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Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Feb 18, 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

Question by S on Aug 28, 2023Hindi

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Good evening Doctor. I am 76 living with Diabetes and B.P for the last 7 years.i am on Tazloc AM 40 m.g in the morning and zitamet plus 500 m.g and Rozat 10 mg after dinner.I am continuing these drugs for a long time now.since i found vit.D level was mere 15.5 on many occasions when blood tests were taken,i am taking Remylin in the morning as per doctor's advice.My recent blood test reveals fasting sugar at 132 with h1abc at 6.2.My Tryclerizdes level is also marginally high at 155,but ldl and hdl levels are found within the range. I seek your valuable guidance in maintaining my overall health conditions and if any changes are needed, please let me know. I am on walking daily for not less than 45 minutes. I am also getting dizziness at times in the morning mostly and goes off after a certain time. Kindly advice me Doctor. Thank you

Ans: Dizziness in the morning could be due to postural hypotension
Whenever you get up from bed, turn to one side preferable to your right and get up and plabe feet on the ground by the side of the bed. Feel the Earth move your toes and gently get up stand with feet apart at shoulder width and gently move your toes and the start your day.
Your biochemical markers are OK. Not to worry.
But try and have your dinner by 6 pm. Even if you are on medication try and keep your medicine schedule between 7 am and 7 pm
So they are also well balanced
Avoid animal protein at dinner meal

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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Hi Doctor, I am 41 now. I am taking one tablet of Telmikind-CT40 daily in morning from past 8 years now. Also I am taking Triglynase-1 for diabetes for past 9 months. Currently my BP hovers at 120/80 to 130/90 whenever measured in morning. Though my sugar levels never comes good, mostly 135-180 in fasting. But Random for after breakfast also it is 150-200 only at most times despite taking the medication. The issue is I feel tired very much, sleep is inconsistent. I am a drinker (180 - 240 ml/night) this sometimes help me sleep. I think too much on each issue (my professional life has very little to no stress, but personal life has some stress elements). Please help me get out of this tiredness (weight-67 Kgs. / Height 5.6 in) (Diet - Non-veg (chicken or egg 4-5 times a week)) (Physical Activity/exercise - none)

Ans: Hi. You have both diabetes and hypertension at young age. I would suggest you to undergo detailed medical check up including kidney function test to know the cause of tiredness. Drinking daily with such large quantities is not advisable. Kindly refrain from that and make it occasional. Keeping the sugars and BP under strict control is of utmost importance.

Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on May 14, 2023

Question by Deeraj - Apr 28, 2023Hindi

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i am 45 yrs old with Controlled BP of 125/85 using TELVAS 3D,i am diabetic also for which i uses Zomelies MET50/500 BD,but my Sugar level in morning is always between 135-145.Plz suggest what to do as i have Grade-1 fatty Liver also.

Ans: Diet is most important. Have your dinner before 7 pm and always have a light dinner with complex Carb, no animal protein and no fat.
Improve your physical activity. Also address your stress

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General Physician - Answered on Jun 24, 2024

Asked by Anonymous - Jan 09, 2024Hindi

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Iam 63 years old with comorbidites diabetic & bp for the last 10 years.i used to walk daily more than 14000 steps average.but for the last 3 months iam not able to walk as i develop breathing problem so i got it checked i tmt it shows positive to cardio vascular decease,hence they advice me to go for Angiogram that also done,doctor said that no major blocks it can be cured by medicines,they have changed the medicines,now i have to takeAzulix for diabetes & other medicines for bp etc with statins,though i take my breakfast between 9.30 to 10.00 am by 2.30 i dont know what happens i get dizziness.my whole body shakes & i will be hungry like anything what is going on for the last one month it worries me a lot please suggest me doctor.

Ans: Please have your break fast before 8/8.30 am, lunch by 1/1.30pm and dinner by 6/6.30pm.
Have 5 hrs gap between meals
Have a complex Carb and adequate good protein with break fast and lunch
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I am a man aged 69 years Weight 72 Kgs. Very recent report states HbAiC 8.5% eAG 197mg-Fasting 98 mg Post Prandial 204 mg Taking Forxiga 10, Zoryl mv 2 and Ecveline D 100 in the morning and Zoryl mv 2 in the night in addition to 4 tablets for heart & Thyronorm 25 MCG one in the morining Have been consuming medicine for Stent fixed in heart. My querry is whether the heart medicines disturb my diabetes level. Ofcourse, I am attending to my doctors regularly. Heart Doctor suggests that I should take medicines till my end. Diabetologist suggest since the medicines keep my diabetes level under control I must continue the same and not to change medicines. Please suggest.

Ans: You need to do a combined consult ..there are some medicines which may be overlapping

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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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