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What causes rise in the blood sugar level despite taking Metformin and Lisinopril?

I am currently taking 1000mg of metformin twice daily along with 1200mg of gabapentin twice a day, 20mg of lisinopril once a day and 45 units of novolin 70/30 twice a day. Yet my blood sugar continues to rise. 4 months ago my average daily sugar level was 120, 3 months ago it went up to 140, last month it was around 170 and now I average 200. Whats going on?

<start> Hello and thank you for asking!There are many factors that increase the blood sugar.One of them is weight gain, physical inactivity, uncontrolled diet, infections ect.You treating physician will evaluate them carefully and try find a cause.Meanwhile i would suggest to increase the dose of insuline (the dose of the morning if it is high during the day, or the dose of the evening if it is high fasting) until the blood glucose reaches normal levels.Hope the information will help.Kind regards,Dr.Mirjeta <end>

What causes rise in the blood sugar level despite taking Metformin and Lisinopril? I am currently taking 1000mg of metformin twice daily along with 1200mg of gabapentin twice a day, 20mg of lisinopril once a day and 45 units of novolin 70/30 twice a day. Yet my blood sugar continues to rise. 4 months ago my average daily sugar level was 120, 3 months ago it went up to 140, last month it was around 170 and now I average 200. Whats going on?

What causes sporadic blurred vision while on treatment for diabetes?

I was recently diagnosed with hepatitis D, diabetes, and since my latest hospital stay, my vision is going through periods of blurriness that I have never experienced before. Not only the conditions, but the medicine have really effected my ability to work. I have recently returned to work, a job which I do love, after a month of a medical leave. I do not feel quite up to returning to my routine. I have taken steps to improve my health including diabetes education classes, changes in diet and riding six to eight miles/day on my bicycle. I have noticed, in addition to the blurry vision, I've had stomach issues and chest pains. This includes strange coughing spells. I just want to return to my normal life. What can I do? Do you think I should apply to some sort of temporary disability until I can get everything straightened out?

<start> Swings of hyperglycemia in Diabetes may alter the refractory index of the lens and may cause variation in acuity of vision.Check your blood sugar levels.See an ophthalmologist. <end>

What causes sporadic blurred vision while on treatment for diabetes? I was recently diagnosed with hepatitis D, diabetes, and since my latest hospital stay, my vision is going through periods of blurriness that I have never experienced before. Not only the conditions, but the medicine have really effected my ability to work. I have recently returned to work, a job which I do love, after a month of a medical leave. I do not feel quite up to returning to my routine. I have taken steps to improve my health including diabetes education classes, changes in diet and riding six to eight miles/day on my bicycle. I have noticed, in addition to the blurry vision, I've had stomach issues and chest pains. This includes strange coughing spells. I just want to return to my normal life. What can I do? Do you think I should apply to some sort of temporary disability until I can get everything straightened out?

Can Metformin cause a sensation of ice water running through the entire body?

I am diabetic and on Metformin, and am wondering if this could be the cause of the sensation of ice water running through my entire body. I get really weak and have to go lay down for about half an hour until it resides. I never had this sensation before taking the medication.

<start> Hello, Thanks for the query.As you have T2 diabetes, if this condition is there for a long time (months or years) or some times even in the beginning there may be peripheral neuropathy developing. The sensation described could be due to that manifestation. Meformin can occasionally cause stomach disturbance, but no other major side effects. It is essential to achieve a strict blood glucose control in diabetes to be free from all the symptoms. Fasting should be closer to 100 mg, PP 160 to 170 mg & HbA1c%<7. Since there is no mention about the blood glucose levels it is difficult to give any specific opinion. If you have any doubts I will be gl;ad to clarify.Thanks <end>

Can Metformin cause a sensation of ice water running through the entire body? I am diabetic and on Metformin, and am wondering if this could be the cause of the sensation of ice water running through my entire body. I get really weak and have to go lay down for about half an hour until it resides. I never had this sensation before taking the medication.

What causes right-sided abdominal pain and cloudy urine in a diabetic patient?

I ve had pain in my uppr abdomen on the right side that went into my back near the shoulder blade. Then the pain went away after I started drinking orange juice. Now, I have a sllght pain in the upper abdomen on the right side that is constant. I was on Norvasc for about a month and had a very bad reaction. My heart pounded and my heart occsionally would skip a beat. Now, it appears my urine is cloudy. The original pain was typical gallbladder pain. But, my gallbladder was removed almost 20 years ago. I haveType 2 diabetes and have taken Norco for many years. Could this be a kidney problem be aor a liver problem?

<start> This may be a case of Acid peptic disorder. But there is a chance of Post cholecystectomy syndrome. if have not detailed the duration of the problem, nature of the pain any associated symptoms like nausea vomiting relation to food(apart from orange juice). Moreover you have not detailed the present sugar status. The location of the pain is least likely corroborates to kidney origin of the pain. However getting some investigations done is advisable like Ultrasound of the abdomenCBC including diffential counts, urine RE, KFT LFT S. amylase s. lipase FBS PPBS HbA1cupper GI endoscopy. Follow up with a doctor with reports. <end>

What causes right-sided abdominal pain and cloudy urine in a diabetic patient? I ve had pain in my uppr abdomen on the right side that went into my back near the shoulder blade. Then the pain went away after I started drinking orange juice. Now, I have a sllght pain in the upper abdomen on the right side that is constant. I was on Norvasc for about a month and had a very bad reaction. My heart pounded and my heart occsionally would skip a beat. Now, it appears my urine is cloudy. The original pain was typical gallbladder pain. But, my gallbladder was removed almost 20 years ago. I haveType 2 diabetes and have taken Norco for many years. Could this be a kidney problem be aor a liver problem?

What causes high blood sugar level despite medication?

I am 58 year old male, with Type2 DM for past 10 years. I am on GP 1 & Glycomet 500 mg both twice a day.Of late my fasting & PP levels are high 170/250, not reducing despite above medication. What's other medicines to keep sugar under check? Can Fenfuro help me? Pl let me know. Thanks. Anil. Bengaluru India.

<start> Dear Anilyou are on regular medication for Type2 DMbut your last fasting is 170 and PP is 250. you won't explained about your BMI, cardiac status, smoking and alcohol status.kindly go through once HbA1C test which is average of last three months. you also check your Blood pressure.if HbA1C is more than 7 then go to your physician it's need to change drug. and need some exercise like walking ...kindly upload HbA1C report ,height and weight and blood pressure before changing drug or go to your treating doctor who is treating you for last 10 yearThanking you <end>

What causes high blood sugar level despite medication? I am 58 year old male, with Type2 DM for past 10 years. I am on GP 1 & Glycomet 500 mg both twice a day.Of late my fasting & PP levels are high 170/250, not reducing despite above medication. What's other medicines to keep sugar under check? Can Fenfuro help me? Pl let me know. Thanks. Anil. Bengaluru India.

Is turmeric intake safe along with Metformin while treating diabetes?

I am Diabetic and have severe neuoropathy on the arms and hands. Some believe it is arthritis but have not been diagnosed as such. I wanted to know if there is any interaction with taking Tumerac with Metformin. I use the Tumerac for inflammation and pain. FORGET IT....I THOUGHT THIS WAS A FREE CONSULTATION. SORRY BUT I CANNOT AFFORD IT. THANKS ANYWAY.

<start> Hello, I have gone through your query and do understand the concern you have.However, in long standing diabetes peripheral neuropathy does occur. But the effect is most often seen in lower limbs - legs and feet first. Later it may spread to hands and arms. Most often uncontrolled high blood glucose remaining for many years is the cause. But even with fairly well controlled diabetes of long standing these symptoms are seen.First and foremost is to achieve a strict blood glucose control, maintaining fasting blood glucose closer to 100 mg, PP 150 to 170 mg & HbA1c%As regards taking Turmeric and metformin, there is absolutely no interaction between the two. You need not worry at all. Thanks <end>

Is turmeric intake safe along with Metformin while treating diabetes? I am Diabetic and have severe neuoropathy on the arms and hands. Some believe it is arthritis but have not been diagnosed as such. I wanted to know if there is any interaction with taking Tumerac with Metformin. I use the Tumerac for inflammation and pain. FORGET IT....I THOUGHT THIS WAS A FREE CONSULTATION. SORRY BUT I CANNOT AFFORD IT. THANKS ANYWAY.

Suggest treatment for diabetic neuropathy

My husband is suffering from Diabetes since last 15 years along with hypertension..Although BP is controlled by medicine but his sugar levels have never been in control. He is taking lots of medicines and injection lanctous ..Since last 3 yrs he developed diabetic neuropathy..Right now he has some discomfort , itching and burning sensations in his tummy. What should I do now to help him

<start> Hi there, the most effective treatment is get the blood sugar lever under control that can b achieved with following things 1. Walk daily for 45 mins. 2. Take inj Insulin Regular S/C according to sliding scale to get the blood sugar under control. 3. Do some work up and exercise.4. Modified diabetic diet should be taken. And for tingling sensation take vitamin complex capsules one cap before going to sleep with milk.. I hope it helps Regards Dr Varun <end>

Suggest treatment for diabetic neuropathy My husband is suffering from Diabetes since last 15 years along with hypertension..Although BP is controlled by medicine but his sugar levels have never been in control. He is taking lots of medicines and injection lanctous ..Since last 3 yrs he developed diabetic neuropathy..Right now he has some discomfort , itching and burning sensations in his tummy. What should I do now to help him

What causes heaviness in the legs and excessive tiredness?

i am going to be blunt right to the point. i have no energy, basically dragging ass. my legs feel like anchors and tired a lot. blood sugar as of this morning was 109, just now pacific time was 118. type 2 diabetes being controlled with diet. do i need a vitamin like b or something? any help would be great please. retired firefighter, not as active as i used to be and am on blood psi meds.

<start> HiI understand your concern please care to mention your age beacsue its difficult to interpret without knowing your age and as u said type 2 diabetes being controlled with diet..may i know how long you have been diabetic...assuming without knowing your age and dieti think you might need vitamin supplements which may causing fatigue.I Hope it solves your querry.ThanksDr Varun <end>

What causes heaviness in the legs and excessive tiredness? i am going to be blunt right to the point. i have no energy, basically dragging ass. my legs feel like anchors and tired a lot. blood sugar as of this morning was 109, just now pacific time was 118. type 2 diabetes being controlled with diet. do i need a vitamin like b or something? any help would be great please. retired firefighter, not as active as i used to be and am on blood psi meds.

Why are ants attracted to urine despite testing negative for presence of sugar?

hi goodafternoon..i want to ask regarding of my urine...i have checked my blood and urine twice...fbs= 122.80 mg/dl or 6.8 Hba1c= 5.7 first test urine=negative in sugar after two days second test urine= negative in sugarquestio n: Why it still ants going to my urine again in again? even my urine doesnt found sugar.

<start> Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As you have mentioned FBG is 122 mg, (which is not normal, it falls in the prediabetic range that is 108 mg to 125 mg/100 mL), and HbA1c is 5.7 (which is normal), there is no overt diabetes. But if after food blood glucose does go above the kidney threshold (160 to 180 mg), some glucose is filtered in urine, even though there may be no overt diabetes.Secondly, sometimes there is renal glycosuria as kidney threshold may have come down.My suggestion, please get your after food blood glucose and urinary glucose tested, which should help to clarify the doubt. Plus looking at your fasting level, you need to take necessary precautions so as to avoid becoming diabetic.The precautions include regular exercise, weight control and avoiding sweets, junk foods, deep fried foods, aerated sweetened drinks (colas), pastries, and bakery items.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar <end>

Why are ants attracted to urine despite testing negative for presence of sugar? hi goodafternoon..i want to ask regarding of my urine...i have checked my blood and urine twice...fbs= 122.80 mg/dl or 6.8 Hba1c= 5.7 first test urine=negative in sugar after two days second test urine= negative in sugarquestio n: Why it still ants going to my urine again in again? even my urine doesnt found sugar.

Does intake of Metformin, Humalog or Lantus result in decreased energy levels?

I have had diabetes for 16 months now and I seem to be tired for reasons unknown. I am 76 and except for the recent diabetes, I am healthy. No other medications. No allergies. Is it the metformin or the humolog or lantus that is having an effect on my energy level? Thanks for your answer.

<start> HelloI have gone through your question and understood your concern.Low energy can be a symptom of hypoglicemia and hypoglicemia can be a side effect of Humolog or Lantus.At the other side unusual tiredness, or weakness can be a symptom of lactic acidosis,a side effect of metformin.Other symptoms of lactic acidosis include abdominal or stomach discomfort, decreased appetite; diarrhea; fast or shallow breathing; a general feeling of discomfort; severe muscle pain or cramping.If you do not have any of this symptoms (apart low energy),Lactic acidosis can be excluded.I suggest to check your blood glucose several times every day(for some days)fasting, 2hours after meals or random to see of you have hypoglicemia.In this case your insulines and your diabetes is the culpit of your low energy.If you do not have hypoglicemia and lactic acidosis,i suggest to consult your doctor for further investigations.(If the weakness persist)Hope i have answered to your questions.If you have other queries,feel free to ask .(you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo).I will be happy to help.Take care. <end>

Does intake of Metformin, Humalog or Lantus result in decreased energy levels? I have had diabetes for 16 months now and I seem to be tired for reasons unknown. I am 76 and except for the recent diabetes, I am healthy. No other medications. No allergies. Is it the metformin or the humolog or lantus that is having an effect on my energy level? Thanks for your answer.

How can fasting blood sugar levels between 120 and 140 be controlled?

Dear Doctor, I am a 45 years old Diabetic patient. Last 10 years I am suffering the diabetic. Last few month I found my FF is not controlled. It vary from 120 - 140 where as PP is 135-145. I am taking Glipizide 5mg at morning before breakfast and Metformin SR 500mg at Night. Please advice how to control my FF Sugar. Thanks Aloke Debnath

<start> HiI am Dr Mittal.I have read your message.I think I can help you.The fact remains that FBS of 120-140, and PPBS of 135-145 is usually considered a fine control.Too tight a control may actually predispose one to hypoglycemia and thereby may cause severe problems.However, if you do want to lower the sugars, you need to alter and watch your diet. And control your weight. Make sure that you are not an any other medicines (like some BP and cholesterol medicines) that can raise the sugars.If all this does not help, the dose of medicine will need to be adjusted further. A small dose of metformin in the afternoon may help you get a better control on the sugars. However, please make sure that the dose should not be changed on the basis of just one set of readings. And if you do change the dose, please inform your local diabetician as soon as possible.I have tried to make this as simple as possible.Please feel free to ask a follow up query on any point that you feel needs clarification.Best of luck, Dr Mittal <end>

How can fasting blood sugar levels between 120 and 140 be controlled? Dear Doctor, I am a 45 years old Diabetic patient. Last 10 years I am suffering the diabetic. Last few month I found my FF is not controlled. It vary from 120 - 140 where as PP is 135-145. I am taking Glipizide 5mg at morning before breakfast and Metformin SR 500mg at Night. Please advice how to control my FF Sugar. Thanks Aloke Debnath

Can Glycomet-500 SR intake be stopped post a reduction of blood sugar levels?

Sir,Good morning. I am Kannan from Ernakulam. Last week i checked my blood and result is FBS 122, PPBS 149 and HB A1C 7.2. Doctor advised to take Glycomet SR 500. If any side effect for this or if my count is reduced, can i stop this medicine.

<start> HiI am Dr Mittal.I have read your message.I will try to help you.First, your reports are indeed suggestive of Diabetes mellitus.So you need to understand that the reduction in sugars is going to be due to the effect of the tablet.Besides, there are many problems that arise out of untreated diabetes.So I would suggest not to stop the medicine, if the sugars are better- because that is the effect of the medicine.Of course, if you have side effects, the medicine can be CHANGED. It will not be stopped. The medicine will have to change.Of course, monitor your diet, and perform regular physical exercises and loose weight. This may help reduce the dose of the medicine.I have tried to make it as simple as possible. Feel free to ask a follow up question if you have any doubts. Best of luck, Dr Saumya Mittal <end>

Can Glycomet-500 SR intake be stopped post a reduction of blood sugar levels? Sir,Good morning. I am Kannan from Ernakulam. Last week i checked my blood and result is FBS 122, PPBS 149 and HB A1C 7.2. Doctor advised to take Glycomet SR 500. If any side effect for this or if my count is reduced, can i stop this medicine.

