Difference between Diabetes mellitus and insipidus?

Difference between diabetes mellitus and insipidus?

Diabetes mellitus and diabetes insipidus are two distinct medical conditions, despite sharing the term “diabetes.” Here are the key differences between them:

Diabetes Mellitus:

Type 1 Diabetes: This type is usually diagnosed in children and young adults. It occurs when the body’s immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body cannot produce insulin, leading to high blood sugar levels. Treatment typically involves insulin injections or the use of an insulin pump.

Type 2 Diabetes: This is more common and is often associated with lifestyle factors such as obesity and a sedentary lifestyle. In type 2 diabetes, the body’s cells become resistant to the effects of insulin, and the pancreas may not produce enough insulin. Management includes dietary changes, exercise, oral medications, and, in some cases, insulin.

Gestational Diabetes: Occurs during pregnancy and usually resolves after childbirth. It requires careful monitoring and may be managed with dietary changes and sometimes insulin.

High Blood Sugar: Diabetes mellitus results in high blood sugar levels (hyperglycemia) due to problems with insulin production or utilization.

Diabetes Insipidus:

Central Diabetes Insipidus: This is caused by a lack of the hormone vasopressin (antidiuretic hormone) produced by the hypothalamus or released by the pituitary gland. Without vasopressin, the kidneys can’t properly regulate water balance, leading to excessive urination and thirst. It’s not related to blood sugar levels.

Nephrogenic Diabetes Insipidus: In this form, the kidneys do not respond properly to vasopressin, causing similar symptoms of excessive urination and thirst. This is usually due to a genetic condition or can be caused by certain medications.

Low Concentrated Urine: Diabetes insipidus leads to the production of large amounts of dilute urine (low urine concentration), as opposed to the high glucose levels in diabetes mellitus.

In summary, while both conditions involve increased urination and thirst, diabetes mellitus is related to problems with insulin and blood sugar regulation, whereas diabetes insipidus is related to the regulation of water balance and the antidiuretic hormone vasopressin. They have different causes, symptoms, and treatments.

 

Diabetes mellitus and diabetes insipidus are two different conditions that affect the body’s ability to regulate fluids and blood sugar levels.

Diabetes Mellitus:

Definition: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels (hyperglycemia) resulting from the body’s inability to produce enough insulin or effectively use the insulin it produces.

Causes: Type 1 diabetes is caused by the immune system mistakenly attacking and destroying insulin-producing beta cells in the pancreas. Type 2 diabetes is usually caused by a combination of genetic and lifestyle factors, leading to insulin resistance and inadequate insulin production.

Symptoms: Symptoms of diabetes mellitus include increased thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow healing of wounds.

Treatment: Treatment for diabetes mellitus involves lifestyle modifications (such as diet and exercise) and, in many cases, medication like insulin injections or oral hypoglycemic drugs to manage blood sugar levels.

Diabetes Insipidus:

Definition: Diabetes insipidus is a rare disorder characterized by excessive thirst and urination. Unlike diabetes mellitus, diabetes insipidus is not related to blood sugar levels. It occurs when the kidneys are unable to properly concentrate urine, leading to large volumes of diluted urine.

Causes: Diabetes insipidus can be caused by a deficiency of antidiuretic hormone (ADH), also known as vasopressin, which regulates water reabsorption by the kidneys. This deficiency can result from damage to the hypothalamus or pituitary gland, or it can be a result of certain medications or kidney problems.

Symptoms: The main symptoms of diabetes insipidus are excessive thirst and urination, even at night, which can disrupt sleep. If left untreated, it can lead to dehydration and electrolyte imbalances.

Treatment: Treatment for diabetes insipidus typically involves replacing the deficient ADH with medications like desmopressin, which helps the kidneys reabsorb more water, reducing excessive urination and thirst.

In summary, diabetes mellitus is related to high blood sugar levels and insulin imbalance, while diabetes insipidus is characterized by excessive thirst and urination due to the inability of the kidneys to concentrate urine properly.

Dr. Nikhil Prabhu ( Diabetes Specialist )

Dr Nikhil Prabhu is a consultant Diabetologist from mumbai. he has been practicing for more than 10 years and currently over 7000 patients are under his treatment for diabetes and thyroid disorder from mumbai and navi mumbai area. | you can book his appointment for tele-consultation on 9082523295 | follow us on YouTube for more diabetes & health related tips

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Can Methi Reduce Diabetes?

