Diabetes Complication and Pathophysiology of the complication

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  • Опубліковано 19 гру 2024

КОМЕНТАРІ • 420

  • @armandohasudungan
    @armandohasudungan  26 днів тому

    🧠 TEST YOUR KNOWLEDGE FROM THIS LECTURE! ✅
    youmakr.ai/test-playground/questionnaire/673d42d6859b9c170836ee64

  • @TheKramliw
    @TheKramliw 2 роки тому +174

    *My daughter drinks lots of water and urinates with the same rate, there are no other symptoms to show if those have anything to do with diabetes. This is a good information that I have gone through **Diabets.Care** She is 2 years 9 months, hale and healthy, have not done any blood test. But I am not certain if one can get diabetes at such a tender age. Please I will like to know more on that*

    • @damlakacmaz8743
      @damlakacmaz8743 2 роки тому +1

      it is possible but not verry common, as most people with type 1 diabetes become aware of something is going wrong at age 10-15. If she didn't lost any weight and doesn't seem sleepy and unergetic, it can be just she likes drinking water. People with type 1 diabetes loses weight in time. Any case, i don't know really how much she drinks out of ordinary (nor know whats normal for babies) so if you are worried, it may be best to go to a doctor and get it checked.

    • @raithneach
      @raithneach 2 роки тому

      A referral to an endocrinologist might be advised. A third type of diabetes called diabetes insipidus causes thirst and excess clear urine. It's nothing to do with blood sugar, rather how the body regulates fluids in the hormonal system. It occurs from birth in those affected.

  • @salomeebegue9144
    @salomeebegue9144 11 місяців тому +6

    This is everything I wanted to grasp that my textbook failed to explain in sufficient depth. You managed to go deep AND remain crystal-clear, thank you so much !! I love that one main process explains all the vastly different complications.

  • @chrisbenton5335
    @chrisbenton5335 8 років тому +161

    Brilliant explanation of how the high glucose level from diabetes damages the blood vessels and the complications that can arise. I haven't seen any other explanation that is so detailed or so clear, thanks.

    • @tezarprabowo
      @tezarprabowo 8 років тому

      Dеstrоу Diabeеetеs - In Just 3 Steрs => twitter.com/98d6c4d508a177041/status/822776868130521089 Diabetes Cоmpliсcаtiоn аnd Pаthophуsiоlogу of thе сomplicаtiоn

    • @samuelnyberg2000
      @samuelnyberg2000 7 років тому

      This Simple Drink Can Cure Diabetes in Just 5 Days.> *_Diabetescureonline*com_*

    • @tusseriesfavoritas7441
      @tusseriesfavoritas7441 4 роки тому +2

      This was great, thanks, I have been researching "is tingling a sign of nerve healing?" for a while now, and I think this has helped. Have you heard people talk about - Renogan Uncomplicated Remedy - (just google it ) ? It is a great one of a kind guide for discovering how to eradicate diabetic nerve pain and neuropathy without the headache. Ive heard some amazing things about it and my brother in law got amazing results with it.

    • @taythanhdung
      @taythanhdung 4 роки тому

      Winner of a video, I been tryin to find out about "what happens when blood vessels are damaged?" for a while now, and I think this has helped. You ever tried - Piyatalie Breathtaking Precedence - (just google it ) ? It is a smashing one off product for discovering how to get rid of type two diabetes without the hard work. Ive heard some super things about it and my cousin got great results with it.

    • @lovedalejoyana9785
      @lovedalejoyana9785 4 роки тому

      This is just superb, been searching for "diabetic neuropathy treatment guidelines" for a while now, and I think this has helped. You ever tried - Piyatalie Breathtaking Precedence - (search on google ) ? It is a good one off guide for discovering how to get rid of type two diabetes minus the normal expense. Ive heard some interesting things about it and my friend got cool results with it.

  • @ericanarjarasousaoliveira8698
    @ericanarjarasousaoliveira8698 4 роки тому +21

    It's amazing, teacher!!! I am from Brazil and I like so much your videos. This videos help me learn English too. Thank you!

  • @zacktheripper9263
    @zacktheripper9263 Рік тому +2

    Brilliant application of diabetes as a whole. As a diabetic person, I hope no one else has to go through it and that they find a cure for it soon. And if anyone's wondering, yes I'm fine.
    I workout basically everyday of the week and have been using gluconize so my health had been great!

