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Dr. Sanjay Raina

Endocrinologist, Delhi

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Dr. Sanjay Raina Endocrinologist, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sanjay Raina
Dr. Sanjay Raina is a renowned Endocrinologist in Shalimar Bagh, Delhi. You can consult Dr. Sanjay Raina at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. Sanjay Raina on Lybrate.com.

Lybrate.com has top trusted Endocrinologists from across India. You will find Endocrinologists with more than 44 years of experience on Lybrate.com. You can find Endocrinologists online in Delhi 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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Max Hospital-Shalimar Bagh

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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I am 46 years old working suffering from thyroid and PCOD. Except thyroxine 50 mg. I am taking any kind of medicine. Please advise if I should start taking AMway's nutrilite daily or woman revital. Which one is better?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 46 years old working suffering from thyroid and PCOD. Except thyroxine 50 mg. I am taking any kind of medicine. ...
lybrate-user, Your BMI is 33.33 kgs/M2, showing grade 1 obesity. This points to an uncontrolled hypothyroidism also it does aggravate PCOD. You should seriously plan to reduce weight. Your ideal body weight should be 55 kgs. Plus there should be better control of TSh levels to keep hypothyroidism in check. On treatment TSH should be between 3 to 4 mU/L, then only all the symptoms are in check. For PCOD also you need to take some treatment. Regular exercise and properly planned diet are needed. As regards taking Nutrilite, an exorbitantly expensive product, there a re a number of alternative Indian products with whey protein. Those can be used. But first you have to work on reducing the weight. Thanks.
3 people found this helpful
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I am taking metosartan 25,-od, ecosprin Av 75/20, _od Gtn sorbitrate cr 2.6 _bd and gluconorm Sr 500 bd my sugar is 108 fasting and bp 124/78 and pulse 80 my question is what precautions is best for me to avoid heart attack sometimes I feel light pain in my chest but not always and TMT is positive please give advise.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am taking metosartan 25,-od, ecosprin Av 75/20, _od Gtn sorbitrate cr 2.6 _bd and gluconorm Sr 500 bd my sugar is 1...
Since you already have chest pain with a positive TMT and are taking medications then you must have already got evaluated by a cardiologist, who also must have suggested that you these medicine lifestyle precautions and that should get a angiography done to find out the level of blockage in your heart arteries. And in case you have not consulted a cardiologist then you should at the earliest. CAG is the only way to find out if there is blockage and if that blockage is significant then to stent it timely before it leads to a heart attack.
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I am not concerned about my uric acid level (level is 7 ).I am panic about why I am getting more pins and needles in legs at this age. Nurokind LC is a vitamin B12 tablet I am taking to reduce it. Please let me know what disease is this?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am not concerned about my uric acid level (level is 7 ).I am panic about why I am getting more pins and needles in ...
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). Normal values will vary from laboratory to laboratory. Also important to blood uric acid levels are purines. Feeling pins and needles indicate neuropathy or just anxiety ( in you age ) . Nurokind is given for nerve strength . You may take anti anxiety medicine as well.
1 person found this helpful
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My diabetic not in control fating some time 228 some tine145 pp 220 278 not standable im taking bgr 34 ayurvedic trizoryl forte 1 and tingleptin and three tablets voglibose 0.3 before meals daily.

MBBS, MD
Endocrinologist, Delhi
My diabetic not in control fating some time 228 some tine145 pp 220 278 not standable im taking bgr 34 ayurvedic triz...
Two things are very important in diabetes control and they are diet and exercise. Patient should avoid sugar jaggery honey sweets sweet fruits like mangoe grapes banana cheekoo etc. Diet should be small, frequent eals and easily digestable. Exercise,walking and yoga are equally important. If you are overweight reduce it .Then comes role of mediines.In my openion pt. Should follow one system of medicine under the guidane of a qualified doctor.
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I am 58 years male. I have done blood test recently my report says iron deficiency, deranged liver enzymes, hypothyroidism. What does it mean, what are the precautions to be taken pls. Help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 58 years male. I have done blood test recently my report says iron deficiency, deranged liver enzymes, hypothyro...
Mr. lybrate-user, From what you are writing it is clear that you have iron deficiency (anemia), hypothyroidism and liver function is affected. It is better if you post the actual report, then I can understand the whole thing more clearly. Even recommendation of specific medications is possible only seeing things in detail. Plus I notice you have grade 1 obesity with a BMI of 32 .14 kgs/M2 (normal <23 kgs/M2). This can be a contributing factor for liver related problem. Thanks.
8 people found this helpful
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Insulin Therapy For Diabetics Explained

MBBS
Diabetologist, Jabalpur
Insulin Therapy For Diabetics Explained

What is insulin therapy?
Insulin is a hormone that is responsible for keeping the level of sugar in the blood under control. It is the primary therapy used for the treatment of any type of diabetes. The dependence on insulin depends on the balance between the actual production of insulin in the body and the resistance of the body cells to the insulin produced. People, who suffer from diabetes type 1, need insulin injections lifelong. The requirement for insulin therapy in people suffering from type 2 diabetes solely depends upon the declining function of the beta-cells over time.