Millions of people around the world suffer with diabetes. While traditional treatments like medication and insulin are widely used, there is growing interest in exploring natural remedies to complement conventional therapies—can methi reduce diabetes, is one such burning query.

 

Fenugreek, also known as methi, is a humble herb commonly found in Indian kitchens and has been used for centuries in traditional medicine to address various health concerns, including diabetes. Read on to understand the potential benefits of methi for diabetes control and how to use methi for diabetes scientifically.

Fenugreek to Reduce Blood Sugar—the Nutritional Profile of Methi:

 

Before delving into its potential impact on diabetes, let’s explore the nutritional composition of methi.

 

Fenugreek seeds contain fiber, protein, vitamins (A, B, and C), minerals (iron, magnesium, and potassium), and a variety of bioactive compounds such as saponins, alkaloids, and flavonoids. These components contribute to methi’s therapeutic properties, making it an appealing candidate for diabetes management.

 

Methi for Diabetes Control:

 

  • According to research, methi may improve insulin sensitivity in people with type 2 diabetes.

The soluble fiber in fenugreek seeds can slow carbohydrate digestion and absorption, resulting in a more gradual release of glucose into the bloodstream. This mechanism aids in glycemic control by reducing blood sugar spikes after meals.

 

  • Methi has been studied for its ability to protect and improve the function of beta cells in the pancreas. These cells are in charge of producing insulin, and any increase in their activity can benefit people with type 1 diabetes.

 

Clinical Studies on Methi for Diabetes Control

 

  • Glycemic Control: Several clinical trials have examined the effects of fenugreek on blood glucose levels. Some studies have reported a significant reduction in fasting blood sugar and postprandial glucose levels in individuals with type 2 diabetes who consumed fenugreek supplements or incorporated it into their diets.

 

  • Lipid Profile: Diabetes often goes hand in hand with dyslipidemia, an abnormal lipid profile. Methi has been studied for its potential to lower total cholesterol, LDL cholesterol, and triglyceride levels while raising HDL cholesterol levels, which is considered beneficial for heart health.

 

How Can Methi Reduce Blood Sugar?

 

The mechanisms through which methi exerts its antidiabetic effects are multifaceted. Apart from its influence on insulin sensitivity and beta-cell function, methi is believed to possess antioxidant properties that can counteract oxidative stress, a common feature of diabetes. Additionally, certain compounds in methi may inhibit the action of specific enzymes involved in glucose production, further aiding in blood sugar regulation.

 

How To Use Methi For Diabetes

 

While methi shows promise as an adjunct therapy for diabetes, the appropriate dosage and administration should be considered. Studies have used various forms of fenugreek, including powdered seeds, capsules, and teas. However, it is crucial to consult a healthcare professional before adding Methi supplements to one’s regimen, as individual responses may vary.

 

Here are a few ways you can use methi to help manage diabetes:

 

  • Methi Water:

 

You need:

1 tablespoon of methi seeds

1 cup of water

 

To prepare methi water, start by soaking the methi seeds in water overnight. Allow the seeds to absorb the water fully during this time. In the morning, strain the water to remove the soaked methi seeds. The infused water is now ready to drink. Consume the methi water on an empty stomach to potentially help regulate blood sugar levels. For better results, repeat this process daily as part of your diabetes management routine.

 

  • Methi Powder:

 

You need:

 

1/2 cup of methi seeds, that’s all!

 

To make methi powder, take half a cup of methi seeds and dry roast them in a pan until they turn slightly brown and release a nutty aroma. Make sure not to burn them during the roasting process. Once roasted, allow the seeds to cool down. After cooling, grind the roasted methi seeds into a fine powder using a spice grinder or mortar and pestle. The resulting methi powder can be stored in an airtight container. Consume one teaspoon of this powder twice a day, along with water, before meals to potentially aid in managing blood sugar levels.

