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Dr. Niraj Sharma

Diploma in Diabetology

Endocrinologist, Jharkhand

17 Years Experience  ·  3000 at clinic  ·  ₹2500 online
Dr. Niraj Sharma Diploma in Diabetology Endocrinologist, Jharkhand
17 Years Experience  ·  3000 at clinic  ·  ₹2500 online
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Niraj Sharma
He has been a practicing Endocrinologist for 17 years. He is a qualified Diploma in Diabetology . Book an appointment online with Dr. Niraj Sharma and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 25 years of experience on Lybrate.com. Find the best Endocrinologists online in Jharkhand. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Diploma in Diabetology - jharkhand medical college - 2000

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6845, Argada, HazaribaghJharkhand Get Directions
3000 at clinic
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Hi, I have hypothyroid from last 3 years, now TSH is 4 which is normal. But 50mg thyroxine tablet is continue. How can I completely recover from this tab.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, I have hypothyroid from last 3 years, now TSH is 4 which is normal.
But 50mg thyroxine tablet is continue. How ca...
Mr Rahul, The treatment for hypothyroidism has to be continued for life time. Your TSH level is 4 milli units / ml, because of thyroxine tablet that is being taken. If you discontinue that then hypothyroidism will come back. So please continue taking thyroxine 50 mcg daily.
6 people found this helpful
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PDDM, MHA, MBBS
General Physician, Nashik
Dietary management for diabetics:

CHEW MORE, EAT LESS : Studies show that the longer time you spend chewing, the lesser calories you consume. Chewing for longer prevents over-eating, by giving the brain more time to receive signals from the stomach that it is full. It is not only great for digesting, but it also helps in limiting your portion size. Try chewing your food 35 to 50 times per mouthful.

DON'T SKIP BREAKFAST : No matter how late you are running to work, avoid missing breakfast. There is a reason why it is called the most important meal of the day. Your body (rather your brain) expects to be refueled a few times each day, so when you skip breakfast, you feel so hungry that when lunch time comes, you overeat or maybe choose foods items that are not the healthiest choices. Missing breakfast slows down your metabolism. More importantly, always eat your breakfast, within an hour of waking up, as your body has gone without food the entire night.

CONCENTRATE ON YOUR FOOD : How many times has your mother reprimanded you to not talk, read or watch TV while eating food? Not without a reason. When you are multitasking during meal times, your brain isn't focussing on the amount of food that you are consuming and you are more prone to piling on pounds. This doesn't mean that you cannot enjoy a meal with your friends. You can do so, but just pay attention to what you are putting in your mouth!

DON'T OVERCOOK YOUR MEALS : Overcooking food kills or reduces the number of nutrients your meal contains, and when you don't get enough nutrients, you don't feel satisfied and soon start to get junk food cravings. To combat this, try eating more raw foods like sushi and salads. Steam, bake, blanch or grill vegetables and grill or bake meat and fish. Avoid microwaving.

FRUITS BEFORE MEALS : It is advisable to eat fruits at least 30 minutes before any heavy meal. This way, the fruits will digest quickly. Eating fruits on an empty stomach detoxifies your system and supplies you with a great deal of energy for losing weight.

HAVE SMALLER MEALS, MORE OFTEN : Ideally, you should eat five to six times per day, with a two to three hour break between each meal or snack. Eating more frequently gets your metabolism going and keeps it working at an elevated level continuously throughout the day. But don't use this rule as an excuse to overeat.

AVOID EATING AFTER 8 PM : It's good to eat your last meal before eight in the evening. This way you don't land up binging on a snack before dinner time. If you find it hard to resist, have some herbal tea or brush your teeth after dinner immediately to switch your mind off from the idea of eating. THINK AND DRINK : While everyone knows it's necessary to drink at least eight to 10 glasses of water, very few know when one should consume it. When you drink is as important as what you drink. If you drink water in-between meals, the liquid slows down digestion, diluting the acid in your stomach and so the nutrients from the food that you eat are not well absorbed. To avoid this try to drink water 15 minutes before or after a meal, and if you really need to drink while you eat, limit yourself to small sips only.

Dr surbhi agrawal
consultant physician and diabetologist

2 people found this helpful

Hi my erection takes a long time and lasts for just one minute as I am over by then Have hypertension and diabetes.

