Diabetes Mellitus

Diabetes mellitus (DM) is a chronic metabolic disorder where the blood sugar levels are high for a prolonged period. The three main types of DM are type 1 diabetes, type 2 diabetes, and gestational diabetes. The classic symptoms are weight loss, increased urination, increased thirst, and increased hunger.

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Why is my husband's sugar level consistently high despite taking medicines?

Query: Hi doctor, My husband has diabetes for the last 10 years. He is currently on Amaryl M1. He is living a sedentary lifestyle. For the past few months, the sugar level is always high despite the medication. The fasting blood sugar value was around 169, a week back. His other tests like triglycerides...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). I would suggest a stepwise approach. As the blood glucose level is not controlled on Amaryl M 1, increase the dose to Amaryl M 2 (Glimepiride and Metformin), one tablet in the m...  Read Full »

What does watery and foul-smelling vaginal discharge signify?

Query: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When s...  Read Full »


Dr. Balakrishnan. R

Answer: Hi, Welcome to icliniq.com. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities a...  Read Full »

I gained 10 kg weight in two years and my blood sugar level also increased due to my unhealthy eating habits. Kindly help.

Query: Hello doctor, I am not diabetic, but I have been eating more junk foods and not exercising at all for the past couple of years. So I gained 10 kg weight, and my belly fat is increasing. My age is 33. My height is 175 cm, my weight was 75 kg then, and it reached 85 kg now. I made a blood sugar test a...  Read Full »


Dr. Nagaraj

Answer: Hello, Welcome to icliniq.com. I can understand your concerns. I am glad that you realized the consequences of sedentary life and more junk foods. As diabetes is a lifestyle disease, it can only be prevented by adopting a healthy lifestyle, regular exercise, and healthy food habits, which you have...  Read Full »

I have been doing morning walks for three years; why do I suddenly feel tired and lack stamina after the walk?

Query: Hi doctor,I am a 50 year old male. I am taking BP medicine Cilaheart 10 twice a day for the past seven years. I do morning walks of about 5 km average for six days a week since the past three years. I normally have a sound sleep for six to seven hours every day. I normally getup twice for urination...  Read Full »


Dr. Kaveri Dandapani

Answer: Hello,Welcome to icliniq.com.Sorry to say that, yes, you are diabetic.I would like you to take Glycomet (Metformin) 500 mg once a day, preferably in the morning, to avoid any hypoglycemic effects. If I were your doctor, I would have started it when I first saw the A1C to be abnormal. Even though yo...  Read Full »

How to control high blood pressure, vomiting and headache in a patient with diabetes and a history of heart surgery?

Query: Hi doctor,I have a query about a patient with different illnesses. The patient had vomiting five days ago and did it last night also. To control vomiting, she took syrup Gravinate. But her blood pressure is high, and she has a headache. Her blood pressure reading is 152/68 mm of Hg. She has diabetes...  Read Full »


Dr. Arpit Varshney

Answer: Hello,Welcome to icliniq.com.I understand your concern. There is an urgent need to control the blood pressure since high blood pressure can worsen the heart and cause shortness of breath. It is done by hardly two medicines, but to suggest those medications, I will need all the previous reports of yo...  Read Full »

Can diarrhea be related to low blood sugar levels?

Query: Hello doctor, I am a type 2 diabetic, and today I had a low blood sugar episode. I woke up from a nap and my blood sugar had dropped to 80. My fasting blood sugar is usually around 110. After I ate something and started feeling better, I had bad diarrhea. Is it somehow linked to my low blood sugar? ...  Read Full »


Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern about sugar levels. As you mentioned that you were diagnosed as having type 2 diabetes, could you specify for how long you have been having it? Please get your diabetes medications rechecked if you have not done so rec...  Read Full »

My father is a known diabetic and hypertensive patient. Now got a sudden onset of double vision.

Query: Hello Doctor, My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes. His CT Scan report says:- Impression: Multiple calcified foci as described above. Diffuse cerebral atrophy. Content: Two calcified foci without perilesional oedema are seen in bilateral occipital regi...  Read Full »


Dr. Dadapeer. K

Answer: Hello, It seems from the history that your father is having sudden onset of double vision. He is a known diabetic and hypertensive. The CT scan report you have mentioned here like diffuse cerebral atrophy is not of much significant and they indicate age related changes. The CT scan findings are not ...  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 »

Please suggest a treatment plan based on my father's blood report.

Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ...  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar...  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 »

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