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Diabetic Retinopathy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Diabetic Retinopathy is a condition in which one’s retina gets damaged due to diabetes. It is one of the most prevailing causes of blindness. The longer you have been suffering from diabetes, the higher chance there is of you going through this. Changes in retinal blood vessels are caused due to changes in your blood glucose level. Retinal blood vessels may swell up and leak fluid in the rear of the eye resulting in Diabetic Retinopathy. Laser treatment (photocoagulation) is often used to treat diabetic eye disease. Removal of vitreous gel (vitrectomy) is another way to prevent loss of vision. Injections of anti VEGF (vascular endothelial growth factor) medicine or anti-inflammatory medicines may also help in shrinking the blood vessels. However, all these treatments must be done before the retina is severely damaged. Only then are they effective in preventing total vision loss.

If you are suffering from diabetes, early and extra cautiousness is recommended to protect yourself. First of all, you must try and keep your sugar levels in control by taking proper diet, insulation and exercising regularly for the well being of your whole body. You must take a dilated eye examination once a year along with regular blood sugar level tests and ketone level tests to be able to identify any kind of danger well in time.

How is the treatment done?

Photocoagulation or laser treatment is done to stop the leakage of blood and fluid in the eye. You must consult a doctor as soon as you sense trouble with your vision. The doctor will treat the abnormal blood vessels with laser burns. It can be treated in one session in your doctor’s eye clinic. In vitrectomy, blood is removed from the middle of your eye (vitreous) by a small incision. The blood from the scar tissue that tugs on the retina is also cleaned up. This surgery is done in hospitals or surgical centres using local anaesthesia.

Treatment for Diabetic Retinopathy is not permanent. It may stop or slow down the leakage of fluid and blood but diabetes is a lifelong condition that must be cared for throughout your life. There remains a possibility of Diabetic Eye Disease occurring again at any point of time. You must go through regular eye examinations even after surgery to prevent it.

Who is eligible for the treatment? (When is the treatment done?)

Diabetic Retinopathy can occur in people suffering from diabetes. If your vision undergoes blurred/ fluctuating sights, empty areas or colour impairment, you must get your eyes checked as soon as possible.

Who is not eligible for the treatment?

People who do not suffer from diabetic retinopathy are not eligible for the treatment.

Are there any side effects?

Your eyes may be red and sensitive for some time. You may need to wear an eye patch for a few days or weeks. However, there is nothing to be worried about.

What are the post-treatment guidelines?

You might have to use medicated eye drops for a few weeks to keep infections at bay. One must remember that Diabetic Retinopathy cannot be fully eliminated. There still remain some chances of it occurring again in the future. Therefore, it is advisable to go for a dilated eye examination test at least once a year and keep a check on your sugar levels.

How long does it take to recover?

You will probably be allowed to return home after the treatment. The doctor may ask you to stay a night if your condition is a little critical. The doctor may also advise you to wear an eye patch for a few days. It does not take too long to recover if you take proper care.

What is the price of the treatment in India?

The treatment varies in price from Rs 60,000 - Rs 80,000

Are the results of the treatment permanent?

The result of treatment of Diabetic Retinopathy is not permanent. There is a fair chance of this disease rebounding hence, regular checkups are suggested.

What are the alternatives to the treatment?

Vitamin A and cartenoid are known to keep your eyes healthy and improve night vision. Eating spinach and grape seed extract is also considered to be very good for the eyes.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: High Time For Recovery: Medium Price Range:

Rs 60,000 - Rs 80,000

Popular Health Tips

Diabetic & Hypertensive Eyes - How to Take Care Of Them?

DOMS(gold Medal);guru Nanak Eye Centre;University Of Delhi, MBBS
Ophthalmologist, Delhi
Diabetic & Hypertensive Eyes - How to Take Care Of Them?

You know that diabetes is a chronic condition that renders difficulties to the patient in several aspects. A comprehensive care is essential to manage it effectively as the condition can lead to many other diseases including eye diseases.

If you have been diagnosed with diabetic or hypertensive eyes, then it means that your vision has started to deteriorate. But you need not lose hope as it is still possible to remedy the situation. Understanding the issue in detail will help you cope with the situation better.

