HomeAnswersDiabetologytype 2 diabetes mellitusWhy do symptoms like vertigo, constipation and itching occurs in a diabetic patient?

I have diabetes with vertigo, RBBB, and constipation. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At May 12, 2020
Reviewed AtJuly 12, 2023

Patient's Query

Hello doctor,

Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter and left leg in summer). Most of the time I am sitting for my job. My height is 5' 9" and weight 242 pounds (no change for the last five years).

Hello,

Welcome to icliniq.com.

After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little about your basic diet pattern. Second important aspect of management of diabetes is exercise. As you have mentioned your are an accountant and that will make you a less active person during a major time of the day. While on the job and presently in lockdown at home, take small 5-10 minutes of time and walk across the corridor. Start with little things. Then on the third part comes the medicines. You have not mentioned how many times a day you are taking Amaryl MV 1. Please do mention that. Your weight is also more compared to your height, Amaryl can cause a little weight gain also. You should opt for tablets that will not gain weight. There are certain medicines available now which controls blood sugars and also help in weight loss. Apart from this, I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 1 to 10. Are you getting enough sleep? How many times you have to go for urine at night? Any pain, or burning sensation in legs?

The Probable causes

The probable causes are obesity and uncontrolled sugar levels.

Investigations to be done

Do FBS (fasting blood sugar), PPBS (post prandial blood sugar), HbA1c (glycated hemoglobin), lipid profile, serum creatinine.

Probable diagnosis

The probable diagnosis is Type 2 DM.

Treatment plan

Continue the same medicines until we work on detailed diabetic history.

Preventive measures

Take six to seven small frequent meals a day. More leafy vegetables, fruits, pulses. Take less grains, maida, and processed food.

Regarding follow up

Once detailed history available and reports done.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shah Vitrag Upendrabhai
Dr. Shah Vitrag Upendrabhai

Diabetology

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