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Complications related to uncontrolled diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   Since how long you observe
User :   I am very concerned about my father. I need some advise because I don't think he is being honest with me.
User :   I saw the purple foot last night.
User :   I don't know how long it has been there.
Doctor :   Is he diabetic
User :   Yes
User :   His skin is also changing color. I see his face and arms often. He's always been dark complected but he is now changing to gray.
Doctor :   What is his age
Doctor :   and is the blood sugar under control?
User :   He says that it is, but from what I see him eat and drink (beer) I don't see how it can be.
User :   He is beginning to get nose bleeds a lot, frequent headaches and now he tells me that his urine is brown in color.
Doctor :   His age?
User :   58
Doctor :   Purple color of the feet means the oxygen is not rightly reaching the area
Doctor :   because of damage to the blood vessles supplying the area
Doctor :   THis can be because of uncontrolled blood sugar levels
User :   The headaches, nose bleeds are all new within the last couple of months.
User :   OK - thank you. What about the gray skin and urine? what are your thoughts there?
User :   AND he is a smoker
Doctor :   Ok she has multitude of issues to be discussed
Doctor :   Smoking is a risk factor
Doctor :   and Urine brown is because of break down of hemoglobin
Doctor :   I suggest an immediate complete evaluation
User :   He went to the doctor today for a chest/head cold and somehow they took a urine sample. He says he didn't say anything about it. I'm wondering if it was his color that made them take one?
User :   I am begging him to go to a different doctor, we are in a small town and these guys are good for sore throats and what-not, but I'm sensing there's more to this.
Doctor :   yes
Doctor :   He needs Complete Blood and Urinalysis
Doctor :   Blood sugars
Doctor :   Ketones
Doctor :   HbA1C
Doctor :   Lipid profile
Doctor :   ECG
Doctor :   ENG
User :   I will get right on the blood work, they only took urine so they can't get all information from that. Let me get a pen.
User :   What is HbA1C?
Doctor :   Glycosylated Hemoglobin
User :   What do those levels tell us?
Doctor :   In fact he should see a Internal Medicine physician
Doctor :   who can refer him to a specialist if required
Doctor :   So keep him as primary physician
Doctor :   and follow up with him regularly
User :   I understand
Doctor :   Blood sugar, and Blood pressure, Pulse are to be monitored at home
User :   Start with an internal med physician
Doctor :   and noted in medical records and to be taken to
Doctor :   the doctor during consult
Doctor :   the medication and the diet are based on these readings
User :   Do you have thoughts on his coloring? - I'm not trying to diagnos him over the internet, I'm just afraid he won't tell me what is really going on. And I appreciate your help here.
User :   his actual skin
Doctor :   Uncontrolled blood sugar
Doctor :   YOu need to take an opinion of the Dermatologist too
User :   That makes some sense then - I sure will. Thank you for everything you're doing for me.
Doctor :   It is pleasure here
Doctor :   I wish I could help you more if physically present
Doctor :   as your father requires a lot of analysis physically
Doctor :   Thank you for consulting me
Doctor :   Bye for now
Doctor :   Hello are you with me
Doctor :   Please go ahead with your queries
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