What are diabetic and hypertensive eyes?
Diabetic eye refers to the complications in the eyes as a result of diabetes. It affects the blood vessels of the retina and hence develop impairment of vision and loss of vision in severe cases. Similarly, hypertensive eye as indicated by the name is the situation where in the eye is affected as a result of hypertension. This is because high blood pressure affects the blood vessels of the retina. It does not allow the retina to function properly and puts pressure on the optic nerve resulting is vision problems.

What are the symptoms of diabetic retinopathy?

Like many conditions of this nature, the early stages of diabetic retinopathy may occur without symptoms and without pain. An actual influence on the vision will not occur until the disease advances. Symptoms may only become noticeable once the disease advances, but the typical symptoms of retinopathy to look out for include:

  1. Sudden changes in vision / blurred vision
  2. Eye floaters and spots
  3. Double vision
  4. Eye pain

How to take care of the conditions?
In the conditions of the diabetic eye and hypertensive eye that prime step to take care is to control diabetes and hypertension respectively. By following the prescribed medications for these conditions, the vision problem can be managed. At the same time, some adequate preventive measures are of utmost importance to efficiently and effectively take care of both diabetic eye and hypertensive eye.

Taking care of diabetic eye
First and foremost, you need to keep your diabetes under control and prevent it from being getting into the advanced stage. You should take utmost care to maintain the blood sugar level under control. After that, it is also necessary to keep the blood pressure in the correct range. Also, the cholesterol level in the blood needs to be under control. A proper and balanced diet is essential in this case. Whole grains, green leafy vegetables, fruits and lean protein should be included in the diet. Exercising is also very important to deal with diabetic, and if you are a smoker, you should quit it immediately since it causes problems with the blood vessels.

Taking care of hypertensive eye
You should bring down your blood pressure to the correct level and maintain it. You should consume a diet which contains all the essential nutrients, vitamins, and minerals. You should make sure not to do or involve in anything activity that can increase your tension or excite you. Smoking and drinking should be avoided to deal with the hypertensive eyes effectively. You should get yourself adequate and peaceful sleep which will help you to ease out of tension.

It is imperative to consult an ophthalmologist if you notice the classic symptoms of vision problems such as blurry vision, seeing floaters or flashes. If the condition progresses, treatment will involve medications or surgery depending on the severity of the condition. Hence, the best way to avoid such complications is to maintain a healthy lifestyle to take due care of your eyes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2966 people found this helpful

Diabulimia - Should You Be Worried About It?

Diploma in Diabetology
Endocrinologist, Mumbai
Diabulimia - Should You Be Worried About It?

Diabulimia is an eating disorder often associated with Type-1 Diabetes. Also referred to as ED-DMT1, not many people are aware of this non-clinical term. It is a well known fact that many people with Type-1 diabetes require the daily administration of insulin. In the case of Diabulimia, a person having Type-1 diabetes purposely manipulates with the insulin dosage in an endeavour to lose weight. In some extreme cases, a person may completely avoid the use of insulin.

You need no rocket science to understand the impact diabulimia will have on a diabetic patient (Type-1) who is entirely dependent on insulin. Some of the lethal consequences of diabulimia include

  1. Yeast infections: Manipulating with the appropriate dosage of insulin can trigger an abnormal rise in the blood glucose level (Hyperglycemia), some of which gets eliminated out through the urine, thereby enabling a person to lose weight. However, the high glucose level is just the ideal and favorable condition for yeast growth. The hyperglycemic condition will result in increased yeast infections. The infection can be very uncomfortable and annoying. In fact, there will be repeated yeast infections until the blood glucose level comes down to the normal range.
  2. Ketoacidosis: As already mentioned, diabulimia devoids the body of insulin. As a result, glucose is unable to enter the body cells (glucose is an important fuel for the muscles and the other cells and tissues of the body). In its absence, the body starts looking for alternate sources. Gradually the body starts breaking down fats to get the desired energy. Increased breakdown of fats results in accumulation of ketone bodies in the bloodstream, a condition medically termed as Ketoacidosis or Diabetic Ketoacidosis. The condition if left untreated can be harmful triggering Cerebral Edema (a condition characterized by a swelling of the brain), Hypokalemia (low potassium level) or even Hypoglycemia.
  3. Diabetic retinopathy: Hyperglycemia can spell doom for your eyes. The accumulation and buildup of high levels of glucose in the eyes often damage the retinal blood vessels, a condition known as Diabetic Retinopathy. There may not be any early signs associated with the condition. However, diabetic retinopathy can give rise to many serious complications such as Glaucoma (characterized by severe damage to the optic nerve), Vitreous Hemorrhage (the blood leaks into the areas adjacent to the vitreous humor of the eye), or even Blindness. There may also be a Retinal Detachment.
  4. Renal failure: One of the common and harmful consequences of diabulimia is the kidney failure. Increased concentration of glucose in the kidneys often damages the filtration units of the kidneys called the Glomeruli (increased glucose blocks the capillaries of the kidney) leading to kidney damage and failure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2029 people found this helpful

