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Blood Glucose Rise: Why Am I Still Feeling Giddy after RBS of 171?

Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Aug 11, 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 M on Jul 11, 2024Hindi

Health

Madam, I am slightly suffering from Blood Glucose. In this week I am feeling giddiness and 3 days back I suddenly felt sugar symptoms in the night and morning at 4.00 p.m. when I checked RBS, it was 171, I surprised, since I did'nt see such high in my health. Afterwards I did'nt feel it. I use to take occassionally Madhunashini / Madhukalpavati. When checked at Hospital, my RBS was 80 and HBA1c was 6.3. BP is below 140/90. But once I check at my home, it was 148/91 during giddiness. I consumed one telma-40 and next day 5 mg amlodipine. I told to Doctor this. Why I am still feeling giddiness.

Ans: Already replied

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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Asked by Anonymous - May 09, 2024Hindi

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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

Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 16, 2024

Question by Father - Jul 02, 2024Hindi

Health

Greetings! I am.58 now. I am diabetic since last 10 years. Till few months back my sugar level was will in control with sugar fasting in range of 110- 130 and Hb1ac in range of 6.5 -7.0. but since last four month observing sudden spoke with fasting approx 200 , post meal After 2 hrs approx 350. Last Hb1ac one month back was 8.2. My doctor has made number of changes. Apart from having istamet 50/1000g 2 time, he has prescribed now vobit 0.3 , amaryl 3....both 2 times. It has been one week but very slight difference. Doctor please advise why is the reason for sudden spike and why it is not coming down I have good control on my diet but have dinner at 10 pm due to job constrain and commuting

Ans: Please let me know your weight and BMI as well.
It seems that you are developing insulin deficiency and resistance both.
After certain period, the oral medications become less effective. In such situations, it might beneficial and important to get started on Insulin.

The sudden spikes in sugar levels could also be due to stress or altered sleep pattern or change in dietary factors. However, that would not explain such as spike for long.

Please consult your physician and get on steps needed for effective sugar control.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
New Delhi

Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Oct 03, 2024

Asked by Anonymous - Sep 22, 2024Hindi

Health

Iam aged 77 not diabetic, last few months some variation in the fasting sugar level 100 to 106 but post sugar level remains less thn 110.my Hba1c is being 6.4 and 6.5. I have all control regarding my morning walk and doing manual work at home . Not taking sugar at all . Whether I have to go for medication for sugar . I am taking Telmikind 4omg tab for bp 1 per day .

Ans: Give attention to your dinner meal
What goes into the dinner meal
Early dinner meal by 6 pm
Avoid heavy meal for dinner

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Question by Dibyajyoti - Sep 24, 2024Hindi

Health

Dear Sir, I am 45 years male. I am taking amlodipine-20 at morning and amlovin-5 at night for bp. Five month before I have checked my sugar and found fasting-280 and pp-285 and hba1c-5.9. Then doctor prescribe me metformin-1 gm. One tab daily after breakfast. I was taking it for 21 days and my sugar was come down to normal range. Then I stop to taking medicine and every Sunday I have checked my sugar and always I have found fasting under 110 and pp under 130. But day before yesterday I have found fasting 143 and pp 243.Why it suddenly spike. I never taking any sugary food when from I was detected as high sugar. Please advice me what to do. Thank you in advance.

Ans: You are diabetic and some of the variations in sugar might be related to meal size. However, you need a regular medicine for diabetes and keep healthy lifestyle.
There is a discordance in your Fasting, PP and HbA1c, which means please get these tests done from a NABL accredited laboratory.

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International Education Counsellor - Answered on Jun 25, 2025

Question by British - Jun 22, 2025Hindi

Career

Sir mbbs philipines in 2025 ...plz tell me about is better than Cold countries like kyrgyz kazak rusia

Ans: Why Philippines is a Better Option (for Indian Students):
1. English-speaking country –
o The entire medical course is in English.
o No need to learn any local language like Russian or Kazakh.
2. Similar disease pattern to India –
o Students get to study and practice on patients with diseases common in India (like dengue, diabetes, TB etc).
o This helps later during FMGE/Next exams in India.
3. Good quality teaching –
o Most colleges follow the US system, focus on clinical training, and use modern equipment.
4. No freezing climate –
o Weather is like South India – warm and humid, so your child will feel more comfortable.
o Easier to adjust than in countries with minus temperatures.
5. Medium FMGE result –
o Philippines students usually have better FMGE (MCI screening test) pass rates than Kyrgyzstan or Kazakhstan.

