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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 22, 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 14, 2023Hindi
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My triglycerides is 230 ; LDL cholestrol direct 122; non HDL Cholestrol 143 ; very low density lipoprotoen 46. Fasting sugar : 164 HBA1C : 7.9 SINCE 5 YEARS TAKING VIDAGLYPTIN PLUS METFORMIN 50/500 THIS REPORT WAS ON 13TH APRIL. I NEGLECTED DOCTOR ADVISE AND DID NOTHING AS I WAS OTHERWISE BUSY. EARLIER I USED TO WALK 4 KM IN PARK EVERYDAY WHICH I DISCONTINUED AS I BECAME OTHERWISE BUSY. NOW I AM QUITE UNFIT. PANTING, GETTING FATIGUED AND I CAN FEEL THE NEGLECT. I think all the above values must have further shot up. 5 days ago i resumed walking 4.5 kms and 5 days ago started taking Rosovastatin 10 mg at night. Continuing vidaglyptin plus metformin 5p/500. Have also completely given up rice, sweets since 5 days !! What else can i take ? My wife asking ne to take soaked Methi seeds in morning. By the way, my age is 74. Weight 79 kgs I am very depressed as i neglected which i usually do not do. I am mentally reconciled to 90 days cure period. Pls advise ways to expedite . Will be much appreciated. Thanks profusely.

Ans: Hello. You are doing all the right things and it is never too late. Don't be stressed. Even that will only increase your sugars and BP. To speed up the results, you can try intermittent fasting. It is when you eat during about 8 hours of the day and do not eat for about 16 hours. During those 16 hours of fasting, you can drink non calorie fluids and eat cucumbers. You can have methi seeds in water as advised by your wife. It will help reduce sugars a little more. In addition, try some stress busting activities like yoga, breathing exercises, pick up a hobby or get involved in some community activities that you believe in. All these will help you stay happier and therefore reduce your sugar levels additionally.
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 Ashit

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Asked by Anonymous - May 27, 2023Hindi
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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.
Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score

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Dr Karthiyayini

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General Physician - Answered on Jun 26, 2024

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.
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Reetika

Reetika Sharma  |541 Answers  |Ask -

Financial Planner, MF and Insurance Expert - Answered on Feb 12, 2026

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Sir, How can we reduce the Commision on Regular MF ?What is Steps to avoid the Tax if wants to Switch from Regular to Direct?.
Ans: Hi Amit,

Your concern regarding commision in regular funds is quite genuine and common these days due to the misleading content shared by some people.
You should understand that a whilst regular funds have comparatively lower expense ratio than direct funds, and this has risen to the direct fund popularity. But in actual a direct fund portfolio is only good if you know all ins and out of the market, have proper knowledge and knows the correct way to invest perse your individual profile.

There are few benefits of regular fund portfolio which is highly overlooked:
- a professional builds your portfolio keeping in mind your detailed profile, funds selction are done based on your risk profile
- a professional knows the best time to invrease your investments, to hold and to shift. They constantly monitor the same and periodically review them

And a regular fund portfolio definitely beats the direct fund portfolio made with random tips and zero or less knowledge.
Hence I would not suggest you to switch from regular to direct funds if you are working with a professional.

Also switching from regular funds to direct will attract tax, there is no way to avoid the taxation.

However, you can get your portfolio reviewed from another advisor and ask them to guide you to make necessary changes.

If you do not have an advisor, connect with a professional Certified Financial Planner - a CFP who can guide you with exact funds to invest in keeping in mind your age, requirements, financial goals and risk profile. A CFP periodically reviews your portfolio and suggest any amendments to be made, if required.

Let me know if you need more help.

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Naveenn

Naveenn Kummar  |249 Answers  |Ask -

Financial Planner, MF, Insurance Expert - Answered on Feb 11, 2026

Asked by Anonymous - Dec 11, 2025Hindi
Money
Hi there, I am 53 years and retiring on 31/12/2025. I hvae a daughter and son, both studing and un-married. I am curently holding mutual fund (investment only) of around 15lacs. I am doing a SIP of 12000/- PM. Beside this, i have an equity investment of 15.50 lacs. I do have 65lacs in FD and the same amunt is expected upon retirement. I have a own house and there is no loan obligations currently. i have another 50lacs given to relatives and there is no timeline when I will be receiving this amount. I have around 100000 monthly expense and ofcourse the marriage expenses of my daughter and son in next 3-4 years. Kindly advise the best strategy and utilization of funds. Thank you.
Ans: Hi sir ,
You are entering a very sensitive financial phase where protection of capital becomes more important than aggressive growth. At the same time, you still have 30 plus years of life expectancy to fund, along with two large near-term goals children’s marriages and ongoing household expenses. So the strategy has to balance income, liquidity, and moderate growth.

