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How to manage diabetes type 2 with high HbA1c levels?

Dr Karthiyayini Mahadevan |1146 Answers |Ask -Follow

General Physician - Answered on Jun 26, 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 Rajan on Jun 15, 2024Hindi

Health

hello doctor iam suffering from diabetes last 2 years mine h1bas is 8.5 and fasting plasma glucose is 186 and random 257 . medicine taken is metformin 500 mg with glim 2. what should i eat or not eat or any exercise plz suggest me

Ans: 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
Daily moderate intensity exercise like brisk walking for 30 mts for five days a week

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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Question by Dibyajyoti - Mar 19, 2024Hindi

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Hello Doctor. I have recently detect type 2 diabetic. Some days before I have check my sugar level and found Fasting-273 and PPBS-298 and I see a doctor and he is recommend me Metfromin-1g and Atorvastatin-40 for one week. I have take only metformin for one week and when I have check my glucose found Fasting-173 and PPBS-230.Now doctor prescribe me Metformin-1G and Zeeta M,and atorvastatin-40 for another one week. Please advised what to do. And how can I control my sugar level to normal.

Ans: As your blood sugar levels are out of range, medication needs to be continued. Abnormal blood sugar levels can be lowered gradually with dietary modifications. A balanced Diet will be focused on whole, nutrient-dense foods, complex carbohydrates like whole grains (brown rice, quinoa, oats), legumes, and vegetables. Include healthy fats like avocados, nuts, and olive oil in your diet .Lean Proteins like fish, poultry, tofu, and beans will blunt your glycemic index. Limit sugary foods, refined carbs, and saturated fats. Stay physically active which improves insulin sensitivity and helps manage blood sugar levels.

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Question by Harish - Sep 28, 2024Hindi

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meri diabeties 148 fasting and 220 post lunch please guide me medicine nahi leta hu moring me walking and yoga karta hu

Ans: walking and diet will not be enough.
Please consult a physician and start medication as well

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Question by Narad - Sep 29, 2024Hindi

Health

I am 60 years old . My weight is 71 kg. I am diabetic from last 27 years old. I used to medicine as well as insulin. Ajaduo 10/5 mg and Ryjodec insulin 22 unit before day meal n at night linvas tab n insulin 16 unit . Today my fasting sugar was 74 . Also measure hba1c n found 6.2 %. Average blood sugar found to be 131. Pl advice what types of food i should follow. Also exercise. I used to do yoga n morning walk regularly. Thanks.

Ans: Get your blood sugar checked at five times on the same day
1.as you wakeup beforebreakfast
2.an hour after breakfast
3. Two hrs after lunch
4.before dinner and
5.an hour after dinner
Consult a Nutritionist for a detailed menu for your consituition
Overall have early dinner
Avoid heavy animal protein for dinner meal
Regular physical exercise like brisk walking 30 mts a day five days a week

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Asked by Anonymous - Oct 30, 2024Hindi

Money

I am retired on 31/12/2024 due to mismatched of name spelling my dept not forward my documents to prosid my pension.my name is same but spelling are different please guide me.

Ans: Hello;

You may submit a joint declaration with your employer and supporting documents to the Regional PF Commissioner for your name correction as per PAN. Take proper acknowledgement.

Follow up regularly with the concerned authorities to ensure your request is being processed timely.

The EPFO usually takes 15–30 days to process a name change request. The processing time may vary based on the efficiency of the regional EPF office.

Name has to be strictly same as per your PAN, Aadhar, bank and even spelling change is flagged as per EPF system.

Best wishes;

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Question by Aashish - Nov 15, 2024Hindi

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Im b pharmacy fresher and seeking in entry level position in clinical research so is it mandatory to do a post graduation diploma in clinical research

Ans: Hello Aashish.
It is not mandatory to do PG right now, but it is recommended that you do so if you wish to boost your career in Clinical Research and want stability in your job. Best of luck with your future.

If satisfied, please like and follow me.
If dissatisfied with the reply, please ask again without hesitation.
Thanks.

Radheshyam

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Question by Ak - Nov 16, 2024Hindi

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hello sir i gave my pcb 12 boards this year and next year if i write math additional exam from the same state board will i be eligible for jee mains paper 2 b.arch? will there be any problem during josaa counselling as there will be 2 different certificates ? do SPA’s and NIT’s accept 2 certificates?what do i fill out in jee mains form now appearing or passed ?

Ans: Hello AK.
(1) You can appear for JEE (Main) Paper-2 i.e. B.Arch.
(2) There will be no problem in JOSAA counseling.
(3) As you are appearing in the subjects 'mathematics" this year, then please fill out as "Appearing".
(4) There will be no issue @ SPA's and NIT's admission if you score the required percentile in JEE (Main)
Best of luck to your upcoming future.