  • @Funkussionist
    @Funkussionist 4 роки тому +8

    Excellent presentation. Thank you. I recently had someone tell me that diabetes has nothing to do with blood vessels and that it's all about the immune system. There are clearly many misunderstandings regarding diabetes amongst the general public.

  • @wadebowser187
    @wadebowser187 4 роки тому +1

    My diabetic condition is fearfully complicated to me with this very smart breakdown of this complex medical human disease. I will watch many times to comprehend,once to respect my doctor's orders!

  • @shwetasharma5105
    @shwetasharma5105 2 роки тому

    bahut achi video hai, mere mummy ko bhi diabtes ki problem thi kaafi saalo se fir unhone yuktiherbs se diaba help ki medicine shuru ki. abhi unka diabetes ka level normal hai..thankyou yuktiherb, must try diaba help.

  • @Maxwell2010Macana
    @Maxwell2010Macana 5 років тому +5

    Amazing work!!! I was former Pathophysiology Professor in Vargas Medical School in Venezuela and i have to say your work is wonderfull and helpfull. Can you make a video of how you made your videos? ypur techniques? Thanks in advance

  • @sumanamandal5141
    @sumanamandal5141 Рік тому +1

    Clear concept , this 18 min video is much much better than our theory books and other coaching mafias .....thank you ...❤

  • @JO-mg6xc
    @JO-mg6xc 2 роки тому

    Wow, that was a great explanation. My sister had a foot ulcer, and she used an antimicrobial shoot in solid PodoPhylus. The insole slowly releases iodine gas that keeps the foot and shoe aseptic. The wound healed nicely..

  • @Brimkx
    @Brimkx 4 місяці тому

    @11:17 min. is the secret to understanding glucose problems. Nerve cells are also insulin independent and can be flooded with glucose. The over-glycosylation of nerve cells leads to an immune response and disease?

  • @saidumohammed16
    @saidumohammed16 2 роки тому

    really appreciate your good Work Dr Oiah on UA-cam , Thanks for Curing my diabetes sickness . No more Pains and sleepless night . I bless they day I meet you on UA-cam , you have been a blessing to me . Thanks Dr Oiah

  • @-dr.priyankakaswan3399
    @-dr.priyankakaswan3399 2 місяці тому +1

    Thank you ❤

  • @terrichrisman6344
    @terrichrisman6344 6 років тому +1

    Armando - sensational as usual. You have helped me understand complex topics through my undergrad in Sport Science and now in my Masters of Nutrition. Thanks for your fabulous videos.

  • @MrEvanston
    @MrEvanston Рік тому

    Excellent presentation. I listen to this video over and over. I learn more each time. Thanks and keep the content moving forward!!

  • @medfreak
    @medfreak 2 роки тому

    U and ur videos are a blessing from God to all medical students ,thanks for existing 💖

  • @riaanflooks3161
    @riaanflooks3161 6 років тому +1

    This is such a good summary on the pathogenesis of diabetic complications.

  • @Frank2489
    @Frank2489 3 роки тому +1

    Thank you so much for explaining this process with great visual and detail. I look forward to more of your educating videos

  • @jasmineken4433
    @jasmineken4433 2 роки тому

    Nice video, I bought Ambrosia Nightrider cgm to monitor glucose which works great with my Libre sensor, their alarm feature is very helpful during night, it also gives alarm alerts when readings are not in range.

  • @peterholt4806
    @peterholt4806 9 місяців тому +2

    Many writers in this field contradict some of your statements. Many point to Hyperinsulinaemia. Their progression starts with regularly raising blood glucose by consuming starch leading to regularly raised insulin and it is this that initiates and worsens insulin resistance. The longer it takes for the glucose to be moved into insulin resistant cells signals extra insulin to do the job. This increase in insulin ups the degree of insulin resistance leading to the raising and duration of insulin secretion etc etc. As insulin is the hormone of storage the Hyperinsulinaemia causes you to put on weight. T2D is not caused by obesity. Both T2D and obesity are the result of insulin resistance. For a long time, your blood glucose tests show no problem cos the raised insulin is dealing with it. Eventually, the insulin resistance is so bad that your pancreas cannot produce enough so your blood glucose test starts to rise. And worse still, if your Beta cells wear out, or ectopic fat fills the pancreas (fatty pancreas) then your insulin levels start to go down and your glucose levels climb into the T2D category.