Annual Eye Exam - 3 Reasons Why It Is Important!

Ophthalmologist, Delhi
Annual Eye Exam - 3 Reasons Why It Is Important!

Before you go through this, just close your eyes for a few seconds and ponder how your life would be if you are unable to see? Pathetic isn’t it? Eyes are one of the greatest gifts from the almighty, and it is your sole responsibility to protect them and keep in optimal health so that you too can keep on enjoying the beauty of nature.

Sometimes people are too lazy to go for an eye checkup when there is absolutely no vision problem and in other cases, people just don’t feel it is important to go for an eye checkup once in a year. However, routine eye exams are crucial for every person regardless of the age, gender, origin or habits. It is not just for individuals with poor eyesight but for everyone with or without eye problems. Here are the top reasons why you must be paying a visit to an ophthalmologist.

  1. Getting the prescription updated: You may think that your eyes are fine and there is nothing reasonable in visiting an ophthalmologist. But it is a general human tendency to neglect things until it is so late that nothing can be recovered. And your eyesight and eye health is no child’s play- it is vital in directing the quality of your life. The skilled ophthalmologist can monitor the condition of your eyes and follow up the changes that have taken place over time. Your eyes and their features are unique, and thus it becomes easier for the expert to detect what’s been altered in them.
  2. Seeing to the best of your abilities: People with corrective lenses often experience the need for tracking the periodic changes that have already taken place. Your eyes alter their shape and condition with time. Thus, keeping your prescription updated offers a subtle yet crucial advantage that you may not have considered before. Some of them are even concerned with your safety such as your ability to see while you drive at night.
  3. Eye diseases can be secretive: Sometimes, vision issues can come in quickly but often eye disorders tend to creep up that most individuals are not able to see. The deterioration can be so subtle and slow that you are unable to detect anything until it has progressed to a great extent. Eye diseases such as diabetic retinopathy and glaucoma typically have no symptoms, which can be detected at an early age.

And it goes without saying that vision loss cannot be reversed. But in case you visit your ophthalmologist regularly from an early age, vision loss can be prevented or at least slowed down.

2743 people found this helpful

Diabetic Retinopathy - Understanding the Stages of Disorder!

MS - Ophthalmology, MBBS
Ophthalmologist, Noida
Diabetic Retinopathy - Understanding the Stages of Disorder!

Also termed as diabetic eye disease, this is a disease in which the retina gets damaged due to diabetes. This usually leads to blindness. In most cases, as inferred from various studies, this affects people who have had diabetes for more than 20 years. Diabetic retinopathy can also be a problem for women during pregnancy. With proper monitoring and treatment, this disease can be cured. One major way to prevent this disease could be by regulating diabetes.

Signs and symptoms
Like many other eye disorders, this too has no warning signs. However, in general, people with macular edema are likely to have blurred vision, making it hard for the individuals to carry out tasks like driving and reading. In most cases, if not treated, the situations may worsen with time.

