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Pinnacle Diabetic Care

Endocrinologist Clinic

G1, Windsor Palace , Plot No. 75/3, Road no, 10, Banjara Hills,Landmark:-Lane beside Coffee day, Hyderabad Hyderabad
1 Doctor · ₹200
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Pinnacle Diabetic Care Endocrinologist Clinic G1, Windsor Palace , Plot No. 75/3, Road no, 10, Banjara Hills,Landmark:-Lane beside Coffee day, Hyderabad Hyderabad
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Pinnacle Diabetic Care
Pinnacle Diabetic Care is known for housing experienced Endocrinologists. Dr. Manjira, a well-reputed Endocrinologist, practices in Hyderabad. Visit this medical health centre for Endocrinologists recommended by 72 patients.

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G1, Windsor Palace , Plot No. 75/3, Road no, 10, Banjara Hills,Landmark:-Lane beside Coffee day, Hyderabad
Banjara Hills Hyderabad, Andhra Pradesh
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Dr. Manjira

Endocrinologist
200 at clinic
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Healthy Snacks To Manage Blood Sugar!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Healthy Snacks To Manage Blood Sugar!

Healthy snacks to manage blood sugar are here:

1. Whole grain crackers: Made of oats, cracked wheat, rye and quinoa; this is a healthy option for people who like a little crunch while snacking. To give it a more delicious spin, serve it with a little curd and cottage cheese dressing. The overall nutrition value of this snack is excellent. It does good to your cholesterol and glucose levels.
 
2. Fruits for snacks: This might be the oldest trick in the book but always the best. Go for mixed fruit salads with a tangy orange juice, honey and fresh mint dressing. This should add a new punch to those who are tired of eating fruits. This is a friendly snack for people who have both diabetes and a sweet tooth.

3. Steamed sprouts salad: Steamed sprouts might sound a little boring but make a salad with finely chopped tomatoes, cucumber and boiled beans along with sprouts. Add a dressing with cottage cheese, one tsp of lemon juice and a little salt for a twist. This a great combination of protein and fiber, which helps in controlling blood sugar.


4. Yogurt with fresh vegetables: Add yogurt to a fresh mix of celery, tomatoes, broccoli and carrot. This is a combination that is not only healthy but will also keep you full for a long time. It is rich in enzymes, proteins, vitamins and calcium which are highly essential for your body.


5. Nuts: Nuts are rich in healthy fats which are required for our body. They are also very rich in protein and have a low carbohydrate content. The only catch is the quantity in which they have to be used. A couple of walnuts a day and around 5 to 6 almonds should do it.
 

6. Healthy smoothie: Smoothies are easy to make and a healthy option for an on-the-go snack. Blending refreshing coconut milk to a hand-picked combination of amla, spinach, cucumber and tomatoes should do the trick.


 7. Eggs: When we say eggs, we only mean egg whites. It is a snack that can be had round the clock. It is quick and easy to cook and is good for diabetic patients too.

2 people found this helpful

Ayurvedic Remedies For Thyroid Disorder!

BAMS, MD - Ayurveda
Ayurveda, Mumbai
Ayurvedic Remedies For Thyroid Disorder!

Thyroid has become a common ailment among most women in India nowadays. It is triggered due to the presence of impurities in the blood, which lead to hormonal imbalances and therefore, a number of symptoms, including anorexia, unhealthy weight gain, loss of energy, weakness and fatigue are experienced. But in case of hyperthyroid, you will notice an increased metabolic activity, a rise in pulse rate, loss of weight and palpitation.

Irrespective of whether you are suffering from hyperthyroid or hypothyroid, Ayurvedic treatment has some viable solutions that are aimed at elevating your health condition.

Ayurveda and thyroid

Though there is no direct mention of thyroid in the Ayurvedic texts, there are major implications that hint towards a disease like thyroid that is caused due to imbalance of body fluid and its probable treatments. Thyroid imbalance can be controlled by the following treatment regimen that includes:

1. Dietary regulations: As per Charaka, thyroid doesn’t affect those individuals who take milk in adequate quantities. In addition, you must take moong seeds, bengal gram seeds, sugarcane, cucumber, barley and old rice in optimum amounts for prevention of thyroid. In case you are already suffering from thyroid imbalance, then you must also aim at having a considerable amount of milk on a regular basis.

2. Herbs for regulating thyroid: The herb named Purple Mountain Ebony is purposely helpful in the treatment as well as proper functioning of the thyroid gland. In addition to this herb, you must also intake Punarnava, Brahmi, Jatamansi, Gokshura and Shilajita for alleviating your thyroid problems.

