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Dr Nilima Shettiwar

Homeopath Clinic

Nahar medical center , near dmart , Chandiwali Mumbai
1 Doctor
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Dr Nilima Shettiwar Homeopath Clinic Nahar medical center , near dmart , Chandiwali Mumbai
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Dr Nilima Shettiwar
Dr Nilima Shettiwar is known for housing experienced Homeopaths. Dr. Nilima Shettiwar, a well-reputed Homeopath, practices in Mumbai. Visit this medical health centre for Homeopaths recommended by 43 patients.

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05:00 PM - 06:30 PM

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Nahar medical center , near dmart , Chandiwali
Mumbai Mumbai, Maharashtra - 400072
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Dr. Nilima Shettiwar

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
30 Years experience
Available today
05:00 PM - 06:30 PM
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Homeopathic Medicines - What Is The Right Way To Take These Medicines?

BHMS, NDDY
Homeopath, Jaipur
Homeopathic Medicines - What Is The Right Way To Take These Medicines?

We all know that the homeopathic system of medicine is side effect free, so apparently there is no harm if these medicines are not consumed in an appropriate manner. But the only issue of concern here is that the medicines would be less effective if you are not consuming them in the right manner.

So, here are a few tips that you necessarily need to keep in mind while following a homeopathic medicine course.

  • Never touch the medicines: Ideally you should never touch the homeopathic medicines with your bare hands, fingers or palm. This is because touching them reduces their potency, thereby declining their efficiency. Additionally, never use printed papers which contain ink like pages torn from a book, newspapers, etc. For handling homeopathic medicine. This is because the ink may react with the medicines, thereby hampering its efficiency. Always use bottle caps or plain papers provided along with the medicines.
  • Follow the thirty minute rule: This particular rule states that you should not ideally consume any food half an hour before and half an hour after consuming the homeopathic medicine dosage. This is done so that any other elements present inside the food do not react with the medicines, hence making them less effective.
  • Stay away from addictive substances: Addictive behaviors such as smoking or chewing tobacco, drinking alcohol and doing drugs are considered to have a nullifying effect on the homeopathic medications that you are exposed to. Thus it is desirable not to engage in such acts, till the time your homeopathic medications continues.
  • Strong smelling edibles: You can have garlic and onion with homeopathic medicine, but make sure there is a gap of one hour before you consume them, either before or after. The strong smelling edibles will not hamper the medicinal effect, if taken 1 hour before or after the medicine.

Endovascular Repair Of Thoracic Aortic Aneurysms!

MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Endovascular Repair Of Thoracic Aortic Aneurysms!

The aorta is the largest blood vessel that supplies pure, oxygenated blood to the various parts of the body. Starting in the left lower heart chamber, it takes a U-turn down to the abdominal area and then the legs. It branches as it goes down, with two main branches being the thoracic and abdominal aorta.

Thoracic aortic aneurysm, also known as thoracic aortic dissection or descending aortic aneurysm is abnormal swelling of the aorta in the chest which can rupture over a period of time. The exact cause as to why this occurs has not been identified yet. Family history does have a role to play along with smoking, and history of heart disease, identified as risk factors.
The condition is quite slow to progress and often gets diagnosed when some other disease is being investigated. There are no clear symptoms to indicate this aneurysm, other than a probable hoarseness of voice, difficulty swallowing or pain in the shoulder blades. This is often due to the pressure it exerts on the surrounding areas.

Diagnosis, as noted above, is often when some other condition is being investigated. It can be identified on an x-ray and then further confirmed with MRI or CT scan.

Treatment is often decided based on the overall severity of an aneurysm and the condition of the patient. In most cases, the doctor might decide to wait and watch. The patient is monitored at regular intervals to ensure no symptoms develop and the condition is under control. Every once in 6 months, a scanning can be done to ensure that the aneurysm is not growing. The idea is to prevent rupture and internal bleeding, which can be life-threatening. Thoracic aortic endovascular graft repair, often referred to as TEVAR, is the most widely used technique for definitive treatment of a thoracic aortic aneurysm.

Treatment: What happens during TEVAR is that an aneurysm is identified and isolated. An incision is made in the groin area through which a small device is placed in the aorta at the area of an aneurysm. The part of the aorta with the aneurysm is replaced with a graft, so that normal blood flow is restored. Alternately, the blood flow could be bypassed to skip the aneurysm and flow through an alternate route.
This is a minimally invasive procedure and done as an outpatient than the conventional open heart surgeries that were done earlier.

