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Dr. A.Panneerselvam

Endocrinologist, Chennai

400 at clinic
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Dr. A.Panneerselvam Endocrinologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. A.Panneerselvam
Dr. A.Panneerselvam is an experienced Endocrinologist in Nungambakkam, Chennai. You can meet Dr. A.Panneerselvam personally at Aruna Diabetic Clinic in Nungambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. A.Panneerselvam on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 32 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Aruna Diabetic Clinic

#56, Thiruvenkatapuram, Choolaimedu. Landmark: Near Nungambakkam Railway Station, ChennaiChennai Get Directions
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I have pain in my both heel and knees from last 4 years. I have checked my calcium level is normal and also check uric acid level in blood is 7.2/7.4. So please guide me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have pain in my both heel and knees from last 4 years. I have checked my calcium level is normal and also check uri...
you can take tab. bencid-500 mg once a day after meal, tab. zyloric 100 mg once a day after meal. continue checkup your tests. avoid more protein diet,milk products.avoid alcohol,stress, go walk, take whole grain foods,oats,green veg.,juice,
1 person found this helpful
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How Ayurveda Helps Manage Gestational Diabetes?

B.A.M.S
Ayurveda, Mandsaur
How Ayurveda Helps Manage Gestational Diabetes?

Diabetes during pregnancy is known as gestational diabetes. It is interesting to note that the chances of getting gestational diabetes, is one of the most common complication of pregnancy. It has increased by almost 40%. Also, gestational diabetes not only affects the health of the mother, but also the health of the baby. What usually happens with gestational diabetes is that the blood sugar level, of both the mother and the baby go above the normal level.

Ayurveda can help treat this disease. Here are the most common Ayurveda remedies for gestational diabetes.

  1. Gurmaar: Gurmaar, called "The Sugar Killer" is also known as Gymnema sylvestre in medical jargon. Gurmaar also contains gymnemic acid molecules, which are crucial because they have an anti-diabetic effect. They work by combining with glucose molecules, which are in the blood stream. These stop the glucose from entering the bloodstream. 
  2. Karela: Karela is commonly known as bitter gourd and its biological name is Momordica charantia. It has anti-diabetic properties and also contains many other micronutrients, which are crucial in preventing the complications which arise from gestational diabetes.
  3. Vizaysaar: Vizaysaar comes from the bark of a tree whose biological name is Pterocarpus marsupium. It is very useful for diabetes. If you immerse the wood of Vizaysaar in water overnight and then drink it, your blood sugar levels are expected to fall.
  4. Saptrangi: Saptrangi is biologically known as Salacia oblonga. Just like Vizaysaar, it is a tree whose bark is immersed in water and then drunk by the patient suffering from diabetes. You will know that the water is ready for drinking when it turns brown, which usually happens overnight. It is also being studied in Western herbal schools in addition to Ayurveda nowadays.
  5. Tulsi: Tulsi is a holy plant in Hindu mythology and is known as Ocimum sanctum in biological terms. It is worshiped as a holy plant because it has tremendous medicinal properties including treating many types of cancers, cough, cold, sore throat as well as reducing blood sugar.
  6. Ashwagandha: The medical name for ashwagandha is Withania somnifera. It is another great remedy for diabetes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician,
Can High Cholesterol Lead To Diabetes?
=================================

