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Diabetes: Prevention, Control & Complications

On Saturday, April 18, 2026, 5pm Health Live@ Seniors Today hosted Dr Mitali Joshi,  a Senior Diabetologist. She spoke on – Diabetes: Prevention, Control & Complications. 

Dr Mitali Josh is a Senior Diabetologist with a special interest in Clinical Metal Toxicology, Metabolic diseases, Preventive Therapy and Integrative Medicine.

Below is a detailed summary of the session with the relevant timestamps:

Understanding Diabetes and Diagnosis

  • What is Diabetes?: Dr Joshi explains it as a condition where blood sugar levels stay high due to low insulin secretion or poor insulin uptake in muscles [06:43].
  • Essential Tests:
    • HBA1C: This measures the 3-month sugar average and is vital for tracking long-term control [09:50].
    • Kidney Function/Creatinine: Necessary to ensure prescribed medications are kidney-friendly [10:59].
    • Urine Test: Checks for infections or protein leaks from the kidneys [11:15].
    • CGM Patches: Continuous glucose monitoring patches (worn for 14 days) help understand daily sugar fluctuations without frequent finger pricks [11:43].
  • Symptoms: Common symptoms like frequent urination or excessive thirst usually only appear when sugars are above 300 [12:51]. Between 150-250, patients often feel no symptoms at all [13:16].

Management and Treatment

  • Medication: Modern medicine offers over 20 types of drugs tailored to a patient’s weight, liver health, and specific needs [14:11].
  • Insulin: Dr. Joshi emphasizes that insulin is a natural substance. It is often necessary when the pancreas can no longer produce enough insulin or respond to oral drugs [16:11].
  • Remission vs. Reversal: Pre-diabetics can achieve “reversal” through lifestyle changes, while diabetics can achieve “remission” (staying off meds while keeping HBA1C low through strict lifestyle management) [26:40].

Dietary Advice (Q&A)

  • Fruits to Avoid: Mangoes, bananas, jackfruit, custard apples, and chikus should be strictly limited as they are starchy and spike sugar levels [22:12], [27:48].
  • Recommended Fruits: Apples, pears, guavas, papayas, muskmelons, kiwi, and dragon fruit [33:11].
  • Sugar-Free Products: Dr. Joshi warns against sugar-free ice creams and chocolates due to high-calorie milk powder [23:10]. She also advises against sugar-free colas due to chemical additives [24:29].
  • Cravings: To stop sweet cravings, she suggests brushing your teeth after meals or using traditional mukwas (fennel seeds/spices) [23:46].

Complications of Diabetes

  • Microvascular: Damage to small vessels affecting the eyes (retina/cataracts), kidneys (dysfunction), and feet (burning, swelling, or poor sensation) [19:10].
  • Macrovascular: Serious risks of heart disease, stroke, and blockages in the large arteries of the legs [20:04].
  • Other Issues: High sugars can lead to liver dysfunction, acid reflux, frequent urine infections, and sexual dysfunction [20:29].

Note: The session concludes by reminding viewers that this information is advisory and to consult a doctor for specific medical concerns [40:50].

https://www.youtube.com/watch?v=BdojH0vvMQY  

Entertainment Review: Matka King

It’s interesting to see how many real life figures from contemporary history are being discovered by makers of web series.

Matka King, the period drama set in 1960s Mumbai, directed by Nagraj Popatrao Manjule, attempts to do for the street gambling scene what Scam 1992 did for the stock market.

Like Harshad Mehta, who manipulated Dalal Street, Ratan Khatri was another colourful Mumbai legend, who had the smarts to create his own gambling method, which he called Matka (earthen pot), since in the beginning, winning numbers were pulled out of pots, which was later replaced by more a complicated game using playing cards.

Vijay Varma plays Brij Bhatti, the low paid employee of cotton trader Laljibhai (Gulshan Grover). Brij was a refugee from Sindh, who raised his good-for-nothing brother, Lachu (Bhupendra Jadawat). Laljibhai runs a rigged gambling racket, that exploits the greed and need of the working class.

Deep in debt due to the antics of his brother, Brij starts his own gambling scheme, but resolves to be honest and transparent. Despite the efforts of Laljibhai to ruin him, Brij succeeds. He has a loyal aide, Dagdu (Siddharth Jadhav), and surprisingly, a rich Parsi woman, Gulrukh (Kritika Kamra) who becomes his partner and lover.

Manjule and his co-writer, Abhay Koranne make the point that if the rich can gamble at race courses, and even the Government of Maharashtra runs a lottery, then why is Matka wrong? By turning his protagonist into a white-clad crusader for the poor, the moral issues with his enterprise are overlooked.

Mumbai of the period, with mills being the spine of the economy, and the build up to the Emergency provide the background for Brij’s rise. The politician (Kishor Kadam), who tries to stop him, is corrupt himself. A journalist (Girish Kulkarni) is discouraged by his boss from pursuing the story.

Brij’s wealth and fame zoom up, causing a rift in his marriage to Barkha (Sai Tamhankar) and estrangement with his son. His relentless drive eventually alienates his brother, who allies with Lalji, and also the faithful Dagdu.

When he refuses to enter into a partnership with a Dongri gangster, Darab (Vineet Kumar Singh), for the first time, it looks like it is time for the end of his reign.

Matka King is more than just a rags-to-riches story; it is a look at a city and country in a socio-political flux. The series, like its protagonist is low key, avoiding the elements of the usual crime drama- shootouts, cabaret dens and suchlike. At the risk of boring the audience, it focuses on the process of the game—the tension of the number draw, the logistics of the huge, countrywide net, and the psychological grip that “umeed” (hope) has on the working class. As Brij says,   “Ameer ho ya gareeb, sabka petrol ek hi hai—ummeed.”

