Home > Health > Question
Need Expert Advice?Our Gurus Can Help
Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Apr 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
Vikas Question by Vikas on Apr 10, 2024Hindi
Listen
Health

Here are my HbA1c report dated 17 March 2024. HbA1c observed value is 7.5. Average Blood Glucose(A.B.G) 169. For blood pressure I take AMLIP 5MG one tablet& for sugar I am advised GLYCOMET 500MG twice a day by my physician. My left foot swells two or three times a day. It doesn't pain but I'm worried as when it swells I find difficulty in walking. After 10-15 minutes the swelling receeds and foot become alright. Please guide.

Ans: Lifestyle modification is very Important
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.
Health

You may like to see similar questions and answers below

Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Jun 26, 2024

Asked by Anonymous - May 09, 2024Hindi
Listen
Health
I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.
Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

..Read more

Latest Questions
Nayagam P

Nayagam P P  |9438 Answers  |Ask -

Career Counsellor - Answered on Jul 26, 2025

Career
Sir my son got 77377 crl rank in mains and 24k obc ncl rank with homestate rajasthan can he get any college with branch like cse/it/ai/ece Or what about gl bajaj delhi
Ans: Ashish Sir, With an OBC-CL home-state rank of 24 000, admission into core branches at Rajasthan’s MNIT Jaipur and IIIT Kota via CSAB-Special is feasible for certain programmes, while seats at other NITs/IIITs will likely remain out of reach.

At MNIT Jaipur, the Home-State OBC-NCL closing rank for Computer Science & Engineering extended to about 49 000 in CSAB-Special Round 2, making CSE admission virtually assured with your daughter’s rank. However, ECE seats under HS-OBC-NCL closed near 3 400, and AI/Data Science around 6 800, both well below 24 000, so these branches are not attainable at MNIT Jaipur.

IIIT Kota, as a Rajasthan campus, offers Home-State HS-OBC-NCL seats in CSE closing near 67 000, Artificial Intelligence & Data Engineering near 10 500, and ECE close around 12 600, all of which comfortably cover an OBC-NCL rank of 24 000, making these programmes strong targets in CSAB-Special.

Beyond these, other NITs in non-home-state quotas (e.g., NIT Calicut, NIT Uttarakhand) and peripheral IIITs may fill seats well below 24 000 under OS-OBC-NCL quotas, but they will not benefit from Home-State priority. Government-Funded Technical Institutes like PEC Chandigarh and MIET Jhansi admit CSE/ECE under OBC-NCL up to ranks of 40 000–70 000, offering additional assured pathways. GL Bajaj Delhi, as a private institution, participates in state or university counselling (e.g., JAC Delhi), not CSAB, and hence is not an option in this process.

Recommendation
Prioritise Computer Science & Engineering at MNIT Jaipur under HS-OBC-NCL for its assured cutoff. Simultaneously apply to IIIT Kota’s CSE and AI/DE programmes under HS-OBC-NCL for guaranteed admission. As backups within CSAB, list IIIT Kota ECE and GFTIs like PEC Chandigarh for core-branch seats under OBC-NCL quotas. However, have some Private Engineering Colleges as back-ups with son's JEE Score instead of relying only on CSAB. All the BEST for a Prosperous Future!

Follow RediffGURUS to Know More on 'Careers | Money | Health | Relationships'.

...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.

Close  

You haven't logged in yet. To ask a question, Please Log in below
Login

A verification OTP will be sent to this
Mobile Number / Email

Enter OTP
A 6 digit code has been sent to

Resend OTP in120seconds

Dear User, You have not registered yet. Please register by filling the fields below to get expert answers from our Gurus
Sign up

By signing up, you agree to our
Terms & Conditions and Privacy Policy

Already have an account?

Enter OTP
A 6 digit code has been sent to Mobile

Resend OTP in120seconds

x