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What do diarrhoea, vomiting and heartburn in a diabetic indicate?

I am experiencing diarrhea, vomiting and heartburn when eating vegetables, onions.... Do not have much of an appetite and I am a diabetic so I am experiencing great fluctuation in blood sugar. What could be causing me to have these symptoms? Doctor prescribed Pantotrazole Sodium ER 40mg, 1 tablet per day, for acid reflux.

<start> Welcome! Let's start with making certain the medication is taken properly. Pantotrazole is a proton pump inhibitor and needs to be taken 30-60 minutes before any food is taken. It may decrease absorption of iron, B12, and calcium.Long term use may lead to osteoporosis, so calcium supplementation may be advised.Avoid gingko or St. Johns Wort.It may also increase glucose. So, I reviewed these things because if you violate any of the above it may cause a greater fluctuation than Pantotrazole will cause by itself.Source: 2015 Drug-Nutrient InteractionsIf you are getting sick when eating vegetables and onions avoid all onions. Are the vegetables fresh only or certain vegetables only or anything cooked with onions that make you ill? I am wondering about a developing food intolerance or not using a designated vegetable scrubber to get the increasing levels of food borne bacteria present on our fresh foods. The gold standard for narrowing down this problem is to to keep one of those tedious food diaries to tease out the problem. Date,time,food,symptoms for 7 entire days as sometimes it takes up to 3 days for an infection to kick in. Food intolerances are individual, but have seen them change with time.Avoid all sugar substitutes for right now.When you have additional information, please write me again and we will see if I can suggest some things to stabilize your blood sugars and stop your symptoms. Thank you for your time. Sometimes solving a medical mystery requires more information.Good luck. Kathy Shattler, MS,RDN <end>

What do diarrhoea, vomiting and heartburn in a diabetic indicate? I am experiencing diarrhea, vomiting and heartburn when eating vegetables, onions.... Do not have much of an appetite and I am a diabetic so I am experiencing great fluctuation in blood sugar. What could be causing me to have these symptoms? Doctor prescribed Pantotrazole Sodium ER 40mg, 1 tablet per day, for acid reflux.

What causes weight gain, decreased eye sight and breathlessness?

I am 44 years old. I have gained 17 pounds in 2 months and I m not eating any more calories. My eyesight has decreased significantly in a very short amount of time. I have times where I feel very cold and moments when I feel extremely hot. I have had some difficulty feeling like I can t get enough air. I have a very dry mouth (which could be from my medications). I m not sure if this is from getting old , hormone changes, or what. I was diagnosed with RA 15 years ago. I am currently taking Enbrel 50mg weekly, methotrexate 2.5 x 6 weekly, Celebrex 200 mg daily, Prilosec 40 mg daily, Neurontin 3 x daily (recently diagnosed with neuropathy),

<start> My dear,Thank you for visiting me here at HCM. You want to know what causes weight gain, decreased eye sight and breathlessness. I have reviewed what little information you sent for such a complex array of problems impacting on your weight gain.I will try to identify as many problems with associated solutions as I can. First of all, youi sent me quite a list of medications, so let us start there. Many of your necessary medications encourage the weight gain process and they are all through different mechanisms. One medication lowers you metabolic rate, so how do we get it back up? Another medication affects one of your appetite hormones, ghrelin. Another acts via leptin. Then lets through in the probable vitamin deficiencies from the medications so your body doesn't have the nutrients it needs to process the food energy it is given. You are correct, it sounds like you are menopausal and it is not uncommon for the hormonal changes to act against your weight control efforts. I would like to go through each medication/condition and how to correct any potential deficiencies or possible interactions: Dry mouth: probably related to RA, do not drink calorie laden drinks like artificial saliva, carry a water bottle. Enbrel: Talk to your doctor about the potential side-effect of optic neuritis that results in some patients taking Enbrel (Decreased Eye Sight Query)It might also cause aplastic anemia, when was your last CBC to check your hemoglobin? (Breathlessness query); Methotrexate: Increase intake of fluids to increase urine output (pay attention that you don't become dehydrated, basically)Interestingly, the side effect is weight loss!Food delays absorption, so take on an empty stomach.; Celebrex- may increase cholesterol, better absorbed on empty stomach but may be irritating requiring adding food with administration; Prilosec - may decrease iron and B12. It looks like your meds may induce anemia. The methotrexate is a folic acid inhibitor and that is its mechanism of action. Neurontin: dry mouth, weight gainOk, so we have some things to work around. It is not all you, so relax and don't blame yourself.I can tell you what I would recommend if you were my patient. Now, green tea is known to increase metabolism which is a problem. If you don't have any clotting issues, I would add uncaffeinated green tea 6 ounces three times a day.Talk to your doctor about some of the vitamin concerns and which type of multivitamin would be safe to take if any (all have folic acid in them); eat small frequent meals with adequate protein and low glycemic index carbohydrates. Swith your oils over to health oils and get rid of trans fat dramatically lower saturated fat and add good fats such as monounsaturated fats, omega-3,etc. Add soluble fiber to help you feel full to counteract the problem with ghrelin. Walk every day. That is about how the health advice I can give without doing a comprehensive assessment to make formal recommendations. I can do that through the specialist portal if you wish.Remember if you want to continue to work this out, send me all medication changes, new labs, sample one day diet, likes/dislikes, diagnosis and any current diet order. Good luck, dear. Kathryn Shattler, MS,RDN <end>

What causes weight gain, decreased eye sight and breathlessness? I am 44 years old. I have gained 17 pounds in 2 months and I m not eating any more calories. My eyesight has decreased significantly in a very short amount of time. I have times where I feel very cold and moments when I feel extremely hot. I have had some difficulty feeling like I can t get enough air. I have a very dry mouth (which could be from my medications). I m not sure if this is from getting old , hormone changes, or what. I was diagnosed with RA 15 years ago. I am currently taking Enbrel 50mg weekly, methotrexate 2.5 x 6 weekly, Celebrex 200 mg daily, Prilosec 40 mg daily, Neurontin 3 x daily (recently diagnosed with neuropathy),

Suggest remedies for high blood sugar level.

I am a 72 year old male. Type 2 diabetic for over 3 years. Take Humalog for 1 1/2 year. Had major heart attack last Oct. Misplaced my insulin in car about 3 weeks ago (so have not been taking my sugar level). Decided after eatting that I should find my kit and take it. Took a little more than an hour to take it. Tested at 454. Took 19 units of humalog. After another hour sugar had dropped to 385. Should I just continue taking insulin and get my sugar back under control. Or do I need to go to the ER?

<start> Hi, Thanks for your question. I can understand your concern after going through your question. With such high blood sugar levels you should go to ER. There is need for immediate clinical evaluation and blood and urine test to exclude presence of ketones. There may be need for hospitalization for - - Close blood glucose level monitoring. - Intravenous insulin treatment for blood sugar control. - Gradual shifting from intravenous insulin to subcutaneous insulin treatment. I would have preferred basal bolus regime using long acting insulin glargin once a day and premeal short action insulin. - Maintaining hydration. Hope this helps you, if so do vote as helpful. <end>

Suggest remedies for high blood sugar level. I am a 72 year old male. Type 2 diabetic for over 3 years. Take Humalog for 1 1/2 year. Had major heart attack last Oct. Misplaced my insulin in car about 3 weeks ago (so have not been taking my sugar level). Decided after eatting that I should find my kit and take it. Took a little more than an hour to take it. Tested at 454. Took 19 units of humalog. After another hour sugar had dropped to 385. Should I just continue taking insulin and get my sugar back under control. Or do I need to go to the ER?

What is the quantity of carbohydrate to be taken by a diabetic patient?

Im a diabetic for over 40 yrs it still not under control. it in morn over 200 an in the eveing it can be down to like 170 but only if I have things to do..im 70 yrs old so im not a great cook but I do know my chicken ham an stuff . I just noticed carb is very important to keep down.. but how much carb a day.. on a bread package it say 15 carb at 60 % for two slices of bread what does that meanat 45 caliores each

<start> Hi,Thank you for choose Health Care Magic. I read carefully your query and I understand your concern.You should eat carbohydrate because they give you fuel, and you should monitor or count the carbohydrates to monitor the insulin intake(that I suppose you take because you have so much time diagnosed with diabetes)because the eat more carbohydrate can get your blood glucose high and eat less can get you a low glucose blood level.The carbohydrate are simple like sugar and other is complex like carbohydrate found in beans, nuts, whole grains, vegetables and fruits, you should prefer the complex one because they increase gradually the glucose in blood when they are eaten.The carbohydrate containing foods are: breads, cereals, pasta, rice, grains, starchy (potatoes ,peas etc) and no starchy vegetables(broccoli ,carrots ,greens etc),milk and yogurt, fruits and juice and foods with no carbohydrates are meat ,fish, poultry ,eggs ,cheese ,fats ,oil, butter etc.You should choose whole grain breads, brown rice, raw fruits and vegetable, nuts, low fat/ no fat milk and yogurt, unsweetened beverages.One carbohydrate serving equals to 15 grams of carbohydrates that is contained in one slice bread, 1/3 cup dry pasta or rice, 1/2 cup starchy vegetables etc.For a better determination of your carbohydrates diet you should go to a dietitian to calculate it depending on your insulin intake.Hope I give answer to your problem. Feel free to ask me againTake care,Dr .Marsida JANKO <end>

What is the quantity of carbohydrate to be taken by a diabetic patient? Im a diabetic for over 40 yrs it still not under control. it in morn over 200 an in the eveing it can be down to like 170 but only if I have things to do..im 70 yrs old so im not a great cook but I do know my chicken ham an stuff . I just noticed carb is very important to keep down.. but how much carb a day.. on a bread package it say 15 carb at 60 % for two slices of bread what does that meanat 45 caliores each

Suggest treatment for diabetes and dizziness

Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include:while walking she feels giddiness to the extent that she feels as if she is floating in the air, she feels without energy and vitality. Her sugar level remains at 140.However, since two days, her sugar level has escalated to 250 and found Haemoglobin 6 and her limbs getting swolen.Now what to do, please suggest me.

<start> Hi,Thanks for your question.After going through your question, there is a need for evaluation in your mother's case.There may be following cases for her symptoms-1) Hyperglycemia:High blood sugar level may lead to hyperosmolar state that may interfere with normal brain function.2) Hypoglycemia:Transient Low blood sugar level may cause these types of symptioms.3) Neuropathy:Autonomic and peripheral neuropathy due to diabetes or any other cause may lead to these types of symptoms.4) Postural Hypotension:Sudden drop in blood pressure with change in posture may cause these symptoms.5) Cerebrovascular disease:Decreased blood supply to brain due to- Atherosclerotic blockage in blood vessels of brain. - Slow blood flow to brain in response to poor heart function or sudden drop in blood pressure.- Embolisation of blood clot in blood supply of brain.She need urgent medical attention for detailed neurological evaluation.Depending upon it following investigations may help in appropriate diagnosis and treatment:- Frequent blood glucose monitoring. - Complete Blood count.- Renal Function Test.- Liver Function Test.- Urine examination.- Lipid Profile.- ultraTSH.- Vitamin B12 & D.- ECG & 2DEcho. - Brain imaging like MRI of brain with angiography.Hope this helps your mother. <end>

Suggest treatment for diabetes and dizziness Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include:while walking she feels giddiness to the extent that she feels as if she is floating in the air, she feels without energy and vitality. Her sugar level remains at 140.However, since two days, her sugar level has escalated to 250 and found Haemoglobin 6 and her limbs getting swolen.Now what to do, please suggest me.

Can the high glucose level be a result of chemo treatments?

I was diagnosed with non-Hodgkins lymphoma 2 years ago..I am receiving Rituxan..I was diagnosed as NED...my most recent blood work was excellent..I just received more results and the glucose level was 102...My question is 1. Should I be alarmed and 2. Can this be a result of the chemo treatments? Thank You

<start> Hello. Good day. Thanks for writing to HCM.1. You need not be alarmed with a value of 102. It would always be better to do a proper fasting and a 2hr post meal venous sample assessment for glucose. 2. Rituxan will not cause diabetes. Its not a result of chemo treatment unless you have been put on steroids.Wishing you good health. Please hit thanks and rate this answer if you have found it helpful.Warm regards, Dr Praveen <end>

Can the high glucose level be a result of chemo treatments? I was diagnosed with non-Hodgkins lymphoma 2 years ago..I am receiving Rituxan..I was diagnosed as NED...my most recent blood work was excellent..I just received more results and the glucose level was 102...My question is 1. Should I be alarmed and 2. Can this be a result of the chemo treatments? Thank You

What can cause high sugar levels?

I had type 2 diabetes, well-controlled with 500 mg metformin BID. I have been lax in checking my sugar levels, but over the weekend, sugar was in high 200's, low 300's. Only thing new is that I started Oxybutynin about three weeks ago. Could that drug cause a spike in blood sugar? And, if so, can I stop taking it immediately?

<start> Hi,Thank you for your query. I can understand your concerns.Oxybutynin ,an antspasmodic does not cause high blood sugar as side effects. It does not interact with metformin.Regards Dr. T.K. Biswas M.D.Mumbai <end>

What can cause high sugar levels? I had type 2 diabetes, well-controlled with 500 mg metformin BID. I have been lax in checking my sugar levels, but over the weekend, sugar was in high 200's, low 300's. Only thing new is that I started Oxybutynin about three weeks ago. Could that drug cause a spike in blood sugar? And, if so, can I stop taking it immediately?

Can vaping be the reason for weight loss in diabetic patient?

I started Vaping some time ago as I was struggling without cigarettes due to stopping as a diabetic. Now I have palpitations, pale skin with a rash on the side corners of my mouth. I have been checked as fine with my diabetes but I have lost a little weight and people have noticed. I do feel that the vaping is the main cause of this but I am not sure as AI do get terribly depressed being life-long calliper walking paraplegic as well.

<start> Most common cause of weight loss in a Diabeticis uncontrolled Diabetes so first establish the control of Diabetes.If vaping is not suiting you try to give up the vaping as well.You can try mild antidepressants to kick the habit of smoking.Wish you good health. <end>

Can vaping be the reason for weight loss in diabetic patient? I started Vaping some time ago as I was struggling without cigarettes due to stopping as a diabetic. Now I have palpitations, pale skin with a rash on the side corners of my mouth. I have been checked as fine with my diabetes but I have lost a little weight and people have noticed. I do feel that the vaping is the main cause of this but I am not sure as AI do get terribly depressed being life-long calliper walking paraplegic as well.

What is the relation between lump behind ear and insulin?

Hi there! Within the past 2 weeks I ve developed a very large and painful lump behind my ear. I have no other symptoms, however after blood tests it was concluded that i have diabetes. Im unsure of what type- further testing is required. I was wondering if you could let me know how exactly this lump ties in with insulin? Thanks!

<start> Hello. Good day. Thanks for writing to HCM. I am Dr Praveen and I will be answering your query today.Since the lump has come about in a span of two weeks and its quite painful its likely to be infected. Skin conditions like these are quite commonly seen in patients with diabetes. Since you have been diagnosed with diabetes you need to know what type it is. If you are overweight with a family history of diabetes its likely to be Type 2 and you will need diet, drugs and exercise to control it. The lump will settle with better sugar control. Remember its a cycle...the infection will increase if sugars are high and sugars being high will cause an increase in infection. For the lump itself, please see a general surgeon. He/she may do and incision and drainage. An antibiotic like cloxacillin taken at 500 mg 8th hrly for 5 days should be enough. Wishing you good health.Warm regards. <end>

What is the relation between lump behind ear and insulin? Hi there! Within the past 2 weeks I ve developed a very large and painful lump behind my ear. I have no other symptoms, however after blood tests it was concluded that i have diabetes. Im unsure of what type- further testing is required. I was wondering if you could let me know how exactly this lump ties in with insulin? Thanks!

Suggest treatment for type 2 diabetes and throbbing headache

Hi my name is sharleen lane . I am type 2 diabetes. I have an infection. Headache pines and needles. If my blood sauger go over 10.3 I am so poorly sick keep drink weeing. Few days ago my sauger levels went up 29.9. Now it 7.4 10. Up 17.6.this are from today..now I am so sick

<start> Hello Ms. Sharleene. You blood glucose is evidently high. Are you following a diet? Are you exercising?What medications are you on? Are they tablets or insulin? You will need to adjust your medications. Its a vicious cycle. High sugars increase infection and infection in turn increase the sugars. Please let me know the details.I will be glad to help.Warm regards. <end>

Suggest treatment for type 2 diabetes and throbbing headache Hi my name is sharleen lane . I am type 2 diabetes. I have an infection. Headache pines and needles. If my blood sauger go over 10.3 I am so poorly sick keep drink weeing. Few days ago my sauger levels went up 29.9. Now it 7.4 10. Up 17.6.this are from today..now I am so sick

Am I prone to diabetes as my sugar level was low suddenly?

after a 50 km cycle I didn t eat and woke up during night with a blood sugar of 2.3 mmols . I was nauseated and weak . it raised to 14 mmols by eating a few dates and I was fine . I am not a diabetic . am I prone to diabetes ? I am thinking of going on a pilgrimage for 3 days which involves total fasting . is this a bad idea ?

<start> With exercise and fasting your blood sugar dropped pretty lowand with high caloric food it jumped overboard- reaching quitehigher than normal.This does not seem to totally normal.Possibly you are secreting more than normal sugar controllinghormone insulin which lead to low sugar and there is resistance to itsaction so sugar went higher than normal after food.I feel you are having Prediabetes state called IGT Impaired GlucoseTolerance which should be confirmed by GTT test.If so the diet,exercise and Metformin may help you.Lastly it is not good idea to go for 3 days fasting whenyou have Prediabetes.You may land up in low and subsequent highsugars <end>

Am I prone to diabetes as my sugar level was low suddenly? after a 50 km cycle I didn t eat and woke up during night with a blood sugar of 2.3 mmols . I was nauseated and weak . it raised to 14 mmols by eating a few dates and I was fine . I am not a diabetic . am I prone to diabetes ? I am thinking of going on a pilgrimage for 3 days which involves total fasting . is this a bad idea ?

Suggest remedy for high blood sugar and vaginal discharge

I have high blood sugar and have been unable to control it. I have a burning itchy vaginal discharge from this, but no infection. Is there any way to make this better? My doctors are still playing with my medication, so I have no idea when I might get lower levels.