​At eight episodes, the pacing occasionally falters. The narrative lingers too long on subplots involving Bollywood and cricket betting, which, while historically accurate, are not satisfactorily tied up in the show.

Varma plays Brij Bhatti with a shrewd intelligence; if he had managed a Sindhi accent, his performance would have been enhanced. The supporting cast is excellent and the period details carefully recreated. For older viewers, it would be nostalgia, for youngsters, discovery of a minor but also significant Mumbai legend.

Matka King
Directed by Najraj Popatrao Manjule
Cast: Vijay Varma, Kritika Kamra, Sai Tamhankar, Siddharth Jadhav, Gulshan Grover and others
On Amazon Prime Video

A Comparitive Discussion on Indian Parents and Grandparents

In the traditional Indian setup, both generations complement each other, with parents providing the structure and grandparents providing unconditional love and cultural continuity, writes Dr Monika M Dass 

The Psychology of Indian Parents:

The “parenting trap” today is a blend of high-pressure, intensive parenting, social media comparison, and fear-based decision-making that leads to burnout and anxious children. It often involves over-scheduling, over-protecting, and over-investing, leaving little room for independence or “good enough” parenting, ultimately harming both parents’ well-being and kids’ resilience. 

  • The Intensive Parenting Trap: Parents act as “CEOs” or middle managers, micromanaging education and extracurriculars to ensure future success in an increasingly unequal economy.
  • The Gentle Parenting Trap: Problems arise when parents acknowledge emotions without setting firm boundaries, sometimes turning the parent into a friend rather than a leader.
  • The Escalation Trap: A cycle where children learn that negative behaviors (like tantrums) only stop once a parent gives in or yells, reinforcing those behaviors for both parties.
  • The Digital Parenting Paradox: While technology can make parenting easier (e.g., planning, education), it often leads to overstimulation and constant comparison with “Instagram-perfect” families.
  • The “Good Enough” Trap: Many parents feel guilty if they aren’t “perfect,” yet research suggests that a “good enough” environment is often more beneficial than one focused on unattainable perfection.

Shift in Values and Challenges

Research shows a significant generational shift in parenting goals:

  • Autonomy over Obedience: In 1986, 40% of parents valued obedience; by 2024, this dropped to 18% as parents began prioritizing independence and imagination.
  • Increased Time: On average, parents in 2005 spent nearly two hours more per day with their children than parents in the late 1970s did.
  • Public Scrutiny: About 70% of parents believe parenting is harder today, citing public judgement and the pressure to prove they are “doing it right”.

The Psychology of Indian Grandparents:

Indian grandparents often function as the emotional and cultural anchor of the family, deriving significant psychological well-being from their role as caregivers, storytellers, and keepers of tradition. They offer unconditional warmth and stability, bridging generations while fostering emotional security and resilience in grandchildren. Their involvement often deeply influences the family’s collectivist structure. 

  • Emotional Investment & Legacy: Grandparents often view grandchildren as “cream of the milk” – a cherished legacy. They invest deeply, seeking to pass on values and traditions, which provides them with a sense of purpose and continuity.
  • The “Mirroring” Effect: Many experience intense emotional bonds by seeing reflections of their own children or themselves in their grandchildren, which can trigger nostalgia and a deep, nurturing love.
  • Cultural & Moral Mentorship: They act as the primary storytellers and “reservoirs of family wisdom,” imparting empathy, patience, and cultural history to younger generations.
  • Caregiving Dynamics: In three-generation households, Indian grandparents often serve as surrogate parents or primary caregivers, which can enhance their mental health but also create stress based on the intensity of care required.
  • Psychological Well-being and Support: While providing immense emotional support, grandparents themselves may face loneliness or isolation. Their mental health is heavily dependent on feeling included in family events and respected by the younger generation.
  • Balanced Roles: Effective grandparenting involves acting as a loving mentor rather than a strict disciplinarian, often providing a “listening ear” that bridges gaps in a, potentially, high-stress, nuclear, or modern family setup. 

Research suggests that close relationships with grandparents can significantly increase the emotional well-being of both the grandchildren and the grandparents themselves.

Comparing Indian parents and grandparents often reveals a distinct shift in parenting styles between generations, primarily characterized by a move from authoritative, tradition-driven parenting to more permissive, indulgent love. While both share a deep commitment to family welfare, the roles and emotional expressions differ significantly:

  • Role Differences: Parents are the “implementers” of structure and discipline, while grandparents are the “nurturers” who offer companionship and fun.
  • Generational Shift: Modern parents are attempting to be more communicative, whereas grandparents often belong to a generation where obedience was prioritized over emotional expression.
  • Conflicts: Grandparents sometimes act as a buffer against strict parenting, though this can occasionally lead to conflict over how a child is raised. 

Ultimately, in the traditional Indian setup, both generations complement each other, with parents providing the structure and grandparents providing unconditional love and cultural continuity.

2001: A Space Odyssey

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As we move deeper into actual AI and renewed lunar exploration, Kubrick’s vision doesn’t feel like a relic of 1968—more like a transmission from our own impending future, writes Nanda Singh 

It was the month of April in 1968, when a book by Arthur C. Clark and a film by Stanley Kubrick redefined the sci-fi genre. Before 2001: A Space Odyssey, American science fiction cinema was largely defined by “B-movie” tropes: bug-eyed monsters, radioactive mutations, and Cold War parables of invasion. Kubrick dismantled these archetypes, shifting the genre from the speculative adventure to the philosophical epic. Now, after decades of sci-fi fantasy books and films have been released at a regular clip, this monumental work of cinematic accomplishment remains an original great and a benchmark for what filmmaking could achieve with imagination and till then almost primitive special effects technology.