Is blurred vision with hoarse voice in a diabetic patient cause for concern?

A diabetic. Age 50 male. All of a sudden for last 3 days, unable to read anything close, especially small letters. For examples, cannot read the notifications on the cell phone. Especially on the left eye feels like there is something bluring the vision. Was told the feeling is like if the pupils are dialated.For the past 3 days, he is also having flu like symptom with flem and voice change.Should he be worried?

<start> HelloI have gone through your question and understood your concern.Chronically high blood sugar from diabetes is associated with damage to the tiny blood vessels in the retina, leading to a chronic complication of diabetes called diabetic eye disease or diabetic retinopathy.The risk of diabetic eye disease increases the longer a person has diabetes.The disease often progresses unnoticed until it affects vision.Rapid tightening of blood glucose control leads to transient deterioration of diabetic retinopath.In my opinion this can be a potential cause of his sudden visual problems.Anyway i suggest to consult an ophtalmologist for a comprehensive dilated eye exam for the right diagnose and treatement.Hope this information is helpful.If you have other questions ,feel free to ask.I will be happy to help.(you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo)Take care <end>

Is blurred vision with hoarse voice in a diabetic patient cause for concern? A diabetic. Age 50 male. All of a sudden for last 3 days, unable to read anything close, especially small letters. For examples, cannot read the notifications on the cell phone. Especially on the left eye feels like there is something bluring the vision. Was told the feeling is like if the pupils are dialated.For the past 3 days, he is also having flu like symptom with flem and voice change.Should he be worried?

What causes elevated fasting sugar levels despite medication?

I m a type II diabetic who watches my diet and numbers closely. My fasting number this AM was 126. It s always higher after fasting in the AM than expected. I m on Metformin 1000 Mg 2 X s a day. Often the only meal I eat is a lie carb dinner. I snack on carrots, pears, apples and celery most days.

<start> thanks for asking HCMI understand your concern and pain.causes of high fasting on regular basis are as follows:1. Your medicine is not working or you should adjust the dose of your medication with the help of your health care provider.2. your are suffering from cold, flu, or any other acute illness in response to which your body is secreting hormones that can interfere with the action of medicine.3. you are stressed out from recent activities and not sleeping well and your body releases stress hormone which inturn lower your ability to metabolize sugar.4. you are skipping your meal at night.i hope I was able to address your query. Thanks. <end>

What causes elevated fasting sugar levels despite medication? I m a type II diabetic who watches my diet and numbers closely. My fasting number this AM was 126. It s always higher after fasting in the AM than expected. I m on Metformin 1000 Mg 2 X s a day. Often the only meal I eat is a lie carb dinner. I snack on carrots, pears, apples and celery most days.

Does unintentional weight loss indicate diabetes?

My 21 year old daughter is concerned because she's losing weight without a any change in diet or exercise. She's gone from 117 to 113 which because she's 5'2" is significant for her. That's the chief complaint. I told her it may be diabetes and if it continues she should get checked out.

<start> HelloI have gone through your question and understood your concern.Glucose levels in our body are controlled by a hormone called insulin, which is made in the pancreas. Type 1 diabetes usually appears during childhood or adolescence.So if your doughter has diabetes it is more likely that it is type 1.In type 1 diabetes, the pancreas does not make enough insulin and this condition produce evident symptoms.Type 1 diabetes signs and symptoms can come on quickly and may include:-Increased thirst-Frequent urination-Extreme hunger-Unintended weight loss-Irritability and other mood changes-Fatigue and weaknessSo my answeris is Undiagnosed or untreated type 1 diabetes can cause weight loss but if your daughter has not other symptoms of the list,maybe the diabetes is not the culpit of her weight loss.Anyway, my advice is to check a fasting and random blood glocose or a Glycated hemoglobin (A1C) test.For a personalized comprehensive evaluation, treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.Hope i have answered to your question.If you have other doubts,feel free and ask.I will be happy to help.Take care. <end>

Does unintentional weight loss indicate diabetes? My 21 year old daughter is concerned because she's losing weight without a any change in diet or exercise. She's gone from 117 to 113 which because she's 5'2" is significant for her. That's the chief complaint. I told her it may be diabetes and if it continues she should get checked out.

What causes tingling sensation in hands and feet in a diabetic patient?

I am diabetic. I now feel tingling in my feet when I wake up, but upon walking it goes away. I am diabetic for about 28 years. I now get tingling in my feet, hands and head during sleep. It goes away upon waking and getting out of bed. What causes this?

<start> Hello, Long term diabetes even when it is fairly well controlled does tend to cause peripheral neuropathy affecting lower limbs more often. Most common symptoms of this condition is altered sensation, tingling and numbness plus burning. This happens due to affection of nerve endings due to hyperglycemia. Primary requirement is to achieve strict blood glucose control with fasting maintained around 100 mg, PP 160 to 170 mg & HbA1c%<7. Plus if needed specific drugs like methylcobalamine, foilc acid & lipoleic acid combinations and pragabalin are useful in relieving the symptoms. Thanks. <end>

What causes tingling sensation in hands and feet in a diabetic patient? I am diabetic. I now feel tingling in my feet when I wake up, but upon walking it goes away. I am diabetic for about 28 years. I now get tingling in my feet, hands and head during sleep. It goes away upon waking and getting out of bed. What causes this?

What causes sudden disorientation in an elderly diabetic person?

my 84 year old dad had 2 epunexplained episodes this week. he has diabetes and doen tt check his sugar eats whenever he chooses, sis on metformin and one other diabetes medication, in addition to high blood pressure and 2 heart attcks in 10 years. he was walking 2 miles daily but arthritis in his knees and refusing to admit he s aging & hates the fact that he has to take meds. he almost hit a tree head on the other day in the parking lot of his frequently favored restaraunt. my mom said hif she didn t scream they would have hit hit head on, in a small parking lot. 3 days ago my mom described his mental state upon awakening as total confusion. she said he sat ofn edge of bed and couldn t put his pants on and said they felt weird. she described this he was counting aloud as he walked his fingers down bothe shins calves untilh reached his feet and said hehad no big toes on either feet. he was delusional for a few minutes repeating counting aloud downhis legs and again said no big toes. he couldn t get upright away. mom, diabetic also insulin 6 x daily, ckhecked his sugar against his will and it was 367. he slept for 3 hours only toawaken again and repeated same behaviour. mom got him food and made him take hismeds and within a couple hours it steadily dropped. he went to dr they didd brain mri w and without contrast, the has appt schedulted to check his carotid artery, eeg, . 1/17/17 mom recvd call that they believe he could have experienced an ischemic attack. they want to repeat brain mri this weekbecause theree appears tobe a spot. could his neglect tand denial to givein to the fact that he has diabetes and other diseases cause such an episode? i worked a long time ago as a secretary to the nj visiting nursing association as and already have suggested on phone last night that they also get a secondopinion from a second neurologist. i myself whad a brain mri and freehold radiology reported that it appeared that i has an ischemic attack in the right occiptal nerve. when i went tomy sister in laws neurologist {who had nonmalignant tumor in temple removed bo as o what ``7and orede / ehe also. ite o is

<start> The common causes of sudden loss of consciousness are acute stroke, hypoglycemia, HHNK, brain tumor, seizure and low sodium.Please go ahead with scheduled MRI brain scan and meet your doctor once the scan results come. Monitor blood sugar fasting and PP and give diabetic medication on time. If sugar is not controlled then ask your doctor to adjust the dose of diabetic medication. <end>

What causes sudden disorientation in an elderly diabetic person? my 84 year old dad had 2 epunexplained episodes this week. he has diabetes and doen tt check his sugar eats whenever he chooses, sis on metformin and one other diabetes medication, in addition to high blood pressure and 2 heart attcks in 10 years. he was walking 2 miles daily but arthritis in his knees and refusing to admit he s aging & hates the fact that he has to take meds. he almost hit a tree head on the other day in the parking lot of his frequently favored restaraunt. my mom said hif she didn t scream they would have hit hit head on, in a small parking lot. 3 days ago my mom described his mental state upon awakening as total confusion. she said he sat ofn edge of bed and couldn t put his pants on and said they felt weird. she described this he was counting aloud as he walked his fingers down bothe shins calves untilh reached his feet and said hehad no big toes on either feet. he was delusional for a few minutes repeating counting aloud downhis legs and again said no big toes. he couldn t get upright away. mom, diabetic also insulin 6 x daily, ckhecked his sugar against his will and it was 367. he slept for 3 hours only toawaken again and repeated same behaviour. mom got him food and made him take hismeds and within a couple hours it steadily dropped. he went to dr they didd brain mri w and without contrast, the has appt schedulted to check his carotid artery, eeg, . 1/17/17 mom recvd call that they believe he could have experienced an ischemic attack. they want to repeat brain mri this weekbecause theree appears tobe a spot. could his neglect tand denial to givein to the fact that he has diabetes and other diseases cause such an episode? i worked a long time ago as a secretary to the nj visiting nursing association as and already have suggested on phone last night that they also get a secondopinion from a second neurologist. i myself whad a brain mri and freehold radiology reported that it appeared that i has an ischemic attack in the right occiptal nerve. when i went tomy sister in laws neurologist {who had nonmalignant tumor in temple removed bo as o what ``7and orede / ehe also. ite o is

Suggest treatment for pain of a diabetic who consumes plenty of candies

hi, my diabetic consumes large quantities of candy and ice cream. He is 70 years old and has a lot of pain. He seeing a pain doctor in 2 days,and I'm sure he won't tell the doctor about all the bad foods he eats.What should I do, if anything.

<start> you have to encourage him to eat healthy food and decrease candies because it is a durect cause of uncontrolled blood sugar and about pain the most proper pain releif for diabetic patients is gamapentin cap starting dose 100 ml per day at night and can increase the dose gradually <end>

Suggest treatment for pain of a diabetic who consumes plenty of candies hi, my diabetic consumes large quantities of candy and ice cream. He is 70 years old and has a lot of pain. He seeing a pain doctor in 2 days,and I'm sure he won't tell the doctor about all the bad foods he eats.What should I do, if anything.

What causes sugar level variations by using Glycoment Gp 1 and Ozomet G2?

my sugar level fbs 180 and ppbs 380.then doctor prescribed glycoment gp 1 fort every day one cap for 15 days.again i checked sugar.sugar level fbs 170 and ppbs 360.then i meet other doctor.doctor prescribed ozomet g2 every day one cap two times.after 10 days i check my sugar again.now sugar leem fbs is 130 ppbs 240.why like this.both medicines contains metformin.kindly give reply

<start> Hello, Thanks for the query. You are right, both medicines contain Metformin as one of the ingredient, but Glycomet GP1 has 1 mg of Glimiperide and the other (Ozomet G2) has 2 mg of glimileride. The reduction in blood glucose level noticed is due to the higher dose of Glimiperide. This drug stimulates Beta cells in pancreas to synthesise Insulin. Higher dose means there a greater stimulation.Still the blood glucose levels (Fasting 130 mg & PP 240 mg) are much higher than ideal levels in case of good control like Fasting closer to 100mg, PP 150 to 160 mg and HbA1c% Therefore, it is necessary to improve the current treatment so that desired blood glucose levels are achieved consistently.I am sure you are aware it is essential to achieve a very strict blood glucose control in order to postpone or prevent long term complications of diabetes affecting various vital organ in the body. In addition to specific drugs, it is very essential to take a restricted diet, that gives exact calories based on ideal body weight, extent of daily exercise and blood glucose levels. Avoid sweets, deep fried foods, pastries, other bakery items and sweetened aerated drinks (colas) and sweet corn syrup containing food products. Consume more of green leafy vegetables and salads. Also exercise daily for at least 1 hour, brisk walking is a good option. I will be glad to guide if desire so, thanks. <end>

What causes sugar level variations by using Glycoment Gp 1 and Ozomet G2? my sugar level fbs 180 and ppbs 380.then doctor prescribed glycoment gp 1 fort every day one cap for 15 days.again i checked sugar.sugar level fbs 170 and ppbs 360.then i meet other doctor.doctor prescribed ozomet g2 every day one cap two times.after 10 days i check my sugar again.now sugar leem fbs is 130 ppbs 240.why like this.both medicines contains metformin.kindly give reply

What sugar levels are considered normal?

I was recently told that my blood sugar was almost borderline high? I am wondering what is normal range. It was not a fasting blood sugar test and they didn t even ask me when I had eaten. I don t know how they could know it was high. I had eaten within 2 hours of the blood draw and they said my blood sugar was 119. Is that high? How worried should I be?

<start> Hello, If your blood glucose is 119 mg, within 2 hours of taking food, it is unlikely to be a problematic situation. I am giving the criteria for deciding whether some one has diabetes or not :1)Normal : FBG 70 - 110 mg, PPBG: 2) Pre-diabetes : FBG: 108 to 125 mg, PP:141 to 199 mg, HbA1c%:5.9 to 6.4.3)Diabetes: FBG: 126 mg and above, PPBG: 200 mg and above & HbA1c%: 6.5 and above.Fasting glucose is tested after 10 to 12 hours after dinner, PP is tested after 2 hours of food and Random is at any time (this should be <140 mg for being normal). I hope your doubts are cleared. Thanks. <end>

What sugar levels are considered normal? I was recently told that my blood sugar was almost borderline high? I am wondering what is normal range. It was not a fasting blood sugar test and they didn t even ask me when I had eaten. I don t know how they could know it was high. I had eaten within 2 hours of the blood draw and they said my blood sugar was 119. Is that high? How worried should I be?

What causes red discoloured legs in a diabetic person?

recently got out of hosp. my feet are motley colored red and white, tho some of the red may be due to my psoriasis, tho I've never had it on my feet before . being diabetic for 20 yrs tho proly makes for some changes. legs and feet cold all the time now. what can I do to stay warm and get rid of the redness?

<start> Hello, When diabetes continues for a long time (over 20 years plus), whether well controlled or if control is not good, it does affect small and large blood vessels. Affection to small blood vessels causes problems with retina, kidney and erectile dysfunction. Where as large vessel affection invariably leads to improper blood supply to lower limbs. This along with peripheral neuropathy can make limbs feel cold, numb and there may be altered sensation. Plus due lack of blood supply and hyperglycemia wounds do not heal quickly, leading to serious consequences.To overcome this maintaining a strict blood glucose control with fasting closer to 100 mg, PP 160 to 180 mg & HbA1c%<7, is necessary. Plus if the problem is severe, causing intermittent claudication (severe cramps on walking), then a colour Doppler test or angieography may have be done. But most important is strict blood glucose control. Thanks <end>

What causes red discoloured legs in a diabetic person? recently got out of hosp. my feet are motley colored red and white, tho some of the red may be due to my psoriasis, tho I've never had it on my feet before . being diabetic for 20 yrs tho proly makes for some changes. legs and feet cold all the time now. what can I do to stay warm and get rid of the redness?

Suggest medication for diabetics

My husband is diabetic, we have been controlling his diabetes with diet and exercise, but the last 3-4 months if he goes off his routine meals (goes on binge), it has become harder and harder to regulate his blood sugar...he doesn t believe in meds, how else can I help?

<start> Hello, High blood glucose can be controlled with diet and exercise only when a person is the pre-diabetic stage. (Fasting :108 to 125 mg, PP 141 to 199 mg & HbA1c%<6.4). But if once diabetes sets in (Fastin: 126 mg and above, PP 200 mg and above & HbA1c%6.5 and above), then treatment with specific drugs is absolutely necessary. Selection of medication will depend upon the severity of blood glucose levels. Along with drugs he will have to observe a strict diet control as well as exercise daily for at least 1 hour. Plus maintain a near normal weight. Since no details are available like fasting, PP levels, HbA1c%, weight, height and extent of daily exercise and dietary pattern, it is difficult advise a specific drug therapy. But he definitely needs to be on the oral antidiabetics. Thanks <end>

Suggest medication for diabetics My husband is diabetic, we have been controlling his diabetes with diet and exercise, but the last 3-4 months if he goes off his routine meals (goes on binge), it has become harder and harder to regulate his blood sugar...he doesn t believe in meds, how else can I help?

