Diabetes Health Tips

How To Manage Diabetes In Summers?

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Overview

Summer is in full swing. With India going through an early and unusually hot summer this year 2023,
it’s becoming increasingly challenging to stay hydrated at all times. March and April have been sweltering hot and sweaty, making you feel sluggish and exhausted for most of the day. Sipping a chilled glucose drink sounds ideal to boost energy and get you started.

But how often do you mindlessly sip to stay hydrated? Do you forget about the summer drinks and foods that may wreak havoc on your blood sugar status? It’s about time you realized that many summertime beverages, especially the ones you drink chilled and packed to keep your body cool, may be loaded with sugar. Today we will learn how to manage diabetes and also enjoy summer beverages like a pro.

How Does Hot Weather Affect Diabetes?

The problems with heat and diabetes care could affect millions of people. It’s important for people with diabetes to take extra precautions in hot weather. Studies show that heat has potential adverse health effects on diabetics.

1. Heat-Related Morbidity and Diabetes

Diabetes patients may be more vulnerable to heat-related illnesses and fatalities than non- diabetics. An individual with diabetes often suffers from diabetic neuropathy (damaged nerves and sensory responses) that hinders sweating and increases heat exhaustion.

2. Possibility of Dehydration

Diabetes patients need to exercise, but extended exposure to heat and the ensuing fluid loss cause dehydration and an abrupt increase in core body temperature.

3. Glucose and Insulin levels

The rate of insulin absorption can accelerate with a rise in ambient air temperature. This results in higher chances of a sudden fall in blood sugar levels (hypoglycemic shock) for diabetics who take insulin shots.

Managing diabetes in the heat

1. Hydration

Your body sweats as a result of the heat. Dehydration may occur if these fluids aren’t replaced, which could lead to hazardous outcomes, including heat stroke.

Drink, drink, and drink more. Drink more water to replace the lost fluids. To stay hydrated, consume a lot of water and other non-sugary liquids. Avoid excessive alcohol and caffeine intake because these substances can dehydrate you and impact your blood sugar levels.

2. Avoid sugar

Sugar-based beverages such as sodas, fizzy drinks, canned juices, and energy drinks (sweetened tea and coffee) are fantastic at giving you instant energy. Along with energy, it can also disbalance blood sugar levels. Be mindful of what you drink. Water doesn’t make the blood more acidic or more alkaline. It thins the blood to lessen a spike in blood sugar. Men should consume 3.08 liters of water per day, while women should consume 2.13 liters in summer. Replace fruit drinks with chilled vegetable juices such as tomato juice, a cucumber blend, or a smoothie made with spinach. Add a little pink salt and pepper to make it more flavorful. Buttermilk is another good option for getting hydrated.

3. Workout indoors

In your summer workout, exercise caution. Be on the lookout for balconies and shady spots. Pick textiles that are breathable and lightweight, like cotton that wicks away moisture. Your body will be able to breathe through these textiles, keeping you cool and comfortable.

4. Check your feet once in a while

Diabetic neuropathy can reduce sensation in the foot, making it more susceptible to injuries and infections if exposed. Regularly inspect your feet for any indications of ulcers, blisters, or other problems. Wearing cozy, well-fitting shoes that won’t chafe or bother your feet is also essential.

Diabetes patients shouldn’t overlook their foot care, especially after wearing open sandals and flip-flops in the summer. checkout my video shared above.

5. Store your insulin properly

Avoid keeping insulin or other diabetes medications in a hot car or in the sun. Check the packaging for information on how insulin and other medications may be impacted by high heat. Insulin and other medications should be kept in a cooler if you are traveling. Insulin shouldn’t be placed directly on ice or a gel pack. Your insulin pump, glucose meter, and other diabetes supplies could be damaged by heat.

6. Make Advance Plans for Outdoor Activities

It’s crucial to prepare ahead of time if you intend to spend time outdoors in the heat. To help prevent low blood sugar levels, carry food and water with you. Additionally, check your blood sugar levels periodically to look for any changes.

