As Heat Intensifies, Top AIIMS Doctors Say 'Keep Insulin Cold And Check Urine Colour' To Keep Elderly Safe

As India gets ready for an extended and unforgiving summer, doctors are already warning of a surge in heat-related illnesses from common heat exhaustion, often described as ‘loo lag gayi’ to life-threatening heat stroke. While the advice 'stay hydrated and avoid stepping out in peak heat' may sound simple, medical experts say the reality is anything but simple for vulnerable groups like children and the elderly.In an exclusive conversation with doctors from AIIMS Delhi, one of the simplest yet most effective ways to monitor hydration, they recommended is 'check your urine colour'. "If it is pale or light yellow, your body is adequately hydrated. Anything darker is a red flag so do not wait to feel thirsty,” explains Dr Naval Vikram, Professor,

Department of Medicine. "By the time intense thirst sets in, the body is already under stress. Make it a habit to sip water regularly, regardless of how you feel." However, rules of hydration are not the same for everyone. Dr Nidhi Soni, Professor, Department of Geriatric Medicine, highlights that elderly individuals often have additional health conditions that may restrict fluid intake. "If someone has been advised to limit fluids due to kidney or heart conditions, consult your doctor before increasing intake. But do not ignore hydration altogether," she says.ALSO READ: Chips and Cold Drinks Worsen Dehydration, Warn AIIMS Doctors | EXCLUSIVEBeyond water intake, maintaining a cool environment is critical. Dr Soni urges people to especially take care of medications that have to be refrigerated. "With frequent power cuts in many parts of the country, this becomes challenging so it is important that patients make sure they have alternatives like ice packs or insulated storage to ensure temperature-sensitive medications such as insulin remain effective." Planning your day around the weather is another underrated but essential step. Checking forecasts and avoiding outdoor exposure during peak afternoon heat can significantly reduce risk.

The warning signs of heat-related illness can be subtle but escalate quickly. Headaches, dizziness, and fatigue are common early symptoms. Dr Soni further adds that in elderly, the symptoms can be a little unique. "In elderly, the situation can deteriorate rapidly into confusion, agitation or even delirium. Those with conditions like Alzheimer’s are particularly vulnerable and require constant monitoring."She urges caregivers to be especially cautious. If an elderly person appears disoriented, faints or is not fully alert, do not force fluids. “This can increase the risk of aspiration, where fluid enters the lungs and causes serious complications,” warns Dr Soni. Immediate medical attention is crucial in such cases.Mobility also plays a role. Many elderly individuals depend on others for movement and may end up sitting in poorly ventilated, hot environments for long periods. Ensuring they remain in cool, shaded spaces is important. Doctors also stress the importance of not altering medications without professional guidance, even if symptoms seem heat-related.For those staying indoors to escape the heat, staying active is still important. Dr (Prof.) Rima Dada suggests gentle indoor exercises like yoga. “Pranayama, in particular, has multiple benefits across age groups and can be safely practiced at home,” she notes.