When was the last time you checked your cholesterol levels?
Are you one of the many who do not get a regular health check up unless a medical condition necessitates it?
Well, if you are, you may be putting you are jeopardising your own health. This is because some diseases do not have overt physical signs or symptoms to warn you in time. One such condition is high cholesterol.
High cholesterol implies high level of bad LDL cholesterol in your body. It does not cause any physical symptoms. So, you are less likely to identify it till you get yourself tested for it.
Having high LDL cholesterol puts at risk for developing many other ailments. It is basically a silent killer disease.
What are the complications of high LDL cholesterol?
Well, high amounts of LDL cholesterol in your arteries can result in a number of complications. This happens because the plaque deposits inside your arteries and narrows them down. It makes less amount of blood to pass through these blocked arteries which may cause:
-Strokes
-Heart attack
-High blood pressure
-Chest pain or angina
-Chronic kidney disease
Can high cholesterol cause diabetes?
Diabetes is often associated with high cholesterol condition. High LDL cholesterol does not cause diabetes. In fact it’s the diabetes or insulin resistance that hikes up bad cholesterol in your body. High levels of insulin in your blood increase triglycerides and cholesterol.
High cholesterol happens when the sugar sticks onto the low density lipoprotein and it stays in our bloodstream for longer. These sticky plaques are very hard to remove and block your arteries. This leads to even greater damage from LDL cholesterol in comparison to LDL cholesterol without diabetes.
People with diabetes are more prone to high cholesterol. This is because diabetes lowers your good cholesterol known as HDL or high density lipoprotein and increases triglycerides as well as bad LDL cholesterol levels. This gets really dangerous for your health as it hikes your risk for getting a heart attack or a stroke. So, though diabetes and high cholesterol are inter-related, high cholesterol is the effect of diabetes.
If you are diabetic or pre diabetic, make sure your blood sugar levels are under check. It will prevent the further complication of having high cholesterol levels.
How to manage high cholesterol?
-The best way to manage high cholesterol is by taking appropriate medicines and improving your lifestyle by consuming a healthy diet full of fibre and nutrients and exercising daily.
-Keeping your blood sugar levels in check will also prevent LDL cholesterol levels from rising.
-Elevate good HDL cholesterol levels. Your bad cholesterol and triglycerides will automatically come down.
Consult and follow your doctor’s advice diligently.ASK ME PRIVATELY
7 people found this helpful

I am hypothyroid patient so kindly advise me of weight loss some domestic treatment & any advised?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am hypothyroid patient so kindly advise me of weight loss some domestic treatment & any advised?
I am sure you are on thyroxine tablets to replace the hormone. This treatment will help you to control weight. However, physical exercise is equally important, you need to walk for more than 1 h a day. Avoid high fat diet, too much of sweets. Take iodinated salt. Avoid soya products, cabbage, cauliflower, broccoli, mustard and coffee.
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I am a diabetic patient and it is there for the past 20 years. I was taking allopathy medicines and for the past 3 years on insulin since I was travelling 110 kms daily on job matters. Now I am a retired man. Kindly inform per return any medicines available for diabetic.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am a diabetic patient and it is there for the past 20 years. I was taking allopathy medicines and for the past 3 ye...
Insulin is best for you after 20 years of diabetes. It has no side effects. Other benefit with insulin is umbrella protection, even if you are not controlled, your organs are protected.
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I am 27 yrs old and suffering from thyroid ; synosites and lack of vitamin d from 3 yrs and my weight is just 42 kg. While hieght is 5ft 2 inch. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 27 yrs old and suffering from thyroid ; synosites and lack of vitamin d from 3 yrs and my weight is just 42 kg. ...
in sinusitis you can use nasal spray otrivin. IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
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Diet Changes For Type - 2 Diabetes

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Jaipur
Diet Changes For Type - 2 Diabetes

Type 2 diabetes is a form of diabetes in which the body does not use insulin properly and develops resistance to insulin.

A patient with type 2 diabetes must make several changes to his/her regular diet and food patterns. The aim is to manage the blood-sugar level of the body. Hence, a type 2 diabetes patients should follow a regular diet, which comprises of:

  1. All types of foods from different food groups.

  2. Lesser calories.

  3. Lessened and limited intake of carbohydrates.

  4. Healthy fats.

Here is a list of food items you should include in your diet in case you have type 2 diabetes.

