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105,800	What causes pain in the leg and feet when diagnosed with diabetes?	I'm 46 and was just recently diagnosed as a diabetic. I've been having a tremendous amount of leg and feet pain, numbness, tingling, and stabbing pain shooting from the bottom of my feet up my legs. I'm also a nurse and I'm on my feet 12 to 16 hours a day. Well this morning I woke up and turned over and I was dizzy, and light headed. My blood sugar is 210.	<start> HIWell come to HCMI really appreciate your concern, I have gone through your given history and I could say that high level of blood sugar could cause the pain that you have, if this is being recently detected the high blood sugar level and it is the confirmed diabetes then it has to be managed on thigh rule basis, with anti-diabetic drugs, but with that life style changes would be equally important, exercise would be helpful too, once the blood sugar comes under control symptoms of muscular pain and other pain condition will comes to normal, cut down the calorie in diet, hope this information helps. <end>	What causes pain in the leg and feet when diagnosed with diabetes? I'm 46 and was just recently diagnosed as a diabetic. I've been having a tremendous amount of leg and feet pain, numbness, tingling, and stabbing pain shooting from the bottom of my feet up my legs. I'm also a nurse and I'm on my feet 12 to 16 hours a day. Well this morning I woke up and turned over and I was dizzy, and light headed. My blood sugar is 210.
105,801	Are sugar sweeteners safe to take when diagnosed with diabetes?	my fiance is a type 2 diabetic on 1000mg glucophage metformin hydrochloride tablets one am one pm and 100mg xelevia stiagliptin one daily and one daily tamsulosin PAMSVAX XL CAPSULES 400MG.He drives as a self employed proffession long night and day hours.Please advise best drinks as he still carries on with feeling rough with stomachache or prolonged morning toilet urinary passing due to occasional sweet as he calls treats but advice needed for fluctuating weight between 14 and half stone upwards. Advise needed not to reach type one diabetes by bad habits drinking new Lucazade Zero calories but still fizzy and 1.3 sugars with sweetners is it bad for him?year non smoker sweetcraving	<start> Hello, Thanks for the query.A person having T2 DM has to follow certain guidelines in terms of diet and exercises. Plus when on medication it is necessary to maintain FBG Secondly sweetened drinks and any other sweets have to be avoided, as those increase blood glucose suddenly.Plus alcohol also needs to be avoided. Since he has prostatic enlargement, there is bound to be difficulty in urination, that is the reason for giving Tamsulosin. For a person with diabetes it is essential to adapt a modified lifestyle which means taking restricted diet, giving exact amount of calories based on ideal body weight, extent of daily exercise and blood glucose levels. Plus refraining from high fat, foods, junk foods, alcohol and smoking. At the cost of repetition let me say again he has to avoid sugars and sweetened drinks strictly.With high blood glucose levels if present treatment may not benefit, then Insulin will have to be added to control glucose. In most of the T2 DM patients Insulin has to be used to control blood glucose when disease goes on for over many years. Thanks. <end>	Are sugar sweeteners safe to take when diagnosed with diabetes? my fiance is a type 2 diabetic on 1000mg glucophage metformin hydrochloride tablets one am one pm and 100mg xelevia stiagliptin one daily and one daily tamsulosin PAMSVAX XL CAPSULES 400MG.He drives as a self employed proffession long night and day hours.Please advise best drinks as he still carries on with feeling rough with stomachache or prolonged morning toilet urinary passing due to occasional sweet as he calls treats but advice needed for fluctuating weight between 14 and half stone upwards. Advise needed not to reach type one diabetes by bad habits drinking new Lucazade Zero calories but still fizzy and 1.3 sugars with sweetners is it bad for him?year non smoker sweetcraving
105,802	Is Gatorade safe to drink when diagnosed with diabetes?	if I drink to much water my sodium level gets low, but I need to have more liquids for the Zepatier I am taking. it was suggested I drink gateraide. I am 65 yrs old, have type 2 diabetes, take two meds for the diabetes, and water pills.i am 5'1 and weight 120 lbs.	<start> Hello,the water pills also may be contributing to fall in your sodium levels. Gatorade does contain significant amount of added sugar. It may raise your glucose levels. You may need to look for a sugar free option. <end>	Is Gatorade safe to drink when diagnosed with diabetes? if I drink to much water my sodium level gets low, but I need to have more liquids for the Zepatier I am taking. it was suggested I drink gateraide. I am 65 yrs old, have type 2 diabetes, take two meds for the diabetes, and water pills.i am 5'1 and weight 120 lbs.
105,803	Is fasting sugar level of 118 normal for women with gestational diabetes?	I had gestational diabetics and it s been 18 days of my delivery through C section and by the first week of My delivery on my sugar level got Normal but today I check my fasting sugar level and it s 118 is it normal or I am diabetic now I am so scared please help me with that and Iam feeding my baby	<start> Hello, Thanks for the query. Gestational diabetes invariably does go away following the delivery. But these patients are prone to get T2 DM later in life. Blood glucose fasting 118 is abnormal, but falls in the pre-diabetic category. (FBG 108 to 125 mg & PP 141 to 199 mg, & HbA1c% 5.9 to 6.4 ). Therefore, presently there is no diabetes, however, you will have to take precautions like controlled diet, avoiding sweets (not too much), deep fried foods, pastries, bakery items, foods made out of maida and high fat milk products.You will also have to exercise regularly and maintain near normal weight . Plus refrain form alcohol and smoking as well as colas. In other words by adapting a modified lifestyle you will be able to postpone or prevent the development of diabetes. Thanks. <end>	Is fasting sugar level of 118 normal for women with gestational diabetes? I had gestational diabetics and it s been 18 days of my delivery through C section and by the first week of My delivery on my sugar level got Normal but today I check my fasting sugar level and it s 118 is it normal or I am diabetic now I am so scared please help me with that and Iam feeding my baby
105,804	Suggest treatment for an elevated A1 c level	Hi, I have been started drinking viniger Apple syder .my A1 c is higher and my family dr. Wants to increase my medication, I don't want to increase my medication and I loved to stop all my medication and to live healthier. My first question is How long it will take the changes.Is it good for the diabetic patiancents?What are side effects	<start> You need to mention your current HBA1c levels for better advise.Apple per say is good to have but it needs to go well with your blood glucose levels.That said,if it worsens diabetes,it will cause problems to you. <end>	Suggest treatment for an elevated A1 c level Hi, I have been started drinking viniger Apple syder .my A1 c is higher and my family dr. Wants to increase my medication, I don't want to increase my medication and I loved to stop all my medication and to live healthier. My first question is How long it will take the changes.Is it good for the diabetic patiancents?What are side effects
105,805	Suggest treatment for hypoglycemia	My normal blood sugar level is between 60 and 70 when I am not fasting and when I am. It spikes to up to 200 when I eat and than drops rapidly back to 62 within an hour or two. My Grandfather on my Dad's side was diagnosed with hypoglycemia and my Grandfather on my Mom's side was diabetic. Should I be concerned about the spikes or where it regulates itself??	<start> Hello, Thanks for the query.I have seen the details. My suggestion is get a oral glucose tolerance test (OGTT) done. That will give a clear indication about whether you have any problem with blood glucose. Secondly if persistently low glucose levels are seen and are causing any problem it is better to get your C-peptide level to see if there is any excess insulin. Another important point in a normal person even when one eats any sanck blood glucose level does not go above 140 mg. So if it going beyond that (200 mg) then it appears to be presence of diabetes. Therefore, please get an OGTT done. Thanks. <end>	Suggest treatment for hypoglycemia My normal blood sugar level is between 60 and 70 when I am not fasting and when I am. It spikes to up to 200 when I eat and than drops rapidly back to 62 within an hour or two. My Grandfather on my Dad's side was diagnosed with hypoglycemia and my Grandfather on my Mom's side was diabetic. Should I be concerned about the spikes or where it regulates itself??