The film is widely regarded as one of the most influential film ever made. In 1991, it was selected by the United States Library of Congress for preservation in the National Film Registry (source: Wikipedia). In 2022, 2001: A Space Odyssey placed in the top ten of Sight & Sound’s  decennial critics’ poll, and topped their directors’ poll.

When it first released it baffled viewers, but also left them awestruck. That scale and the uncompromising execution was astonishing. It is tough to summarise the complex plot of the film, but in brief:  An imposing black structure provides a connection between the past and the future. When Dr Dave Bowman (Keir Dullea) and other astronauts are sent on a mysterious mission, their ship’s computer system, HAL, begins to display increasingly strange behaviour, leading up to a tense showdown between man and machine that results in a mind-bending trek through space and time.

Kubrick and Clark, working in the script, stripped away dialogue—the film has less than 40 minutes of speech in its 142-minute runtime—and used silence and classical music to convey the theme of the film. Kubrick moved the genre toward visual poetry. The famous “match cut” from a bone to a nuclear satellite compresses four million years of human evolution into a single frame, asserting that technology is merely an extension of the primitive weapon, wrote a critic at the time.

When AI as we know it today was still a distant achievement, the film introduced the most enduring icon of artificial intelligence: the HAL 9000. HAL’s presence shifted the genre’s monster trope into something far more sophisticated and chilling—the computational antagonist. Unlike the clanking robots of earlier films, HAL is a disembodied red eye, a presence that is omnipresent yet physically intangible. HAL’s breakdown represents a profound generic pivot: the horror of the logical flaw. HAL doesn’t kill out of malice, but out of a programmed paradox. This subversion suggested that the greatest threat to humanity was not the alien, but our own creations reflecting our inherent instabilities.

2001: A Space Odyssey arrived at the height of the Space Race, released just one year before the Apollo 11 moon landing. Its social impact was immediate, acting as a cultural catalyst that bridged the gap between scientific optimism and counter-cultural psychedelia. For many, the film provided a visual vocabulary for the future. It made the prospect of space travel feel not just possible, but inevitable. The depiction of the Hilton hotel in space and Pan Am flights to the moon grounded the Space Age in a mundane, corporate reality. Yet, it simultaneously elevated the mission to a spiritual quest. It suggested that humanity’s destiny lay in the stars, not as conquerors, but as a species awaiting its next evolutionary leap.

The film’s success proved that difficult, big-budget art films could find a massive audience. It paved the way for the New Hollywood era, where directors were given more creative control. Without 2001, the visual grammar of Star Wars, Blade Runner, and Interstellar would not exist. George Lucas famously stated that Kubrick made the “ultimate science fiction movie,” and everything following it was a footnote.  

Despite its cold, sterile aesthetic, 2001 became a ‘trip’ movie for the 1960s counter-culture. The Star Gate sequence—a ten-minute barrage of slit-scan photography and distorted landscapes—was embraced by a generation exploring altered states of consciousness. This unexpected social adoption transformed the film from a technical achievement into a communal, transcendental experience.  

The film’s greatest social impact may be its refusal to provide easy answers. The Monolith—a black, rectangular slab of unknown origin—serves as a Rorschach test for the viewer. Is it God? Is it an alien tool? Is it a symbol of knowledge?  By ending the film with the Star Child floating toward Earth, Kubrick left the audience in a state of sublime uncertainty. In a society increasingly driven by data and certainties, 2001 stands as a reminder of the vastness of the unknown. It challenged the audience to look at the screen not for a story, but for a reflection of their own place in the universe.

Kubrick’s obsession with technical accuracy transformed science fiction from fantasy in space to speculative engineering. By consulting with NASA engineers and aerospace firms, the production designed craft like the Discovery One and the Orion III spaceplane with a functionalist aesthetic.  The most jarring generic shift was the use of silence. In an era where space films were filled with the “whoosh” of rockets, Kubrick adhered to the physics of a vacuum. This technical realism heightened the psychological tension, forcing the audience to experience the isolation of the cosmos.

The late Roger Ebert wrote in his review, “Only a few films are transcendent, and work upon our minds and imaginations like music or prayer or a vast belittling landscape. Most movies are about characters with a goal in mind, who obtain it after difficulties either comic or dramatic. 2001: A Space Odyssey is not about a goal but about a quest, a need. It does not hook its effects on specific plot points, nor does it ask us to identify with Dave Bowman or any other character. It says to us: We became men when we learned to think. Our minds have given us the tools to understand where we live and who we are. Now it is time to move on to the next step, to know that we live not on a planet but among the stars, and that we are not flesh but intelligence.”

Revisiting the film in 2022, critic Roger Moore wrote, “Back in 2018, the fiftieth anniversary of its release, writers revisited 2001 to note how much of “the future” it predicted actually came true. No, we still haven’t colonised the moon. Paying passenger space flight was and is still in its infancy and Pan Am is long dead and gone. But the astronauts on board the spermatozoa-shaped Discovery One spaceship bound for Jupiter can communicate and watch videos from tablets. And every so often, the design flourishes of 2001 — from its shimmering spaceport Hilton airport lounge to the suits the space bureaucrats wear to meetings to discuss what astronaut miners have found in the lunar crater named Tycho — make a comeback.

2001: A Space Odyssey remains a singular achievement because it dared to be inhuman in its scale. It moved science fiction away from the campfire story and toward the cathedral. Its social impact is found in every child who looked through a telescope after seeing the Discovery One, and its generic impact is found in every filmmaker who chooses a long, silent take over a line of dialogue. As we move deeper into the age of actual AI and renewed lunar exploration, Kubrick’s vision doesn’t feel like a relic of 1968—it feels like a transmission from our own impending future.

