Diabetes

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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Would a 90 year old patient with diabetes be suitable for aortic dissection surgery?

Query: Hi doctor, The patient is an 89-year-old female. She is an insulin-dependent diabetic with a history of heart disease, found to have an aortic dissection. She became ill early in the morning and could not call for help. She was taken to the hospital eight hours after her first symptom. She has be...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. It is a complex situation, and more information would be required for further advice. Most important of how is the patient's condition now and comprehensive knowledge of her stress-bearing capacity and accurate imaging reports of the aortic dissection and other diseas...  Read Full »

My father took Benadryl for food allergy. Can he take his diabetes medicines?

Query: Hello doctor, My father had two pieces of large clams last night, and he experienced a food allergy to them. He complained about tingling sensation and swelling of his eyes. I gave him one tablet of Co-Altria Ped 5 mg at night. He is 63 years old and diabetic for a year. He uses Insulin injection, ...  Read Full »


Dr. Radela Yvonne Cortes

Answer: Hello, Welcome to icliniq.com. Thanks for your query. I assume that your father already has a known allergy to crustaceans because you identified clam as the source of his allergy. It was good that you gave him Co-Altria Ped 5 mg (Montelukast, Levocetirizine, and Dihydrochloride) and Benadr...  Read Full »

What causes vaginal itching and swelling in a person with diabetes?

Query: Hi doctor, I am 34-years-old female with a weight of 67 kg and a height of 5'1". I am currently suffering from candidiasis. I have a high blood sugar of 140.18 mg/dL. I have sharp pain, irritation, itching, and swelling in my genitals and have difficulty urinating. Also, have a frequent thirst an...  Read Full »


Dr. Rajendran R Nayar

Answer: Hi,Welcome to icliniq.com.I understand you have vulvovaginal candidiasis and high fasting blood sugar with symptoms of diabetes mellitus.I hope you had the genital discomfort examined by a physician and then confirmed it to be candidiasis, especially if it is your first episode of the discomfort. Yo...  Read Full »

Can an ECG detect my abnormal heart rhythm?

Query: Hello doctor, I am diabetic and hypertensive for the past 15 years. I took an ECG before six years. My BP was 140/90 mmHg, and I was prescribed tablet Telma 40 mg. After taking it, my BP came back to normal, and it was around 110/70 mmHg. I stopped the medications for three years, and my BP was s...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Do you have any symptoms like chest pain, heaviness, or breathlessness on exertion? Do you have any previous ECG (electrocardiogram) for comparison? In medical terms, your illness is called sinus rhythm. Your ECG report states left axis deviation, Left atrial...  Read Full »

My mother's sugar levels have been low since taking medications for diabetes. Why?

Query: Hello doctor, My mother was diagnosed with type 2 diabetes. Her first blood sugar test report was at 437. Now, after three months, the fasting level is 86. Last month fasting was 105 and post-prandial was 120. She is taking half a tablet of Glimepiride 2 mg and Metformin 1000 mg both twice a day...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your mother and it seems that she has a very good diabetes control. However, if you reduce her dose, then her blood sugar level will go up and ruin her diabetes control. If you ever find that she has symptoms of hypoglycemia like sweating, ...  Read Full »

My daughter has cysts in both left and right ovaries. Kindly help.

Query: Hello doctor, My daughter is 16 years old. She has irregular periods. Sometimes, the cycle lasts 15 to 20 days, while on some months, it lasts 40 days. Her doctor advised an ultrasound scan. She was diagnosed with cysts on the right and left ovaries. Her cervix size is 7.5. She was asked to take es...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Answer: Hello, Welcome to icliniq.com. Initial periods around puberty can be irregular. If the diagnosis of PCOS (polycystic ovaries syndrome) is correct, she may require medicines to make her periods regular. PCOS girls are at a risk of obesity, diabetes, hypertension and endometrial hyperplasia. ...  Read Full »

What is the reason for the exaggerated protein in my routine urine test?

Query: Hi doctor, I am a 66 year male, who is diabetic and hypertensive from the last 15 years. I am on Tazloc H, Cresar AM, Metformin, and Amaryl. Routine urine exam showed proteins 30 mg/L, micro albumin 94.97 mg/L, and pus cells 4 to 5 cells. What is the inference and advise?  Read Full »


Dr. Pankaj Jawandhiya

Answer: Hi, Welcome to icliniq.com. I will advise you to check UPCR (urine protein to creatinine ratio) and evaluate fundus for diabetic retinopathy or hypertension retinopathy. Thanks. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist  Read Full »

I have a pimple on my upper left shoulder, which turns to red when pricked. Kindly help.

Query: Hello doctor, I have a pimple on my upper left shoulder area since yesterday. I pricked it a little, and now it is red. I never had pimple in this area before. I am under medication for high blood pressure, and I am taking Rybelsus for diabetes. The A1c level was 5.3 mg/dL in the last test. So it i...  Read Full »


Dr. Dilip Meena

Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. I went through the photographs attached (attchments removed to protect the patient's identity). It looks like a common bacterial infection of hair follicles known as folliculitis. It will heal with or witho...  Read Full »

Does my relative take the correct dosage for his diabetes medication?

Query: Hi doctor,I am sending a few doubts of my relative, who is suffering from diabetes and HTN. They have a strong case history of CKD in the family. For diabetes, the patient was taking the following medicines. A combination of Metformin 850 mg and Glimperide 1 mg in the morning and a combination of Me...  Read Full »


Dr. Thiyagarajan T

Answer: Hi, Welcome to icliniq.com. Hi Sir, First, I wanted to be clear. 1. Is he still taking Glimepiride and Metformin? 2. Tiban is Teneligliptin, which I do not prescribe much. But it is safe to take 20 mg twice daily. Also, it is safe to take once daily in a person with kidney problems. 3...  Read Full »

Can bariatric surgery be repeated?

Query: Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5 feet and 10 inches, and my current weight is 127 kg. Two years ago, I had a sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass sur...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, nothing needs to be done to increase testosterone. There are medications to increase testosterone lev...  Read Full »

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