Postop care:
- Maintain good control over blood pressure
- Watch out for recurrence, especially if there is a strong family history
- Quit smoking

Thoracic aortic aneurysms are very rare and not easy to identify. However, given the possible complications, they require timely intervention.
 

How Dermal Fillers Can Help With Facial Rejuvenation?

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
How Dermal Fillers Can Help With Facial Rejuvenation?

Facial aging is an issue which shows its first signs around the late twenties and early thirties. It is manifested in the form of fine lines, dark circles, wrinkles and rough skin, especially near the eyes and lips. This process cannot be reversed. It is a part of human body and the way the skin matures with age. But, it can be treated through surgical and non-surgical or natural means to make sure that the process of aging is slowed down.

Factors Affecting Facial Aging:

There are several factors which affect the facial aging and aggravate the process faster. Some of these factors are:

  1. If you smoke excessively, your face would sooner or later start showing signs of aging prematurely.
  2. At times, this process gains speed due to genetic issues.
  3. Stress and anxiety are the most important reasons for a person to start showing signs of aging at an early stage of life.
  4. If you lead a hectic lifestyle which involves excessive travelling throughout different climates, the exhaustion may be manifested through facial aging.

What are Dermal Fillers?

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent.

The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

Dermal fillers can be used to:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

Administration:

You must make a note of the fact that dermal filling is not considered to be a type of surgical treatment. However, it does use anaesthesia while being administered. In fact, the patient is first given a dose of anaesthesia and left to rest for about half an hour. Some fillers have anesthesia in the syringe itself otherwise, we apply numbing cream or topical anesthesia. Thereafter, dermal fillings are applied with the help of fine needles. You need to realise that the use of fine needles with precision can be done only by those who have been specially trained for it. Thus, if your dermatologist recommends you for a treatment of dermal filling, then he/she ought to be a trained expert in carrying out the procedure. If you, on your own prefer to get this treatment done, then you should also find an expert who is well trained in administering this procedure.

Thus, dermal fillers are quite famous in the world of facial dermatology to reverse the aging process. It helps in reducing fine lines, wrinkles and adds volume and smoothness to the skin.

Hypoglycemia - Possible Ways You Can Prevent The Condition From Affecting You!

MBBS, Diploma In Diabetology, DNB - General Medicine
Diabetologist, Mumbai
Hypoglycemia - Possible Ways You Can Prevent The Condition From Affecting You!

Hypoglycemia is a condition that is associated with a lower amount of glucose in the body. Since glucose is the main source of energy in the body, it creates quite a few complications in the body. In a majority of the cases, this condition is associated with diabetes. Hypoglycemia, like fever, is not a disease but a disease indicator. A quick fix to keep hypoglycemia under check is to ensure that a patient intakes high-sugar food. A long-term fix involves a doctor treating a patient for the root cause.

What are the common symptoms?

The body needs a constant supply of glucose to carry out the daily function. In a case of short supply, it presents with the following symptoms:

As the condition worsens, the symptoms can aggravate to the following conditions:

  • Frequent seizures b. Inability to complete daily work due to confusion
  • Sudden loss of consciousness
  • Problems related to vision such as blurred vision

People with an acute hypoglycemia can get a feeling of intoxication at times. Words get slurred while they talk.

What are the causes?

Glucose is one of the many sugar molecules that the body produces when it digests food. Glucose is one such sugar component and is the driver of energy. There are 2 reasons of diabetes. If the pancreas can’t produce enough insulin or the body is incapable of responding to the insulin. This results in a logjam of glucose in the body. To address the problem, intake of insulin is required. Too much of insulin intake can result in hypoglycemia. The latter can also befall if an adequate amount of food is not consumed while going through a medicine course of diabetes. Even too much of working out while consuming diabetic medicine can also result in hypoglycemia.

Other probable causes:

  1. Alcohol consumption- A regular drinker who eats less runs a heavy risk of suffering from hypoglycemia. This blocks the liver and the latter can refrain from releasing glucose.
  2. Critical illness- Hypoglycemia may occur from certain critical illnesses such as liver illness, kidney disorder, frequent starvation etc.
  3. Overproduction of the insulin- A tumour of the pancreas known as the insulinoma causes the body over-produce insulin.
  4. Hormonal deficiencies- Disorders related to the pituitary gland and adrenal gland runs a serious risk of suffering of hypoglycemia due to hormonal deficiencies.

What are the complications?

Some of the common complications of this conditions include loss of consciousness, seizures and at times even death. Frequent episodes of hypoglycemia can make a person go numb and speechless.