(Note: Reviews and articles on the film, and some AI searches have been used to as sources to compile this piece)

What Your Heart Actually Needs From Your Plate

A simple, effective approach is to build meals around three components: protein, fibre, and healthy fats, writes Charvi Altamirano

When we think about heart health, most of us immediately think of restriction – less fat, less salt, fewer fried foods. 

So naturally, many people begin to “eat lighter,” especially as they get older. Breakfast becomes toast and tea, lunch is something small or delayed, and dinner becomes the main meal of the day. It feels sensible. Easier to digest.  “Safer” for the heart. 

And yet, over time, many people notice the opposite of what they expected. Energy levels drop. Muscle strength reduces. Weight slowly increases, especially around the abdomen. Cholesterol numbers don’t improve in the way they hoped. 

This is where the conversation needs to shift. 

Because heart health is not built by simply removing foods. It is built by how your body responds to your meals – day after day. 

As we age, the body becomes naturally more sensitive to blood sugar fluctuations. Muscle mass tends to decline, metabolism slows, and the body becomes less efficient at handling large spikes in glucose. This makes meal composition and timing far more important than before. 

Meals that are mostly refined carbohydrates, or long gaps between meals, can cause blood sugar to rise quickly and then fall just as fast. Over time, this repeated pattern increases the likelihood of insulin resistance – a condition strongly linked to heart disease, as shown in large studies published in journals such as The Lancet and the Journal of the American College of Cardiology

This often shows up as higher triglycerides, lower HDL (the “good” cholesterol), increased abdominal fat, visceral fat, and low-grade inflammation – all of which are key drivers of cardiovascular risk. 

So instead of focusing only on what to avoid, it becomes far more useful to focus on what to include – consistently. A simple, effective approach is to build meals around three components: protein, fibre, and healthy fats. 

Including adequate protein – such as eggs, dals, low-fat paneer, tofu, edamame, curd, fish, or chicken – becomes especially important with age, as it helps preserve muscle mass and supports metabolic health. Fibre from vegetables and whole foods supports digestion and cholesterol balance. Healthy fats from nuts, seeds, and traditional heart healthy oils help with satiety and nutrient absorption. 

Together, this combination helps slow the rise of blood sugar, reduces unnecessary insulin spikes, and supports more  stable energy and heart health over time. 

The shift here is not about perfection, but about consistency. 

Moving from irregular eating to structured meals, from “light” but unbalanced plates to more complete ones, and from long gaps to steadier timing can make a meaningful difference. 

Even starting with one balanced meal a day is enough to begin. 

Because ultimately, the heart does not respond to occasional effort – it responds to patterns. And when those patterns become more stable, your heart is supported in a way that is both practical and sustainable.

Muscle Loss in Seniors: Why Strength Matters More Than Ever

Sarcopenia is more than a cosmetic concern. It is linked to falls, fractures, hospitalisation, disability, and increased mortality — which is why it is now recognised internationally as a distinct medical condition, writes Dr Rajiva Gupta

Many older adults notice subtle changes over time — climbing stairs feels harder, carrying shopping bags requires more effort, and rising from a chair takes an extra moment. This is sarcopenia, from the Greek for “loss of flesh”: a gradual decline in muscle mass, strength, and physical performance. These changes are often assumed to be part of the ageing process. It affects roughly 13% of adults aged 60 or older and potentially half of those aged 80 or older. Yet significant muscle loss can be slowed or even reversed.

More than Just Muscle

Sarcopenia is more than a cosmetic concern. It is linked to falls, fractures, hospitalisation, disability, and increased mortality — which is why it is now recognised internationally as a distinct medical condition.

Muscles do more than move the body. They maintain posture and balance, regulate blood sugar, and support metabolic health. When muscle mass declines, glucose management deteriorates — linking sarcopenia to type 2 diabetes.

A related condition is sarcopenic obesity, in which body fat rises as muscle mass declines, masking muscle loss and increasing the risk of reduced mobility, diabetes, and falls.

How Muscles Change with Age

Ageing affects both the quantity and quality of muscle, infiltrating tissue with fat and connective tissue — reducing strength, efficiency, and gait speed.
Muscles rely on slow-twitch fibres for endurance and fast-twitch fibres for explosive actions like standing or recovering from a stumble. Fast-twitch fibres decline most rapidly, explaining why older adults struggle to react quickly or to climb stairs.
Strength drops faster than mass — grip strength may halve between 30 and 80 years. Legs weaken more quickly than arms, so walking falters first. Clinicians assess grip strength, walking speed, and muscle mass through imaging such as DEXA scans. A simple home test: time yourself standing and sitting five times from a chair without using your hands. Taking more than 12 seconds is worth discussing with your doctor. These predict disability more accurately than mass alone.

Why Sarcopenia Develops

Sarcopenia develops through a combination of biological changes and lifestyle factors — many of which are modifiable.
Hormonal changes: Testosterone, estrogen, growth hormone, and IGF-1 decline with age, slowing muscle repair while accelerating breakdown.
Insulin resistance: Insulin plays a role in muscle metabolism beyond its role in blood sugar regulation. Declining sensitivity contributes to muscle loss and partly explains why sarcopenia and diabetes frequently co-occur.
Physical inactivity is the most significant modifiable factor. Muscles are adaptive — they grow when challenged and shrink when not. Retirement, health conditions, or changed habits accelerate natural loss, and even brief bed rest can cause a dramatic decline at any age.

