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Q. What are the clinical tests recommended before COVID vaccine in a diabetic patient?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 14, 2021

Hello doctor,

The patient has diabetes for the past eight years, and a year back, she had mild chest pain. However, ECG and other tests were normal. Rarely, she gets mild chest pain and subsides by itself. She also notices heavy breathing while climbing. Her random sugar level is 206 mg/dL, and her BP is 143/83 mm of Hg. Do you recommend any tablet for chest pain? We are planning for the COVID vaccine. Do you recommend the same for her? What are the clinical tests (like antibodies) that you recommend before having the COVID vaccine? Which vaccine do you recommend (live or non-live)?

Current medications:

Tablet Janumet 50/500 one tablet in the morning.
Tablet Jardiance one tablet in the morning. Injection Novomix 30/70 10 units each in the afternoon and night.
Tablet Amlong 10 mg half tablet a day.
Tablet Nitrocontin one tablet in the morning. Tablet Ecosprin one tablet in the morning.

#

Hello,

Welcome to icliniq.com.

Thank you for the query.

She is diabetic and hypertensive and has chest pain, so if resting ECG (electrocardiogram) is normal, then echocardiography should be done at rest and with stress.

Another option is myocardial perfusion scanning (MPS) for inducible ischemia to confirm the presence or absence of ischemic heart disease.

She can get the COVID-19 vaccine, and no test is needed before having the COVID vaccine. I suggest a non-live vaccine.

Regards.

Hello doctor,

I had attached the report of the echocardiogram taken last year when she developed mild chest pain. We are scared to go to the hospital to echo due to increased corona cases across the city. Do you suggest any medicine for this? Or can she take tablet Nitrocontin and tablet Ecosprin till I get the following report? Also, she feels exhausted and weak after cooking and daily chores. She is taking tablet Shelcal and tablet Renerve plus in the morning. Do you suggest any other medicine to improve her health?

#

Hello,

Welcome back to icliniq.com.

According to your report (attachment removed to protect the patient's identity), echocardiography and blood tests are normal.

Please send her a recent ECG. If ECG shows any abnormality, then echocardiography should be done.

Also, if breathlessness on climbing stairs is of recent onset, then echocardiography should be repeated along with ECG.

Thank you doctor,

She do not have any recent ECG. She has to go to the hospital, but we are scared to step out due to lockdown and increased corona cases across the city.

Can she continue tablet Ecosprin and tablet Nitrocontin?

Any tablet do you suggest for weakness and tiredness after daily chores?

#

Hi,

Welcome back to icliniq.com.

She can continue with the tablets.

Regards.

Thank you doctor for the reply,

Can she take the COVID vaccine next week? Should any medicines be stopped before or after COVID vaccination? Please guide.

#

Hello,

Welcome back to icliniq.com.

Tiredness can be due to many causes.

1) Improper diet.

2) Mental stress.

3) Anemia.

4) Heart issues.

5) Lung issues.

6) Any infection in the body.

Treatment is different for different conditions.

For further queries, please contact me.

Thank you doctor,

Do you suggest any master health checkups to identify tiredness? We will do it post lockdown.

#

Hello,

Welcome back to icliniq.com.

Please do the basic tests, including CBC (complete blood count), UCE (Urinary creatinine excretion), blood sugar level, ECG (electrocardiography), chest X-ray, and urine D/R test.

Thank you doctor,

I will take these and get back to you. Meanwhile, can she take the vaccine?

#

Hello,

Welcome back to icliniq.com.

She can take the vaccine.


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