105,806	Is HbA1c level of 7.5 a cause for concern?	My dad is diabetic and BP patient aged 75 weight 105 kg height 5'8" which supplement can i give him,which will not damage kidney and heart.he doesn't have any heart problem lipids are under control.We are giving him 1 Reconia G capsule per day but he is feeling weakness.Due to obesity which is mainly due to sugar control drug pioglitazones,he is not able to stand and walk for more than 5 minutes.if we switch stop pioglitazones his sugar becomes out of control,apart from pioglitazones he is also taking metformin and voligobose.His HB1ac is 7.5.suggest me a supplement in tab or capsule form that can be admistered to him safely,can be of Amway,Forever living or any other.	<start> Hello, Thanks for the query.I have gone through the details given and appreciate your concern. Pioglitazone does cause some weight gain, but does not lead to obesity. It also causes swelling of legs and feet. There are other drugs like Gliptins which can be used to control blood glucose and the newer ones called SGLT-2 Inhibitors not only help achieve excellent glucose control but will also lead to weight reduction of over 6 to 8 kgs. in a short time. Those drugs are safe on kidney.Cap Reconia G is a combination of multivitamins, minerals and ginseng. That may be beneficial. But most important is a better blood glucose control and some weight reduction should help him.I would definitely discontinue Pioglitazone and add either a Gliptin or SGLT-2 Inhibitor or both together. His HbA1c% of 7.5 may not be too high considering the age of the patient. However, closer to 7 % would be a better option. Weight control will help in achieving that. I hope I have been able to clarify your doubts. You can in fact talk to your diabetologist about above mentioned compounds.Thanks. <end>	Is HbA1c level of 7.5 a cause for concern? My dad is diabetic and BP patient aged 75 weight 105 kg height 5'8" which supplement can i give him,which will not damage kidney and heart.he doesn't have any heart problem lipids are under control.We are giving him 1 Reconia G capsule per day but he is feeling weakness.Due to obesity which is mainly due to sugar control drug pioglitazones,he is not able to stand and walk for more than 5 minutes.if we switch stop pioglitazones his sugar becomes out of control,apart from pioglitazones he is also taking metformin and voligobose.His HB1ac is 7.5.suggest me a supplement in tab or capsule form that can be admistered to him safely,can be of Amway,Forever living or any other.
105,807	Is blood glucose level of 257 a cause for concern?	I was recently diagnosed (just over a year ago) as being pre-diabetic. The symptoms that I have had leading up to this diagnosis, I have had as long as I can remember (since at least Jr. High). I am now 33 years old. I have felt slightly off today. I do have a glucose devise that I got for Christmas. I have not really used it as I was not informed by my doctor to do so. I decided to test, again because of how I am feeling. I ate about 1:30 - 2:00PM. My level at 4:30pm was 257. Do I need to be concerned about this? If so, what do I need to do?	<start> Hello, Thanks for the query.I have seen the details given. A blood glucose level of 257 mg after food is a clear sign of having diabetes. The criteria to diagnose is FBG 126 mg and above, PP 200 mg and above and HbA1c% 6.5 and above. Therefore you need to initiate treatment for diabetes forthwith. Do not delay. Many persons do not get any specific symptoms when diabetes develops. That is one of the reasons why it is unrecognized for quite some time. Along with starting treatment with oral antidiabetics (like Metformin + a Gliptin), you will have to also adapt modified lifestyle, meaning taking restricted diet, avoiding sweets, junk foods, colas, pastries, bakery items, alcohol and even smoking. Plus exercise daily for at least 1 hour. My suggestion is please your personal physician or a dibetologist and start the treatment. Take care. Also get your eyes checked for ruling out diabetic retinopathy. Thanks. <end>	Is blood glucose level of 257 a cause for concern? I was recently diagnosed (just over a year ago) as being pre-diabetic. The symptoms that I have had leading up to this diagnosis, I have had as long as I can remember (since at least Jr. High). I am now 33 years old. I have felt slightly off today. I do have a glucose devise that I got for Christmas. I have not really used it as I was not informed by my doctor to do so. I decided to test, again because of how I am feeling. I ate about 1:30 - 2:00PM. My level at 4:30pm was 257. Do I need to be concerned about this? If so, what do I need to do?
105,808	What causes blurred vision, frequent urination and numbness in the limbs?	Hi there. A couple months ago I started noticing these symptoms and they're increasingly getting worse. I've always drank a lot of water, I'm naturally just one of those people who drink a ton of water. But lately when I drink any water at all- even a small cup, my abdomen protrudes and looks extremely bloated and my bladder is immediately full. It takes little to nothing to fill it up- and this makes me need to urinate a lot more frequently. I've had blood sugar problems when I was younger- I've always been very active so I burn it all of pretty quick so I would sometimes get low blood sugar. Is there a possibility that I could have diabetes? My eyes have recently gotten worse in vision, I'm always thirsty, my bladder fills up quickly and I have frequent urination. Sometimes I have numbness in my limbs- but I always chalked that up to poor circulation.	<start> Hi, Thanks for your question. Noted your concern. These may be osmotic symptoms of diabetes. Due to high blood sugar levels body tries to flush out extra sugar through urine. Which leads to increased frequency of urination, abnormal thirst, generalized weakness. Due to change in osmolality of blood and lense fluid (because of high blood sugar levels) there is blurred vision. I may suggest to get following investigations done - Complete Blood Count- Blood sugar levels Fasting and post-prandial, - HbA1c. - Lipid Profile - Renal Function Test including Urea, creatinine, electrolytes. - Liver Function Test including Bilirubin, liver enzymes. - Urine examination. And consult diabetologist. Hope this helps you. <end>	What causes blurred vision, frequent urination and numbness in the limbs? Hi there. A couple months ago I started noticing these symptoms and they're increasingly getting worse. I've always drank a lot of water, I'm naturally just one of those people who drink a ton of water. But lately when I drink any water at all- even a small cup, my abdomen protrudes and looks extremely bloated and my bladder is immediately full. It takes little to nothing to fill it up- and this makes me need to urinate a lot more frequently. I've had blood sugar problems when I was younger- I've always been very active so I burn it all of pretty quick so I would sometimes get low blood sugar. Is there a possibility that I could have diabetes? My eyes have recently gotten worse in vision, I'm always thirsty, my bladder fills up quickly and I have frequent urination. Sometimes I have numbness in my limbs- but I always chalked that up to poor circulation.