7. Rest even when on a holiday

It’s crucial to take breaks in the shade when it’s hot outside to help prevent overheating. When you’re outside, seek out places to rest and cool off that are shaded. This can assist you in maintaining your comfort level and avoiding any diabetes-related issues.

8. Use sunscreens

To avoid sunburn, apply sunscreen to any exposed skin. Sunburns stress the body and can induce a rise in blood sugar levels.

9. Monitor your water intake and keep some diabetes-friendly snacks

Your urine’s color is a great indicator of your level of hydration. If it is a pale yellow color, you are properly hydrated. If the tint changes to a darker shade, drink more. Some snacks can replace meals, while others work to keep blood sugar levels stable. With your nutritionist, go over your alternatives.

10. Test your blood sugar often

It’s a good idea to test more frequently because hot weather might cause blood sugar levels to change. For several hours after your workout or other activity is over, you should continue frequent monitoring.

Takeaway

Although managing diabetes in the heat might be difficult, you can maintain stable blood sugar levels and avoid complications using the above tips. Cherish summers without having to worry about diabetes. Consult your diabetologist for additional guidance if you have any questions about controlling your diabetes in the heat.

FAQs

1. Can hot weather affect diabetes?

Diabetes patients are especially vulnerable to high humidity and temperatures. You might have more difficulty controlling your blood sugar levels, and you might be more vulnerable to heat exhaustion.

2. How much water a diabetic should consume each day?

You should consume a lot of fluids if you have diabetes – around 1.6 liters (L), or 6.5 cups, for women and 2 L, or 8.5 glasses, for men—every day. The amount may increase in the summer, but avoid overhydration, which may cause water retention in the body.

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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Travelling with diabetes

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Table of contents

  • ● Travelling with Diabetes: You May Have to Plan a Bit More!
  • ● Essential Steps to Take Before You Leave
  • ● Tips for Staying Healthy and Safe on the Go
  • ● Eating and Drinking Just Right
  • ● What to Do if You Experience a Diabetes-related Crisis
  • ● Take-home
  • ● FAQs

Travelling with Diabetes: You May Have to Plan a Bit More!

The warm weather and longer days of this time of year make you earn for a much-needed break from work. Multiple long weekends and your kid’s summer break make trip planning simpler. However, if you are a diabetic, you must plan your vacation ahead of time! Pre-travel planning is crucial for a safe journey. Travelers with diabetes who wish to go scuba-diving, trekking, or just chill by the pool need sound advice on travelling with diabetes supplies so that a hectic trip won’t put their health in danger. Here is a quick read on all the dos and don’ts of travelling abroad with diabetes.

Diabetes and travelling Flying abroad

Essential Steps to Take Before You Leave

When it comes to diabetes, twice is better. Make sure to add extras of everything to your travelling with diabetes checklist. Here is a short check-list that could come in handy when packing for travelling on a plane with diabetes. Remember that at least half of these should be packed in your hand luggage.

● Plane Insulin: Insulin should be transported in hand luggage since it can freeze when exposed to the low temperatures in the airline cargo. To reduce the risk of losing or misplacing a bag, it is good to divide prescriptions and diabetes supplies with your travel partner.

● The hand luggage should also have blood glucose meters and test strips. Blood test equipment like Lancets and additional glucose test strips, additional glucose meter, additional batteries or a glucose meter charger and alcohol wipes.

● Patients should normally maintain their routine while travelling and make any necessary adjustments as per the time at their destination.

● ID proof, diabetes ID card and prescription from the diabetologist. These are essential for security checks on air travel.

● A well-packed box of low-sugar snacks like fruits (apples, blueberries, pomegranates, etc), crackers or cheese bites, peanut butter, home-made juices and some kind of glucose dose (hard candies or toffees) to treat low blood sugar.

Get a thorough medical exam before your trip to ensure that your diabetes is under control before travel. Other nations may have significantly varied prescription laws. Carrying your own prescriptions for medical emergencies would be a wise decision.

