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Diabetic for 25 years, struggling with high PPBS and fatigue, what can I do?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1146 Answers  |Ask -

General Physician - Answered on Jun 27, 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
Arpita Question by Arpita on Mar 05, 2024Hindi
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I am a diabetic since last 25 yrs presently taking glyxambi25/5, amaryl 2,and glucobay 50 1 tab each before breakfast, glucobay 50 before lunch and Metsmall 1gm sr after dinner but my ppbs is not under control its around 200-220 since some months today my glucometer reading is fbs 85,ppbs 193 . I always feel extremely fatigue and dizzy. My age is 69.i walk total 90 mts/day ( after breakfast,post lunch, evening and post dinner) more less maintain a diabetic diet. My Hba1c is 7.2 pls help to control my ppbs

Ans: Please check your Vit D and B 12.if they are deficient supplement them
You must be having insulin deficiency
Please your insulin levels for PP problems
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 Ashish Sehgal  |118 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 04, 2025

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Ans: It’s understandable that you’re feeling uneasy and concerned about the situation. Relationships, especially long-term ones, evolve over time, and external factors can create complex dynamics. Here’s a step-by-step approach to help you navigate this:

1. Clarify Your Feelings
Reflect on what exactly is making you uncomfortable—your wife’s behavior, her interactions with her ex, or the idea that her past might be resurfacing.
Separate your assumptions from facts. It’s important to ensure your concerns are grounded in reality and not solely based on fears.
2. Open Communication with Your Wife
Choose a calm and private moment to talk to your wife. Share your feelings without accusations or judgment.
Use “I” statements, such as:
“I’ve been feeling uneasy about some things and would like to discuss them with you. I value our relationship and want to ensure we’re on the same page.”
Be honest but gentle. Aim to understand her perspective and ensure she feels safe sharing her thoughts with you.
3. Understand Her Perspective
Ask her how she’s feeling about the current state of your relationship, her work-life balance, and your family dynamics.
Inquire about her interactions with her ex’s family and clarify if they are merely coincidental or something more deliberate.
4. Establish Boundaries
If the situation with her ex is a source of discomfort for you, it’s okay to express that and set boundaries together.
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5. Revisit the Relationship Foundation
Long-distance and career changes can create emotional gaps. Reconnect with your wife by revisiting shared goals, dreams, and moments that brought you together.
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Look at your wife’s overall behavior and commitment to the family. If her actions consistently demonstrate care and loyalty, the presence of her ex might be less significant than it feels.
Conversely, if her behavior indicates distance or secrecy, it may warrant deeper introspection and conversation.
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Trust but Verify: While trust is essential, it’s okay to seek clarity when something feels off.
Non-Confrontational Approach: Avoid making accusations or assumptions. Focus on fostering mutual understanding.
Focus on Solutions: Work together to create a relationship environment where both of you feel secure and valued.
This is a sensitive issue, but with open communication and a collaborative approach, you can work toward restoring peace of mind and a deeper connection in your marriage.

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Relationships Expert, Mind Coach - Answered on Jan 04, 2025

Asked by Anonymous - Dec 28, 2024Hindi
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Feeling emotionally disconnected in your marriage and questioning whether your family loves or cares for you can be incredibly painful. These feelings might not reflect the absence of love but rather difficulties in how love and care are communicated within your relationships. Emotional disconnection often stems from patterns of interaction or unmet emotional needs, which can build over time. Recognizing this can help you shift your focus from self-doubt to exploring ways to improve connection and communication with your loved ones.