Diagnosis:

A doctor typically asks a patient to go for a fast of 12 hours in a hospital setting and then test the glucose level in the blood. It ensures that the body exhibits the correct symptoms of hypoglycemia. The doctor analyses the blood sample report and decides whether a person has this condition. The last and the final confirmation comes when the symptoms of hypoglycemia go away as soon as the blood sugar levels are increased.

Prevention:

In the case of a diabetic patient, it is necessary to ensure that a constant evaluation of the blood sugar level happens from time to time. Eating and medicine schedules need to be adhered to. Exercise too is important. All this needs to be done in consultation with the doctor.

Congenital Heart Disease - Symptoms To Trace It!

MCh - Cardio Thoracic & Vascular Surgery, MBBS, MS - General Surgery
Cardiologist, Bhopal
Congenital Heart Disease - Symptoms To Trace It!

Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities. There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.

If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.

  1. The skin is pale gray or blue in color due to excessive venous flow in the system
  2. Excessive sweating
  3. The child is exerting to breathe regularly
  4. Rapid breathing causes added load on the heart accompanied by a grunting noise
  5. Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
  6. Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
  7. Shortness of breath, even during feeding
  8. Clubbed fingernails
  9. Lethargy and low energy, even with feeding, therefore very poor feeding pattern
  10. Chest pain, which may cause the newborn to cry incessantly
  11. Low weight gain, as they feed less

In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:

  1. Swelling of the hands, feet, and ankles due to fluid accumulation
  2. Lowered energy levels, leading to easy fatigue
  3. Shortness of breath with even minimal physical activity
  4. Inability to exercise
  5. Developmental delays and changes in growth milestones
  6. Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
  7. Endocarditis
  8. Pulmonary hypertension
  9. Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.

Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention.

Water Deficiency - Are You Suffering From It?

Infectious Disease Fellowship, M.B.B.S, M.D. (Medicine)
Internal Medicine Specialist, Gurgaon
Water Deficiency - Are You Suffering From It?

Water is the life giving source of the planet and we would do well to remember to have our daily dose of at least seven to eight glasses of water a day. Besides it many health benefits, water is also a great partner to have in the weight loss process.

Here are the 4 symptoms which shows that you are suffering from water deficiency:

  1. You experience frequent headaches - Headaches are often caused by dehydration when the pressure from your blood vessels falls. Dehydration makes it tough for your heart to pump enough oxygen to the brain. Drinking sufficient amounts of water ensures the flow of oxygen in your body.
  2. You have constipated bowel movements - Water is one of the top natural remedies for constipation or troubled bowel movements. If your fluid intake is low, you're likely to have stomach, gastric and bowel problems. The digestive system depends on water to help food move through both the intestines. It checks the functions of the digestive tract, while also keeping it flexible and clean.
  3. The colour of your urine is dark - The colour of your urine indicates your health. The lesser the water you drink, the darker is the colour of your pee. If your urine is pale yellow, you drink a sufficient amount of water. If it's dark yellow and concentrated, it's a sign for you to refill on water. Also, if you haven't urinated for more than two hours, you should immediately gulp 2 glasses of water.
  4. You feel dizzy and fatigued - Lack of water can often lead to laziness and restlessness. It may also cause a rapid change in your blood pressure. Low or high blood pressures are stimulants of fatigue. Water gives you instant energy that wakes up your whole system, thus making you feel revitalised.

Hemorrhoids: Fibre Rich Diet is the Simple Solution

MBBS, DNB ( General Surgery )
General Surgeon, Indore
Hemorrhoids: Fibre Rich Diet is the Simple Solution

Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.

How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.

Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:

  1. Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
  2. Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.

There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. In such an instance, it is always wise to seek advice of a medical practitioner.

Working When Pregnant - Know Do's & Don't Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopic and Robotic Onco-Surgery, Diploma in Advanced Gynaec Laparoscopic Surgery
Gynaecologist, Mohali
Working When Pregnant - Know Do's & Don't Of It!

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.

Do: Get Adequate Rest

The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires.  Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.

Do: Be Smart About Your Work

Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.

Do: Take Multivitamins and Necessary Supplements

Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.

Do: Be Super Hygienic

It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.

Don't: Go For Long Stretches Without Eating

Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.

Don't: Be stressed

Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.

As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby.
 

Melasma - Symptoms & Treatments Of It!

MD - Dermatology, MBBS
Dermatologist, Delhi
Melasma - Symptoms & Treatments Of It!

Melasma is a common skin problem where the skin becomes patchy brown, tan, or there is blue grey facial skin discoloration. It is also known as chloasma or mask of pregnancy. It occurs in women during the reproductive years and occurs rarely in men. It is primarily related to external sun exposure, external hormones like birth control pills and internal hormonal changes seen during pregnancy. Women with Melasma have a history of daily or intermittent sun exposure.