Tips for Staying Healthy and Safe on the Go

People who maintain their sugar levels at home might find it challenging to do so while travelling. Travelling alone causes a rise in stress and hormone imbalances that may have an impact on glucose regulation. In addition, changes in diet, activity, sleep, climate, and stress can make things worse. When diabetes control is ignored while travelling, hospital and medical expenses are greatly increased.

So, here are a few tips to keep in mind to make your travel diabetes-friendly:

● Plan for time zone changes:

If you are travelling east, the travel time shortens. This might require you to take fewer insulin shots. We gain time when going west; an extra shot of insulin may be required. Keep an eye on your home time zone until the morning after you arrive to help you remember shots and meals while switching time zones.

● Record of your blood sugar levels:

Keep a record of your blood sugar levels while travelling. This will help you monitor any changes and make adjustments to your medication and diet as needed.

● Stay hydrated:

Drink plenty of water and other non-sugary beverages to stay hydrated. Avoid consuming too much alcohol and caffeine, which can cause dehydration and affect blood sugar levels.

● Maintain a decent diet:

Bring fruit, nuts, and seeds as snacks to help you stay away from harmful selections when you’re out and about. Avoid missing meals and try to stick to your regular eating schedule.

● Take breaks and stretch:

Travelling long haul with diabetes can cause swollen feet, blood clots, irregular sugar levels, and lethargy due to the tendency for poor blood flow in diabetics. Stretch your legs, especially! Walk for a couple of minutes on a train or plane journey. On road trips stop the car to take breaks.

Eating and Drinking Just Right

Local cuisines are the biggest attractions on a holiday, which can make you go easy on your diabetes management rituals. Diabetics need to be aware of how certain foods can impact sugar levels by strictly following these:

● Food:

Encourage patients to actively monitor how new foods impact their blood sugar levels by measuring their levels before and after each meal. Choosing veggies and sources of protein reduces swings in blood sugar.

● Alcohol:

Alcohol alone can increase blood sugar levels if colas and beverages are added with snacks, but when taken with drugs that lower blood sugar, including sulphonylureas and insulin, the risk of hypoglycemia increases. Patients must check their blood glucose levels and administer the proper hypoglycemia treatment as this could happen over the course of the night or even the following day. Patients should be advised to avoid drinking on an empty stomach and urged to stay hydrated by drinking water and using sugar-free juices along with alcohol.

What to Do if You Experience a Diabetes-related Crisis

As a diabetologist, it is essential to give patients advice on what to do in an emergency. Here’s what you may need to do:

● When travelling on a plane with diabetes the aircraft staff come in handy: at the holiday spot, the hotel personnel will be better prepared to assist with conditions like hypoglycemia.
● Patients should always have snacks on them and supplies to manage hypoglycemia in case there are no accessible alternative foods.
● Learn the phrases “I have diabetes” and “Sugar please” in the language of the nation you intend to visit.
● To hasten help in an emergency, patients should have their cell phones and emergency contacts with them.
● The standard “sick-day” protocols are followed after a diabetic emergency episode, which typically entails boosting fluid intake and performing more regular blood glucose checks.

Take-home

Although it may seem difficult, travelling abroad with diabetes is a cakewalk with the right planning and preparation. You can enjoy your trip without jeopardizing your health by following the above-mentioned advice, which includes travelling with diabetes supplies, keeping track of blood sugar levels, staying hydrated, and maintaining a nutritious diet. Never forget to speak with your doctor before leaving on a trip, and never hesitate to call for help if something goes wrong.

FAQs

● How should I store my insulin while travelling?

Insulin should not be exposed to severe temperatures and should be maintained at room temperature. To keep your insulin safe from heat and cold while travelling, place it in a cooler bag or insulated pouch.

● How can I prevent blood clots while travelling?

To prevent blood clots and other issues when travelling long distances, stop frequently and stretch your legs. Put on compression stockings to increase the blood flow to your legs.

● How can I ensure that I am properly prepared for my trip?

Before making any travel arrangements, speak with your diabetologist to be sure you are adequately prepared. Create a list of all the diabetes supplies you’ll need, study the area hospitals, and make any necessary preparations for prescription changes.