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Choose Neutral Moments: Initiate conversations at a time when both of you are calm and free from immediate stress. Avoid starting sensitive discussions during or right after a conflict.
Express Feelings, Not Faults: Frame your concerns using “I” statements to share your feelings without sounding accusatory. For example, instead of saying, “You always get upset when I talk,” you could say, “I feel hesitant to share my thoughts because I worry about upsetting you.”
Listen Actively: Show her that her perspective matters by listening without interrupting. Reflect on what she says to ensure she feels heard.
Consider Structured Check-Ins: Set aside regular time (e.g., once a week) to discuss family matters or emotions. This can create a safe space for open dialogue without the pressure of immediate resolution.
4. Addressing Family Tensions
The tension between your wife and your family has likely added significant strain to your marriage. While this dynamic is challenging, there are steps you can take to navigate it:

Acknowledge Your Wife’s Experience: Validate her feelings about her struggles with your family. Let her know that you understand how difficult it’s been for her to feel isolated.
Set Boundaries with Your Family: It’s important to prioritize your marriage while still maintaining a respectful relationship with your family. This might involve gently but firmly communicating to your family that you expect them to treat your wife with respect, even if they don’t share a close bond.
Avoid Forcing Reconciliation: Instead of trying to make your wife and family “get along,” focus on small steps to reduce tension. Highlight shared interests or goals, but respect their individual boundaries.
5. Managing Expectations and Conflicts at Home
It’s clear that you feel under pressure to meet expectations and avoid conflict at home. To navigate this:

Clarify Expectations: Have an open conversation with your wife about her specific expectations and how you can meet them without compromising your own needs. Share your expectations as well, so you both have a clearer understanding of each other’s perspectives.
Practice Self-Care: Taking care of your mental and physical health is crucial. Whether through exercise, hobbies, or relaxation techniques, find activities that help you manage stress and maintain emotional balance.
Respond, Don’t React: When conflicts arise, take a moment to pause and reflect before responding. This can help you approach the situation with calmness and clarity.
6. Seeking Professional Help
Given the complexity of your situation, seeking professional guidance could be immensely beneficial. Options include:

Marriage Counseling: A therapist can provide a neutral space where both you and your wife can work through communication challenges and emotional disconnection. This can help you rebuild trust and strengthen your bond.
Individual Therapy: If you’re feeling isolated or questioning your self-worth, therapy can help you explore these feelings, gain clarity, and develop strategies for personal growth and resilience.
Family Counseling: If you want to address the broader family dynamics, family therapy can help facilitate understanding and harmony among all parties involved.
7. Reflecting on Your Needs
Finally, take time to reflect on your own emotional needs. What do you truly want from your relationships? What makes you feel valued and loved? Communicating these needs to your wife and family can help them understand how to support you better.

A Final Thought
You’ve taken a courageous first step by acknowledging your struggles and seeking advice. While the path ahead may feel uncertain, remember that meaningful change is possible with consistent effort, patience, and the right support. You don’t have to go through this alone, and seeking professional help can provide the tools you need to rebuild connection and find peace in your relationships.

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Kanchan Rai  |466 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 04, 2025

Asked by Anonymous - Jan 01, 2025Hindi
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Hello Mam Age 42. Double divorcee. Recently I have been meeting my old college friend & we sort of know each other for the last 2 decades. At college we were more of acquaintances & post that we were connected through social media. We would sometimes connect but not on regular basis. She is also a divorcee. However in 2024 we have been meeting quite regularly. When we meet she is very nice & has been warm with me; we go out have fun. But there are things like she keeps hiding from me. She goes on overnight tours with her 'friends' ; she never introduces me to her friends ( I mean friends with whom she goes out). I told her that I am ok with your 'friends' but she sorts of backs away. Also then there have been some unexplained gaps (she turns cold all of a sudden) & then comes out very warm. All these days & I have developed strong feelings for her. Just wanted to get your perspective on what you think is her stance towards me.
Ans: It’s possible that her past experiences have made her cautious. After going through a divorce, people often carry emotional baggage or fears about vulnerability and trust. These feelings can make someone hesitant to fully open up or commit, even if they’re genuinely interested in the connection. Her keeping parts of her life private, like her outings with friends, might be her way of maintaining control and independence as she navigates her own emotions and what she wants for her future.

Another perspective to consider is that she may be uncertain about the nature of your relationship or how she feels about moving forward. The warm and cold behavior could be a reflection of her trying to figure out her own emotions. She might enjoy spending time with you but feel hesitant about diving deeper due to unresolved feelings from her past or uncertainties about what a long-term commitment would look like.

