Diabetes is a metabolic disorder where there is increased blood sugar levels. It may be of type 1 or type 2. The early signs of diabetes include increased thirst, increased hunger and increased frequency of urination.
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Query: Hello doctor, I have had diabetes for the past few years. I was taking Janumet 50 milligrams/500 milligrams and Vobit 0.3 milligrams to control diabetes, and Olmy 20 milligrams to control high blood pressure. However, my doctor has changed the medicine to Glycomet 500 SR. Is it normal, and can I tak... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems you got diabetes and high blood pressure at a young age. Vobit 0.3 milligrams (Voglibose) helps in reducing blood sugar. It can be taken with Glycomet (Metformin Hydrochloride). There is no harm. Howeve... Read Full »
I am a diabetic. What could be the reason for my occasional fever at night?
Query: Hi doctor, I am suffering from diabetes, So can I share my blood test report? Could you please advise on medication? Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query, I have gone through your report (attachment removed to protect for patient's identity).You will need medications. Unfortunately, medicines cannot be prescribed over this mode of consultation. As per governmental regulations, you might have a v... Read Full »
Will diabetes create any issue in dental implant procedure?
Query: Hello doctor, My mother is 68 years old. She lost most of her teeth. Our doctor suggested full mouth dental implants. My mother has diabetes, and she is worried about the surgery and pain. I would like to know if she can go ahead with full mouth dental implants at this age? Will her diabetes create... Read Full »
Answer: Hello, Welcome to icliniq.com. One can go with full mouth case with dental implants when the underlying bone conditions are ideal, which means patient's boney ridge should have adequate height and width. As per the age, there should not be any bony resorption. Bone conditions are important for impla... Read Full »
Can masturbation be a reason for my premature ejaculation?
Query: Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for prema... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. First of all, I would like to tell you that masturbation is not the reason for the problem of premature ejaculation you are having. Masturbation is a safe habit, and most of the men masturbate. Diabetes increases the risk of premat... Read Full »
Query: Hello doctor, I am a 55-year-old female. I am taking Galvus 50 mg two tablets per day. My sugar level after food ranges from 200 to 210 mg/dL. Please advise me whether I should continue the medicine or use another suitable medication. I have been taking diabetic medicine for about seven years. Th... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. After meals, the target blood sugar level should be below 180 mg/dL. Hemoglobin A1c (HbA1c) level is a good monitoring test to see how well-controlled is your blood sugar level. Galvus (Vildagliptin) is a good ... Read Full »
There is a cyst in the retina for my father. Which medicine will be suitable for him?
Query: Hi doctor, My father, who is 76 years old, has been diabetic for the last 25 years. He takes medicine and controls it within the range throughout. Around 20 years back, he had a cataract operation in both the eyes. There is no IOL. His eye problem started before two years. Due to which, there is bl... Read Full »
Answer: Hi, Welcome to icliniq.com. After seeing the photos (attachment removed to protect patient identity), I can see sub-RPE (retinal pigment epithelium) drusens and pigment epithelial detachment in both the eyes. There is also intraretinal cystic fluid. These findings are suggestive of wet ag... Read Full »
Having diabetes, Why has the doctor advised to take Accentrix ?
Query: Hello doctor, I am having diabetes from the past 18 years. I have been advised to take Accentrix injection by my doctor. Kindly, suggest me in this regard. I have attached my OCT reports for your reference.Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. The optical coherence tomography report that you have attached is showing increased macular thickness in both eyes. This condition is known as diabetic macular edema. In diabetic retinopathy, abnormal, leaky vessels are formed on the retina from the fluid that is l... Read Full »
Query: Hello doctor, I am a 58-year-old and weigh about 85 kg. I am insulin dependent diabetic patient. I have been diabetic for the last 20 years and insulin-dependent for the last ten years. I take 1000 mg of Metformin after breakfast, and I take Linagliptin 5 mg at dinner. In the morning, I take a t... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your endoscopy report (attachment removed to protect the patient's identity), and based on that, it is cancer of the distal part of the stomach (food storage organ). A biopsy is needed just for confirmation. Further, you must undergo a PET (positron emiss... Read Full »
How can fatigue be managed in a patient taking Metformin?
Query: Hello doctor,My father's age is 60 years and is a patient of type 2 DM. He is also a patient of hypertension with an abnormal lipid profile. His RBS is now 360 mg/dl. He is suffering from extreme fatigue although BP is controlled by anti-hypertensive drugs. In this condition, how can we manage fatig... Read Full »
Answer: Hello, Welcome to icliniq.com. Looking at RBG given (360 mg/100 ml), he has totally uncontrolled diabetes. When this happens there is a lot of glucose lost through urine, leading to excess urination, excess thirst and excess hunger. Plus there is unexplained weight loss and severe tiredness. The rem... Read Full »
Query: Hello doctor, I had my blood tests and ECG done for my heart problem. After the reports, the doctor suggested angiography to check for any blockage. I have also been prescribed medicines for blood sugar, cholesterol, and blood thinning. I am attaching my reports. Please review the reports. Should I ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I have gone through your reports (the attachments removed to protect the patient's identity). Your treadmill test shows mild changes. Now considering these minor changes in the treadmill test, diabetic status (t... Read Full »