<start> If you are currently having high blood sugars, that itself can lead to vaginitis. Why don't you tell about your exact sugar values. If your fasting sugars are more than 180, consider insulin especially if your diabetes was there for more than 10 yrs. Consult your physician get an appropriate insulin regimen prescribed. We wish you the very best. <end>

Suggest remedy for high blood sugar and vaginal discharge I have high blood sugar and have been unable to control it. I have a burning itchy vaginal discharge from this, but no infection. Is there any way to make this better? My doctors are still playing with my medication, so I have no idea when I might get lower levels.

What can I do to reduce the high blood sugar level?

Hi I am a diabetic on medication metformin and galipizide. I have been having a HI readng all day with extreme diaherria I have taken my med. but not eaten much. Do not know why it is high should it not be low f anything? What can I do to feel better?

<start> Hello there. Thanks for writing to HCM. Its probably HI due to a infection associated diarrhoea. Another possible reason is that your medications are not enough to control your diabetes. Can I ask you since when do you have diabetes and what is your last Hba1c like. That should give us an idea. Please take plenty of fluids now. Lemon juice (salted) will be good. Take your medications. Increase the dose of glipizide to a max of 20 mg per day. If its not settling in a day please see your physician. Another question is have you been on metformin since a long time or was it just started? Regards. <end>

What can I do to reduce the high blood sugar level? Hi I am a diabetic on medication metformin and galipizide. I have been having a HI readng all day with extreme diaherria I have taken my med. but not eaten much. Do not know why it is high should it not be low f anything? What can I do to feel better?

How can one control glucose levels in elderly woman?

Hello my mother's glucose level is at 323 right after having dinner .It gets up in the 240 's but she contols it with pills .Her Dr. Was recommending she get on insulin. Should I take her to the hospital right away or should I monitor her levels in case they get higher.?

<start> WHAT IS HER AGE/HER WEIGHT/?TELL ME HER HBA1C LEVEL..IF IT IS ABOVE 8 THAN INSULIN IS DEFINATELY REQUIRED,,SO START IT .INSULIN IS BEST DRUG TO CONTROL DIABETES AND PREVENT ITS COMPLICATIONS. <end>

How can one control glucose levels in elderly woman? Hello my mother's glucose level is at 323 right after having dinner .It gets up in the 240 's but she contols it with pills .Her Dr. Was recommending she get on insulin. Should I take her to the hospital right away or should I monitor her levels in case they get higher.?

What causes shortness of breath in type I diabetic people?

Just this week I've noticed I am tiring and very short of breath doing normal physical excursion. After a few minutes of rest and catching my breath I am back to normal. I am a type I diabetic. my last A1C was 6.7. I have been diabetic since I was 19. I am now 54. I am very concerned as this is abnormal. I have a very strange and uncomfortable feeling in my chest accompanied by pain in my shoulder and upper back during these episodes.

<start> Though your Diabetes is under good control one can not ignore the symptom like getting breathless on normal exertion.First get your Hb % Hemoglobin done,,..Low Hemoglobin can causesuch problem.I will advise you to undergo thorough cardiac checkup,B.P., S. lipid profileECG, Doppler Echo ,Xray Chest pa and Tread mill test/Coronay angiogramSOS.Anginal attacks can cause attacks of breathlessness.Try to get your kidney functions done like B. urea and S.creatininedone.High creatinine can lead to such problem.Lastly rule out respiratory problem like bronchitis. <end>

What causes shortness of breath in type I diabetic people? Just this week I've noticed I am tiring and very short of breath doing normal physical excursion. After a few minutes of rest and catching my breath I am back to normal. I am a type I diabetic. my last A1C was 6.7. I have been diabetic since I was 19. I am now 54. I am very concerned as this is abnormal. I have a very strange and uncomfortable feeling in my chest accompanied by pain in my shoulder and upper back during these episodes.

What causes excess weight loss in border line diabetic people?

yes I am border line diabetic but I have lost weight and I havent been dieting and I use the bathroom alot all day and I really go at night I have just started taking my medform now . but I feel like I am still losing weight cause the clothing that use to be tight is lose it is really noticeable

<start> Hello. Thanks for asking Healthcare Magic. Diabetic persons have a tendency to lose weight. Frequent urination is also a symptom of diabetes. As u have just started to take medform now, it will take some to bring your blood sugar down. I would suggest to take medform regularly and get your blood glucose monitored. Eat a balanced diet try to avoid sugar. Hope this helps. Thanks and Regards. <end>

What causes excess weight loss in border line diabetic people? yes I am border line diabetic but I have lost weight and I havent been dieting and I use the bathroom alot all day and I really go at night I have just started taking my medform now . but I feel like I am still losing weight cause the clothing that use to be tight is lose it is really noticeable

Suggest remedy for high sugar even after taking insulin

hi i,m suffering from type 1 diabetes last 10 year when i was 19 years old nw i'm 29 .but last one week my diabetes is continue high. i'm taking 3 time insulin in a day in the morning 14 unit humansulin regular same in the afternoon and in the night 14 unit humansulin 30/70 but still my sugar fasting report is 280,256 what should i do....please reply

<start> HI, I agree your fasting glucose levels are very high. There can be 2 reasons why the morning glucose level is high. One possibility is thatyour night dose is not adequate (we call it dawn effect). The remedy for this is that we increase the night dose of insulin. The other possibility is that your night insulin dose is very high than needed and because of that your sugar levels become vry low in the midnight when you sleep and your body tries to compensate for this low sugar by breaking down complex stored sugars from your liver into blood. (we call this somyogi's phenomenon). For this effect, we need to check the blood sugar at midnight around 2am or so. If this midnight glucose level is very low, then we have to decrease your night insulin levels. Therefore, the best for you is to go immediately to your treating doctor and adjust the insulin dose you are taking.RegardsDr. Jeffrey <end>

Suggest remedy for high sugar even after taking insulin hi i,m suffering from type 1 diabetes last 10 year when i was 19 years old nw i'm 29 .but last one week my diabetes is continue high. i'm taking 3 time insulin in a day in the morning 14 unit humansulin regular same in the afternoon and in the night 14 unit humansulin 30/70 but still my sugar fasting report is 280,256 what should i do....please reply

Suggest treatment to control blood sugar

Hlo Doctor...my mother is suffering from diabetes from the past 19-20 yrs...recently we got her sugar level tested and results were shocking...with fasting it was 197 and without fasting it was 210... She is taking glyz-m ....plzzz suggest something for her

<start> HiSince her fasting sugar and Random sugar are on higher levers suggest that you get her HBA1C value at the earliestHBA1c test to be done once in three months to check the sugar value consistency in the body for three months. It is very good test to see how well the sugar is controlled in diabetic patientsif I were her treating doctor would have tried glimipride 1mg once daily and monitor for 6-7 weeks (however hypoglycemia need to be monitored regularly)She can do exercise/walking for 45 minutes daily atleast 5 days a weekShe can take sufficient vegetables and limit the rice content in the dietDiet and exercise plays a vital role in controlling diabetesWish Her Good HealthRegardsDr Sridhar K <end>

Suggest treatment to control blood sugar Hlo Doctor...my mother is suffering from diabetes from the past 19-20 yrs...recently we got her sugar level tested and results were shocking...with fasting it was 197 and without fasting it was 210... She is taking glyz-m ....plzzz suggest something for her

Is the sudden dizziness due to drop in sugar level?

Today I went fishing. I have not seen a doctor or anything yet, and I am worried. I was down on cements in the beaming sunlight upper 90 degrees, then I felt dizzy. I fell, and got up off the ground after a few minutes and made my way back to my truck. I felt better soon after. I am thinking it was a sugar drop, but I had drunk a Diet Mountain Dew and a Pepsi, meaning I don't think it went down. Also the last time I visited a doctor, about two months ago, my blood pressure was normal.

<start> HiThere are various reasons for dizziness and one of the common cause is heat stroke. As you said you went to fishing and was exposed high sunlight, it may be one of the possible causeTo briefly tell you, heat stress occurs when the body cannot cool itself enough to maintain a healthy temperature. Heat-related illnesses include heat rash, heat cramps, dizziness or fainting, heat exhaustion, heat stroke, and a worsening of existing medical conditions. Overexertion in hot weather, sun or bushfire exposure, and exercising or working in hot, poorly ventilated or confined areas can increase your risk of heat stressSuggest -your self with thin clothing next time when you go out to fishing also try to be in the shade or can use portable land umbrellas-Hydrate yourself with fruit juices and plenty of water Also as you said Hypoglycemia may be one of the reason and if you are diabetic then it is a cause of concern otherwise nothing to worryWish You Good HealthRegardsDr Sridhar K <end>

Is the sudden dizziness due to drop in sugar level? Today I went fishing. I have not seen a doctor or anything yet, and I am worried. I was down on cements in the beaming sunlight upper 90 degrees, then I felt dizzy. I fell, and got up off the ground after a few minutes and made my way back to my truck. I felt better soon after. I am thinking it was a sugar drop, but I had drunk a Diet Mountain Dew and a Pepsi, meaning I don't think it went down. Also the last time I visited a doctor, about two months ago, my blood pressure was normal.

Suggest treatment for gestational diabetes mellitus during pregnancy

I am 28weeks pregnant .i am diagnosed having GDM.i am on insulin A week ago i had a vaginal discharge with a bloody tinge. I am also taking dupastone b.d. i was put on clingen forte .only once i used that but still some bloody discharge is there but minimal .what should i do for it

<start> Hi,Thanks for your question.After going through your question, I can understand your concern.I would like to know your current blood sugar control.For better blood sugar control I will advise you -1) Discuss your diet with dietitian. You should take 3 major meals and 3 snacks distributed not less than 2 hrs and not more than 4 hrs apart.Starvation should be avoided in pregnancy.2) Continue exercise as you are doing currently (30 - 40 min walk), avoid vigorous exercise or efforts to lose weight. Weight loss in pregnancy is not recommended.3) Frequent blood sugar monitoring with using glucometer at home as follows- - Fasting (Before breakfast) - 2 Hours after breakfast. - Before lunch. - 2 hours after lunch. - Before Dinner. - 2 hours after dinner. It is usually advisable to do as much as readings possible from all of above readings daily.Otherwise at least 2 or 3 reading should be done daily.If required additional readings should be done in case there are symptoms of low blood sugar (hypoglycemia), in that case you should also note down date and time of incidence any change in meal pattern, increased physical activity on that particular day. According to your blood sugar level chart your physician can adjust the dosage, frequency and type of insulin, if needed. - Insulin is preferred over oral medications for diabetes in pregnancy.Regarding your bloody discharge-1) You should follow advise of your obstetrician.2) Keep using Dupastone and Clingen forte as advised.3) There is need for close fetal monitoring.Hope this helps you, if so do vote as helpful. <end>

Suggest treatment for gestational diabetes mellitus during pregnancy I am 28weeks pregnant .i am diagnosed having GDM.i am on insulin A week ago i had a vaginal discharge with a bloody tinge. I am also taking dupastone b.d. i was put on clingen forte .only once i used that but still some bloody discharge is there but minimal .what should i do for it

Would any of those tests signify if I may possibly have diabetes?

I was taken to the emergency room by ambulance because I suffered severe abdominal pain, which the doctor diagnosed to be acute pancreatitis. A lot of x Rays, ultra sounds, echo tests, blood and urinal samples were taken. Would any of those tests signify if I may possibly have diabetes?

<start> Hi, Thanks for your question. After acute pancreatitis there is less possibility of development of Diabetes (Pancreatic Diabetes) For confirmation of diabetes test called OGTT (Oral Glucose Tolerance Test) is recommended which is ddone on blood sample taken after fasting and again 2 hours after giving Glucose. Hope this helps you, if so do vote helpful. <end>

Would any of those tests signify if I may possibly have diabetes? I was taken to the emergency room by ambulance because I suffered severe abdominal pain, which the doctor diagnosed to be acute pancreatitis. A lot of x Rays, ultra sounds, echo tests, blood and urinal samples were taken. Would any of those tests signify if I may possibly have diabetes?

Suggest treatment for headache and low blood sugar levels

Yes my blood sugar keeps dropping to a bit below 70 then I eat a glucose tablet and get it up to 98 or 105 in 30 - one hour back down again. I am afraid to sleep I have a blazing headache and my sister died ib her sleep from low blood sugar she was brain dead by morning...blind, etc.

<start> Hi,Thanks for your question.After going through your question, I would like to know-1) Your age and gender.2) Are diabetic or not? If diabetic then What medicines are you taking?3) If not diabetic then Are you obese? Is there unusual hunger? Any other medications are you on?If you are diabetic and on treatment for it, in that case there is need for -1) Consult your treating doctor as early as possible for appropriate changes in medicines.2) Till that time - - Stop taking antidiabetic medicines. - Monitor your blood sugar level frequently. - Use glucose water and eat at regular interval to keep your blood sugar level above 70.If you are not diabetic in that case-1) Consult endocrinologist as early as possible for further evaluation for insulinoma (insulin secreting tumour of pancreas) or other metabolic disorders.2) Till that time - - Monitor your blood sugar level frequently. - Use glucose water and eat at regular interval to keep your blood sugar level above 70.You symptoms of headache and low blood pressure are most likely due to low blood sugar level.So maintaining blood sugar level above 70 may help in relief.Hope this helps you, if so do vote.Keep in touch.Regards,Dr. Abhay Mali.Diabetologist. <end>

Suggest treatment for headache and low blood sugar levels Yes my blood sugar keeps dropping to a bit below 70 then I eat a glucose tablet and get it up to 98 or 105 in 30 - one hour back down again. I am afraid to sleep I have a blazing headache and my sister died ib her sleep from low blood sugar she was brain dead by morning...blind, etc.

Suggest treatment for diabetes

I am suffering from high blood pressure last 20 years now I am I am after age of 35 I am suffering from severe diabetes I am after age of 35 I am suffering from when I become nervous my heart beat become very fast Now I take one tablet of calvix 75 which prescribed by dr dandaiya now I what to do please suggest me

<start> HiDiabetes is a disorder in which either your pancreas does not produce insulin (TYPE 1 ) or insulin is produced in less quantity or insulin not utilized by the tissues/organs(Type 2)More than 90% of the diabetes patients are Type 2. If your blood sugar levels are high eg. Fasting > 150 HBA1c > 7.5 then you need to discuss with your diabetic consultant for further course(either add another oral drug or insulin) depending on the caseOne of the good way to increase the insulin secretion is exercise/walking for 45 minutes daily or atleast six days per week. This will help secretion of the insulin aswell as utilization of the insulin by muscles/organs etc. Also exercise/walking will help to maintain your blood pressureYou can continue using Calvix tablet however if you have gastritis then you can take antacid tablets like Ranitidine before foodTry to meditation daily which will help controlling your anxiety and heart beats to normalIf you still have any query please get backWish You Good HealthRegardsDr Sridhar K <end>

Suggest treatment for diabetes I am suffering from high blood pressure last 20 years now I am I am after age of 35 I am suffering from severe diabetes I am after age of 35 I am suffering from when I become nervous my heart beat become very fast Now I take one tablet of calvix 75 which prescribed by dr dandaiya now I what to do please suggest me

Suggest treatment and diet for type 2 diabetes

Hi and thank you. Recently my 66 year old husband was diagnosed with Diabetes 2, he is a very thin man (6' 3" and 155 pounds). We are confused with the receipes and servings, we are still hungry when we go to bed at night and when we wake in the morning. What and how much food should he be eating to control his sugar which is currently under 120? Thank you so much.

<start> Hello there. Read your query and noted the contents. Type 2 diabetes treatment involves 4 basic things. Diet, exercise, medications and education on diabetes. Out of these diet constitutes a major portion. Diabetes should not be controlled by starving. You need to eat rightly - eat on time and eat the right kind of portions. One golden principle is to take small frequent meals. Breakfast at 8. Lunch at 2. Dinner at 8. Mid meal snacks at 11 am and 5 pm and 10 pm. Try this and I am sure he will feel well. Eat food rich in fiber and that will make you feel full and have a positive effects on glucose levels. Fruits, nuts are ideal mid meal snacks. I hope this helps. Wishing him good health. I will be happy to answer any more queries that you may have. Take care. <end>

Suggest treatment and diet for type 2 diabetes Hi and thank you. Recently my 66 year old husband was diagnosed with Diabetes 2, he is a very thin man (6' 3" and 155 pounds). We are confused with the receipes and servings, we are still hungry when we go to bed at night and when we wake in the morning. What and how much food should he be eating to control his sugar which is currently under 120? Thank you so much.

Is LOOZ syrup safe in diabetic people ?

My mother 80 year old is taking LOOZ syrup for her constipationbesides she takes medicine for Diabetes GLYCOMET 250 Mg, Hypertension Amlosaf 5mg PAN D, Storwash 10 mg, CLipitolquestion - is it okay Diabetic can take LOOZ

<start> Hello there. Noted the contents. Syp Looz which is lactulose can increase the blood glucose levels. It has to be used with caution. You may use it for your mother but just monitor her blood glucose levels. Other good alternatives would be ispagula husk. Its safe, effective and has no adverse effects on blood glucose levels. LEt her have a diet high in fiber and drink adequate fluids. Hope this helps.Wishing her good health.Take care. <end>

Is LOOZ syrup safe in diabetic people ? My mother 80 year old is taking LOOZ syrup for her constipationbesides she takes medicine for Diabetes GLYCOMET 250 Mg, Hypertension Amlosaf 5mg PAN D, Storwash 10 mg, CLipitolquestion - is it okay Diabetic can take LOOZ

Are Glynase and Glucomet good for diabetes?

I am 69 years, Male, having type 2 since 2000. Taking Glynase XL10 2 times before breakfast and dinner, glucomet 1 gm 2 times, after breafast and dinner.Is it ok. FAsting 140/160, PPBS 190/220 like that. Fasting BS flactuating-120/160. Please advise.