Suggest alternatives for Gluconorm-PG 2 for an elderly lady suffering from diabetes

Sir, My mother,Age-74 years,is suffering from disabilities since last 17 years,due to well controlled diet and medicines she is able to handle it.Her fasting sugar level is 83.earlier she was using pioz (half in the morning & half in the evening) till February 2016 and since its ban,she is using glucomorm-pg2(half in the morning &half in the evening),but as it is also not available in the market so I request you to kindly suggest some substitute for the same.thanking you, Regards N K Trehan

<start> Hello and thank you for asking!I can understand your concern regarding to your mothers problem.The Gluconorm-PG2 is a drug that contains three medications; Metformine 1000 mg, Glimepirid 2 mg and pioglitazone 15 mg.If you can not find any more this tablet, you can ask your pharmacist for a prescription of these three tablets in the above mentioned doses.I would suggest to check the HbA1c level, liver and renal function, as these should be under close monitoring while taking these medications.Also, Glimepirid may cause low blood sugar (under 70 mg/dl) if this happens, the dose of glimepirid should be lowered.For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. GuniBest wishes,Dr.Mirjeta <end>

Suggest alternatives for Gluconorm-PG 2 for an elderly lady suffering from diabetes Sir, My mother,Age-74 years,is suffering from disabilities since last 17 years,due to well controlled diet and medicines she is able to handle it.Her fasting sugar level is 83.earlier she was using pioz (half in the morning & half in the evening) till February 2016 and since its ban,she is using glucomorm-pg2(half in the morning &half in the evening),but as it is also not available in the market so I request you to kindly suggest some substitute for the same.thanking you, Regards N K Trehan

How can diabetes be treated apart from taking medicines and short-term insulin?

Hello Sir, My mother's age is 51 & she is having diabetic from past 15-20 yrs & she is taking medicine from doctors on regular basis but the sugar level is not decreasing.Recent report 392(before breakfast) & 450(after breakfast).She had taken insulin as well for some time but now she left.Suggest me regarding the same.Regards,Prabal0000

<start> Hell, When a person gets diabetes, it is observed that almost 50% of his or her Insulin producing cells of pancreas (Beta cells) tend to be non functional. Further, if blood glucose is not rapidly controlled, then glucotoxicity due to hyperglycemia (high glucose in blood) further damages beta cells. Therefore, after few years suffering with diabetes almost every single patient has to start taking insulin as most of the cells are non functional. There is no insulin in the system. It has to be given on daily basis for controlling blood glucose, that too for lifetime. Looking at the blood glucose levels mentioned, your mother has to be on Insulin injections along with oral anti-diabetic drugs, if necessary control has to be achieved. There is no other option.If the glucose level is not controlled effectively, the long term serious consequences of diabetes will start manifesting like retinal problems, peripheral neuropathy, affection of blood supply to the lower limbs, cardiovascular diseases and kidney disease. Ideally if one has to achieve good control then fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c%Along with Insulin and other drugs, she has to take a restricted diet, avoid sweets completely, also deep fried foods, pastries, bakery items and sweetened aerated drinks (colas). Should consume more of green leafy vegetables, salads and use whole grain flour for chapati and roti. Plus exercise daily for at least 1 hour and maintain near normal weight. Sugar levels will come down with proper type of insulin and dosage adjustment plus oral drugs. Thanks <end>

How can diabetes be treated apart from taking medicines and short-term insulin? Hello Sir, My mother's age is 51 & she is having diabetic from past 15-20 yrs & she is taking medicine from doctors on regular basis but the sugar level is not decreasing.Recent report 392(before breakfast) & 450(after breakfast).She had taken insulin as well for some time but now she left.Suggest me regarding the same.Regards,Prabal0000

What causes numbness in the leg and arm while having diabetes?

Diabetic male, 57, 236 lbs. 6'1" not on meds any longer because of expense. Was on Lantus, been off 5 months. Experiencing numbness in left arm/hand and leg. Hard time holding onto things with hand, get tired easily. Fall a lot, balance issues. No history of any problems but diabetes 11 yrs now. Non-smoker 29 years now. Know i need a Dr. am trying to get one, clinic says 22 days to next opening. Know its propbaly bad, but not scared to go.

<start> Hello I have gone through your query and understood your concern.11 yeard with diabetes can produce complications like peripheral neuropathy and can exlpain the numbness in your extremities. The difficulties to hold onto things with hand can be due to a possible Carpal tunnel syndrome.(The tests will clarifie the situation) But the problem of falling and the balance issues can not be attributed to your diabetes.From the description of your problems ,in my opinion all your symptoms can have a neurologic basis.(Transient ischemic attack (mini-stroke),Multiple sclerosis etc.)For this reason i suggest to consult a neurologist because you need to do some specific neurologic tests to reach the right diagnose and than you can have the right treatement.Don't worry i don't think your actual problems are life-threatening and with the right treatement,you will feel much better.Hope my information is helpful.If you have other queries,feel free and ask.You can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.Wish you all the best. <end>

What causes numbness in the leg and arm while having diabetes? Diabetic male, 57, 236 lbs. 6'1" not on meds any longer because of expense. Was on Lantus, been off 5 months. Experiencing numbness in left arm/hand and leg. Hard time holding onto things with hand, get tired easily. Fall a lot, balance issues. No history of any problems but diabetes 11 yrs now. Non-smoker 29 years now. Know i need a Dr. am trying to get one, clinic says 22 days to next opening. Know its propbaly bad, but not scared to go.

What causes burning sensation and itchiness in the foot while on Insulin?

my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor.

<start> Hello, In a person with long standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Drugs like Methylcobalamine and pragabalin can help in controlling pain in the feet. Strict deitary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks <end>

What causes burning sensation and itchiness in the foot while on Insulin? my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor.

How can leg pain, which aggravates while sitting or lying down, be treated?

I have diabetes and lately I have pain in my leg that starts mostly when I sit .it lokks like pressure in the upper thigh but it also starts in my toes . I take aspirin 2of 325 mg that helps after 30 minutes , but I get this every day in the evening. or when I am in bed. I do not have any symptoms during the when I am active. Do I have to live with this or is there some medication ?

<start> Welcome to HCM,In view of the fact you have diabetes, you might be developing a form of "neuropathy" a painful condition of the nerves. Topical application of ointments containing Capsicum (red pepper) has given some of my patients relief. If overweight, lose the weight. Try not to sit too long. Use a sacral or ischial tuberosity support cushion to help alleviate the weight on joints as you sit.The doctor can properly evaluate you and if it is nerve pain, there are medications to help with that as well.Best Wishes to You, Kathryn Shattler, MS,RDN <end>

How can leg pain, which aggravates while sitting or lying down, be treated? I have diabetes and lately I have pain in my leg that starts mostly when I sit .it lokks like pressure in the upper thigh but it also starts in my toes . I take aspirin 2of 325 mg that helps after 30 minutes , but I get this every day in the evening. or when I am in bed. I do not have any symptoms during the when I am active. Do I have to live with this or is there some medication ?

What causes reduced blood sugar levels while on Glipizide?

I was on Glipizide 5mg 3 times a day. sugar levels were running at 58 before meals and 88 after meals. Had a lot of sweating. Finally stopped Glipizide and now level is 153 before eating and 144 after meal. Next dr apt is not until March. How to best control numbers?

<start> Hello and thank you for asking!I have gone carefully through your concern and understood your query!Glipizide is a class of antidiabetic medications that causes hypoglicemia or low blood sugar.Your doctor will prescribe another medication in the next visit that does not have hypoglicemia as side effect (metformine for eg), depending on the HbA1c level , BMI, liver and renal function ect.Meanwhile, if you are overweight i would suggest to see a dietitian and do physical activity. If the fasting glucose levels, persist high, take 2.5 mg glipizide once daily.Hope the information will help.Kind regards,Dr.Mirjeta <end>

What causes reduced blood sugar levels while on Glipizide? I was on Glipizide 5mg 3 times a day. sugar levels were running at 58 before meals and 88 after meals. Had a lot of sweating. Finally stopped Glipizide and now level is 153 before eating and 144 after meal. Next dr apt is not until March. How to best control numbers?

Can sugar levels of a diabetic be reduced only by regular exercises?

can i reduce my sugar level only by doing exercise,as i m walking daily 1 hour in the morning and 1 hour in the evening but taking tea six full cup of tea a day, right now i m taking glimister m1, as i m diabetic patient from oct-2010 earlier daily 1 tablet an half an hour before lunch but recently my sugar level increase du to bunk in tablet and taking high sweet during diwali festival and serval marriages hence doctor double my dose right now as on 05 dec 2016 pre is 230 and post 430 doctor has double my dose on acccount of recent report my cell no is 0000

<start> Hello and thank you for asking!I have gone carefully through your concern.To give information about the long term treatment of Diabetes is very important to know you BMI (weight and height), the HbA1c level fluctuation during the last year, liver and renal function, the presence or the predisposition for other pathologies (coronary heart disease, hypertension, high lipid profile ect), ect.If you are overweight, with HbA1c levels not at very high levels (under 8%), you can start physical activity and see a dietitian for an appropriate diet and the treatment recommended by your physician.The postprandial levels are too high, that means the actual meal you are taking is too large.For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. GuniBest wishes,Dr.Mirjeta <end>

Can sugar levels of a diabetic be reduced only by regular exercises? can i reduce my sugar level only by doing exercise,as i m walking daily 1 hour in the morning and 1 hour in the evening but taking tea six full cup of tea a day, right now i m taking glimister m1, as i m diabetic patient from oct-2010 earlier daily 1 tablet an half an hour before lunch but recently my sugar level increase du to bunk in tablet and taking high sweet during diwali festival and serval marriages hence doctor double my dose right now as on 05 dec 2016 pre is 230 and post 430 doctor has double my dose on acccount of recent report my cell no is 0000

Suggest treatment for knee pain while having diabetes

My mother is a diabectic patient also having hypertension and thyroid also having uric acid.... since from last couple of days she is having knee pain.... its very difficult for her to bend her knee.... our doctor is out of town will be available form next week, so my question is can I give her Hifenac P for the interim period.

<start> Hi, yes you can give her Hifenac P--but with Omeprazole so that there is no acidity. Also massage knees with any warm oil and do fomentation. Regards <end>

Suggest treatment for knee pain while having diabetes My mother is a diabectic patient also having hypertension and thyroid also having uric acid.... since from last couple of days she is having knee pain.... its very difficult for her to bend her knee.... our doctor is out of town will be available form next week, so my question is can I give her Hifenac P for the interim period.

What causes intense foot pain despite taking Lyrica?

I am a 64 year old African American female. I have Type II diabetes, AIC 5.4. Why do I have so much pain and neuropathy in my feet. I take 450 mg. of Lyrica each day, which helps minimal. What s your advice? I thought that your answers were free. Sorry, I don t have the money to pay for your answers. Really?

<start> Avoidance of neurotoxins (alcohol) and smoking, supplementation with vitamins for possible deficiencies (B12, folate), and symptomatic treatment are the mainstays of therapy of diabetic neuropathy. Chronic, painful diabetic neuropathy is difficult to treat but may respond to Lyrica ( gabapentin).If there is no response, it is reasonable to switch tp other agents like duloxetine approved by the U.S. Food and Drug Administration (FDA) for pain associated with diabetic neuropathy. However remain assured the pain of acute diabetic neuropathy may resolve over time.Regards Dr. T.K. Biswas M.D.Mumbai <end>

What causes intense foot pain despite taking Lyrica? I am a 64 year old African American female. I have Type II diabetes, AIC 5.4. Why do I have so much pain and neuropathy in my feet. I take 450 mg. of Lyrica each day, which helps minimal. What s your advice? I thought that your answers were free. Sorry, I don t have the money to pay for your answers. Really?

What causes elevated blood sugar despite taking medication?

My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ?

<start> HelloThanks for usingHCM for your health problems.I read carefuly your question and understood your concern.You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway i presume that it has an infection when he was discharged.The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person.His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis.Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones.For this reason my advice is to check his ketone level in the blood and in the urine.If the result is positive you need to take hime in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital.If the test of ketones in his blood and urine is negative,i suggest to consult an endocrinologist in your area because in my opinion the metformine monotherapy is not effective and it is necessary to add another antidiabetic drug.I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dad's diabetes.I recommend to not be negligent.Hope i have answered to your question.If you have further queries,feel free and ask.For treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.I will be happy to help.Take care. <end>

What causes elevated blood sugar despite taking medication? My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ?

Can rashes near the vagina of a diabetic be treated?

I gita age 34yrs weight 86kgs got my blood sugar levelhigh in previous month report. I was having iching & rashes around my vagina. My blood sugar level was 275.recently my blood sugar level is 112/156 but still my iching is not cured completely.i have piles problem too ,it is from yrs and it not pains.what to do i am totally confused. Is it curable. Iwill be glad to hear from you.

<start> Hello, Madam, In patients with diabetes generally fungal infections of skin and genital area tend to be seen more often. First and foremost thing therefore is to achieve a strict blood glucose control with fasting glucose closer to 100 mg, PP 150 to 160 mg & HbA1c%As regards hemorrhoids, it is better if you consult a surgeon and then take treatment as advised. Thanks <end>

Can rashes near the vagina of a diabetic be treated? I gita age 34yrs weight 86kgs got my blood sugar levelhigh in previous month report. I was having iching & rashes around my vagina. My blood sugar level was 275.recently my blood sugar level is 112/156 but still my iching is not cured completely.i have piles problem too ,it is from yrs and it not pains.what to do i am totally confused. Is it curable. Iwill be glad to hear from you.

What does a pain in lower-right flank indicate for a diabetic patient?

have t2 diabetes w/ elevated blood sugar. Over past 4-5 weeks have developed a dull pain in my lower-right back. (Flank). Is this the start of my kidneys startingto fail, or is it a sign of something else? The last blood test I had about a month ago-everything came back within range. Please advise, K

<start> Hi,Flank pain is a relatively common condition that can have a lot of possible etiologies and a number are commonly seen in urology. Anyway I want to say that this is not a sign of diabetic kidney disease because or diabetic nephropathy do not cause pain. So, don't worry. In diabetic nephropathy the filters of the kidneys, the glomeruli, become damaged. Because of this the kidneys 'leak' abnormal amounts of protein from the blood into the urine. This is the main sign that the kidney is starting to fail. Possible causes of your dull right flank pain can be urinary tract infections like Cistitis or pielonefritis or renal calculi.I suggest to consult an urologist to investigate about your flank pain (urine test, blood test, ultrasound etc) and if you find the cause ,you can have the right treatment.Hope I have clarified your doubts. If you have further queries, feel free and ask. Regards,Dr. Elona Xhardo <end>

What does a pain in lower-right flank indicate for a diabetic patient? have t2 diabetes w/ elevated blood sugar. Over past 4-5 weeks have developed a dull pain in my lower-right back. (Flank). Is this the start of my kidneys startingto fail, or is it a sign of something else? The last blood test I had about a month ago-everything came back within range. Please advise, K

Is blood sugar level of 169 a cause for concern?

my husband is diabetic...I am concerned apparently more than he is. His blood sugar at the moment is 169...he believes this is a good number ..(sometimes it goes to 270 or more). ..and wants to eat something that i think is not right...cheesecake. He will abide by another's opinion...First...is 169 - 4 hours after dinner good when he only had 35 carbs for dinner..... and,How's cheescake??

<start> Hi,Every doctor and patient will work together to set a blood sugar goal, however, anyone with a fasting blood sugar of 125 or more has diabetes, so a normal fasting would be less than 100 as 100 or above puts one in the pre-diabetic range. 270 is unacceptable at any time. A 2 hour post postprandial should not be higher than 200. Have the doctor set a blood sugar goal with your husband and explain that the diet he is on is forever and have a high blood sugar that "he" thinks is ok without checking with his physician is also unacceptable reasons to eat cheesecake. I suspect he did not go through a Diabetes Education Class or work with a Dietitian as I don't think he understands Diabetes and its consequences of having uncontrolled blood sugar ongoing. We are looking at possible amputation, blindness, kidney failure, neuropathy, food amputation and heart disease down the road.You ask how is cheesecake. Not allowed. Your husband needs to be instructed on a workable diet for him, have his carbs figured based on blood sugar control, weight goals, likes/dislikes, and on exercise.Try to substitute favorite foods using acceptable foods made to taste like foods he should not have. Recipe substitution.Please consult a Registered Dietitian for a complete diet,disease, lifestyle education based on current blood sugar goals/medications to develop a plan workable for him .Once your husband understands what he is dealing with, I feel you two will be able to work together on common goals. Hope I have answered your query. Let me know if I can assist you further.Regards,Kathy Shattler' <end>

Is blood sugar level of 169 a cause for concern? my husband is diabetic...I am concerned apparently more than he is. His blood sugar at the moment is 169...he believes this is a good number ..(sometimes it goes to 270 or more). ..and wants to eat something that i think is not right...cheesecake. He will abide by another's opinion...First...is 169 - 4 hours after dinner good when he only had 35 carbs for dinner..... and,How's cheescake??