FESC, FSCAI, DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Delhi
Hi my erection takes a long time and lasts for just one minute as I am over by then
Have hypertension and diabetes.
Reduce your weight, many antihypertensive medicines medicines have a side effects like erectile dysfunction and diabetes is also a risk factor for the impotency,
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PCOS

M.Sc Dietetics and Food Service Management, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Hubli-Dharwad

Pcos is a hormonal disorder affecting many women leading to abnormal weight gain, high sugar levels and infertility. It is said even a 10% reduction in weight improves the overall condition in pcos. Losing weight is the only way to manage pcos and diet plays an 80% role in the same. Balance nutrition offers this online program for weight loss for women with pcos. Along with the diet, special super foods from the kitchen are incorporated to ensure you lose weight, correct the hormonal imbalance and regularize periods

What is pcos diet?

A typical low-fat weight loss diet like the simple 1200 calorie diet plan is not effective enough to promote weight loss in women suffering from pcos because in this case, weight gain is a result of high insulin levels that promotes fat storage in the body. Polycystic ovaries treatment and weight management call for a specialized low gi diet that includes selected combinations of foods that don't cause a rapid rise in blood glucose levels.

6 healthy food groups to include in a pcos diet menu

The following is a healthy pcos food list that can be included in the daily diet in order to manage the polycystic ovarian disease in a more effective manner and prevent weight gain which is one of the most recognizable symptoms of this condition.

Green leafy vegetables

The benefits of eating fruits and vegetables to lose weight are well known, but it also helps to control polycystic ovary syndrome naturally. Leafy vegetables have maximum nutrients per calories compared to other foods and also rich in calcium, iron, potassium, magnesium along with vitamins k, c and e and most importantly essential b vitamins which plays an imperative role in managing the symptoms of pcos. B vitamins especially b2, b3, b5 and b6 help in better sugar and fat metabolism, improve thyroid functioning and render better hormone balance, improve fertility all of which are essential for pcos management.

Green leafy vegetables for pcos

The minerals help to neutralize the acidity caused by inflammation and impaired glucose tolerance. Calcium helps in egg maturation and follicle development in ovaries; potassium is needed for fsh (follicle stimulation hormone) production. It helps to reduce pms symptoms and also promotes weight loss.

Coloured vegetables

Brightly colored vegetables not only makes for an appetizing salad but also helps in controlling pcos and must be included in the pcos diet plan. Colourful vegetables are loaded with powerful antioxidants that help to neutralize the harmful effects of oxidative stress in women suffering from pcos. Coloured vegetables

Some of the healthiest colored vegetables include red and yellow bell peppers, sweet potatoes, tomatoes, carrots, eggplant, etc.

Fruits

This is the next set of healthy foods that must be included in pcos diet recipes. Although most women suffering from pcos are reluctant to include fruits in their diet because of the fructose content that causes a sudden spike in blood sugar levels and consequently insulin levels, fruits are really rich in phytonutrients, vitamins, minerals and fibres so it should not be avoided entirely.

Fruits and vegetables

Include fruits that have low gi such as lime, strawberries, apricot, grapefruit, lemon, cantaloupe, guava, pear, oranges, watermelon, blueberries, nectarines, apples and kiwifruit and also eat a handful of nuts or seeds with the fruits for the much needed protein boost that helps to control the sudden sugar spike caused by fruits. You can also try delicious kiwi smoothie recipes which are loaded with nutrients.

Am 39 and diabetic, I hve under gone all sought of fertility treatments but failed even tried IVF but failed r there any chances to conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Am 39 and diabetic, I hve under gone all sought of fertility treatments but failed even tried IVF but failed r there ...
How many cycle of IVF you had done. Since IVF have a success rate of 40 to 50 % only depending on the infertility type, so you may not be able to conceive in one chance. N this case, the diabetes isn’t preventing conception, but is preventing an ongoing pregnancy. High glucose levels are reported to increase a woman’s chances of miscarriage by 30-60% An increased risk of birth defects due to damage caused to embryonic cells form the high levels of glucose in the blood SO you should think of donor IVF cycle also.
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My grandfather has diabetes. How should take care of him. What should he eat and drinking? Please help.