  • @shawnastephens51
    @shawnastephens51 3 роки тому +1

    Awesome and comprehensive review. I'm not sure of your comment at 5:52 saying insulin resistance (IR) develops because of low glucose secretion. It would be interesting to hear your break down of the molecular pathophysiology of IR and your suggestion of the causative role that hypoinsulinemia plays.

    • @sarahkhalifa
      @sarahkhalifa 2 роки тому +1

      From what I studied the first issue is the insulin resistance and that the decrease of insulin is actually the result..
      That’s because beta cells get larger and increase in numbers because they think the body needs more insulin (because of high blood glucose due to the resistance)and eventually die. And when they die you get lower insulin secretion

  • @gallasamson4868
    @gallasamson4868 Рік тому

    Actually in this video is very useful for my knowledge and about diabetes❤❤ Thanks doctor

  • @lucasgoulart7856
    @lucasgoulart7856 2 роки тому +1

    Brilliant explanation! I love knowing the "why" of things, and this was amazingly informative

  • @shashi-songs
    @shashi-songs 4 роки тому

    becomes soo easy with your presentation.
    Thank you soo much

  • @vidakmilacic
    @vidakmilacic 8 років тому +9

    Armando, at 5:56 you sad that without enough insulin, insulin resistance is developed. Somehow I'm not sure that is the case, cause insulin sensitivity is restored if you have lower insulin level in body through time. I didn't find any studies which implies that lower insulin level will lead to insulin resistance. Can you post your resources about this particular? Thank you in advance.

    • @proffezur
      @proffezur 8 років тому +2

      You are correct. Type 1 diabetes is where insulin-dependent. Type 2 is insulin independent, because you have the insulin there but your cells are not sensitive to it. This video is highly inaccurate with respect to DM2 mechanism.

    • @siyang2
      @siyang2 8 років тому

      Right, that's what I was thinking. It is usually due to lifestyle choices, leading to consistently high blood glucose, constant secretion of insulin leading to receptor de-sensitization or re-uptake hence cells no longer respond to insulin.

    • @gadeppan8360
      @gadeppan8360 7 років тому

      +siyang2 yup ..u r right .initially there will be high insulin but resistance due to postreceptor level ...hence there will be downregulation of receptors...obesity is common cause for resistance due it's deposition in muscle and other tissues affects mitochondrial activity resulting in insulin resistance..

    • @garrygalvez9339
      @garrygalvez9339 6 років тому +1

      My thoughts too. He never explained why insulin resistance happens that leads to Type2. If he can eloquently detail the physiological pathway of excess glucose entering the endothelium of the blood vessel causing a chain reaction that lead to blockage, why can’t he give more details why the Insulin receptors of the cells stops responding to insulin and receive the glucose for fuel or for storage? If it is hereditary, are there genes that synthesize proteins or other hormones to “desensitize” insulin receptors? Or how obesity contributes to resistivity of these receptors? Or do these receptor degenerate with age? How come there are young-ish people developing T2D? Or what are the mechanisms of gestational diabetes, which shed light on how to avoid or cure it. Or why diet was never mentioned as another contributor (quantity and quality of macros we eat : carbohydrate or protein); or what is the interplay of glucose and fatty acid inside the cell that may cause insulin resistivity?

  • @goitomgebrehiwet9510
    @goitomgebrehiwet9510 5 років тому +4

    OMG, I admire so much Dr, I have ever seen such videos the most explaining in dr najeeb's video only

  • @ababatesfaye2465
    @ababatesfaye2465 3 роки тому +1

    super thanks..

  • @justasmalltimebean
    @justasmalltimebean 8 років тому +24

    Awesome video! Just in time for my diabetes exam tomorrow :)
    Also, we've learned that with type 2 diabetes the actual problem is that there is an increase in insuline resistance so the pancreas makes even more insuline in response to this, and because the cells are so resistant you just get hyperinsulemia and hyperglycemia.

    • @markocampo9923
      @markocampo9923 8 років тому

      TТТhe ТRUTH Abоut Diаbеtеs and Your Fаvоritе Fооds twitter.com/e96ad34abdad3ddf8/status/804558352671973376 Diаbeteeeеs Cоmpliсatiоn аnd Раthоphysiоlоgуy оf thеее соmррlication

    • @samuelnyberg2000
      @samuelnyberg2000 7 років тому

      This Simple Drink Can Cure Diabetes in Just 5 Days.> *_Diabetescureonline*com_*

    • @lexpo1562
      @lexpo1562 6 років тому

      Good info the greatest results that I have had was by using the Nats Neuro Site (just google it) - I found it the best idea that I have ever seen.