  • Symptoms of Melasma: Melasma causes patches of discoloration, which are darker than typical skin colour. It occurs symmetrically with matching marks on both sides of face. It normally appears on the upper cheeks, upper lip, forehead and chin. It can also occur on the other areas of one's body which are often exposed to sun. Skin discoloration is not physically harmful, but it can affect the self-confidence of a person. Darker skinned individuals are more at risk as compared to fair skinned individuals. Melasma is associated with oestrogen and progesterone sensitivity, thus it can be triggered by birth control pills, pregnancy and hormone therapy. In few cases, stress and thyroid disease can also cause Melasma. Women taking hormone replacement therapy during menopause are also at high risk of getting Melasma
  • Diagnosis of Melasma: A visual exam of the affected area is sufficient to diagnose Melasma. The doctor will perform the wood's lamp examination that uses ultraviolet (UV) light to look at the skin closely. However, the doctor may perform a biopsy to check for any serious skin conditions.
  • Treatment of Melasma: When Melasma is caused by pregnancy or birth control pills, it disappears on its own. One can use creams containing hydroquinone or prescribed topical steroids, which can lighten the tone of the affected areas. Other options include chemical peelsdermabrasion and microdermabrasion which will remove the upper layers of skin and help lighten dark patches. In cases of severe Melasma, doctor may suggest lasertreatments to remove the dark pigment.

It is quite possible that Melasma will clear up with treatment, there are things one must do to not to aggravate the condition and minimize appearance of the discoloration. These include usage of makeup to cover areas of discoloration, wearing sunscreen daily or wearing a hat with wide brim to provide shade to the face. The patients with Melasma are known to be at a lesser risk for Melanoma. Even if Melasma disappears, it can strike back especially if preventive measures regarding exposure to sun are not followed. Resolution with strict sun avoidance and topical bleaching creams can take sufficient time and patients should expect slow, but gradual lightening.

Can Beer Be A Healthy Drink?

MD - Medicine, Diabetologist, Thyroidologist & Endocrinologist
General Physician, Srinagar
Can Beer Be A Healthy Drink?

Can beer be a healthy drink? Despite the common myths surrounding alcohol consumption and the adverse effects that it has on a person in the long run, a controlled and well-balanced intake of beer is not as bad as it would seem.

Here are a few reasons proving that beer can be healthy for you if taken in the right amount and quantity :

1. In comparison to other alcoholic beverages, beer is relatively healthier for your kidneys. As a matter of fact, studies show that a bottle of beer can actually reduce the risk of acquiring kidney stones by up to 40%.

2. Fiber, as we all know, plays a vital role in digestion. The presence of up to one gram of soluble fiber in just a 30 ml glass of beer (dark beer, in particular) makes the beverage very beneficial for digestion.

3. Fiber present in beer can also help reduce the level of LDL cholesterol (a harmful proponent of cholesterol).

4. It has been proved that beer is a rich source of various B vitamins like vitamin B1, vitamin B2, vitamin B6 and vitamin B12.

5. The presence of both nicotinic acid and Lactoflavin in beer makes it an effective cure for insomnia.

6. Beer is also helpful in the prevention of blood clots.

7. The presence of high levels of silicon in beer is responsible for bestowing a stronger bone density.

8. Studies have concluded that beer can also reduce the risk of suffering a heart attack.

9. Unlike their non-drinking counterparts, beer drinkers are less vulnerable of experiencing dementia or Alzheimer's disease.

10. Because of the presence of certain vitamins, beer has a ton healthy nourishing benefits for the skin.

11. Beer is also useful in fighting against stress.

What are the recommended safe limits of Beer?

- Men should drink no more than 14 units of Beer per week, these units should be spread out through the week and they should have at least two alcohol-free days a week.

- Women should drink no more than 14 units of Beer per week, these units should be spread out through the week and they should have at least two alcohol-free days a week.

- Pregnant women or women trying to conceive should not drink alcohol at all. If they do choose to drink, to minimise the risk to the baby, they should not drink more than 1-2 units of beer once or twice a week and should not get drunk.

Despite the above people with increased Triglyceride, Uric Acid should be restricted for consumption of alcohol. People with fatty liver patient with other medication for hypertension, etc. also should refrain from drinking.

People with diabetes who drink should follow these alcohol consumption guidelines :

1. Do not drink more than two drinks of alcohol in a one-day period if you are a man, or one drink if you are a woman.
2. Drink beer only with food.
3. Drink slowly.
4. Avoid "sugary" mixed drinks, sweet wines, or cordials.
 

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