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High HbA1c and Diabetes Medication Concerns: 69 Year Old Man Seeking Advice

Dr Rajiv

Dr Rajiv Kovil  |30 Answers  |Ask -

Diabetologist - Answered on Jan 22, 2025

Dr Rajiv Kovil is a senior diabetologist, obesity specialist and founder of Zandra Healthcare Private Limited and Rang De Neela, an initiative integrating art with health to promote healing and awareness.
With over 25 years of experience, he has served as an honorary diabetologist Mumbai’s Nanavati Super Specialty Hospital, S L Raheja Hospital and CritiCare Hospital.
A staunch advocate for preventive diabetes care, Dr Kovil co-founded the United Diabetes Forum, a non-profit organisation uniting diabetologists across India to enhance diabetes management.
He is a sought-after speaker at national and international conferences and has authored numerous articles in peer-reviewed journals.
Dr Rajiv earned his MBBS and diploma in diabetology from Topiwala National Medical College, Mumbai.
He remains deeply committed to advancing diabetes care, education and holistic approaches to health through initiatives like Rang De Neela, Blue Dot and Meethas Ek Ehsaas.... more
Asked by Anonymous - Nov 26, 2024Hindi
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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
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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Hello sir, I am 33years old and like to have a stable life with a good retirement corpus along with children education. I have 2 sons both are of 1 and 3years old respectively and my wife is a housewife. I am having FD of 16L, 10L in gold, bought a flat paying housing loan EMI of 25K, having term insurance for 1cr and health insurance for 4L. I am making investments in mutual funds SIP of 30k since last 1 year. Hdfc dividend yeild fund 1000 Icici bluechip fund 8000 Quant small cap fund 1000 Canara robecco small cap fund 1000 Uti nifty index fund 5000 Icici balanced advantage fund 5000 Jm flexicap fund 2000 Quant elss fund 5000 Parag pareekh flexicap fund 2000 Lumsum Investments Sbi healthcare fund 20K Quant infrastruture fund 10k Sbi magnum gilt fund 20k Plz advice....am i really doing good with these investments or shall i replan my investments....
Ans: Hello;

Having 12 funds(9 sip+3 lumpsum) in portfolio is not required.

You need to just 4 funds for your sip of 30 K(divided equally):
1. Flexicap fund
2. Large and midcap fund
3. Balanced advantage fund
4. Multi asset allocation fund

You may consider exiting the sectoral, thematic and debt fund owned by you and redeploy it in your regular funds.

This ensures equity(large cap oriented)is predominant asset class in your portfolio but it also has exposure to debt and gold for balance and risk mitigation.

Also keep a target to step up sip amount every year by 7-10% atleast.

This will go towards higher education provision for your kids. (~1.85 Cr in 15 years considering 7% annual top-up and 10% modest returns)

For your retirement planning you may consider NPS and start with a decent amount(~30 K pm) as regular investment since time is on your side(27 years to hit 60 age).[3.45 Cr in 27 years without any step up consideration. 8% returns assumed].

Consider buying home loan insurance and super top-up health cover.

Happy Investing;
X: @mars_invest

...Read more

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