Stages of disorder

  1. Initial stage: In the initial stage, it is called non-proliferative diabetic retinopathy. There are generally no visible symptoms and patients may even have a normal 20/20 vision. The only way to detect non-proliferative diabetic retinopathy is by fundus photography in which the microscopic bulges that are filled with blood can be detected in the artery walls. In case, the patient suffers from reduced vision, to see the back of the eye, a fluorescein angiography is performed. This way the blocked and narrowed retinal blood vessels are visible. The lack of blood flow due to blocked blood vessels is called ischemia. Macular edema can occur at any stage of non-proliferative diabetic retinopathy. In this condition, the contents of the blood vessels leak into the macula region, thereby causing blurred vision, distorted images, etc. In such cases, optical coherence tomography can be carried out to show the areas in which retinal thickening has occurred.
  2. Second stage: The second stage is termed as proliferative diabetic retinopathy. In this stage, occurrence of new abnormal blood vessels is seen. These form at the back of the eye. These blood vessels are fragile and hence can easily burst and bleed, thereby causing the vision to blur. If this occurs for the first time, it may not be severe. Only a few specs of blood or spots floating on the visual field of the patients can be noticed. Within a few days, these spots may enlarge and the leakage of blood may increase, which can impact vision. The blood might take a few days till a year to clear entirely. In some circumstances, the blood might not clear at all. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.
2512 people found this helpful

6 Common Retinal Diseases

MBBS, MS - Ophthalmology, Diploma in Ophthalmology , Fellowship in Cornea and Anterior Segment
Ophthalmologist, Ahmedabad
6 Common Retinal Diseases

The retina is the third and innermost layer of the eye that catches light and helps us focus on things so that we can see clearly. This is one of the most important parts of the eye. The retina is made up of a number of light sensitive cells that are connected to nerve fibres. These nerve fibres help in transmitting the light into imagery through neuro impulses that reach the brain. There are many conditions and diseases that can affect this part of the eye.

Read on to know more.

  1. Macular degeneration: This is a common eye disease that is usually associated with aging and comes with symptoms like blurry vision and even blindness after a certain point. It can prevent a person from seeing things in a clear and sharp manner. This disease goes through a slow progression and can be of the dry or wet type.
  2. Diabetic retinopathy: This condition can leave one visually impaired in the long run with complete blindness. This complication usually arises when a person is suffering from diabetes. It can be proliferative or non-proliferative depending on the blood and fluid leakage as well as the severity of the inflammation in the retina. While the symptoms are very subtle, the advancement can begin at a very young age.
  3. Retinal vein occlusion: This condition usually happens when the veins of the retina gets obstructed or gets a blockage. This can lead to reduced blood flow to the entire area which can lead to significant vision impairment and an increase in the pressure on the eyes.
  4. Retinal tears and detachments: When the retina gets pulled and is subsequently lifted from its normal position, this can lead to a condition known as retinal tears and detachment. If this condition is not treated properly and on time, it can lead to vision loss in the long run. These tears can happen in smaller sections of the retina which can lead to retinal breaks causing detachments in the retina. This condition is most commonly seen in people over the age of 60.
  5. Posterior vitreous detachment: The vitreous is a gel like layer that allows the eye to retain its shape even as it allows the light to enter the eye and reach the retina. When the thin fibres connecting this layer and the retina get degenerated, there is a detachment that takes place between the two, leading to this condition.
  6. Epiretinal membrane and macular holes: The scar like tissue known as the epiretinal membrane that lines the back of the eyes. When the macular tissue gets distorted due to this membrane, a macular hole may form which can lead to progressive vision impairment.
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Popular Questions & Answers

My mother have diabetes from past 12 years, also have diabetic retinopathy since 3 years, hypertension since 4 years .the reports came abnormal so please tell the advice and prescription.

FACS, FRCOphth, Fellowship of the Royal College of Surgeons (FRCS), MS - Ophthalmology, MBBS
Ophthalmologist, Kolkata
Diabetes is a condition which can cause many problems. Control of blood sugar, blood pressure and other things like weight loss and dietary advice are essential. A good diabetologist or Endocrinologist should be able to advise your mother about these things. As far as the retinopathy is concerned I would need to see details of her vision and eye examination findings, to be able to give any meaningful advise.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Diabetic Retinopathy
It refers to damage to the retina caused by complications of diabetes mellitus.The condition can lead to blindness if left untreated. Early blindness due to diabetic retinopathy is usually preventable with routine checks and effective management of the underlying diabetes.
Play video
Diabetic Retinopathy
Diabetic Retinopathy is a complication of the eye that occurs because of diabetes. It is a condition that damages the light-sensitive tissue of the retina. It can start with a medium to low level of problems in vision and can advance to complete blindness.
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Here are some facts & Myths about Diabetes

Hello. Good Afternoon. I am Dr. Anirban Biswas. I am a diabetologist. I am practicing at Fortis Hospital. I want to discuss with you a few facts about Diabetes.