MBBS
General Physician, Cuttack
My grandfather has diabetes. How should take care of him. What should he eat and drinking? Please help.
1. Do regular exercise like brisk walking for 30 minutes daily if possible 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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I am 37 year female and my t3, t4,tsh is 92,7.6, and 3.74 resp. Is it normal or if there is any possibility of thyroid or it is ok.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 37 year female and my t3, t4,tsh is 92,7.6, and 3.74 resp. Is it normal or if there is any possibility of thyroi...
Mr. lybrate-user, Thanks for the query. Based on the thyroid test values given there seems to be no probkem. All the values are normal. Thanks.
3 people found this helpful
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I have thyroid. Since last 1 year. What should I do now. Even though I am having ayurvedik medicines.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Hello I am Dr. Tanvi diabetes and thyroid (endocrinologist) specialist from mumbai everyone has thyroid. Thyroid is a gland present in neck, you may be having thyroid disorder. It can be either hypothyroidism or hyperthyroidism. Treatment depends on what kind of problem you have. If you wish you can consult with me regarding further management with your complete medical history and latest blood thyroid reports.
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I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has increase from 135 to 152 (fasting) 235 from 238 (PP). MY HB1C is 8.1. I am walking daily but not in morning since I am working and do not get time for morning walk. Can I eat moongali. Coffee can be taken or not.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has incre...
Well, one simple thing to do is have methi water in the morning. Soak 1 tsp of methi seeds in a glass of water and next day strain the seeds and have water only, this helps to control sugar. Besides to keep glycosylated hb under control have food items like brown rice, whole grains, avoid refined flour etc. Yes peanuts can be had in moderation.
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I have suffering from uric acid problem. My label is 6.0.I have healed pain. Advise how to reduce it.

BHMS
Homeopath,
I have suffering from uric acid problem. My label is 6.0.I have healed pain. Advise how to reduce it.
Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to pain & swelling of those affected joints & this condition is clinically known as gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.
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I have high uric acid problem from very long, I am vegetarian, non smoker, non alcoholic. But having this problem. Needed a cure to this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid high protein diets, Diuretic medications , Drinking too much alcohol, Genetics disorder , hypothyroidism , Immune-suppressing drugs, Niacin, or vitamin B-3, obesity, psoriasis, Purine-rich diet — organ meat, dried beans, driedpeas, mushrooms and other foods. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take amino acid diet, l- glutamine , whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.
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Hi doctor my mother is diabetic from last 18 years, she is 58 year old now. She is taking insulin consulted by doctors 24 /16. And taking Medicine glimmer 3 mg and gluconorm 500 mg. She is facing pain in her right leg from last few month. Doctor saying there is some problem from disc to vain in leg. Any medicine you can advice for reducing the leg pain. A Medicine doctor consult a year before named as neurosis capsule. But now it's not available in chemist shop. Please consult any alternate medicine. Or some thing good for her.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor my mother is diabetic from last 18 years, she is 58 year old now. She is taking insulin consulted by doctor...
Mr. lybrate-user, Thanks for the query In a patient with long standing diabetes one of the common long term complication is peripheral neuropathy. This develops even when the blood glucose control is reasonably good. In case of badly controlled diabetes the problem becomes more severe. Since there is no mention of her blood glucose levels and HbA1c%, it is difficult to know if the condition is well controlled at all. There are some drugs used to treat neuropathic pain like pragabalin, gabapentine and some vitamin combinations. I did not understand what you mean by" Doctor sayi ng there is some problem from disc to vain in leg" Because whether the problem is due to neuropathy or blood supply affection leading to pain. This needs to be clarified. Has there been ultra sound or Doppler study done to see if the blood supply to the lower limbs is proper? Thanks.
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Sir My dieabaties though under controlled parameters yet at times it is high I go for regular walk. Please advise my eating habits ?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir My dieabaties though under controlled parameters yet at times it is high I go for regular walk. Please advise my ...
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Splitting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves your metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals. Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat. It will help maintain your blood sugar at a healthy level and won’t let it to fluctuate. Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories, extra weight and controlling glucose level. Brisk walking for 30 min. atleast five times a week is the best and easiest way of exercising. You can also try Cycling, swimming, dancing. Timings for exercise should be fixed and regular. Avoid heavy exercise. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat: Limit fats and sweets. Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fibre and complex carbohydrates:-like oats as they are easily broken down to basic sugars. Add whole grain foods in your diet. Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks .Instead include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour. This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated. Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc. 1 tsp(5 gm)is sufficient for a healthy hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories. choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc. So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc. Do not have more than two cups of tea or coffee every day. Try green tea instead.
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What r the reasons for high lead % in blood? How it will be controlled? My recent (4 days back) blood anysis report it is shown as 340 mcg/ltr I ama pure veg I am having diabetic. Cetapin 500 mg Also bp. Cilacar 20 mg. Omnizesth 40 mg Both are under control Hba1c. 6.4 Bp. 130/70/70 Thyroid. 0.92. Tsh. Thy. Norm. 100 mcg Pl advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
What r the reasons for high lead % in blood?
How it will be controlled?
My recent (4 days back) blood anysis report i...
Lead poisoning occurs when lead is ingested. It can also be caused by breathing in dust that contains lead. You cannot smell or taste lead. It is not visible to the naked eye. Lead used to be common in house paint and gasoline in the United States. These products are not produced with lead any longer. However, lead is still present everywhere. It is especially found in older houses. Common sources of lead include: House paint from before 1978 Toys and household items painted before 1976 Toys made and painted bullets, curtain weights, and fishing sinkers made of lead Pipes and sink faucets, which can contaminate drinking water Soil polluted by car exhaust or chipping house paint Paint sets and art supplies Jewelry, pottery, and lead figures Other types of art hobbies and projects Storage batteries Kohl or kajol eyeliners (used more in other countries) Some traditional ethnic medicines At levels above 80 µg/dL, serious, permanent health damage may occur (extremely dangerous). Between 40 and 80 µg/dL, serious health damage may be occuring, even if there are no symptoms (seriously elevated). Between 25 and 40 µg/dL, regular exposure is occuring. There is some evidence of potential physiologic problems (elevated). Between 10 and 25 µg/dL, lead is building up in the body and some exposure is occurring.
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Hb =9.9mEq/l Blood urea nitrogen =53 Creatinine =6.52 Uric acid =8.4 Sodium =131 Potassium=5.10 Alkaline phosphatase=151U/L Albumin=3.20 g/dl Albumin: globulin= 1 These are the reports and she is having edema in her lower limb, diarrhoea and vomiting. Please suggest me what should I do?