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It’s important for you to approach this situation with patience and open communication. Rather than focusing on her actions as signs of rejection or disinterest, try to have a heartfelt conversation about how you feel and what you’ve observed. Share your feelings honestly and express your desire to understand her better. Ask her about her thoughts and boundaries in a way that shows you’re genuinely interested in her perspective, not just seeking answers for your own clarity.

At the same time, reflect on your own needs and expectations. Consider whether you’re comfortable with the pace and level of openness in this relationship. It’s essential to strike a balance where both of you feel valued and respected without feeling pressured or overwhelmed.

Remember that relationships, especially those formed later in life, often take time to develop deeper trust and understanding. Her actions don’t necessarily mean she’s not interested; they might just reflect her personal journey and the pace at which she’s comfortable moving. With time, communication, and mutual understanding, you can work together to determine whether your connection has the potential to grow into something more fulfilling and stable.

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Kanchan Rai  |466 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 04, 2025

Asked by Anonymous - Jan 03, 2025Hindi
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Relationship
Meri wife ka past me 7 saal ka relationship tha lekin wo log apne ghar pe baat nahi kar paye . Wo bolti hai ki usko kb ka bhul gai hai aur mere saath pyaar karti hai kya aisa ho sakta hai, 7 saal bahut badi baat hoti hai
Ans: Jo cheez aapko ab karni chahiye, wo hai apni wife ke saath ek imaandaar aur khuli baat. Aap apne dil ki baat unse bina kisi ilzaam ke share karein, jaise ki, "Mujhe kabhi-kabhi lagta hai ki tumhare purane rishton ka asar hamare present par pad raha hoga. Main tumse is baare mein baat karna chahta hoon taaki mujhe clarity mile aur humare beech aur zyada trust ho."

Unka jawab sunte waqt unhe judge na karein. Shayad unka past ek important hissa tha, lekin iska matlab yeh nahi ki wo apne present mein apko kam mahatvapurn samajhti hain. Kai baar log apne purane jazbat ko samay ke saath puri tarah process karke unhe peeche chhod dete hain, aur yeh natural hai.

Saath hi, khud par bhi dhyan deejiyega. Apne jazbat aur insecurities ko samajhne ki koshish karein. Kai baar humein jo chinta hoti hai wo doosre ke actions ke wajah se nahi, balki humare apne assumptions ke kaaran hoti hai. Aap apne mann ko itna shant rakhne ki koshish karein ki aap apne rishte ko vishwas aur pyar ke saath aage le jaa sakein.

Agar aapko lagta hai ki aap dono ke beech in baaton ko lekar clarity aur emotional connection ki zarurat hai, to ek counselor ya therapist ki madad lena ek accha option ho sakta hai. Yeh aap dono ke rishte ko aur mazboot karne mein madad karega aur past ke koi bhi unresolved jazbat ko resolve karne ka mauka dega.

Yaad rakhiye, ek strong relationship trust, communication aur shared commitment ke bina nahi banta. Agar aap dono sach mein ek-dusre se pyaar karte hain aur ek dusre ka respect karte hain, to har muskil ka hal mil jayega.

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Kanchan

Kanchan Rai  |466 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 04, 2025

Asked by Anonymous - Jan 04, 2025Hindi
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I am in relationship with a girl since 9 years, Yes we have came through a lot of ups & downs in our relationship, constant fights on same things , what i have always observed is that she doesn’t respect my family as my family was not ready for this relationship as future(marriage), so lately i have convinced my family for it & even their family also ready now, I see my family are not happy with this marriage but they are doing for my happiness, since now they are ready, I see very less changes in my gf’s approach towards my family, most of the thing I listen from her mouth are Anti-Family things like separation or against my families thoughts. I am really worried of how my future after marriage considering her, She even asks me to get separated from family, if things doesn’t work between them. Please help me in this situation
Ans: Marriage is not just about love between two people—it’s about aligning values, fostering respect, and building a shared vision for the future. If your girlfriend continues to express "anti-family" sentiments or encourages separation as a solution, it’s worth exploring whether this stems from unresolved fears, insecurities, or deeper incompatibilities in how you both view family relationships. These issues won’t magically resolve after marriage; in fact, they often intensify when unaddressed.