<start> Hi, Thanks for your question. At present you are on optimal dose of Glynase and Glycomet. With this your blood sugar levels are out of acceptable range. Considering absence of heart or kidney disease in you target blood sugar levels for you areFasting below 130 and Postprandial below 180.It is advisable to do - HbA1c which gives fair idea about blood sugar control over last 3 to 4 months. - Kidney function test. - Urinary albumin creatinine ratio. - Lipid Profile. - Liver function test. - Thyroid function test. - ECG and if required 2DEcho. For blood sugar control I will advise addition of Voglibose with lunch and dinner. Frequent monitoring of blood sugar levels. Depending upon blood sugar levels and HbA1c level future changes in medications can be done. All this need to be discussed with your doctor. Hope this helps you, if so do vote. <end>

Are Glynase and Glucomet good for diabetes? I am 69 years, Male, having type 2 since 2000. Taking Glynase XL10 2 times before breakfast and dinner, glucomet 1 gm 2 times, after breafast and dinner.Is it ok. FAsting 140/160, PPBS 190/220 like that. Fasting BS flactuating-120/160. Please advise.

Suggest treatment for urinary incontinence , diabetes and fever

My husband, age 65, has diabetes and on the cusp of 4th stage renal disease. He had to get up to urinate more last night than usual. No pain. Woke up, had fever 99.4-100.4 and blood sugar was 179. I sponged him down and gave him lots of fluids and brought his fever down. Now at 6:30 he has chills and fever again. Any ideas? He doesn t seem to have any respiratory problems, outside of the chronic COPD.

<start> Hi, Thanks for your question. I feel really sorry after going through your question. Most likely possibility in your husband is urinary infections. You should consult your doctor immediately. There is need for - 1) Detailed clinical Examination. 2) Urine Examination along with urine culture. 3) Blood tests like Complete haemogram, Renal Function Test, Liver Function Test, Serum Calcium, Magnesium, Phosphates. 4) Ultrasonography of abdomen and Pelvis. 5) Cardiac evaluation. 6) Blood sugar monitoring. 7) May require Insulin for better Diabetes control. He may require Intravenous Antibiotics with close monitoring of renal functions. Monitoring of respiratory function is also important as his COPD may complicate his recovery. Hope this helps you, if so do vote. <end>

Suggest treatment for urinary incontinence , diabetes and fever My husband, age 65, has diabetes and on the cusp of 4th stage renal disease. He had to get up to urinate more last night than usual. No pain. Woke up, had fever 99.4-100.4 and blood sugar was 179. I sponged him down and gave him lots of fluids and brought his fever down. Now at 6:30 he has chills and fever again. Any ideas? He doesn t seem to have any respiratory problems, outside of the chronic COPD.

Could diarrhea and mild headaches be related to my blood sugar?

I have been taking metformin 500 mg 2xday since April after being dianosed with type 2 diabetes. Just this week I have had severe diarrhea for 3 days but not in a row, I have had a little nausea and some acid reflux for which i take omeprazole as needed. Also my appetite has been up and down. Also mild headaches off and on this week and just a general feeling of blah. Just wondering if this could be related to my blood sugar or maybe something else going on. I am due to go get my bllod tests done but not until first of July. Any info is appreciated. Thank you

<start> Hi your diarrhea and diabetes may not be directly related however if ur diabetes not controlled then treatment of diarrhea may get delayed. high sugar levels will be media for the pathogens to grow. suggest u do ur fasting sugar and if it is abnormal then control by exercise and diet and modify medication in consultation with your diabetologist. for ur diarrhea u can take sporlac powder with water two times daily. avoid milky items. consume fresh fruit juices and if you do not get relief get a stool culture done wish you good health regards Dr Sridhar K <end>

Could diarrhea and mild headaches be related to my blood sugar? I have been taking metformin 500 mg 2xday since April after being dianosed with type 2 diabetes. Just this week I have had severe diarrhea for 3 days but not in a row, I have had a little nausea and some acid reflux for which i take omeprazole as needed. Also my appetite has been up and down. Also mild headaches off and on this week and just a general feeling of blah. Just wondering if this could be related to my blood sugar or maybe something else going on. I am due to go get my bllod tests done but not until first of July. Any info is appreciated. Thank you

Suggest ways to loose weight

Im a diabetic im watching my weight since march haven t lost a pound nned to lose 10 15 pounds by oct my daughter is getting married I watch what I eat and drink water w lemon all the time it is discouraging my stomach is bloated looks like im pregnant I take insulin shots and take 300 mg invokana

<start> HiIf I were your treating doctor would have first screened you for the control of diabetesIf your HBA1c levels were within 6.5 to 7 then would have considered different medications than Insulin(Metformin etc)One of the main reason for people putting on weight during Insulin administration is because Insulin is an Anabolic harmoneWhen you take insulin, glucose is able to enter your cells, and glucose levels in your blood drop. This is the desired therapeutic goal. But if you take in more calories than you need to maintain a healthy weight — given your level of activity — your cells will get more glucose than they need. Glucose that your cells don't use accumulates as fatThe following can help you in controlling your weightHave check on CaloriesDont Skip MealsPhysical Activity - Walking or Exercise for 45 minutes dailyTake insulin only as directedHave your HBA1c levels checked every 3 monthsThis should help you to reduce weightWish You Good HealthRegardsDr Sridhar K <end>

Suggest ways to loose weight Im a diabetic im watching my weight since march haven t lost a pound nned to lose 10 15 pounds by oct my daughter is getting married I watch what I eat and drink water w lemon all the time it is discouraging my stomach is bloated looks like im pregnant I take insulin shots and take 300 mg invokana

Suggest treatment for diabetes

HI, when i was 6 i was diganosed woth diabetis. My whole life i have been short tempered, i cant finish what i start, no matter how hard i want to or try to. I cant pay attention in class for long, even when I have full intentions of doing so. But in spite of all this, I am on the A or B honnor roll every quarter, I am the best reader in my whole school, and I am in advanced math and lit. Is it possible i have ADHD? or somepthing else along those lines? my email is YYYY@YYYY , thank you!-S

<start> Dear-thanks for using HCM . You might have ADHD due to what you described at school.Patients with ADHD have average or above average intelligence,they do very good at school but fight with concentration's problems,making them have low grades sometimes due to this.Diabetes does not have any relationship with this condition.You should have a basic neurological test for ADHD and will benefit from treatment. Medication will help you to focus better in your daily activities,school,work and social life. You should talk to your doctor about this and will get the referral for a neurologist.I hope my advise has been useful and feel free to contact me for any medical questions that you might have.d <end>

Suggest treatment for diabetes HI, when i was 6 i was diganosed woth diabetis. My whole life i have been short tempered, i cant finish what i start, no matter how hard i want to or try to. I cant pay attention in class for long, even when I have full intentions of doing so. But in spite of all this, I am on the A or B honnor roll every quarter, I am the best reader in my whole school, and I am in advanced math and lit. Is it possible i have ADHD? or somepthing else along those lines? my email is YYYY@YYYY , thank you!-S

Suggest treatment for swollen and painful foot in a diabetic patient

My boyfriend is a diabetic and his foot has been red, swollen & very painful the last year. The doctors here said it was cellulitis and he was on Bactrim for 8 months. It didn't clear it up. Then they put him on several different creams and nothing. His sugars have been under control. It is not getting bigger and the area has almost covered his whole foot. They took xrays scans & its not in the bone. He doesn't run a fever. What can this be. It started out looking like a spider bite a year ago

<start> HiIf any wound is not healing for a long time it suggests that the patient needs to monitor the blood sugar much more stringentlyPlease clean the swollen part with the saline solution and apply moist heat gently which will give some reliefif there is any wound please clean with the solution and apply povidone ointment(in consultation with your doctor)The causes of swollen feet and ankles are numerous; the following is a list of most of the major causes with some examples.Dependent swelling (or edema): swelling due to standing or walking (usually over some time period that varies from person to person)Medications (side effects): Many medications have the side effect of fluid retention that manifests as swelling. Although the reader is advised to check their individual medications for side effects of swelling, general categories that may cause swelling include anti-inflammatory drugs (steroids and NSAIDs), hormones, medications for people with diabetes, antidepressants, and many calcium channel blockers (anti-hypertensive and cardiac medications).InjuryDiseases: heart disease, liver disease, kidney disease (all of these diseases can influence fluid mobilization in the body by physical, metabolic and electrolyte-water interactions)Infection and Lymph edemaPlease also get his HbA1c levles and if it is high see the diabetologist immediatelyWishing him Good HealthRegardsDr Sridhar K <end>

Suggest treatment for swollen and painful foot in a diabetic patient My boyfriend is a diabetic and his foot has been red, swollen & very painful the last year. The doctors here said it was cellulitis and he was on Bactrim for 8 months. It didn't clear it up. Then they put him on several different creams and nothing. His sugars have been under control. It is not getting bigger and the area has almost covered his whole foot. They took xrays scans & its not in the bone. He doesn't run a fever. What can this be. It started out looking like a spider bite a year ago

Suggest remedy for suddenly increased blood sugar

Hello my boy friend has type 2 diabetes and I took his blood sugar at 730 pm and it was 193 almost an hour later he started to feel like he was going to pass out so at 820pm his sugar spike to 217 so fast now he took his meds and he had not eaten what should I do

<start> HI, thanks for using healthcare magicIf he has an symptoms related to infection (cough/cold or any infection) then this can cause an increase in his blood sugar.If this is not the case then the increase can be related to a change in diet or not using the medication as prescribed.He should do his readings regularly for the next 2 to 3 days at different points during the day- fasting, premeals, post meals , so that he can get a general idea of his control.If the readings are consistently high then he may need to speak to his doctor about about his medication.I hope this helps <end>

Suggest remedy for suddenly increased blood sugar Hello my boy friend has type 2 diabetes and I took his blood sugar at 730 pm and it was 193 almost an hour later he started to feel like he was going to pass out so at 820pm his sugar spike to 217 so fast now he took his meds and he had not eaten what should I do

What is the range for diabetes for doctor consultation?

Is there a certain number when I should I go to the ER for diabetes? i have been a non-insulin type II diabetic since 10/03 and have been diet controlled for the last 2 years. a friend got me a glucose meter after I had mentioned leg and foot pain. I checked it 10 mins ago and am at 511. last night before bed I was at 277

<start> Hi, With a blood sugar level of 511 you should go to ER. With this blood sugar level there may be chances of altered sensorium or even coma. Every diabetic patient should consult diabetologist at the time of diagnosis and periodically there after depending upon your blood sugar levels, as advised by doctor. I will recommend to visit doctor whenever blood sugar is above 250.With such a high blood sugar level there may be need for further evaluation and insulin for better sugar control. Hope this helps you, if so do vote. <end>

What is the range for diabetes for doctor consultation? Is there a certain number when I should I go to the ER for diabetes? i have been a non-insulin type II diabetic since 10/03 and have been diet controlled for the last 2 years. a friend got me a glucose meter after I had mentioned leg and foot pain. I checked it 10 mins ago and am at 511. last night before bed I was at 277

What causes high blood sugar levels?

Hi, my doctor recently said I have stomach ulcers,but I keep having pain towards my back in the stomach region and when I walk. I know its not a kidney infection. Today i just have not felt right and tested my blood sugar and it was 150 and hour after my meal. I am not a diabetic. Could i be having problems with my pancreas? Should i go to the doctor tomorrow?

<start> Hi,After going through your question I want to clear certain facts-1) Blood sugar level of 150 1 hour after meal can be considered as normal.2) Pain in stomach radiating to back may be due to pancreatic problem.Hence I would like to advise you to consult your doctor.There is a need for clinical examination depending on it there may be need for ultrasound of abdomen and pelvis which help in evaluation of pancreas and kidneys, blood investigations like complete blood count, serum amylase and lipase (pancreatic enzymes), liver and kidney function test or CT scan of abdomen.With your mentioned blood sugar level you cannot be labeled as diabetic, I will advise you to do OGTT (oral glucose tolerance test) to confirm your diabetic status.Hope I have answered your query.If so do vote the answer. <end>

What causes high blood sugar levels? Hi, my doctor recently said I have stomach ulcers,but I keep having pain towards my back in the stomach region and when I walk. I know its not a kidney infection. Today i just have not felt right and tested my blood sugar and it was 150 and hour after my meal. I am not a diabetic. Could i be having problems with my pancreas? Should i go to the doctor tomorrow?

What does change of A1C from 5.9 to 5.6 mean?

Hi! I was diagnosed prediabetic five months ago. A1C of 5.9. I'm thin, but I skipped meals and then drank a sugary frappe each night. I learned to eat healthy. I retested two months ago. My A1C was 5.6. If I test again and get an even lower result, does it mean that my body will be able to tolerate sugar like a normal person, or will my blood sugar shoot up at the first slice of cake? I plan on permanent diet changes, but I want to feel like I'm back to normal.

<start> Hello. I would like to extend my appreciation that you have started a healthy eating pattern. As shown by your A1c, your blood glucose levels have begun to decrease. 50 percent of prediabetics become diabetic in 5 yrs. 25 percent remain so and 25 percent regress to normal glucose tolerance. Since you were in the pre diabetic range, its prudent to engage in healthy eating and remaining active always. An occasional frappe is alright but stick to something healthy almost always. Take care. <end>

What does change of A1C from 5.9 to 5.6 mean? Hi! I was diagnosed prediabetic five months ago. A1C of 5.9. I'm thin, but I skipped meals and then drank a sugary frappe each night. I learned to eat healthy. I retested two months ago. My A1C was 5.6. If I test again and get an even lower result, does it mean that my body will be able to tolerate sugar like a normal person, or will my blood sugar shoot up at the first slice of cake? I plan on permanent diet changes, but I want to feel like I'm back to normal.

Is Trajenta duo the correct treatment for high blood sugar levels?

My blood suger level are 160mg/dl in fasting blood glucose and 233mg/dl in post prandial blood glucose by hexokinase method .. I am consuming Glynase-MF Combination of Generics - Glipizide, Metformin. My suger level are not reducing and one of my relative suggested me to go with trajenta duo (fixed dose combination of linagliptin and metformin hydrochloride)and glucophage XR (prolonged release metformin hydrochloride) tablets plz suggest me in correct dosage of this tablets

<start> Dear friend, Greeting from HCM. I understand your concern. Tab. Trajenta DUO is definitely better. But do check your Hba1c, lipid profile, microalbumiuria and thyroid profile and get the prescription form your treating doctor. But please do remember that changing tablets alone is not the solution now. You need to follow some lifestyle modifications too. You avoid carbohydrate, take more of green leafy vegetables, sprouts, oats, millets and other fiber rich food. Do exercise, practice yoga and pranayama THANKS <end>

Is Trajenta duo the correct treatment for high blood sugar levels? My blood suger level are 160mg/dl in fasting blood glucose and 233mg/dl in post prandial blood glucose by hexokinase method .. I am consuming Glynase-MF Combination of Generics - Glipizide, Metformin. My suger level are not reducing and one of my relative suggested me to go with trajenta duo (fixed dose combination of linagliptin and metformin hydrochloride)and glucophage XR (prolonged release metformin hydrochloride) tablets plz suggest me in correct dosage of this tablets

What should i do to control diabetes?

I am 52 years female and for last 4 years I was diagnosed as a pre diabetic .My status almost always stays as Fasting sugar between 120 to 140 and Postprandial always normal My Hbac1 remains below 6.5Should I start Metfield or still manage with lifestyle changes

<start> Hello,Treatment with metformin is not absolutely necessary at this time. Glucose control requires a combination of lifestyle changes which include increased physical activity, body weight control and a proper diet. Regarding physical activity, 30 minutes of fast walking every day is effective and sufficient. If you're doing more than that already then you should keep on doing it.I can't give you a specific diet plan, butte main idea is to avoid food with high calories (fat) and eat a lot of fiber. Your diet should make you loose weight if you're overweight or obese.If the aforementioned measures are not sufficient to control the blood sugar and keep it less than 120-130 in the morning (fasting) and less than 140-160 a couple of hours after meals then drug treatment would be recommended to minimize the risk for diabetic complications in the future.You can contact me again if you'd like any clarifications. Kind regards! <end>

What should i do to control diabetes? I am 52 years female and for last 4 years I was diagnosed as a pre diabetic .My status almost always stays as Fasting sugar between 120 to 140 and Postprandial always normal My Hbac1 remains below 6.5Should I start Metfield or still manage with lifestyle changes

What causes slight elevation in blood sugar?

I am a 65 yr old male. I had a hip replacement 12/30/14 and recent hand reconstruction 4/1/15. I have re-cooperated from my hip but a couple wks before my hand surgery I was ill vomiting, seats, chills fever. I think it was the flu. The last couple weeks I have been fatigued and for the last 7-8 days I have been low grade fever, coughing, shortness breath, bad sweats and chills, no appetite. Went to dr last Wednesday Apr 29th and chest X-Ray showed no fluid in lungs and white blood count showed little elevation in sugar but dr said normal. Any suggestions?He prescribed augmented and a cough syrup. My cough is better but I have all of the other systems still.

<start> FBS 110-126 mg/dl =prediabetic FBS=> 126 mg/dl = Diabetic.Have a low calorie deit and keep yourself active. <end>

What causes slight elevation in blood sugar? I am a 65 yr old male. I had a hip replacement 12/30/14 and recent hand reconstruction 4/1/15. I have re-cooperated from my hip but a couple wks before my hand surgery I was ill vomiting, seats, chills fever. I think it was the flu. The last couple weeks I have been fatigued and for the last 7-8 days I have been low grade fever, coughing, shortness breath, bad sweats and chills, no appetite. Went to dr last Wednesday Apr 29th and chest X-Ray showed no fluid in lungs and white blood count showed little elevation in sugar but dr said normal. Any suggestions?He prescribed augmented and a cough syrup. My cough is better but I have all of the other systems still.

What causes constant vomiting in a patient with diabetes?

My son who is 43 and a diabetic he has been vomiting usely we end up in the hospital but we are out of nausea meds, and out in the country about 35 miles from a good hospital, my girl friend who was real sick pregnant took ondansetn can't read the rest 4 mg. if we don.t get this stopped he will end up in the hospital can he try one or not.

<start> Hi, I did review your concern.Continuous vomiting in a diabetic is very concerning for either Diabetic ketoacidosis or Nonketotic hyperosmolar coma. I would recommend you to take him to nearby hospital and get his blood and urine evaluated for ketones and lactic acid and also glucose. this may be a fatal situation and earlier you take action better the eventual course is. I hope this helps you.Wish your son healthy life. <end>

What causes constant vomiting in a patient with diabetes? My son who is 43 and a diabetic he has been vomiting usely we end up in the hospital but we are out of nausea meds, and out in the country about 35 miles from a good hospital, my girl friend who was real sick pregnant took ondansetn can't read the rest 4 mg. if we don.t get this stopped he will end up in the hospital can he try one or not.

