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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 09, 2023

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more
Asked by Anonymous - Jun 07, 2023Hindi
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Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my HbA1c was 6.30 which I brought it down to 5.80 by following a diet plan and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar intake but very limited quantity and that too once in 5-7 days. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? I also found that TSH was 5.59. This is the first time that it is so high. Normally it has always been between 4.0 - 4.50 . My doctor has prescribed Thyrox 25 mcg. I'm not very keen to start on Thyrox as once started, it has to be taken for lifetime, which I am not willing to at this moment since I feel that it is not high. I do feel very tired and fatigued the entire day and especially when I wake up in the mornings. I have completed 3 months on Vit B12 (Meganeuron OD Plus). Do you feel that I shoud take Thyrox 25 mcg or not ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you

Ans: Hello.
1. For the HBa1c and sugars: what you are doing is quite right and keeping the sugar intake to bare minimum to zero is ideal. You should also reduce refined carbs like maida and potatoes, reduce milk consumption, reduce cereals like rice, wheat, etc. Instead increase veggies, salads, nuts and seeds. This will allow you to stay off medications for a long time.
2. Regarding the thyroid, at this level generally medication is not required but your doctor has likely suggested it as a trial to see if your fatigue is taken care of by it. I would suggest taking it for a few months and seeing.
3. Regarding the fatigue, while you are taking the thyroid medications, it may also be prudent to get a further evaluation to see if there are any sleep related, chronic immune related or mental health related factors that may also be playing a part.
All the best
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 Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 02, 2023

Asked by Anonymous - May 31, 2023Hindi
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Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my Uric Acid had shot up to 7.60. In fact, my toenails started coming off. My doctor then advised me to take Febutaz40 everyday for 3 months after which Uric Acid came down to 4.30. He then asked me to stop for 1 month and it again shot up to 7.50. He has now asked me to take 1 tablet every alternate day, now my Uric Acid count is 5.70. Should I start taking it everyday or continue taking alternate day, as is now ? Last July, my HbA1c was 6.30 which I brought it down to 5.80 by changing my diet and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar but very limited quantity and that too once-twice a week. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? During the past 10 months, My FBS is between 101 to 105 and Post Prandial Blood sugar is between 110 to 140. I am not taking any medicine for sugar control. For the past 1 month, I have a tingling pain in my feet, particularly the toes and the portion below the ankle. Even the fingers of my hand is also aching. What could be the possible cause of this? Does it have to do with the Uric Acid Problem ? My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you
Ans: Hello. With your height and weight, your BMI is 26.8. This is on the higher side. I would recommend the following:
1. Continue Febutaz 40 alt day
2. Diet and exercise to reduce your weight to 80-82 Kg, which will give you a BMI of 23-24 which is ideal. This reduction will also help maintain your HbA1C.
3. Take supplements of B12 which may be low due to your pure vegetarian diet. This deficiency may be causing your tingling pain.

..Read more

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 08, 2023

Asked by Anonymous - Jun 07, 2023Hindi
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Health
Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my HbA1c was 6.30 which I brought it down to 5.80 by following a diet plan and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar intake but very limited quantity and that too once in 5-7 days. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? I also found that TSH was 5.59. This is the first time that it is so high. Normally it has always been between 4.0 - 4.50 . My doctor has prescribed Thyrox 25 mcg. I'm not very keen to start on Thyrox as once started, it has to be taken for lifetime, which I am not willing to at this moment since I feel that it is not high. I do feel very tired and fatigued the entire day and especially when I wake up in the mornings. I have completed 3 months on Vit B12 (Meganeuron OD Plus). Do you feel that I shoud take Thyrox 25 mcg or not ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you
Ans: Hello.
1. Regarding sugars and Hba1c: 6.1 is quite fine, however in the long run it’s better to avoid sugar as much as possible.
2. Regarding Thyroid : it would be ok to not take thyroid medicine right away as the TSH is not that high. I suspect the doctor may have advised it as a trial to see if the fatigue improves with the medication. Instead you may want to take a thyroid vitamin and do some yoga and neck exercises to stimulate the thyroid.
3. Regarding the fatigue: it likely needs further evaluation wrt sleep quality, vitamins, mental health factors etc .

