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Dr. Nilesh Patil

Endocrinologist, Pune

500 at clinic
Dr. Nilesh Patil Endocrinologist, Pune
500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nilesh Patil
Dr. Nilesh Patil is a trusted Endocrinologist in Fatima Nagar, Pune. You can meet Dr. Nilesh Patil personally at Inamdar Multispeciality Hospital in Fatima Nagar, Pune. Book an appointment online with Dr. Nilesh Patil on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 35 years of experience on Lybrate.com. You can find Endocrinologists online in Pune 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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15,KPCT Mall, Fatima Nagar,Pune Get Directions
500 at clinic
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I am a sugar patient. Now I am only58 kg of weight. My age is 52 yrars and hight is 5'3. My fasting sugar level is 158. How can I increase my weight.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am a sugar patient. Now I am only58 kg of weight. My age is 52 yrars and hight is 5'3. My fasting sugar level is 15...
Take pranacharya diabeto and shilajeet capsule 1-1 twice a day. Take neem capsule 1-1 twice a day. Walk for minimum 45 minutes a day. Take small diet in every two hour. Avoid junk food. Avoid stressfull life. Follow diabetic diet.
1 person found this helpful
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I am 39 years old male. My sugar levels are 156 in fasting and 274 after taking breakfast. Kindly tell me what to do?

BHMS
Homeopath, Faridabad
I am 39 years old male. My sugar levels are 156 in fasting and 274 after taking breakfast. Kindly tell me what to do?
Hello, take Sygyzium 1x, 2 tabs twice daily. Doma morning qwalk for at least 1 hour. Cut short your sugar intake.
1 person found this helpful
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
10 people found this helpful

I'm suffering on sugar. Please suggest me some food to remain fit and normal. Also tell me the quantity in which I should take them.

PDDM, MHA, MBBS
General Physician, Nashik
I'm suffering on sugar. Please suggest me some food to remain fit and normal. Also tell me the quantity in which I sh...
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori. Start your meals with salads and buttermilk, and stop eating when you are just full.
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Hi sir. Im 30 years male. Married. Im facing some health problems and symptoms which I think symptoms of hypothyroidism. My pulse rate mostly around 60-65 all the time and body temperature below 98always. Just checked at 2 pm after lunch. Its 97.3. My diastolic Bp is 85-90-92 range most of times. Systolic Normal at same time. Very dull sluggish feeling. Fatigue all the time. Anxiety and some weird depression feeling also there. Elevated Triglycerides and some raised LDL. I will attached my Thyroid and Lipids report in attachment. So I think its under active thyroid. But when I did thyroid test t3 t4 tsh are within range. Im very stressed what to do. please plz help me on my health problems. Thank you.

MBBS, DPM
Psychiatrist, Bangalore
Hi sir. Im 30 years male. Married.
Im facing some health problems and symptoms which I think symptoms of hypothyroidi...
Dear Tanmay, Please do not diagnose yourself. Hypothyroid status and depression share common symptoms. Sometime both may occur in the same patient. It is good that you got your t3, t4 and tsh done. When they are normal, your symptoms may be due to a depressive disorder or other reasons. Pulse, temp and bp vary according to situations and many other reasons. So do not bother so much about them. Please consult me online text, where i can see the attachment, diagnose properly and treat you with your health problems.
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Hi, am 31 years old. I recently had a general health check up. All results were normal except my sugar cholesterol levels. Fasting sugar was 103 and post meal sugar was 126. I remember I had taken too much sugary beverages around 9 hours before the test. Could that have an effect on the examination? And generally am I diabetic? On the other hand, my LDL cholesterol level was 124. Please advice what to do to reduce my cholesterol and sugar levels. Am really stressed!

DHMS (Hons.)
Homeopath, Patna
Hi, am 31 years old. I recently had a general health check up. All results were normal except my sugar cholesterol le...
Hello, Relax ! U are absolutely ok. Your cholestrol-level is marginally up - follow d under noted tips. * take, plenty of water. *avoid, ghee, butter, fried food. * take, home- made ,easily digedtible diet, timely * take, oats & green tea in breakfast. * take, apples,papaya, carrots, cheese, pumpkin,almonds, walnuts, cinnamon, cardmon,regularly. Homoeo-medicine** @ Chelidon Q-10 drops, thrice a day,with little water Take, care
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I am 36 years old my sugar levels are 160-190 before food and 240 after food. Bp is normal, I am 140kgs, I do smoke and drink, so I am not taking any medicine but want to control my sugar levels by diet. Pleases suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 36 years old my sugar levels are 160-190 before food and 240 after food. Bp is normal, I am 140kgs, I do smoke a...
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance.
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My hair are often falling even I do yoga eat healthy and leafy vegetables and stress free. I done with thyroid test also it is normal. But I can not control hair loss. Suggest me how to get rid of this problem.

American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
My hair are often falling even I do yoga eat healthy and leafy vegetables and stress free. I done with thyroid test a...
Thanks for your query. Falling off around 100 strands a day is normal. You can start with tab follihair once a day for 30 days. All the best.
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What is Infertility?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Jhansi
What is Infertility?

1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility. 

2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.

3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.

4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:

Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all. 
Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc. 
Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem. 

Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are: 
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities

5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.

6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Age
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues 
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems 

7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes. 
• Hormonal problems like thyroid etc. 
• Mental stress and fatigue

8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40. 

9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
 

The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.

10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:

1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process. 
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc. 
vi. Premature (before the age of 40) ovarian failure 

2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps

3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.

