Type 1 Diabetes Mellitus

Type 1 diabetes mellitus is an autoimmune condition, where the body is incapable of producing enough insulin to control blood glucose levels. It results in reduced or no production of insulin, as the body’s immune system attacks the cells in the pancreas. This condition can be managed by Insulin therapy only.

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How to get rid of chronic diarrhea with tapeworms in stools in a diabetic?

Query: Hello doctor, I am a type 1 diabetic and I suffered chronic diarrhea for the past 10 years. Finally, the doctor found tape worms, and eggs in the stool. I had several rounds of praziquantel, last round was 2 weeks ago with 650 mg per day with a break in between. I took supplements of all kinds, and...  Read Full »


Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I suppose you must give a brief history of the nature of your diarrhea. Like mostly it is oily and malodorous, watery or gassy? Does it have any relation to meals? Do you feel any abdominal pain, fever, or itching at the anal area? Do you ever have a low Hb? Any loss...  Read Full »

Can Evista be given for a diabetic?

Query: Hi doctor, I am a type 1 diabetic. I have been prescribed Evista as I have precancerous cells in my breasts. I have had multiple biopsies done in the past 5 years and they were always benign. I am concerned about the harsh side effects of Evista. I cannot sit for extended periods of time as blood cl...  Read Full »


Dr. Naresh Kumar Monigari

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I had gone through all the details you have posted. I can understand your anxiety because of multiple medications and side effects of medications. Kindly understand that you need to be on Evista (Raloxifene) because of precancerous cells, which may progress to invasiv...  Read Full »

How does diabetes affect the baby during pregnancy?

Query: Hi doctor, My sister is 21 years old with type 1 diabetes. When she was 35 weeks pregnant, she had a cesarean section delivery. The baby's heartbeat stopped and they could not get it started. The doctors are blaming it to be due to diabetes. They said that the baby's blood acid was 25, which is five...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. We are here to help you. Diabetes is a big problem and so, the pregnancy during diabetes is labeled as high risk pregnancy. It is very uncertain to know what side effect might occur. However, the side effects can vary from person to person. It is very difficult to commen...  Read Full »

Kindly guide how to reduce the insulin units in insulin dependent diabetes.

Query: Hello doctor, I am 42 years old with type 1 diabetes for the last 21 years. I am also on dialysis thrice a week, and my insulin requirement increasing day by day. I was taking 8 units per meal four years ago, but now I am having 40 units per meal. Kindly guide how to decrease the insulin units.  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. The fact remains that you are probably having insulin-dependent diabetes. In this case, your sugars will rise. This is because the pancreas produces a lesser and lesser amount of insulin on their own. As that happens, the need for insulin will keep climbing. There a...  Read Full »

I am type 1 diabetic and had diarrhea with lime green tint. Could this be diabetic enteropathy?

Query: Hello doctor, I have type 1 diabetes at 27 years old (diagnosed around eight years). Recently I was somewhat nauseous, and today diarrhea with a lime green tint. I read about diabetic enteropathy, but this is the first time I feel like it could be diabetic-related diarrhea mostly because I had not ...  Read Full »


Dr. Srinivas Morampudi

Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Diabetic enteropathy is not diagnosed after a single episode of diarrhea. Usually, it is chronic and intermittent with regular bowel movements in between. Constipation can also be present. Diarrhea can occur during the night. There are other causes for acute diarrhea...  Read Full »

A 11-year-old patient has both type 1 and 2 diabetes. Is there any treatment available for this?

Query: Hello doctor, The patient is 11 years old, and right from birth, he is suffering from type 1 and 2 diabetics. Initially, he was on injection and now on tablets every day. As per the doctor, his pancreas is not working from his birth. Can you please let me know if there is any treatment available for...  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Yes, there is a procedure called pancreatic transplant. It must be taking place in your place as well. You can click on the individual hospital website and check if they have a pancreatic transplant facility, but it could be very expensive. But let me tell you one th...  Read Full »

Please explain how the best Insulin treatment is selected for a diabetic patient.

Query: Hi doctor, I have few questions which I would like to ask a professional. As I am not able to find the answers by myself, I would love to hear from a practicing professional. How is the best Insulin treatment (syringe, pen, pump and pod) selected for a type 1 diabetes patient? Generally, how long ...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Rather than the best way, we consider more convenient and economical ways for the patient. The best is always an Insulin pump, but it is costly and requires continued patient education. Injecting Insulin into the same site will cause damage to the fat tissue which resu...  Read Full »

Why do I feel lethargic and tired?

Query: Hi doctor, I feel lethargic, tired and lost a few kilograms of weight. I had an HCP test done. I want you to see it and help me.  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have read your message. From the report (attachment removed to protect patient identity), I feel significant are as follows. You have uncontrolled diabetes. At age of 30, it is likely to be type 1 diabetes and you need to start Insulin injection. Meet a local diabe...  Read Full »

Is it safe to fast if I have type 1 diabetes?

Query: Hello doctor, I have diabetes type 1. My age is 18 years and I am taking Mixtard insulin twice a day. In the morning, I inject 14 units and in the evening I inject 6 units. I want to fast for religious purposes. Can I?  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The patients with type 1 diabetes are advised not to fast. However, if you are healthy and having a good blood sugar control, then you can reverse the dose of insulin as in, take the night dose in the morning and morning dose at night and fast. Be prepared for break...  Read Full »

My fingers are numb and my feet have a burning sensation. What could it be?

Query: Hello doctor, I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like t...  Read Full »


Dr. Nazma Parveen

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have read through your question and I would like to tell you that peripheral neuropathy can happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-depende...  Read Full »

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