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Ask Our Nutritionist

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General Information
First Name* Last Name*
Email* Mobile* + -
Age* City*
Weight (kgs)* Height (m)*
How many cups of tea, coffee do you drink?
Do you use sugar in your tea, coffee?  Yes      No
Do you use any kind of sweetener?
Medical history
Diabetes
Are you a diabetic?  Yes      No    
Do you have a family history of diabetes?  Yes      No    
Are you on regular insulin?  Yes      No    
Please enter the below details if known
Fasting blood glucose levels
Postprandial blood glucose levels
Obesity
Do you have high blood pressure?  Yes      No    
Do you take any special medications
for reducing weight?
 Yes      No    
Do you exercise regularly?  Yes      No    
Your questions
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