Suggest tests to diagnose hypoglycemia

my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for

<start> Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information:1) Normal : Fasting : 70 to 110 mg / 100 ml, PP 2) Pre-diabetic : Fasting 108 to 125 mg, PP 141 to 199 mg / 100 ml, HbA1c%5.9 to 6.4 3) Diabetes : Fasting :126 mg and above, PP 200 mg and above & HbA1c%6.5 and above. Considering above criteria levels mentioned by you are within the normal range. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar <end>

Suggest tests to diagnose hypoglycemia my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for

What causes low blood sugar level while on Percocet?

Hi my name is david i am 42 yo,I have type 1 diabetes,i am currently taking Toujeo solostar 32 units daily,I also take pecorcet 10/325 as needed,when i take my pain killer my sugar is very low in the morning yesterday 66 today 81,my question is it because the pain killer?

<start> Hello,Having low blood glucose in the morning is unlikely to be due to Tab Percocet, the pain killer. The Insulin (Glargine) that you take itself is the cause for low glucose level in the morning. The night food intake and Insulin dosage may have to be looked at a bit more carefully. Hope I have answered your query. Let me know if I can assist you further. Thanks,Dr. Prabhakar Laxman Jathar <end>

What causes low blood sugar level while on Percocet? Hi my name is david i am 42 yo,I have type 1 diabetes,i am currently taking Toujeo solostar 32 units daily,I also take pecorcet 10/325 as needed,when i take my pain killer my sugar is very low in the morning yesterday 66 today 81,my question is it because the pain killer?

What causes chronic fatigue in an insulin dependent diabetic person?

I feel sick and weak all the time, I keep sweating even with the air conditioner on. I can t keep any food in my stomach. I am diabetic type 2 but on insulin. Some days I just feel so weak that I can t do anything. I also have discs gone in my back I have had surgery on the lower back L4 L5S1 and now the discs above have deteriorated and am on the list at the RBWH to see a neurosurgeon. I can t stand for too long and spend most of my time in bed

<start> Hi,If you are a diabetic and on Insulin, then main reason for feeling sick and weak is most likely due to uncontrolled hyperglycemia. Because if blood glucose is high, a lot of it is excreted through urine, making the person weak and even loose weight. Further if you are most often bed ridden, then that can also add to hyperglycemia due to non exercise and to weakness. Therefore, it is absolutely essential to achieve a very strict blood glucose control with fasting glucose closer to 100 mg, PP 160 to 170 mg and HbA1c%Hope I have answered your query. Let me know if I can assist you further. Thanks,Dr. Prabhakar Laxman Jathar <end>

What causes chronic fatigue in an insulin dependent diabetic person? I feel sick and weak all the time, I keep sweating even with the air conditioner on. I can t keep any food in my stomach. I am diabetic type 2 but on insulin. Some days I just feel so weak that I can t do anything. I also have discs gone in my back I have had surgery on the lower back L4 L5S1 and now the discs above have deteriorated and am on the list at the RBWH to see a neurosurgeon. I can t stand for too long and spend most of my time in bed

How to treat obesity and sleep apnea in a diabetic patient?

Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?

<start> Hi,If patient has diabetes and is also overweight, like your husband (BMI26.81 kgs/M2), then it is absolutely necessary to control blood glucose within the prescribed limit like fasting closer to 100 mg, Pp 150 to 160 mg & HbA1c%. To control sleep apnea, weight reduction is a must. Lifestyle changes that help reduction of weight will help in reducing sleep apnea. Particularly weight reduction. That means patient has to follow a strict dietary restriction, taking calories based on his ideal body weight (72 kgs X 25 cals = 1800 calories/d), avoiding alcohol completely and exercising for at least 1 hour a day. These changes will help in reducing body weight. Plus there are devices like CPAP, which can be used to prevent sleep apnea. But taking specific medication, controlling blood glucose, following dietary restrictions, adapting changed lifestyle and regular exercise is the only way to overcome the present situation. If he is unwilling to follow these necessary adaptations then it is difficult. Thanks,Dr. Prabhakar Laxman Jathar <end>

How to treat obesity and sleep apnea in a diabetic patient? Respected Doctor.My husband is 50 years ,5.8 hight and 80 kg weight. having type 2 diabetes and obesity ,sleep apnea.he don t do physical activity ,no diet control.He is taking azulix 1 tablets daily 2 for 10 days in a month.remaining 20 days he doesn t take any care..will he out of danger?

Suggest treatment for insomnia while having hyperglycemia

Hi, type II diabetic here. Glucose numbers high today (+200). Is it okay to take an extra dose of Humulin 70/30 KWIKPEN mix to knock it down? I feel fine with no indications that usually accompany high readings and this is a recent anomaly connected with my current battle with insomnia. I get up when I can't sleep and usually get something to eat. I was still awake this mornng around 4AM and had something to eat.

<start> Hello, It is not advisable to take an additional dose of Insulin just to reduce sudden occasional surge of blood glucose. Because post the injection, there is a possibility of developing fairly severe hypoglycemia. Best method is avoid extra eating episodes. For insomnia, if it is persistent then there are specific sleep inducing medications which can be taken occasionally. To control blood glucose apart from taking Insulin, strict dietary control and regular exercise of over 1 hour a day is a must. If there is good amount of physical exercise, then one may get good sleep 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 insomnia while having hyperglycemia Hi, type II diabetic here. Glucose numbers high today (+200). Is it okay to take an extra dose of Humulin 70/30 KWIKPEN mix to knock it down? I feel fine with no indications that usually accompany high readings and this is a recent anomaly connected with my current battle with insomnia. I get up when I can't sleep and usually get something to eat. I was still awake this mornng around 4AM and had something to eat.

Can Levaquin cause peripheral neuropathy?

I was recently diagnosed with peripheral neuropathy. They have not been able to figured out why I would have this. I am not a diabetic. Sugar levels have always been good. I was reading about the drug Levaquin that can cause this problem. I went back in my records and found I have had this drug at least 4 times in the last several years. Do you think that could be the cause?

<start> Hi,Levofloxacin (Levaquin) a fluoroquinolone, has a strong anti bacterial property. It is used to treat various bacterial infections (susceptible to it). However, it is unlikely to be the cause for precipitating the peripheral neuropathy. Other than diabetes, nerve trauma, alcohol and toxins and autoimmune conditions can cause this condition. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar <end>

Can Levaquin cause peripheral neuropathy? I was recently diagnosed with peripheral neuropathy. They have not been able to figured out why I would have this. I am not a diabetic. Sugar levels have always been good. I was reading about the drug Levaquin that can cause this problem. I went back in my records and found I have had this drug at least 4 times in the last several years. Do you think that could be the cause?

Suggest treatment for fluctuating blood sugar levels while treating acute myeloid leukemia

My father s age is 69. He is a diabetic patient for the past 30 years and has been only using oral medications. Recently he has been diagnosed with AML and undergoing chemotherapy treatment. His counts are fluctuating and his sugar levels are unpredictable and has to take insulin. Please help.

<start> Hello, If a diabetic patient is on chemotherapy, those drugs are likely to affect blood glucose levels. Controlling blood glucose becomes much difficult. Proper titration of insulin dosage and repeated checking of glucose levels at home is absolutely essential. Also, one may have to use more than one type of insulin like a long acting newer insulin (glargine or degludec) and a rapid acting one to control post meal surge of glucose. If corticosteroids are used in the treatment they also do affect, so you have to manage with extra care. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Prabhakar Laxman Jathar <end>

Suggest treatment for fluctuating blood sugar levels while treating acute myeloid leukemia My father s age is 69. He is a diabetic patient for the past 30 years and has been only using oral medications. Recently he has been diagnosed with AML and undergoing chemotherapy treatment. His counts are fluctuating and his sugar levels are unpredictable and has to take insulin. Please help.

What causes intermittent increase in blood sugar and BP levels with nausea?

good morning so my mom is a 58 year old black female, she has had a double bypass, COPD, Diabeties, and a hx of blood clotsShe has am mystery diagnose no one knows what it is. her blood sugar increase, her B/P gets extreamly high, she gets confused and she feels as if she have to vomit. please help

<start> Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If I understood your right, you said your mom's blood pressure and sugar raises on and off and during that episodes she feels like vomiting. If that's your question, please provide answers to the following questions?1) How frequently does this happen? I mean daily? weekly? 2) Are those episodes associated with head ache, palpitations (heating of one's own heart beat) sweating or breathing difficulty?3) What medications she is on for her COPD? any steroids?4) Are these episodes usually associated with panic or fear?Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Samuel <end>

What causes intermittent increase in blood sugar and BP levels with nausea? good morning so my mom is a 58 year old black female, she has had a double bypass, COPD, Diabeties, and a hx of blood clotsShe has am mystery diagnose no one knows what it is. her blood sugar increase, her B/P gets extreamly high, she gets confused and she feels as if she have to vomit. please help

What causes light-headedness, dizziness, body tremors and blocked nose in a diabetic?

Feeling lightheadedness, also dizziness, body shaking, and dry nose blockage. Sometimes just cannot breathe, also last 2 and 1/2 months, lost 4.5 kg. Suffering diabetes, taking Ameryl 1 mg , suffering from hyper tension, taking Telma 20 , feeling that it is something to do with brain. Please help

<start> Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms mentioned can occur when BP is too high, or there may be very low sugar (hypoglycemia). Since there is no mention about any BP readings or blood glucose levels (fasting, PP and HbA1c%), it is really difficult to comment.Weight loss is seen in uncontrolled hyperglycemia as a lot of glucose is lost through urine. Ideally a person with controlled diabetes should have Fasting glucose closer to 100 mg, PP 150 to 160 mg & HbA1c%Then one feels absolutely healthy and all the long term complications of diabetes can be either postponed or prevented. Similarly BP should be 120 -130/ 70 to 80 mm Hg. when on proper treatment. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Prabhakar Laxman Jathar <end>

What causes light-headedness, dizziness, body tremors and blocked nose in a diabetic? Feeling lightheadedness, also dizziness, body shaking, and dry nose blockage. Sometimes just cannot breathe, also last 2 and 1/2 months, lost 4.5 kg. Suffering diabetes, taking Ameryl 1 mg , suffering from hyper tension, taking Telma 20 , feeling that it is something to do with brain. Please help

Suggest treatment for severe chills in a diabetic

My husband is experiencing chills since yesterday. He is taking high blood pressure medication and insulin for his diabetes..he hasn't had a fever at all. What could this be? I will tell you he had one beer yesterday, which I recommend that he don't drink any...but I am the wife and most time married men won't listen to wives, they will listen to someone else...thanks

<start> Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since he has high blood pressure and diabetes it is possible that unexplained symptoms can occur sometimes. Usually chills occur before body temperature goes up (fever), later they subside. There is no mention about his BP reading or even blood glucose levels, so difficult to make any comment. Sometimes if blood glucose level goes below 60 mg or even lower, a number of symptoms do occur including a feeling chill. Plus alcohol which gives empty calories does affect hypoglycemia awareness. It is better to check his blood glucose when he has such a feeling. If glucose is low, then by giving some gluco tabs, he should feel better. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Prabhakar Laxman Jathar <end>

Suggest treatment for severe chills in a diabetic My husband is experiencing chills since yesterday. He is taking high blood pressure medication and insulin for his diabetes..he hasn't had a fever at all. What could this be? I will tell you he had one beer yesterday, which I recommend that he don't drink any...but I am the wife and most time married men won't listen to wives, they will listen to someone else...thanks

Suggest ways to control diabetes

Dear DrI am Aloke Debnath, 45 years old suffering Type 2 diabetic last 10 years. Every morning I walking 45 minutes and 20 minutes free hand exercise, I am taking Gemer-1 tablet before breakfast . Now a days my Fasting Sugar shows high vary from 116 to 140. My PP is vary from 125 to 148 last 4 to 5 years. I am also suffering from Non Alcoholic Fatty Liver. No medicine taken for this. My last tested (15days ago) HbA1c 7.3 and SGOT is 34 & SGPT 46. Why my fasting is high ? Please suggest how to control my fasting sugar. ThanksAloke Debnath

<start> Hello Mr. Alok.Your lifestyle habits seems to be good as you exercise for a good amount of time everyday. I hope your dietary habits are also good.Coming to the management of your sugars, your HbA1c is more than what I would like it to be, less than 7 is desirable. Your fasting and postprandial values hence seem to be consistently on the higher side as evidenced by your HbA1c. I would suggest a few options which can be considered at this point of time -1. Improvement in dietary habits - intake of foodstuffs devoid of simple carbohydrates, low in fats and reducing the total calories to about 1200-1500kcal/ day (according to your weight). A dietitian should be consulted for the optimum diet.2. If everything is right with the diet, we may consider increasing the dosage of your medications. As time goes by, the body starts becoming more and more resistant to insulin and hence requirement of medications goes up Inspite of all other measures. You have done well so far with the medication you are on. At this point of time your diabetologist may consider increasing the dosage of your medication to either twice a day or increasing the dose of glimeperide to 2mg. Kindly follow up with your diabetologist for the same.Hope this helps.Regards,Dr Geeta <end>

Suggest ways to control diabetes Dear DrI am Aloke Debnath, 45 years old suffering Type 2 diabetic last 10 years. Every morning I walking 45 minutes and 20 minutes free hand exercise, I am taking Gemer-1 tablet before breakfast . Now a days my Fasting Sugar shows high vary from 116 to 140. My PP is vary from 125 to 148 last 4 to 5 years. I am also suffering from Non Alcoholic Fatty Liver. No medicine taken for this. My last tested (15days ago) HbA1c 7.3 and SGOT is 34 & SGPT 46. Why my fasting is high ? Please suggest how to control my fasting sugar. ThanksAloke Debnath

Suggest remedy to lower blood sugar level

Hi. I am a type 2 diabetic and have been prescribed Janumet. At first I experienced, nausea and diahrea for the first few days. I just took my blood sugar before eating dinner and it was 364. It has never been that high before! I am very sleepy, I have dry mouth and excessive thirst. What can I do to lower my blood sugars?

<start> HiYou need to get medical evaluation right now since you may be going into diabetic ketoacidosisAt this point you may need insulin injections to lower your blood sugar <end>

Suggest remedy to lower blood sugar level Hi. I am a type 2 diabetic and have been prescribed Janumet. At first I experienced, nausea and diahrea for the first few days. I just took my blood sugar before eating dinner and it was 364. It has never been that high before! I am very sleepy, I have dry mouth and excessive thirst. What can I do to lower my blood sugars?