3. Home remedies: If there is swelling in any part of the body caused due to thyroid imbalances, then it can be properly treated by applying a fine paste of Jalakumbhi over the affected area. The juice of this paste can be administered in a small quantity of 22 grams in a span of 24 hours. It helps to increase the amount of iodine in the body which helps to fix various problems in the body. If you are experiencing a lack of energy and weakness, you can use coconut oil for boosting the sluggish metabolism of the body.

4. Yoga for treating thyroid: There are various Yogic postures, which are believed to help in the maintenance of the thyroid gland. You can practice sun salutation, fish pose and shoulder stand for alleviating your condition and get rid of all types of health issues caused from thyroid imbalances.

If you wish to get a personalised evaluation of your health condition, then it is imperative to pay a visit to an expert who can recommend proper Ayurvedic treatment methods for you.

Hello doctors I am diabetic from 2014 in starting I have used tablets but know my sugar levels r 180 .190. Still I have to use tablets are not please tel me.

BHMS
Homeopath, Noida
Hello lybrate-user If you are taking medicine doesn't mean medicine itself will cure diabeties. Do excercise, avoid sugar, rice and processed food. You can try homoeopathic med. If you aren't getting good result from whatever you are taking cause we have very good medicine for this and it is harmless, have no side effect. Stay healthy, be happy!
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Sir I have hypothyroidism what is the normal level of tsh. If my tsh comes to normal position should I stop taking medicine or can I change the power of medicine. I am taking eltroxin 75 mcg. I am suffering since 2007 and since then under medication. Sir I have body pain, joints pain. But after doing many treatment of RA or arthritis it did not reduce. Can this pain be for thyroid.

BHMS
Homeopath, Chennai
Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypothyroidism is Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an auto immune disorder in which the antibodies are produced by the immune system against its own tissue, which in turn attacks the thyroid gland resulting in hypothyroidism.Severe Iodine defficiency can also lead to hypothyroidism . Natural Homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Top Homeopathic Remedies for Hypothyroidism Calcarea carb , Sepia ,Lycopodium, Graphites and Nux Vomica are the leading homeopathic remedies for hypothyroidism The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter.  You can easily take an online consultation for further treatment guidance
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Hi my wife has thyroid enlargement. Recent report says thyroid gland is grown. Also it touches the throat pipe. Can anyone pl suggest to control the growth of thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Null, Thanks for the query. The reason thyroid grows is because of hypofunction, there is an extra amount of TSH (Thyroid Stimulating Hormone) secreted, that makes the gland size go up. This invariably signifies low thyroxine hormone levels leading to hypothyroidism. Usual cause is iodine deficiency. There is no mention of her thyroid hormone levels (T3, T4 & TSH), as it is important from the point of view of treatment. She may also have to undergo an Ultra Sono graphy of the gland to what kind of changes are present and if there are any nodules inside. Please get these tests done and come back. Then I will be able to guide specifically. Also please tell me if she has any symptoms related to either low thyroxine or high thyroxine. Thanks.
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I am diabetic and hypertensive. My morning blood sugar levels are being recorded high between 150-160 and 120 around 3 AM. I suspect it might be Dawn phenomenon or sneeze effect. How to get solve the problem? Please advise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. M Ramprasad lybrate-user, Thanks for the query. The dawn phenomenon, sometimes called the dawn effect, is an early-morning (usually between 2 a.m. And 8 a.m.) increase in blood sugar (glucose) relevant to people with diabetes.[1] It is different from chronic Somogyi rebound in that dawn phenomenon is not associated with nocturnal hypoglycemia. From above explanation it must be clear to you that your problem is not Dawn effect. Sometimes if night dose is high (whether Insulin or oral drugs) there may be a lower level of glucose in the early morning leading to hypoglycemia. That too is not present. What may be needed is proper adjustment of night dose and food intake. Thanks.
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Today my dad had diabetes test please anyone guide is he at risk or not? Below are test results Fasting Serum Glucose - 94 Serum Glucose 2 hrs - 163 Post breakfast.

MBBS
General Physician, Jabalpur
Its not a very serious problem but requires repeated investigations Fasting Test should be after 10 hrs Fasting and Post meal test should be exactly 1 and half hours after full meals.
2 people found this helpful
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I am having type 2 diabetics, I was taking glynase 5 mg and ppg ,3 tablets for few years. Recently since blood sugar level increased ,the doctor prescribed vobose (metformin hydrochloride) But I am having diarrhea if I take this. What is the alternative.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd for 60 days only
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Thyroid - Does It Impact Sex Life?

Sexologist
Sexologist, Chennai
Thyroid - Does It Impact Sex Life?

The thyroid gland is a tiny gland that produces the hormones which affect the body's metabolic process. When these hormones are produced in less or more quantities, it may result in an imbalance of the thyroid gland, leading to a range of thyroid issues including hypothyroidism, hyperthyroidism and others. Overproduction or underproduction of the thyroid hormones can also cause a variety of other symptoms and conditions. While this affects the state of one's general well being, health and weight, it also has an effect on the patient's libido.