  1. Vegetables: You must have fresh or frozen vegetables and avoid using sauces, dips, fats or salts. Intake non-starchy vegetables like cucumber, spinach, broccoli, cabbage, lettuce and vegetables, which are dark green or yellow in color. Also have starchy vegetables such as corn, green peas, beans, carrots and yams. Avoid potatoes as they are pure starch.

  2. Fresh Fruits: You should include fresh fruits in your regular diet. Have apples, bananas, berries, papaya, cherries, grapes, melons, oranges, peaches, pineapples and raisins. Have whole fruits regularly, which do not contain added chemical sweeteners.

  3. Grains: Include grains in your diet and consume whole grains more. Whole grains are not processed and consist of the whole-grain kernel. Grains contain starch, which is a source of carbohydrates. Carbohydrates are bad for blood sugar. Hence, whole grains, which are rich in fiber are recommended. Fiber controls the blood-sugar level from shooting up. Fiber should be included in the form of bran of oat and wheat.

  4. Proteins: Coming to protein food items, you should consume fish and poultry items often. Always remove the skin from chicken or turkey properly before cooking. Buy lean meat and trim all the fat from meat. Avoid frying and use methods such as baking, roasting, grilling or boiling. Also use healthy oils for frying purpose.

  5. Dairy Products: In case of type 2 diabetes, always use dairy products, which are low in fat. Do not add sugar to milk, curd or yoghurt as they contain natural sugar. Do not consume more than three cups of milk a day.

  6. Oils and Fats: Cut down the intake of excessive oily and fatty foods. Avoid food items that contain high saturated fats such as bacon, hams, sausages and butter. Consume food with polyunsaturated or monounsaturated fats. Oil raises blood-sugar level and is high in calorie and should be used in lesser amounts.

A type 2 diabetes patient needs to undergo several changes in his/her diet to keep a check on the rising blood sugar levels and for living as healthy as possible. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3338 people found this helpful

I am 26 years old female and I am having a small painless lump which varies in size on my left upper eyelid. I have no rashes or redness in the eye. What should I do to get rid of it. I am a type 1 diabetic too but I don't have any vision related issues. Please help.

MBBS
General Physician, Ahmednagar
I am 26 years old female and I am having a small painless lump which varies in size on my left upper eyelid. I have n...
This is called chalazeon. Chalazion is a cyst in the eyelid due to a blocked oil gland. They are typically in the middle of the eyelid, red, and non painful. They tend to come on gradually over a few weeks. A chalazion may occur following a stye or from hardened oils blocking the gland Healing can be facilitated by applying a warm compress to the affected eye for approximately 15 minutes 4 times per day. This promotes drainage and healing by softening the hardened oil that is occluding the duct.
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I have felt always tired even no longer I work. Loss of appetite, is it not the symptoms of diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have felt always tired even no longer I work. Loss of appetite, is it not the symptoms of diabetes?
Mr Santosh Kumar, Feeling tired without any known reason can be a symptom of diabetes. If you have a family history of T2 DM, it is better to get a blood sugar check up done. That will help in clearing the doubt. Apart from feeling tired other symptoms include excess urination, excess thirst, excess hunger and unexplained weight loss. So please a detailed blood check done.
1 person found this helpful
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I am 44 year old. Suffering from uric acid that is 8 since 8 months,please advice.

MBBS
General Physician, Cuttack
Your uric acid level is high. Take the following advice 1. Avoid protein rich diets like mutton egg, fish, mutton, mushrooms, sea foods, cauli flower, spinach 2. Take fruits like apple, banana, orange, lime etc 3. Drink plenty of water 4. Avoid alcohol and caffeinated drinks 5. Take medicine after consulting physician
2 people found this helpful
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Omega 3 Fatty Acids. Do I need it?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Omega 3 Fatty Acids. Do I need it?

Omega 3 fatty acids during pregnancy. Do I need it?

1) if I take omega 3 fatty acid supplements during pregnancy, it will help my baby's brain development better?