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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Uncovering the connection between diabetes and mental health

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Table of Contents

  • ● Diabetes and Mental Health: A Brief Overview
  • ● The Link Between Diabetes and Depression
  • ● How High Blood Sugar Affects Your Mood and Mental Health
  • ● Stress and diabetes
  • ● Tips for Managing Your Blood Sugar and Mental Health Simultaneously
  • ● Takeaway
  • ● FAQs

Diabetes and Mental Health: A Brief Overview

The connection between mental health and diabetes has been under the radar for a long time. While
the physical impact of diabetes is well-known, the connection between diabetes and mental health is less understood. The relationship is reciprocal; several drugs used to treat mental health disorders can increase the potential risks of diabetes, on the other hand, lifestyle management in diabetes leaves you mentally exhausted.

Diabetologists must take their patient’s; mental health into account. This can help identify potential mental health problems early and guarantee that patients get the support they need to manage their physical and psychological health.

What is the connection Between Diabetes and Depression

Studies support a bidirectional relationship between the complications of diabetes and depression.

According to studies, mental health conditions like depression and anxiety can increase the risk of developing diabetic complications like diabetic retinopathy (difficulties affecting the eyes) and diabetic nephropathy (complications affecting the kidneys). On the other hand, diabetes complications raise the possibility of significant depression, anxiety, or stress symptoms, and loneliness due to ongoing poor health and dietary restrictions.

The processes that lead to this link between mental health and diabetes are:

  • ● Depression often leads to indiscipline life, like poor diet control, irregular medicine intake, smoking, sedentary days and a regular bingeing of high-calorie foods. These will negatively impact glycemic control, which is linked to a higher risk of complications.
  • ● The burden and suffering associated with diabetes cause depression and mood changes.
  • ● Poor endothelial function (the altered functioning of the inner lining of the blood vessels) due to cholesterol deposition has been linked to depression and diabetes, increasing the risk of heart diseases.
  • ● The prescribed drugs for diabetes may have side effects that worsen diabetes and its associated complications.

How High Blood Sugar Affects Your Mood and Mental Health ?

Fluctuations in blood sugar levels bring about mood changes with them. The culprit that throws your mood entirely out of whack may be both high and low sugar levels.

Here are a few mood swings that indicate a low sugar level:
● Confusion, and anxiety
● Hunger and irritability
● Tiredness and exhaustion

Here are a few mood swings that indicate a high sugar level:
● Thirst and dehydration
● Anger and intense feelings
● Nervousness
● Clouded judgment

If you are a diabetic and have similar mood changes often, you should consider visiting a diabetologist for a consultation.

Stress and diabetes

The stress of managing diabetes and a healthy lifestyle can get overwhelming at times. It leads to something called “diabetes burnout.” This acquired stress can worsen diabetes by fluctuating blood sugar levels.

Stress can cause your blood sugar levels to rise and occasionally drop. These fluctuations can ultimately cause mood swings.

It is mandatory to recognize symptoms of stress, mood swings, and depression in diabetes in order to seek help.

Tips for Managing Your Blood Sugar and Mental Health Simultaneously

There are numerous ways to facilitate diabetes management and lessen your risk of going through mood swings, stress, depression, or another mental health condition.

You can try the following options and remain stress-free:

● Be regular with diabetes medicines.

Stop stressing over medicine timing and doses. Use your smartphone and set up an alarm system and a monthly calendar that will be your assistant in managing diabetes.

● Diabetes-friendly diet plan.

Stress does not mean you binge eat. If you are a family member of a diabetes patient suffering from anxiety, then keep an eye on his eating habits. You need to prevent them from night snacking and sugar treats.

● Regular exercise and physical activities

There is no alternative to this. Use smart gadgets like smartphones and fitness bands as workout planners to motivate yourself. Equip yourself with yoga mats, resistance bands, and weights to perform quick workouts at home. Online yoga sessions are also an amazing way to rejuvenate your mental health and manage diabetes.

● Blood glucose monitoring

Pay attention to high and low readings. If necessary, keep track of any unusual readings and inform your doctor. If your readings fall outside of the expected range, try out methods to raise or lower your blood sugar.