What causes tingling in forearms, cramps in hands and fluctuating BP levels?

took my wife into hosp er on advice of her primary....neusea, weak, fatigued, forearms tingling and hands/fingers drawing up. Recently lost left kidney from stent occlusion (stant was full length of renal artery aneurism). She has a history of blacking out with extremely high blood pressure which helped us discover her severe osteoporosis. Had nuclear renal survey done to ensure remaining kidney flowing well in Dec. So not an issue. Drs decided to err on side of caution and admit for tests and observation two days ago. extremely high blood pressure for 2-3 days prior in 160s and 170s over 120. In hospital last night she blacked out and collapsed in patient restroom in her room. BP was high just before that incident although still high was descending on their bp meds. bp after her blackout was 58 over 40 and has been low for past 12 hrs but rising. Fam Hist her father and uncle had bp that alternated high for few days and then low. Years ago dr had me log in and fax daily bp readings at her bedside and for days it would be high then suddenly be low for a few more days so she also has a history of erratic bp readings as well as family history of it. She is 57. I m more worried I guess about the tingling in forearms, drawing up/cramping sometimes to the extend she can t move little fingers especially left side and the high bp....she hasn t had those symptoms since the sudden tanking of her bp to very low? Sounds confusing doesn t it. I am a PHD and former career intel spec and have made a career out of deductive reasoning and my PHD was on crisis decision making biological and social intuitive/deliberative crisis decisions. I m trying to connect the dots. Can you help. I think they ve given up on her and basically will just release her with cautionary advice. vr Dr. Jim Gschwind, PHD

<start> fingers drawing up may be due to hypocalcemia, tingling may be due to peeipheral neuropathy or may be due to hypocalcemia ( low serum calcium leve!s.fluctuating BP please rule out adrenal causes( pheochromocytoma)please check urine for catecholamines and metanephrines.she needs cardiac evaluation also. <end>

What causes tingling in forearms, cramps in hands and fluctuating BP levels? took my wife into hosp er on advice of her primary....neusea, weak, fatigued, forearms tingling and hands/fingers drawing up. Recently lost left kidney from stent occlusion (stant was full length of renal artery aneurism). She has a history of blacking out with extremely high blood pressure which helped us discover her severe osteoporosis. Had nuclear renal survey done to ensure remaining kidney flowing well in Dec. So not an issue. Drs decided to err on side of caution and admit for tests and observation two days ago. extremely high blood pressure for 2-3 days prior in 160s and 170s over 120. In hospital last night she blacked out and collapsed in patient restroom in her room. BP was high just before that incident although still high was descending on their bp meds. bp after her blackout was 58 over 40 and has been low for past 12 hrs but rising. Fam Hist her father and uncle had bp that alternated high for few days and then low. Years ago dr had me log in and fax daily bp readings at her bedside and for days it would be high then suddenly be low for a few more days so she also has a history of erratic bp readings as well as family history of it. She is 57. I m more worried I guess about the tingling in forearms, drawing up/cramping sometimes to the extend she can t move little fingers especially left side and the high bp....she hasn t had those symptoms since the sudden tanking of her bp to very low? Sounds confusing doesn t it. I am a PHD and former career intel spec and have made a career out of deductive reasoning and my PHD was on crisis decision making biological and social intuitive/deliberative crisis decisions. I m trying to connect the dots. Can you help. I think they ve given up on her and basically will just release her with cautionary advice. vr Dr. Jim Gschwind, PHD

What causes fluctuating BP levels while on Nicardia Retard?

pls wait, i am writing my question as under I am 70 yrs old Female, suffering with High BP problem for long time. Now a days the BP is 180/78 or near by all he time. I am taking following medicines. 1.Nikardia retard- 10 mg ; m/ev. 2.cilny-20 , night 3.tide-10 ; morning with hese I am also tking following 1. ivabrad- 5 mg- 11 am. 2.ecosprine AV- night 3. renozex- 3 pm 4. novastat TG-10-evening as and when nikardia retard is taken, BP comes down upto-155/70, after some time it goes upto 185/75 app. please advice . thanking you. e-mail- YYYY@YYYY .

<start> Thank you for your query. Based on your query, I gather that you are a hypertensive and have cardiac disease. You are also on medications to lower your cholesterol. Hypertension, heart disease, and high cholesterol levels need to be regularly monitored and medications/dosages adjusted to bring in tight control. Your are currently on medications to reduce blood pressure, cholesterol lowering agents and anti angina medications (for the heart). Your blood pressure seems to be poorly controlled on the current regimen. I recommend you see your physician to change the regimen and see what suits you best. It will take a couple of months to settle on to a suitable treatment plan and needs to be monitored at regular intervals. Nicardia reduces the blood pressure and is dose dependent. You see a fall in pressure for as long as the effect lasts and then it goes up again. Resistance to medications (when your body doesn't respond, as expected, to the medicine when taken for a period of time) also gives rise to poor efficiency. Fluctuations or high blood pressure can lead to stroke, heart failure. If you experience any breathing difficulty, chest pain, giddiness, slurred speech, muscle weakness or numbness, unusual forgetfulness, please visit the ER right away. Ideally your blood pressure should be between 120-140 (systolic) and 75-85(diastolic), heart rate between 60-70 beats per minute. Hope I've convinced you on the importance of seeing your physician as soon as you canHope this helps.. Wish you good health. Please feel free to contact us if you need further clarification <end>

What causes fluctuating BP levels while on Nicardia Retard? pls wait, i am writing my question as under I am 70 yrs old Female, suffering with High BP problem for long time. Now a days the BP is 180/78 or near by all he time. I am taking following medicines. 1.Nikardia retard- 10 mg ; m/ev. 2.cilny-20 , night 3.tide-10 ; morning with hese I am also tking following 1. ivabrad- 5 mg- 11 am. 2.ecosprine AV- night 3. renozex- 3 pm 4. novastat TG-10-evening as and when nikardia retard is taken, BP comes down upto-155/70, after some time it goes upto 185/75 app. please advice . thanking you. e-mail- YYYY@YYYY .

What causes elevated high blood pressure levels post recovery from leg amputation?

I am a52 year old male with a history of NO heart issues, but I have endured a Synovial Sarcoma, which did result in the amputation of my right leg, above the knee. In the past 3 months I have experienced uncharacteristicly high blood pressure. What other symptoms should I be on the lookout for?

<start> Sorry to know about your loss. High BP in your case may be caused by anxiety, emotional trauma, lack of good sleep or excessive smoking. Sarcoma usually does not cause high BP. Check whether you have1. Kidney disease-do urea/creatinine, renal ultrasound2. Diabetes- Fasting blood sugar3. Thyroid disorder- FT4/TSH4. Dyslipidemia- Fasting lipid profile5. Heart problem- ECG and 2D Echocardiographyare you satisfied? Hope you are...Thanks <end>

What causes elevated high blood pressure levels post recovery from leg amputation? I am a52 year old male with a history of NO heart issues, but I have endured a Synovial Sarcoma, which did result in the amputation of my right leg, above the knee. In the past 3 months I have experienced uncharacteristicly high blood pressure. What other symptoms should I be on the lookout for?

Does persistent intake of Losartan result in fluctuating BP?

Hi I was diagnosed with high BP about 6 months ago,and just started taking my meds again 2 weeks ago,I am currently on Losaratan 50mg and I don t think they are working,I am consistently feeling dizzy and out of it,I took another 25mg,but I still get the same,my blood pressure right before I am going to sleep is 133/84,I just want to figure out what s going on with me or if this is normal,please help,I just want to feel better.

<start> the losartan you started taking is a safe drug. but as you started taking it too late after prescribing.as you increased the dose from 50mg to 75 mg on your own assuming BP as increased is not advisable. SINCE YOU STARTED IT SICE 2 WEEKS YOU NEED TO WAIT FOR THE REDUCTION IN BP..AND YOU NEED TO DECREASE TH SALT CONTENT IN YOUR FOOD AND DO EXERCISE FOR 45 MIN DAILY.COME BACK TO 50 MG AND RECHECK THE BP AFTER 2 WEEKS . <end>

Does persistent intake of Losartan result in fluctuating BP? Hi I was diagnosed with high BP about 6 months ago,and just started taking my meds again 2 weeks ago,I am currently on Losaratan 50mg and I don t think they are working,I am consistently feeling dizzy and out of it,I took another 25mg,but I still get the same,my blood pressure right before I am going to sleep is 133/84,I just want to figure out what s going on with me or if this is normal,please help,I just want to feel better.

Does low blood sugar level result in burning sensation in hand and feet?

I am a 48 year old female. I have burning sensation in my hands and feet. Over 1 year ago, my a1c was 5.8 with a fasting glucose reading of 90. I eat healthy, some sweets and exercise 5-6x a week. I have very little body fat. Also, it s very cold where I live. Any thoughts?

<start> no. low blood sugar do not cause burning sensation in foot or hands.but high blood sugar causes.in your case i think there is diabetic neuropathy.i advise you to take pregablin,methylcobalminand folic acid combination capsules daily once at night.ex-- pregator,renerveplus etc. <end>

Does low blood sugar level result in burning sensation in hand and feet? I am a 48 year old female. I have burning sensation in my hands and feet. Over 1 year ago, my a1c was 5.8 with a fasting glucose reading of 90. I eat healthy, some sweets and exercise 5-6x a week. I have very little body fat. Also, it s very cold where I live. Any thoughts?

Is severe depression and rapid weight gain a sign of high BP?

My face has been getting really hot at times lately...probably 3 times this week. I know I am depressed. I feel like my heart is racing...almost like i ve had too much caffeine...I have also gained more weight lately and am wondering if I may have high blood pressure. I was borderline about a year ago.

<start> HiThanks for writing to HCMsuggest to get the BP checked from a doctor and lipid profile and share the lab results to comment furtherwish you good healthRegardsDr Sridhar K <end>

Is severe depression and rapid weight gain a sign of high BP? My face has been getting really hot at times lately...probably 3 times this week. I know I am depressed. I feel like my heart is racing...almost like i ve had too much caffeine...I have also gained more weight lately and am wondering if I may have high blood pressure. I was borderline about a year ago.

What causes pain in legs and above the knees when diagnosed with diabetes?

I am type 1 diabetes mellitus age 61 , for 4 years , on insulin pump , since August 2015. I have been a runner all my life. I run marathon s . Not excessive training , for pleasure now. Problem is that I sometimes now experiencing top of leg pain, about 4inches above the knee upwards, no previous injury . YYYY@YYYY .

<start> HiThanks for writing to HCMGenerally the common cause of neural pain is neuropathy. If i were your treating doctor would have advised complete diabetic profile with nerve testingsuggest to share your lab results to comment furtherwish you good healthRegardsDr Sridhar K <end>

What causes pain in legs and above the knees when diagnosed with diabetes? I am type 1 diabetes mellitus age 61 , for 4 years , on insulin pump , since August 2015. I have been a runner all my life. I run marathon s . Not excessive training , for pleasure now. Problem is that I sometimes now experiencing top of leg pain, about 4inches above the knee upwards, no previous injury . YYYY@YYYY .

Suggest treatment for fluctuating blood sugar levels while on Diapride-M1

my mother taking Diapride M1. 73 yr old. Her blood sugar levels have been under control however lately they have been fluctuating. fasting was 114 and PP went upto 257 lately. Please advice if medicine needs to be adjusted. Is there any risk immediately since she is overseas at the moment and travelling back to India in a weeks time. Can seeing a doctor wait.

<start> Hithanks for writing to HCMthe fasting sugar levels are ok, however the PP is on higher sideIf i was her treating doctor would have advised her to get the HBA1c test done and adjusted her meal planssince you are telling that she is going to travel back to India, suggest to see a diabetologist Wish her a good healthRegardsDr Sridhar K <end>

Suggest treatment for fluctuating blood sugar levels while on Diapride-M1 my mother taking Diapride M1. 73 yr old. Her blood sugar levels have been under control however lately they have been fluctuating. fasting was 114 and PP went upto 257 lately. Please advice if medicine needs to be adjusted. Is there any risk immediately since she is overseas at the moment and travelling back to India in a weeks time. Can seeing a doctor wait.

Is blood sugar level of 446 a cause for concern?

Hi ..I recently found out I have Diabetes. I was perscribed 2 medications..& the 1 touch Verio Blood tester. My question is Should I go to the Hospital..if I get a much Higher than normal reading than ever before. My average reading was in the 200's and 300's. My last reading today was 446..what should I do. ?

<start> Hi,This is Dr. NiroopI am Sorry About your Problem.as you are diagnosed with Type 2 DM, this is sure that your pancreas are working. we cant say 100% but to a certain extent, its better.if you are diagnosed this for the first time, your medication is going to be Tab. METFORMIN 500mg.take this tab twice daily half an hour before meal. and acutely you no need to worry about your high blood sugar levels.But in along run you may face problems with other organs and all.so take care and monitor your sugar levels and maintain below 120mg/dl.Happy Recovery :) <end>

Is blood sugar level of 446 a cause for concern? Hi ..I recently found out I have Diabetes. I was perscribed 2 medications..& the 1 touch Verio Blood tester. My question is Should I go to the Hospital..if I get a much Higher than normal reading than ever before. My average reading was in the 200's and 300's. My last reading today was 446..what should I do. ?

What causes tingling sensation in body and excessive hunger in a diabetic?

hi these symptoms are my husbands he is a diabetic when he woke me last night his reading was11.8 he als said he felt that he was going to pass out, had full body tingling and felt hungry. the diabetis is not monotered well and diet is not followed, he also drinks a fair amount ( in my opinion to much and drinks almost every day) He has a stint in his heart. swelling in legs espesially right. he slept most of today

<start> Hello and welcome. Despite the reading of 11.8, it sounds like your husband was experiencing the symptoms of low blood sugar. This happens when your blood sugar drops rapidly from a high value to a lower value and it is the drop the causes the symptoms that defy the definition of hypoglycemia. He should not be drinking alcohol at all. Easier said than done.If your husband was my patient, I would restrict all alcohol and refer to Alcoholic Annonymous if neccessary. I would put him on a nutritional plan for weight goals, suggest omega-3 fatty acids, suggest a B12 blood test, recommend a B-complex (alcohol depletes thiamin,b vitamins and B 12 is a B vitamin) supplement, discuss the importance of restricting sodium to under 2300 mg per day and encourage a vigourous walking program of 150 minutes per week to start with.The patient, though, needs to be ready for change. Clearly you are, the challenge is getting him ready to want to change his life and take charge of his health. Perhaps that is where you start. Good Luck. Kathryn Shattler, MS,RDN <end>

What causes tingling sensation in body and excessive hunger in a diabetic? hi these symptoms are my husbands he is a diabetic when he woke me last night his reading was11.8 he als said he felt that he was going to pass out, had full body tingling and felt hungry. the diabetis is not monotered well and diet is not followed, he also drinks a fair amount ( in my opinion to much and drinks almost every day) He has a stint in his heart. swelling in legs espesially right. he slept most of today

What causes diarrhea while on Istamet in a diabetic?

I am using Istamer 50 mg/500 mg and glimisave 4 for my diabetes treatment .while so I am having loose motions of 4 or5 per day .thinking for it is motions syndrome I used walbeta placid a plus .this has not improved the situation instead the sugar increased and the doctor now prescribe d Apriglim m4,sulisent 100mg januvia 100mg. I am mostly confused whether what is the. Correct course. Ian a female of 60 years age please suggest correct course of action Thank you sir

<start> Stool Sample analysis should be doneTake probioticsHigh doses of metformin some time cause increased frequency, Check it by omitting some days <end>

What causes diarrhea while on Istamet in a diabetic? I am using Istamer 50 mg/500 mg and glimisave 4 for my diabetes treatment .while so I am having loose motions of 4 or5 per day .thinking for it is motions syndrome I used walbeta placid a plus .this has not improved the situation instead the sugar increased and the doctor now prescribe d Apriglim m4,sulisent 100mg januvia 100mg. I am mostly confused whether what is the. Correct course. Ian a female of 60 years age please suggest correct course of action Thank you sir

Suggest remedy for breathing difficulty while treating fibromyalgia and diabetes

I have had a bad dose of flu and now have a chest infection. It s been 9 days since start of flu and I am having difficulty breathing, there is a loud rattle when I exhale, also if I lie on my left side it gets worse so I feel it is the left side of my chest, do I need to revisit the doctor? I have diabetes 2 and fibromyalgia so my immune system isn t strong but I never know when I am over worrying?

<start> Get X-ray chest PA , CBC , ESR ,SUGAR , S.ACETONEgood antibiotics coverderiphyline Nebulizationif not relieved visit Doctor <end>

Suggest remedy for breathing difficulty while treating fibromyalgia and diabetes I have had a bad dose of flu and now have a chest infection. It s been 9 days since start of flu and I am having difficulty breathing, there is a loud rattle when I exhale, also if I lie on my left side it gets worse so I feel it is the left side of my chest, do I need to revisit the doctor? I have diabetes 2 and fibromyalgia so my immune system isn t strong but I never know when I am over worrying?

What causes arm numbness in a diabetic?

I am a 36 year juvenile diabetic who has been diabetic for 25 years. I am in good health except my right arm falls asleep every night for the last year. Diabetic dr said it wasn t diabetes related because it would be in both arms. What else could it be?