  • Methi and Yoghurt Salad:

 

You need:

 

1 cup of fresh methi leaves (fenugreek leaves), washed and chopped

1 cup of plain yogurt

1 small cucumber, finely chopped

1 small tomato, finely chopped

1 small red onion, finely chopped

1 green chili, finely chopped (optional)

Fresh coriander leaves for garnish

Salt and pepper to taste

 

To prepare the methi and yogurt salad, start by blanching the chopped methi leaves in boiling water for about a minute. After blanching, drain the leaves and rinse them with cold water to retain their vibrant green color. In a mixing bowl, combine the blanched methi leaves with finely chopped cucumber, tomato, onion, and green chili (if using). Add plain yogurt to the mixture and mix well. Season the salad with salt and pepper according to your taste preferences. Garnish with fresh coriander leaves for added flavor and presentation. This nutritious and diabetes-friendly salad can be enjoyed as a refreshing side dish.

 

  • Methi Paratha:

 

You need:

 

1 cup whole wheat flour

1/2 cup methi leaves, washed and finely chopped

1/4 teaspoon turmeric powder

1/4 teaspoon red chili powder (optional)

Salt to taste

Water for kneading the dough

Ghee or oil for cooking

 

To make methi roti, start by combining the whole wheat flour with chopped methi leaves in a mixing bowl. Add turmeric powder, red chili powder (if using), and salt to the mixture. Gradually add water to the ingredients and knead them into a soft dough. Divide the dough into small balls and roll them into flat discs (rotis) using a rolling pin. Heat a tawa or griddle and cook the rotis on both sides using ghee or oil until they turn golden brown and are fully cooked. Methi rotis can be served with a side of low-fat yogurt or any diabetes-friendly vegetable curry for a wholesome and nutritious meal.

 

  • Methi and Vegetable Stir-Fry:

 

 

You need:

 

1 cup methi leaves, washed and chopped

1 cup mixed vegetables (carrots, bell peppers, cauliflower, etc.), chopped

1 tablespoon oil

1 teaspoon cumin seeds

1/2 teaspoon turmeric powder

1/2 teaspoon red chili powder (adjust to taste)

1/2 teaspoon garam masala

Salt to taste

 

To prepare the methi and vegetable stir-fry, heat oil in a pan and add cumin seeds, letting them splutter. Add the mixed vegetables and sauté them for a few minutes until they are partially cooked. Then add the chopped methi leaves, turmeric powder, red chili powder, garam masala, and salt. Stir-fry the vegetables and methi leaves until they are fully cooked but still retain their crunch. This flavorful stir-fry can be served as a delightful side dish, complementing roti or rice in a balanced meal.

 

With these recipes, you can add methi to your diet in fun and delicious ways that may help you manage your diabetes. However, it is crucial to maintain a balanced and well-monitored dietary plan, along with regular consultation with your healthcare provider, to ensure effective diabetes control and overall well-being.

Precautions When Using Methi for Blood Sugar Control:

 

Despite its potential benefits, methi may not be suitable for everyone, and caution should be exercised, especially for pregnant and breastfeeding women. Additionally, some individuals may experience digestive issues, such as flatulence or diarrhea, when consuming fenugreek seeds in large quantities.

 

Can Methi Reduce Blood Sugar—the Key Highlights

 

Numerous studies have found promising results, making the potential of methi for diabetes control an exciting area of study. But it is important to view these findings from a variety of angles. Methi can aid in the management of conventional diabetes, but it should not be used in place of prescribed medications or insulin therapy. Individual responses may vary as with any natural remedy, so seeking medical advice is essential. Methi’s role in managing diabetes may become clearer with further study, providing hope for a more comprehensive strategy to combat this pervasive metabolic disorder.

Dr. Nikhil Prabhu ( Diabetes Specialist )

Dr Nikhil Prabhu is a consultant Diabetologist from mumbai. he has been practicing for more than 10 years and currently over 7000 patients are under his treatment for diabetes and thyroid disorder from mumbai and navi mumbai area. | you can book his appointment for tele-consultation on 9082523295 | follow us on YouTube for more diabetes & health related tips

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How to Manage Hydration In Monsoons for the Diabetic

The world comes alive with refreshing rains and a cool breeze as the monsoon season begins. However, this time of year can be difficult for diabetics to manage, particularly when it comes to hydration. The cool and humid climate may not motivate you to hydrate enough; however, dehydration happens quicker for diabetics. The kidneys work incessantly to eliminate excess sugar and, in the process, excrete water as well. To add on to the misery, fluctuating weather conditions and potential waterborne infections can make hydration more crucial.