What causes night sweats in a patient with diabetes?

I M a 69 year old lady have beep come more and more aware of term "night sweats". I have recently seemed to have developed them. Every night for the past 3-4 months, I awaken SOAKING WET, ALONGWITH THE SHEETS,COVERS ETC.Is this something Type 2 diabetic patient must deal with?." I Shower 2' sometimes 3 x daily. My nocturnia causes me to awaken 2-3 times a night...that's when I discover my pj's,Sheets, pillows soaking wet. How should I go about resolving these issues? I appreciate your insight Thank you for your time in answering my questions.

<start> Hi, i did review your concern,night sweating in diabetes can be due to improper medication- either too high or too less causing reflex hypoglycemia by cortisol. I would recommend you to consult an endocrinologist to measure midnight or early morning blood glucose and HbA1c levels. These phenomenon are widely known as Dawn phenomenon and somogyi phemenon which you can discuss in detail with your diabetes treating doctor.I hope this advice helps,Wish you a very healthy and happy life. <end>

What causes night sweats in a patient with diabetes? I M a 69 year old lady have beep come more and more aware of term "night sweats". I have recently seemed to have developed them. Every night for the past 3-4 months, I awaken SOAKING WET, ALONGWITH THE SHEETS,COVERS ETC.Is this something Type 2 diabetic patient must deal with?." I Shower 2' sometimes 3 x daily. My nocturnia causes me to awaken 2-3 times a night...that's when I discover my pj's,Sheets, pillows soaking wet. How should I go about resolving these issues? I appreciate your insight Thank you for your time in answering my questions.

Is it possible to get infected from diabetes through needles?

Hi my brother is diabetic and has hep B and hep C. He had his needles that read his glucose reading in a medicine container I was dumping them into another container and my finger was pricked with a glucose lancets 30 G fine gauge. I immediately started squeezing blood out continuously and cleaned it with peroxide and alcohol swab. Is it possible for me to have been infected? If so how long does it take to experience signs of hepatitis b and C?

<start> Hi, I did review your problemIt is possible to get infected with Hep B and Hep C with this scenario. Since the needle was very fine the amount of blood inoculated will be less however there remains a probablilty. best would be to take post exposure prophylaxis for Hepatitis B in form of HBIG and then vaccination for Hep B routine schedule. Symptoms of Hep B and Hep C may occur or may not occur at all but usualy take 45-180 days. You can get a serum check after 2-3 months for antibody and antigen titers and see from there onWIsh you a healthy life ahead. <end>

Is it possible to get infected from diabetes through needles? Hi my brother is diabetic and has hep B and hep C. He had his needles that read his glucose reading in a medicine container I was dumping them into another container and my finger was pricked with a glucose lancets 30 G fine gauge. I immediately started squeezing blood out continuously and cleaned it with peroxide and alcohol swab. Is it possible for me to have been infected? If so how long does it take to experience signs of hepatitis b and C?

Suggest treatment to control blood sugar and sore throat

husband blood sugar shot up to 300, not usual. was lower 100's a while. was coming down with sore throat so think spiked. Saw online to bring down with water, exercise and eat eggs. just realized egg rotten. he has no smell so didnt know. Now vomiting. gave suppository for nausea. is this all i can do. doesnt take insulin. count 276 now.

<start> HI, thanks for using healthcare magicDuring an infection, the blood sugar would increase due to the stress response of the body but it should not elevate these levels.This may indicate that he has underlying diabetes and he may need investigations to determine if he is a diabetic.The medication for nausea should help to control his vomiting and nausea.I hope this helps <end>

Suggest treatment to control blood sugar and sore throat husband blood sugar shot up to 300, not usual. was lower 100's a while. was coming down with sore throat so think spiked. Saw online to bring down with water, exercise and eat eggs. just realized egg rotten. he has no smell so didnt know. Now vomiting. gave suppository for nausea. is this all i can do. doesnt take insulin. count 276 now.

Is it possible to get insulin with no preservatives?

Is it possible to get insulin with no preservatives? I am allergic to preservatives and I am taking Lantus at night and I have started getting symptoms of allergies, coughing and wheezing. Have been on the Lantus for about 5 weeks. I stopped injecting Lantus 48 hours ago and my symptoms have subsided.

<start> Hi. Its not possible to get insulin without preservatives. Insulin is degraded and it becomes impure without them. Since you have found such a strong correlation between your symptoms and insulin use my advise would be for you to undergo desensitization under the care of a dermatologist. Prior to that plz undergo a patch test. If you can be managed with other injectable preparations for diabetes you should consider that. Take care. Regards, dr praveen. <end>

Is it possible to get insulin with no preservatives? Is it possible to get insulin with no preservatives? I am allergic to preservatives and I am taking Lantus at night and I have started getting symptoms of allergies, coughing and wheezing. Have been on the Lantus for about 5 weeks. I stopped injecting Lantus 48 hours ago and my symptoms have subsided.

Are rashes common to occur in borderline diabetic people?

I have been diagnosed as a borderline diabetic. For the past several weeks I have had a rash that appears on my mid-section, arms, neck, etc. I comes about the same time everyday and it produces a terrible itch. My question is could this be related to the diagnosis?

<start> HiAs you have mentioned that you are borderline diabetic, the blood sugar levels are not very high so may not be related to diabetes however continue the life style management and diet as advised by your physician.If I were your treating doctor would have advised for the itching -some anti histamine tablets and apply Betnovate creamif you still continue can contactWish you good healthRegardsDr Sridhar K <end>

Are rashes common to occur in borderline diabetic people? I have been diagnosed as a borderline diabetic. For the past several weeks I have had a rash that appears on my mid-section, arms, neck, etc. I comes about the same time everyday and it produces a terrible itch. My question is could this be related to the diagnosis?

How to handle appetite problems in diabetics?

Hi I'm 33 years old and I have type 2 diabetes I had it for 3 years I always had a problem with my appetite now that I have diabetes my doctor took me off and now I stay sick alot I lost weight I stop taking my medicine so that I won't be sick so much what should I do

<start> Hi if ur sugar levels are normal consume diet as advised by ur doctor u can have fruits like apple grape fruit avacoda pomegrane u can have plenty of cabbage cauliflower cucumber tomota leafy vegetables tomoto soup lime juice without sugar wish u good health <end>

How to handle appetite problems in diabetics? Hi I'm 33 years old and I have type 2 diabetes I had it for 3 years I always had a problem with my appetite now that I have diabetes my doctor took me off and now I stay sick alot I lost weight I stop taking my medicine so that I won't be sick so much what should I do

Suggest treatment for type 2 diabetes

I ve recently been told I am a type 2 diabetic. I haven t had a metrical period for over 5 years. I have been taking meds to control my diabetes and I have Vernon my period first two weeks. It seemed like united period was over but when I m aroused I bleed. Is this normal? Will it stop?

<start> HI, thanks for using healthcare magicIt is not usual to bleed with arousal.If you were menopausal and have noted pv bleeding then it would be best to see your doctor as soon as possible for assessment.That would include physical examination, U/S of the pelvis and possibly biopsy depending on findings.You may also need a pap smear if you do not have a recent one.I hope this helps <end>

Suggest treatment for type 2 diabetes I ve recently been told I am a type 2 diabetic. I haven t had a metrical period for over 5 years. I have been taking meds to control my diabetes and I have Vernon my period first two weeks. It seemed like united period was over but when I m aroused I bleed. Is this normal? Will it stop?

Suggest remedy to reduce blood glucose after steroid injection

I had a steriod injection for arthritis today. I have been diagnosed as pre diabetic. I have been watching my diet and my daily glucose checks are in normal range. Today, when I checked two hours after eating my blood glucose was 261. I waited two more hours and checked again. It risen to 272. Will it go back down? Is there something I should do?

<start> HI, thanks for using healthcare magicThe steroid injection could have an effect on your blood sugars but this effect should diminish within 24 to 48 hours .You can continue to monitor your readings during this time.If your blood sugars are increased due to progression of the pre diabetes then you may need to be assessed for possible treatment.I hope this helps <end>

Suggest remedy to reduce blood glucose after steroid injection I had a steriod injection for arthritis today. I have been diagnosed as pre diabetic. I have been watching my diet and my daily glucose checks are in normal range. Today, when I checked two hours after eating my blood glucose was 261. I waited two more hours and checked again. It risen to 272. Will it go back down? Is there something I should do?

Suggest treatment for type 2 Diabetes

I have been diagnosed with Type 2 Diabetes. I am constantly feeling so weak its to the point I could actually sit down and pass out. I am not hungry and feel so nauseous all the time it's hard to eat and when I can't eat I can't take the Metformin. The weakness has gotten so bad that I can barely make it from the parking lot to my office. My doctor just added Javuna and it doesn't seem to be helping. Could this weakness be from something else?

<start> Hello. I am Dr. Praveen and I will be answering your question today. Type 2 diabetes especially when its not under control can lead to severe generalised weakness. I would really like to know how your blood glucose levels are and what your last Hba1c was. Do you have any other illnesses like high BP or cholesterol related or kidney disease? Has anyone told you that you look pale lately? Januvia (sitagliptin) is a very good drug like metformin. Please continue a healthy diet and walk for about 20 min (slow is enough to start with). I could advise better if I knew few more details as mentioned earlier. But as a rule, once the glycemic (sugar) control is better you will begin to feel a lot better.Wishing you good health. Please feel free to drop in any more queries if need be.Take care. Warm regards,Dr Praveen Jeyapathy <end>

Suggest treatment for type 2 Diabetes I have been diagnosed with Type 2 Diabetes. I am constantly feeling so weak its to the point I could actually sit down and pass out. I am not hungry and feel so nauseous all the time it's hard to eat and when I can't eat I can't take the Metformin. The weakness has gotten so bad that I can barely make it from the parking lot to my office. My doctor just added Javuna and it doesn't seem to be helping. Could this weakness be from something else?

Suggest treatment for diabetic neuropathies

my dad was injured at work 11 years ago; crushed his heel and his (lower) 4th vertebra. The doctor tried cement in his back but it just leaked out. My dad was put on oxycotin/oxycodine and the dosage has continued to rise over the years. He is now on 80 mg 3x day for several years. when he runs out he goes through horrible withdrawl and has halluinations and nearly died. we convinced him this time to go to a nursing home for therapy and reduce the amount of oxy. he was down to 30 mg. 2x daily. However, he is double dosing on them, by his own admission. He was recommended a new doctor, but is going back to his original pain management doctor to get the 180/daily. My dad has expressed how thats the only thing that relieves pain completely, and the pain in his legs from diabetes, and how it gives him a "good feeling". He's also said he cant wait to get to the next one to "feel good". He has admitted he would rather shoot his brains out (and he has the guns to do it) than to go without it. First, what can I do for my dad? and Second, I've told the doctor dad had overdosed before and he still prescribes it after threatening not to. Is he at fault for continuing my dad's dependency/addiction?

<start> Dear User , Thanks for asking, Sorry to hear about your Dad.After Reading what you have written . I for sure feel your Dad has gotten addicted to Oxycodone. Oxycodone is an Opiod drug and a drug similar to morphine. and is generally used for severe Pain like Pain due to cancer. But its indeed an addictive drug. This Drug shouldnt be stopped Cold turkey, If done can cause severe withdrawl symptoms. Many Physicians prefer tapering the dose like 10 % of the original dose weekly.. and if decided to stop your dad as an alternative to it ,should probably be put put on antiepileptics (for neuropathic pain ) and also Antidepressants ... My Sincere Suggestion is Please take him to Detox clinic or deaddiction centre immediatley , Let the doctor there take the call.. Please dont try anything on your own.Wishing your Dad Good health and recovery ..Regards Dr.Samuel <end>

Suggest treatment for diabetic neuropathies my dad was injured at work 11 years ago; crushed his heel and his (lower) 4th vertebra. The doctor tried cement in his back but it just leaked out. My dad was put on oxycotin/oxycodine and the dosage has continued to rise over the years. He is now on 80 mg 3x day for several years. when he runs out he goes through horrible withdrawl and has halluinations and nearly died. we convinced him this time to go to a nursing home for therapy and reduce the amount of oxy. he was down to 30 mg. 2x daily. However, he is double dosing on them, by his own admission. He was recommended a new doctor, but is going back to his original pain management doctor to get the 180/daily. My dad has expressed how thats the only thing that relieves pain completely, and the pain in his legs from diabetes, and how it gives him a "good feeling". He's also said he cant wait to get to the next one to "feel good". He has admitted he would rather shoot his brains out (and he has the guns to do it) than to go without it. First, what can I do for my dad? and Second, I've told the doctor dad had overdosed before and he still prescribes it after threatening not to. Is he at fault for continuing my dad's dependency/addiction?

What are prediabetes symptoms?

I just received a review of my annual blood work and it indicated my hemoglobin range at 15.6h and my hematocrit at 46.4 h an abnormal range for both. The pa indicated early stage of possible elevated glucose pre diabetes? In ready information on line nothing is mentioned regarding diabetes?What do this levels indicate.

<start> Dear user,I really understand your concern.Prediabetes is a state of potential diabetes mellitus, with normal glucose tolerance but with an increased risk of developing Type 2 diabetes, (e.g., family history, it has no signs or symptoms.Another risk for type 2 diabetes is darkened skin on certain parts of the body (usually neck, armpits, elbows, knees and knuckles), that is called acanthosis nigricans.Your blood test doesn't indicates for diabetes, fasting blood sugar is a test used for screening of diabetes.Your test results aren't much higher, they may be due to dehydration, so drink 6-8 glasses daily and the test result may improves.All the best!Dr. Elton HaliliMASTER OF SCIENCE IN GENERAL MEDICINE <end>

What are prediabetes symptoms? I just received a review of my annual blood work and it indicated my hemoglobin range at 15.6h and my hematocrit at 46.4 h an abnormal range for both. The pa indicated early stage of possible elevated glucose pre diabetes? In ready information on line nothing is mentioned regarding diabetes?What do this levels indicate.

Suggest treatment prediabetes symptoms

I have a possible new diagnosis of pre-diabetes.... A1c test came back 5.8... My concerns center around post meal higher then normal blood sugar readings ranging from 130-190. They are however back to normal usually within 3-4 hours. They only spike at the higher end if I have a high carb meal.. My fasting blood sugars have all been in the normal range for non-diabetics70-90... My post meal spikes make me feel shaky and sweaty and dizzy. I've also lost some weight..down to 100 from my normal of 108-110. So I need to gain weight and keep my post meal sugars in range... I've been very careful with my diet trying to limit carbs but I think i'm being too careful and this is affecting my weight.. I will be going to a nutritionist next month but in the meantime what would you suggest.. I was thinking about trying a protein drink.. I know I will need to be careful about the amt of sugar in the drink...My appetite isn't the greatest... I don't eat much meat/no red meat only chicken, fish and turkey.... I really try to eat well.. plenty of fruits and veggies.... I have a family history of type two diabetes . My mother had diabetes by her late 40's around 50.. I'm in my mid 60's..I Also try to stay as active as possible walking is my fav but due to an increase in fatique i'm not walking much and I'm not sleeping well either as I worry aabout being pre-diabetic... Thank you for taking time to read this and offer some advice....

<start> Hello. I am Dr. Praveen and I will be answering your question today. Its good that you are trying to take charge of the situation. Pre diabetes is actually an oppurtunity for change. Its how well we make use of it.In Type 2 diabetes it is the post meal sugars that go high first and only after a lot of time the fasting goes high. That is why you have high post prandial values.You will experience dizzy shaky episodes if you dont eat for too long because in Type 2 diabetes and pre diabetes your body has a higher than normal insulin as a response to insulin resistance. So what you need to do is to avoid high carb diet and take SMALL AND FREQUENT MEALS.The only proven intervention to preventing diabetes is loosing 10% of your existing body weight and do 30 mt of aerobic exercise like walking, running, swimming for five times a week and resistance training (with weights in a gymn) for two days. Avoid smoking and alcohol.What is your height. Your ideal weight is Ht in cm - 100. Multiple that by 0.9 to get to the ideal weight since you are pre diabetic. Dont worry. Just do one change at a time with regard to your diet and lifestyle and remember its a change for life. Encourage your family to be actively participated because it will help them have a healthy life too. Check your fasting values, Glucose tolerance test and Hba1c annually.Monitor your BP and fasting lipid values twice a year.Wishing you good health. Please feel free to drop in any more queries if need be.Take care. Warm regards,Dr Praveen Jeyapathy <end>

Suggest treatment prediabetes symptoms I have a possible new diagnosis of pre-diabetes.... A1c test came back 5.8... My concerns center around post meal higher then normal blood sugar readings ranging from 130-190. They are however back to normal usually within 3-4 hours. They only spike at the higher end if I have a high carb meal.. My fasting blood sugars have all been in the normal range for non-diabetics70-90... My post meal spikes make me feel shaky and sweaty and dizzy. I've also lost some weight..down to 100 from my normal of 108-110. So I need to gain weight and keep my post meal sugars in range... I've been very careful with my diet trying to limit carbs but I think i'm being too careful and this is affecting my weight.. I will be going to a nutritionist next month but in the meantime what would you suggest.. I was thinking about trying a protein drink.. I know I will need to be careful about the amt of sugar in the drink...My appetite isn't the greatest... I don't eat much meat/no red meat only chicken, fish and turkey.... I really try to eat well.. plenty of fruits and veggies.... I have a family history of type two diabetes . My mother had diabetes by her late 40's around 50.. I'm in my mid 60's..I Also try to stay as active as possible walking is my fav but due to an increase in fatique i'm not walking much and I'm not sleeping well either as I worry aabout being pre-diabetic... Thank you for taking time to read this and offer some advice....

What are low blood pressure symptoms?

I have had a couple of blood glucose tolerance tests done as requested by my gp and results have been normal. despite these results I had experienced low blood sugar symptoms on a regular basis being tired after lunch feelings of extreme hunger shaking and sometimes heart palpations. only relief I can get is to eat eggs and usually I feel ok. I have had this issue for years. have been to different dietitions naturapaths with not a lot of satisfaction. no doctor I have been to seem to understand. I eat a healthy diet and walk daily on my treadmill. I feel I eat healthy fresh fruit and veg lean protein grain bread. I try to eat every 2 hours till lunch otherwise the symptoms occur.but sometimes that does not make any difference.I am a 65 year old female.about 15 kgs overweight. with difficulty losing weight due to the fact that I have to eat to control the situation.