..Read more

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Ravi

Ravi Mittal  |504 Answers  |Ask -

Dating, Relationships Expert - Answered on Jan 15, 2025

Relationship
Hello sir/ma'am, i am 24 yrs old and my boy friend 25 yrs old.I met him in a friendly chat app .We were talking on calls,texting and video calls and met each other in real after a 1 yr of relationship.He is the first guy and love in my life and want to marry him.I even made my family to agree for our marriage.He too says he loves me so much and has imagined his life with me and want to marry me.He even told his parents will stick on to whatever he says.He hasn't yet conveyed to his parents yet and told he will introduce to them after his younger sister marriage.We both are students still. I recently found that,he goes to the chat apps again and chats to other girls.When i asked ..he told just friends and even questioned me saying don't u have guy friends? and don't u meet them?....i told him u r the first guy n i dont have any. When our relationship has gone till marriage...why is that he wants to chat to multiple girls?...Now,i started feeling like he doesn't love me as he expressed. He even had past 3 online relationships n all 3 breakups,he told all these before..he told i am the first girl in real life.. I am worried now.Why do guys chat with multiple girls though they are in a serious relation?..does he really love or is it a game? No physical between us.We just met once in a temple and he just kissed my hands while we are going back and got very emotional while he was about to leave. I am worried..what should i do?.please,suggest.
Ans: Dear Ammarao,
Not all men chat with multiple women when they are serious about their relationship. Some might, but most men in exclusive relationships don't continue chatting. If his chats are truly friendly, there isn't much to worry about. But if you think there is more to it, I would suggest you reconsider the relationship.

Please talk to him directly and ask him if these women are only friends and if they know he is in a committed relationship. If he is being too defensive, you can tell him that in a relationship, it is also important to focus on what your partner is comfortable with. If you do not like these online friendships, communicate it to him.

I hope this helps.

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Dating, Relationships Expert - Answered on Jan 15, 2025

Asked by Anonymous - Jan 15, 2025Hindi
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Recently, I (28M) had surgery and have been bedridden for 15 days. During this time, my girlfriend told me her female friend wanted to meet up with a guy. This guy was bringing along a male friend whom I’ve asked my girlfriend to avoid in the past because he tends to get touchy with her. They planned to stay in a hotel, and her friend wanted to be with the guy at night, meaning my girlfriend and the touchy guy would likely share a single room. A couple of days before the trip, she asked me if she should go. I told her it was her choice but made it clear I wasn’t happy about it. Despite that, she went, and when I confronted her, she gave responses like: • “I didn’t invite the touchy guy; the other guy did.” • “Just because you’re bedridden, you don’t want me to go outside.” • “I didn’t touch him; he got touchy with me.” Yeah, maybe I’m jealous or overthinking, but this whole situation has made me unsure about marriage altogether. Am I overreacting?
Ans: Dear Anonymous,
I really cannot comment if you are overreacting or have every reason to feel this way without knowing a bit more about the entire situation. But what I can tell is that you should communicate your feelings to your partner. Let her know that while maintaining individuality or pursuing individual wishes in a relationship is important, it is equally important to pay heed to what makes your partner uncomfortable. Your request, from what information you have provided, seemed reasonable, while her reasoning that it is the guy's fault, not hers also makes perfect sense. So I think the best course of action is to let the situation calm down and have an open conversation. Could she have avoided this meetup to make you happy? Yes. But, she could've thought that if she avoids one thing for your happiness, you might start asking her to give up more things in the future, which is a real issue in many relationships. I think it is important to clear up all of these concerns and feelings before moving on with lifelong commitment.

Hope this helps

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Nayagam P

Nayagam P P  |4047 Answers  |Ask -

Career Counsellor - Answered on Jan 15, 2025

Asked by Anonymous - Jan 14, 2025Hindi
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Career
This is my second attempt at SSC CGL, and I’ve improved since last year. But I’m still anxious about the descriptive paper. Can you suggest ways to stand out in this section and make my essay and letter writing more impactful?
Ans: The SSC CGL descriptive paper requires a clear, structured, and effective presentation. To improve your essay writing skills, review the subject matter thoroughly and avoid deviations from the central theme. Sketch an initial outline and adhere to a straightforward framework, including an Introduction, Body, and Conclusion. Start with a hook and express your thesis or stance in a concise manner. Arrange arguments in a logical order, using data, examples, and facts to establish credibility. Avoid repetition and maintain brevity.

In summary, concisely summarize the primary themes and offer a fair perspective. Avoid vernacular language and maintain appropriate sentence structure and grammar. Maintain a clean writing style and avoid overwriting.

