Home > Health > Question

Sign In | Create an account

Language:

Now in हिन्दी too

Need Expert Advice?Our Gurus Can Help

Diabetic and hypertensive 68 year old experiencing low blood sugar in cold climate - Seeking advice

Komal Jethmalani |382 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Feb 25, 2025

Komal Jethmalani is a practising dietician and nutritionist with over 26 years of experience.
She specialises in weight loss and diabetes management.
Jethmalani has completed her MSc in food and nutrition from SNDT University and trained at Jaslok Hospital.
She is a NDEP-certified diabetes educator.... more

Question by Varsha on Feb 25, 2025Hindi

Health

I am 68 years old, a diabetic for past 20 years and hypertensive for 15. I underwent CABG in 2011. Currently on medication for all ailments. My diabetes and blood pressure are under control. For past 5 years, I have been off and on visiting and living with my daughter in England, often for 3 months at a stretch, in climate with average temperatures below 10C. It has been my experience that while in cold climatic conditions, with intake fo prescribed diabetic medication, my blood sugar level tends to go low, sometimes as low as 50-60 mg/dL. My diabetologist has only advised to halve does of Gemer DS (3 & 1000) (Glimeperide 3 mg+Metformin 1000 mg) 1BD. This has reduced the incidence but at times I feel dizzy & like blanking out and upon checking on glucometer find sugar level falling below 70 mg/dL. My question is: Is there a correlation between climatic conditions (Cold climate) and sugar levels in the blood? If so, how does it play out?

Ans: Cold weather can affect insulin sensitivity. Some studies suggest that cold exposure may increase insulin resistance, making it harder to control blood sugar levels. Cold weather often leads to changes in dietary habits which can affect blood sugar levels. Make a note if you are experiencing similar symptoms even while in a warm climate. Keep a check if you are shifting dietary habits in cold weather by consuming more low carb foods and if activity levels have increased simultaneously. Given your experience with low blood sugar levels in cold climates, it's essential to monitor your blood sugar closely and adjust your medication as needed. It's also a good idea to discuss your symptoms and experiences with your diabetologist to ensure you have a tailored plan for managing your diabetes in different climatic conditions.

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.

You may like to see similar questions and answers below

Dr Natasha Kumrah | Answer |Ask -Follow

GP, Diabetologist, Gastroenterologist - Answered on Mar 07, 2023

Question by Venkatesh - Mar 07, 2023Hindi

Health

I am a heart patient undergone CABG in Nov 2004. Diagnosed one block 90% in one old operated place. Aged 63, going for walks morning/evening 5 kms each lasting 2 hrs in total. Am active and under medications, strictly being monitored. Weight 68 kgs height 170 cms. On medication for type-2 diabetes HBA1C approx 7.0. can you suggest any further action to bring down sugar level ? My lipids, RFT, LFT levels are all normal.

Ans: Thank you Mr Venkatesh ji.. you are doing a great job.. for your age and the history HbA1c of 7% is good.. you can focus more on dietary changes.. that will further help you to have a good sugar control..

Komal Jethmalani |382 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Jul 29, 2023

Asked by Anonymous - Jul 17, 2023Hindi

Health

Hi I am RV 54 years of age Male. I was detected with Type 2 Diabetes in July 2019. Since then I changed my diet, increased exercise, took care of sound sleep & stress and took Metformin 500 mg once at night. My type 2 diabetes has reversed and since July 2022 I have stopped Metformin 500 mg of my own as my sugar levels well drastically falling. I am still on restricted diet.I have got blood tests done every 3 months ( last done in June 2023 ) and except for Fasting Sugar, all results are perfect. My Fasting Sugar is in the range of 100 to 109. I know that I am suffering from Down Phenomena. I would be extremely grateful for your expert advice to bring the Fasting Sugar in the target range of 80 to 90 mg/dl.

Ans: If you are experiencing Dawn Phenomena, make sure to monitor your blood sugar levels especially in the evening. Eat dinner earlier in the evening and avoid late night high carb snacks. You can consume a high-fiber low-fat snack before bed to prevent the dawn phenomena. Almonds with plain or turmeric milk, nuts, milk with basil seeds are some examples. These items will control the blood sugar and keep your liver from overproducing glucose.

