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Hi doctor,
My mother is 76 years old. She is diabetic and on medication for around 15 years. She is suffering from typhoid fever. Her hemoglobin level is low at 6. She is also very weak to walk on her own for the past few days. Kindly suggest some advice.
Dr. Nageswara Rao MBBS., DNB-GENERAL MEDICINE., DFID-DIABTES-2011 Diabetology, General Medicine, Internal Medicine
Hi,
Welcome to icliniq.com.
Her condition will improve once her hemoglobin levels go up. She needs to be evaluated for the cause of low hemoglobin.
Check her CBP (complete blood picture) with peripheral smear. Also, look for iron, vitamin B12 and folic acid deficiency.
Check her blood sugar levels and HbA1c and accordingly you need to modify therapy for diabetes.
Also, check her kidney status, heart function, 2D echo of heart, renal function that includes blood urea, serum creatinine, serum electrolytes, microalbumin urine and ultrasound abdomen.
My HbA1c is 7.5. Should I continue my tablet for diabetes? Query:
Hello doctor,
I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would... Read Full »
Answer:
Hi,
Welcome to icliniq.com.
As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7.
So, I would suggest you to continue with tablet Glycipha...
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 system ...
Read Full »