Let me break this down in a practical way.

1. Where you stand today

Assets available / expected

Mutual Funds approx 15 lakh

Direct Equity approx 15.5 lakh

FD 65 lakh

Retirement proceeds expected approx 65 lakh

Money given to relatives 50 lakh uncertain timeline

Own house no loan

Total financial assets (excluding relatives money)
~160 lakh

If relatives repay, corpus rises to ~210 lakh but we should not depend on it for planning.

2. Monthly expense reality check

You mentioned ?1,00,000 per month = ?12 lakh per year.

Assuming 6 percent inflation, this expense will double in ~12 years.

So retirement planning must create income + growth, not just fixed income.

3. Immediate financial buckets to create

Think in 4 separate buckets instead of one pool.

A. Emergency + Liquidity bucket

Keep 18–24 months expenses.

?20–25 lakh
Park in:

Savings + sweep FD

Liquid / money market funds

Purpose: medical, family, urgent needs without breaking investments.

B. Marriage funding bucket (3–4 years)

Do not keep this in equity markets due to time risk.

Estimate requirement realistically. Suppose:

Daughter marriage 25–30 lakh

Son marriage 20–25 lakh

Total say 50 lakh

Park in:

Short duration debt funds

Bank FD ladder

RBI bonds

Capital safety is priority here.

C. Income generation bucket

This is the most critical post-retirement engine.

From your corpus, allocate ~70–80 lakh.

Options mix:

Senior Citizen Saving Scheme (SCSS)

Post Office MIS

RBI Floating Rate Bonds

High quality Corporate FD

Debt mutual funds with SWP

Target blended return: 7–8 percent.

This can generate ?45k–?55k monthly income.

D. Growth bucket (Long term)

You still need equity to beat inflation.

Allocate 25–30 lakh minimum.

Continue SIP (even post retirement if possible).

Suitable allocation:

Large Cap funds

Balanced Advantage / Dynamic Asset Allocation

Multi Asset funds

Time horizon: 10–20 years.

This bucket funds late retirement and healthcare inflation.

4. What to do with existing investments
Mutual Funds (15 lakh)

Keep invested. Review fund quality. Shift to:

Balanced Advantage

Large Cap / Flexi Cap

Avoid small cap concentration now.

Direct Equity (15.5 lakh)

Gradually reduce risk.

Move profits into hybrid funds or debt over 12–18 months. Do not exit in one shot to avoid tax and timing risk.

5. Retirement corpus deployment illustration

Here is a simple structure using your ~160 lakh corpus:

Bucket Amount Purpose
Emergency 25 L Liquidity
Marriage 50 L 3–4 yr goals
Income 60 L Monthly cashflow
Growth 25 L Inflation hedge

If relatives repay 50 lakh later:

Add 20 lakh to growth

Add 15 lakh to medical reserve

Add 15 lakh to income bucket

6. Monthly income gap

Expense: ?1,00,000

Income possible:

SCSS + MIS + Bonds: ~?50,000

SWP from debt / hybrid: ~?20,000

Equity dividends / growth withdrawal later: ~?10,000–?15,000

Gap may still exist initially.

So you may need:

Part time income / consulting (even ?25k helps)

Delay large withdrawals till age 60 when senior schemes expand

7. Important risks to manage
Healthcare

Take a family floater + super top up if not already.

Longevity risk

Plan till age 90, not 75.

Relatives money

Treat as “bonus”, not retirement funding.

Document repayment if possible.

Inflation

Do not over-allocate to FD.

That is the biggest mistake retirees make.

8. Action checklist

Finalize marriage budget realistically

Create 2-year emergency fund

Invest in SCSS immediately after retirement

Restructure equity to hybrid orientation

Continue SIP from surplus if feasible

Arrange health insurance buffer

Write a will and nominations

...Read more

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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