Inadequate protein intake: Many older adults consume insufficient protein due to reduced appetite, dental problems, or a lack of awareness of how much they need — yet protein is essential for muscle repair and maintenance.
Chronic inflammation: Low-grade persistent inflammation — sometimes called “inflammaging” — interferes with muscle building and accelerates breakdown, compounded by conditions like heart disease and diabetes.
Neurological changes: Motor neurons decline with age, leading to fewer nerve signals reaching muscle fibres and impairing strength and coordination.
Anabolic resistance: Older adults need higher protein intake and consistent training to achieve the same muscle-maintaining effect as younger people.

Muscles, Bones, and Falling

Muscle and bone health are closely linked. Strong muscles stimulate bone density, helping preserve it. When muscle mass declines, bones weaken, increasing the risk of osteoporosis and fractures. Osteosarcopenia describes this dual decline. Bone density declines about 0.5% per year, and healing slows with age. Weak muscles—especially in legs and core—raise fall risk and injury severity. The good news: both respond to exercise, proper nutrition, and medical care.

What You Can Do: The Power of Strength Training            

Exercise is the most effective tool against sarcopenia. Resistance training directly stimulates muscle growth and preserves fast-twitch fibres, which are essential for strength, balance, and fall prevention. Studies show it can build muscle, improve strength, and restore function even in people in their 80s and 90s.

You don’t need a gym or heavy weights. Practical options include resistance bands, light dumbbells, body-weight exercises (such as sit-to-stand, wall push-ups, and step-ups), weight machines, and chair-based routines for those with limited mobility. Two to three sessions per week are sufficient, provided you apply progressive overload—gradually increasing resistance or repetitions over time.

Aerobic and Balance Exercise

Aerobic activity complements strength training by improving cardiovascular health and reducing inflammation. Walking, cycling, swimming, and dancing are excellent choices. Walking also provides a weight-bearing stimulus that helps slow bone loss. Aim for at least 150 minutes of moderate activity per week, adapted to your capacity.

Balance-focused exercises such as yoga and physiotherapy-based routines improve coordination, stability, and reaction time—key factors in reducing fall risk.

Nutrition: The Foundation of Muscle Health

Exercise alone is not enough. Adequate nutrition—especially protein—is essential. Older adults should aim for 1.0–1.2 g/kg/day of protein, increasing to 1.6–2.2 g/kg/day with regular strength training. Distribute protein intake evenly across meals.

Good sources include lean meats, fish, eggs, dairy, legumes, tofu, and nuts. If you struggle to meet your protein needs solely through food, a registered dietitian can advise on whether protein supplements, such as whey or plant-based protein powders, might be appropriate.

Vitamin D, calcium, omega-3 fatty acids, and adequate calorie intake further support muscle and bone health.

Common Myths About Strength Training

Will it injure me? Injury rates from well-designed programmes are low. Starting gradually, using proper technique, and progressing sensibly keeps risk minimal.

Women will become bulky. No – significant muscle gain requires intense training and high-calorie intake. Most women develop tone and strength, not bulk.

I have osteoarthritis—is exercise safe? Yes. Resistance training improves strength, function, and pain when done appropriately.

Walking is enough. Walking supports heart health but does not maintain muscle strength; resistance exercise is essential.

Is it too late to start? No. Even people in their 80s and 90s gain strength with training.

Lifestyle Factors That Influence Muscle Health

Sleep: Muscle repair occurs mainly during deep sleep, when growth hormone is released. Chronic sleep deprivation accelerates muscle loss; most adults need 7–9 hours nightly.

Smoking: Increases inflammation, speeding muscle breakdown. Quitting improves muscle function and overall health.

Chronic conditions: Diabetes, heart disease, and inflammatory disorders accelerate muscle loss; good control helps preserve strength.

Social engagement: Isolation reduces activity and appetite and can leave a person depressed, contributing to decline. Walking groups, exercise classes, and community participation support both motivation and physical activity.

It’s Not Too Late — Let’s Start Today

Modern science offers a hopeful message: muscles remain adaptable throughout life. Even in later years, meaningful strength can be built — translating into easier walking, greater confidence on stairs, and better overall independence.

The path does not require a dramatic change. A short walk, simple resistance exercises, and adequate protein — done consistently — can lead to steady, meaningful improvement. Small daily habits, practised with patience, have a compounding effect that becomes visible over weeks and months.

Begin where you are. Seek guidance from your physician or a physiotherapist if needed.

Because with the right approach, your stronger years may still lie ahead.

Asha and Nav Rasas

Asha Bhosle could seamlessly shift from genre to genre – a sexy cabaret, classical ghazal, pop songs, folk songs, love songs, romantic ones, natya sangeet – you name it, she could render them flawlessly, writes Nagesh Alai

A sound sleep, post a late-night flight arrival, saw me awaking energetically on Sunday, 12th April and getting all set for a leisurely unfolding of a warm and languorous day. I was greeted by a warmer message from an ex-colleague’s wife in remembrance of her husband’s final passage 5 years ago and his good friends over his lifetime. I was flooded with memories; sweet, sorrow and myriad other emotions, of my 38 years’ close association with him with diverse experiences akin to the placid ripples and rapids of rivers meandering or rushing to merge with the seas and the cosmos. 

The day was indeed good but sadly a melancholic one due to the silencing of the famed vocal cords of Asha Bhosale, with a repertoire and range par excellence, that had thralled music afficionados over decades. She was 92, as was her legendary sister, Lata Mageshkar, a Ratna of Bharat, when she passed four years earlier on 6th of February 2022. Perhaps the two outliers in the gifted Mangeshkar family, pined for each other, antonyms of each other but nevertheless full of overt competitiveness and covert envy, wanted to sing a song of a duet, under the musical baton of Khayyam or O P Nayyar or R D Burman, who all had preceded Asha to the heavenly stage, and enrapture the divine audience up there.