● Stress management

According to experts, you should search for patterns. Consider your stress level each time you log your blood sugar levels and see if a trend develops. If a pattern emerges, you can learn to recognize the symptoms of stress and take steps to reduce your blood sugar and avoid stress. Working with a professional to learn relaxation and coping mechanisms may be necessary.

● Therapy

Therapy is a very beneficial form of treatment that is beneficial to both those with and without mental health issues. The four main areas of mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness are the focus of therapy.

Family therapy fosters improved communication, conflict resolution, and family dynamics.

Family therapy is frequently used to treat eating disorders and mental health. Psychological counselling has two parts: The cognitive component aims to create empowering beliefs about your life. The behavioural component teaches you how to make better decisions.

Takehome

Diabetes is multifaceted, and it comes with multiple physical and mental health complications. Maintain your management plan and maintain healthy blood sugar levels to reduce your risk of mental health conditions. Never be afraid to ask for help with your diabetes treatment or to talk about your mental health with family, friends, or a mental health professional.

FAQs

Q. How can I control my blood sugar and anxiety?

To control fluctuant blood sugar levels and related anxiety do the following:
1. Eat a diet that is rich in proteins, fibers and micronutrients.
2. Cut down on refined sugars
3. Have fruits with less sugar content like citrus fruits
4. Go for a 30-minute walk daily.
5. Perform breathing exercises that calm your mind.

Q. Can high blood sugar cause depression and anxiety?
Yes, high blood sugar levels, alter the blood supply to the different body parts. It alters sensory
activities in the brain. This leads to anxiety, nervousness and sweating.

Q. Can self-help books reduce anxiety?
Self-help books are a great source of inspiration for diabetics and mental health issues. It is self-
motivating and enlightening. Reading is healing in nature.

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 To Drink, And What Not To In Diabetes

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“First you take a drink, then the drink takes a drink, then the drink takes you,” this famous quote from The Great Gatsby isn’t just true for alcohol but pretty much any sugary drink for diabetics. Diabetes is all about what you chew and what you sip. The American Diabetes Association (ADA) advises no-calorie or low-calorie drinks. The main motive is to avoid a blood sugar spike. So all my peers who are diagnosed with diabetes, be mindful of what you drink.

 

To help you out in choosing the right beverages for you, here is a list of the best and worst drinks for people with diabetes.

 

What to drink in diabetes?

 

●     Water

Water is the driving force of nature and the human body. Water is neutral, it neither increases acidity nor alkalinity in the blood. It dilutes the blood to reduce a blood sugar spike. The recommended daily intake is 3.08 litres for men and 2.13 litres for women.

 

The National Academies of Sciences, Engineering, and Medicine advise drinking 12 ounces (355 ml) of fluid (such as water) per pound (450 grams) of body weight each day. Make sure your urine is a light yellow colour to monitor your level of hydration.

 

For each additional beverage you consume that contains caffeine or sugar substitutes, drink one 8-ounce (250 ml) glass of water. Sparkling water or the addition of fresh lemon or lime juice will make it tastier.

 

●     Tea

Both normal black tea and herbal teas are elixirs for the body. Regular consumption of green tea may reduce your risk of type 2 diabetes. Green tea, white tea, oolong tea, and herbal teas—-chamomile tea, hibiscus tea, ginger tea, and peppermint tea—whether iced or hot, should be sugar-free.

 

Tea can be flavoured with lemon juice rather than sugar. But if you do need some sugar, science advises selecting stevia as a more natural alternative to artificial sweeteners.

 

 

●     Vegetable juice

Fruits usually contain high concentrations of sugar. 100% fruit juice is 100% sugar. It can be your treat on a cheat day, but it cannot be a routine. Substitute fruit juices with vegetable juices like tomato juice, a cucumber blend, or a green spinach smoothie. Spice it up with a pinch of pink salt and pepper.

Vegetable juices give you all the essential micronutrients, fibre, and pigments.

 

 

●     Low-fat milk and milk alternatives.