105,809	What causes muscle pain and weakness when diagnosed with diabetes insipidus?	I ve recently had a mri of the brain as a result of diabetes insipidus diagnosis. Brain scan has come back ckear and normal. I have muscle pain and weakness and I m worried that I might have ms. Would this have shown on the mri? I m assuming lesions would ve been picked up and my results therefore would not have been normal? Thanks in advance.	<start> Hello, Thanks for the query.In diagnosing MS brain scan (MRI) does help. It shows various white matter affection images. However, diagnosis is made clinically with support from other investigations including MRI. But simply having some muscle pain weakness why should one think in terms of MS? Thanks. <end>	What causes muscle pain and weakness when diagnosed with diabetes insipidus? I ve recently had a mri of the brain as a result of diabetes insipidus diagnosis. Brain scan has come back ckear and normal. I have muscle pain and weakness and I m worried that I might have ms. Would this have shown on the mri? I m assuming lesions would ve been picked up and my results therefore would not have been normal? Thanks in advance.
105,810	Suggest treatment for dementia in a diabetic	My 98 yo Mother in skilled nursing; has dementia. Suffers from Hi Bld Pres. diagnosed with Diabetes 3 years ago. I want to understand the side affects of her medications. = 5 with 2 that are intermittent. How do I proceed with obtaining this information from you?	<start> Hi, Thanks for your question. Noted your. I want to know - - Current medication she is taking. - Level of blood pressure. - Current blood sugar levels. In such a case there is a need for Detailed physical examination. Depending upon it following investigations may be suggested - Complete Blood Count. - Renal Function Test including Urea, creatinine, electrolytes. - Liver Function Test including Bilirubin, liver enzymes. - Blood sugar levels Fasting, Post-prandial, HbA1c. - Urine examination. - Brain imaging. Hope this helps. <end>	Suggest treatment for dementia in a diabetic My 98 yo Mother in skilled nursing; has dementia. Suffers from Hi Bld Pres. diagnosed with Diabetes 3 years ago. I want to understand the side affects of her medications. = 5 with 2 that are intermittent. How do I proceed with obtaining this information from you?
105,811	What do these blood sugar levels during pregnancy indicate?	Sir my wife is predancy 8 month raning now. Before 7 month blood sugar is ok,but just start 8 month blood sugar is fasting 77mg/dl and after lunch 171 mg/dl.So I am and my wife very apsad.Tale me fasting 77mg/dl-----after food 171mg/dl is ok or bad my wife and my baby is ok....	<start> Hello, Thanks for the query.The blood glucose levels fasting 77 mg is normal. However, 171 mg after lunch if that is after 2 hours, then does signify presence of gestational diabetes. My suggestion is get a Oral Glucose Tolerance Test done immediately. If the test values are above 180 mg after 1 hour, & >153 mg after 2 hours, then it is confirmed as gestational diabetes. This has to be immediately controlled first with dietary control. If that does not work, then Insulin injections . It is absolutely essential to maintain blood glucose between 90 to 120 mg all through out the day. For expected normal outcome of pregnancy and for the health of the fetus this is necessary. Increased glucose level can lead to a bigger fetus (macrosomia) and difficulty in delivery. So please get the necessary test immediately. Then follow doctors instructions meticulously. Thanks. <end>	What do these blood sugar levels during pregnancy indicate? Sir my wife is predancy 8 month raning now. Before 7 month blood sugar is ok,but just start 8 month blood sugar is fasting 77mg/dl and after lunch 171 mg/dl.So I am and my wife very apsad.Tale me fasting 77mg/dl-----after food 171mg/dl is ok or bad my wife and my baby is ok....
105,812	What causes RLQ abdominal pain in a diabetic person?	My 60 yr old diabetic male friend has been having intermittent episodes of RLQ pain. Negative CT/X-rays. (At the VA) . But, for the first time he had the abd pain and it radiated up into his heart region.. he described it as excruciating. It resolved eventually. I realize that this is far too limited of information to come up with anything definite..gall bladder, gallstones or liver issues come to my mind. Any further speculative ideas?	<start> thank you for using HCM i understand your queries... if a patient like him come to my place. initially i would give him some analgesic for pain relief temporarily which would be easier for further evaluation...1. there are a few reason for RLQ pain like gall stones. liver infection.stomach ulcer2.i would do a few test like LFT ,to evaluate liver function.3. An usg to rule out any abnormalities in liver and gall bladder stones.4.some time it could be due to acid pain...5.you already said that his x ray was fine so then there in no problem in lungs..i hope you got sufficient information <end>	What causes RLQ abdominal pain in a diabetic person? My 60 yr old diabetic male friend has been having intermittent episodes of RLQ pain. Negative CT/X-rays. (At the VA) . But, for the first time he had the abd pain and it radiated up into his heart region.. he described it as excruciating. It resolved eventually. I realize that this is far too limited of information to come up with anything definite..gall bladder, gallstones or liver issues come to my mind. Any further speculative ideas?
105,813	How can edema in the ankle while having diabetes be treated?	My husband is a Type I Diabetic, well-controlled, 66 years old. He has been walking two miles a day, and recently experienced edema (pitting) to one ankle. He injured the ankle a few days later and went to an instacare, where he was told he had injured (pulled) several of the tendons in his foot. He is now experiencing shooting, burning pain that has kept him from sleeping for the past two nights. I have some voltaren gel from a previous injury. Would if be of any benefit to him? He has tried elevating his foot and applying ice packs.	<start> Hi do check his uric acid levels. Also apply ice, followed by ointment, and tie with elastocrepe bandage--twice a day.If the pain is too bad at night, give him Ibuprofen/Diclofenac with Omeprazole at bed time. And do show your doctor--regards <end>	How can edema in the ankle while having diabetes be treated? My husband is a Type I Diabetic, well-controlled, 66 years old. He has been walking two miles a day, and recently experienced edema (pitting) to one ankle. He injured the ankle a few days later and went to an instacare, where he was told he had injured (pulled) several of the tendons in his foot. He is now experiencing shooting, burning pain that has kept him from sleeping for the past two nights. I have some voltaren gel from a previous injury. Would if be of any benefit to him? He has tried elevating his foot and applying ice packs.