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Is it possible to control diabetics only on Ayurvedic medicine? How? What are the medicines. Blood sugar Fasting 180 mg PP 255 mg BP 160/90?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Is it possible to control diabetics only on Ayurvedic medicine? How? What are the medicines. Blood sugar Fasting 180 ...
Home Remedy- Drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months... Treatment- 1-take pranacharya diabeto and shilajeet capsule twice a day with water.... 2-Take vasant kusumakar ras twice a day... Diet-avoid sweets....Take small quantity meals at more frequent intervals...do pranayama early morning....avoid alcohol consumption...
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Namaste Madam, I am a diabetic patient now I am taking Ragimalt in moring, normal lunch at afternoon, and 2 or 3 pulkas at dinner, which type of diet plan I have to follow for controlling diabetes and for energy

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Please add vegetables, curds, butter milk in your diet plan and follow strict 3Ds -Diet/Drill/Drugs
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Hi, I am suffering from hypothyroidism. My height is 5'3 and weight is 66. My legs pain too much when I climb stairs. Please suggest me food which gives energy and not gain too much weight. Secondly,I am not having time for exercise. So,Please suggest me diet plan which is good for energy as I am vegetarian.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Hi, I am suffering from hypothyroidism. My height is 5'3 and weight is 66. My legs pain too much when I climb stairs....
Lot of green multi color fruits/vegetables, nuts ,paneer, if not +ve for sugar cholesterol 4 FLP pure Bee Pollen one Garlic Thyme and I have number of yoga exercise for you wherever /sitting /standing position /wherever you are for + ve and - ve body energy channels balance.
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Very often my blood sugar levels go down to 67 and I am not diabetic but I have history of pcod 15 years back. My recent female hormones test comes normal. Pl help to advise on this.

MBBS
General Physician, Mumbai
Very often my blood sugar levels go down to 67 and I am not diabetic but I have history of pcod 15 years back. My rec...
I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest when symptomatic
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My father is facing 3 types of problems, Obesity's Diabetes Varicose veins. Suggests a best solution or treatment.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
My father is facing 3 types of problems,
Obesity's
Diabetes
Varicose veins.
Suggests a best solution or treatment.
Adopt healthy life style. Cut down calories by 20% & do regular exercises to reduce weight and control sugar if not controlled with diet and exercise with oral tablets or insulin injections. Varicose veins one can use special stocking surgery or laser therapy.
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My mother's weight is increasing day by day. There is rise in her tsh level. She has a thyroid problem from past 3 years. Some time her t3 and t4 level rise and some time they decrease very much. She feels very lethargic. She got tired easily. Constant headache. Allergy cold. Please tell what to do.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother's weight is increasing day by day. There is rise in her tsh level. She has a thyroid problem from past 3 ye...
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time. for headache and cold take tab/ flucold. sos.
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Some allopathic medicines are to be taken before food for diabetes. Before how many minutes they should be taken? Thanks K Shanmugam.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases, MD - Medicine
Ayurveda, Mumbai
Some allopathic medicines are to be taken before food for diabetes. Before how many minutes they should be taken?
Tha...
Hello There, 15 minute before food with 1/2 cup of water. If forgot you can take after food also but do not miss your dose. Please follow these food & life style modification advise for better results:- -On time food :- Breakfast 7-8 am, Lunch 12-1 pm & Dinner 7-8 pm -Fresh Seasonal Fruits daily twice at 10-11 am & 4-5 pm -Pomegranate very good. -Lot of Cooked Vegetable – 1 bowl full in each meal -1 Bowl Full Dal (Pulses) in each meal -Boiled water. -Increase Natural Proteins intake by 20% in each meal. -Reduce 25% quantity of Rice, Idly, Chapati OR Roti in each meal -Healthy life Style, Only Healthy Homemade Food -No Raw, Oily, Maid, Chana, Rajma, Potato, Brinjal, Fried, Chat, Bhel, Junk, Fermented, Tinned, Packed Food. -Sleep time 10 pm to 6 am (daily 6 to 8 hrs sleep is good) -No Day time sleep & night working. -NAP Therapy - Advance Panchkarm is very fast effective & you will experience good effects - good control in 1-2 week. -NAP Therapy will also prevent future complication For further proper treatment Consult.
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How can i reduce my weight and sugar level in making the habit for eating sugar less tea but I like sugared tea. Please tell me.

MBBS
General Physician, Mumbai
How can i reduce my weight and sugar level in making the habit for eating sugar less tea but I like sugared tea. Plea...
We need to control sugar levels with medication exercise and following a diabetic diet and for reducing your weight you have to exercise rigorously
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I am 32 year, I have diabetes is 20 years old, I take insulin injection is 18 unit 10 am and 16 unit is 8 pm. I am daily walking is 45 minute and weight exercise is 30 minute and I take no sugar product and fruits but my sugar level is high. My body weight is low. Please tell me treatment and advice please.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 32 year, I have diabetes is 20 years old, I take insulin injection is 18 unit 10 am and 16 unit is 8 pm. I am da...
You must be having type 1 DM . I will suggest frequent meals at 2 hr interval with low carbohydrate diet considering you want to gain some weight. You can have fruits excluding high glycemic load fruits like mango, chickoo, banana, custard apple, grapes.
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I have diabetes since 2 year but currently I passed through urine inspection and that is effect to kidney also so what is solution for this problem please give me solution.

DNB (Urology), MS, MBBS
Urologist, Delhi
I have diabetes since 2 year but currently I passed through urine inspection and that is effect to kidney also so wha...
Dear user. Uncontrolled diabetes can affect your kidneys so please keep a strict control of your blood sugars.
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