For writing a letter, adhere to the conventional format, maintain clarity and conciseness, and articulate the purpose in the first paragraph. Use simple language and avoid intricate terminology.

Regularly engage in writing essays and correspondence on various subjects to develop adaptability. Stay informed about the latest news and hot topics. Develop time management skills and consistently proofread your work for errors.

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Relationships Expert, Mind Coach - Answered on Jan 15, 2025

Asked by Anonymous - Jan 05, 2025Hindi
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How to manage stress?
Ans: The first step is to become aware of what triggers your stress. This self-awareness allows you to address the root causes rather than just the symptoms. Once you identify these triggers, you can start exploring techniques that help you cope effectively.

One effective approach is to incorporate regular self-care practices into your daily routine. This could include activities that bring you joy and relaxation, such as exercise, meditation, or spending time in nature. These practices not only help calm the mind but also improve your overall mood and resilience to stress.

Talking to someone you trust, whether a friend, family member, or professional, can also be a powerful way to manage stress. Sharing your feelings and experiences helps lighten the emotional load and provides different perspectives that might help you navigate your challenges more effectively.

It's also important to focus on what you can control and let go of things that are beyond your influence. This shift in mindset can reduce feelings of helplessness and frustration. Setting realistic expectations for yourself and others can also alleviate unnecessary pressure.

Remember to give yourself permission to rest and recharge. Adequate sleep, a balanced diet, and time for relaxation are essential for managing stress. When you take care of your body and mind, you're better equipped to handle life's demands.

Lastly, cultivating a mindset of gratitude and mindfulness can help you stay present and appreciate the positive aspects of your life, even during stressful times. These practices can create a sense of balance and help you respond to stress in healthier, more constructive ways. By integrating these approaches into your life, you can build resilience and find a sense of peace amidst the chaos.

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Kanchan Rai  |493 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 15, 2025

Asked by Anonymous - Jan 14, 2025Hindi
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Relationship
Dear Counselor, My husband and I have been together for 11 years, with 10 years of dating and 1 year of marriage. Unfortunately, our relationship has been strained over the past year due to financial disagreements. Before marriage, we discussed his personal loan, which was taken for a land purchase for his mother. The loan repayment amounts to 30% of his salary. He assured me that, except for this loan repayment, he would not contribute financially to his parents' expenses until the loan was paid off. However, his parents are now pressuring him to increase his financial support by 20%. They claim to need help clearing their debts, despite being below 45, physically fit, and earning a sufficient income to support themselves. This situation is causing tension in our marriage, as we had planned to save and invest together, having no property or financial security of our own. I'm finding it challenging to understand why my husband is not prioritizing our financial goals and future together. please help me on this. Thank you for your time and guidance.
Ans: The key here is to approach the situation with empathy and open communication. Your husband likely feels a strong sense of duty towards his parents, which is understandable given cultural and familial expectations. However, it’s also important for him to recognize the commitments and plans you’ve both made as a couple. Balancing these two responsibilities can be difficult, but it’s essential for the health of your relationship.

Start by having a calm and honest conversation with your husband. Express your feelings without blame, focusing on how the situation affects both of you and your shared goals. It’s important that he understands your perspective and how the financial strain is impacting not only your plans but also your emotional well-being.

Encourage him to discuss his feelings and the pressure he’s experiencing from his parents. Sometimes, partners may feel caught between their familial obligations and their commitments to their spouse, leading to stress and internal conflict. Understanding his point of view can help you find common ground.

You might also explore practical solutions together, such as setting clear boundaries on financial support or finding a compromise that allows both your goals and his familial obligations to be met to some extent. This could involve budgeting, setting financial priorities, or seeking financial counseling to help manage the situation more effectively.

Ultimately, it’s about finding a balance that respects both of your needs and ensures that your marriage remains a priority. By working together and communicating openly, you can navigate this challenge and strengthen your relationship.