<start> Hello. You are doing the right thing now. What you are experiencing is something called reactive hypoglycemia. It indicates that you are at risk for developing diabetes. What happens is there is a mismatch in the curve of increase in insulin after food to the amount of glucose in your food. As the insulin levels are relatively higher when compared to the actual glucose in the body you are experiencing hypoglcemic symptoms. You need to loose weight take frequent meals and exerciae regularly. Your gtt and FBS will be normal as you are not diabetic yet. Its a problem with the pattern of insulin release. Normally its pulsatile but one at risk for diabetes looses this years earlier causing such symptoms. Don't worry. You will do well with this management. One thing I want to tell you is if you continue to have these symptoms plz be admitted for a prolonged fasting at a hospital and under care when you experience hypoglcemia blood will be taken for insulin levels c peptic cortisol. That will add more clarity. Take care. <end>

What are low blood pressure symptoms? I have had a couple of blood glucose tolerance tests done as requested by my gp and results have been normal. despite these results I had experienced low blood sugar symptoms on a regular basis being tired after lunch feelings of extreme hunger shaking and sometimes heart palpations. only relief I can get is to eat eggs and usually I feel ok. I have had this issue for years. have been to different dietitions naturapaths with not a lot of satisfaction. no doctor I have been to seem to understand. I eat a healthy diet and walk daily on my treadmill. I feel I eat healthy fresh fruit and veg lean protein grain bread. I try to eat every 2 hours till lunch otherwise the symptoms occur.but sometimes that does not make any difference.I am a 65 year old female.about 15 kgs overweight. with difficulty losing weight due to the fact that I have to eat to control the situation.

What causes pain in left shoulder while suffering from diabetes?

I am 73 y.o. and have AFib, type ll diabetes and have been a non-smoker for a few yrs. Lately, I have sharp pain in my left shoulder blade to spine and neck. The neck pain has been constant for several years, and a sharp pain (like a cigarette burn) hits me at mid- spine when I bend over to pick something up. I can work through it if I'm tying my shoes by bending slowly. This has been with me for several years, also. I have had dye injected into my blood stream and had cat scans. Curvature of the spine has been the only thing to show up other than some calcification at my lower spine. This pain between my shoulder blades is horrific, at times; but, thankfully, will subside to a managable level (about a 4 on a scale of 10 { 1 being no pain and 10 being excrutiating, sick to your stomach pain}) for active hours. The night time or resting pain will easily hit a 9 and hang around for a while. Any ideas?

<start> Dear Sir, Thanx for Asking. Before I further Comment, Can I know a little more 1) How Long have you been having Diabetes ?2) Is your Diabetes under control ? ( What are your latest Reading and HBA1C)3) Have you ever got any Nerve related test done ? Like Biothesiometry or Nerve function testing The Pain can be due to many reasons , From a Diabetologist's Perspective This can be Neuropathic Pain - The Usually Features of Diabetic neuropathic Pain are the Following Diabetes most of the time intitally affects the nerves in your feet and fingers (Simply put )1) Burning sensation in the feet2) Pain in the Feet and legs3) tingling sensation in the Finger and toe tips But it is not uncommon to see Truncal Problems . In some patients we see some thing called as Truncal Mononeuropathy - Which is characterized by Complaints of burning, stabbing or deep aching pain in a particular area of the trunk. This is usually common in those whose age is > 50 years and is due to uncontrolled diabetes Solution : If this is the Case you have to do the following things 1) Strict Blood Sugar control 2) Neurovitamin ( Like Tab Nerve Up/Neurobione forte or Renerve 3) Neuropathic Pain medication ( Tab Lyrica 75 mg or Tab Pregastar or Tab Dulane etc... Provided you are not allergic to this From Orthopaedic Point of view - Its Good to Rule out Cervical Spondylosis and any Disc or Nerve root problems .Its better to consult a orthopadecian and an MRI spine would be helpful if advised , since especially you say the pain aggravates when you bend over to pick some thing ...Hope this Helps Regards Dr.Samuel <end>

What causes pain in left shoulder while suffering from diabetes? I am 73 y.o. and have AFib, type ll diabetes and have been a non-smoker for a few yrs. Lately, I have sharp pain in my left shoulder blade to spine and neck. The neck pain has been constant for several years, and a sharp pain (like a cigarette burn) hits me at mid- spine when I bend over to pick something up. I can work through it if I'm tying my shoes by bending slowly. This has been with me for several years, also. I have had dye injected into my blood stream and had cat scans. Curvature of the spine has been the only thing to show up other than some calcification at my lower spine. This pain between my shoulder blades is horrific, at times; but, thankfully, will subside to a managable level (about a 4 on a scale of 10 { 1 being no pain and 10 being excrutiating, sick to your stomach pain}) for active hours. The night time or resting pain will easily hit a 9 and hang around for a while. Any ideas?

Suggest treatment for diabetes leg pain and cramps

I m a diabetic first cramping in the bottom of both feet, and then sharp pain in left inner thigh down to my feet. I was in tears,It felt like a major charley horse . I couldn t stand on it . for 10 or 20 minutes of pain. This morning the area is really sore. Im a childcare person.

<start> Hi,After going through your case, there is possibility of diabetic sensory (painful) neuropathy.I want to know -1) Your age & Duration of diabetes.2) Current diabetes control (BSL, HbA1c level)3) Any associated High BP, Cholesterol problem.4) Habits like smoking.I would like to advise you -1) Strict diabetes control, regular blood sugar level monitoring, HbA1c level.2) Regular BP control.3) Keep cholesterol level under control. 4) Avoid smoking.5) Check vitamin B12, D3 level and correct it if any deficiency .6) Check renal function test, liver function test.7) Consult your diabetologist and get done detailed foot examination.8) Depending upon your clinical examination there may be need for arterial doppler of lower limbs to assess blood suply.9) Short term use of renal safe pain killer medicine may be used.10) For long term medicine like pregabalin, amitryptilin, duloxeitin may be useful. <end>

Suggest treatment for diabetes leg pain and cramps I m a diabetic first cramping in the bottom of both feet, and then sharp pain in left inner thigh down to my feet. I was in tears,It felt like a major charley horse . I couldn t stand on it . for 10 or 20 minutes of pain. This morning the area is really sore. Im a childcare person.

What are the symptoms of narrow angle glaucoma?

I am a 66 yr old lady. I have narrow angle glaucoma. At present my blood pressure was 155/101 this morning. I took 2 pressure ease tablets, 1 in the morning, and 1 2 hrs ago. Now my pressure is 122/76. I have had my blood sugar tested. I would please like to know what is the ideal level. My legs are sometimes itchy, as well as my face and ears. Is this a sign of a blood sugar problem. If so, how can the problem be handled, preferably without medication. I am on Lumigan for eye pressure, but it feels as if there are tears in my eyes, and they burn and feel as if there is sand in. Before Lumigan, I used Xalatan, but I felt it made me depressed. Please advise if possible. Thank you Loretta Roux

<start> Good morning Mrs. Loretta, I read your query and noted the contents.The ideal BP should be less than 140/80. Your pre-meal blood sugar should be less than 130 mg/dl (The symptoms of narrow angle closure severe eye pain that comes on suddenly, blurred vision, bright halos appearing around objects, eye redness, tenderness, and hardness, feeling nauseated and vomiting.Hope this helps. Please feel free to let me know if there is any more information you need.Take care. <end>

What are the symptoms of narrow angle glaucoma? I am a 66 yr old lady. I have narrow angle glaucoma. At present my blood pressure was 155/101 this morning. I took 2 pressure ease tablets, 1 in the morning, and 1 2 hrs ago. Now my pressure is 122/76. I have had my blood sugar tested. I would please like to know what is the ideal level. My legs are sometimes itchy, as well as my face and ears. Is this a sign of a blood sugar problem. If so, how can the problem be handled, preferably without medication. I am on Lumigan for eye pressure, but it feels as if there are tears in my eyes, and they burn and feel as if there is sand in. Before Lumigan, I used Xalatan, but I felt it made me depressed. Please advise if possible. Thank you Loretta Roux

Suggest treatment for diabetic wounds

my mother is suffering with diabetics with average levels of under 200 but recently once she had 470 but we are think that huge level must be wrong tested.. what my question is she's getting pus from her leg toe and we are very much bothered about it , and she's getting sweat , pains in back neck, in hands and legs and she gets lot of pain in hand fingers and wrists... please sir give me the ultimate suggestion to get my mother out of it.. iam waiting for your valuable reply..thank you..

<start> Hi,In your mother there is development of diabetic foot (with infection)Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic vasculopathy, which impaires nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. 1) She requires detailed clinical & foot Examination. 2) Blood investigation for evaluation of level of infection, nutrition, diabetic complications. 3) Intravenous antibiotics. 4) Strict blood sugar level monitoring and control (possible need for intravenous insulin). 5) Imaging of foot to assess underlying bone involvement, to assess blood supply of leg. 6) Depending upon her clinical condition and test results she may require surgical intervention. 7) She should strictly avoid weight bearing on affected foot. <end>

Suggest treatment for diabetic wounds my mother is suffering with diabetics with average levels of under 200 but recently once she had 470 but we are think that huge level must be wrong tested.. what my question is she's getting pus from her leg toe and we are very much bothered about it , and she's getting sweat , pains in back neck, in hands and legs and she gets lot of pain in hand fingers and wrists... please sir give me the ultimate suggestion to get my mother out of it.. iam waiting for your valuable reply..thank you..

What is the best medicine for diabetes?

Hi, I was diagnosed with diabetes several years ago and was on metformin. Recently, I lost my health care and couldn t get metformin anymore, but then I also started a diet (it s not low carb or calorie deprivation-I eat @ 1300-1400 a day in 3 hr intervals) and have lost 25 lbs so far. I m still overweight, but I ve felt my sugar has been under control enough that, even though I have a few pills left, I haven t had to use any. Anyway, I ate my normal meals today, and right after eating dinner (fish & asparagus), I felt very faint and confused. I checked my sugar and it was 86. Is this normal? I haven t had any sugar symptoms since starting dieting except the other day, I felt like my sugar was high, so I took half a pill. First time in months. Could this half a pill have affected me that much? Is there anything else that would cause a low reading like that right after eating?

<start> Hi,After going through your case details, I want to know-1) Your Age.2) Your Height and weight (It very encouraging that you have lost significant weight with diet and exercise) to evaluate degree of overweight.3) Family history of obesity, diabetes.4) Current medicines other than metformin if any.5) Any associated high blood pressure or cholesterol problem.I would like to advise you - 1) Continue Low calorie diet and regular exercise.2) Better to avoid discontinuation or taking medicine on the basis of your own interpretation or symptoms.3) Quarterly check your HbA1c level that give much better idea regarding your diabetes control. Also check Blood sugar level Fasting and postprandial once in a month or two months.4) If it is feasible for you to do Self monitoring of blood sugar level (BSL done by glucometer at different times of the day (Fasting, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, early morning sugar 3am) all sugar not daily but whole profile in a week at least once in a month.If there are symptoms of low BSL or High BSL you should confirm it.5) Regular BP check, clinical examination to rule out microvascular complications of diabetes (retinopathy - fundiscopy, foot examination for neuropathy)6) Check your Lipid profile, it is advisable to take statin (lipid lowering drugs) in diabetes patients above 35yrs though normal lipid level.7) It better for you to take metformin in maximal tolerated dose, as it will help in reducing insulin resistance which is a basic pathology of diabetes. Metformin is weight neutral (may help in decreasing weight) and rarely causes hypoglycemia. 8) Depending upon your BSL control and HbA1c level other antidiabetic medicines that are either weight neutral or help in reducing weight can be added.Hypoglycemic blood sugar level in diabetic patient is depend on duration of diabetes, control of diabetes, associated complications.At blood sugar level of 86 you have symptoms of low blood sugar level, so it can be hypoglycemia for you.Also there is rare chances of developing hypoglycemia after taking metformin alone. <end>

What is the best medicine for diabetes? Hi, I was diagnosed with diabetes several years ago and was on metformin. Recently, I lost my health care and couldn t get metformin anymore, but then I also started a diet (it s not low carb or calorie deprivation-I eat @ 1300-1400 a day in 3 hr intervals) and have lost 25 lbs so far. I m still overweight, but I ve felt my sugar has been under control enough that, even though I have a few pills left, I haven t had to use any. Anyway, I ate my normal meals today, and right after eating dinner (fish & asparagus), I felt very faint and confused. I checked my sugar and it was 86. Is this normal? I haven t had any sugar symptoms since starting dieting except the other day, I felt like my sugar was high, so I took half a pill. First time in months. Could this half a pill have affected me that much? Is there anything else that would cause a low reading like that right after eating?

Suggest treatment for erection problem in a diabetic patient

Hi , I am a diabetic patient type 1 from 6yrs ( age 29) its usually in a higher level m trying to control it and I am able to control a little bit. I will be married in a month or so I am facing ED problem I guess . But I had safe sex earlier days and was having diabetes at that time also but was able to penetrate. But now I am not getting excited easily it takes time . M getting erection for a while.. I want to knw is tht an ED issue or its just on mental level. Some friends have suggested for Musli xtra power is good to take it or not ...I want to satisfy my wife n be faithful to her . Plz suggest some remedies..

<start> Hi, I am sorry for your current health situation. Secondly, please accept my best wishes for the new life you are going to start together with your wife. Now, you are 29 years old, with hormones flushing in your blood although being a diabetic. As you are saying, you have been controlling well although the high oscillations in blood sugar levels (bsl). In my opinion, you can have a perfect sexual life with your future wife and be faithful to her. There are many of my diabetic patients that have the same problems as you and are enjoying their marriage life with wife and children. With regards to ED problems, there are various factors influencing it including:- non-well controlled diabetes (you are saying to get it under control)- neurological problems- issues with blood vessels and blood flowNot being able to get excited easily is not a cause to concern. You can enjoy kissing and other touching affections with your wife until you reach your orgasm. You can discuss with your wife so both of you will enjoy your sexual life with her. All the best!Dr.Albana <end>

Suggest treatment for erection problem in a diabetic patient Hi , I am a diabetic patient type 1 from 6yrs ( age 29) its usually in a higher level m trying to control it and I am able to control a little bit. I will be married in a month or so I am facing ED problem I guess . But I had safe sex earlier days and was having diabetes at that time also but was able to penetrate. But now I am not getting excited easily it takes time . M getting erection for a while.. I want to knw is tht an ED issue or its just on mental level. Some friends have suggested for Musli xtra power is good to take it or not ...I want to satisfy my wife n be faithful to her . Plz suggest some remedies..

What causes vision problem and tiredness despite having normal blood sugar levels?

I have all the signs of diabetis. I went for blood work for a thyroid issue and Dr said it was finally normal but y blood glucose was high so wanted me to get tested again after fasting and it was 100 today but I have all the symptoms. Been dropping things, tired, vision whorse, irritable, brain fog.

<start> Classic Symptoms of diabetes are increased appetite, increased thirst , increased urination frequency & weight loss. Describe ur symptoms in detail and post ur test results. <end>

What causes vision problem and tiredness despite having normal blood sugar levels? I have all the signs of diabetis. I went for blood work for a thyroid issue and Dr said it was finally normal but y blood glucose was high so wanted me to get tested again after fasting and it was 100 today but I have all the symptoms. Been dropping things, tired, vision whorse, irritable, brain fog.

Suggest treatment to control blood sugar and cholesterol

I have a total cholesterol of 223 and I am a woman age 55. I exercise about 3-4 times a week for 30-45 minutes. I know I need to cut down on sugar but besides that not sure what to do? I only eat chicken and fish but I love baked goods. I do not eat butter, I eat smart Balance or Earth Balance. I have eaten an avacado almost everyday for the past two months. My ldl is 131. How can I lower that? I also drink a glass of red wine each night. I drink a lot of coffee-2-3 cups per day

<start> Try with balanced diet and regular 30-40min daily exercise ( eg.brisk walking) & then check lipid profile again. If it is still deranged, then we can start medicines but I m sure diet plus exercise will help. And check blood sugar level once and get examined ur blood pressure level. <end>

Suggest treatment to control blood sugar and cholesterol I have a total cholesterol of 223 and I am a woman age 55. I exercise about 3-4 times a week for 30-45 minutes. I know I need to cut down on sugar but besides that not sure what to do? I only eat chicken and fish but I love baked goods. I do not eat butter, I eat smart Balance or Earth Balance. I have eaten an avacado almost everyday for the past two months. My ldl is 131. How can I lower that? I also drink a glass of red wine each night. I drink a lot of coffee-2-3 cups per day

Why does bruises getting bigger redder while suffering from diabetes?

I m type 1 diabetic. I fell on the ice a month ago on my knee. My bruiseis spreading and getting redder. It seems to be getting worse? Should I be concerned? It s also now sore above my knee where it didn t hurt before and there s no bruise up there

<start> HiThanks for posting your query on HCM.I appreciate your concern for the bruises.Apparently it could be due to diabetes itself.Healing of the wounds in patients with diabetes mellitus will be slow and delayed some times it may not heal due to uncontrolled blood sugar.It may also be due to infection of the soft tissues.You are therefore advised to check your fasting blood glucose, dressing of the wound and use of appropriate antibiotic after visiting your doctor.Hope this answers your query.Regards. <end>

Why does bruises getting bigger redder while suffering from diabetes? I m type 1 diabetic. I fell on the ice a month ago on my knee. My bruiseis spreading and getting redder. It seems to be getting worse? Should I be concerned? It s also now sore above my knee where it didn t hurt before and there s no bruise up there

Can Fetizma cause elevated blood sugar level?

Recently, my psychiatrist prescribed fetizma 40 for two weeks. Then increase it to 80 daily. I'm a type 1 diabetic and have been experiencing elevated blood sugers (up to 500). Without having any food. Also, have depression and extreme anxiety. Can fetizma cause my elevated blood sugars?ANOTHER SCAM!!! THANKS FOR THE HELP!!! I GIVE UP.