    • @edinak92
      @edinak92 6 років тому

      I've been researching reducing neuropathy naturally and found a fantastic website at Gabs Neuro Guide (google it if you are interested)

    • @anferneepuerronelli1617
      @anferneepuerronelli1617 6 років тому

      I've been researching top cure for neuropathy and discovered a fantastic resource at Gabs Neuro Guide (google it if you are interested)

  • @kranthikvemparala
    @kranthikvemparala Рік тому

    You have amazing skills, please continue doing this great content

  • @powell5380
    @powell5380 2 роки тому

    you are truly gifted! thank you these videos!

  • @FancifulBrian
    @FancifulBrian 8 років тому +26

    Excellent Video! I'd suggest putting a notification/annotation on the video at 4:16 saying GLUT-2 over the mistaken GLUT-4. Thanks again for an excellent video and hope this helps :)

  • @sonam8868
    @sonam8868 4 роки тому

    Thankyou for this video . Just feeling good after seeing this and understanding the concept .

  • @daemoncline6571
    @daemoncline6571 3 роки тому +1

    Awesome video. The illustrations capture your attention, keep you entertained, and greatly help convey the concepts. I'll be watching more of your videos. What a great way to study! (as long as people are actively taking notes throughout)

  • @nicolle6620
    @nicolle6620 2 роки тому

    Excellent explanation of pathophysiology

  • @AdhiyogaSystem
    @AdhiyogaSystem 4 роки тому +2

    I am an Aerospace Engr. Feel like joining Biology after viewing this. Thanks.

  • @amp7930
    @amp7930 3 роки тому

    What an amazing visual explanation

  • @hishamsgani
    @hishamsgani 5 років тому +1

    Perfect presentation sir. May God bless you. Expect more such presentation from you 😊

  • @balancedfreedom4116
    @balancedfreedom4116 5 років тому +1

    Please address concerns in comments regarding insulin resistance in T2DM. Initial beta cell failure is causative in DM1. T2DM is initially caused by insulin resistance. Your presentation style is fantastic! Would love to see this error corrected, as others have mentioned.

  • @sethfisher5413
    @sethfisher5413 3 роки тому +1

    Hey, a great video I enjoyed the content. As a type 2 I find it is always good to keep learning. I have found these natural diabetic support management capsules to be a great help in stabilizing my BS levels.... They really work wonders.

  • @yennrn
    @yennrn 8 років тому

    Hi, I'm nursing student from Korea. This video is so helpful to get an idea about basic medical knowledge...(which I could not understand at the classes haha) I'm so happy to know your channel, Thank you very much!!!!! BEST WISH always!!!

  • @Roxy-gn8dj
    @Roxy-gn8dj 7 років тому

    You cannot leave without liking it. Thank you.

  • @masterturtle4201
    @masterturtle4201 3 роки тому

    Thank you, you use your skill for explaining the things. Vascular change, 11:48 is what i looking for. I try to imagine it while reading textbook but it so hard, i think this vid is really helpful although there are some missed words, i just need to match it with textbook and it works well. May your kindness be repaid

    • @kelseydave5684
      @kelseydave5684 3 роки тому

      You can get cured by Doctor Oseiwe on UA-cam with his harbal medicine,🌿🌿🌿 to cure diabetes and some other disease permanently 🌿..

  • @dr.damerayadaiah6699
    @dr.damerayadaiah6699 3 роки тому

    Excellent,
    You have made pathophysiology of Diabetes easy.
    Thank you 🙏

  • @mattmatt5426
    @mattmatt5426 8 років тому +2

    What a great vid!!! Keep up the awesome work!!!

  • @manishapanda7077
    @manishapanda7077 7 років тому +1

    just Awesome !!
    you are gonna save my exams 🙌

  • @lamiaasaied4479
    @lamiaasaied4479 6 місяців тому

    Thanks for your effort🤍🤍🤍

  • @sammem1
    @sammem1 4 роки тому +5

    You're a really good artist and I loved this explanation. Thank you! My question, does meat affect insulin uptake? I heard that the nitrites and fat from meat can affect the insulin receptors. Is this true?

