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46 year old with high HBA1c - Tablets or lifestyle changes?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Jun 12, 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
Asked by Anonymous - May 03, 2024Hindi
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Im 46 yeras just now 15 days back came to know my hba1c is 8.5 took second opinions of blood tests too...almost same.. Doctor has prescribes medicine for morning n afternoon... Now my confusion is at this stage can I control my sugar levels only with diet exercise weight management or should i compulsorily take tablet. I have got this through genetic.. Tablets mandatory or lifestyle management is reversible.. Please help

Ans: Type 2 Diabetes is a lifestyle disorder. Genetic component need to be tackled through epigenetics that is living over the genetics with a lifestyle modification. Looking at your HbA1C as 8.5 you need work hard to bring in the dietary discipline and moderate intensity exercices
Give it all your try for three months. Meet a functional nutrition. Parallel keep checking your sugar levels
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 Shalini ji I was in a serious relationship for 6 years with a boy whom I met on the 1st day of my college. He was from a different caste. Hence when my parents got to know they disapproved of it very strictly so I knew it wasnt going to work that easily. After sometime they started asking to get married. It was an ultimate pressure while we both were preparing for some government exams. I went through utter confusion and I got stuck between trying to study and at the same time thinking about my future with him. I was pressurised by my family including my brother and parents to leave him. Meanwhile I decided to not to carry it forward because I couldn't leave my parents for whole life to be with him because it was either him or my family. I lost all the focus towards my studies due to this decision and also started talking to some other boy (he was from my own caste accidently) whom I met accidentally at an exam centre for comfort. I got a brief moments of happiness with him. I confide my pain in him. Suddenly something happened in my family ,between my parents. And my mother started acting like you can choose your own partner for life because somehow she lost trust on my father. She even was comfortable with my brother's marriage with the one whom he loves. Now I feel completely betrayed because for them I left love of my life and got into another relationship with the boy I met at an exam center ( which now I feel was a hasty decision as I felt alone and depressed). Now no one talks about my real love and what i think about it for the future. I am in a complete state of repentance. I feel like I betrayed him. Now when i think of getting back to him I hesitate a lot because I think that I took a wrong decision due to the pressure and under stress. The person I am with now, I feel is not what I wanted as a partner and I feel that he is not mentally supportive. I wnat to leave him as well. What should I do now to be happy?
Ans: 1. Happiness is in your hand
2. You sound like an adult, over 21 and someone who knows what is right and what is not - so take action
3. If you are not happy in your current relationship, come out of it.
4. If you wish to reconnect with your earlier partner do so, but keep in mind he may not be single and if he is he will not be how you knew him, as in he will come with his own experience of life.

all the best.

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