As you all know friends that diabetes is a leading cause of mobility in India. There are, basically, two types of diabetes; one is Type 1 Diabetes which is insulin dependent and usually occurs in small kids and children. The other one is Type 2 Diabetes which is mainly in adults and can be treated without the need of insulin. Now, first of all, we should focus what are the symptoms of diabetes. The symptoms of diabetes are weakness, lethargic, and you are not able to do your daily activity and second is that you are feeling irritable and disturbance in sleep, excessive thirst and hunger and frequent visits to the loo as you are not doing it earlier. You are having frequent breakages in you are sleep and you have to go to the toilet even at night time.

You may have non-healing ulcer, or skin infections which are not healing, you can also have other disturbances like visual disturbances and urinary infection or chest infection which is taking enough time to heal. All these symptoms can lead to diagnosis of diabetes and sudden loss of weight is also seen in few adults. So if you have diabetes, the best test to do is fasting and PP Sugar. Fasting sugar could be less than 110 and the PP sugar which is done after two hours of having your breakfast should be less than 140. If one of them is high then it is known as pre-diabetes then it is followed by a HbA1c test. HbA1c test is a glycosylated hemoglobin which tells us about the average blood sugar which is present in our body in the last three months. It should be less than 6 in case of a normal individual.

If it is more than that then you are either a pre-diabetic or diabetic. so, now coming to the treatment and modification part; the first thing that doctors advise is that insulin resistance is there so to break the insulin we have lose weight and for that we have to do regular exercise and control in our diet. The diet should be such that it should include all the course grain, milk, fruits, vegetables, sprouts and less of carbs, maida, processed food, fatty, oily should be avoided. The other focus should be on exercises as we all know that a 30 minute exercise and even 10000 steps everyday can reduce our insulin resistant drastically. If we can do all these things and it reduces our sugar then it is very well otherwise we have to take medicines and for that you have to visit any doctor.

The complications of diabetes basically it is known as diabetic triopathy. Diabetes is basically a vascular disease and has microvascular defects which causes disease in the retina, small vessels of the heart and brain and kidneys are involved and because this the patients weasel equity can go low and that is known as diabetic retinopathy. It is usually diagnosed by frequent eye checkups and the second disease which is known as chronic renal failure, for this also you have to go for the KFT test or even a better test is there which is known as microalbumin creatinine ratio and the third is diabetic neuropathy which is which causes pain and tinian sensation in the nerves. For this we have to take some medicines and vitamin B12 supplements along with diabetic supplements.

Thank you. If you have any query or you need to consut me then you can contact me through Lybrate. Thanks a lot.
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Know More About Diabetes
Know how Diabetes affects organs of body and its treatment

Hello everyone, I am Dr.Piyush Juneja am an ayurvedic physician and today the topic of discussion is diabetes. As we all know that in India we are developing as a nation of diabetes capital of the World and in every family if we see there are some cases of diabetes coming up. In fact these days we have seen that people from the late 20s or early 30s also start getting diabetes as a problem in their health and ayurveda can help you a lot as far as the management of diabetes is concerned.

The issue here is whenever you go for any pathy the system needs to strengthen and enable your pancreas to support your insulin. so ayurveda is a system in which the medicines will help your pancreas to promote the health of the cells and eventually it will help in your diabetes. basically what is diabetes, if you see its a problem in your beta cells and due to that insulin level in your blood is not under control. in that issue the blood glucose level shoots because the insulin is a regulator of glucose. so whenever we are taking any food any sweet anything which is involved as far as the glucose or carbohydrates are concerned a diabetic person is not able to control that level in the blood and the glucose level is elevated.