<start> Hi...Welcome to HEALTHCARE MAGIC...I have gone through your query and can understand your concerns...Numbness in hands is an extremely common and bothersome symptom. It could result from pressure on nerves when your arm is crooked under your head as you fall asleep. Usually painless and soon relieved by removing the pressure that caused it. In many cases, however, numbness in the hands can be severe, episodic, or chronic. It also can accompany other symptoms, such as tingling, pain, itching and muscle wasting. In such cases, numbness may be a sign of nerve damage, which can result from traumatic injuries or repetitive stress injuries, bacterial or viral infections, toxic exposures, and systemic diseases such as diabetes. Such nerve damage is known as neuropathy it affects nerves distant from the brain and spinal cord, often in the hands and feet.Diabetes is one of the most common causes of peripheral neuropathy, accounting for about 30% of cases.If numbness is persistent in your hands it’s important to seek prompt medical evaluation. The earlier the underlying cause of your numbness is identified and brought under control, the less likely you are to suffer potentially lifelong consequences.Hope this information helps...Thanks & Regards,Dr.Shiwani <end>

What causes arm numbness in a diabetic? I am a 36 year juvenile diabetic who has been diabetic for 25 years. I am in good health except my right arm falls asleep every night for the last year. Diabetic dr said it wasn t diabetes related because it would be in both arms. What else could it be?

Suggest treatment for vaginal itching in a diabetic

Hi I am 47 years old and was recently diagnosis with type 2 diabetes and recently I noticed I have bad vaginal itching only in the evening. I went to my doctor several times and they said it might be the soaps but I have used the same soaps before it. Can you please tell me what can cause vaginal itching?

<start> Hello and welcome to HCMI have read your queryI hope this will helpDiabetic patients have decreased immunity to counter infections..Often in female diabetic patients vaginal itch secondary to infection is the only presenting symptom at time of diagnosis... You might be having VAGINAL CANDIDIASIS which is very common in female diabetic patients...I will advise you to visit a gynaecologist and have your vaginal swabs taken for examination.. And receive medications according to the results.. Meanwhile good diabetic control and local hygiene are necessary.. The response to treatment is excellent most of the times..ThanksDr faeza <end>

Suggest treatment for vaginal itching in a diabetic Hi I am 47 years old and was recently diagnosis with type 2 diabetes and recently I noticed I have bad vaginal itching only in the evening. I went to my doctor several times and they said it might be the soaps but I have used the same soaps before it. Can you please tell me what can cause vaginal itching?

Suggest treatment for type 2 diabetes

I was born with one functioning kidney. I found out about my type 2 diabetes 4 years ago. Otherwise, I'm very active; exercise and try to stick to what I should eat weekly. Can I take Mucinex-DM? I realize that having one functioning kidney, medications can affect me more than an individual with two kidneys.

<start> HIWell come to HCMI really appreciate your concern, if this is congenital condition of kidney so it is not related with the diabetes (Type 2) and it has to be treated with tight rule basis and for that you can have any antidiabetes drugs it is okay if you can take "Mucinex Dm" hope this information helps. <end>

Suggest treatment for type 2 diabetes I was born with one functioning kidney. I found out about my type 2 diabetes 4 years ago. Otherwise, I'm very active; exercise and try to stick to what I should eat weekly. Can I take Mucinex-DM? I realize that having one functioning kidney, medications can affect me more than an individual with two kidneys.

Can one conceive while treating PCOS and diabetics?

hai i am 29 years old, 4 years married, planing for baby.on 30.12.2015 i did IUI. i have many risk factor.... i am biconuvate uttres,PCOD,thyroid, negative blood group,and Diabites now only deducted.kindly give the answer how i have to protect my baby from these problemNow my sugar level is H1bac - 6.75Tsh - 2.25

<start> Hi diabetes should be treated with antidiabetic drug to avoid fetal side effect.Prophylactic propylthiouracil can be taken to avoid fetal thyroid problem.Your blood group is negative, so after pregnancy of first baby its rh grouping done if positive then during second pregnancy antiglobulin d given.diabetic and thyroid has to be treated to conceive. <end>

Can one conceive while treating PCOS and diabetics? hai i am 29 years old, 4 years married, planing for baby.on 30.12.2015 i did IUI. i have many risk factor.... i am biconuvate uttres,PCOD,thyroid, negative blood group,and Diabites now only deducted.kindly give the answer how i have to protect my baby from these problemNow my sugar level is H1bac - 6.75Tsh - 2.25

Suggest treatment to control blood sugar level

I am diabetic and taking insulin in following doses.Humologus 50:50 --- 20 / 20 / 14 units per day + Lanctus 8 units at bed time + Glycomet GP - 2 ( 1 --- 1) but my sugar is still high ( FBS - 198 & PP 394), HbA1c is 8.6. Please recommend medicine to control my sugar level.email : YYYY@YYYY

<start> hai,yes your sugar levels are very high, your taking medication but along with that your diet should be in control'you please avoid rice and take jawar are wheat ...please completely avoid sugar sweets .not more than 1fruit in one day. take frequent small meals with light food.still sugar not control meat doctor they will add acarbose combination <end>

Suggest treatment to control blood sugar level I am diabetic and taking insulin in following doses.Humologus 50:50 --- 20 / 20 / 14 units per day + Lanctus 8 units at bed time + Glycomet GP - 2 ( 1 --- 1) but my sugar is still high ( FBS - 198 & PP 394), HbA1c is 8.6. Please recommend medicine to control my sugar level.email : YYYY@YYYY

Suggest remedy for acid reflux in a diabetic

I have diabetes type 2 I am passing gas consistently, some days every 10 minutes, I go out for a walk and pass gas 2or 3 timesin 3 hundred yardsI am taking Sandoz metformin twice a day 500 mg the number on the is Rx 0000can you help me John Doyle

<start> take metformin after food.............................................................................................................................................................................................................................. <end>

Suggest remedy for acid reflux in a diabetic I have diabetes type 2 I am passing gas consistently, some days every 10 minutes, I go out for a walk and pass gas 2or 3 timesin 3 hundred yardsI am taking Sandoz metformin twice a day 500 mg the number on the is Rx 0000can you help me John Doyle

Suggest treatment for hypoglycemia

I have hypoglycemia and am border line diabetic. When I drink I don't drink a lot but I sick for the next two days not being able to keep anything down. Is it due to the bloods sugar or is two day hangovers normal? And is it something worth seeking medical attention ?

<start> 3 tsp of glucose ororange juiceor honeyor 3tsp of sugar with water is treatment not chocolates........................................................................................................................................................................................................................ <end>

Suggest treatment for hypoglycemia I have hypoglycemia and am border line diabetic. When I drink I don't drink a lot but I sick for the next two days not being able to keep anything down. Is it due to the bloods sugar or is two day hangovers normal? And is it something worth seeking medical attention ?

Suggest treatment for bruise on buttocks after an injury

I fell down some wooden stairs about 4 hours ago....I have a large lump the size of a Mellon on the upper part of my left buttock and it is badly bruised. Only the large swollen lump hurts. It is very hard, warm and even more painful if I touch it. It also sparks sharp pain from time to time. I have put ice on it and I took ibuprofen.....is there something else I can do for the pain? It is still very painful.....thank you

<start> Thank You for posting in HCM.I have due consideration for your problem.The lump as per your your description is most likely hematoma.It needs aspiration by a surgeon.No worries,it is a minor procedure done in a way your pain will get relieved immediately.I hope you are satisfied.Take careand rate this answer please. <end>

Suggest treatment for bruise on buttocks after an injury I fell down some wooden stairs about 4 hours ago....I have a large lump the size of a Mellon on the upper part of my left buttock and it is badly bruised. Only the large swollen lump hurts. It is very hard, warm and even more painful if I touch it. It also sparks sharp pain from time to time. I have put ice on it and I took ibuprofen.....is there something else I can do for the pain? It is still very painful.....thank you

What causes sleeplessness while on Norco in a diabetic?

I am a type II diabetic. Can taking Norco raise my blood sugar levels? I recently had severe cervical pain and took 3 5mg Norcos. I was wired and could not sleep all night and the next 24-36 hours felt nauseous and had a headache, both symptoms of high blood sugar. Ken

<start> no .............................................................................................................................................................................................................................. <end>

What causes sleeplessness while on Norco in a diabetic? I am a type II diabetic. Can taking Norco raise my blood sugar levels? I recently had severe cervical pain and took 3 5mg Norcos. I was wired and could not sleep all night and the next 24-36 hours felt nauseous and had a headache, both symptoms of high blood sugar. Ken

What causes liver swelling in a diabetic while on Amlodipine and Glynase-glycomet?

What is the underlying cause for liver swelling there is no ascities involved and patient is diabetic and hypertention taking medicine regularly he is non alcoholic blood report has shown eosinophilia blood sugar level is uncontrolled urine report shows ocult blood rbc protien bacteria etc lung is normal 2 d echo done systolic left ventricular function is normal and having slight left ventricular diastolic dysfunction and having mild pulmonary hypertention australian antigen and hcv is negative . patient is taking following medicine amlodipine 5mg rozat 10 valance 250 glynase glycomet sr benadon metacard xl. Patient has no pain and is well oriented and has pitted oedema of legs also patient was having brain haemarrage 2 yrs ago

<start> it is due to amlodipine see ur doctor or any better one :) .............................................................................................................................................................................................................................. <end>

What causes liver swelling in a diabetic while on Amlodipine and Glynase-glycomet? What is the underlying cause for liver swelling there is no ascities involved and patient is diabetic and hypertention taking medicine regularly he is non alcoholic blood report has shown eosinophilia blood sugar level is uncontrolled urine report shows ocult blood rbc protien bacteria etc lung is normal 2 d echo done systolic left ventricular function is normal and having slight left ventricular diastolic dysfunction and having mild pulmonary hypertention australian antigen and hcv is negative . patient is taking following medicine amlodipine 5mg rozat 10 valance 250 glynase glycomet sr benadon metacard xl. Patient has no pain and is well oriented and has pitted oedema of legs also patient was having brain haemarrage 2 yrs ago

What causes numbness in feet in a diabetic?

I have had diabetes for 20 years..the past year dependent on insulin but has always been controlled .My feet are now numb, I feel constantly sick ( and occasionally am), I have no appetite at all and am forcing myself to try and eat. I find balance and walking very hard. Dr says is all nerve damage endings and nothing they can do..not sure how this explains the sickness as well

<start> Hi, Thanks for your question. After going through your question, I can understand your concern. Most likely cause for your symptoms is Diabetic neuropathy. Nerve damage by diabetes. Though other causes need to be ruled out by detailed clinical examination. In such case I may suggest - - Complete Blood Count. - Liver function test. - Renal function test. - HbA1c. - Lipid Profile. - Vitamin B12. - Vitamin D3.- T3, T4, TSH. If there is doubt in diagnosis after clinical evaluation and above test results specialised tests like MRI brain or Spine, Nerve conduction study. In diabetic neuropathy treatment includes - - Good glycemic control. - Blood pressure and Lipid control. - Vitamin B12 supplement. - Drugs like Pregabalin, amitryptilin, Aldonil. Hope this helps you, if so do vote as helpful. <end>

What causes numbness in feet in a diabetic? I have had diabetes for 20 years..the past year dependent on insulin but has always been controlled .My feet are now numb, I feel constantly sick ( and occasionally am), I have no appetite at all and am forcing myself to try and eat. I find balance and walking very hard. Dr says is all nerve damage endings and nothing they can do..not sure how this explains the sickness as well

Suggest medication for a diabetic who is already on prescription medicines

Which diabetic drugs should not be prescribed for a person already on these prescription drugs and/or supplements: Tikosyn, Lasix, Metoprolol Tartrate, Amlodipine, Lisinopril, Lipitor, Coumadin, Omeprazole, Enteric coated ASA, Liquid fish oils, Magnesium Citrate, B12 Folate, multivitamins, Vitamin D3, Calcium, and stool softener.Thank you for your response.

<start> Hi,Thanks for your question.Noted your concern.Currently you are on multiple drugs for heart problem and clotting tendency.While deciding antidiabetic medicines for such person who is on these kind of medicines following additional factors need to be considered-- Age and gender of patient.- Height, Weight, BMI.- Kidney function status.- Liver Function status.- Heart function - Left Ventricular Ejection fraction.- Need to assess Risk of hypoglycemia vs hyperglycemia.Considering these fats probably insulin with frequent monitoring of blood sugar levels may be preferred along with short acting oral medicines relatives safe for heart and kidney and having lesser interaction with coumadin.Hope this helps you. If so do vote as helpful. <end>

Suggest medication for a diabetic who is already on prescription medicines Which diabetic drugs should not be prescribed for a person already on these prescription drugs and/or supplements: Tikosyn, Lasix, Metoprolol Tartrate, Amlodipine, Lisinopril, Lipitor, Coumadin, Omeprazole, Enteric coated ASA, Liquid fish oils, Magnesium Citrate, B12 Folate, multivitamins, Vitamin D3, Calcium, and stool softener.Thank you for your response.

What are the signs, symptoms and treatment for type 2 diabetes?

I want to know about more on type 2 diabetes my name is Rachel Wonderly from Fremont Ohio it would help me understand it better my doctor told but I want to learn more about it and how to get a dog and what kind of food that eat that would help long the way I am new at this I just found my back in June of this year thank u vote much I am a handicap person who wants to know

<start> Hello Rachel,Congratulation on wanting to understand the diabetic proces and wanting to learn how to take control of your health.When diabetes is first diagnosed, generally the doctor will refer the patient to a Dietitian for "survival" education and then a suggestion is made to attend diabetic classes. Depending on your insurance these may be paid for.Since you are in the U.S., the first place to start (aside from making an appointment with a dietitian) is the American Diabetic Association. There is so much to learn about when first diagnosed. The Diabetic Association has a great deal of information on its website.Your diet should be personalized to your likes/dislikes, current intake, medications and timing of meals and healthy food that will help you control your blood sugar.I can offer several options. Since you have a handicap you may be on Medicare and they will reimburse so many educational sessions with the dietitian with a doctor's order. I suggest you try that route first. The next option is to continue to pay up front and come here through the Specialist Portal and I can design a workable meal plan for you. Whichever way you go, these are the things needed to work out a meal plan for you:1. A current diet history of what you eat now and how much2. Your list of medications and supplements3. Any lab work, diagnosis and/or diet order4. Height,Age, Weight, Weight loss needed?For now, work on the general concepts of eliminating high glycemic foods/simple sugars; limit juice to 1/2 cup per day and emphasize fresh fruit, begin to slowly increase soluble fiber, increase fresh vegetables, cut down on cholesterol to 200 mg/day (diabetics absorb more cholesterol); choose lean cuts of meat. Despite your handicap, try to exercise 150 minutes per week ( arm exercises, whatever you can do safely to get your heart rate up and/or build muscle).Current literature is showing many people with diabetes have an undiagnosed B12 deficiency that may not be indicated by a CBC. It is something I recommend that you check on.You may google eatright.org as a non-member. Then search for Dietitians by zip code and you can find someone in your area. Many Dietitians accept Medicare and that is what you want to look for if that is your insurance provider.This gives you some things to think about. Kind Regards, Kathryn Shattler, MS,RDN <end>

What are the signs, symptoms and treatment for type 2 diabetes? I want to know about more on type 2 diabetes my name is Rachel Wonderly from Fremont Ohio it would help me understand it better my doctor told but I want to learn more about it and how to get a dog and what kind of food that eat that would help long the way I am new at this I just found my back in June of this year thank u vote much I am a handicap person who wants to know

What are the signs and symptoms of diabetes?

Hi, I have been experiencing vibrations in my chest that now go into my lower torso and legs. I ve been to my gp and she doesn t know what it can be. Could it be anything to do with being a pre-diabetic?? I m on the border right now. I ve googled it for many months and I have found others who are experiencing the same thing but they haven t found out why it s happening. I even went to see a cardiologist thinking ot was my heart but it wasn t.

<start> Hello...As you mentioned that you are prediabetic and having some vibration in chest and lower side. But you did not mention your age. Actually there are some risk factors like Age, obesity and Dyslipidemia for Prediabetic to become Diabetic. In your case, the symptoms are very non specific and does not explain any perticular cardiac risk. Although you are prediabetic so my advise wouuld be a proper check up for Cardiac issue. After ruling out tjis, it may be some gastric problem or some Neuropathies.Thank You <end>

What are the signs and symptoms of diabetes? Hi, I have been experiencing vibrations in my chest that now go into my lower torso and legs. I ve been to my gp and she doesn t know what it can be. Could it be anything to do with being a pre-diabetic?? I m on the border right now. I ve googled it for many months and I have found others who are experiencing the same thing but they haven t found out why it s happening. I even went to see a cardiologist thinking ot was my heart but it wasn t.

What are the signs and symptoms of diabetes?