Continue reading to learn how diabetics can effectively manage hydration during the monsoons.

monsoon dehydration diabetes

Dehydration in Monsoons and How to Prevent It:

● Understand the Importance of Hydration

Hydration is important for everyone, but it is especially important for diabetics. High blood sugar levels can cause excessive urination, which can lead to dehydration. During the monsoon, the cooler weather may reduce your thirst sensation, making it easier to forget to drink enough water. As a result, it is critical hydrate often to manage diabetes and avoiding potential complications.

● Monitor Blood Sugar Levels Regularly

During the monsoon season, changes in weather and physical activity levels can have an impact on blood sugar levels. It is critical to regularly monitor your blood glucose levels to ensure they remain within the target range. Blood sugar fluctuations can also affect hydration levels, so keeping a close eye on your numbers will help you make necessary changes to your diet and medications.

● Set a Hydration Schedule

Make a hydration schedule and stick to it to avoid forgetting to drink water. Set reminders on your phone or keep water bottles in easily accessible places. Instead of guzzling down large amounts of water all at once, try to spread your water intake out throughout the day. Maintaining hydration levels and effectively managing diabetes require consistency.

● Opt for Hydrating Foods

To supplement your water intake, include hydrating foods in your diet. Fruits with a high water content, such as watermelon, cucumber, oranges, and strawberries, are excellent choices because they provide essential vitamins and minerals. Sugary fruits and juices should be avoided as they can cause a spike in blood sugar levels.

● Beware of Contaminated Water

Waterborne infections are more common during the monsoon season. Diabetics are more vulnerable to infections due to weakened immunity. Use a water purifier or boil water before drinking to ensure safe and clean water. If you are unsure about the water quality while traveling, stick to bottled water from reputable sources.

● Limit Caffeine and Alcohol

Caffeine and alcohol both contribute to dehydration, so limit your intake, especially during the monsoon season. Caffeine acts as a diuretic, increasing urination frequency, whereas alcohol decreases the body’s ability to retain water. Consume these beverages in moderation and compensate by drinking plenty of water.

● Carry Water Everywhere

Always keep a water bottle on hand, whether you are at home or out and about. Having water readily available will help you stay on track with your hydration goals, ensuring you never go too long without a sip.

● Avoid Sugary Drinks

Sugary drinks, such as sodas, energy drinks, and sweetened fruit juices, can spike blood sugar levels quickly. Moreover, they don’t contribute to hydration as effectively as water does. Instead, for a flavorful, low-calorie alternative, choose infused water or herbal teas.

● Practice Physical Activity Mindfully

Physical activity is important for diabetes management, but it is especially important during the monsoon season. To avoid getting caught in heavy rain, opt for indoor exercises or safe outdoor activities. Maintain electrolyte balance by staying hydrated before, during, and after physical activity.

● Consult Your Healthcare Provider

As with any health condition, it is critical to seek personalized advice on managing diabetes and hydration during the monsoons from your diabetologist or a registered dietitian. They can adjust your medication and provide tailored advice based on your specific needs and health status.

● Keep an Eye on Electrolyte Balance

Electrolytes are minerals that help the body’s fluid balance. Excessive sweating caused by humidity during monsoons can result in electrolyte imbalances, particularly sodium and potassium. This can have an impact on blood sugar control and overall health for diabetics. Include electrolyte-rich foods in your diet, such as bananas (potassium), coconut water (potassium and sodium), and leafy greens (magnesium), to help maintain a healthy electrolyte balance.

● Practice Good Hygiene

During the monsoon season, the risk of infections and illnesses rises. Good hygiene is especially important for diabetics, who may already have a weakened immune system. Wash your hands thoroughly with soap and water, especially before having or handling food. To reduce the risk of infection, avoid touching your face with unwashed hands.

● Manage Medications Wisely

Diabetes medications, particularly those that promote diuresis, can have an effect on hydration levels. If you take diuretics or other medications that affect your body’s water balance, talk to your diabetologist to effectively manage your dosage during the monsoons. They may need to adjust your medications to suit the changing weather conditions and your hydration needs.

