Recently Answered Questions
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Why did my husband have five episodes of hypoglycemia today?
Query: Hi doctor, My husband has type 1 diabetes. He has had no Insulin today but has had five hypos today, and his sugar levels are dropping again. He had his regular food all day, drank juice and cans of coke. He has not done anything different to any other day and also has not been stressed either. He ... Read Full »
Answer: Hi, Welcome to icliniq.com. 1. How long has he had diabetes? 2. When you say hypo, what were his sugars? 3. What is the dose of insulin that he is taking? Read Full »
Why do I have lightheadedness and pain behind the eyes?
Query: Hi doctor, From time to time, I get a weird lightheaded sensation. I feel such a weird sensation while reading, looking at my cell phone, watching television, or driving at night. For a moment, I feel as though I may pass out. But, I do not pass out, and it goes away quickly. Sometimes it happens a... Read Full »
Answer: Hello, Welcome to icliniq.com. The most likely reasons for such episodes are likely to be hypoglycemia or hypotension. Both can manifest in similar presentations with mild dizziness followed by headaches. It is necessary that you should get your blood sugar levels and your blood pressure levels dul... Read Full »
Should I consult a doctor for sudden fainting and tingling tongue?
Query: Hi doctor,My friend, who is a 38-year-old female, had sudden fainting and tingling in her tongue. She wants to know what is wrong with her. Is it necessary to visit the hospital? Read Full »
Answer: Hello, Welcome to icliniq.com. Sudden fainting attacks could be because of various reasons. The most common are as follows. Overactive nerves, may be caused by acts of sneezing, coughing, laughing excessively, sudden pain or fear. Closed and crowded spaces where there is too little oxygen. ... Read Full »
Do high cortisol and insulin levels indicate insulinoma?
Query: Hello doctor,I have always had issues with fasting hypoglycemia (not diabetic). I recently had blood work done which also showed abnormally high cortisol and insulin levels. Any ideas on what could cause these things together? Sudden weight gain about a year ago of 15 lbs. Already healthy person. I ... Read Full »
Answer: Hello, Welcome to icliniq.com. What about random and post-prandial blood sugar levels? Cortisol and insulin have opposing actions. Cortisol and growth hormones could be elevated as a compensatory mechanism to counter insulin release. We need to rule out insulinoma. It is a rare tumor of the pancr... Read Full »
Query: Hi doctor, I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for app... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydratio... Read Full »
Am I type 1 or type 2 diabetic? How can I treat my hypoglycemia too?
Query: Hello doctor, My doctor whom I had been visiting discontinued her practice. I found a new doctor with whom I am having problems. The doctor diagnosed me with diabetes 24 years ago when I was 39. I was tried on a couple of different types and dosages of pills, but I cannot remember the names and was ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you indeed have type 1 diabetes. Regarding your hypoglycemia, I would suggest that you decrease the dose of NovoLog (insulin aspart injection) by two units in the morning and night. Your kid... Read Full »
Last week I had an episode of shaking, sweating, and weakness due to hypoglycemia. What to do?
Query: Hello doctor, I have had reactive hypoglycemia for one and a half years. I am taking the medication Synthroid 100 mcg, and I do not take any medication for hypoglycemia. I am usually pretty good at keeping it stable by eating small meals throughout the day. Last week I had an episode of shaking, swe... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, it is possible. You probably have insulin resistance, and as a result, more insulin production after a meal leads to hypoglycemia. I would suggest the following: 1. Get your fasting and postprandial glucose and insulin levels checked. 2. Weight loss will help.... Read Full »
Are my weakness and confusion due to low sugar or stroke?
Query: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke? Read Full »
Answer: Hello, Welcome to icliniq.com. This could be a sign of: Dehydration. Urinary tract infection. Excessive fatigue. Alcohol. Marijuana and other substances intoxication or withdrawal. Postictal state (seizure). Electrolyte disturbances. Others would also include infection of the central nervous syst... Read Full »
What can be a good snack for diabetics?
Query: Hi doctor, What can be done for diabetic headache? Are diabetes friendly biscuits useful in maintaining sugar levels? Should these biscuits be preferred eating? What can be a good snack for diabetic patient? Read Full »
Answer: Hello, Welcome to icliniq.com. Headaches are not related to diabetes directly. You might be having a headache because of low sugar levels (hypoglycemic headaches). In such scenario, you need to immediately check sugar levels or take some sweets. You can use a painkiller if it is severe. Y... Read Full »
What can be the reason behind severe shifting pain with numbness and weight loss?
Query: Hello doctor, I have multiple sclerosis, diabetes, and epilepsy. However, I am usually numb to pain, my bowels function fine, and my temperature is normal. I got two shots of the vaccine for COVID. Hence, over the last three or four weeks, I initially got pain in both kidney areas, but not from them... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query. I am sorry for such discomfort you are having. Your description of the symptom does not fit the usual suspects. Therefore I would like to ask you a few questions; Do you have any aggravating or relieving factors for the pain in the mentioned... Read Full »