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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

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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.

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |11063 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 15, 2026

Money
I'm 43 years old, a govt.employee ,want to invest Rs 20000/ which plan will be better
Ans: Your thought to invest Rs 20,000 every month at age 43 is very good. Many people delay investing, but you are taking action. As a government employee, you already have some stability in income and retirement benefits. So this monthly investment can become a strong wealth builder for your future goals.

Below is a simple and balanced way to think about it.

» Understand Your Investment Objective

Before choosing any plan, it is important to think about what this money is meant for.

– Retirement corpus building
– Children’s education or marriage
– Wealth creation for long-term security
– Financial independence after retirement

Since you are 43 years old, your investment horizon can still be 12–17 years comfortably. That is enough time for growth-oriented investments to work well.

» Why Monthly Investing Is a Good Strategy

Investing Rs 20,000 every month through a disciplined method is very powerful.

– It creates a habit of investing regularly
– It reduces risk of investing at the wrong time
– It allows you to accumulate more units when markets fall
– Over long periods, compounding works strongly

This approach is especially suitable for salaried people like government employees.

» Balanced Allocation for Rs 20,000 Monthly Investment

Instead of putting the full amount in one place, spreading it across different asset types helps reduce risk and improve stability.

A simple structure could be:

– Rs 12,000 in actively managed diversified equity mutual funds
– Rs 5,000 in a hybrid or balanced mutual fund
– Rs 3,000 in a short duration or conservative debt mutual fund

This combination creates both growth and stability.

Equity funds help in wealth creation over long periods. Debt-oriented funds provide balance and reduce volatility. Hybrid funds combine both.

» Why Actively Managed Mutual Funds Can Be Useful

Actively managed funds are handled by experienced fund managers who study companies and market trends.

Benefits include:

– Professional research and stock selection
– Flexibility to adjust portfolio when market conditions change
– Opportunity to generate better returns through active decisions

For investors who want expert management and structured investment discipline, these funds can be very useful.

» Importance of Investing Through Regular Plans

Investing through regular mutual fund plans via a Mutual Fund Distributor who works with a Certified Financial Planner provides important advantages.

– Continuous guidance during market ups and downs
– Help in rebalancing investments when required
– Support during goal planning and review
– Emotional discipline during market corrections

Many investors make mistakes when they invest without guidance. Proper advice and periodic review improve long-term results.

» Risk Management and Safety

Even though equity mutual funds can fluctuate in the short term, long-term investing reduces this risk significantly.

Some important practices:

– Stay invested during market corrections
– Review the portfolio once a year
– Increase the SIP amount when income increases
– Avoid frequent switching between funds

Patience and discipline create the real wealth.

» Tax Awareness

When you sell equity mutual funds:

– Long-term capital gains above Rs 1.25 lakh are taxed at 12.5%
– Short-term gains are taxed at 20%

This makes long-term holding more efficient from a tax point of view.

» Finally

Your decision to invest Rs 20,000 monthly at age 43 is a strong financial step. With around 15 years of disciplined investing, this amount can grow into a meaningful corpus for your future.

A balanced combination of equity-oriented mutual funds, hybrid funds and some debt exposure can give growth with stability. Periodic review with a Certified Financial Planner can ensure the portfolio stays aligned with your life goals.

Consistency matters more than timing. Continue the investment even when markets move up or down.

Best Regards,

K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in

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

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Radheshyam

Radheshyam Zanwar  |6855 Answers  |Ask -

MHT-CET, IIT-JEE, NEET-UG Expert - Answered on Mar 15, 2026

Career
Pleasee help me I given class12 2025 but fail in maths then I given again as private class12 in 2026 but I not given one paper properly so I will fail and i absent in other exam as I was depressed and burnout but now I really want to check jee advance in 2027 pleasee tell me as I had register for nios stream 1 2026 october as fresher so am I eligible for jee advance and BITSAT in 2027. I am preparing for jee mains I am sure if I study well I can get 99.95 % but if you tell me I am ellagable for jee advance and BITSAT 2027 I give less Focus to jee mains and give jee advance pleasee tell true answer don,t guess pleaseee help me
Ans: (1) You are NOT eligible for JEE (Adv) 2027

(2) You WILL be eligible for BITSAT 2027 if you pass Class 12 (PCM) in 2026 through NIOS, because BITSAT allows current year and one previous year pass students.

Practical Advice- Instead of thinking about JEE (Adv), try to score more in the mains and your state-level engineering entrance examinations.

Good luck.
Follow me if you receive this reply.
Radheshyam
Asked on - Mar 15, 2026 | Answered on Mar 15, 2026
Thank you sir
Ans: Welcome. If satisfied, pl follow me.

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Ramalingam

Ramalingam Kalirajan  |11063 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 14, 2026

Money
I am 61, minimalist with no bad habits in the life style of NO PILL; NO ILL. Now, the market is down and NAV falls down. my investments are comfortably positive even in the negative market. becuase the investment started very early and unis purchased at very low price. Now, the question is should I withdraw the funds; a portion of profit and invest in the downward trend so that I will get more units and i will not loose the capital because I am planning to withdraw only the portion of the profits. Please guide me should I need to reshuffle by withdrawing and re investing ..!!
Ans: Your disciplined lifestyle and long investing journey are truly inspiring. Starting early and holding investments patiently has created a comfortable cushion for you. Even when the market is falling, your portfolio remains positive. That itself shows the power of long-term investing.