Points to Keep in Mind:
• Philippines has a pre-med + MD structure (usually 1.5 yrs + 4 yrs = total 5.5 yrs).
• Your child may need to write NMAT exam (simple, not very hard) after pre-med.
• Some colleges are better than others – you need to choose the right university.
• Cost is moderate – around ?25–30 lakhs total including living.
Cold Countries (Russia, Kyrgyzstan, Kazakhstan):
• Cheaper than Philippines, but classes often in local language or mixed (English + local).
• You must learn Russian/Kyrgyz for clinical years.
• FMGE pass rates are low from these countries.
• Harsh winters – can be tough to adjust.
• Some colleges have large batch sizes and less hospital exposure.

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International Education Counsellor - Answered on Jun 25, 2025

Question by Gaurav - Jun 18, 2025Hindi

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Sir how do rate bits dubai . My child is preparing for jee this coming year. My plan is that if we dont get admission in some good college can we take bits dubai in our list as they offer seats on board results

Ans: About BITS Dubai:
• BITS Dubai is part of the BITS Pilani group — the degree is the same as what students get in BITS Pilani India.
• The campus is in Dubai, and the system follows the same pattern as BITS India — good academics, flexible curriculum, and focus on projects.
• They don’t ask for JEE — admission is based only on 12th board marks (usually above 75–80%).
• It’s a very good backup option if JEE results don’t go well.
• Classes, labs, and faculty are good. Students get international exposure.
• Many students go for higher studies abroad after graduating from there — like MS in USA or Canada.
• Safe and friendly campus — a lot of Indian students.
Things You Should Consider:
• Fees are high — around ?10–12 lakhs per year, including living costs.
• Placement support is there, but not as strong as BITS Pilani India, especially for jobs in India.
• For job placements, many students come back to India or go abroad for further studies.
• If you are looking for core company jobs in India, then off-campus efforts will be needed.

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International Education Counsellor - Answered on Jun 25, 2025

Asked by Anonymous - Jun 17, 2025Hindi

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Sir actually I'm getting a seat in SRM ktr cse core , and I'm getting a seat bca in vit vellore.. can i take BCA and pursue MS in abroad or should take b tech cse core.. I'm average in studies not that great.. I like cybersecurity sides.. what to choose sir.. I want to earn also average of 7-12.. pls tell me sirr..

Ans: You have two choices:
1. B.Tech CSE Core at SRM Kattankulathur
2. BCA at VIT Vellore
B.Tech CSE at SRM KTR
• 4-year course with strong technical base
• Recognized everywhere — good for both jobs and MS abroad
• Has subjects like coding, networks, OS, and cybersecurity basics
• Easier to get internships and placement offers
• If you study well and do some extra projects, ?7–12 LPA is definitely possible in 4th year
BCA at VIT Vellore
• 3-year course, lighter than B.Tech
• You can still go abroad for MS, but you may need to do extra studies (like MCA or a diploma later)
• Jobs after BCA are less in number and lower in salary (?3–5 LPA avg)
• You’ll need to work much harder to reach cybersecurity roles
Recommended - Go for B.Tech CSE at SRM KTR
• It gives you more chances for good jobs, internships, and a strong base for cybersecurity
• Easier to explain your background when applying abroad for MS
• Companies prefer B.Tech for core tech roles
Even if you're average now, B.Tech gives you time and structure to grow. Start small, build skills step by step.

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International Education Counsellor - Answered on Jun 25, 2025

Asked by Anonymous - Jun 06, 2025Hindi

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Is it easy to get a job abroad after studying btech fashion technology in vit chennai?

Ans: B.Tech Fashion Technology from VIT Chennai
• It’s a good course, and VIT has a decent name.
• The program teaches a mix of fashion design, technology, textiles, and production management.
• Good for students who like creativity along with technical and practical work.
It is not easy to get a job abroad directly after just completing B.Tech Fashion Tech from VIT or any college in India.
But it is also not impossible.
1. Most foreign countries hire only through work permits or after higher studies (like Master’s in fashion or textile design abroad).
2. Fashion jobs abroad are very competitive, and they prefer local graduates or those with international experience.
3. After B.Tech from India, you usually need to either do a Master's abroad or build a strong portfolio/internship record.