Let us learn more about the link between thyroid and sex:

  • Thyroid in Men: Men who are suffering from hyperthyroidism or hypothyroidism as well as related conditions like goitre or Garves Disease, have complained of sex related problems. These problems are known to affect at least 50% to 60% of the patients, as per various medical reports. The sex related issues include premature ejaculation, low sex drive, delayed ejaculation, erectile dysfunction, and others.
  • Thyroid in Women: It has been found that almost 10% of women over the age of 50 suffer from some form or the other of thyroid hormone imbalance. Apart from fatigue, depression and muscle ache as well as weight alteration, depending on the type of thyroid problem, thyroid patients who are women have also experienced problems when it comes to libido. Sexual dysfunction and arousal problems are high on the list of these issues.
  • Hormonal Treatment: One of the most common ways of treating this sex related thyroid problems for thyroid patients is through the use of hormonal therapy. Besides getting the testosterone, estrogen and other androgen levels checked, the patient must also get a full hormonal evaluation along with a check-up of the adrenal function. This can help in pointing any anomalies and the hormones that will require replacement with the help of appropriate medication.
  • Optimal Drug Treatment: A T4 only drug or Levothyroxine can lead to a resolution of sexual problems that one encounters as a part of thyroid problems. There are many doctors who may switch to a T3 drug once the libido is restored and brought back to normal.
  • Supplements: Men may require testosterone supplements, while women may need estrogen or progesterone supplements to tackle the sexual problems in such cases. These can be rendered as a patch or through an injection.
  • Sex Therapy: In many cases, sex therapy considered as a popular and effective form of addressing the problems and helping the patients get around the same. This is especially helpful if depression is one of the symptoms of the thyroid disorder.

A thorough physical check-up also helps in treating such problems for thyroid patients.

9 people found this helpful

My mother age is 63. She is a diabetic patients from last 5 years her resent blood test report before meal is 225 and after meal is 305 .she take Gluconorm G2 as directed by local physician. She also suffer from severe body pain form last 10 year her body is become week day by day. She had losses her 10 kg in 2 years. Her figures had bended slightly and shape of figure become worst .she is also suffering from sleeplessness she has to take sleeping peels to get into sleep her digestion system is also very week she takes some churna daily but result is not good her .There is burning at the foot palm even will touch the body se feels unbearable pain .we had consultant with reputed MD.in the city all diabetes specialist​ and she take ayurvedic medicine to ie. Dr. Ortho but there is no relief from any medicine please guide me what should we can do for her good health. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details given and understand your concern. It appears she does have multiple problems. However, majority of the issues are due to improperly controlled or poorly controlled diabetes. Constant high blood glucose affects every single vital organ system in the body. Therefore it is absolutely essential that her blood glucose is controlled effectively. Ideally FBG should be <100 mg, PP 160 to 170 mg & HbA1c%< 7. The glucose levels mentioned are too high. So first and foremost is strict glucose control. Then properly planned and restricted diet as well as a daily exercise of at least 1 hour. If you are keen on improving her diabetic treatment then please come in a private conversation where I will be able to give specific guidance and monitor also. Thanks.
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Sir, I am diabetic since last four years. I am fifty five years old about 5'7" in height, 60 kg in wt. My diabetes results are coming normal since last six months as I am taking some Ayurveda medicine. I am regularly monitoring my blood sugar. My weight is almost constant since last one year. I appear to be thin, Kindly advise me regarding habit habits, type of food etc. To increase my weight so that I may not look lean & thin.

MBBS, MD
Endocrinologist, Delhi
You should be happy that your diabetes is controlled since last 6 years and your weight is almost constant since last 1 year. For increasing weight you have to take high calory diet which may disturb your blood sugar levels, even if you are so eager to increase your weight discuss it with your doctor because you are taking Ayrvedic medicine, he will be the right person to guide you.
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Various Causes Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Various Causes Of Infertility!

A problem in any one of a number of key processes can result in infertility. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.

Male factor
Sperm problems will contribute to about 40% of infertility cases. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form.

Female factor
Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. The most common identifiable causes of female fertility problems are outlined below:

1. Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate.
2. Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. It may also prevent the sperm from reaching the egg. Normal uterine implantation can therefore not occur. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy.
3. Endometriosis is characterised by excessive growth of the lining of the uterus. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring.
4. Repeated pregnancy loss - Some people may not have difficulty conceiving, but have suffered from miscarriages. This is obviously extremely distressing for the couples involved. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy.