<start> Hello,fetizma is not supposed to cause hyperglycemia. Other causes have to be considered.Kind Regards! <end>

Can Fetizma cause elevated blood sugar level? Recently, my psychiatrist prescribed fetizma 40 for two weeks. Then increase it to 80 daily. I'm a type 1 diabetic and have been experiencing elevated blood sugers (up to 500). Without having any food. Also, have depression and extreme anxiety. Can fetizma cause my elevated blood sugars?ANOTHER SCAM!!! THANKS FOR THE HELP!!! I GIVE UP.

What causes high blood pressure while suffering from diabetes?

My wife is diabetic, has high blood pressure and high cholesterol as well as generalized anxiety disorder. She had stopped taking all her medications and her anxiety level increased. She is back on her medications. This morning she was very dizzy and fell down a few times. I did not give her the prescribed medication for blood pressure this morning...Co-candestran HTC 16/12.5mg. I was able to get hold of a instrument to measure blood pressure. I just checked her pressure and it was 104 over 69. The question is...should I give her the pressure medication if her pressure is under 120 over 80? Is it possible that her dizziness in the morning was caused by low blood pressure? Thank you for your kind response. Sorry, I tried to proceed and found out that advise required payment. I am in Toronto Canada and we have free medical consultation paid by OHIP...Thank you all the same

<start> HI, thanks for using healthcare magicIt is possible that her dizziness is related to her blood pressure readings especially if her reading is normally higher than this.You may want to withhold the medication for now and consult her doctor. She may need a trial off or with reduced medication to see what her readings are like.I hope this helps <end>

What causes high blood pressure while suffering from diabetes? My wife is diabetic, has high blood pressure and high cholesterol as well as generalized anxiety disorder. She had stopped taking all her medications and her anxiety level increased. She is back on her medications. This morning she was very dizzy and fell down a few times. I did not give her the prescribed medication for blood pressure this morning...Co-candestran HTC 16/12.5mg. I was able to get hold of a instrument to measure blood pressure. I just checked her pressure and it was 104 over 69. The question is...should I give her the pressure medication if her pressure is under 120 over 80? Is it possible that her dizziness in the morning was caused by low blood pressure? Thank you for your kind response. Sorry, I tried to proceed and found out that advise required payment. I am in Toronto Canada and we have free medical consultation paid by OHIP...Thank you all the same

Suggest treatment for high BP and diabetes

Uneasiness in head..feel like I should shout or cry....I am suffering from high pressure and also high sugar....Don't know what but something abnormal I feel.Had an MRI also but was bit clear only showed some clots for which I am talking medicines....I am 58 years old...and a house wife

<start> Hi, After going through your case, I want to know more about you 1) Duration of diabetes high blood pressure. 2) Current medicine for diabetes and blood pressure. 3) Details of MRI report, when was it done (done for current symptoms or done far early, if done earlier what was your symptoms at that time) 4) Current treatment for clot on MRI. 5) Current Diabetes and blood pressure control. If your symptoms have started recently and MRI had done earlier, there might be need to repeat CT Brain or MRI again. You should consult your GP immediately. <end>

Suggest treatment for high BP and diabetes Uneasiness in head..feel like I should shout or cry....I am suffering from high pressure and also high sugar....Don't know what but something abnormal I feel.Had an MRI also but was bit clear only showed some clots for which I am talking medicines....I am 58 years old...and a house wife

Suggest treatment for type 2 diabetes

Hi Dr., Greetings.I am a Chronic Calcific Pancreatitis (opts) 2001, now I am suffering with Diabetic type 2, FBS-212, PPBS-393. I am taking regular medicine, but it is not under control. Please advice me. Thanks & Warm RegardsJay PrakashBangalore

<start> Hi, Mr. Jay Prakash, As you have mentioned you have chronic calcific pancreatitis which was diagnosed in 2001.And you have mentioned that you have Type 2 Diabetes which is not under control despite of regular medicine. In your case I want know on what basis you have been labeled as Type 2 Diabetes. We need to differentiate between Type 2 Diabetes from pancreatic Diabetes (which is more likely in your case). Treatment of two is different, Type 2 Diabetes usually be controlled with oral medication. In pancreatic Diabetes insulin is only treatment for controlling blood sugar level. In your case I want to know 1) Your age. 2) How many years back you have been diagnosed as having Diabetes. 3) Family history of diabetes. 4) Your height and weight, (usually type 2 diabetic patients are obese, Pancreatic diabetic patient usually lean, thin, weight below average) 5) Signs of malnutrition, low hemoglobin, significant weight loss. 6) Current medicines for diabetes. I will advise you to do following test1) Stool Examination for fat, elastase. 2) Complete blood count, 3) Serum level of Vitamin D (fat soluble vitamin), calcium. On the basis of your history, clinic Examination, investigation we can confirm your type of Diabetes, and accordingly need to modify your treatment. Till that time you can start insulin according to your treating Consultant. I think this much information is enough for you, you are free to write your queries to me. Regards, Dr Abhay Mali <end>

Suggest treatment for type 2 diabetes Hi Dr., Greetings.I am a Chronic Calcific Pancreatitis (opts) 2001, now I am suffering with Diabetic type 2, FBS-212, PPBS-393. I am taking regular medicine, but it is not under control. Please advice me. Thanks & Warm RegardsJay PrakashBangalore

Suggest better medications for diabetes

HiMy mother underwent( ptca rca) 5days back.her fbs was 350-400 and ppbs 440 around.she is a known diabetic since 15yrs and on glipizide 5mg plus metformin 500mg bd dose along with pioglitazone 15mg and her sugar levels are between 170-230mg/dl. Now what medication is advisable. Is insulin must or can be controlled with medications.kindly suggest.

<start> Hi, After going through your mother's case, I would like to advise you - Insulin is definitely the one of best option for her because 1) She recently has underwent PTCA to RCA (angioplasty). If indication for PTCA was recent heart attack then insulin is the best option with her blood sugar levels of 300 & 400.2) She is already on 3 different types of Medicine for diabetes and on that her blood sugar levels were 170-220.In that case beside use of insulin alone or in combination with oral medicine, only few options are available which may be costlier and we cannot assure better sugar control with them. 3) Use of different types of oral medicine in her case also depends on her kidney, heart status (which can be known from her serum creatinine level and left ventricular ejection fraction on 2DEcho) Metformin is avoided in case of Deranged serum creatinine and low ejection fraction. Glipizide is avoided with high serum creatinine level. Pioglitazone is avoided in case of signs water retention in body like breathlessness, swelling over legs, significant weight gain. Chances of water retention increases with deranged kidney function, low LVEF. Pioglitazone also avoided in old female due to increased risk of osteoporotic fractures. I would also like to advise 1) screening for other diabetic complications like nephropathy, retinopathy, neuropathy, foot examination.2) strict compliance with her medications (for diabetes and for heart problem - blood thinners, Beta blockers, ACEI/ARBs, Statins as advised by cardiologist) and diet.3) Regular BP check4) keep cholesterol under control (use of statins).Keeping all these fact into consideration use of insulin (for which high degree of motivation is important) is highly recommended in her along with oral medications depending on her reports after consulting with your doctor.If she is really reluctant for use of insulin other oral newer medicines like DPP4 inhibitors can be taken after consulting with diabetologist. <end>

Suggest better medications for diabetes HiMy mother underwent( ptca rca) 5days back.her fbs was 350-400 and ppbs 440 around.she is a known diabetic since 15yrs and on glipizide 5mg plus metformin 500mg bd dose along with pioglitazone 15mg and her sugar levels are between 170-230mg/dl. Now what medication is advisable. Is insulin must or can be controlled with medications.kindly suggest.

What are the symptoms of diabetes?

I have been extremely busy and have forgotten to drink fluids and eat for a 8 hour stretch. Due to this I have felt very light headed and have had head aches from this. I have noticed occasional cloudiness of my urine and recently an occasional acidic smell. When I drank plenty of fluids these things went away. I have also felt a bit jittery as well. I'm backing off of sugar, due to the fear of diabetes. My grandfather on my Mothers side, my mother, and my aunt on my Morhers side all have type 2 diabetes.

<start> Hi,As you have mentioned your symptoms get relived after drinking fluids, these are most likely due to dehydration (lack of water).You also mentioned there is strong diabetes history on maternal side, that make you prone for diabetes.Following things also make person prone for diabetes-1) Over weight. (BMI >25)2) Sedentary life style, lack of exercise. 3) Family history of diabetes (as in your case)I would like to advise you 1) Drink adequate fluids.2) Daily exercise (at least 150min/week)3) Regularise your meal plan.4) Yearly screening for diabetes by doing OGTT/ HbA1c.5) Watch for symptoms of diabetes like weight loss, increased thirst, increased frequency of urination, increased hunger. <end>

What are the symptoms of diabetes? I have been extremely busy and have forgotten to drink fluids and eat for a 8 hour stretch. Due to this I have felt very light headed and have had head aches from this. I have noticed occasional cloudiness of my urine and recently an occasional acidic smell. When I drank plenty of fluids these things went away. I have also felt a bit jittery as well. I'm backing off of sugar, due to the fear of diabetes. My grandfather on my Mothers side, my mother, and my aunt on my Morhers side all have type 2 diabetes.

What causes swollen legs and blood blisters while suffering from diabetes?

My mother is 92, has Type II Diabetes (managed with diet and a pill). She has developed an odd assortment of symptoms in her right leg which may or may not be related. For about a week or so she had what she described as a pain in the muscle of her right thigh. We put heat on it and she massaged it herself. That pain went away and then she woke up with a swollen right knee with what looked like blood blisters and heavy bruising under the skin. We iced that for several days. Now the knee is improving but the lower leg is swollen and the skin is very tight and shiny in appearance and dark brownish red in color. From the first symptom to the current about 4 weeks have elapsed. Ideas?

<start> Hi, After going through your mother's case record there is a development of right Diabetic Foot. Her symptoms started with pain in right thigh after applying heat and massaging the symptoms aggravated. (Applications of heat and massaging should be avoided in Diabetes patients.) Subsequently there is decreasing knee swelling but development of swollen leg with overlying tight, brown, shiny skin. Skin changes denote possibility of cellulitis (infection) with compartment syndrome (swelling of leg muscles and other tissues underneath overlying skin leads to increase in pressure which hampers blood supply to leg.) Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic vasculopathy, which impaires nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. She requires detailed foot Examination. Blood investigation. Intravenous antibiotics. Strict blood sugar level monitoring and control. Arterial and venous doppler of right leg to assess blood supply of leg. Depending upon her clinical condition and test results she may require surgical intervention. I think this much information is enough for you to make further decision. You are free to contact me for further queries. Dr Abhay Mali. <end>

What causes swollen legs and blood blisters while suffering from diabetes? My mother is 92, has Type II Diabetes (managed with diet and a pill). She has developed an odd assortment of symptoms in her right leg which may or may not be related. For about a week or so she had what she described as a pain in the muscle of her right thigh. We put heat on it and she massaged it herself. That pain went away and then she woke up with a swollen right knee with what looked like blood blisters and heavy bruising under the skin. We iced that for several days. Now the knee is improving but the lower leg is swollen and the skin is very tight and shiny in appearance and dark brownish red in color. From the first symptom to the current about 4 weeks have elapsed. Ideas?

What causes extreme tiredness after eating sugar high cookies?

Almost immediately after eating a very high sugar cookie,I am extremely tired....to the point where I must lie down. Over the last few months I am so tired that I can fall asleep sitting up reading the paper. Yet I can't fall asleep easily at night in bed. Could this be diabetes?

<start> Hi,As you have mentioned feeling of tiredness after eating high sugar cookie.There are two possibilities for that-1) Reactive hypoglycemia:Low blood sugar level due to high sugar load (carbohydrate).This is due to rapid release of insulin in response to high carbohydrate load which leads to low blood sugar level (hypoglycemia).Hypoglycemia usually associated with tiredness, sweating, palpitations, restlessness, unusual hunger, dizziness.2) Hyperglycemia (Diabetes- High blood sugar level)I want know 1) Any associated symptoms.2) Your height weight.3) Family history of diabetes.I will advise you to check blood sugar level during episode which will give clue to diagnosis.Depending on result further action plan can be done.If blood sugar level found low If blood sugar >70 then you can confirm diabetes by doing Oral glucose tolerance test (OGTT) or HbA1c. <end>

What causes extreme tiredness after eating sugar high cookies? Almost immediately after eating a very high sugar cookie,I am extremely tired....to the point where I must lie down. Over the last few months I am so tired that I can fall asleep sitting up reading the paper. Yet I can't fall asleep easily at night in bed. Could this be diabetes?

How to control blood sugar levels?

Last year on my physical ,my blood sugar level was 5. months after that I had a terrifying experience were I couldn t stop shaking for about 45 mins to an hour afterwards. This year s physical my blood sugar level was 6.2 fasting and 7.1 after glucose tolerance test. According to my doctor a have diabetes. Is it possible that having that terrifying experience could have caused it? and is it diabetes for sure or is that borderline?

<start> A 5 is great. A sugar level of 6.2 fasting puts you in the pre-diabetes range. You could be carrying a diabetes gene and that experience turned your gene on, we can only guess. You do need to take appropriate measures to lower it a bit. Take a look at your diet and get rid of junk,add healthy fruits/vegies/whole grains (especially OATS), good fats (virgin olive oil,etc) and exercise. Now, on the other hand your 7.1 you received after the 2 hour OGTT would have been closer to 7.8 for prediabetes. Ask him to do a HbA1C to cut the tie. If you do have predb, you want to nip it in the bud!!! A HbA1C should be 5.7 (optimally) to 6.4% A HBA1C of 6.5% is diagnostic of Diabetes. And, ask him specifically why he thinks 7.1 is prediabetic??He is probably translating it into blood sugar for fasting instead of looking at the cutoffs for a 75 g OGTT test. If he is confused have him refer to the January 2015 Diabetes Care issue on the new Standards of Diabetes Medical Management. It is good for you to question the descreptancies, but in the end, ask yourself if you are being given warning signs? The HbA1C should give you further information. Good luck. A good diet never hurt anyone! <end>

How to control blood sugar levels? Last year on my physical ,my blood sugar level was 5. months after that I had a terrifying experience were I couldn t stop shaking for about 45 mins to an hour afterwards. This year s physical my blood sugar level was 6.2 fasting and 7.1 after glucose tolerance test. According to my doctor a have diabetes. Is it possible that having that terrifying experience could have caused it? and is it diabetes for sure or is that borderline?

Suggest treatment for diabetes and high blood pressure

Sir, I am Mrs Vanaja Devadoss, 62 years of age, diagnosed for Diabetes II and high BP. I am on a regular dose of Glycomet SR 500 ( 1/2-0- /1/2 ) and Covance 50 , 1 per day morning along with supplements for iron deficinecy ( Bisfer XT 1 per day ) , Mecoblend ( 0-1-0) and also Eltroxin 100 (1 morning). About a month back, on a visit to our native place , a village in Tamil nadu with mosquito menace, I developed dry cough which became noisy and worse ( barking type ) and one day morning, it was palpitation with heart beat 190 p.m. I was on observation with monitor and adenosin injection IV in ICU, and was discharged that evening with the following additional medicines to take for a long time : Calaptin 40mg ( 1-1-1) , Pantocid ( 1-0-0) , Rabium DSR 20 (0-0-1) Montec LC ( 0-0-1) and Teczine ( 1/2-0-0) . More than a month over, the cough is still not subsiding and becomes aggravated on lying down especially by night leading to loss of sleep- too many medicines now- what shall I do ?

<start> Hi,Thank you for your query. I can understand your concerns.It seems that you had an attack of paroxysmal supra-ventricular tachycardia (palpitation with heart beat 190 p.m. controlled with adenosin injection IV )-now on oral calaptin (verapamil 40mg) three times a day.Since you have cough at night while lying down. your basic problem is cardiac(incipient left heart failure). You need to undergo 2-D Echocardiography to evaluate pumping action of your heart and diuretics like frusemide may help.Regards Dr. T.K. Biswas M.D.Mumbai <end>

Suggest treatment for diabetes and high blood pressure Sir, I am Mrs Vanaja Devadoss, 62 years of age, diagnosed for Diabetes II and high BP. I am on a regular dose of Glycomet SR 500 ( 1/2-0- /1/2 ) and Covance 50 , 1 per day morning along with supplements for iron deficinecy ( Bisfer XT 1 per day ) , Mecoblend ( 0-1-0) and also Eltroxin 100 (1 morning). About a month back, on a visit to our native place , a village in Tamil nadu with mosquito menace, I developed dry cough which became noisy and worse ( barking type ) and one day morning, it was palpitation with heart beat 190 p.m. I was on observation with monitor and adenosin injection IV in ICU, and was discharged that evening with the following additional medicines to take for a long time : Calaptin 40mg ( 1-1-1) , Pantocid ( 1-0-0) , Rabium DSR 20 (0-0-1) Montec LC ( 0-0-1) and Teczine ( 1/2-0-0) . More than a month over, the cough is still not subsiding and becomes aggravated on lying down especially by night leading to loss of sleep- too many medicines now- what shall I do ?

What causes extreme pain in feet, arms and legs in condition like type 2 diabetes

I have several symptoms. First I have type 2 diabetes. I have extreme pain in my feet, arms legs. My muscles tend to tighten up. Charlie horse type feelings. Shooting pain in my back and neck. I'm beginning to forget words in the middle of my sentences. I have no control over my bladder. Ever time I have to use the bathroom it is an emergency. I think that is all.

<start> HI, thanks for using healthcare magicIf your diabetes is longstanding and there is a history of poor control, it is possible that some of your symptoms may be related to the effect of diabetes on the nerves.Diabetic nerve disease can be associated with abnormal bladder or bowel function as well as pain.There are medications that can help to reduce these symptoms.Your doctor can examine you and may also consider blood tests checking for other causes such vitamin deficiency, liver or kidney disease.I hope this helps, feel free to ask any other questions <end>

What causes extreme pain in feet, arms and legs in condition like type 2 diabetes I have several symptoms. First I have type 2 diabetes. I have extreme pain in my feet, arms legs. My muscles tend to tighten up. Charlie horse type feelings. Shooting pain in my back and neck. I'm beginning to forget words in the middle of my sentences. I have no control over my bladder. Ever time I have to use the bathroom it is an emergency. I think that is all.

What causes increase in the level of fasting blood sugar?

