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Diabetic and Thyroid Patient Seeking Weight Loss and Diabetes Reversal Advice

Dr Chandrakant

Dr Chandrakant Lahariya  |5 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 15, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Asked by Anonymous - Aug 17, 2024Hindi
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I am diabetic as well as having thyroid. I take first meal at 10.30 daily and second and last meal at 15.30 apart from this I take a cup of tea with a toast in morning as well as in the evening. This routine is since March 2024, there is no change in my weight still. Please let me know if I am doing wrong at any place. Or suggest some alternative of the above To reduce the weight and to reverse diabetes. Presently my diabetes is normal My diabetes medicine are Metformin Hydrochloride Prolonged-Release & Glimpride Tablets IP (500mg/1mg) + Voglibose and Metformin Hydrochloride Tablets (0.3mg/500mg)

Ans: For providing advice on weight, I need to know your weight and BMI. However, as you can see in my responses to some of the previous queries, a dietary modifications is very personalised in case of Diabetes. Moreover, person with diabetes should take smaller meals rather than heavy few meals.
More importantly, I need to know your HbA1c and Fasting and PP blood sugar levels and other lipid parameters to comment about the sufficiency of anti diabetic medication you are taking.

Your schedule indicate that you seem to be doing intermittent or time restricted fasting. This has proven benefit as the VLCD or very low calorie diet. VLCD with around 800 Kilo Calories a day, is a standard of diabetes care in many country including the UK. However, please ensure that you are not developing hypoglycemia or low sugar levels.

Regarding weight reduction strategies and reversal/remission of diabetes, a more personalised discussion with a physician is needed.

Dr Chandrakant Lahariya
Senior Consultant Physician & Diabetologist
Centre for Health: The Speciality Practice, New Delhi
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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Hello Kolmal Madam, Alok this side. I am 55 yrs old, height 5' 10", weight 78-79. Till last yr my weight was 75-76 kg. The weight has increased 2- kg in last few months. I was prediabetic for last few years with HBA1C around 64-6.5. This January my HBA1C was 6.9 and yesterday it was test to be 7.4. BP has also increased to 97-152. ECG was found to be normal. I need to reverse my diabetes, and I am confident I can do it. I have decided to stop carb at night totally, will do exercise twice daily, and sleep daily for at least 7 hrs. Are these steps sufficient? I sincerely need your advise. Regards
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Asked by Anonymous - Oct 15, 2024Hindi
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Hi Milind I am 52 years old single woman, from small town and who has worked hard ro reach to level in corporate with good salary. I have a corpus of about 5 crores and small flat in tier 2 town. I dont enjoy yhis new job wirh reputed brand and at a senior level as i dont find ut engaging or doing justice to role. My parents are old and i worry for rhem ans want to spent rkmw with them. With this corpus can i take a call to leave job and get decent income of atleast 2-2.5 lac a month. I have been quite action oriented, but now my mind and body feel exhasuted and also fear rhat without a job i will become lazy. Also living with parents will be a joy, at the same time resteictive to eating or socializing. I am quite concious ,if i leave this well paying ,senior role job with a big renonwed corporate which many of my friends aspired for and whole lot of people congratulated me ,they will think i was not able to justify my role,hence left . I dont want that impression at last stage of career as whole life i have been seen as hard working ,passionate professional. Such rhoughts are taking toll on my mental health. Please advise what should be done
Ans: Hello;

With the corpus that you have (5 Cr) you may buy an immediate annuity from a life insurance company and can expect to receive monthly payout of 2.5 L (pre tax)from the very next month. 6% annuity rate considered, if you shop around and negotiate you may get a better rate.

You can opt for increasing annuity to account for inflation and return of purchase price to your nominee, after you.

Ensure good health insurance policy to cover yourself and your parents.

Think about some vocation which you would like to pursue passionately after retirement.

You are seeking retirement from regular 9 to 5 job not from pursuit of your passion/goals.

It could be in the role of an consultant, counselor or educator.

You should take the decision which you feel is appropriate for you irrespective of what people comment because they will comment in any case.

Learn to ignore such people.

Happy Retirement!!

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Hello team, I am 40 years old and retired. I have 60 lakhs in hand (to be invested) with 5.60 lakh invested in diversified mutual funds, 2 lakhs in fixed deposit, 2.22 lakh in Sukanya (SSA). Will be drawing a pension of 30K/month. I don’t have any liabilities of home loan and car loan which I have already settled. Please advise me to invest my 60 Lakh for my future. I have a single child and she is studying in 10 grades. (a) Short term goal (for 1/2/3 years) - My daughter education yearly fees of 1.5 lakh - Foreign trips alternate year costing around 1.5 lakh - Monthly income of 20 K (b) Long term goal (in 10/15/20 years) - Daughter education (graduation/Post graduation) - Daughter marriage - Corpus of 1 Crore and above Your suggestions on Life term insurance and health insurance will be appreciated. I have central government health insurance still wanted to take up a private health insurance for better treatment.
Ans: Hello;

For goal under heading "a", I recommend you the following;

1. Invest 10 L in Arbitrage type of mutual fund (low risk) for the education funding requirement of your daughter.

2. Buy an immediate annuity for 40 L from a life insurance company which may yield you a monthly income of 20 K as desired. 6 % annuity rate considered.

3. Invest MF corpus(5.6 L) and FD sum(2 L) into an equity savings type mutual fund (low to moderate risk)
This will help fund your international vacations. Value 9.84 L in 3 years considering 9 % returns.

For achievement of goal under heading "b" invest 10 L lumpsum in a pure equity mutual fund for 20 years after which it will provide you a sum of 1.15 Cr. Top-up this investment as and when possible to prepone your target achievement in 15 or 12 years.(13% return considered)

You should have adequate term life cover atleast upto 60 years of age (Check for postal life insurance at your nearest post office if you want to buy) with suitable riders and also health care cover(HDFC ergo and Niva Bupa are good)despite CGHS.

Happy Investing!!

*Investments in mutual funds are subject to market risks. Please read all scheme related documents carefully before investing.

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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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