If satisfied, please like and follow me.
If dissatisfied with the reply, please ask again without hesitation.
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Radheshyam

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Asked by Anonymous - Nov 07, 2024Hindi

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I am a 38 year old female freelance content writer earning around 28k per month. After 10k per month expenses what's the best way to invest. My husband earns well but I want an individual investment plan that I can do with the intention of buying maybe a real estate of 25 lakh in next 5 years. Is it possible?

Ans: Hello;

If you do a monthly sip in pure equity mutual funds for 18 K for 5 years then you may reach a corpus of around 15 L, for accumulating sum over 25 L you may have to give 8 years to your investments.

Please ascertain your risk tolerance before you venture into mutual funds.

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Asked by Anonymous - Nov 10, 2024Hindi

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I am selling an old house. As per new tax regime LTCG is 12.5% plus so many surcharges. The cost as per valuer is 15 lakhs in 2001. The sale price is 4.0 CR. Two questions : Q 1) Can I claim the renovation on the old house ? How much and how many times ? What is the documentation required as the renovation was done in 2005 and 2015 for 6-8 lakhs each. But no bills are available now. 2) what are the other expenses which can be claimed for eg Brokerage fees, Consultation from Advocate fees , travel and hotel expenses for my family for doing the sale registration ? Is there a limit ? Any thing else that can be claimed ? Kindly let me know your advice.

Ans: Hello;

Since your house is old, you have two options:

1. Sell without indexation and pay 12.5% LTCG tax.

2. Sell with indexation and pay 20% LTCG tax.

In both cases you are allowed to deduct renovation and transfer expenses.

You need to consult a CA to know exactly what is allowed and what is not allowed as per ITax Act.

Also if you get any queries from IT Deptt., later on, you can rely on the written advice and consultancy provided by a practising CA.

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Question by Suresh - Nov 08, 2024Hindi

Money

Hello Sir, i am now 48 , having 1.5CR in equity, 60L MF, 60L EPF. My monthly expenditure is 1L/M , i have a home loan 40L. i have son studying 8th grade. Wanted to be retired at 50 . Please suggest is this good time to retired.

Ans: Hello;

Two big responsibilities are ahead of you:

Home Loan repayment(40 L) and
Higher education for your son

You can dip into your savings to prepay your loan but your retirement corpus gets reduced plus you will also have to earmark some fund(~40-50 L) for son's higher education.

Therefore my suggestion to you would be to postpone retirement atleast till 55 age so that you will have more retirement corpus, time for prepayment of home loan and clarity on son's higher education expenses.

Take adequate healthcare insurance cover for family.

Best wishes;

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Question by Informative - Nov 08, 2024Hindi

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Iam 22 now , i want to retire at45 ,I need 1.5 Cr Retirement curpos, now I do my sip of 3500 ,iam running my csc center My monthly income around 15k per month how I can retire early with good amount please help me

Ans: Hello;

You need to top up your monthly sip of 3.5 K by 14-15% every year for 23 years so as to be able to reach target corpus of 1.5 Cr. in next 23 years.

A modest return of 12% assumed from pure equity mutual funds.

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I am a 55 year guy who wants to hang his boots early. I am a the peak of my career where the money is good but i am seriously exhausted and bored.. I have a corpus of 2CR and want to know where to invest so that we have a decent living standard for the next 15 years atleast given that medical expenses also need to be covered.. I am currently covered with a 10L plan by STAR Health for which i spend 50k per year to cover for my wife and self

Ans: Hello;

The optimal solution for you would be to buy an immediate annuity from a life insurance company for your corpus of 2 Cr.

Considering annuity rate of 6%, this may yield you a monthly payout of around 85 K(post-tax).

You may choose option of joint life(you & your spouse) annuity with return of purchase price to your nominee.

If you shop around, you can better annuity rates.

Consider increasing your health care cover upto 25 L considering rise in cost of healthcare.

Also keep sum of 5-6 L as emergency funds in savings account/liquid mutual funds.

Best wishes;

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Question by Sai - Nov 11, 2024Hindi

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Is ulip plans or good to invest or mutual funds are better can you tell???

Ans: Hello;

Take a term life insurance policy and use mutual funds for your investments.

So yes indeed mutual funds are much better investment then ULIP.

Happy Investing;

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Asked by Anonymous - Nov 08, 2024Hindi

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Hi, I have corpus of 20.00 lacs in SIP, and currently running SIP of 30k per month, how much time will have cross 1.00 crore my corpus..

Ans: Hello;

If you retain the corpus in MFs and continue monthly sip for 9 years, your total corpus will be 1 Cr+.

A modest return of 12% from pure equity mutual funds is assumed.

Happy Investing;

See more questions »

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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