What Can Be Done for Better Chances Abroad?
• Do internships in top fashion companies in India.
• Build a strong portfolio (projects, designs, innovations).
• Learn fashion software (CAD, CLO3D, Adobe Illustrator).
• After B.Tech, apply for Master’s in Fashion or Textile Technology in countries like Italy, UK, USA, France.
• That will open real chances for jobs abroad.

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International Education Counsellor - Answered on Jun 25, 2025

Question by Selvin - Jun 23, 2025Hindi

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513 in2025 is possible for government quota

Ans: It depends on three main things:
1. Your state (because state quota cutoffs are different)
2. Your category (General, OBC, SC, ST, etc.)
3. Whether you are looking for State Quota (85%) or All India Quota (15%)
For General Category:
• In most states, 513 is borderline or just below cutoff for government MBBS.
• You may get a seat in lower-ranked government colleges in some states like:
o Rajasthan (rural), UP, Bihar, Chhattisgarh, Assam, West Bengal
• In highly competitive states like Delhi, Maharashtra, Tamil Nadu, Kerala, 513 is not enough for a government seat in general category.
For OBC/EWS category:
• You may have better chances in some states — 513 could get you a seat in mid- or lower-tier government colleges.
For SC/ST category:
• Yes, 513 is a good score, and you have a high chance of getting a government MBBS seat in many states.

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International Education Counsellor - Answered on Jun 25, 2025

Asked by Anonymous - Jun 18, 2025Hindi

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Hi Sir, my daughters rank for MIT is 7371 and got seat in CS Banglore in phaseI. We are expecting ECE at Maniphal campus in further phases, I am not very sure if there is any chance of getting CS at Maniphal campus. My question is: 1. Should we accept CS in Banglore campus or is ECE Maniphal a better option since it is the main campus. Thank you

Ans: Congratulations to your daughter on getting a good rank — 7371 in MET is a decent position.
• CSE at Manipal Bangalore campus — this is already a good seat. CSE has strong scope everywhere.
• Bangalore campus is growing, and being in the IT hub helps with internships and job exposure.
• ECE at Manipal Main Campus — possible in the next rounds with your rank.
• But CSE at Manipal Main Campus may not be likely at 7371 — last year it closed much earlier (within 3,000–4,000).
Which Is Better?
If your daughter is more interested in coding, software, or IT jobs –
Then CSE at Bangalore campus is better, even though it’s not the main campus.
CSE will give her better placement options and higher salary packages than ECE in most cases.
If she is okay with core electronics, circuits, and is not very keen on coding –
Then ECE at Manipal Main Campus is still a strong option — especially since main campus has more companies, bigger brand, and older reputation.

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Asked by Anonymous - Jun 23, 2025Hindi

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Hi Dr Gupta, what are the latest OPT programme requirements and rules for F-1 students to work in American companies?

Ans: Hello, here’s a clear and simple guide to the latest OPT program requirements and rules for F 1 students

What is OPT?
OPT (Optional Practical Training) lets F 1 students work in the U.S. in their field of study. You can use it during your studies (pre completion) or after graduating (post completion)
Time Limits
• 12 months of OPT for each degree level (Bachelor’s, Master’s, PhD)
• Pre completion OPT (during studies) is part-time during semesters (

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International Education Counsellor - Answered on Jun 25, 2025

Question by Bhanu - Jun 19, 2025Hindi

Career

My daughter has a 19505 rank in Manipal entrance exam. wants to join ECE VLSI program. Can she expect in main or Bengaluru campus in 2nd or 3rd rounds. She has a CSE seat offer in GITAM Hyderabad as a standby option. what would you recommend sir

