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Diabetes type 2 and hypertension, diabetic neuropathy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   Hello dr
Doctor :   hello
User :   Well, I'm a 52 year old male with type 2 diabetes and hypertension.. I was going to see my doctor ..
User :   typing..
User :   I've been experiencing a pulsating tremor type feeling in my thigh first and now in my penis.
Doctor :  
ok
User :   also feeling fatigued ....
Doctor :  
ok
User :   I've had complete blood work back in may and my PSA was .6
Doctor :  
ok
User :   It was also that a year earlier.
User :   I have extreme sessions of belching and gas
Doctor :  
ok
User :   that has been a long term situtation though. been scoped and all but all neg
User :   still a problem though
Doctor :  
ok
User :   I was going to see the doctor a couple of weeks ago and realized I hadn't been taking my meds for the BP and sugar.
Doctor :   ok

User :   numbers came back down after started my meds again...
Doctor :  
ok
User :   but I get through these periods of fatigue .. bad .. and now the tremor thing.. gets me thinking something serious is wrong.
User :   oh.. I smoke too... :-(
Doctor :  
ok
Doctor :  
whats ur bp now?
Doctor :  
and what about ut blood sugar?
User :   it's been running 145 / 100 ... that's with the meds
Doctor :  
ok
User :   my eyesight seems to get worse when I'm on my sugar meds
User :   near sighted vision
Doctor :   whats ur blood sugar now?
User :   not sure.. I'm on the road on a business trip.. just taking my meds twice a day. ( metformin )
User :   just watching what I eat
Doctor :  
ok
User :   could this be related to the nerological tremor symptoms I'm having?
Doctor :  
first fatigue may be the symptom of diabetes
User :   I have herpes ... but XXXXXXXX
User :   XXXXXXXXt' had an outbreak in 6 months.. not serious when it does show up
Doctor :   so first u check ur blood sugar as uncontrolled sugar levels will cause fatigue
Doctor :  
ok
Doctor :   tremors during rest?
User :   yes... their not visible.. it's like small electrical shocks... that come and go like a sine wave.... for example in 60 seconds when they're happening it might come and go three or four times.
Doctor :   they are not visible?
Doctor :  
are u having excess urination now?
User :   no.. i just feel them.. no excess unriation..
User :   it's not so much in my thigh anymore just my penis .. and it not all the time .. but i do wake up and it feels like my whole abdomin had that same feeling ... that lasts for ten or 15 min after I wake up
User :   don't mean to sound like a hypo..just letting you know what I'm feeling
Doctor :  
ok
Doctor :  
are u taking any medicaton
User :   the linsopril and the metformin
Doctor :  
anything else?
User :   negative
User :   asprin
Doctor :  
ok
User :   where are you located?
Doctor :  
this may be due to diabetic neuropathy
User :   diabetic neuropathy?
Doctor :   in diabetic neuropathy u will have similar pins and needles pain
Doctor :  
yes
User :   but it's not painful...
Doctor :   yes
Doctor :  
initially u will not have pain
Doctor :  
and it is not herpes either aas it is very painful condition
Doctor :  
as*
User :   is the gastro issue tied to this?
Doctor :   no
Doctor :  
gastric is tiotally different
Doctor :  
totally*
User :   std ?
Doctor :  
nin std u will have fever
Doctor :   and u will have some other localised ulcer on ur pennis
Doctor :  
with urethral discharge
User :   let me ask you a level of risk issue. ... I was tested with all my blood work back in may.. all neg on stds including HIV ... since then I've had one mutual masturbation session with a friend who he said was neg.. he ejaculated on my penis.. no oral .. nothing.... anything to worry about?
User :   Just have my mind going kind of crazy here with this
Doctor :  
this must not be a problem
User :   does that mean no?
Doctor :   male to male transmission will happen mostly during anal sex
User :   ok... so how do I treat this nuropathy?
User :   is it reversable?
Doctor :   control ur diabetes automatically u will find relief

User :   ok..... thanks
Doctor :  
pplease fill the feedback form
Doctor :  
are u there?>
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