My blood sugar was 523 last month. I took glycomet 500 one each three times daily before food. After one month the blood sugar is 210 in empty stomach. My doctor advised to take glycomet G P 1 . After 2 days, I got the earlier symptoms of thirsty and itching after urinationI am female. I have a little more cholostral ie. 0.5% more than the maximum level. Shall I stop glycomet G P 1 and renew glyconet 500 ? For reducing cholostrol, I am taking another tablet one in night. Advise me.

<start> Hello...As you said that your blood sugar fasting is 210 that is high and now you are taking Glycomet Gp1. This a good drug for your sugar level. And tjis also conatin Metformin with Glimeperide. Glimeperide does not increases the cholesterol level although it can cause some weight gain in few people. But this drug will help to get down your sugar level and it is safe drug. So my advise to continue your drug Glycomet Gp1. Thank You <end>

What are the signs and symptoms of diabetes? My blood sugar was 523 last month. I took glycomet 500 one each three times daily before food. After one month the blood sugar is 210 in empty stomach. My doctor advised to take glycomet G P 1 . After 2 days, I got the earlier symptoms of thirsty and itching after urinationI am female. I have a little more cholostral ie. 0.5% more than the maximum level. Shall I stop glycomet G P 1 and renew glyconet 500 ? For reducing cholostrol, I am taking another tablet one in night. Advise me.

What causes persistent cold feet in a diabetic?

For 3 years I have had cold feet summer and winter. I am diabetic for 3 years, back problem which has damaged my nerves in my legs. Recently my feet are warm to touch in the area of the front foot behind the toes and they are not cold. Is something better or worse?

<start> Hi,Thank you for your query. I can understand your concerns.Persistent cold feet in a diabetic could be due to peripheral arterial disease due to premature atherosclerosis and consequent narrowing of arterial lumen. In such case foot pulses will be weak.The ankle-brachial index (ABI) can be measured to detect the severity of peripheral arterial disease (PAD).Regards Dr. T.K. Biswas M.D.Mumbai <end>

What causes persistent cold feet in a diabetic? For 3 years I have had cold feet summer and winter. I am diabetic for 3 years, back problem which has damaged my nerves in my legs. Recently my feet are warm to touch in the area of the front foot behind the toes and they are not cold. Is something better or worse?

Suggest remedy for indigestion in a diabetic

55 year Diabetic diagnosted with slow digestion . Having trouble with a feeling of need to go to the bath room and rectum pressure --she says stool is normal some cramping --go away for a few weeks and comes back again. she is afraid to leave home to do anything . and afraid to eat anything --this is a problem ---it is possible she has internal hemrods ?? also had two c section 40 years ago and has had to deal with scare tissue before ????? she is getting very frustrated with this condition ---Joilet IL area

<start> Thank-you user for your query.I understand your concern.As per your query, indigestion is quite common in diabetics. You can start taking a tablet of vizibact twice daily along with pantoprazole. Internal hemorrhoids needs to be diagnosed by any surgeon as it requires proctoscopy. But internal hemorrhoids causes blood mixed stools too. In dietary habits you should avoid oily and spicy food. Add plenty of salads and water in your food as that contains roughage which clears your bowel. You have to start walking after dinner.Kindly consult your gastrophysician as he will be able to diagnose your condition by some serological tests as well as ultrasound too.Don't worry. <end>

Suggest remedy for indigestion in a diabetic 55 year Diabetic diagnosted with slow digestion . Having trouble with a feeling of need to go to the bath room and rectum pressure --she says stool is normal some cramping --go away for a few weeks and comes back again. she is afraid to leave home to do anything . and afraid to eat anything --this is a problem ---it is possible she has internal hemrods ?? also had two c section 40 years ago and has had to deal with scare tissue before ????? she is getting very frustrated with this condition ---Joilet IL area

What causes shoulder pain in a diabetic?

Hi, I am a diabetic with sugar under control (pre around 67-95) Post around 180. I am having severe pain in left shoulder. I work on a laptop for nearly 8-10 hours a day. I also sleep turning to left most of the time during the sleep. Can you suggest some medication.

<start> Hi, Thanks for your question. After going through your question, I can understand your concern. There is most likely possibility of frozen shoulder in your case. In frozen shoulder there is painful restriction of shoulder movements. It is most common in diabetics. It is due to changes in soft tissue around shoulder joint due to Diabetes. You should consult your doctor for detailed clinical examination. There may be need for X-ray or Ultrasonography of shoulder. Treatment is painkillers with gradual exercise under supervision. Avoid pain killer like diclofenac, aceclofenac for longer duration in diabetes due to risk of kidney injury. Hope this helps you, if so do vote as helpful. Regards, Dr Abhay Mali. Diabetologist. <end>

What causes shoulder pain in a diabetic? Hi, I am a diabetic with sugar under control (pre around 67-95) Post around 180. I am having severe pain in left shoulder. I work on a laptop for nearly 8-10 hours a day. I also sleep turning to left most of the time during the sleep. Can you suggest some medication.

Could very high blood sugar cause diabetic coma?

I have type 1 diabetes. in school i was drinking a lot of water and urinating a lot, my stomach also hurt a little so i checked my blood sugar level and it was 567. in the past weak, my blood sugar has been high a lot, from 200-400 however i never reached 500. I want to know how dangerous this is and if it could lead to a diabetic coma?

<start> Hi, Thanks for your question. After going through your question, I can understand your concern. You should go to ER immediately. There is a need for immediate detailed clinical examination and basic investigation like blood sugar level and urine ketones. Depending upon it further evaluation and treatment can be planned. As you have Type 1 diabetes your are prone to develop diabetes ketoacidosis with mentioned high blood glucose levels. Diabetes ketoacidosis is due to insulin deficiency. It is one of dangerous acute complication of Type 1 diabetes. Yes, it can lead to coma also. It's treatment is hydration and intravenous insulin which requires hospitalization. Hope this helps you. Please do vote as helpful. Regards,Dr Abhay Mali. Diabetologist. <end>

Could very high blood sugar cause diabetic coma? I have type 1 diabetes. in school i was drinking a lot of water and urinating a lot, my stomach also hurt a little so i checked my blood sugar level and it was 567. in the past weak, my blood sugar has been high a lot, from 200-400 however i never reached 500. I want to know how dangerous this is and if it could lead to a diabetic coma?

Suggest remedy for hypomenorrhea in a diabetic

I will be 46 next month. I am also a diabetic on pills twice a day. My recent mentrual cycle has been really spoty in the 1st few days and the flow was light and sometimes not at all for a entire day. It has stopped and started twice within 7 days and had lots of clots in it then it would stop.

<start> Hi Thank you for the query.I would like to inform you that the information provided by you is in complete on the basis of this I cant surely clear your query.You need to provide some more information whether you are on any other drug ,since how many years you have diabetes, how frequently you got this kind of episode? Also any investigations done . Kindly provide some more information so that i can help you .Regards. <end>

Suggest remedy for hypomenorrhea in a diabetic I will be 46 next month. I am also a diabetic on pills twice a day. My recent mentrual cycle has been really spoty in the 1st few days and the flow was light and sometimes not at all for a entire day. It has stopped and started twice within 7 days and had lots of clots in it then it would stop.

Suggest remedy for ear pain in a diabetic

I ve had severe ear pain that started yesterday, today I can t seem to catch my breath and I am having pain under my right breast. Pain is worse if I move or try to get a deep breath. I have used my proair inhaler and some ear drops with no relief. Temp is 100.8under toung.. I have asthma and I m a brittle diabetic glucose is 212 .my question is what is wrong with me.?

<start> HI, thanks for using healthcare magicEar pain can be due to an infection in the ear , this would cause a fever and can be associated with chest infections as well.Infection would cause the blood sugar to increase.Pain in the chest on movement and taking a deep breath may be due to muscle injury, pleuritis (inflammation of the lining around the lung), costochondritis.It would be best to see your doctor to be treated.I hope this helps <end>

Suggest remedy for ear pain in a diabetic I ve had severe ear pain that started yesterday, today I can t seem to catch my breath and I am having pain under my right breast. Pain is worse if I move or try to get a deep breath. I have used my proair inhaler and some ear drops with no relief. Temp is 100.8under toung.. I have asthma and I m a brittle diabetic glucose is 212 .my question is what is wrong with me.?

Suggest remedy to reduce fasting sugar level in blood

Hello, I was diagnosed diabetic just over a year ago. After losing 50 lbs and a strict diet my a1c has been 5.7 and 5.8 the last two times it was checked. What baffles me is that I cannot get my fasting level below 120. Why would my a1c be good, but never my fasting level. Just curious.

<start> HI, thanks for using healthcare magicHbA1c is a reflection of blood values throughout the day.It is possible that your post prandial readings or other premeal readings are within normal range will the fasting is still higher than you would like.The HbA1c shows good diabetic control (for a person with a history of diabetes) but it is not completely within normal range (eg non diabetics would have value less than 5.6)The fasting reading is also in this prediabetic range.I hope this helps <end>

Suggest remedy to reduce fasting sugar level in blood Hello, I was diagnosed diabetic just over a year ago. After losing 50 lbs and a strict diet my a1c has been 5.7 and 5.8 the last two times it was checked. What baffles me is that I cannot get my fasting level below 120. Why would my a1c be good, but never my fasting level. Just curious.

Suggest remedy for persistent leg cramps in a diabetic

I am experiencing leg cramps at night ( severe) This only happens at night about 4 times a week. It begins in the shin area. I had ALL ( Lekemia) 5 years ago with chemo at MD Anderson in Houston, TX. I am in remission. I am also a diabetic on insulin. I do take blood pressure if this could be the cause. Is this serious. What type of specialist should I see.

<start> Thank-you user for your query.I understand your concern.As per your query all I want to suggest is that diabetics may develop leg cramps as in diabetes there happens weakness of muscles mostly in legs and forearms.For this you can start taking methylcobalamin 1500 mcg daily and it should be continued for at least 15 days continuously. You should also start taking calcium in form of tablets daily and vitD3 60,000 IU once weekly. Kindly mention how much units of insulin you are taking.So far as your chemotherapy is concerned 5 years ago, well it may also cause pain in legs as chemotherapy reduces the potassium in body thereby causing leg cramps. For this I should have asked you to consume banana but since you are a diabetic so I can't ask that. Start having high protein diet in form of soyabeans, you may also consume fenugreek seeds as well.If at all pain worsens then tablet of diclofenac potassium can do your work.But you may consult any endocrinologist for your diabetes and any hematologist to check for your All too.god bless <end>

Suggest remedy for persistent leg cramps in a diabetic I am experiencing leg cramps at night ( severe) This only happens at night about 4 times a week. It begins in the shin area. I had ALL ( Lekemia) 5 years ago with chemo at MD Anderson in Houston, TX. I am in remission. I am also a diabetic on insulin. I do take blood pressure if this could be the cause. Is this serious. What type of specialist should I see.

Suggest treatment for neck pain in a diabetic

My mother is 89 years old. She has high blood pressure, but control with medication. For the past few days she s been feeling pain on the left side neck vein. She holds the neck sometimes and tell us is relief. Please help! I want to take her to the doctor soon as possible. She never wants to go to the doctor. Please tell me what you think this is. Thank you!

<start> Thank-you user for your query.I understand your concern.In your case one cause of neck pain towards left side may be due to hypertension.But as per your history its clear that it's controlled with drugs.Start giving her calcium as her age is such that osteoporosis happens more likely.Kindly ask if she is having pain radiation in her left arm also or is it localized to neck area only. This may be cervical spondylitis also and for this you may get an X-ray done but kindly get this condition ruled out by any orthopaedician. Get an Ecg and 2D echi done under supervision of any cardiologist.For pain you can give her ibugesic and neurobion forte also.She will be all right soon.god bless <end>

Suggest treatment for neck pain in a diabetic My mother is 89 years old. She has high blood pressure, but control with medication. For the past few days she s been feeling pain on the left side neck vein. She holds the neck sometimes and tell us is relief. Please help! I want to take her to the doctor soon as possible. She never wants to go to the doctor. Please tell me what you think this is. Thank you!

What causes foot swelling and knee pain in a diabetic?

good morning sir ,my seself CM rana from cuttak odisha,my mother is suffering from dibetic from last4 year her weight about 89 kg age 62 year, she a psyciatic patient,and thyroid problem,she take medicine for thiroid, gilitar forte for dibetic medicine regularly but the problem was she feel foot swelling ,burn in foot and pain in knee ,difficult to walk, and dibetic was 150 /230mg.after take medicine she cant feel better , please

<start> Hi, Thanks for your question. Noted your concern. There might be following possibilities for Foot swelling in your mother's case - - Drug induced - antihypertensive like amlodepin, antidiabetic like pioglitazone. - Diabetic foot due to diabetic nephropathy, vasculopathy or infection. - Heart failure. - Kidney or Liver disease. - Knee joint osteoarthritis. - Thyroid derangement. She needs detailed clinical examination depending upon it further evaluation and treatment can be planned. In such condition I may advice - - Complete Blood Count. - T3, T4, TSH. - Renal function test. - Liver function test. - Urine examination including urine proteins. - Ultrasonography of abdomen and pelvis. - ECG and 2DEcho of heart. - Vitamin B12 & D3.- If required Lower limb doppler. - X-ray of knee joint. Depending upon above test results she may require - Hospitalization. - Insulin treatment for better blood glucose control. - Blood pressure control depending upon baseline value. Hope this helps her, if so do vote as helpful. <end>

What causes foot swelling and knee pain in a diabetic? good morning sir ,my seself CM rana from cuttak odisha,my mother is suffering from dibetic from last4 year her weight about 89 kg age 62 year, she a psyciatic patient,and thyroid problem,she take medicine for thiroid, gilitar forte for dibetic medicine regularly but the problem was she feel foot swelling ,burn in foot and pain in knee ,difficult to walk, and dibetic was 150 /230mg.after take medicine she cant feel better , please

Suggest treatment for severe cough, sore throat and chest pain in a diabetic

Type 1 diabetic severe cough, expectorant green, started out 72 hrs ago with head & sinus pain, runny nose, then bad sore throat, then heavy painful chest. Now cough... Treated with NyQuil at first sign of sore throat, but now Mucinex DM & Sudafed sinus. Symptoms seem a little better. Should I treat with Antibiotics. Have not had flu shot yet

<start> Production og greenish sputum indicates infection usually with bacteria. In diabetics Fever may not be present until late stages of illness.I personally feel to undergo Complete Haemogram, sputum examination, and chest x ray.I also advise to start antibiotics after consulting with physician <end>

Suggest treatment for severe cough, sore throat and chest pain in a diabetic Type 1 diabetic severe cough, expectorant green, started out 72 hrs ago with head & sinus pain, runny nose, then bad sore throat, then heavy painful chest. Now cough... Treated with NyQuil at first sign of sore throat, but now Mucinex DM & Sudafed sinus. Symptoms seem a little better. Should I treat with Antibiotics. Have not had flu shot yet

Suggest treatment for pancreatitis in a diabetic

I have a friend who has diabetes and says she has been diagnosed with pancreatitis (don t know if it is chronic or acute, probably acute). She has had some symptoms of pain in abdominal area and nausea and once some vomiting. She has had stomach issues for as long as I have known her. She eats all the time and most of what she eats is terrible for diabetes. She has had her gallbladder removed. She has not been sent to the hospital by her doctor. What is done to treat or cure pancreatitis if it is not a blocked duct?

<start> Is diabetic a cause or consequence of pancreatitis.I personally feel Probably chronic pancreatitis is the cause for her diabetes.There are ways to find out possible etiology of chronic pancreatitis and treatment depends on the etiology. <end>

Suggest treatment for pancreatitis in a diabetic I have a friend who has diabetes and says she has been diagnosed with pancreatitis (don t know if it is chronic or acute, probably acute). She has had some symptoms of pain in abdominal area and nausea and once some vomiting. She has had stomach issues for as long as I have known her. She eats all the time and most of what she eats is terrible for diabetes. She has had her gallbladder removed. She has not been sent to the hospital by her doctor. What is done to treat or cure pancreatitis if it is not a blocked duct?