Less common factors
The following other factors may also be responsible for infertility in a smaller proportion of cases:

1. Genetic abnormalities within eggs, sperm or both
2. An abnormal uterine cavity, including the presence of fibroids or polyps
3. Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo
4. Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes
5. Unexplained infertility - Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. This can often be a frustrating diagnosis. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.

Please do consult a competent sexologist for unexplained infertility problems.

2 people found this helpful

Hello Dr. What is meant by fasting glucose and pp glucose level. When we have to conduct these tests. Please. Answer this question.

MBBS
General Physician, Durg
Fasting means 10 hours fasting sugar level is 90 to 110, pp is after 1 and 1/2 hours of meal at that time sugar level is 110to 140. We should test every six months. Age not limit.
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How Ayurveda can help manage diabetes? Recently detected with it. Hb1ac at 8. And triglycerides are high too.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Abhraka Bhasma (Sataputa: Useful in diabetes and excessive urination. This can be used in several diseases with different adjuncts. DOSAGE: 1g = 4 doses. For excessive heat and dry cough, add equal quantity of sithopaladichurna and use one dose both morning and evening with sugar. But personally I feel allopathy mesicines are best for treating diabates.
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My wife age is 51 & she is diabetic patient .& Her height is 4'8.At this age how much she should have been weight?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. A person with 4 ft 8 inches (142.24 cms) height at age 51 should have a weight of 47 kgs. For maintaining a BMI of 23 kgs/M2. Thanks.
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Mere father ko diabetes hai. Unka age 54 hai. Aur wo 2 years se insulin le rhe hai khana kahne se phle. Kia insulin lena sahi hai. Insulin ka koi koi side effect ta nhi hai. please rply.

DHMS (Hons.)
Homeopath, Patna
Hello, Jab pancreas insulin banana band kerdeta hai, tab baahar (outside) se insulin lena hota hai. Insulin safe hai. Usually, food se 1/2 hr pehley insulin lena hota hai. Tk, care.
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Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 254 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years) patient. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. And he told this is a rheumatic arthritis. He gave Wysolone 10 mg for 45 days followed by wysolone 5 mg for 30 days. HCQ (Hydroxychloroquine) 300 mg, ARAVA (Leflunomide) 20 mg, INJ. Folitrax 20 mg once on sundays. Folvite 5 mg mondays to saturdays. Wysolone is now completely stopped. When I take wysolone there is no pain in fingers. Here is the test reports at a glance, Uric Acid 3.69 (range 2.6-6.0), RF 7.15 (<14), CRP 3.02 (<5) vit D (25 oh D) 36.12 (30 -100. AntiCCP Anti Body 5.61 (<20). CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5),Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), CRP 1.20 (range <10), amylase 78.2 (range 30 -110) Test was done in SERUM, Kolkata in 15th june 2017. Many doctors are telling me that this is rheumatic arthritis, But after 6 months of taking medicines for the same pain the still there, only fingers does not get deformed in afternoon. Please tell me is the diagnosis is right? Am I on right treatment? Or there is any other problem? Is there any bad action for taking panlipase 25000 for last 5 years? One more question for RA CRP & RF should be positive, but for my case it is negative, so how can it be RA?

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
RA is a autoimmune disease which is related to diet which needs to be radically changed for reversal of disease. Rheumatologist Drs in India only know to give pills for any illness .They do not know that there is natural treatment available because nutrition is not taught in the medical curriculum. They do not think outside the box. Change your diet and reduce the medicines. I think you were getting too many drugs for RA .Were they all given at the same time or at different periods. What was the dietary advise given by your Dr. for RA A detailed history is needed to advise you. Take a consult. Remember you cannot fix your health without fixing your diet.
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In the last one month I have lost 6-8 kgs, my diabetes level was 120 about a month back. Do I need to check it again. My eye sight is also affected due to that. Can you pl suggest what is the problem and how can I put on weight. Thanks Ramesh Mehta Age 54, weight 51 as on 20/6/17.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Take diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd and do contact with ultrasound report and blood report s. Bilirubin.
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I am 45 years old diabetic patient for last 4 years and I have lost body weight 10 kg last 4 years. I am now 64 kg. Height 5 ft10 inch. My sugar level is 120 /135 fasting and pp .Hba1c is 6.5, medicine taking ZITEN - 20 1 nos after breakfast. My question is can I get back my body weight again?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mandya
You can get back if you consume health food But as diabetes is a metabolic disorder exercise is most important Weight reduction is not a problem Just concentrate on diabetes management You can take protein supplements to increase weight like d protein powder.
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My blood sugar level is fasting 100 and after food taken is 248 first time self tested ,what can I do.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Confirm these blood sugar test reports when tests are done after 10 hours of fasting. If readings are on similar lines. And Blood sugar levels confirm Diabetes. However see a physician with the reports proper diagnosis and guidance reg. Diet, exercise, and medications etc will be given.
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