● Be Cautious with Street Food

The monsoon season brings with it a plethora of enticing street food treats. While indulging on occasion is acceptable, be cautious with your food choices, especially when it comes to street vendors. Street food may not always adhere to strict hygiene standards, increasing the risk of foodborne illness. To avoid gut issues that could impair your hydration, choose freshly prepared and cooked meals from reputable establishments.

● Stay Informed About Weather Changes

Monsoon weather can be unpredictable, with sudden downpours and temperature fluctuations. Keep up to date on weather changes so you can plan your day accordingly. Carry an umbrella or raincoat to avoid getting soaked, which can result in a drop in body temperature and an increased risk of catching a cold or flu. Dress appropriately for the weather in order to stay comfortable and minimize any potential health effects.

● Recognize Dehydration Symptoms

It is critical to recognize the signs of dehydration and act quickly to address it. Dehydration symptoms include increased thirst, dry mouth, dark urine, fatigue, dizziness, and dry skin. If you notice any of these symptoms, rehydrate right away and seek medical attention if necessary, especially if symptoms persist or worsen.

● Prepare Hydrating Infusions

Infused water and herbal teas are not only a tasty way to stay hydrated, but they can also provide a number of health benefits. Make hydrating infusions with ingredients like mint, cucumber, lemon, and basil to add not only refreshing flavors but also nutrients. These infusions can be a tasty alternative to plain water and can assist you in meeting your daily hydration goals.

Conclusion

The splattering rain and the cool breeze are definitely romantic, until your health takes a toll on you. As a diabetic, you have to stay caustic and prevent dehydration from setting in. Remember to check your blood sugar levels on a regular basis and to seek personalized advice from your Diabetes doctor. Diabetics can stay hydrated, manage their condition effectively, and have a healthy and enjoyable monsoon season by following these tips.

Dr. Nikhil Prabhu ( Diabetes Specialist )

Dr Nikhil Prabhu is a consultant Diabetologist from mumbai. he has been practicing for more than 10 years and currently over 7000 patients are under his treatment for diabetes and thyroid disorder from mumbai and navi mumbai area. | you can book his appointment for tele-consultation on 9082523295 | follow us on YouTube for more diabetes & health related tips

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What are the Best Monsoon Footcare Tips for Diabetics?

Diabetic Foot Care During Monsoon

Monsoon showers may be refreshing, but don’t let them dampen your foot health. Stay proactive and protect your feet.

The monsoon season relieves the heat and revitalizes the environment. However, it also brings with it some difficulties, particularly for diabetics. Diabetes foot problems can worsen during this time due to increased moisture and the risk of fungal and bacterial infections. Let us discuss some of the essential monsoon foot care tips for diabetics to keep their feet healthy and protected during the monsoon season.

Monsoon foot care tips for diabetics

Foot Problems in Monsoons

Here are some common foot problems encountered during the rainy season:

  1. Fungal Infections: The monsoon’s moist and humid environment provides an ideal breeding ground for fungal infections such as athlete’s foot. Itching, redness, and cracking between the toes result.
  2. Blisters are common during the monsoon due to increased humidity and prolonged exposure to dampness. They may hurt and put you at risk for infection.
  3. Ingrown Toenails: High moisture levels can soften toenails, increasing the likelihood of ingrown toenails. If you have an ingrown toenail, consult a podiatrist for proper treatment.
  4. Foot Odor: Excessive sweating during the monsoon season can cause foot odor.
  5. Bacterial Infections: Bacterial infections are more likely in waterlogged areas and dirty puddles.
  6. Slips and Falls: Rainy surfaces can become slippery, increasing the risk of slips and falls.

These problems have a higher chance of occurring when you have higher blood sugar levels, making diabetic foot care during the monsoon essential. To alleviate these foot issues, it is critical to maintain proper foot hygiene, wear appropriate footwear, keep feet dry, and address any signs of infection or discomfort as soon as possible. If you have persistent or severe foot problems during the monsoon season, see your diabetes specialist doctor.

Monsoon Foot Care Tips For Diabetics

● Maintain Proper Foot Hygiene

It is essential to practice good hygiene to avoid foot problems. Use lukewarm water and mild soap to wash your feet every day. Dry them completely, paying special attention to the space between the toes. A long soak can cause maceration, which raises the risk of infection, so avoid doing it. After washing, apply a gentle moisturizer to prevent dryness and cracking.