There is not enough evidence that supplements help to boost a baby's brain power. Omega3's in a mom's diet are definitely beneficial though. Taking fish oil capsules does not have same health benefits eating fish as along with omega 3, fish are good sources of proteins, calcium and vitamins b and d which one doesn't get from fish oil capsules.

If at all someone is taking these supplements, it should be taken at the start of a meal to avoid the fishy taste and burps.

2) are there any proven medical benefits of fish oil supplements?

Fish oil have omega 3's in the form of dha and epa. They are good for people who have high triglyceride levels as it helps to lower the triglyceride level in the blood but one must take at least 2-4 g per day to have this effect. How much dha we get out of a particular brand of capsule is not known as fish oil is sold over the counter and is not regulated by drug agencies. Fish oil may also help in controlling diabetes. They may also reduce complications in a person with known heart disease. If you have none of the conditions above it is much better to simply eat fish as and when you want.

Please remember that may also act as blood thinners. People who are on ecosprin, or heparin or any other medication for heart disease should take it only on prescription and be monitored regularly.

3) can I get omega3's from any other source?

While fish is a good source of omega 3's, it is not readily available in many parts of our country. Also vegetarians can get it from walnuts, dark leafy vegetables like spinach, kale, algae oil or flaxseed oils. But vegetarian sources are poor replacements as compared to fish.

Krill oil which is made from shrimps has as much omega 3's as fish oil.

4) how much fish should I eat to get enough omega 3's?

It is recommended to eat one cup fish twice a week and up to 4 cups of cooked fish are safe for consumption. Frequent fish eaters should mind the mercury contained in certain fish. Shrimps, tuna, salmon and catfish are generally low in mercury while mackerel, sharks and swordfish have high mercury content. Pregnant women should definitely try to reduce the mercury content in their diet.

8 people found this helpful

Mein thyroid patient hu aur weight gain kr rhi hu mera weight 55se75 kg ho gaya h. Mujhe tnsn h iski kyoki sb khte h thyroid patient ek bar weight gain kr leta h toh kam nhi hota. Yeh shi h kya aur mein loose krna chahti hu toh please give me suggestions how to loose.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mein thyroid patient hu aur weight gain kr rhi hu mera weight 55se75 kg ho gaya h. Mujhe tnsn h iski kyoki sb khte h ...
Lybrate-user, if you have hypothyroidism, then if that is not well controlled then weight gain will continue. So first thing is to bring tsh levels down to 3 to 4 milli units/l, by aking appropriate dose of thyroxine. Then your efforts to control weight will be successful. It is not correct to say once weight gain occurs then it can not be lost.
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My mother is Diabetes and BP patient, for the past 4 days her legs are swollen in condition.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
My mother is Diabetes and BP patient, for the past 4 days her legs are swollen in condition.
Hi This condition is called congestive cardiac failure As because of diabetes age and other ailments the heart gets week it cannot pump blood in forward direction and blood regurgitates back and causes swellling in leg She would be given diuretics And some tablets to strengthen the heart Treatment should be started immidiately Medicines can be written in private consults only according to site rules Thanks Take swelling seriously and start meds.
1 person found this helpful

I am 40 years old lady, fasting sugar 152, ppbs 210, medicine taken volix 0.3 mg and contraceptive ovral l, hair fall last 2-3 years. Please suggest the remedy.

MBBS
General Physician, Mumbai
I am 40 years old lady, fasting sugar 152, ppbs 210, medicine taken volix 0.3 mg and contraceptive ovral l, hair fall...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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Simple Yet Effective Lifestyle Changes to Help You Manage Diabetes!

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Simple Yet Effective Lifestyle Changes to Help You Manage Diabetes!

Keeping the blood sugar at the recommended level can be a challenging task at times. While timely medication is a key prerequisite for controlling diabetes, lifestyle changes plays an important role in keeping the blood sugar under control.

Here is a list of simple yet effective ways of managing diabetes.