Most of us would identify with the nav rasas or the nine emotions representative of our various states of our mind which manifest in varying situations and phases of our lives. These often find expression in our various art forms like music, dance, theatre, paintings, poetry, lyrics, sculptures, storytelling, films and literature and are used to communicate feelings or evoke feelings in the audience and connoisseurs. Anyone who knows or appreciates, say Bharata Natyam or Kathakali or Kuchipudi or Odissi or say Carnatic or Hindustani or Sufi genre of music, will see these emotions resonate in the rendition of these art forms and take them to heights of musical and finer experiences. These nav rasas are instrumental in establishing the emotional between the art and the audience. These nav rasas are:

  1. Sringara – beauty, love, romance, attraction, harmony
  2. Hasya – laughter, humour, joy, amusement
  3. Karuna – compassion, empathy, sorrow, sadness
  4. Raudra – anger, fury, rage
  5. Veera – courage, bravery, heroism, determination
  6. Bhaya – fear, terror, danger, anxiety
  7. Bibhatsa – revulsion, disgust, aversion, repulsion
  8. Adbhuta – wonder, curiosity, awe, amazement
  9. Shanta – tranquillity, peace, equanimity, calm, bliss

Any exalted and erudite singer would incorporate these nav rasas in their metier and take the listeners to a high of intoxication every time their auditory and sensory nerves seek out their music and melody. Asha Bhosale, with an incredible and exceptional range of musical nuances and supple vocal cords brought out these elements in full measure in her songs picturised on a heroine or a vamp, a mother or a teen, a cabaret dancer or a classical dancer, situations of love, romance, envy, energy, anger, rebellion, poignancy, joy, sorrow or comedy, in her 80 years of professional resume having sung over twelve thousand songs in twenty plus languages in different genres including classical. She was an experimenter and an eternal learner having done songs with Boy George, the prominent UK singer and several others, which drove encomiums and awards her way including the international Grammy nominations. That she won some of the most coveted and highest awards in our country like the Padma Vibhushan, Dada Saheb Phalke and the National Awards twice and the industry Filmfare awards 7 times speaks volumes about her dedication, discipline, renditions, repertoire and passion. Her songs had something for everyone with every person having her/his oven favourites, the reason for her universal appeal and attraction. 

While it will not do justice to her or her humungous portfolio of songs to select one over the other as better, let’s look at a miniscule random sample of nine of her Hindi songs, all of which are timeless classics and each of will have elements of one or more of the nav rasas.

  1. Raat ke humsafar thak ke ghar ko chale, jhumuti aa rahi hain subah pyar ki – a romantic song picturised on Sharmila Tagore in An Evening in Paris
  2. Raaz ki baat keh doon toh jaane mehfil mein phir kya ho – a qawwali number picturised on Bindu, in Dharma, expressive of fear and anxiety
  3. Jhoomka gira re, Bareli ke bazaar mein – a peppy comic song picturised on Sadhana in Mera Saaya
  4. O mere raja, khafa na hona, der se aayi, door se aayi – a situational song picturised on Hema Nalini in Johnny Mera Naam 
  5. Aaiye meherban, bhaitiye jaan-e-jaan, shauq se lijiye ishq ka imtihaan – a sensuous song picturised on Madhubala in Howrah Bridge
  6. Dil cheez kya hain aap meri jaan lijiye, bas ek baar mera kaha maan lijiye – a classical song picturised on Rekha in Umrao Jaan
  7. Piya tu ab toh aa jaa – an evergreen cabaret song of desire, which will make anyone pine for more and take to the dance floor
  8. Dum maaro dum, mith jaaye ghum, bolo shubh shaam – a swaying song of rebellion set in conservative milieu of the past – picturised on Zeenat Aman in Hare Rama Hare Krishna
  9. Kahi aag lage lag jaave, kahi naag dase das jaave – a lyrical melody picturised on Aishwarya Rai in Taal

Asha Bhosle’s songs in Marathi, her mother tongue, are as cherished and legendary with millions of followers. Just to name a top-of-mind one – ‘Bugadi maajhi saandli ga, satarayala jata satarayala’ – a vivacious Lavani song picturised on Jayashree Gadkar in the 1959 Marathi film, Sangte Aika – it resonates even with the younger crowd of today, after 77 years. One must just look at the movers and shakers dancing to that pulsating song at social soirees and have a ball. That’s timeless indeed.

She could seamlessly shift from genre to genre – a sexy cabaret, classical ghazal, pop songs, folk songs, love songs, romantic ones, natya sangeet – you name it, she could render them flawlessly. A believer in diction and clarity, her songs well intonated and modulated, expressing the beauty of words and merging them with the subtle emotions and gravitas. 

I had never been fortunate to attend any of her live concerts. I desperately tried to get a ticket for her recent live performance in a famed auditorium a few months ago, but it was not just very expensive, but a complete sell out. A regret that I will have to live with. But whose voice and songs will nevertheless continue to permeate every cell in your body and resonate with every emotion in your being. She considered herself as much an actress, only difference she let her voice do the talking and acting. Little wonder that many of the famed stars stay entrenched in our thoughts and remembered more for her songs picturised on them. 

To end on a tinge of nostalgia, Asha Bhosale was born in 1933, the same year as my mother, a simple and loving home maker, whom I had lost on her 75th birthday. But the movie buff in her had enjoyed every song of Asha. So did I and so will I. Asha was never merely a hope, but a soup for our soul. A voice of virtuosity that the nav rasas cannot do without.

Where Has Our Happiness Gone?