Hi doc my fbs was always between 80&90 three days ago suddenly understood it has become 118 I repeated the test for 3 times again these are the result : first day 89 after break fast for 2 hours 97 second day 99 after 2hours for breakfast 81 third day 84 after 2 hours for break fast 91 I am worried plz help me

<start> HiI have gone through your query. There is nothing to worry about.Your reports are perfactly fine.If you still want to have a confirmatory test then go for OGTT (oral glucose tolerance test) & HBA1c test.If u have any more query then please revert me back.Thanks & RegardsDr. Shiv <end>

What causes increase in the level of fasting blood sugar? Hi doc my fbs was always between 80&90 three days ago suddenly understood it has become 118 I repeated the test for 3 times again these are the result : first day 89 after break fast for 2 hours 97 second day 99 after 2hours for breakfast 81 third day 84 after 2 hours for break fast 91 I am worried plz help me

Suggest treatment for depression and type 2 diabetes

Hi, I am female, 44, going through premenopause ie hot flashes etc. I m have grand mal epilepsy controlled by epilim, depression and type 2 diabetes (also 109 kgs) all being taken care of by my dr. Thing that I m worried about is I had normal heaviness period except it lasted 2 weeks then I stopped it with provera but only stopped for 1 and a half days then went for another 2 weeks which I then stopped with provera but again only lasted 1 and half days so have period again - and tired!! Should I be concerned?

<start> Hi madam,You have mentioned that you are going through menopause and having epilepsy,depression as well as diabetes(type 2). If you are experiencing recurrent bleeding per vagina,i would have prescribed you some drugs like tranexemic acid in the required dosage along with some iron and folic acid supplements.I would have advised you some investigations likeComplete blood count with hemogram,Thyroid profile tests,LH,FSH and sr.prolactin tests along with a Trans vaginal sonography.Further,i would have advised you to consult your GP or gynecologist with these investigation reports so that your problem can be examined and diagnosed properly. Hope i could solve your query madam,Please feel free to ask for further queries.Take care <end>

Suggest treatment for depression and type 2 diabetes Hi, I am female, 44, going through premenopause ie hot flashes etc. I m have grand mal epilepsy controlled by epilim, depression and type 2 diabetes (also 109 kgs) all being taken care of by my dr. Thing that I m worried about is I had normal heaviness period except it lasted 2 weeks then I stopped it with provera but only stopped for 1 and a half days then went for another 2 weeks which I then stopped with provera but again only lasted 1 and half days so have period again - and tired!! Should I be concerned?

What causes increased blood sugar after taking high calorie diet?

My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70's. His doctors say that he isn't diabetic. They never see the spike and won't listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up.

<start> Hi, As you have mentioned Blood sugar levels of your boy friend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be full filled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes ie increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headeness do not denote Diabetes. Taking in to consideration of profession of your boy friend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms or you can make video during symptomatic period. <end>

What causes increased blood sugar after taking high calorie diet? My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70's. His doctors say that he isn't diabetic. They never see the spike and won't listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up.

What are the symptoms of diabetes?

i been experiencing numbless and pain in both of my legs, for about 8 months. My leg are tingling, sharp stabbing pain , about the last too weeks my right foot start hurting I couldn't put any pressure on it and the ball of my right foot feels like there's a blister there but it's not. I have not been told that I'm a diabetic but it do run it the family a sister and a brother has it

<start> Symptoms of Diabetes include frequent urination,increased hunger and thirst,Itching private parts,Burning feet and also numbness of foot.As you are having risk,you can get Glucose tolerance test done every year.If the test results are normal you can repeat it every year.For prevention of Diabetes,follow healthy life style with diet less in refined sugars and carbohydrates,rich in fiber and less in fat.Exercise 150 mins a week.Hope my advise will be of help to you.You can get back to me with test results. <end>

What are the symptoms of diabetes? i been experiencing numbless and pain in both of my legs, for about 8 months. My leg are tingling, sharp stabbing pain , about the last too weeks my right foot start hurting I couldn't put any pressure on it and the ball of my right foot feels like there's a blister there but it's not. I have not been told that I'm a diabetic but it do run it the family a sister and a brother has it

Suggest treatment for diabetes mellitus type 2

Hello doctorThis is siddesh, I would like to have a suggestion regarding my mother's conditions. She is recently been diagnosed with NIDDM and she was prescribed zitamet ( 50mg of sitagliptin + 500 mg of Metformin). After a couple of months, one of her knee (right) started to show pain. But, after few more weeks, she felt normal again. When we informed this symptoms to the physician, he advice to follow up some blood test. Based on the report, he said, nothing to worry. Later the whole blood analysis reveled her triglycerides and total cholesterol level were higher than above normal levels, and now she is prescribed with statins. Now, she is showing a sign of high blood pressure and her BP is 160/90. The physician, who was looking after my mother is left the town and moved to another city. which is literally for away from my home town. Could you please suggest which medication is suitable in her condition. Please help me.

<start> Hello Siddesh,Your mother can continue taking medications for diabetes and cholesterol.For high blood pressure she can start using Telmisartan 40 mg once daily.Its important for her to take the medications regularly.Restrict salt.Must get her sugar levels and blood pressure checked regularly.Hope my advise was helpful to you and you can follow up with the test results.I wish your mother good health <end>

Suggest treatment for diabetes mellitus type 2 Hello doctorThis is siddesh, I would like to have a suggestion regarding my mother's conditions. She is recently been diagnosed with NIDDM and she was prescribed zitamet ( 50mg of sitagliptin + 500 mg of Metformin). After a couple of months, one of her knee (right) started to show pain. But, after few more weeks, she felt normal again. When we informed this symptoms to the physician, he advice to follow up some blood test. Based on the report, he said, nothing to worry. Later the whole blood analysis reveled her triglycerides and total cholesterol level were higher than above normal levels, and now she is prescribed with statins. Now, she is showing a sign of high blood pressure and her BP is 160/90. The physician, who was looking after my mother is left the town and moved to another city. which is literally for away from my home town. Could you please suggest which medication is suitable in her condition. Please help me.

Suggest treatment for diabetes complications

concerned for my spouse. untreated diabetes, has acid reflux, a persistent cough, ed, and a whole body tremor that is involuntary when he is laying prone in our bed. had one grandfather that died of diabetes complications and the other that died of prostate cancer. refuses to see a doctor.

<start> Diabetes complications can be prevented with strict diabetes controlIf i were your treating doctor,i would like to know few things before i can help you with the treatmentWhat is the duration of his DiabetesPresent Anti diabetic medications he is takingAny recent blood sugar reports available,if so the valuesReports suggestive of any complications if doneAs per the history given ,his risk of getting diabetes complications could be more.I would need the above mentioned data for a better assessment and advise. <end>

Suggest treatment for diabetes complications concerned for my spouse. untreated diabetes, has acid reflux, a persistent cough, ed, and a whole body tremor that is involuntary when he is laying prone in our bed. had one grandfather that died of diabetes complications and the other that died of prostate cancer. refuses to see a doctor.

Suggest treatment for diabetes and stress

I have a question for you. My sister has a severe gambling problem that her husband & her been kick out of houses cause of non payment. She goes online to cash advances gets the money and gambles the money away. Also she is an diabetic and uses it for her benefit for us to easy up on her. Does not take her medication and b ecomes a life threatening situation for her and others! My question is can her husband have her committed or speak to a doctor even she refuses?

<start> Hi After going through your sister's scenario two important problems needs to be tackled. Habit of gambling and taking money in advance for that it indicates psychiatric disorder which needs to tackled first. Second is her Diabetes:For diabetes management patient's active participation is very important, though family support is also important. Though her husband can take opinion of diabetologist against her will, it may not be fruitful. Before head it is really important to take opinion of psychiatrist regarding her gambling problem and neglect of diabetes treatment, she require psychiatric counseling. During whole process she needs family support and active participation of her husband and yourself in treatment. <end>

Suggest treatment for diabetes and stress I have a question for you. My sister has a severe gambling problem that her husband & her been kick out of houses cause of non payment. She goes online to cash advances gets the money and gambles the money away. Also she is an diabetic and uses it for her benefit for us to easy up on her. Does not take her medication and b ecomes a life threatening situation for her and others! My question is can her husband have her committed or speak to a doctor even she refuses?

Suggest treatment to control blood sugar

i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine. D .mitra age 55 ,male,kolkata india

<start> Hi Mr. Mitra, As you have not mentioned the duration of your Diabetes specifically,let by your narration my interpretation is you have recently detected Diabetes iabetes approximately one and half month back. You have started on Glycomet Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all this efforts your blood sugar levels are fairly controlled. I would like to advise_1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycomet Sr 1gm after dinner. In fact you can increase the dose upto 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is life long disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120days.Urinary protein creatinine ratio, Fundoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also regular BP checking <end>

Suggest treatment to control blood sugar i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine. D .mitra age 55 ,male,kolkata india

What are the symptoms and treatment for diabetes?

Hello DocI normally find. Sugars. Ants clustering within my toilet bowl after some time I urinated; please what could be the sign of it?? I eat well balanced diet regularly; more of semolina with my native soup which comprises of chicken, ginger, garlic, chilli pepper and some other spices. I eat less of white bread, white rice and more of fruits. I drink more of red wine and cranberry juice, and water. I exercise by jogging and walking on. Saturdays mostly 4 an hour. I used to to smoke often but stopped recently but do take a stick or 2 randomly like 1 in a week or in 2 weeks. I used to overweight as well but been able to loosed 9-10kg with the help of green tea plus exercise and dieting. I used to regularly take a cup of black tea daily without sugar or milk but stopped as I discovered that its been over stressing my bladder and causing me constant urinarination and pains above my penis area directly below my navel. So with all these I don't know what could be the reason of seeing ants around my toilet bowl; tho this occurs when I fail to flush it and come back to reuse it. Patiently waiting for your advise.Thank You DoctorWarm Regards,Felix

<start> Hi Felix, Going through ur history certain points which indicates possibility of Diabetes Mellitus are 1. Ants in ur toilet bowl which indirectly indicates possibility of sugar in ur urine, though sugar in urine not a sign of diabetes always. Absolutely normal person may have sugar sugar in urine called glycosuria. 2 . overweight though u r able to lose 9to10 kg weight, I want to know ur present height and weight so that we can calculate BMI (body mass index) from which we can determine degree of over weight. Those have BMI more than 25 are prone for diabetes. 3. Constant urination and pain over penis, though it may be present in urinary tract infections. Though u have not mentioned Diabetes history in family, Family history of diabetes increases possibility of Diabetes. What shall you do? 1. Check ur Blood glucose levels fasting and postprandial, though Glucose tolerance test is preferred for confirmation of Diabetes. 2. Other Blood test like HbA1C which indicates blood sugar levels over period of 120 days also be used for diagnosis of diabetes. 3. Urine Examination to rule out infection. Changes in ur daily lifestyle like1. Though u have decreased smoking but it is advisable to stop it completely independent of ur Diabetes status, 2. Regular exercise at least 150min a week. 3. Regularise meal pattern. <end>

What are the symptoms and treatment for diabetes? Hello DocI normally find. Sugars. Ants clustering within my toilet bowl after some time I urinated; please what could be the sign of it?? I eat well balanced diet regularly; more of semolina with my native soup which comprises of chicken, ginger, garlic, chilli pepper and some other spices. I eat less of white bread, white rice and more of fruits. I drink more of red wine and cranberry juice, and water. I exercise by jogging and walking on. Saturdays mostly 4 an hour. I used to to smoke often but stopped recently but do take a stick or 2 randomly like 1 in a week or in 2 weeks. I used to overweight as well but been able to loosed 9-10kg with the help of green tea plus exercise and dieting. I used to regularly take a cup of black tea daily without sugar or milk but stopped as I discovered that its been over stressing my bladder and causing me constant urinarination and pains above my penis area directly below my navel. So with all these I don't know what could be the reason of seeing ants around my toilet bowl; tho this occurs when I fail to flush it and come back to reuse it. Patiently waiting for your advise.Thank You DoctorWarm Regards,Felix

Suggest treatment for type 2 diabetes

I have type 2 diabetes and high pretention next month is going to be a year I have Neropathy Nerve pain it is very hard to walk with out trying to find my balance and my muscles are always tight which I find it hard to move my feet with out stumbling and limping most of the time. I am right now taking Lyrica this is 5 days but am just wondering if there is anything else I can use or do to give me my feet back to walk and run the way I use too.

<start> HIWell come to HCMIf this is type 2 diabetes then the symptoms that you have could be due to diabetic neuropathy and for that is better to control the blood sugar level in tight rule basis, such nerve pain can be managed with Vitamin B12, but important is blood sugar level (You have not mentioned your age and gender, this was needed here for better opinion) hope this helps, take care. <end>

Suggest treatment for type 2 diabetes I have type 2 diabetes and high pretention next month is going to be a year I have Neropathy Nerve pain it is very hard to walk with out trying to find my balance and my muscles are always tight which I find it hard to move my feet with out stumbling and limping most of the time. I am right now taking Lyrica this is 5 days but am just wondering if there is anything else I can use or do to give me my feet back to walk and run the way I use too.

Suggest treatment to control blood sugar

I have type 2 diabetes I have lost 65 lbs in last year down from 269 to 264 I take metformin glimepride and onglyza in the morning and at night I take metformin and glimepride at night .My problem is every morning my blood sugar is in the low 60s .please help me with any info .thanks nicklemanguitar.

<start> Hello there. It looks like you have lost a substantial amount of weight. However, please check your target weight and try to get to that gradually. The weight loss should be done in a healthy way as it is to be done for life. Your medications are surely helping you get to the desired control but your fasting glucose could be a little higher. The normal cut off is from 70-130. So there are two options here. You could take a light late night snack or come down on the dose of glimepride. Please try coming down slightly on the dose of glimepride at night and recheck your blood glucose levels. Please do a post prandial level also when you check. Kindly revert if needed. Hope this helps. Stay healthy. Regards, Dr Praveen. <end>

Suggest treatment to control blood sugar I have type 2 diabetes I have lost 65 lbs in last year down from 269 to 264 I take metformin glimepride and onglyza in the morning and at night I take metformin and glimepride at night .My problem is every morning my blood sugar is in the low 60s .please help me with any info .thanks nicklemanguitar.

Suggest treatment for diabetes characteristics

I was electro shocked held to unconciouness afib for two days till medicine got me back rate as high as 180. I am 49 years old male 160 lbs 6 foot. could this cause me to have diabetic carrectoristics or even be dibetic after? also could it cause a small almost insect bite like rash above both anckels about 4 inches? blacking out and hard to focus with eyes though eye doctor says nothing wrong with vision?

<start> Hi,Sorry to hear about your medical condition. There is no correlation between an electro shock and you having diabetic symptoms. Diabetes is a disease process that takes years before it even manifests as symptoms.When were you electro shocked? And what was the exact medical condition that you were told to have regarding the heart. Also could you please tell me more about the blackouts. Do there occurs immediately on standing up from a lying position? Do they occur after a walking for a while or they occur on exertion? Are you a Hypertensive? If so I think you should have your supine and standing BP checked?And finally what medications are you on right now? And finally could you describe more about the rash above both ankles. Is it red or is it elevated? Does it look like it could have occurred due to physical friction with another object recently? <end>

Suggest treatment for diabetes characteristics I was electro shocked held to unconciouness afib for two days till medicine got me back rate as high as 180. I am 49 years old male 160 lbs 6 foot. could this cause me to have diabetic carrectoristics or even be dibetic after? also could it cause a small almost insect bite like rash above both anckels about 4 inches? blacking out and hard to focus with eyes though eye doctor says nothing wrong with vision?

What should be the normal value for blood sugar?

I HAVE DIABETES AND TAKE 2 PILLS IN A DAY JUNUMET 50/500 AND I AM FASTING FOR LENT FROM 12PM TO 12 PM AND THEN I EAT BUT NO MEAT OR EGG OR DAIRY AND I TAKE 1 PILL AND I SAW AFTER 3 HOURES OF THE MEAL MY BLOOD SUGAR WAS 14.6 ANOTHER DAY WAS 13.8 IS THIS NORMAL.

<start> HI, thanks for using healthcare magicBlood sugar levels are affected mainly by carbohydrates and the other food groups such as proteins and fat play a minor or no role in stimulating blood glucose levels.Meat, egg and diary are protein and fat and would not affect blood sugars. Since you did not use any of these, your meal would have been mainly carbohydrates unless plant proteins were used.Because your meals would have been carbohydrates, it would cause slightly higher readings.I hope this helps <end>

What should be the normal value for blood sugar? I HAVE DIABETES AND TAKE 2 PILLS IN A DAY JUNUMET 50/500 AND I AM FASTING FOR LENT FROM 12PM TO 12 PM AND THEN I EAT BUT NO MEAT OR EGG OR DAIRY AND I TAKE 1 PILL AND I SAW AFTER 3 HOURES OF THE MEAL MY BLOOD SUGAR WAS 14.6 ANOTHER DAY WAS 13.8 IS THIS NORMAL.

Suggest treatment for swollen and painful legs in a diabetic patient

My father has afib and has type 2 diabeties. He has had wounds and infections on his legs for 2 years +. His hemoglobin level is 8, and does not appear to currently have infection in his legs, just swelling. He just experienced a ventricular tachycardia and is currently in the ICU. His primary care doctor does not seem to be concerned at all, and thinks he should be released. My dad has also lost 50 pounds in 3 months unintentionally. I don t think he should leave the hospital yet, he has no strength and I am worried that something worse will happen if he goes home now. His cardiologist will be doing a heart cath soon to determine what is going on in his heart. What kind of doctor is best to help him with all of these issues?

<start> Thanks for contacting HCM. Your father needs a treatment with multi specialist team of doctors which includes cardiology , diabetology , vascular surgeon and also physician. One can be primary consultant and others may be co - consultant s . They can review the patient periodic ally and suggest whichever needed. I hope I have given answer for ur question . <end>

Suggest treatment for swollen and painful legs in a diabetic patient My father has afib and has type 2 diabeties. He has had wounds and infections on his legs for 2 years +. His hemoglobin level is 8, and does not appear to currently have infection in his legs, just swelling. He just experienced a ventricular tachycardia and is currently in the ICU. His primary care doctor does not seem to be concerned at all, and thinks he should be released. My dad has also lost 50 pounds in 3 months unintentionally. I don t think he should leave the hospital yet, he has no strength and I am worried that something worse will happen if he goes home now. His cardiologist will be doing a heart cath soon to determine what is going on in his heart. What kind of doctor is best to help him with all of these issues?