105,814	What causes recurring viral fever in a diabetic patient?	Hai sir,My father is a diabetic patient and his age is 52. For the past few months he suffers from viral fever and infection occurred in right kidney. Doctors confirmed as viral fever and requested to reduce the sugar level in the body. Now he has a controlled diet and has sugar level of 148. But still often viral fever comes and same reason from doctors. Is that a viral fever ? Or some other symptoms of cancer I might get afraid. Please suggest me a proper solution for this disease .Common symptoms:1) Cold fever2) headache3) vomiting4) Body pain5) coughing6) Tiredness	<start> Hello, Thanks for the query.In a person with diabetes generally the resistance is lowered. So there can be repeat infections. Hence, it is absolutely essential to achieve a very strict blood glucose control. Ideally FBG: should be <100 mg, PP 150 to 160 mg & HbA1c% <6.8. With good blood glucose control, healthy balanced diet and regular exercise for about 1 hour a day, he should be able to live free from repeat infections. Viral fevers are fairly common and usually self limiting. When a person improves his fitness and maintains good control on blood glucose, these problems can be avoided. There is no reason to panic or think in terms of some serious diseases. Thanks. <end>	What causes recurring viral fever in a diabetic patient? Hai sir,My father is a diabetic patient and his age is 52. For the past few months he suffers from viral fever and infection occurred in right kidney. Doctors confirmed as viral fever and requested to reduce the sugar level in the body. Now he has a controlled diet and has sugar level of 148. But still often viral fever comes and same reason from doctors. Is that a viral fever ? Or some other symptoms of cancer I might get afraid. Please suggest me a proper solution for this disease .Common symptoms:1) Cold fever2) headache3) vomiting4) Body pain5) coughing6) Tiredness
105,815	What causes fundal erosion in a diabetic person?	Dr i have fundal erosion diagnosed today. Stools were dark after rihaxmine color has improved but i do get unformed stools. i have lost about 2 kg wt in a month. I am 68yrs, diabetic since last 20 yrs, under control. I have been taking metformin for last 20 yrs, I am a bit fed up with this. present wt is 71 kgs.	<start> Hello, Thanks for the query. I have gone through the details and understand your feelings. Unfortunately diabetes is such adifficult and life long problem, that one has to live with it. To remain fit and healthy strict blood glucose control is a must. In some people in spite of fairly controlled blood glucose retinal problems do develop. In such a situation it is essential to achieve a stricter blood glucose control. You are only 68 years, so please work towards achieving a stricter glucose control. That will help in having a healthier life. Since no glucose levels & HbA1c% are mentioned, it is difficult to how good is the control. ideally FBG should be <100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks. <end>	What causes fundal erosion in a diabetic person? Dr i have fundal erosion diagnosed today. Stools were dark after rihaxmine color has improved but i do get unformed stools. i have lost about 2 kg wt in a month. I am 68yrs, diabetic since last 20 yrs, under control. I have been taking metformin for last 20 yrs, I am a bit fed up with this. present wt is 71 kgs.
105,816	What causes weight loss in a person suffering with lung cancer and diabetes?	my aunt is 76 years old and has had lung cancer diabetes uncontrolled and is overweight but in the last thirty days she is eating ever thing in sight ice cream candies cookies a lot of fats and processed meats and she lost twenty pounds and is still continuing to lose weight	<start> hello,Welcome to HCM. I am Dr. Nirav.I have gone through your queries for your aunt.Diabetes patient loose weight as they have not enough insulin to store carbohydrate as a fat, so they will utilize the available fat and weight loos starts.Though your aunt is taking ice cream, cookies and fat, but due to diabetes she will not be able to store it.Plus your aunt has also lung cancer.Lung cancer also loose the weight of patient as it will reduce the appetite.So i think it will be difficult for your aunt to gain weight until she will control diabetes.Have a better health. <end>	What causes weight loss in a person suffering with lung cancer and diabetes? my aunt is 76 years old and has had lung cancer diabetes uncontrolled and is overweight but in the last thirty days she is eating ever thing in sight ice cream candies cookies a lot of fats and processed meats and she lost twenty pounds and is still continuing to lose weight
105,817	What causes weight loss and frequent urination in a diabetic person?	I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but i'm scared b/c i know my body & i usually don't just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but don't know if that's from the diabetes symptoms or not. I'm scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but i'm scared b/c i usually have to work much harder to lose weight	<start> Hello, Thanks for the query.I have gone through the details given and do understand your concern. However, there is no mention about blood glucose level (fasting or PP) and HbA1c%, so there is no way to know whther diabetes is well controlled or not. Secondly no mention about drugs being taken and the dosage.Persons with diabetes do loose weight at times fairly rapidly, particularly when it is uncontrolled with high blood glucose. That causes excess glucose loss through urine as well as increased frequency of toilet visits including getting up at night. In a well controlled diabetic FBG should be If blood glucose is not well controlled eating well can actually lead to more of glucose loss through urine. So my suggestion is please check your fasting, PP glucose levels and HbA1c% and try bring those in the above recommended range. Then weight reduction will stop. Strict blood glucose control is the remedy. Thanks <end>	What causes weight loss and frequent urination in a diabetic person? I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but i'm scared b/c i know my body & i usually don't just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but don't know if that's from the diabetes symptoms or not. I'm scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but i'm scared b/c i usually have to work much harder to lose weight
105,818	Suggest treatment for type 1 diabetes	my niece was disagnose with type 1 diabetes shes 21 yrs old. She was discharged from hosp today but originally was in ICU becuase her sugar was 480. When she was discharged her sugar was in the 200 range and now it is 434. Is this a dangerous level...what shoulld we do.	<start> Hello, Thanks for the query.In case of T1 diabetes the only treatment is to give Insulin injection in adequate dose. Along with that there has to be a close look at her diet and what kind of physical activities she is doing. Because only drug does not help. Blood glucose should be maintained as follows : FBG: <100 mg, PP 150 to 160 mg and HbA1c% <6.8. So it is very necessary to check her blood glucose atleast twice a day. Close monitoring of insulin dose and glucose levels is needed. Thanks. <end>	Suggest treatment for type 1 diabetes my niece was disagnose with type 1 diabetes shes 21 yrs old. She was discharged from hosp today but originally was in ICU becuase her sugar was 480. When she was discharged her sugar was in the 200 range and now it is 434. Is this a dangerous level...what shoulld we do.