If everything seems to be in place, why does happiness still feel incomplete at times, asks Harsh Goenka

There is a quiet paradox that defines our times. We are living longer, healthier lives, surrounded by comforts that earlier generations could scarcely have imagined. Technology has simplified daily routines, reduced physical strain, and connected us instantly to people and information across the world. For many, especially in the later years of life, there is financial stability, a sense of having “arrived,” and the satisfaction of having fulfilled responsibilities toward family and career. And yet, beneath this visible success, there often lingers an unspoken question- if everything seems to be in place, why does happiness still feel incomplete at times? It is not about what we have, but about how we experience what we have.

For much of our lives, happiness is defined for us by society, by family expectations, and by the metrics of success that surround us. We are taught, often implicitly, that happiness will come when we achieve certain milestones- a stable career, financial security, a respected position, a comfortable home, well-settled children. These goals give structure to our lives, and rightly so. They push us to strive, to endure, and to grow. But over time, as these goals are achieved or lose their urgency, a subtle shift occurs. The external markers remain, but the internal sense of fulfilment does not always keep pace. The race that once gave us purpose begins to fade, and in that quiet space, we are left to confront a deeper truth, that happiness cannot be permanently tied to achievement alone. What once motivated us may no longer sustain us.

One of the less obvious but deeply impactful changes in recent years has been the rise of comparison, amplified by the digital world. Even those who did not grow up with technology find themselves exposed to it now through family groups, social platforms, or simple curiosity. We see images of perfect holidays, joyful family gatherings, celebrations, and milestones. It creates an impression that others are living more vibrant, more complete lives. But what we rarely acknowledge is that we are only seeing carefully curated moments, not the full picture. Every life carries its own share of worries, disappointments, and quiet struggles. When we compare our everyday reality with someone else’s highlights, dissatisfaction is almost inevitable. Over time, this habit subtly erodes gratitude. What we have begins to feel insufficient, not because it truly is, but because our perspective has shifted outward rather than inward.

Equally significant is the evolution of relationships. Earlier phases of life are filled with activity- raising children, managing households, nurturing friendships within a shared routine. But as years pass, these dynamics change. Children grow independent and often move away, pursuing their own aspirations. Friendships, once sustained by proximity and regular interaction, may weaken due to distance, health, or simply the passage of time. The home, once vibrant with constant movement and conversation, may become quieter. This quiet is not inherently negative, but it can bring with it a sense of emotional distance. Ironically, even as communication has become easier through phones and video calls, the depth of interaction has reduced. Conversations are shorter, more functional, less reflective. What human beings truly seek is not constant contact, but meaningful connection- the feeling of being understood, valued, and emotionally close to someone. When that depth diminishes, a sense of loneliness can quietly take root, even in the presence of family.

Another dimension that often goes unaddressed is the shift in identity that comes with age, particularly after retirement. For decades, work defines not just how we spend our time, but also how we see ourselves. It provides structure, purpose, recognition, and a sense of contribution. When that chapter ends, even if by choice, there can be an unexpected void. The question is no longer “What do I need to do today?” but “What truly matters now?” While this transition offers freedom, it also demands redefinition. Without a renewed sense of purpose, whether through mentoring, learning, social contribution, or creative engagement, days can begin to feel repetitive, and time, instead of being a gift, can feel heavy. It is not activity alone that sustains us, but meaningful activity that aligns with who we are at this stage of life.

In addition to these emotional and social shifts, there is also a broader cultural change that affects all generations, including seniors, the growing impatience of modern life. We live in an environment that prioritises speed and immediacy. Everything is designed to be quick whether it be responses, services, information, even relationships. Over time, this conditions the mind to expect instant outcomes. Patience, which was once a natural part of life, becomes harder to practice. Yet, many of the deeper aspects of well-being, acceptance, healing, contentment, require time. They cannot be accelerated. When we lose patience, we also lose the ability to sit with our thoughts, to reflect, to gradually come to terms with life as it is. Happiness, especially in later years, is less about excitement and more about a steady, enduring sense of peace. And peace cannot exist without patience.

So where does this leave us? In a space of gentle recalibration. The answer does not lie in dramatic change, but in subtle shifts in perspective and habit. It begins with adjusting our expectations. Life, at any stage, is not meant to be flawless. There will always be imperfections whether in health, in relationships or in circumstances. Accepting this reality does not mean giving up; it means releasing the constant pressure for everything to be “just right.” There is a quiet strength in acceptance, a sense of ease that comes when we stop resisting what cannot be changed.

Equally important is the conscious effort to reduce comparison. Each individual’s journey is shaped by unique choices, opportunities, and challenges. Measuring our lives against others only distracts us from appreciating our own path. When we shift our focus inwards, toward gratitude for what we have experienced and what we still have, the sense of lacking begins to dissolve. Contentment is not about having everything; it is about recognising the value of what is already present.

Relationships, too, deserve renewed attention, not in quantity but in quality. A single meaningful conversation can be more fulfilling than dozens of superficial exchanges. Taking the time to call a friend, to meet without distractions, to listen without rushing, these are small acts, but they carry immense emotional value. In many ways, happiness in later life is less about expanding our world and more about deepening the connections within it.

There is also a need to strike a balance between doing and being. After years of constant activity, there is value in learning how to simply exist without the pressure of productivity. This does not mean withdrawing from life, but engaging with it in a more mindful way. Reading, walking, reflecting, even sitting quietly with one’s thoughts, these are not idle pursuits. They are ways of reconnecting with oneself. When life is no longer a checklist, it becomes an experience.

And perhaps the most transformative shift lies in rediscovering joy in the ordinary. Over time, we become accustomed to looking for happiness in significant events which are celebrations, achievements, milestones. But the truth is, much of life unfolds in small, quiet moments. The comfort of a familiar routine, the taste of a well-made cup of tea, the warmth of sunlight, the sound of a loved one’s voice, the calm of an unhurried morning, these are the moments that, when noticed, create a deep and lasting sense of well-being. More than effort, they require attention.