Suggest treatment to control blood sugar

I just got diagnosed with high sugar levels in my urine during a UTI visit with my urologist. I have an appt. with my family doctor tomorrow but is bought an Accu-check-nano machine and just tested myself and it registered 254. Is this what is causing my headache and can I do anything before I get into the doctor on Monday

<start> Hi Thanks for contacting HCM.You have not mentioned about your age . Dont get stressed about ur sugarlevels . You need not to do anything in one night . Be relax and go to ur family physician . Tomorrow he will help u insorting out appropriate investigations and medications to control ur sugarlevels .Hope I have helped u .With regardsDr ponnarasu <end>

Suggest treatment to control blood sugar I just got diagnosed with high sugar levels in my urine during a UTI visit with my urologist. I have an appt. with my family doctor tomorrow but is bought an Accu-check-nano machine and just tested myself and it registered 254. Is this what is causing my headache and can I do anything before I get into the doctor on Monday

Suggest treatment to control blood sugar

My mother is suffering from diabetes from last 10 years. We are giving her humalog 3 times a day around 60 units in total and lantus 30 units a day. But still sugar is not under control. Sugar levels are similar when we didn t used any insulin s and gave gluformin xl 1000, or when we were giving insulin doses of around 30 units of humalog in total and 20 units of lantus a day. Please advice something.

<start> As you have not mentioned much about her like her age, any other health problems, all I can say is that she must try to increase her physical activity to control blood sugar levels. Diet control as well as exercise helps in controlling blood sugar besides insulin and medications as they work only when diet and exercise is also combined with them. Make sure she eats healthy low fat high fibre diet. Avoidance of fried and oily food, sugar and sweets and inclusion of fresh fruits and vegetable salads help in lowering blood sugar. Walking is the best way to increase physical activity. 30 minutes of brisk walk is advised 3-4 times a week to control blood sugar. use a glucometer to monitor blood glucose before and after meals, before and after exercise to check how effectively diet and exercise are working. Make any changes in diet and control portion sizes of meals to bring down calorie intake.Hope this will give you an idea on how to manage diabetes in a better way. <end>

Suggest treatment to control blood sugar My mother is suffering from diabetes from last 10 years. We are giving her humalog 3 times a day around 60 units in total and lantus 30 units a day. But still sugar is not under control. Sugar levels are similar when we didn t used any insulin s and gave gluformin xl 1000, or when we were giving insulin doses of around 30 units of humalog in total and 20 units of lantus a day. Please advice something.

Suggest treatment for type 1 diabetes

Hello I am a 59 year old woman diagnosed with pre-diabetes. My doctor insist that I take Metformin but I don't like to take drug. An other doctor told me that I should control it with my diet. I don't have sibling with diabetes but I have one uncle who was type 1 diabetic and I have one niece and two nephews with type 1 diabetes. Can you help me decide if I should take Metformin or not?Madeleine

<start> HI, thanks for using healthcare magicPrediabetes is associated with eventual diabetes.Metformin is one of the better drugs for diabetes, it helps to reduce the body's resistance to its insulin, does not cause weight gain and is not associated with low blood sugar (will not cause your sugar level to drop too low).It would prevent or slow down the progress to eventual diabetes.If you feel that you can slow down progress on your own with diet changes and exercise then you can try this option but you should discuss with your doctor.I hope this helps <end>

Suggest treatment for type 1 diabetes Hello I am a 59 year old woman diagnosed with pre-diabetes. My doctor insist that I take Metformin but I don't like to take drug. An other doctor told me that I should control it with my diet. I don't have sibling with diabetes but I have one uncle who was type 1 diabetic and I have one niece and two nephews with type 1 diabetes. Can you help me decide if I should take Metformin or not?Madeleine

Suggest treatment for high BP and diabetes

Hi Dr. L K Shankdhar, I came to know i am diabetic since last 1 year .. before that my reports were okay. Now i am 48 years old .. height 5.6 Fts .. weight 63.4 Kgs. I had high blood pressure problems 3.5 years back(i was in a depression period those days) .. now since 1.5 years it is okay. I switch to whisky(previous i use to take rum) with water since 1.5 years .. I take 360 mls in a week. I quit smoking exactly 3 years back( since 14/02/2012) My diabetics levels are around 220 after fasting & around 280 after meals. Is whisky intake okay for me ? Please reply .. Thanks & regards, Ravi Pillay Mobile: 0000 YYYY@YYYY

<start> Hello Ravi whiskey intake is not OK for yousince you are diabetic having high cholesterol and high blood pressure with previous history of smoking and presently alcohol you are at the high risk of heart attackin my opinion you should visit a diabetologist for prescription of medicines for diabetescontinue with medicines for BP and high cholesterolcomplete abstinence of alcohol is required in your caseStart with regular physical exercises and diet control of 1800 kcalhope this answers your questionyou can ask me a direst question I will happily answer you wishing you good health <end>

Suggest treatment for high BP and diabetes Hi Dr. L K Shankdhar, I came to know i am diabetic since last 1 year .. before that my reports were okay. Now i am 48 years old .. height 5.6 Fts .. weight 63.4 Kgs. I had high blood pressure problems 3.5 years back(i was in a depression period those days) .. now since 1.5 years it is okay. I switch to whisky(previous i use to take rum) with water since 1.5 years .. I take 360 mls in a week. I quit smoking exactly 3 years back( since 14/02/2012) My diabetics levels are around 220 after fasting & around 280 after meals. Is whisky intake okay for me ? Please reply .. Thanks & regards, Ravi Pillay Mobile: 0000 YYYY@YYYY

What causes extreme tiredness in a diabetic patient?

Hi, I m vidya my father was complaining that he is feeling very tried while walking which was not earlier, when consulated Dr he asked for having TMT test . But our tension is wheather is there will b any major problems.... he is now 60yrs and a diabetic patient....

<start> Thank you user for your queryThere is no need to get TMT done as far as my opinion in concerned. All you can initiate is yo get the ECG done along with 2D echo. Kindly mention the medication which your father is taking.Also tell the random and fasting blood sugar level and also HbA1c.Is he having chest pain while walking?Is he having chest pain while sitting or doing normal work?Is he having breathlessness while sitting or walking?Kindly consult a cardiologist after getting investigations done.God bless <end>

What causes extreme tiredness in a diabetic patient? Hi, I m vidya my father was complaining that he is feeling very tried while walking which was not earlier, when consulated Dr he asked for having TMT test . But our tension is wheather is there will b any major problems.... he is now 60yrs and a diabetic patient....

What are the symptoms and treatment for hypoglycemia?

yes what are symptoms of hypoglycemia and and hyperglycemia? I have been feeling really sick for the last couple of months. I have a lot of other medical problems but this this one has really been kicking my butt. I have a lot of autoimmune diseases. I didn't think about diabetes until a couple nights ago and a had I had a fruity odor to my breath. I had not eaten and was drinking water. So that's what made me think about this. I have always ran 60 -90 blood sugars . I used 5 of my mother's test strips and her prodigy tester. I was NPO and had only had drank water. 1St at 9:30 am 149, 2nd 1:45 167, 3rd 147 4th 30 mins. after snack 119, 5th 158. Can you please let me know without checking me what you think.Thank Sir/Madam

<start> Hello,Symptoms of hyperglycemiaAs such there are no symptoms in particular.But in some following symptoms can be seen*Generalized weakness*Unexplained weight loss*Itching private parts*Increased frequency of micturition*Burning feet*Blurring of visionSymptoms of HypoglycemiaIn mild to moderate cases,they may have giddiness,hunger,sweating,numbness tip of nose and tongueIn severe cases,it leads to unconsciousness,and even coma.Reason for fruity odor to your breath is due to Ketosis as a result of your starvation.Your blood sugar recordings does not confirm the diagnosis of Diabetes.As you have mentioned that you are having autoimmune diseases,its better to get Glucose Tolerance test to rule out Diabetes.I wish you good health.Hope my advice was helpful to you.would be happy to answer further queries. <end>

What are the symptoms and treatment for hypoglycemia? yes what are symptoms of hypoglycemia and and hyperglycemia? I have been feeling really sick for the last couple of months. I have a lot of other medical problems but this this one has really been kicking my butt. I have a lot of autoimmune diseases. I didn't think about diabetes until a couple nights ago and a had I had a fruity odor to my breath. I had not eaten and was drinking water. So that's what made me think about this. I have always ran 60 -90 blood sugars . I used 5 of my mother's test strips and her prodigy tester. I was NPO and had only had drank water. 1St at 9:30 am 149, 2nd 1:45 167, 3rd 147 4th 30 mins. after snack 119, 5th 158. Can you please let me know without checking me what you think.Thank Sir/Madam

Suggest treatment for type 2 diabetes

i am 73 and a diabitic type 2 patient for over two decades.I am having diabetic neuropathy,experiencing burning sensation in the night under my feet.I have been asked to take nova 75.I am also taking meganeuron capsule as vitamin supplement.When I take nova75 i feel slight giddiness in the morning ,which makes me getup from sleep late.My guestion is will these medecines help me to get over my problems or i have to change the drugs.

<start> Thank you user for your query.Actually the drug nova 75 which you are taking contains pregabalin which is an anticonvulsant which is also being used in case of neuropathic pain occurring in patients of diabetes. The giddiness that you are complaining is one of the side effects of pregabalin, along with nausea, weight changes and dry mouth.Also get your blood sugar done as hypoglycemia also sometimes causes giddiness.Since how long you have been taking these medications?All I want to suggest is to try contacting the physician whose treatment you are taking. As he might discontinue the medication or change the treatment even.god bless <end>

Suggest treatment for type 2 diabetes i am 73 and a diabitic type 2 patient for over two decades.I am having diabetic neuropathy,experiencing burning sensation in the night under my feet.I have been asked to take nova 75.I am also taking meganeuron capsule as vitamin supplement.When I take nova75 i feel slight giddiness in the morning ,which makes me getup from sleep late.My guestion is will these medecines help me to get over my problems or i have to change the drugs.

Suggest treatment for glaucoma

I am a diabetic since 1994. About 3 months ago, I was meant to understand that I have developed glaucoma and just about a week ago, I was diagnosed neuropathy. Are there treatments that could solve these conditions for me?Sorry I do not have my card ready. Will get back later.

<start> Hello, Your concern is appreciated. If s patient with similar complaints comes to my clinic, i would reassure him that there are treatments available for glucoma snd neuropathy. For glaucoma, there are medical and surgical options available for which the patient has to contact an ophthalmologist. For the neuropathy, there are medical treatment in the form of supplementation with methycobalamine. Do consult your doctor and discuss the options. <end>

Suggest treatment for glaucoma I am a diabetic since 1994. About 3 months ago, I was meant to understand that I have developed glaucoma and just about a week ago, I was diagnosed neuropathy. Are there treatments that could solve these conditions for me?Sorry I do not have my card ready. Will get back later.

Suggest treatment for hypoglycemia

I have a problem with my sugar dropping frequently...I've been seeing an Endocrine Dr. for 6 years for hyperthyroidism, but he hasn't been concerned with my glucose levels...Seems when I do any type of activity, it drops...Usually in the 50's & 60's

<start> Thankyou user for your query.As per your query I want to ask about the medications you are taking currently? Either you are not taking proper diet as the chances of hypoglycaemia without diabetes are quite uncommon. There are few investigations which you need to get it done:liver function test: As severe illness of liver like hepatitis cause hypoglycaemia.Kidney function test, get your ultrasound abdomen to rule out insulinoma (quite rare).Are you into drinking alcohol? as it also sometimes causes hypoglycaemia.god bless <end>

Suggest treatment for hypoglycemia I have a problem with my sugar dropping frequently...I've been seeing an Endocrine Dr. for 6 years for hyperthyroidism, but he hasn't been concerned with my glucose levels...Seems when I do any type of activity, it drops...Usually in the 50's & 60's

Suggest treatment to control blood sugar

My husband just found out he's diabetic. 47 years old 5'11 170 lbs. 114 has been the lowest and the highest 392 when he was admitted Thursday. (celluitis) reason for admission. He gets 7 units with each meal and 22 at bedtime. My question is..what would symptoms be if it were too high and too low? What is too high? What is too low?

<start> Thankyou user for your query.there is no such thing too high and too low in case of diabetes.Its just the cut off limits for fasting is 80-110mg/dl and 140-200mg/dl for post prandial. The symptoms will be varied as low blood sugar may cause dizziness, confusion, fainting spells, lethargy, irritability, loss of concentration, tachycardia, sweating, anxiety, increase in hunger.High blood sugar causes increase frequency of urination, dizziness, blurring of vision, nausea, extreme hunger and thirst. <end>

Suggest treatment to control blood sugar My husband just found out he's diabetic. 47 years old 5'11 170 lbs. 114 has been the lowest and the highest 392 when he was admitted Thursday. (celluitis) reason for admission. He gets 7 units with each meal and 22 at bedtime. My question is..what would symptoms be if it were too high and too low? What is too high? What is too low?

Suggest treatment to control blood sugar and sinus infection

I am a 59 yo female w/ medication controlled diabetes (taking Metformin formerly also used Glipizide) I have had a sinus infection for a very long duration, had surgery on 1/7 but am still fighting the effects of the sinusitis. I was just prescribed Augmentin and also Medrol. Of course the Medrol is inflating my blood sugar levels. Should I take Glipizide and how much to control my sugar levels. Recent reading of 227 at 3:15pm Took Metformin1000mg and 5mg Glipizide this morning at 7:00am.

<start> your sugar level is elevated secondary to steroid. there are two modalities for controlling your sugar levels1) the dosage of metformin can be increased in split dose or2)the dosage of glipizide can be increased.kindly consult your doctor because a clinical assessment is required before stepping up of dosages of drugs. <end>

Suggest treatment to control blood sugar and sinus infection I am a 59 yo female w/ medication controlled diabetes (taking Metformin formerly also used Glipizide) I have had a sinus infection for a very long duration, had surgery on 1/7 but am still fighting the effects of the sinusitis. I was just prescribed Augmentin and also Medrol. Of course the Medrol is inflating my blood sugar levels. Should I take Glipizide and how much to control my sugar levels. Recent reading of 227 at 3:15pm Took Metformin1000mg and 5mg Glipizide this morning at 7:00am.

Suggest treatment for type 2 diabetes

I am 68 years old and have Agent Orange related type 2 diabetes (since 2000). In 2005 I had a related stroke (Rt. medulla CVA). I take insulin injections. Recently I developed a rash with itching on my right lower leg. I am trying to figure out if this is food related and what I can use to stop the itching (cortisone does not work). Thank you, Dennis Maddox

<start> HelloThank you for writing to us on Health care Magic.Based on your history the response to your question is as follows.1. For itching, antihistamine like loratidine or cetrizine will be helpful.2. Also apply calamine lotion over it.3. Right lower leg, only, look at local cause. Possibly socks or foot wear or environmental. Not food related.Hope this is helpful to you.Do write back to me for further questions.Thank you <end>

Suggest treatment for type 2 diabetes I am 68 years old and have Agent Orange related type 2 diabetes (since 2000). In 2005 I had a related stroke (Rt. medulla CVA). I take insulin injections. Recently I developed a rash with itching on my right lower leg. I am trying to figure out if this is food related and what I can use to stop the itching (cortisone does not work). Thank you, Dennis Maddox

Suggest treatment for diabetes and blood pressure

Sir my father s age is 68.He is a diabetic patient since 25 years also had blood pressure since equal years. He had bypass surgery at apolo two years back .At that time doctor told he may develop renal problem in the coming days .now it is since 5th 6 month we find his blood urea and creatinine level goes up along with blood pressure even though his blood sugar levels .and lipid profile is quite under control .problems like constipation arthritis and lower haemoglobin is also running with him .Now his creatinine and blood urea level are 3.5 and 90 .It is too much which put us in strain. Another problem of water retain ti on is also there . He is taking medicine like Ark amine ; Nicardia-20 .lonitab-5. Renhold .minipress-xl-5 metpure-50 .nephita .so now I want to know what should I do to develop in his healt conditions

<start> Diabetes is a chronic and progressive disease causing damage to all organs of the body and to add he also has high bp, so most importantly keep blood sugars and bp at as normal as possible, reduce intake of salt, water, proteiin foods,fruits. Consult your diabetologist further. <end>

Suggest treatment for diabetes and blood pressure Sir my father s age is 68.He is a diabetic patient since 25 years also had blood pressure since equal years. He had bypass surgery at apolo two years back .At that time doctor told he may develop renal problem in the coming days .now it is since 5th 6 month we find his blood urea and creatinine level goes up along with blood pressure even though his blood sugar levels .and lipid profile is quite under control .problems like constipation arthritis and lower haemoglobin is also running with him .Now his creatinine and blood urea level are 3.5 and 90 .It is too much which put us in strain. Another problem of water retain ti on is also there . He is taking medicine like Ark amine ; Nicardia-20 .lonitab-5. Renhold .minipress-xl-5 metpure-50 .nephita .so now I want to know what should I do to develop in his healt conditions

Suggest treatment for gestational diabetes

Hi Am 35weeks 3 days pregnant I have gestational diabetes am doing regular 2 weeks 1s scan.. Usually thy say baby growth normal and don t write anything on the report. In today s scan they wrote Cephalic anterior placenta what does it mean ?? Anything related to C-section / normal ?? Any problem with placenta ?? Any problem for me or baby ? Can you explain me Doctor Ur will be great helpful for me ..

<start> Dear madam I can understand your concern the meaning of your report is normal variant onlyplacenta is in anterior position there is nothing to worryit would be problem if placenta in low lying so relax and upload your full report for better explanation regardsDr VamsiDiabetologist&lipidologist <end>

Suggest treatment for gestational diabetes Hi Am 35weeks 3 days pregnant I have gestational diabetes am doing regular 2 weeks 1s scan.. Usually thy say baby growth normal and don t write anything on the report. In today s scan they wrote Cephalic anterior placenta what does it mean ?? Anything related to C-section / normal ?? Any problem with placenta ?? Any problem for me or baby ? Can you explain me Doctor Ur will be great helpful for me ..