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetology
General Physician, Bangalore
Hb =9.9mEq/l
Blood urea nitrogen =53
Creatinine =6.52
Uric acid =8.4
Sodium =131
Potassium=5.10
Alkaline phosphatase=...
Hello thanks for your Query. Hope her BP is normal. She has both kidney problem. They are into failure stage. S. Cr should be less than 1.4, here its 6.52. Please take her to hospital as she may require dialysis. Emergency required.
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What should avoid eating when blood sugar levels is 115 in the morning and 170 after lunch. Can I eat sweets some time. Or fruits.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
What should avoid eating when blood sugar levels is 115 in the morning and 170 after lunch. Can I eat sweets some tim...
take tab. glimstar-pm-2 at morning before meal. avoid stress , go for walk, avoid sweat and fruits, take plenty of water.
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I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this rise possible in one month? Can this report be genuine? If so what is my health status? Is it serious? What could the reason for such sudden rise?

MD - Diabetology, CCEBDM, CCMTD
Diabetologist, Aurangabad
I'm 53 female. Last month my fasting blood sugar was 136. Thimonthi got fasting 219 and postprandial 378. Is this ris...
Hello lybrate-user mam. If you are not sure about your reports then it's better to repeat the test Also please do HBA1C TEST as well. It gives 3 month average blood sugar values and fluctuations in blood sugar are possible if you eat lot of carbohydrates in your food (chapati n rice n bakery products) n such fluctuations are possible if you are running fever Anyways whatever may be the case don't panic all the conditions can be controlled please provide information regarding your ongoing medicine for diabetes n repeat the test.
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I am 35 years old, I have thyroid problem since 15 years, I am losing my hair like any thing these days. Please provide me the solution for this.

Vaidya Visharad
Sexologist, Narnaul
I am 35 years old, I have thyroid problem since 15 years, I am losing my hair like any thing these days. Please provi...
Drinking at least between 8/ 10 glasses of water every day is another great way to prevent hair loss. Water helps wash off toxins from your body. These toxins could be a major reason for hair loss. Drink distilled water or at least filtered water that does not contain chlorine, lead, etc. For healthy hair.
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Today I known my sugar in blood RBS: 102 mg/dl. This is normal or not? How to reduce the sugar in body. Please give any solution.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Today I known my sugar in blood RBS: 102 mg/dl. This is normal or not? How to reduce the sugar in body. Please give a...
Mr. lybrate-user, RBS 102 mg is normal blood glucose level. If a persoe does not suffer with diabetes, then in his body Insulin takes care of glucose metabolism effectively. Only thing is one should take a properly balanced diet avoiding too much of sweets, deep fried foods, junk foods, pastries, other bakey items and sweetened aerated drinks. Also refrain from alcohol and smoking. Exercise regularly so as to maintain normal weight. Thanks.
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