105,819	Is Glycomet advisable for high blood sugar levels?	Doctor I am 60 years male,my blood suger level is fasting 140 and post is 166 ,as the doctor advice taking glycomet 500mg SR ,morning and evening 1/2 an hour before meals.I have no other deceases.is it can continue ?,any side effect on this medicineor any alternate medicine	<start> Glycomet is the right medicine for high blood sugars. Glycomet SR has much less side effect that most of the time you won't notice any. You can take this medicine as this is a time tested medicine for diabetes. <end>	Is Glycomet advisable for high blood sugar levels? Doctor I am 60 years male,my blood suger level is fasting 140 and post is 166 ,as the doctor advice taking glycomet 500mg SR ,morning and evening 1/2 an hour before meals.I have no other deceases.is it can continue ?,any side effect on this medicineor any alternate medicine
105,820	What causes sporadic nausea and vomiting in a diabetic patient?	My Litase test result was 100 U/L. Lab said normal range was 7-60 U/L. I am 56 and diabetic. Have been nauseas and vomiting one day each week . I am concerned and not sure what to do next. I am going to stop taking Victoza since that can sometimes cause pancreas problems.	<start> HIWell come to HCMI really appreciate your concern, if this is just symptoms of nausea and vomiting then it could be due to gastritis dyspepsia and it may not be pancreatic disease only if the symptoms persist for ling time and associated some other symptoms then it requires the lab and imaging work up for correct diagnosis hope this information helps. <end>	What causes sporadic nausea and vomiting in a diabetic patient? My Litase test result was 100 U/L. Lab said normal range was 7-60 U/L. I am 56 and diabetic. Have been nauseas and vomiting one day each week . I am concerned and not sure what to do next. I am going to stop taking Victoza since that can sometimes cause pancreas problems.
105,821	What causes nausea, abdominal pain and fever in a diabetic person?	I am a 60 yr old female, type II diabetic and have had a history of ulcers. I am now experiencing nausea, pain in the abdomen (left side primarily) and may be running a low grade fever. The standard OTC meds for an ulcer provide minor relief but I am having difficulty sleeping. Is it time to go back to the gastroentronologist? What can I do to allevite symptoms until I get in?	<start> Hello,If you have symptoms of acid peptic disease often enough, and if OTC medicines controlling stomach acid are not helping, then it is better to get a proper investigation done to see if there is any ulcer. So my suggestion is better to consult a gastroenterologist as soon as possible. In the meantime, you can use a PPI like Omeprazole. It should be taken on empty stomach to reduce the symptoms. Plus good blood glucose control is also essential.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes nausea, abdominal pain and fever in a diabetic person? I am a 60 yr old female, type II diabetic and have had a history of ulcers. I am now experiencing nausea, pain in the abdomen (left side primarily) and may be running a low grade fever. The standard OTC meds for an ulcer provide minor relief but I am having difficulty sleeping. Is it time to go back to the gastroentronologist? What can I do to allevite symptoms until I get in?
105,822	What causes persistent vomiting in a diabetic?	My husband has been sick all day. He's vomited 3 times and he has pain on his left side of his abdomen. Could that be his gallbladder? We were in Fishers, IN over the week-end at our son's home and we both ate the same things and I'm fine. He does have diabetes but it is controlled.	<start> Hello,I have gone through the details and understand the concern. It appears the food taken has probably caused the gastric problem, may be due to increased acidity and reflux. In a person with diabetes this kind of a condition can develop due to sluggish stomach. It is better if he takes a drug like Omeprazole with Domperidone. Plus stick to a bland diet for next few days, strict blood glucose control is also to be maintained, and should avoid smoking and alcohol.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes persistent vomiting in a diabetic? My husband has been sick all day. He's vomited 3 times and he has pain on his left side of his abdomen. Could that be his gallbladder? We were in Fishers, IN over the week-end at our son's home and we both ate the same things and I'm fine. He does have diabetes but it is controlled.
105,823	Can diabetes be reversed with a low-carbohydrate diet?	Hi I am 25 year old female weighing 165 kg with strong diabetes history in family. My random sugar came to 129 and fasting sugar came to 118 and on a day, is this diabetes or prediabetes and is this reversible. Is it possible to ward of diabetes forever with diet?	<start> Hello,The blood glucose levels mentioned are showing a prediabetic state. Fortunately, it is a reversible condition, provided person maintains near normal weight, adheres to balanced diet and exercises daily for over 1 hour. Food intake has to be based on ideal body weight not on actual weight.For you to ward of diabetes following things have to be done: 1) Try and reduce weight by at least 5% to 8% of present2) Avoid sweets, deep fried foods, pastries, bakery items and pastas3) Avoid alcohol and smoking4) Exercise regularly, brisk walking or jogging is a good option4) Increase intake of green leafy vegetables and salads as well as fruits. Basically adapt a modified lifestyle. Then you will be able to postpone developing diabetes or prevent it.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	Can diabetes be reversed with a low-carbohydrate diet? Hi I am 25 year old female weighing 165 kg with strong diabetes history in family. My random sugar came to 129 and fasting sugar came to 118 and on a day, is this diabetes or prediabetes and is this reversible. Is it possible to ward of diabetes forever with diet?
105,824	What causes osteoarthritis in the knee of a diabetic patient?	I have majority of the pain that describes Fibromyalgia, and I have brought this to my doctor's attention, and he still won't agree with me that, that could be my illness! I also have osteoarthritis pain knee, Could I also have Rheumatology Fibromyalgia? I also have diabetes.	<start> Hello,If this is the fibromyalgia, it is the kind of functional kind of disease and it is not the pathological process. I would suggest to try tab Gabapentin, try some exercise, be positive and practical, try to come out of the stress.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akhtarhusain <end>	What causes osteoarthritis in the knee of a diabetic patient? I have majority of the pain that describes Fibromyalgia, and I have brought this to my doctor's attention, and he still won't agree with me that, that could be my illness! I also have osteoarthritis pain knee, Could I also have Rheumatology Fibromyalgia? I also have diabetes.
105,825	What causes pain in the mouth, gums and throat of a diabetic woman?	I m a 55 yr. old female, diabetic last 35 years and am experiencing sore like pain in my mouth, gums, tongue, throat although there are no visable sores. I m on Zolpidium, Tramadol, Hydroxyzine and Omeperozal. My teeth enamel seem to be thining and some teeth are very thin close to my gums. What can it be ?	<start> Hello,People with diabetes are more susceptible to developing infections, as high blood sugar levels can weaken the patient's immune system defenses. So, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. At the other side, as with all infections, serious gum disease may cause blood sugar to rise.In my opinion you may have a periodontal disease .This is the most common dental disease affecting those living with diabetes and your pain can be a sign of mouth problems caused by diabetes. My advice for you is to consult your dentist as soon as possible and keep your blood glucose numbers as close to your target as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Xhardo <end>	What causes pain in the mouth, gums and throat of a diabetic woman? I m a 55 yr. old female, diabetic last 35 years and am experiencing sore like pain in my mouth, gums, tongue, throat although there are no visable sores. I m on Zolpidium, Tramadol, Hydroxyzine and Omeperozal. My teeth enamel seem to be thining and some teeth are very thin close to my gums. What can it be ?