Now if we see diabetes is not a problem but due to diabetes there are many other diseases which can occur in a body, like in eyes it known as diabetic retinopathy, in nerves it is diabetic neuropathy in kidneys its diabetes nephropathy. so many organs can get affected if the blood glucose level is not under control so diabetes itself is not a disease but due to diabetes there can be any diseases and many organs can get affected and ultimately it can lead to a very serious problem as well in any individual. so we need to understand that management of that diabetes is very very crucial and with Ayurveda with very simple our Vedic medicines we are able to manage diabetes in a very longer duration the quality of life of all the diabetes diabetic patients under ayurvedic management of that diabetes is very very crucial, and with Ayurveda with very simple our Vedic medicines we are able to manage diabetes in a very longer duration.

The quality of life of all the diabetes diabetic patients under ayurvedic management is comparatively better as compared to other patties and the duration and the like i can say period of health is also improved. in ayurveda we are using certain medicines as well as we are doing therapies or treatments known as punchkarma, so in punchkarma we are doing various therapies and myriad treatments in our center and we are getting excellent results and people are having a good control on their blood glucose level and hba1c levels these days. so we will suggest all of you if you are facing problem with diabetes or any of your friend or family having this problem consult a good ayurvedic physician.

You can consult me as well on lybrate and you can find a better solution to control your diabetes so that your quality of life will be improved and you can lead a healthy life. thank you!
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Here are symptoms, type, effects, and Treatments of Diabetes

Hi, to all the viewers. I am Dr. Hardik Thakker, an M. D. physician practicing from Mumbai. I would like to take this opportunity to talk about diabetes mellitus, As you all know, diabetes is a very common lifestyle disorder that we see in India. In fact, 7.1% of the adult Indian population is afflicted by this disease. If you go by world ranking, India ranks 1 as per the total number of diabetic patients in India followed by China and the United States. So this number by itself shows the burden of the disease.

Now, what I commonly see in our practice is there are a lot of newly diagnosed patients who do not have any symptoms but they have just done a random sugar check and are diagnosed to have diabetes. So the moral of the story is that one does not need to have symptoms. Typically, a diabetic would have a history of increased urination, increase of water intake, weight gain or weight loss. Sometimes, they may develop complications like eye issues, peripheral neuropathy which is tingling and numbness in the nerves and sometimes they come with foot ulcers but a majority of the patients are asymptomatic. So, a sincere request to all the viewers to have your sugars checked once a year at least just to be sure that you are not missing out on your own disease.

Now, I am going to speak about the types of diabetes, why does it happen and what are the things that happen in diabetes. There is Type 1 diabetes which is found in people less than 20 years of age, and then there is autoimmune destruction of the pancreas because of which the secretion of insulin is not there and hence the sugars are high. These patients need only insulin and there are no medications for them. The second and the most common type is Type 2 diabetes which you will find in people above 40 years of age. The typical age in Mumbai or in India for that matter is 42 years which is the age of presentation and they usually treated with medications and sometimes with add-on insulin.

There is a third uncommon variant called the MODY which is Mode Dematurity Onset Diabetes which also needs insulin and it has some autoimmune disorders and genetic predispositions. In diabetes, there are sugars present in the blood in very high amounts which damages a lot of your organs. For example, the most common organ is the nerve. So it leads to neuropathy, people get tingling and numbness in the nerves. Also, another most common organ is the heart. Diabetes can cause blockages in the heart which leads to heart attack. The third common is the eye, specially the retina. It causes retinopathy and people have decreased vision and sometimes they see floaters in the eyes.

Fourth, most common complication is the foot ulcer. We do not want people to have these complications and hence the reason to diagnose and treat early and eat right. With regard to lifestyle management, I would sincerely request diabetic patients to have a brisk walk for 30 minutes every day. This by itself will increase your insulin sensitivity and help you to decrease the dose. Second thing is eating healthy which makes a huge difference to your sugar levels, to have a very low calorie meal, specifically avoid sugars and exercise. So, that is all I would like to say on diabetes.

If you wish to contact me further or would like to consult with me in private, I would request you to go to my website which is and you can even get in touch with me through Thank you very much for your time.
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