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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1058 Answers  |Ask -

General Physician - Answered on Jul 23, 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
Visu Question by Visu on Jul 22, 2024Hindi
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I don't take anything after 5pm no dinner or supper. I am self discipline and self dependent My normal routine is In the morning 1 hour yoga 1 hour cycling 1 hour prayer ½ hour meditation Evening 30 min meditation Morning breakfast Ragi porridge or rice flakes or sprouts Moderate Lunch in millets vegetable and green Evening sundal or fruits No coffee or tea No Salt savouries and tamarind for last 35 years No to white like sugar, Salt, milk and dairy products I uaed to medical check every year and report of every year reveals normal including sugar BP etc. But this tgl is more rest others are normal. What should I do, and how to alter my life style if required My

Ans: This could be familial
So do not worry. Continue your wonderful lifestyle
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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I am a 62-year-old man, weight 83 kgs, mostly sitting work, living in Noida.I am diabetic for over 25 years. I wake up in the morning between 5.30 am to 6 am and take warm water with lemon/alovera/giloy.I then walk for about 45 minutes.I take tea with two Marie biscuits and about 30-40 gms of namkeen.For breakfast, I have two chapattis/poha/sandwich/any item.Lunch is three chapattis of wheat/ragi+besan.Evening, I have small quantity of fruit -- apple or any seasonal fruit, but not banana.Dinner is at about 8 pm; I have two chapattis.I go to sleep between 10 pm and 10.30 pm.I take medicine with insulin but my sugar level fasting does remains 180-200.-- Saraf
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Your situation may seem difficult to you, but it isn't reversible.

Diabetes with excess weight is a condition which can be overcome with healthy habits.

Lack of endurance and insulin resistance is a sign of uncontrolled sugar levels.

To bring a change, you must include aerobic and strengthening exercises which will increase your lean mass and metabolism.

Include healthy foods in your diet like oats, dalia, fruits, vegetables, whole grains and beans, which contain lots of fibre. This will help increase your metabolism and thereby reduce your blood sugar levels.

Protein-rich foods are necessary for sustenance, so include foods like dairy products, eggs (if permissible), lentils, nuts, soya, etc.

Reduce too much namkeen, which is not healthy and has lots of trans fats, salt and additional calories, which will spike the blood sugar levels.

A balanced diet that contains essential nutrients, and a modification of your habits, will result in a healthy lifestyle geared towards fitness.

 

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Yoga, Naturopathy Expert - Answered on Mar 14, 2023

Asked by Anonymous - Mar 10, 2023Hindi
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Dear Madam, I am 41 years old,65kg weight & height 167 cms, having family history of heart attack, my mom got it at the age of 58 & my brother at 38 but luckily survived. I do 45 to 60mins yoga everyday(surya namaskar & astang yoga) and 12k steps walking in the evening. I drink 2.2 litres of water daily Sleep at 2 AM, wakeup at 10 AM , Intermittent fasting warm water + 1 spoon honey immediately after wakeup at 10 AM breakfast(12 PM)=poha/upama/idly/dosa etc & 1 cup Bournvita ; lunch(4PM)=2 jowar/wheat roti, sabzi, rice-dal; Evening(5PM)= 1 cup tea, fruits- apple/chikko/orange; Dinner(9PM)= 1 jowar/wheat roti,sabzi, rice-dal; Late night(11:30PM)= dry fruits-kaju/badam/pista/sweet amala candy I am software Engineer, non-veg once in a month(only chicken biriyani) Alcohol= once in a month(1200ml) only beer BP 120 to 140/70 to 80, fasting sugar 72 to 80 Could you please advise on my life style ? Thanks
Ans: Hi, You are dot on when it comes to eating healthy and even the workout plans. However, if not done at the right time during the day, they can rather be harmful to the body. Our body functions are regulated by the solar & lunar cycle during the day. As the Sun controls our digestion, it is advisable to eat during the day hours and very light after sunset, especially no later than 8PM. Secondly, the day is also governed by the three doshas - Kapha, Pitta and Vata - therefore our workout, sleep, food regime should be inline with these systems. Since you have a family history, it is advisable to meet a Ayurvedic practitioner to understand these cycles and plan your day accordingly.

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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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