What are the types of insulin available in the market?
The various types of insulin available in the market are:

  1. Rapid acting insulin: The onset of action in this type of insulin is rapid and it lasts for a short duration, about two hours.
  2. Short acting or regular insulin: The onset of action is moderate, and it starts acting within half an hour, and the duration of action ranges from 3 to 6 hours.
  3. Intermediate acting insulin: It takes about 2 to 4 hours for the onset of action of this type of insulin and the effect can remain for about 18 hours.
  4. Long acting insulin:  The duration of action of this type of insulin can last up to about an entire day.

How is it taken?
Insulin injections can be self-injected using a syringe, a needle, a cartridge system, or a pre-filled pen system. Devices for inhaling insulin, quick-acting insulin and insulin pumps are also available at medical stores and pharmacies. Insulin is injected subcutaneously, into your muscles. Try to ensure that you inject around the same area every time, but choose a different spot to ensure less scarring. The best areas to inject insulin are thighs, buttocks, arms and belly. If you take regular insulin, it is advised to take it half an hour before a meal.

What are the possible side effects?

  1. Low blood sugar level
  2. Scars and lumps from extensive usage of insulin injection
  3. Rashes can be found in the area the insulin is injected or sometimes, all over the body
  4. Weight gain when you start using insulin initially

Consult an Expert & get answers to your questions!

6 people found this helpful

Infertility in Women - Factors that Put You at Risk

M.Sc, MD, MBBS
IVF Specialist, Delhi
Infertility in Women - Factors that Put You at Risk

Infertility is the incapability of a couple to conceive after indulging in unprotected sex multiple times over a long period. It can also be referred to as the biological inability of a man to cause conception or a woman to conceive as well as being unable to carry the pregnancy for the whole duration. Research has shown that female problems contribute to over half of all the infertility cases.

Causes-

Causes of infertility in include:

  1. Ovulation Disorders – This is regarded as the most common cause of infertility in women. The disorders can be caused due to conditions like PCOS (polycystic ovary syndrome), Premature ovarian failure, poor quality of eggs, overactive or underactive thyroid gland and chronic conditions like cancer or AIDS.

  2. Problems in fallopian tubes or uterus – Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to conditions like Endometriosis, previous sterilization treatments or surgeries to correct past problems.

  3. Medications or Treatments – There is a possibility of some treatments affecting infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.

Diagnosis-

Usually, the initial steps for diagnosing infertility involve a review of the complete medical history of the patients as well as a physical exam. Post this check-up, some diagnostic tests are conducted for infertility. This might include-

  1. Blood and Urine tests: For checking hormone levels.

  2. Pap smear:For checking the health of your cervix.

  3. X-ray: For outlining the internal shape of the uterus so that blockages in fallopian tubes can be identified.

Risk Factors:

  1. Age – Increasing age tends to lower the quality as well as the quantity of a woman's eggs

  2. Smoking Besides damaging your cervix and fallopian tubes, smoking increases your risk of miscarriage. It is also believed to deplete your eggs at a premature stage, thereby reducing your chances of pregnancy.

  3. Weight – Normal ovulation is hindered by being overweight or even significantly underweight. This is because lower levels of BMI (body mass index) reduces the frequency of ovulation, reducing the chances of pregnancy.

  4. Sexual history – Sexually transmitted diseases like gonorrhea and Chlamydia can cause damage to the fallopian tubes, resulting in infertility.

Treatments:

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI): deliberately introducing sperm into the uterus of a woman for achieving pregnancy.

  2. Stimulating ovulation with fertility drugs.

  3. Surgery to restore fertility.

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve a pregnancy. It is any form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperm are manually combined in a laboratory dish, followed by transfer of embryo to the uterus.

 If you wish to discuss about any specific problem, you can consult an IVF Specialist.