Ans: • With 19505 rank, it may be difficult to get ECE (VLSI) in main campus in Round 1 or 2.
• But in Round 3 or Spot round, ECE or ECE-VLSI in Bengaluru campus is possible.
(Bengaluru campus has slightly lower cutoff than the main campus.)
• Manipal keeps moving a lot in later rounds, especially if some students drop seats.
So yes, ask her to wait till Round 3 or Spot Round — there is a good chance she can get ECE or ECE-VLSI at least in Bengaluru campus.
Her Backup: CSE at GITAM Hyderabad
• GITAM is an okay college. Hyderabad campus is newer and not very strong in placements yet.
• CSE is a good branch, but GITAM’s tech exposure and placement record is average compared to Manipal.
What I Recommend:
1. Hold the CSE seat at GITAM Hyderabad only as a backup.
2. Wait for Manipal counselling rounds to progress till at least Round 3 or Spot Round.
3. If she gets ECE-VLSI in Manipal Bengaluru, go for it — much better brand, better placements, and stronger academic environment than GITAM.

Dr Karan Gupta |65 Answers |Ask -Follow

International Education Counsellor - Answered on Jun 25, 2025

Asked by Anonymous - Jun 19, 2025Hindi

Career

Sir I am a little bit puzzled I passed my boards with 79,8%, my jee exam didn't go well and I am not getting any good private or government college from It. Earlier I was thinking of taking a drop but currently I am 18 and turn 19 this year, so next year when I will be at first year of college I will turn 20 year old so It will delay my graduation for sure. Second option is to take admission in any tier 3 college. I have following options with me (1) SRM sonepat,Haryana(Btech cse aiml) (2) Manav rachna University, Faridabad (Btech cse aiml/data science) (3) NIET, Greater noida (Btech cse computing and mathematics) Which college is best among 3? If I join in any tier 3 I will develop skills and target postgraduate level exam. So sir what should I do In this situation take a drop or join college?

Ans: Hello, I understand this is a confusing time for you, but don’t worry. Many students go through the same phase after 12th.

Taking a drop is an option. But here are the real things you must ask yourself:
• Are you fully confident that you can study with full focus and improve your JEE score next year?
• Are you okay with another year of pressure, studying at home, and no college life till 2026?
• Are you ready to handle the stress and competition?
If the answer is no or not sure, then don’t take a drop.
Because one year of drop will only be worth it if you get a top college like NIT, IIIT, or BITS.
Otherwise, you’ll just lose one year and land in a similar college again.
And don’t worry about age. Turning 20 in 1st year is completely fine. Many students start college at 20 or even later

About Your Current College Options
NIET Greater Noida
• Best out of the three in terms of placement, coding culture, and peer group.
• It is in Noida — good location for internships and off-campus opportunities.
• Has a better track record in CSE-related jobs.
SRM Sonepat
• Decent brand name because of “SRM,” but Sonepat campus is not as strong as the main Chennai one.
• Placements are limited.
• Choose only if you want the SRM tag and nothing else is available.
Manav Rachna
• Okay college, good infrastructure, but placements are not very strong, especially for CSE core jobs.
• Good for students who want to stay closer to home or need a relaxed environment.

Dr Karan Gupta |65 Answers |Ask -Follow

International Education Counsellor - Answered on Jun 25, 2025

Asked by Anonymous - Jun 19, 2025Hindi

Career

Sir, Which one is better in sequence - IT in JIIT Noida, IT in KIET, IT in JSS university Noida. Thanks

Ans: JIIT Noida (IT – Main Campus)
• Private, well-maintained campus, good discipline, better crowd.
• Strong focus on CSE/IT branches.
• Placements are more consistent for IT/CSE – companies like TCS, Infosys, Cognizant, some product companies too.
• Faculty and teaching quality is generally good.
• Best among the three if you can afford the fees.
JSS Noida (IT)
• Good reputation in the AKTU (UPTU) group of colleges.
• Campus is good, teaching is decent.
• Many Noida-based companies hire from here, so location is an advantage.
• Slightly crowded and academic pressure is high, but placements are fairly decent for IT/CSE.
• Second best option, good value for money.
KIET Ghaziabad (IT)
• Also part of AKTU, well-known in the Ghaziabad area.
• Campus and infrastructure are good.
• Placement is okay, but slightly behind JSS and JIIT when it comes to IT roles.
• Many service-based companies come, but fewer product or core tech companies.
• Decent choice, but below JIIT and JSS in IT.

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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