the most practical way to protect your parents from large medical expenses.

Best Regards,

K. Ramalingam, MBA, CFP,

AMFI-Registered MFD – ARN 4188

www.holisticinvestment.in

https://www.linkedin.com/in/ramalingamcfp/

...Read more

Krishna

Krishna Kumar  |430 Answers  |Ask -

Workplace Expert - Answered on Oct 12, 2026

Asked by Anonymous - Oct 12, 2026
Career
In my office, there are times when a colleague gets stuck with some work or makes a mistake, and I try to help them so that the work gets completed on time. Sometimes, I even put my own work aside to help them because I feel that we should support each other as a team. But when I am busy with my own tasks and need some help, the same colleagues are not always available. They may say they are busy or ask me to manage it myself. I don’t want to stop helping others because of this, as I feel it is important to maintain good relationships at work. At the same time, I sometimes feel that people take my helpful nature for granted, and my own work gets delayed because of it. I also worry that if I start refusing to help, my colleagues may think I have become selfish or uncooperative.
Ans: Dear

Very good question.

Few things let's get it clear. Each one is hired for a particular role and deliverables and they are paid for that.

You are hired first to do your work and deliverables assigned to you. Helping colleagues with their work, while letting your work aside is akin to not doing your responsibility.

My suggestion would be first focus on your work, if someone approaches you with a help and assistance for their work, you can provide them with guidance but do not end up doing their work.

If you are in the midst of your work and someone approaches you, you can politely yet firmly tell them that you are in mids if an important work and once done you will call them. DO NOT set aside your work for someone else. Remember you are working in a corporate world and not some social charitable organisation where any one can do everyone's work.

Hope this helps. All the best.

Warm Regards
KK

...Read more

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