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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |696 Answers  |Ask -

General Physician - Answered on May 27, 2023

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
ASWINI Question by ASWINI on May 18, 2023Hindi
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Myself ASWINI MOHAPATRA age 63years last 6 years I am suffering diabetes fasting 248 & PPBS 402mg/dl , weight 90kg, last 2 years diabetic under control ,last 6 month gradually increased ,Regularly I take one cup of karalla juice in the morning in empty stomach. Can you advice me what I will take medicine & diet.

Ans: Please consult your Physician, get yourself checked on HbA1C and get start your medication
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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I am a 62-year-old man, weight 83 kgs, mostly sitting work, living in Noida.I am diabetic for over 25 years. I wake up in the morning between 5.30 am to 6 am and take warm water with lemon/alovera/giloy.I then walk for about 45 minutes.I take tea with two Marie biscuits and about 30-40 gms of namkeen.For breakfast, I have two chapattis/poha/sandwich/any item.Lunch is three chapattis of wheat/ragi+besan.Evening, I have small quantity of fruit -- apple or any seasonal fruit, but not banana.Dinner is at about 8 pm; I have two chapattis.I go to sleep between 10 pm and 10.30 pm.I take medicine with insulin but my sugar level fasting does remains 180-200.-- Saraf
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Your situation may seem difficult to you, but it isn't reversible.

Diabetes with excess weight is a condition which can be overcome with healthy habits.

Lack of endurance and insulin resistance is a sign of uncontrolled sugar levels.

To bring a change, you must include aerobic and strengthening exercises which will increase your lean mass and metabolism.

Include healthy foods in your diet like oats, dalia, fruits, vegetables, whole grains and beans, which contain lots of fibre. This will help increase your metabolism and thereby reduce your blood sugar levels.

Protein-rich foods are necessary for sustenance, so include foods like dairy products, eggs (if permissible), lentils, nuts, soya, etc.

Reduce too much namkeen, which is not healthy and has lots of trans fats, salt and additional calories, which will spike the blood sugar levels.

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Hello, I am 41 working in it mnc. I did well in my career initially and then because of my carelessness and laid back attitude, I faltered and I am in a very depressive situation where I feel as complete failure who failed himself and his family. I am not sure how can I help myself come out of the situation. My wife is also worried and trying to cheer me up but it's not helping much. Please help how to come out of this and move ahead
Ans: Hello there!!
"The greatest success in not in never failing, but getting up every time you fail"!
It's time for you to get up and move!!
With the information you have given me, the conclusions I have drawn are that-
1. you are a person who is aware of what went wrong, this itself is a blessing. There are many who just move in life without being aware.
2. you are still working, you have a job at an MNC. That's good!! Had you been so bad as you are describing yourself, you would not be still working, so cheer up!!
3. you have a caring wife, she is trying to cheer you up .You are lucky.
4 . you are an intelligent man, hence you did well in your job initially

Now the way forward-
1. with so little information you have given me , I have listed 4 things you need to be grateful for. Every morning you'll count your blessings and write them down or say it aloud. You'll repeat this activity before going to sleep.
2. spend 20 mins walking amidst nature. Physical activity and spending time in nature is a must everyday. I am sure taking 20 mins in a day for this should be easy.
The above two activities will make your depressive mood run far away from you.

Next plan of action ,for you to move further in you career-
1. first and foremost forgive yourself for your carelessness and laid back attitude. Past is past ,forget it.
2. plan every action of yours with one leg in the future, is there a new skill set you need to learn or improve upon your Image, Soft skills , leadership skills , etc in order to have an edge over others. Think about it and learn new skills.
3. do not compare yourself with anyone, it's your journey at your own pace. Compare yourself with others if you feel inspired else do not compare.
4. you are just 41.... there is still a long life ahead. Don't beat yourself down for a few mistakes ...Just look ahead now...Look forward to a beautiful future with your family.

All the very best!!
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Ny son is doind bachelor of Phesiothrepy and want to study further for post graduation in USA or some other country please tell me full detail for admission after he can work there or not
Ans: Hello,

To begin with, thank you for contacting us. I am glad to hear that your son is currently pursuing his Bachelor of Physiotherapy and further intends pursuing his post-graduation in the USA or some other country. To answer your question first, I would like to let you know that pursuing physiotherapy is a fulfilling career, and opting for PG studies overseas can present outstanding chances for development and specialization. Concerning your query regarding the procedure for admission and future employment possibilities for your son in the USA or another country, I would suggest that you consider the following:

As part of the admission procedure, your son should first conduct a comprehensive study on postgraduate programs in physiotherapy or associated fields both in the USA or other countries. He should look for universities with a solid standing in his field of expertise. Next, remember that the admission prerequisites for each university is unique. These generally entail submitting academic marksheets, scores of standardized tests viz., the GMAT or GRE, a personal statement or statement of purpose (SOP), endorsement letters, and at times, professional experience. Your son may be required to prove his fluency in English through appearing for tests viz., the IELTS or TOEFL, if he's a non-native English speaker. According to the particular guidelines set by each university, your son will then need to submit his application via mail or through the university's online portal. If your son is accepted, as the next step, he will need to apply for a student visa. Remember that based on the country he wishes to study in, this procedure can differ. Nevertheless, I would like to tell you that guidance for the same can be provided by the university's international student office. Lastly, make sure your son is aware of the costs associated with attending, viz., tuition fees, costs of living, and any scholarships or financial aid that may be applicable.

Concerning your query regarding employment opportunities post-graduation, I would like to tell you that your son, upon completing his studies in the USA, may qualify for Optional Practical Training (OPT), which permits international students to work for up to one year following graduation in their area of expertise. Nevertheless, an extension of up to 36 months is available for OPT in some STEM (Science, Technology, Engineering, and Mathematics) programs. Your son should think about applying for an H-1B visa if he intends working in the USA beyond OPT. This visa enables U.S. firms to temporarily employ foreign workers in specialty vocations. However, owing to yearly quotas, acquiring an H-1B visa might be challenging. Next, if your son intends studying in another country, I would like to tell you that he should look into the employment opportunities post-graduation that are available there. Remember that international students are offered post-study work visas or pathways to permanent residency by several nations. I would like to let you know that each country has different laws governing the practice of physiotherapy. To practice as a physiotherapist in a new country, your son may be required to take licensing examinations or further training. I would recommend that your son networks with industry professionals and looks for internship possibilities while he is studying. Remember that developing relationships and obtaining hands-on experience can improve your son’s career opportunities after graduating.

By adhering to these steps and taking into account the particular prerequisites and prospects in the destination of his choice, your son can pursue his postgraduate studies overseas and possibly start a fulfilling career in physiotherapy.

For more information, you can visit our website.
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