    • @NightmareMonday
      @NightmareMonday 4 роки тому

      Awesome question. I would also like to know!

  • @sheenamabalot6412
    @sheenamabalot6412 7 днів тому

    Thank you so much! Amazing explination

  • @amandap1137
    @amandap1137 2 роки тому

    Nice one...please is there any detailed video lecture of diabetic foot ulcer? Thank you

  • @sirpatrickofgoober6603
    @sirpatrickofgoober6603 2 роки тому

    Outstanding work! Thank you.

  • @user-qv6gt7px5k
    @user-qv6gt7px5k 6 років тому

    No doubt you're a God of Medicine. Thank you so much for your amazing videos

  • @chigozie9237
    @chigozie9237 6 років тому

    What a well detailed diagrammatic explanation. Kudos

  • @marcelacunha2944
    @marcelacunha2944 Рік тому

    THIS is what i was looking for, thank u

  • @chothayinienu4227
    @chothayinienu4227 3 роки тому

    Nicely explained. Very helpful

    • @kelseydave5684
      @kelseydave5684 3 роки тому

      You can get cured by Doctor Oseiwe on UA-cam with his harbal medicine,🌿🌿🌿 to cure diabetes and some other disease permanently 🌿..

  • @emmacutforth6561
    @emmacutforth6561 2 роки тому

    could someone please clarify, at approx. 4:06 you say "glut 2, not glut 4" but then wrote glut 4 on the diagram, just wanting to confirm is it meant to be glut 2?

    • @emmacutforth6561
      @emmacutforth6561 2 роки тому

      I hadn't watched much further at time of commenting and see less than a minute later it is corrected, my bad

  • @RebeccaMataya-n7t
    @RebeccaMataya-n7t Рік тому

    So helpful. Thanks for sharing.

  • @christracy6301
    @christracy6301 4 роки тому +1

    This was fantastic!

  • @fabian8813
    @fabian8813 8 років тому

    here's several suggestions worth trying
    eat 1 meal daily made with bitter melon
    tender mango leaves tea
    eat bitter gourd regularly it has an insulin type chemical
    (I read these and the reasons they work on ralfs remedy method site )

  • @ErikRicardoMD
    @ErikRicardoMD 3 роки тому

    Amazing work!! Thanks

  • @DeRocco21
    @DeRocco21 3 роки тому

    Thank you so much for the video

  • @mishamalghani7955
    @mishamalghani7955 3 роки тому

    It was a great video! I think u should attach a picture of whole summary in the end!! Or even during video when its close to end zoom out to have better view of whole chart of summary!

  • @KebbyWilliam89
    @KebbyWilliam89 2 роки тому

    Thank you so much Sir

  • @gabrielbernard9905
    @gabrielbernard9905 8 місяців тому

    Excelent presentation. Thank you :)

  • @thomaslau9631
    @thomaslau9631 6 років тому

    I like your lectures and teaching notes + wonderful drawings.

  • @Sn00py456
    @Sn00py456 5 років тому +10

    4:25 sneaky edit from GLUT 4 to GLUT 2

  • @NoorAhmed-wb3dm
    @NoorAhmed-wb3dm 6 років тому +1

    Oh my god ! Impossible!
    Such an amazing perfect video ❤️

  • @rezaardi3461
    @rezaardi3461 6 років тому +1

    i hope you become medical professor, thx for sharing amazing videos

  • @NatBeNimble
    @NatBeNimble 2 роки тому

    This. Was. AMAZING.

  • @hardikpatel.
    @hardikpatel. 7 років тому +1

    hey , if u have already type 2 diabetes , the insulin shit given externally will not work right...??

  • @isharoy4994
    @isharoy4994 11 днів тому

    Great ! Very helpful.thanks ❤😊

  • @YeshuaAgapao
    @YeshuaAgapao 8 років тому +16

    I though type 2 diabetes involves excessive insulin secretion due to insulin resistance? In the advanced stages, the pancreas loses its ability to make insulin because its being so severely overworked for so long.

    • @proffezur
      @proffezur 8 років тому +8

      You'r correct. Type 1 diabetes is where insulin-dependent. Type 2 is insulin independent, because you have the insulin there but your cells are not sensitive to it. This video is highly inaccurate.

    • @YeshuaAgapao
      @YeshuaAgapao 8 років тому +5

      He should fix. A lot of nursing students watch these videos.