In the later chapters of life, the question is no longer about how much we have accomplished, but about how deeply we have lived. Success and happiness are not opposing forces, but they are not identical either. One is measured externally, the other internally. And while success can be pursued, happiness must be cultivated.

Perhaps, then, the real question is not whether life has given us enough, but whether we have allowed ourselves to fully experience what it has given. Because in the end, the true measure of life is in awareness and how present we have been.

And maybe, just maybe, happiness has not been missing at all. It has been quietly present, waiting for us to slow down, to notice, and to embrace it

Speaking in Shortcuts: A New Lingo for a Faster World

Language has a way of moving on without warning. Just when we think we’ve caught up, a cheerful ‘LOL’ or brisk ‘BRB’ appears… shorter words, yet somehow saying just as much, writes Vickram Sethi

There was a time when language changed like the seasons. Gently, almost imperceptibly. One hardly noticed when a new word entered the room; it would simply take a chair and stay. Today, however, language arrives like an unannounced grandchild… it is playful, inventive, and sometimes delightfully puzzling

The young, it seems, have developed a fondness for brevity. Where we once wrote letters, and later, long messages, they now converse in swift fragments. A ‘BRB’ stands in for ‘be right back’, ‘IMO’ politely offers an opinion, and ‘LOL’ assures us that something is, indeed, amusing. Even emotions, once carefully worded, now appear as cheerful little symbols—faces that smile, wink, or laugh without a single syllable spoken.

This is not, as one might suspect, a decline in expression. It is, rather, an adjustment to a world that moves at a rather breathless pace. Conversations slip in between tasks, during journeys, even while one is doing something else. The language, therefore, has learnt to travel light.

Popular culture, too, plays its part. A line from a song, a phrase from a short video, or something said by a well-known figure can, within days, find its way into everyday conversation. It travels swiftly – faster than our old inland letters ever could – and settles into common usage before one has quite caught up.

Curiously, while the words have grown shorter, the feelings have not. If anything, they have become more pronounced. An ‘ok’ may sound adequate, but an ‘okayyy’ carries warmth; a few extra letters, a capital word, or an enthusiastic sprinkling of exclamation marks can change the tone entirely. And those small, expressive icons – the emojis – do much of the emotional work that sentences once did.

At first encounter, this new idiom may feel like a puzzle. One listens to a grandchild and wonders if a translation might be in order. But a little curiosity goes a long way. Beneath the abbreviations and symbols lies something familiar: humour, affection, and the simple desire to connect.

After all, every generation has had its private vocabulary. Words that once puzzled us eventually became part of our own speech. So it will be with these. Some will fade away quietly; others will linger and become part of the language we all share.

The next time an unfamiliar phrase comes your way, consider it an invitation rather than an interruption. Ask, smile, and perhaps even attempt it yourself. You may find that what seemed like a barrier is, in fact, a bridge—one that leads not just to understanding, but to a shared moment of delight.

In the end, this new lingo is not merely a collection of fashionable words. It is a reflection of a changing world—quick, inventive, and deeply connected. One need not master it entirely. A touch of openness, a hint of curiosity, and the conversation, like all good conversations, will find its way.

Say Less: A Senior’s Guide to Today’s Slang

No cap — I am being completely honest
Cap — That is not true / You are lying
Bet — Alright / Agreed
Say less — I understand / No need to explain further
I’m dead — That is extremely funny
It’s giving — It feels like / It resembles
Slay — You do that very well
Period — That is final / End of discussion
Low-key — Somewhat / A little
High-key — Very / Definitely
I can’t even — I am overwhelmed or speechless
This ain’t it — This is not good
It hits different — It feels special or unique
I’m vibing — I am enjoying this
Not me doing — I can’t believe I am doing this

Living rent-free — Constantly on my mind
Main character energy — Feeling confident and important
Delulu — Slightly unrealistic or overly optimistic
Rizz — Charm or ability to attract others
NPC — Someone behaving without independent thought
Pick-me — Someone seeking attention or approval
Stan — A very enthusiastic admirer
Ghosting — Suddenly cutting off communication
Situationship — An undefined romantic relationship

Ate — Did something exceptionally well
Mid — Average or mediocre
Trash — Very poor quality
Fire — Excellent / Very good
Bussin’ — Extremely good (often for food)
Sus — Suspicious
DM me — Send me a private message
FOMO — Fear of missing out
POV — Point of view

Viral — Widely shared or popular online
Cancelled — Publicly criticised or rejected
Touch grass — Spend time in the real world
Crying — I find this very funny
Deadass — Seriously / Truly
Sending me — Making me laugh a lot
I’m screaming — Extremely funny or shocking
Adulting – doing normal grown up responsibilities like paying bills, cooking, or managing life

Basic – someone who follows common trends and isn’t very unique
Extra – overly dramatic or doing more than necessary
Salty – bitter, annoyed, or upset (often over something small)
Shook – very surprised or emotionally affected
Lit – very exciting, fun, or enjoyable
Vibe/Vibing – the feeling or atmosphere; getting along well or enjoying the moment
Mood – something very relatable to how you feel
Dragged – publicly criticised or called out harshly

Thirsty – desperate for attention, approval, or attraction
Glow up – a noticeable improvement in appearance or lifestyle
Clapback – a quick, clever response to criticism
Triggered – strong emotional reaction to something upsetting
Flex – to show off or brag about something
Fam – short for family, but used casually for people very close to you as well
Woke – someone seen as overly politically correct, preachy, or performative about social issues.
Namine – Do you know, what I mean