105,826	What causes an elevation in the blood sugar level despite taking Metformin and Glipizide?	I am taking Metformin and Glipizide and blood sugar in the am are elevated. I follow a strict diet, no sweets, carbs only twice a week. My diet is mainly meat, vegetables or salad and ONLY water. I am trying to loss weight and I am exercising. Before dinner on last night blood sugar was 167. This am without anything but water, blood sugar was 268. I took another glipizide 10mg on today. My regular dose is glipizide 10 mg a day and Metformin 500mg BID . I think I should take the glipizide twice a day also. .	<start> Hello,The levels mentioned 167 mg and 268 mg are high, showing uncontrolled diabetes. It means either present treatment is inadequate and/or dietary intake is more. Since there is no mention of weight and height, no comment can be made regarding that. Increasing the dose of Glipizide can benefit. Taking an additional tablet randomly is not advised. To suggest appropriate treatment I need to know your FBG, PP, and HbA1c%, exact dietary intake and extent of daily exercise. Therefore, please do these tests and get back with all the necessary information or consult your regular diabetologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes an elevation in the blood sugar level despite taking Metformin and Glipizide? I am taking Metformin and Glipizide and blood sugar in the am are elevated. I follow a strict diet, no sweets, carbs only twice a week. My diet is mainly meat, vegetables or salad and ONLY water. I am trying to loss weight and I am exercising. Before dinner on last night blood sugar was 167. This am without anything but water, blood sugar was 268. I took another glipizide 10mg on today. My regular dose is glipizide 10 mg a day and Metformin 500mg BID . I think I should take the glipizide twice a day also. .
105,827	Suggest treatment for seasonal allergies in a diabetic	yes i am diabetic and have seasonal allergies in the spring and fall one of which is weather change is their something I can take.. My visit with the dr. on thurs i was told to take equate allergy relief 180mg per tablet once a day. they have done nothing YYYY@YYYY	<start> Hello,You haven't specified the type of problem you have. For example does the allergy present with skin rash, asthma, rhinitis or something else? Antihistamines are the main treatment options for allergic reactions. The drug you've mentioned is an antihistamine so it's appropriate. Depending on the allergy other kinds of treatment may be available and useful. People with allergic asthma will benefit from inhaled drugs (corticosteroids and bronchodilators) and pills (leukotriene inhibitors). People with rhinitis may require topical corticosteroid treatment (corticosteroid nasal spray), etc. Unless you use systemic corticosteroids (by mouth or injected) your blood sugar is not supposed to be seriously impaired.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Panagiotis Zografakis <end>	Suggest treatment for seasonal allergies in a diabetic yes i am diabetic and have seasonal allergies in the spring and fall one of which is weather change is their something I can take.. My visit with the dr. on thurs i was told to take equate allergy relief 180mg per tablet once a day. they have done nothing YYYY@YYYY
105,828	Suggest treatment for infertility in a diabetic	Hi I am ayesha how r u? I am.so depressed and sad because am trying 4 a baby last 3 years my husband is a sugar and cholesterol patient and his motility is only 5% but now he is taking medicines previous month dr monitor my ovulation days and egg when egg is mature dr asked me for intercourse ans she also giving me duphaston for 10 days but today my heart is broken I get period but it s very light and brownish in color Please help me	<start> Hello,Tablet Clomiphene Citrate of menses for adequate ovulation. Continue this for 5 days. On the day 14th get an injection Beta HCG 5000 IU intramuscular. After this continue tab Duphaston. Do some lab tests, serum proscribe, sugar, and thyroid status.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ankit Om <end>	Suggest treatment for infertility in a diabetic Hi I am ayesha how r u? I am.so depressed and sad because am trying 4 a baby last 3 years my husband is a sugar and cholesterol patient and his motility is only 5% but now he is taking medicines previous month dr monitor my ovulation days and egg when egg is mature dr asked me for intercourse ans she also giving me duphaston for 10 days but today my heart is broken I get period but it s very light and brownish in color Please help me
105,829	What causes persistent swelling in the left foot while on Insulin?	hi,I got some swelling on my left foot..and it is almost a month now. iam diabetic on insulin.also take blood pressure tablets.the swelling goes for a while but a little and again it starts to swell.the pain is on top of the foot at times when I keep the foot down iget a pain on top but not always near the calf muscle kind of a cramping pain at times .I have neuropathy as well and some times the nerve pain comes near the ankle on the same foot sometimes looks like its pain in the bone.i am thonkimh every day it will go away.my questions are, my GP said my pulse are good,but I did not tell him about the pain ,he said if it becomes red you must see us.however it does not interfere with my sleep is it kind of a stres fracture,is it a clot or just the ligaments is it diabetic related	<start> Hello,The swelling on left foot, do you recollect how it started? Is there any pain and difficulty in walking? Is there any change of shape in the foot? Have been a regular walker or doing any exercise causing constant impact? Is there any color change noticed on the skin? How is the sensation in the foot and sole? I need to know answers to all these questions. So my suggestion is: 1) Keep your blood glucose in strict control (FBGHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes persistent swelling in the left foot while on Insulin? hi,I got some swelling on my left foot..and it is almost a month now. iam diabetic on insulin.also take blood pressure tablets.the swelling goes for a while but a little and again it starts to swell.the pain is on top of the foot at times when I keep the foot down iget a pain on top but not always near the calf muscle kind of a cramping pain at times .I have neuropathy as well and some times the nerve pain comes near the ankle on the same foot sometimes looks like its pain in the bone.i am thonkimh every day it will go away.my questions are, my GP said my pulse are good,but I did not tell him about the pain ,he said if it becomes red you must see us.however it does not interfere with my sleep is it kind of a stres fracture,is it a clot or just the ligaments is it diabetic related
105,830	Suggest treatment for diabetes in a heart patient	My brother in law heart is only 25 percent working.He also has sugar problem.His doctor recommended him medicines.Is this disease should be cured with medicines or is there any serious issues with heart valves.Other doctor also recommend him for transplantion but this process is expensive so he cant afford. Pls reply me as soon as possible.	<start> Hello,I have gone through the details and understand your concern. It is essential to control his blood glucose levels effectively with appropriate treatment. Since no blood glucose levels and HbA1c% are mentioned, it is difficult to give any specific instructions or guidelines. As patient has a cardiac problem, it is very necessary to control the blood glucose levels strictly, preferable by using Insulin injections and a newer drug like the gliptins. As regards the heart condition, opinion of cardiologist has to be adhered too.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	Suggest treatment for diabetes in a heart patient My brother in law heart is only 25 percent working.He also has sugar problem.His doctor recommended him medicines.Is this disease should be cured with medicines or is there any serious issues with heart valves.Other doctor also recommend him for transplantion but this process is expensive so he cant afford. Pls reply me as soon as possible.
