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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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. Dada Peer 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 »

What does it mean to have a sudden onset of slurred speech?

Query: Hi doctor, My 70 year old father has developed slurred speech from two days. He has diabetes, benign prostate hypertrophy, and history of vascular dementia. He does not have weakness, paralysis, or numbness. He does not have hypertension or any cardiac disease. He refused to do a CT scan in the ER....  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. In a patient, having risk factors, like diabetes mellitus and acute onset slurring of speech, it raises the possibility of developing an acute stroke. Though there may be other causes too. I would suggest undergoing the following tests: MRI of the brain or NCCT (non-...  Read Full »

What causes constant tiredness and lethargy?

Query: Hello doctor, I am a 45 year old female, and my height is 5 feet. I have a blood pressure of 140/75 mmHg. I always feel lethargic and sleepy. Whenever I get up after a long nap, I feel dizzy. Sometimes while working, I experience a sudden unbearable headache.  My period had stopped two years ago. ...  Read Full »


Dr. Pooja Pardhi

Answer: Hello, Welcome to icliniq.com. I have gone through your query and can understand your concern. Tiredness and sleepiness can be seen in the following conditions: Hypothyroidism. Diabetes mellitus. Anemia. Vitamin D and calcium deficiency. Multivitamin deficiency. I suggest you get your blood sugar, T...  Read Full »

Kindly review my reports and suggest whether I am diabetic.

Query: Hello doctor, I started taking medicine for diabetes from last year. Then after two months, I had to stop because my sugar went down very much. And sometimes, I had to eat glucose to maintain the sugar level. I used to continuously check my blood sugar levels after every 2 to 3 months. As the tests...  Read Full »


Dr. Sreejith Mg

Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Your blood sugar is not under control. Everyone whose HbA1c is more than 6.4, have diabetes. Always keep HbA1c less than 7, for better control of DM (diabetes mellitus) type 2. Your other blood r...  Read Full »

Why does my brother's daughter urinate frequently?

Query: Hi doctor, My brother's younger daughter is 6 years old. Her weight is 24 kg and height is 4 feet. She always rushes to the bathroom to urinate. In a day, she rushes 20 to 25 times to urinate. We were done her urine RE, and it shows everything as normal. She becomes thirsty to drink water. She fears...  Read Full »


Dr. Deepak Patel

Answer: Hi, Welcome to icliniq.com. I can understand your concerns. Increased frequency of urination in a 6 year old child can be due to UTI (Urinary Tract Infection), renal stones or diabetes mellitus. Since, in this case, increased thirst is also present there is a probability of diabetes mellitus. Al...  Read Full »

Do frequent urinary tract infections mean any serious underlying condition?

Query: Hi doctor, I got a UTI infection towards the end of the last year, got treated, and was fine. My abdomen and pelvis sonography showed small right renal calculus and diffuse urinary bladder wall thickening. I have diabetes for the last eight years and taking Glucobay M 25 mg tablet. There was blood ...  Read Full »


Dr. Vaibhav

Answer: Hi, Welcome to icliniq.com. I have seen all your reports (attachments removed to protect the patient's identity). You have an infection in the latest report, and you have started the antibiotic treatment correctly. An increase in urine frequency is due to infection of the bladder, and it will ...  Read Full »

What are the complications of high blood glucose levels?

Query: Hi doctor, I am a 62-year-old male. I am diabetic and taking oral hypoglycemics for more than 15 years. My fasting blood sugar level is 134 mg/dL and PPBS is 470 mg/dL (today's reading). The earlier reading was 240 mg/dL. I am taking Glycinorm-M 80 mg, Gluxit 10 mg, Voglitab MD 0.3 mg, Rozemake 10 ...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. The postprandial glucose level is too high. But it is unlikely to cause diabetic ketoacidosis. That condition is more likely to occur in type 1 diabetes mellitus and very rarely in type 2 diabetes mellitus. However, such high glucose is dangerous. You are already on thr...  Read Full »

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