● Choose the Right Footwear

Purchasing the appropriate footwear is crucial if you want to keep your feet dry during the monsoon season. Choose comfortable, closed-toe footwear made of breathable materials like leather or canvas. Avoid wearing uncomfortable or tight shoes that can rub against your feet and cause blisters or ulcers. Check the traction on your shoes to avoid slipping on wet surfaces. Consider shoes that are waterproof or have removable insoles that can be dried separately.

● Keep Your Feet Dry

Moisture is the enemy of diabetic foot care during the monsoon. To avoid fungal and bacterial infections, keep your feet as dry as possible. Always keep an extra pair of socks on hand in case your socks get wet. Socks made of natural fibers such as cotton or bamboo should be moisture-wicking or absorbent. To absorb excess moisture, apply talcum powder to your feet.

● Trim Nails Carefully

Ingrown toenails and infections can be avoided with proper nail care. Do not overly shorten your nails; instead, trim them straight across. Do not attempt to dig or cut the nails' corners. If you have trouble trimming your nails, consult a podiatrist.

● Regularly Inspect Your Feet

Perform a daily foot inspection to detect any changes or abnormalities. Look for redness, swelling, cuts, blisters, or sores. Contact your diabetologist right away if you notice anything out of the ordinary. It is possible to avoid complications with early detection and prompt intervention.

● Avoid Walking barefoot

Never walk around barefoot, especially during the rainy season. The danger of cuts, fungus infections, and other injuries when walking barefoot is increased. Always wear appropriate shoes or slippers to protect your feet.

● Seek Medical Help

Do not hesitate to get medical help if you notice any infections or have persistent foot issues. The progression of complications can be stopped with quick action. For expert advice, speak with a podiatrist or your healthcare provider.

● Maintain Blood Sugar Control

Keeping your blood sugar under control is important for preventing diabetic foot issues. High blood sugar levels increase the risk of foot complications by damaging nerves and reducing blood flow. Follow your doctor’s advice regarding medication, diet, and lifestyle changes, and monitor your blood sugar levels frequently. Keeping your blood sugar levels within the target range can promote better foot health and minimize the risk of diabetic complications.

● Stay Active with Low-Impact Exercises

Exercise regularly is good for overall health, including foot health. Improve the blood flow to your feet by partaking in low-impact activities like walking, swimming, or cycling. This promotes tissue hydration and lowers the risk of foot ulcers. Avoid high-impact activities, though, as they can put too much strain on your feet and raise the risk of injuries.

● Practice Proper Wound Care

It is critical to act quickly if you experience a cut, blister, or sore on your feet. Apply an antibiotic ointment or antiseptic solution after washing the wound with mild soap and warm water. Put a sterile dressing over the wound to prevent infection and hasten healing. Consult your healthcare provider right away if the wound does not heal or exhibits infection symptoms like redness, warmth, or pus.

● Watch out for waterborne infections

Waterborne infections, such as fungal infections, can be dangerous to diabetics during the monsoon season. Avoid walking through stagnant water or puddles because they can harbor bacteria and fungi. If your feet get wet, dry them thoroughly as soon as possible. Applying an antifungal cream or powder that has been prescribed by your doctor can add an extra layer of defense.

● Educate Yourself and Talk to Your Healthcare Team

It is critical to stay current on diabetic foot care. Learn about the signs, symptoms, and preventive measures for foot complications. Communicate with your healthcare team regularly, including your endocrinologist, podiatrist, and diabetes educator, to discuss any concerns or questions you may have. They can give you personalized advice and monitor your foot health to prevent complications.

Conclusion

Monsoon foot care tips for diabetics can effectively reduce the risk of foot complications, such as diabetic foot. Remember to maintain hygiene, choose suitable footwear, keep your feet dry, and monitor for any changes. Prioritize blood sugar control, exercise safely, practice proper wound care, and stay vigilant for waterborne infections. You can enjoy the monsoon season while safeguarding your foot health with proactive care and attention.

Dr. Nikhil Prabhu ( Diabetes Specialist )

Dr Nikhil Prabhu is a consultant Diabetologist from mumbai. he has been practicing for more than 10 years and currently over 7000 patients are under his treatment for diabetes and thyroid disorder from mumbai and navi mumbai area. | you can book his appointment for tele-consultation on 9082523295 | follow us on YouTube for more diabetes & health related tips

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