A cup of 1 percent milk (low-fat milk) contains 305 milligrams (mg) of calcium, or about 23% of the recommended daily intake, according to the U.S. Department of Agriculture (USDA). Whole milk, is high in carbs, so you need to stick to low-fat, unsweetened, skimmed milk. Avoid drinking more than 2-3 glasses of milk (250 ml)  per day.

 

Dairy-free kinds of milk, like almond, oat, soy, rice, and coconut milks, are good substitutes. The unsweetened and preservative-free versions are sometimes fortified with calcium and vitamin D which are vital for the health of a diabetic.

 

But beware of the carb concentration when purchasing rice and soy milk, nut-based milk contains more protein as compared to them. Read the ingredient list, before choosing one!

 

 

Drinks to avoid in diabetes

 

Much like food restrictions, diabetics have restricted options in beverages as well. They have to restrict themselves from certain drinks that have harmful effects on their blood sugar levels and overall health.

 

Here is a list of the worst drinks for diabetics:

 

 

●     Sodas and colas

Sipping on your favourite soda and fizzy colas all day long has similar effects as substance abuse. Yes, it’s as addictive and harmful as taking unprescribed drugs. They not only cause a sugar spike; they also make teeth sensitive and damage the liver and kidneys. Indulging in this guilty pleasure once in a while is acceptable, but not frequently!

 

 

●     100% pure fruit juices

Fresh fruit juices are not only tasty, but they are powerhouses of nutrients and fibre. Sadly, they are also high in fruit sugars and carbs, which do not make them ideal for diabetics. When you extract the juice, you lose the fibre in the fruit. This makes it nothing but a drink full of carbs and sugars.

 

So, attempt to eat whole fruit regularly and substitute your fruit juice with a vegetable or spinach smoothie.

 

 

●     Energy drinks

Energy drinks should be removed from your list of beverages. These quick sips are loaded with caffeine and carbs; that’s precisely how they give you instant energy to continue your daily activities. These are known to spike blood sugar levels.

 

In addition to raising blood sugar levels and blood pressure, caffeine also disrupts sleep cycles by keeping you awake for longer periods of time and by keeping you alert and tense all the time.

 

As we know, all these factors are detrimental to the health of a diabetic.

 

●     Diet soda

The term “diet” placed before “sodas” is more of a marketing gimmick. A study done in 2015 came up with serious complications that diet soda or diet soft drink consumption can cause. It puts the patients at a higher risk of developing obesity, hypertension (high blood pressure), coronary heart disease, stroke, and type 2 diabetes mellitus.

 

 

●     Alcohol

Diabetes-related hypertension and neuropathy (nerve damage in the body) can be worsened by alcohol. Alcohol in moderate amounts causes a transient increase in blood sugar levels, but when taken excessively, it can initiate a sudden fall in sugar, which can cause episodes of hypoglycemia or diabetic coma.

 

Alcoholic drinks like beer are high in calories and can worsen diabetes related weight-gain. Alcohol often boosts appetite and makes you binge eat, which is detrimental to blood sugar levels.

Takeaway

 

Your main goal as a diabetic is to avoid foods that are high in refined carbohydrates, liquid sugars, refined grains, and unhealthy fats. Keep it straightforward when choosing a drink. Whenever possible, choose water. Unsweetened tea and other sugar-free beverages are also excellent choices. Remember, there is no such thing as a “diabetic diet”; it is all about properly portioned, timely, and healthy meals, and beverages. Indulgences and guilty pleasures can make a diabetic-life tough.

 

 

FAQ

 

Q. Which fruit juices are the best for diabetes?

  1. While 100% fruit juice isn’t recommended, due to its high content of sugars and carbohydrates, some fruits rich in vitamin C like grapes and berries can be blended and drank safely.

 

Q. Best Indian drinks for diabetes

  1. A quick trip to the best Indian homemade drinks for your diabetic family member.

 

  • Black tea with no sugar
  • Lemon honey mint green tea (unsweetened)
  • Buttermilk
  • Sattu sherbet
  • Dry-fruit lassi

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

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestGoogle PlusYouTube

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