105,831	What causes nausea, profuse sweating and dizziness in a diabetic?	My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78.	<start> Hello,From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes nausea, profuse sweating and dizziness in a diabetic? My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78.
105,832	What does the following blood sugar level indicate?	My doctors assistant told me my glucose was 88 I had blood work done last week to check my diabetes levels because I was told six months ago that I was borderline prediabetic and only thing she told me was I was it 88 and couldn t explain to raise my doctor was busy waiting for her to call me and I m nervous on with that is the 88	<start> Hello,Blood glucose level of 88 mg/100 ml, is within the normal range. (Fasting 70 to 110 mg) PP To clear the doubts you may get an HbA1c% done, which will give a clear indication. HbA1c% Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What does the following blood sugar level indicate? My doctors assistant told me my glucose was 88 I had blood work done last week to check my diabetes levels because I was told six months ago that I was borderline prediabetic and only thing she told me was I was it 88 and couldn t explain to raise my doctor was busy waiting for her to call me and I m nervous on with that is the 88
105,833	What causes high sugar and protein in the urine while on Percocet?	My Dr. Has found that I have sugar and protein in my urine. I have high bloodpresser and take medication for that . I also take Percocet for chronic pain . I am due to take another blood test in July . Is there a way for me to stop this leakage of protein and sugar ?	<start> Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Percocet tablets are unlikely to cause any "leakage" of protein or sugar in urine. This happens particularly if you have developed high blood glucose, (above 180 mg) then only glucose is excreted in the urine by kidneys. This is a sign of developing diabetes. As regards protein in urine, normally no proteins are excreted. That is a sign of some problem with kidney function. It can happen in various conditions including diabetes. So it is essential to get your blood glucose tested (fasting, PP, and HbA1c%) also kidney function test done. That will clarify the reasons.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes high sugar and protein in the urine while on Percocet? My Dr. Has found that I have sugar and protein in my urine. I have high bloodpresser and take medication for that . I also take Percocet for chronic pain . I am due to take another blood test in July . Is there a way for me to stop this leakage of protein and sugar ?
105,834	What causes discoloration on the lower legs in a diabetic?	I have some discoloration in my lower legs which has gotten better since raising my feet on pillows when sleeping.. Also had eyes checked as sometimes when driving, I see the lines on the road as wiggley or doubled. Closing one eye fixes that. Optometrist thought I may have had a small stoke in one eye. Opthomalagist said possibly due to lack of sleep. Noticed that my left eye lid is drooping so I can see it like a poor fitting contact in that eye. My diabetes numbers are good and my Diabetes Dr said I m under 6.0 and I don t have neuropathy. Should I be concerned or continue on as is. Oh- my left leg where it s discoloered, the skin is sensitive	<start> Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If your diabetes is well controlled with an HbA1c% as regards the discoloration observed in feet, it could be due to swelling of the feet, which may be due to dependent edema. Please check your blood pressure and also kidney functions. Since there is no mention of your weight and height, being overweight can also lead to such a problem. If BP is high, get it properly controlled. Also, get the blood supply to your lower limbs as in diabetes blood vessels of lower limb are affected. A color Doppler study will help.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	What causes discoloration on the lower legs in a diabetic? I have some discoloration in my lower legs which has gotten better since raising my feet on pillows when sleeping.. Also had eyes checked as sometimes when driving, I see the lines on the road as wiggley or doubled. Closing one eye fixes that. Optometrist thought I may have had a small stoke in one eye. Opthomalagist said possibly due to lack of sleep. Noticed that my left eye lid is drooping so I can see it like a poor fitting contact in that eye. My diabetes numbers are good and my Diabetes Dr said I m under 6.0 and I don t have neuropathy. Should I be concerned or continue on as is. Oh- my left leg where it s discoloered, the skin is sensitive
105,835	What causes pain under the right rib cage while having diabetes?	I am a 64 year old diabetic who has developed symptoms recently that I am concerned about. I have a constant pain of different strength under the lowest rib on my right side. It eases when no belch, pass gas, or evacuate my bowel. Yet I never feel like me bowel is ever totally empty, and have some distension in my abdomen. I am frequently warn out in spite of sleeping well. I take inseparable for acid reflux as well as a probiotic.	<start> Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The pain in the abdomen you have relieved by belching and passing stools is most probably due to gastritis only. But, if it is for quite a long time, you should at least do one USG abdomen followed by an endoscopy if required later. Sometimes, few antidiabetic drugs also cause a feeling of fullness and bloating in abdomen but you have not mentioned which medicines are you on. Also, sometimes other coexistent disorders like thyroid will cause wearing off sleep and also bowel disturbances. So, please get a thyroid profile also done. For now, please continue the antacids, avoid spicy and junk food, exercise regularly and do the tests as advised.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vineeta Singh <end>	What causes pain under the right rib cage while having diabetes? I am a 64 year old diabetic who has developed symptoms recently that I am concerned about. I have a constant pain of different strength under the lowest rib on my right side. It eases when no belch, pass gas, or evacuate my bowel. Yet I never feel like me bowel is ever totally empty, and have some distension in my abdomen. I am frequently warn out in spite of sleeping well. I take inseparable for acid reflux as well as a probiotic.
105,836	Suggest treatment for chest pain in a diabetic	Hello. My name is Angela. My boyfriend is 25 years old. He has recently been diagnosed with type 1 diabetes, about 5 months ago. Lately, he has been having slight chest pain, no energy at all, and dizzy spells very often. His current doctor said it is because his body is still adjusting to the insulin....but does it really take the body this long to adjust to insulin? I don t think he should be having chest pain and dizzy spells. He says he feels weird . His current doctor is booked until July. We are thinking of going to emergency room, but I would like an answer from here first. His doctor also said he is in the honeymoon stage of diabetes. I believe he has not been monitored by his doctor closely enough.	<start> Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Following are my observations and suggestions: 1) Chest pain is unlikely to be there due to the body getting adjusted to insulin because the effect of insulin is to reduce excess blood glucose and normalize the levels. 2) Chest pain could be because of overall weakness and fatigue which does happen in uncontrolled diabetes. 3) Honeymoon phase is a condition that occurs in T1 DM when insulin injections are given, the remaining pancreatic beta cells (which are insulin producing) get rest as there is no load on them. This improves their function and they start producing more amount of insulin. Thus the requirement of exogenous insulin reduces. Plus patient shows a better blood glucose control. This phase may last for a few weeks to months or longer. But invariably for few weeks. 4) If the patient is feeling tired and exhausted, that means his blood glucose is not well controlled. If glucose levels are well controlled then general health of the patient rapidly improves. It is necessary to monitor insulin dosage, dietary intake, and blood glucose levels more closely and meticulously then only all the symptoms will be well controlled.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>	Suggest treatment for chest pain in a diabetic Hello. My name is Angela. My boyfriend is 25 years old. He has recently been diagnosed with type 1 diabetes, about 5 months ago. Lately, he has been having slight chest pain, no energy at all, and dizzy spells very often. His current doctor said it is because his body is still adjusting to the insulin....but does it really take the body this long to adjust to insulin? I don t think he should be having chest pain and dizzy spells. He says he feels weird . His current doctor is booked until July. We are thinking of going to emergency room, but I would like an answer from here first. His doctor also said he is in the honeymoon stage of diabetes. I believe he has not been monitored by his doctor closely enough.