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Kanchan Rai  |493 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 15, 2025

Asked by Anonymous - Jan 14, 2025Hindi
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Hi Mam, I met my ex wife in the college where we both were pursuing out studies. We exchanged contacts and started speaking over phone like couple does. When we fall in live we ourselves don't know as no one propose to each other. As i finished my studies, she quit studies in the middle and decided to do hotel management course. Amd it so happened, next day her interview was lined up but unfortunately due to unavoidable circumstances she has to go to her native place. As Covid struck she git stuck in her native place and couldn't come back. And when everything became normal i insisted her to come but her mom was not allowing. After a lot of struggle her mom allowed her and she came back. In this course of time both families was aware about our relationship. My mom was against her because of 2 reasons, 1) Intercaste 2) She was from very poor and low caste background. Them too i continued the relationship and i convinced to my sister and she convinced to mom. And when she was in native place, she said once that her voice has gone has gone she need 50k for operation. I trying madly to arrange funds and one of my friend told me that she is playing with you be careful but as i was blind in love i necer listened him. When she came to Mumbai i arranged a pg accommodation for her for some time and i use to take her out for dinner as there use to be regular fights with owner. Somehow i convinced my mom and shifted her to my place. There use to be fights but we use to care for each other also at the same time. She started to do events and slowly and steadily started to work in media. She was well aware that i dont like girls working media then too i have her permission to work in media temporary. I went against everyone, my family and friend and after 7yrs of relationship we decided to get marry and it was working fine. After marriage fight increased and she used to taunt though i did so much for her. Once she was not well and as she used to taunt me i never took care of her. One day my dear friend told me to check her phone, she might be seeing someone. And when i checked she was having an affair with Assistant director, i saw msgs photos. And when i confronted she said "He is just a friend and we talk normally" I saw they both on one bed and when i forward their pics to her mom she said "There might be some problem in you only." And when i asked to my ex wife about all this she said "A person goes where he or she gets love and care" All this happened within 6-8 months of our marriage. When i came to know about all this i tod her to leave my house and she was asking for divorce because of my mon's behavior also. I think i should have not tell her to leave as when she left i don't know but i love her very much. I even told her to give me one chance as i gave her but she didn't stopped talking with her bf. And she didn't gave me a chance and went away. We have been legally divorced but still i love her and ready to accept her. But she doesn't want to come back. I am trying to forget her but couldn't. Luckily we don't have kids. Sometimes my heart says let her go she cheated you. Sometimes it says i love now also. I am struggling to forgot her as i am in contact now also. Please suggest. Thank you
Ans: it's important to acknowledge and honor the love you felt and still feel. Love doesn’t simply disappear overnight, and it’s natural to have lingering emotions, especially when you’ve shared so much history and effort to keep the relationship going. However, it’s also crucial to recognize the harm and hurt caused by her actions and the unresolved issues that led to the breakdown of your marriage.

The fact that she chose not to return and continues to maintain contact with the person she was involved with suggests that she has moved on emotionally, even if you haven’t. Holding onto hope for reconciliation can keep you trapped in a cycle of pain and longing, which makes it harder to heal and move forward.

Your heart and mind are sending you mixed signals because you’re torn between the love you still feel and the reality of the betrayal. This is a common struggle after a significant loss, but it’s important to focus on what’s best for your emotional well-being. Continuing to be in contact with her may be preventing you from healing fully. It might be beneficial to create some distance, at least temporarily, to allow yourself the space to process your feelings and begin the healing process.

Focusing on yourself and your own growth is essential. Consider engaging in activities that bring you joy, spending time with supportive friends and family, and possibly seeking professional counseling to help you work through your emotions and develop strategies to move forward.

Letting go is difficult, especially when you still have love for someone, but it’s a crucial step towards healing. Accepting that the relationship has ended and focusing on your future can help you find peace and eventually open the door to new possibilities for love and happiness.
Asked on - Jan 15, 2025 | Answered on Jan 15, 2025
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Thank you very much for ur reply. But i am finding difficult to forget her.
Ans: It might be helpful to focus on the following steps to move forward:

Acceptance: Accept that the relationship has ended and that continuing to hold on to it may be preventing you from healing. Acceptance doesn’t mean you have to stop loving her immediately, but it does mean recognizing that the relationship is no longer viable.
Self-Care: Prioritize your emotional well-being by engaging in activities that bring you joy and fulfillment. Surround yourself with supportive friends and family who can help you through this process. Consider exploring new hobbies or interests that can redirect your focus and bring positive energy into your life.
Boundaries: It might be time to set boundaries with your ex-wife, especially if staying in contact is causing you more pain. Taking a step back from communication can provide the space you need to heal and gain clarity.
Professional Support: Consider speaking with a therapist or counselor who can help you process your feelings and guide you through the healing journey. Professional support can offer valuable tools and strategies to navigate the complex emotions you’re experiencing.
Remember, healing takes time, and it’s okay to grieve the loss of the relationship. With patience and self-compassion, you can move forward, find peace, and eventually open yourself up to new possibilities and happiness in life.

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