Dr Chandrakant Lahariya | Answer |Ask -Follow

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

Question by Father - Jul 02, 2024Hindi

Health

Greetings! I am.58 now. I am diabetic since last 10 years. Till few months back my sugar level was will in control with sugar fasting in range of 110- 130 and Hb1ac in range of 6.5 -7.0. but since last four month observing sudden spoke with fasting approx 200 , post meal After 2 hrs approx 350. Last Hb1ac one month back was 8.2. My doctor has made number of changes. Apart from having istamet 50/1000g 2 time, he has prescribed now vobit 0.3 , amaryl 3....both 2 times. It has been one week but very slight difference. Doctor please advise why is the reason for sudden spike and why it is not coming down I have good control on my diet but have dinner at 10 pm due to job constrain and commuting

Ans: Please let me know your weight and BMI as well.
It seems that you are developing insulin deficiency and resistance both.
After certain period, the oral medications become less effective. In such situations, it might beneficial and important to get started on Insulin.

The sudden spikes in sugar levels could also be due to stress or altered sleep pattern or change in dietary factors. However, that would not explain such as spike for long.

Please consult your physician and get on steps needed for effective sugar control.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
New Delhi

Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Oct 03, 2024

Asked by Anonymous - Sep 22, 2024Hindi

Health

Iam aged 77 not diabetic, last few months some variation in the fasting sugar level 100 to 106 but post sugar level remains less thn 110.my Hba1c is being 6.4 and 6.5. I have all control regarding my morning walk and doing manual work at home . Not taking sugar at all . Whether I have to go for medication for sugar . I am taking Telmikind 4omg tab for bp 1 per day .

Ans: Give attention to your dinner meal
What goes into the dinner meal
Early dinner meal by 6 pm
Avoid heavy meal for dinner

Latest Questions

Dr Dipankar Dutta |862 Answers |Ask -Follow

Tech Careers and Skill Development Expert - Answered on Feb 26, 2025

Asked by Anonymous - Feb 26, 2025Hindi

Career

My son got 89 percentile in JEE mains 2025. Category General Delhi candidate .what are her chances for NIT/IIT/GFT

Ans: NITs:
For General category candidates, 89 percentile is usually not sufficient for CSE, IT, or ECE in top NITs.
In lower-ranked NITs, branches like Civil, Mechanical, Chemical, and Metallurgy may be possible in later rounds.
NIT Delhi (home state quota) is very competitive, so chances are slim.
IIITs:
Getting CSE in IIITs with 89 percentile is difficult.
Some lower-ranked IIITs may offer non-core branches like Electronics or Mechatronics.
GFTIs (Government-Funded Technical Institutes):
GFTIs have better chances than NITs or IIITs at this percentile.
Institutes like Assam University, Mizoram University, and Gurukula Kangri Vishwavidyalaya may offer seats in non-CS branches.
IITs:
IITs only accept JEE Advanced scores.
With 89 percentile in JEE Mains, qualification for JEE Advanced is unlikely (General category cut-off is usually above 90 percentile).

Dr Dipankar Dutta |862 Answers |Ask -Follow

Tech Careers and Skill Development Expert - Answered on Feb 25, 2025

Asked by Anonymous - Feb 25, 2025Hindi

Career

hey i have just started my 12th and i havent started my jee prep yet and i am not even sure of it my 11th basics are not good i am so confused with what to do i have started learning web development as a hobby i am from a middle class family and i dont want to take a drop and become a burden o my family also what should i do

Ans: If engineering excites you, try JEE Mains but don’t stress about JEE Advanced.
If you enjoy web dev, consider BCA, CS in private colleges, or even self-learning + freelancing.
You don’t have to drop a year—there are plenty of good career paths that don’t require JEE.

Prof Suvasish Mukhopadhyay |437 Answers |Ask -Follow

Career Counsellor - Answered on Feb 25, 2025

Question by Veera - Feb 25, 2025Hindi

Career

My daughter secured 92.5 persentile & OBC in JEE mains can we get seat any Engineering stream NIT/IIIT/GFTs

Ans: Surely she will get.