    • @treich1234
      @treich1234 4 роки тому

      @@proffezur Insulin resistance is a consequence of the aforementioned complications he sites

  • @petra_abramjuno.comabram1159
    @petra_abramjuno.comabram1159 7 років тому

    Wow! Excellent video. Very thorough and easy to follow. Thank you!

  • @alanfong4996
    @alanfong4996 8 років тому +1

    Thank you for the video, i have a question... The LDL can cross to the tunica intima within the proces of diabetic disease? Or is only when the permeability is compromised by this proces?, because in the hipercholesterolemia is the important factor wich care the atherosclerosis, and i never see before that the LDL need the changes of the permeability of the endothelium...thanks a lot I'm studing for the last test the degree test and this helps me a lotpor cierto soy mexicano y no se escribir muy bien el ingles

  • @rezabasiri
    @rezabasiri 4 роки тому

    Excellent explanation!

  • @yogayantra
    @yogayantra 5 років тому

    Brilliant. The best comprehensive explanation i've ever found!

  • @Balsam...003
    @Balsam...003 7 місяців тому

    This is a rescue channel for sure!

  • @WilliamSanOriginal
    @WilliamSanOriginal 2 роки тому

    Finally found the video I needed

  • @MrEvanston
    @MrEvanston Рік тому

    Would you please do a presentation on A1-C? Thanks

  • @kmssamirkhan6270
    @kmssamirkhan6270 4 роки тому

    GOOD for MBBS students 😍😍😍

  • @durandkhadka8449
    @durandkhadka8449 7 років тому

    It was very informative and helpful. Thankyou!

  • @ashdeekulk
    @ashdeekulk 5 років тому

    Beautiful explaination!

  • @camillabintizulfiqr176
    @camillabintizulfiqr176 4 роки тому

    Hi asking some things, what the main source of oxidative stress in diabetic wound ? Are AGEs product or PKC activated? Thank first to reply

  • @aspirant1012
    @aspirant1012 6 років тому

    Love from india
    Keep it up sir. 😊

  • @rockycycle2682
    @rockycycle2682 8 років тому

    awesome video- thank you so much

  • @dustyballs4012
    @dustyballs4012 2 роки тому +1

    *@ **4:29** GLUT4 transporter magically changes to GLUT2* 🤷🤷

  • @amaljamal7151
    @amaljamal7151 3 роки тому

    شرح فضيع👍

  • @douglasgillard2047
    @douglasgillard2047 2 роки тому

    Thank you for putting this together. you should know, however, that the endothelial lining is actually part of the tunica intima and not a part all by itself :-) Also, arteriosclerosis is a major category to which atherosclerosis is a subcategory (The other subcategories are monckeberg medial sclerosis and arteriolosclerosis)-- they are not two separate entities.

  • @sol6241974
    @sol6241974 6 років тому

    WOW! awesome​ video. excellent artistry

  • @oliverqueen1534
    @oliverqueen1534 6 років тому +1

    Increased secretion of insulin by beta cells wouldn't lead to atrophy, instead it would cause the cells to hypertrophy.

    • @Dom-zk9es
      @Dom-zk9es 5 років тому +1

      You’re right, there is hypertrophy first, which leads to higher levels of insulin to compensate the insensitivity of the receptors, but this part is asymptomatic. Over time, the cells will become insufficient and then progress to atrophy.

  • @iabeeer
    @iabeeer 7 років тому

    Thanks a lot for the amazing video.

  • @danam7172
    @danam7172 11 місяців тому

    i love love love ur channel.

  • @pablocamarabiehl6920
    @pablocamarabiehl6920 8 років тому

    You have an amazing page

  • @jadorenatural
    @jadorenatural Рік тому

    Thank you

  • @jaishmohammed2415
    @jaishmohammed2415 7 років тому

    Very nice teaching ,👍👍

  • @nanaquame7923
    @nanaquame7923 6 років тому

    please MAKE a video on hyperosmolar hyperglycemic nonketotic syndrome

  • @syedasanafatima584
    @syedasanafatima584 8 років тому

    thanx alot sir... for the great video👍...

  • @cn_medicos8955
    @cn_medicos8955 4 роки тому

    great work👍

  • @matthewlepak2878
    @matthewlepak2878 Рік тому

    Thank you! Jesus bless!