  1. Food
    • Portion size and carbohydrate count: Carbohydrates are the single most important food element that impacts the level of blood sugar in body. People taking insulin shots should ensure that the portion size of carbohydrates does not exceed the recommended level. Maintaining a diary to keep a check on the carbohydrate count can help in this case.
    • Balanced diet: For people suffering from diabetes, it is necessary to have a good mix of fruits, vegetables, fat, starch and protein in each meal. Carbohydrates should be consumed in the form of fruits and whole grains. A doctor advice in this matter can be of great help.
    • Avoid sweetened beverages: Sweetened beverages with high sucrose and fructose content have high-calorie content that can directly impact the blood-sugar level. Refraining from these sweetened drinks is a must for diabetes patients.
  2. Exercise
    • Make an exercise plan: Exercising for half hour on a daily basis is highly beneficial for diabetes patients. It makes sense to consult a doctor about the type of exercise that can be done regularly. The right mix of aerobic, cardio and muscle exercise should do the trick.
    • Stay hydrated: Staying hydrated is very important during exercise. Dehydration can bring down the blood-sugar level drastically.
    • Be prepared: Carrying a small dose of glucose or a snack can come in handy. In case the blood-sugar level drops to an alarming level while exercising, the glucose will ensure that it brings it back to normal quickly.
  3. Alcohol
    • Follow the doctor’s instruction: Alcohol is known to cause a lot of complications for diabetic patients. For people whose diabetes is under control, make sure that the doctor gives his go ahead for alcohol consumption.
    • Drink carefully: If you get a doctors nod to drink make sure that dry wines and light beer are consumed. These drinks tend to have lesser calories and carbohydrates. Their impact on the blood-sugar level, therefore, becomes minimal.
  4. Stress
    • Pattern: Stress greatly increases the blood-sugar level. While it is difficult to be stress-free, try to look for a pattern by checking the blood-sugar level after prolonged stress. This will help to identify a pattern which can then be addressed with methods such as yoga, hobby practicing, laughter therapy, etc.
    • Get help: Stress management is not an easy task. If stress cannot be controlled with a conventional approached, it makes sense to get professional help to reduce stress.
3616 people found this helpful

I am aged 59 years male person. I am not diabetic. My serum creatine is 1.2. For the last two months I am passing urine in yellow to dark yellow. I am not seen the symptoms of jaundice. Please advise. Reddygarivinod@gmail. Com.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am aged 59 years male person. I am not diabetic. My serum creatine is 1.2. For the last two months I am passing uri...
There are many normal or abnormal causes of dark yellow urine. Commonest is insufficient water intake, hot weather or sweating etc. Hence you should take about 3 litres of water daily in summer conditions. Urine infection, jaundice etc may be some causes. But there will be associated complaints hence you should see your doctor for proper clinical examination, related investigations of urine for any abnormalities and proper diagnosis.
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I am 25 years old female and I have hypothyroidism since 6 years and pcod. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 years old female and I have hypothyroidism since 6 years and pcod. What should I do?
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
vitamin B12 should be checked periodically in diabetics on tab.Metformin
3 people found this helpful

Sir I am suffering à doses is diabetic fasting 220 and pp 445 BP 140/90 âge 33 already I have tok glycinorm 40 and pan40, stamlo2.5, nerverich.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I am suffering à doses is diabetic fasting 220 and pp 445 BP 140/90 âge 33
already I have tok glycinorm 40 and pa...
Mr. lybrate-user, You are having a seriously uncontrolled diabetes, which can lead to very bad consequences related to multiple vital organs and systems. There is need for urgent upgradation of present treatment. Ideally fasting glucose should be closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. Plus your BP is also high. If are really willing to get properly treated please come in a private conversation, where I will be able to help. This is urgent looking at your glucose levels. Thanks.
1 person found this helpful
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MD-Pharmacology, MBBS
Sexologist, Delhi
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How Exercises will help to get rid of Diabetes?

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