Prof Suvasish Mukhopadhyay |437 Answers |Ask -Follow

Career Counsellor - Answered on Feb 25, 2025

Question by Rajesh - Feb 25, 2025Hindi

Career

Hi my son scored 87percentile in JEE main we are looking for Suratkal or IIT’s for CSE, we belong to OBC community please guide thanks Rajesh

Ans: It is difficult to get CSE with this percentile in both the institutes stated by you,but he may get in low ranked NITs.Regards.Professor

Dr Dipankar Dutta |862 Answers |Ask -Follow

Tech Careers and Skill Development Expert - Answered on Feb 25, 2025

Asked by Anonymous - Feb 25, 2025Hindi

Career

Can I Get Any iiit's with 73.92 percentile in JEE Mains (ST Category)?

Ans: Yes, you have a chance of getting admission in some IIITs, mainly in the newer ones.

Rajesh Kumar Singh |116 Answers |Ask -Follow

IIT-JEE, GATE Expert - Answered on Feb 25, 2025

Question by PUTTA - Feb 24, 2025Hindi

Career

My son under general category got 95.86 percentile in Jee mains 2025. What are the possibilities for NITS and branches

Ans: Slim chance

Rajesh Kumar Singh |116 Answers |Ask -Follow

IIT-JEE, GATE Expert - Answered on Feb 25, 2025

Question by Tadrup - Feb 25, 2025Hindi

Career

Which NIT can I get with 96.2 percentile in the JEE Mains January attempt as General Category?

Ans: Slim chance

Rajesh Kumar Singh |116 Answers |Ask -Follow

IIT-JEE, GATE Expert - Answered on Feb 25, 2025

Question by Anant - Feb 25, 2025Hindi

Career

In jee mains 2025 exam my son got individually in phy-65.57,math-34.01and in chemistry-5.96 total marks is 105.54 while in portal it shows only 28.kindly guide me

Ans: Approach exam controller

Komal Jethmalani |382 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Feb 25, 2025

Question by CA - Jan 17, 2025Hindi

Health

hi komal ji, can you please help me for vegiterian diet chart for weight loss, As my work profile is of sitting job. Thanks in advance

Ans: Maintaining a healthy diet is essential for weight loss, especially for individuals with a sedentary job. For a vegetarian diet, include whole grains like brown rice, quinoa, whole wheat bread, and oats in every meal. Also, ensure that protein foods tofu, and legumes and low fat dairy products are part of the meal. Leafy greens like broccoli, cauliflower, bell peppers, etc. are an important part of a meal. Use healthy fats from avocado, nuts, seeds, and olive oil. Consumption of fruits like apples, papaya, and citrus fruits in moderation is essential. Avoid sugary beverages; processed foods, refined carbohydrates and high-fat dairy products. Drink plenty of water, exercise regularly and sleep well.

Komal Jethmalani |382 Answers |Ask -Follow

Dietician, Diabetes Expert - Answered on Feb 25, 2025

Question by Ajoy - Feb 21, 2025Hindi

Health

Please advise diet for pre-diabetic patients

Ans: For managing prediabetes, it's important to focus on a balanced and healthy diet. The dietary recommendations for pre-diabetic patients include consumption of whole grains like brown rice, quinoa, whole wheat bread, and oats; protein foods like chicken, turkey, fish, tofu, and legumes and non-starchy vegetables like leafy greens, broccoli, cauliflower, and bell peppers. Include healthy fats from avocado, nuts, seeds, and olive oil. Have fruits like berries, apples, and citrus fruits in moderation. Avoid sodas, fruit juices, and sweets; snacks, fast food, and packaged meals high in sugar and unhealthy fats; white bread, white rice, and high-fat dairy products.

See more questions »

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.

Video Reply
Audio Reply

WhatsApp
Facebook
Twitter
Copy link

Delete

Close

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

Sign up

email

uname

mobile no

Country Code

Mobile number

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

Already have an account?

LOGIN

x