2938 people found this helpful

Sir I am 35 year old and diabetic my ppbs blood sugar level is 265. My nasal drainage for fungal culture report shows aspergillus species. My blood sugar level is not going down. I am taking insugen 30/70 38 in the morning and 30 in the night and glyree 2 mg twice daily. I am increasing my insulin level still my blood sugar is not getting control. I am feeling fever, cough, joint pain, littlechestpain and headache. Aspergillosis pns after nose endoscopy. Pls help.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Sir I am 35 year old and diabetic my ppbs blood sugar level is 265. My nasal drainage for fungal culture report shows...
Dear You need to improve your immunity urgently and also make lifestyle changes to reduce, both, body toxicity and mental fatigue. All these will help your condition in the long run. Please order Reimmugen colostrum on site healthsolutionsinternational regards.
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I have diabetic (sugar) how I should control it which exercises is useful and which type of food is preferable for controlling diabetic.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
I have diabetic (sugar) how I should control it which exercises is useful and which type of food is preferable for co...
You are overweight by atleast 10 kg. You have not given symptoms and sugar level and any medicine being taken. First avoid sugar and other sweets. Reduce your diet by 20-25% take lots of green vegetables take saboot ir chilka dals avoid dhuli dals di not seive floor. Do regular brisk walk for 45 minutes a day. Repeat sugar after 2-4 weeks. You can send your diet chart with sugar reports and medicines being taken.
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I am suffering a long time from gas, acidity, vomiting and dizziness. After testing found fatty lever, high triglyceride, and high uric acid. I am working in computer minimum 8 hours per day. I also feel senseless little finger in both hands. Please suggest how to control these problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering a long time from gas, acidity, vomiting and dizziness. After testing found fatty lever, high triglycer...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.Take tab. Zyloric 100 mg once a day.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.
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Slip Disc - Why It Happens?

MD - Ayurveda
Ayurveda, Jaipur
Slip Disc - Why It Happens?

Why Does Disc Slip?
Before we go and look for the treatment of the slip disc (at any region) of the spine, we need to be sure that why discs slip from their places and what are the basic causes behind the slip disc? This will help you to better understand the whole problem and its severity, because understanding your disease and to be educated about the problem is the basic step we need to take for complete cure of the condition.

What this Disc is?
Discs are fluid containing bag like structures which are located between every two vertebrae. These are destined to absorb the shocks while movements of the spine and to ensure the smooth movements of the spine. These are connective tissues which are important to hold the spine together and to for smooth movements of the spine. If there won’t be gaps in between the vertebrae, we won’t be able to move ourselves in any direction and that stiffness will make us like a hard-dried up tree, which can swing on either side but cannot bend properly.
“So this Intervertebral disc is not a hard piece. This is a bag filled with some fluid, which provides cushion to the two bones above and below”.

What does Slip Disc mean?
Slip is a very non-scientific term. There is no medical term like this. This is the protrusion. Dictionary meaning for the protrusion is- something that bulges out or is protuberant or projects from its surroundings!! A protrusion is- hump of a camel. So the fluidic-bag between the two vertebrae protrudes on one side. This condition of PRTRUSION OF INTERVERTEBRAL DISC (PIVD) is known as Slipped disc or slip disc in laymen language.

Why dose disc slip from its actual position?
Discs are held in an alignment between the vertebrae. These are not alone the bones, which held the things together. Muscles surround the bones and ligaments are similarly responsible for holding these in their actual, desired location. These all together- bones, muscles, and ligaments decide the curvature of the spine and this curvature is the most important factor to decide the location of the intervertebral discs.
In most of the cases we have CURED we found that there were two common factors-

Stiffness of the muscles of the back
Loss of normal curvature of the spinal column
We just adjusted these two with the help of Ayurveda-Yoga and Panchakarma and this only ensures us with 95% results at our facilities. Reason is very clear that- WE DO REMOVE THE ROOT CAUSE! We follow the notion of Ayurveda which tells us- “Sanksheptah Kriyayogo Nidan Parivarjanam” which means- remove the causative factors and this is the basic and exact form of treatment. If you wish to discuss about any specific problem, you can consult an Ayurveda.

5784 people found this helpful

I was suffering from high sugar may be for a long time near to 440 diagnosed as diabetic type 2 latter and urine sugar +++ which I have controlled now since for last 2 month after diagnosis. During that period I have some infection in my private parts. please tell me what I do now, it also feels I have foam in my urine.