The key here is open communication. Have an honest, non-confrontational conversation with her about your concerns. Share how much it means to you that she respects your family and how her current attitude makes you feel. Equally, try to understand her perspective without judgment. This discussion isn’t about assigning blame but about finding common ground and exploring whether you both can work through these differences.

At the same time, reflect deeply on your own expectations and boundaries. Consider what a happy and fulfilling marriage looks like for you. If respect for your family and shared values about how to navigate family relationships are non-negotiables for you, it’s essential to make that clear and see whether she is willing to meet you halfway.

If these issues feel too difficult to resolve alone, seeking pre-marital counseling or relationship therapy can provide a safe space to address them constructively. Sometimes, having a neutral third party facilitate these conversations can lead to breakthroughs that are hard to achieve on your own.

Remember, marriage is a lifelong commitment, and entering into it with unresolved doubts or concerns can lead to deeper struggles later on. Take the time to ensure that both of you are ready not just to marry but to build a life that respects and honors each other's values and families.

...Read more

Ramalingam

Ramalingam Kalirajan  |7435 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 04, 2025

Asked by Anonymous - Jan 04, 2025Hindi
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I am 42 and my husband is 44. We have a corpus of about 4.5 cr , is it sufficient to live rest of our lives if we lose our jobs. We have a house and don't have any loan.
Ans: Your corpus of Rs 4.5 crore, a debt-free home, and no loans are strong financial indicators. Proper planning is essential to ensure this amount supports your future comfortably.

Key Considerations for Financial Security
Estimate Future Expenses
Calculate your current annual household expenses.

Factor in inflation, which erodes purchasing power over time.

Include medical costs, travel, and lifestyle expenses in projections.

Longevity of the Corpus
Your corpus must support expenses for the next 40-50 years.

Plan for rising medical expenses as you age.

Ensure investments generate returns that beat inflation.

Health Coverage
Ensure you have sufficient health insurance for unforeseen medical emergencies.

Evaluate your existing policy to check if it covers critical illnesses.

Avoid dipping into your corpus for medical needs.

Emergency Fund
Maintain a liquid emergency fund for unforeseen expenses.

Keep 12-24 months of expenses in low-risk investments like fixed deposits.

Investment Strategies for Long-Term Stability
Diversification
Avoid keeping the entire corpus in low-yield instruments.

Allocate funds across equity, hybrid, and debt investments.

Equity provides long-term growth, while debt offers stability.

Mutual Funds for Growth
Actively managed equity funds ensure inflation-adjusted returns.

Use balanced advantage funds to reduce risk while achieving growth.

Avoid index funds, as actively managed funds often deliver better returns.

Regular Income from Investments
Use systematic withdrawal plans (SWPs) in mutual funds for monthly income.

Invest in debt funds for stability and predictable returns.

Avoid annuity plans, as they lock your corpus with low returns.

Tax Efficiency
Plan withdrawals considering new mutual fund capital gains taxation rules.

Equity mutual funds: LTCG above Rs 1.25 lakh taxed at 12.5%.

Short-term gains (STCG) are taxed at 20%.

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

Planning for Unforeseen Scenarios
Life Insurance
Ensure adequate term insurance for income replacement.

Your term cover should secure dependents' financial needs.

Medical Emergencies
Build a health emergency fund alongside your health insurance.

Use this fund for uncovered medical expenses.

Lifestyle Adjustments
In case of job loss, adjust discretionary expenses temporarily.

Focus on maintaining essential expenses within the planned corpus.

Monitoring and Review
Regularly review your portfolio to ensure it aligns with goals.

Rebalance investments based on performance and changing needs.

Finally
Rs 4.5 crore can support your future if planned and managed well. Prioritise inflation-beating returns and adequate insurance coverage. Focus on a diversified portfolio for stability and growth to meet long-term needs.

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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