Help! Can a 68-year-old Diabetic manage High Creatinine with uncontrolled Blood Sugar and BPH?

Ans: Yes, doing soleus push-ups daily may help in lowering blood glucose levels. Recent research suggests that activating the soleus muscle (the deeper calf muscle) through slow, repeated contractions can significantly improve glucose metabolism. This happens because the soleus muscle efficiently utilizes blood sugar and fat for energy without heavily relying on insulin, making it beneficial for blood sugar regulation.

A study by David Elek et al., titled *"The effects of soleus push-up on glucose tolerance among individuals with prediabetes ([DOI: 10.1101/2024.11.14.623602](https://doi.org/10.1101/2024.11.14.623602)), provides further insights into this mechanism. Their research highlights how engaging the soleus muscle in low-intensity contractions can play a role in managing glucose levels, particularly in individuals with prediabetes.

However, while soleus push-ups can help manage glucose levels, they should be combined with a balanced diet, regular physical activity, and proper diabetes management. If you have diabetes or blood sugar concerns, it’s best to track your glucose levels and discuss any new exercise routine with a physiotherapist or healthcare provider to ensure it fits your overall health plan.

Ans: Hello Mr. Rupesh . As a Physiotherapist I would suggest relaxation exercises and meditation . However you can also consult a psychologist.

Ans: Thank you for reaching out. Since you have an active lifestyle but are experiencing weight gain despite regular exercise and a balanced diet, there may be underlying factors affecting your metabolism. Hormonal imbalances (like thyroid issues or insulin resistance), stress, poor sleep, or even undereating leading to metabolic slowdown could be contributing to the issue. It would be helpful to get your thyroid, insulin, and cortisol levels checked to rule out any medical reasons. Additionally, focusing on strength training over excessive cardio, tracking your calorie intake accurately, and ensuring enough protein intake can help optimize fat loss. Consider consulting a nutritionist or endocrinologist for a personalized approach. A physiotherapist can also guide you on the best exercise strategies to improve metabolism. Don’t lose hope—small adjustments can make a big difference!

Ans: Dear Mr. Arjit .Thank you for your question. When a person weighing 70 kg walks at a slow pace of 2 km per hour, the body primarily uses fat as the main energy source. Since this is a low-intensity activity, oxygen is readily available, allowing fat to be burned efficiently. Carbohydrates are used more during higher-intensity activities, such as brisk walking or running. While a small amount of carbohydrates may be utilized, the majority of energy comes from fat metabolism. To improve endurance and optimize fat burning, incorporating brisk walking, strength training, or interval exercises can be beneficial. For a personalized exercise plan based on fitness goals, I recommend visiting a nearby physiotherapist for proper guidance. Wishing you good health and fitness!

Ans: Dear Madam/Sir. Appreciate you reach out to improve core strength as many people do neglect core muscle strength. A strong core is essential for better posture, stability, and overall fitness. To strengthen your core, start with a plank, where you lift your body onto your forearms and toes, keeping your back straight and holding the position for 30-60 seconds. Next, try the bird-dog by getting on all fours, stretching one arm forward and the opposite leg backward, holding for a few seconds, and switching sides. The dead bug is another great exercise—lie on your back with arms and legs raised, then slowly lower one arm and the opposite leg before switching. For lower back and glute activation, perform glute bridges by lying on your back with knees bent, lifting your hips up, and lowering them slowly. Russian twists improve oblique strength; sit with bent knees, lean back slightly, and twist your torso side to side. Leg raises help target the lower abs—lie flat, lift both legs straight up, and lower them without touching the ground. Lastly, try the hollow body hold by lying on your back, lifting your shoulders and legs slightly off the ground, and holding the position while keeping your core engaged. Perform these exercises 3-4 times a week for better core strength and stability. Wishing you success in building a strong core!

Ans: Dear Madam/Sir . Thank you for your query. Since your father has a history of spine surgery, his lower back pain may be related to slip disc or spinal canal stenosis, especially after prolonged sitting or travel. To strengthen his back safely, he can try gentle core and back exercises such as pelvic tilts, bridges, and bird-dog to improve stability. Seated lumbar extensions and gentle spinal decompression (lying on his back with knees bent) can help relieve pressure. Stretching the hamstrings and hip flexors will also reduce strain on his lower back. However, he should avoid high-impact activities, deep forward bending, and heavy lifting. Since his condition requires personalized care, I strongly recommend visiting a nearby physiotherapist for a proper assessment and a tailored exercise plan. Wishing him a quick recovery!

Ans: Dear Madam/Sir .Thank you for your query. Your hip stiffness and occasional pain are likely due to prolonged sitting during work and commuting. To reduce discomfort, maintain proper posture, take breaks every 30-45 minutes, and use lumbar support. Incorporate simple stretches like seated figure-four, hip flexor stretch, and deep squat hold to improve flexibility. Strengthening exercises such as glute bridges and clamshells can provide better hip stability. Whenever possible, stand during your commute and walk around during breaks to avoid prolonged sitting. If the pain persists or worsens, visit a physiotherapist for a proper assessment and personalized treatment plan. Wishing you a quick recovery!

Ans: Hello Asmit.
There are chances to get a set in NITs. If you are interested in sports, then choose computer computer-related branch or IT branch to have flexibility in your studies. Hope, you may be admitted to NIT Rauekela with the preferred branch. Bst of luck to you.
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Radheshyam

Ans: hi,
Yes Income Tax department has allowed deduction of HRA for 2 eligible houses provided you should have proper records for validation like rent receipts, actual payment details etc.
And eligible amount of HRA calculation is based on your Rent paid, Basic Salary, period of tenancy & Location of houses.