Now your question is about withdrawing profit and reinvesting during the market fall. Let us examine this carefully.

» Understanding What You Are Trying To Do

Your idea is:

– Withdraw only the profit portion
– Reinvest when NAV is lower
– Get more units
– Protect original capital

This approach looks logical on the surface. But in practice it becomes very difficult to execute consistently.

» The Challenge of Timing the Market

To succeed in this strategy two things must happen correctly.

– You must sell at the right time
– You must reinvest at the correct lower level

Predicting market movement precisely is extremely difficult. Even experienced investors struggle with this.

If markets suddenly recover after you redeem, you may lose the opportunity of further growth.

» Impact of Taxes on Withdrawal

Whenever you redeem equity mutual funds:

– Long term capital gains above Rs 1.25 lakh are taxed at 12.5%
– Short term capital gains are taxed at 20%

So withdrawing profit may trigger tax liability. This reduces the benefit of trying to buy more units.

Frequent reshuffling can quietly reduce long-term wealth.

» Your Age and Investment Objective

At 61, your goal should shift slightly.

Earlier the focus was:

– Maximum growth

Now the focus should be:

– Capital protection
– Controlled growth
– Income stability

So instead of frequent buying and selling, gradual portfolio balance is more suitable.

» A Better Approach for Your Situation

Rather than timing the market, consider this approach:

– Keep the core long-term equity investments untouched
– If equity allocation has grown very large, slowly shift small portion into safer assets
– Continue enjoying compounding from existing units purchased at low prices

This maintains growth while protecting accumulated wealth.

» Systematic Withdrawal Planning

If you need regular income later:

– You can withdraw small amounts periodically
– This reduces market timing risk
– Portfolio continues to grow while providing income

This is usually more comfortable for retired investors.

» Emotional Discipline

Your biggest strength so far has been patience.

The temptation to reshuffle during market movements often disturbs long-term success.

Many investors lose wealth not because of bad investments but because of unnecessary switching.

» Finally

Since your investments were made early and units were bought at very low prices, the best strategy is usually to stay invested and allow compounding to continue.

Avoid frequent profit booking and reinvestment based on market movements.

Instead:

– Maintain a balanced asset allocation
– Protect capital gradually
– Allow long-term equity investments to keep growing

Your disciplined journey has already created strong financial security. Preserving that strength is now more important than trying to capture short-term opportunities.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |11063 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 14, 2026

Money
I am a retired doctor with 1lac pension kindly suggest to invest 30000per month
Ans: Your disciplined habit of investing even after retirement is very encouraging. With a pension of Rs 1 lakh per month, planning to invest Rs 30,000 shows that you are thinking about preserving and growing your wealth in a structured manner.

At this stage of life, the focus should be balanced between safety, regular growth, and liquidity.

» Understanding Your Financial Stage

You are a retired professional receiving steady pension income.

This means:

– Your regular expenses are already supported
– Investment goal is wealth preservation and moderate growth
– Liquidity for health and family needs is important

So the investment approach should be balanced and not aggressive.

» Emergency and Medical Reserve

Before starting monthly investment, ensure:

– At least 12 months of expenses kept in safe liquid instruments
– Adequate health insurance coverage

Medical expenses increase with age. Having a dedicated medical reserve prevents disturbance to investments.

» Balanced Investment Approach

For a retired person, full equity exposure is not suitable. But avoiding equity completely also reduces growth.

A balanced structure is ideal.

For the Rs 30,000 monthly investment:

– Around Rs 15,000 in actively managed diversified equity mutual funds
– Around Rs 10,000 in short duration or conservative debt mutual funds
– Around Rs 5,000 in gold allocation for diversification

This structure provides growth with stability.

» Importance of Actively Managed Funds

Actively managed mutual funds are suitable because:

– Fund managers actively select strong companies
– They adjust portfolio when market conditions change
– Aim to generate better returns than the market

This professional management helps investors who prefer not to monitor markets regularly.

» Investment Horizon and Liquidity

Even after retirement, investments can continue for 10 to 15 years.

So:

– Continue SIP regularly
– Review portfolio once every year
– Keep sufficient liquidity for emergencies

Avoid locking large amounts into instruments with long lock-in periods.

» Tax Awareness

If you redeem equity mutual funds:

– Long term capital gains above Rs 1.25 lakh taxed at 12.5%
– Short term gains taxed at 20%

Debt mutual fund gains are taxed as per your income tax slab.

Planning withdrawals carefully can reduce tax impact.

» Finally

Your plan to invest Rs 30,000 monthly is a strong step toward maintaining financial independence.

A balanced portfolio with equity, debt, and gold can help:

– Preserve your wealth
– Provide moderate growth
– Maintain liquidity for future needs

Regular review with a Certified Financial Planner can ensure that your investments remain aligned with your lifestyle and health needs during retirement.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

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.

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