MBBS
General Physician, Mumbai
I was suffering from high sugar may be for a long time near to 440 diagnosed as diabetic type 2 latter and urine suga...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and we have to examine the private part for pinpointing the cause of infection either fungal or bacterial and take treatment accordingly.
1 person found this helpful
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I am an 52 years old male having stones in my Pancreas for the last one year. Came to know through the ultra sound and CT Scan. Due to this my blood sugar is high and fluctuation. Presently I am taking Panlipase capsules and also Insulin 12 in the morning and 8 in the evening. I want know is there is any way to dilute/remove the stone from the pancreas.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am an 52 years old male having stones in my Pancreas for the last one year. Came to know through the ultra sound an...
Dear, unfortunately, there is no method to remove the stone. However, diabetes can be well controlled with appropriate medications. Pl. Follow up regularly with your diabetologist who can help you to control your blood sugars. Also try to incorporate coconut oil in your diet as it is a medium chain triglyceride which will benefit in your condition.
8 people found this helpful
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Hello Doctor, I am 30 years old. Height is 5.6 and Weight is 90 kgs. I am a working lady with 9-6.30 job timings. I have Thyroid problem since last 5 years. Also I have deficiency in Vitamin D. I have recently joined Zumba/Aerobics classes for 1-1.5 hours each day (in evenings). Please suggest me the diet I should follow to loose weight. Do I need to involve in any other kind of fitness activity? Will I be able to achieve my ideal weight through Zumba and Diet?

MS - ENT,MBBS
ENT Specialist, Kolkata
Hello Doctor, I am 30 years old. Height is 5.6 and Weight is 90 kgs. I am a working lady with 9-6.30 job timings. I h...
I am outlining  food you should avoid or restrict in Hypothyroidism. But you need calorie adjustment to lose weight It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya ,nugget, chunk,tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres .Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips,pickles, sauces as they contain  large amount of sodium .Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. Share thyroid and vitamin D reports. Zumba/ high energy cardio can help you lose weight. Hope this helps
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

M.Ch - Orthopaedics, Fellowship in Arthroscopy & Sports Medicine, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Spinal block is a modality used to relieve severe symptoms. It is given for mild or early cases where no surgery is planned.
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My sugar level is fasting 107 & pp 180 and my b.p is 99 & 147 what kind of food should take or avoid please share.

MBBS
General Physician, Mumbai
My sugar level is fasting 107 & pp 180 and my b.p is 99 & 147 what kind of food should take or avoid please share.
Dear lybrateuser, - Take more of fibrous foods like fruits, green leafy vegetables, whole grains like wholewheat, brown rice, corn, oats, beans, legumes, peas, nuts - have protein foods like low fat milk & milk products, yogurt, butter milk, paneer, egg( 2-3 per week) - heart healthy fats as in fish, mackeral, tuna, walnuts, olive & canola oil, avocados, mixed nuts like almonds, walnuts, pista, cashews - avoid fried, processed & junk foods, restrict salt, sugar in food, also avoid foods containing saturated & trans fats - have healthy snacks like fruit, salad, yogurt, wholewheat sandwich, corn, nuts.
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Sir/madam me and my wife having a same blood group (B+ve)will be there any problem in future

MBBS
General Physician,
It shouldn't be a problem. The concern to child's health is when Mother is Rh negative and Father is Rh positive
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I am suffering from diabetes, BP and prostrate since 5 years however all are under control I am 59 years old my weight is 70 kg height 5'2" working accounts and finance department pure vegetarian my question is that treatment of prostrate without operation?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
I am suffering from diabetes, BP and prostrate since 5 years however all are under control I am 59 years old my weigh...
Dear lybrate-user, prostate complaints you are mentioning are common in males post the age of 50 years, termed as BPH. (Benign Prostatic Hyperplasia). It can be treated with medicines based on the degree of BPH and other factors. Kindly consult me personally with all relevant documents. I can definitely guide you.
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I can't sleep at all the whole night. I am feeling loss of energy, drowsy. I am having hypothyroidism & diabetic problem, loosing weight & day by day looking so thin.

MBBS
General Physician, Faridabad
I can't sleep at all the whole night. I am feeling loss of energy, drowsy. I am having hypothyroidism & diabetic prob...
avoid stress of illness, see your thyroid and diabetes under control, back with report so that i can help you. welcome
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Is Glucometer shows accurate results. It shows 104 fasting. Some lab show 84 fasting some show 101 fasting. PP 94 in lab HBA1C % 4.5 & 5 (TWO DIFFERENT LAB REPORTS). IS Fasting 100 below is normal or 110 below Different results always.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Glucometer shows accurate results. It shows 104 fasting. Some lab show 84 fasting some show 101 fasting. PP 94 in ...
In practical experience the glucometer results are always higher than lab report and the manufacturers of the meter say upto 20 % is admissible. It can be used for screening only and the labs also show different results. HbA1C 5 is very good.
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