Suggest treatment for heart palpitations in a diabetic

I have sticky sweat, light headness. I am diabetic, have heart palpitations, high thyroid and under severe stress which my heart doctor is aware. My question is I have sticky sweat, tired, and light headiness, any ideas. YYYY@YYYY

<start> Thank-you user for your query.I understand your concern.Heart palpitations are very common in diabetics and also in thyroid disorders and weakness is also more or less common in such disorders too. In your case all I want to suggest is that kindly get your thyroid profile along with fasting and post prandial blood level done. That will clear the picture that whether your symptoms are related to diabetes or thyroid disorders.Well, your palpitations demands an urgent advice from cardiologist as he might start any medications related to palpitations. In my opinion you can start 0.25 mg of aplrazolam to reduce your anxiety as this will in turn reduce your palpitations and sweating too. So far as your sticky sweats are concerned, it is quite common in diabetics. You can use any good quality perspirants for it.god bless <end>

Suggest treatment for heart palpitations in a diabetic I have sticky sweat, light headness. I am diabetic, have heart palpitations, high thyroid and under severe stress which my heart doctor is aware. My question is I have sticky sweat, tired, and light headiness, any ideas. YYYY@YYYY

Suggest remedy for urinary hesitancy and constipation in a diabetic

hai sir,my mother 60 years was suffering with diabetic since 15 years giving insulin now a days when insulin was given she was unable to go to bathroom not urine,stool last month blood report was in normal fasting 80 whats going wrong with my mother ?doctor suggest me your answer sir

<start> Thank-you user for your query.I understand your concern.as per your situation all I can suggest is that ask your mother to start having high fiber diet such as oats, cornflakes, salads, and along with it ask her to drink plenty of water, at least 3 litres a day. This will help in reducing the constipation and regularize the bowel habits. You may also give her dulcolax tablet at night. You may also get an whole abdomen ultrasound done too. But before starting this consult any gastro medicine doctor.He will help you much better. And yes its great that your mother is having controlled fasting sugar.god bless <end>

Suggest remedy for urinary hesitancy and constipation in a diabetic hai sir,my mother 60 years was suffering with diabetic since 15 years giving insulin now a days when insulin was given she was unable to go to bathroom not urine,stool last month blood report was in normal fasting 80 whats going wrong with my mother ?doctor suggest me your answer sir

Suggest remedy for painful urination in a diabetic

My mother age 80 is having chills strong enough during Urination that cause pain. She denies micturation pain. She is a type 2 DM with. Current problems w/ spinal compression of lower lumbar spinal compression of spin nerve. May involve sacral spine also. Sx has been recommended but refuses sx. UTI or could it be from spine issues? I am an ophthalmic RN.

<start> Dr. Hanif warmly welcomes you with thanks for a consult! I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines.It seems to be due to the urinary tract infection and she needs proper treatment for the same.Nitrofurantoin prescription from her treating physician will help her a lot. Cranberry juice is best natural remedy for symptoms relief. Genital area hygiene is also necessary. If possible, also go for Urine culture and sensitivity test and the antibiotics can be adjusted accordingly. Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too.For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead.Regards!DR. MUHAMMAD HANIFUSAFOR DIRECT QUESTIONS: http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70199 <end>

Suggest remedy for painful urination in a diabetic My mother age 80 is having chills strong enough during Urination that cause pain. She denies micturation pain. She is a type 2 DM with. Current problems w/ spinal compression of lower lumbar spinal compression of spin nerve. May involve sacral spine also. Sx has been recommended but refuses sx. UTI or could it be from spine issues? I am an ophthalmic RN.

Suggest remedy for high fever in a diabetic

hi... doctor prescribed Olmezest 20 mg daily one tab almost a month back.My father is diabetic since 20 years. He is in insulin. All of a sudden, he has gotfever 100-102 since last 2 days and fever is not coming down. He has undergone angioplast as well.Please advise some medicine so that his fever can come down to normal.Thanks

<start> thank-you user for your queryI understand your concern.in your case I want to suggest that kindly start giving him paracetomal tablet as when he develops fever. Get a complete blood counts done. Also get a test done for dengue and typhoid each do tepid cold sponging to lower down the fever, if required.Kindly consult a local physician or you can send your reports here also.God bless <end>

Suggest remedy for high fever in a diabetic hi... doctor prescribed Olmezest 20 mg daily one tab almost a month back.My father is diabetic since 20 years. He is in insulin. All of a sudden, he has gotfever 100-102 since last 2 days and fever is not coming down. He has undergone angioplast as well.Please advise some medicine so that his fever can come down to normal.Thanks

What causes giddiness in a person with type 2 diabetes?

I just took my blood pressure and it is 101/74 and I have a heart condition and had an angio done 2 years ago. I do exercise daily n I am eating right. I feel giddy all the time. I am on metformine reunited 20mg simvastatine and aspirin cardio. What is wrong with me?

<start> thank you user for your queryI understand your concern at HCM.as per your history all I can suggest you is that simvastatin causes generalised muscle weakness and metformin causes only gastrointestinal symptoms mainly nausea.Hence as per my advice you can start taking atorvastatin instead of simvastatin.Rest your blood presure is doing fine, though the systolic is bit towards lower side.If you want then you may contact any endocrinologist before going on with what I'm suggesting.god bless <end>

What causes giddiness in a person with type 2 diabetes? I just took my blood pressure and it is 101/74 and I have a heart condition and had an angio done 2 years ago. I do exercise daily n I am eating right. I feel giddy all the time. I am on metformine reunited 20mg simvastatine and aspirin cardio. What is wrong with me?

How to control high blood sugar level?

Dear doctor, I am here with one question.. I am taking Productive M tablet, my blood sugar level has increases since then. Why this happens? Could it be the adverse effect/affects of the medication? How could I control my blood sugar level in this situation?

<start> Welcome to HCM! I am researching the ingredients as we speak since the make-up of Productive M is designed to treat male infertility it is likely that the hormonal effects produced by the medication may very well be interfering with blood sugar control.As a dietitian when I do an assessment I try to look at supplements, medication and how they may effect disease states. With Productive M, testosterone is production is stimulated which is known from several studies to lower blood sugar significantly.If you were my patient, I would advise you to follow your therapeutic guidelines for blood sugar control 1. Carbohydrate counting (do you know how much you need?; 2. Avoid sugar and high glycemic carbohydrates; 2. Add omega-3 supplements and fatty fish to your diet; 3. Gradually increase your fiber intake focusing on soluble fiber to at least 14 g per 1000 calories; if overweight, lose weight; 4. Exercise more than 150 minutes per week; 5. Avoid all sugar substitutes (stevia may be ok); 6. Use more cinnamon in seasoning; a mediterrean style eating pattern is often recommended.These are just general guidelines for controlling sugar. If you were my patient I would suggest you entertain the thought of diabetic core classes -or at least an individualized visit with a dietitian to get nutritional guidance.Good luck. Kathryn Shattler, MS,RDN <end>

How to control high blood sugar level? Dear doctor, I am here with one question.. I am taking Productive M tablet, my blood sugar level has increases since then. Why this happens? Could it be the adverse effect/affects of the medication? How could I control my blood sugar level in this situation?

Suggest remedy to control blood sugar

Dr. My wife is 47 and has type2 diabetes for the last 10 years. She is on novomix insuline @12 units twice a day, amaryl 2 mg twice and gluformin 500 once before bed. Her recent blood sugar readings came very high fasting:185; pp 285 and H1BAC 9.3. She is a vegetarian and has not been able to any exercises as she has pains in both knees and calf muscles. Her LFT, KFT and cholesterol normal but vitamin D is low 49. Please suggest what she shoulddo for getting blood sugar under immediate control.

<start> Your wife should start basal insulin either Insulin degludec (Tresiba) or Lantus (insulin glargine injection) 10 units sc at 10 PM (before bed) and then titrate as per blood sugar Fasting and post prandial by 2 units to reach a goal of fasting 100 and post prandial 140 mg/dl.She can also add sitagliptin 50 mg before dinner . Vit D supplement 1000 units daily will suffice.Regards Dr. T.K. Biswas M.D.Mumbai <end>

Suggest remedy to control blood sugar Dr. My wife is 47 and has type2 diabetes for the last 10 years. She is on novomix insuline @12 units twice a day, amaryl 2 mg twice and gluformin 500 once before bed. Her recent blood sugar readings came very high fasting:185; pp 285 and H1BAC 9.3. She is a vegetarian and has not been able to any exercises as she has pains in both knees and calf muscles. Her LFT, KFT and cholesterol normal but vitamin D is low 49. Please suggest what she shoulddo for getting blood sugar under immediate control.

What causes low sugar levels after switching from Novorapid to Eurepa?

hi doc. i need to ask that my mother age 62 is under renal treatment. She was on insulin novorapid before breakfast lunch & dinner & lantus at night (5units each). 3days before dr. stopped insulin (both) & presribed eurepa 0.5. (bbf, bl, bd) but yesterday night her sugar was 108(around10:30). her sugar is gettibg low. around 3:30 her sugar was 36 only. i gave her one spoob of glucose & measured her sugar lever after 45 minutes that was 63. i gave her glucose agan. after 45 minutes it become lo 60. i gave her glucose agan & aroun 7:15 in morning sugar level was 57. i didn t gve eurepa to her & after breakfast her sugar isto her &

<start> HIWell come to HCMI really appreciate your concern, as matter of fact if this is the diabetes then it need to be managed on tight rule basis but care need to be taken for that the dose of antidiabetes need to be choose with great care particularly for insulin else this could cause the hypoglycemia but this is seldom happens hope this information helps, take care and have a nice day. <end>

What causes low sugar levels after switching from Novorapid to Eurepa? hi doc. i need to ask that my mother age 62 is under renal treatment. She was on insulin novorapid before breakfast lunch & dinner & lantus at night (5units each). 3days before dr. stopped insulin (both) & presribed eurepa 0.5. (bbf, bl, bd) but yesterday night her sugar was 108(around10:30). her sugar is gettibg low. around 3:30 her sugar was 36 only. i gave her one spoob of glucose & measured her sugar lever after 45 minutes that was 63. i gave her glucose agan. after 45 minutes it become lo 60. i gave her glucose agan & aroun 7:15 in morning sugar level was 57. i didn t gve eurepa to her & after breakfast her sugar isto her &

What cause hot flash on face in a diabetic?

My 91 year old father complains that hid face gets really hot when he lays down (especially on his right side). He can t sleep so sits up on his recliner most of the night. Has gone on for months. History or diabetes (on insulin), atrial fib, pacemaker, bladder/prostate cancer.

<start> Most commonly, they arise as a result of a dramatic drop in testosterone levels in men who have their testes surgically removed (as part of the treatment for prostate cancer) or who are taking medications that counteract the effects of testosterone. <end>

What cause hot flash on face in a diabetic? My 91 year old father complains that hid face gets really hot when he lays down (especially on his right side). He can t sleep so sits up on his recliner most of the night. Has gone on for months. History or diabetes (on insulin), atrial fib, pacemaker, bladder/prostate cancer.

Suggest remedy for dehydration in a diabetic

Hello sir/madam My mom is a diabetic, she takes Dytor medicine which results in frequent urination..sugar levels are monitored daily and in control I wanted to ask if she feels dehydrated someday What can she intake apart from water Is there any sugarfree substitute for ELECTROL powder Please reply

<start> hi therethankyou for using HCMfor rehydration of your mother, if she is not hypertensive please consider adding 2 lemons in 4 glasses of water with one fourth to half teaspoon of salt, this will be pleasant to drink and will help her with dehydration.also if her sugar is controlled she can have electrol in 1-2 glasses, it will help her.I hope my answer is helpful for youkind regardsdr Fouzia <end>

Suggest remedy for dehydration in a diabetic Hello sir/madam My mom is a diabetic, she takes Dytor medicine which results in frequent urination..sugar levels are monitored daily and in control I wanted to ask if she feels dehydrated someday What can she intake apart from water Is there any sugarfree substitute for ELECTROL powder Please reply

Is a black dot under the nail a symptom of diabetes?

Hi Im a 39 y/o female & I noticed during my last pedicure a small black dot under neath my middle toe nail...I m very freightened because I work at a nursing facility & I know a black dot ( necrosis)usually deals with diabetes/ poor circulation.. There s no pain/ swelling to the are & it has not grown in size...

<start> hi therethank you for using HCMThe black dot on toenail is not a definitive sign for diabetes, so u should not be scared of it. It can appear due to multiple causes like sometimes because of trauma, sometimes it occurs due to bacterial or fungal infection, or in a very small percentage it can be a reason for skin cancer.But since for the ist time u hve noticed, if it has not change its size or colour or there are no visible changes on your toe nail you do not need to be worried as it seems to be harmless.if u think it to b a complication of diabetes and feel anxious,the best advice I can give you is to get a test of your blood sugar fasting.if result is normal, stay relaxed and enjoy your life.hope this answer is helpful.kind regards <end>

Is a black dot under the nail a symptom of diabetes? Hi Im a 39 y/o female & I noticed during my last pedicure a small black dot under neath my middle toe nail...I m very freightened because I work at a nursing facility & I know a black dot ( necrosis)usually deals with diabetes/ poor circulation.. There s no pain/ swelling to the are & it has not grown in size...

What does my fasting sugar level of 141-180 indicate?

I am 63 years old. My sugar level fasting fluctuates between 141_180., inspite of taking medicine such as glyciphage g2 in the morning and ziten 20 in the afternoon. I am regular morning walker and walk at least three miles a day. My diet is simple but I don't get sound sleep and shivers while writing

<start> Hello, Welcome to Health Care Magic. I read carefully your query and I understand your concern.Your glucose level and symptoms indicate that the diabetes is not stabilized well by these dosage or this medication, you should increase the dosage and monitor the blood glucose performing fasting glucose,2 hour after meal and HbA1C by consulting to you endocrinologist.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regard,Dr .Marsida Janko <end>

What does my fasting sugar level of 141-180 indicate? I am 63 years old. My sugar level fasting fluctuates between 141_180., inspite of taking medicine such as glyciphage g2 in the morning and ziten 20 in the afternoon. I am regular morning walker and walk at least three miles a day. My diet is simple but I don't get sound sleep and shivers while writing

What causes nausea and stomach pain in a patient with type 1 diabetes?

I am nauseous when hungry, stomach pains when I eat anything. I have type 2 diabetes, high blood pressure. I also have low b12 (I am on my 3rd shot) tired a lot of the time. Also I have a elevated white blood count. I have lost 23 lbs in 3 months. I am scheduled for colonoscopy in 3 weeks but could use some relief now or at least a idea of what might be wrong.

<start> Welcome to Healthcare magic. if you are having long standing diabetes like more than 10 years you are prone to get more side effects. given significant weight loss. you must get checked for gastroparesis where your stomach will not move properly leading to nausea. this occurs from the neuropathy from diabetes. you should strictly control your sugars to stop the progression of gastroparesis and neuropathy. <end>

What causes nausea and stomach pain in a patient with type 1 diabetes? I am nauseous when hungry, stomach pains when I eat anything. I have type 2 diabetes, high blood pressure. I also have low b12 (I am on my 3rd shot) tired a lot of the time. Also I have a elevated white blood count. I have lost 23 lbs in 3 months. I am scheduled for colonoscopy in 3 weeks but could use some relief now or at least a idea of what might be wrong.

How to lower morning blood sugar level in a type 2 diabetic?

HiI am a type 2 diabetic and on Diamin 500mg. I try my best to keep a low carb intake and I am generally successful in keeping my blood sugar levels below 180 mg/dl (10 mmol/L) however I have dawn phenomenon and I have it bad. I wake up in the mornings with an average level of 280 mg/dl or above, and then struggle the rest of the day to get it down to acceptable levels. Is there anything I can do?

<start> Welcome to health care magic. certainly your sugars are very high in the morning and you already know about the dawn phenomenon. I hope you got ur endocrinologist on board to help you. Stress is the biggest cause for this along with poorly controlled diabetes. try to take your evening meal early between 5-6 pm and have a snack prior to going to bed. take insulin per carb count. this will certainly avoid hypoglycemia at night and hyperglycemia during the morning. other thing you should do is to keep you sugar levels little high before going to sleep that means decreasing the dose of meal time insulin during the supper time. do regular exercise after eating to prevent post prodial high sugars. good luck <end>

How to lower morning blood sugar level in a type 2 diabetic? HiI am a type 2 diabetic and on Diamin 500mg. I try my best to keep a low carb intake and I am generally successful in keeping my blood sugar levels below 180 mg/dl (10 mmol/L) however I have dawn phenomenon and I have it bad. I wake up in the mornings with an average level of 280 mg/dl or above, and then struggle the rest of the day to get it down to acceptable levels. Is there anything I can do?