105,837	What causes night sweats, chills and high pulse rate when diagnosed with diabetes?	My friend just was in the hospital for a staph infection , did surgery. After he came home he was diagnosed with Diabetes. They did not do a fasting blood sugar. He has night sweats/chills. He can't sleep more than an hour at a time. His pulse rate is high. They put him on Glucophage, that makes his very sleepy. I think something else is going on.	<start> Hello, Thanks for the query.For diagnosing diabetes either fasting or PP blood glucose alone can be sufficient. Now a days mostly diagnosis is done on HbA1c%. If HbA1c% is>6.5%, diabetes is confirmed. Metformin is the firstchoise drug in T2 DM. Plus that drug does not cause drowsiness. Since this patient had already a svere Staph infection, it is possible that the same has not been cured completely. That is the reason for getting chills and fever. So please ensure that his infection is cured completely with appropriate antibiotics and also blood glucose level is also controlled properly. Ideally well controlled diabetic patient should have FBG <100 mg, PP 150 to 160 mg & HbA1c% <6.8. So only metformin may not sufficient. Thanks. <end>	What causes night sweats, chills and high pulse rate when diagnosed with diabetes? My friend just was in the hospital for a staph infection , did surgery. After he came home he was diagnosed with Diabetes. They did not do a fasting blood sugar. He has night sweats/chills. He can't sleep more than an hour at a time. His pulse rate is high. They put him on Glucophage, that makes his very sleepy. I think something else is going on.
105,838	Is Inuprofen safe to be taken for temple pain in a diabetic person?	I am a 64 year old man with type 2 diabetes, sleep apnea, and asthma. Apnea is controlled with use of a CPAP. Asthma is controlled with Advair. Diabetes is not controlled, although I am taking metformin and byetta for it. I am about 50 lbs overweight. I also have erectile dysfunction. I have several high stress jobs including practicing law, professional music, and personnel management for a symphony. I am recently having moderate sharp stabbing pain that lasts less than one second in my right temple. These recur. I have timed them and the frequency ranges from 4 to 25 second intervals. This has been going on for about a week. Ibuprofen helps sometimes, but not always. the only trigger I have noticed is that sometimes when I turn my head quickly to the right, as in driving, this triggers it, but not always. They become less noticeable when I am fully engaged, for example in a music performance or a court hearing.I am also experiencing unusual fatigue. Sometimes routine tasks are very hard to do. I have also experienced loss of balance generally over the last few years. Also loss of strength. For example until a few years ago I routinely did 40-60 pushups per day, now I struggle to do 2 or 3. Lately I feel as if I am sometimes confused and disoriented. My cognitive functions feel impaired. Routine tasks like driving, and playing my instrument are normal.	<start> Hello, Thanks for the query.I have gone through the details given and I do understand yur concern. I have following few suggestions: 1) You will have to give a re-look at your diabetes treatment. Because if blood glucose is not well controlled then excess loss of glucose through urine (glycosuria) does lead to loss of energy and tiredness and constant fatigue. 2) Present treatment looks to be inadequate, some additional drugs need to be added. (since no blood levels or HbA1c% is mentioned, it is difficult to be specific). 3) Weight reduction is also very important as excess weight (fat) is the main cause for Insulin resistance. EVen a 5% reduction in present weight can help in improving blood glucose control. 3) Take a diet that helps better blood glucose control, avoid junk foods, high fat food products, increase intake of green leafy vegetables and salads, yogurt and low fat cheese. 4) Increase your time spent on exercise to abut 1 hour or more per day 5) Get a thyroid function test done, to rule out if there is hypothyroidism . 6) Lastly learn some relaxing techniques like Silva Mind Control Methods an alpha level relaxation which wiil definitely help in managing stress. Even ED which is a major long term complication of uncontrolled diabetes can be helped with better blood glucose control. Plus some medications also may be needed.I hope I have addressed some of your concerns. Thanks <end>	Is Inuprofen safe to be taken for temple pain in a diabetic person? I am a 64 year old man with type 2 diabetes, sleep apnea, and asthma. Apnea is controlled with use of a CPAP. Asthma is controlled with Advair. Diabetes is not controlled, although I am taking metformin and byetta for it. I am about 50 lbs overweight. I also have erectile dysfunction. I have several high stress jobs including practicing law, professional music, and personnel management for a symphony. I am recently having moderate sharp stabbing pain that lasts less than one second in my right temple. These recur. I have timed them and the frequency ranges from 4 to 25 second intervals. This has been going on for about a week. Ibuprofen helps sometimes, but not always. the only trigger I have noticed is that sometimes when I turn my head quickly to the right, as in driving, this triggers it, but not always. They become less noticeable when I am fully engaged, for example in a music performance or a court hearing.I am also experiencing unusual fatigue. Sometimes routine tasks are very hard to do. I have also experienced loss of balance generally over the last few years. Also loss of strength. For example until a few years ago I routinely did 40-60 pushups per day, now I struggle to do 2 or 3. Lately I feel as if I am sometimes confused and disoriented. My cognitive functions feel impaired. Routine tasks like driving, and playing my instrument are normal.
105,839	Suggest treatment for body pain in a diabetic	Low energy, which is variable, joint aches, particularly knees and ankles, vision often blurs and becomes tunnelled during bouts of low energy, trouble concentrating in these periods, blood test show borderline type 2 diabetes with a family history. Had flu about 6 weeks ago, never really recovered.	<start> Hello, Thanks for the query.If you have diabetes then it is necessary to control the excess glucose level, then only you will feel energetic. If FBG is 108 to 125 mg, PP 141 to 199 mg and HbA1c% is But if you already have FBG 126 mg and above, PP 200 mg and above as well as HbA1c% 6.5 and above, then diabetes is confirmed. In such a situation excess glucose lost through urine causes loss of energy and tiredness and feeling low in energy. Since you have not mentioned any relevant details it is difficult comment very specifically. Even the attack of flu also adds to the weakness as it takes a bit longer to recover full normalcy after an attack of flu. So my advise is if you have diabetes then start the treatment straight away. Once blood glucose is well controlled, you will better. Thanks. <end>	Suggest treatment for body pain in a diabetic Low energy, which is variable, joint aches, particularly knees and ankles, vision often blurs and becomes tunnelled during bouts of low energy, trouble concentrating in these periods, blood test show borderline type 2 diabetes with a family history. Had flu about 6 weeks ago, never really recovered.