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Pain in the leg due to Diabetic neuropathy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How may i help you?
User :   My father never ever visited a doctor in his life ,he got a long fever which broke him down,so he went to see a doctor,he is 56,i would like to know his state of health
User :   He is taking inj insulin novorapid 10 units 3 times and inj lantus at night,medicines glimy m-2,telsartan 40,nerveup
Doctor :   Ok
User :   cre 4.4,glu 28
User :   A1c- 10.7 %
User :   sugar 297
User :   pls help
Doctor :   Ok
Doctor :   From the values it seems sugar values are not controlled
User :   what kind of medicines is he taking pls explain
User :   he is diabetic for a long time ,he feels weakness and pain in legs and calves all the time.
User :   He feels pain from knees to feet all the time
User :   how is his health ?
Doctor :   They are for diabetes
Doctor :   And hypertension
User :   which one for what
Doctor :   Any other joint involvement
Doctor :   Novarapid for dibetes
User :   regularly complains of gas and pain in legs
Doctor :   Plz bear i am also chatting wioth other patients
User :   so is he taking right medications and what's to be done now?
Doctor :   He is on prompt medications
User :   specially for pain in legs we were giving him mobizox all the time but doc warned us not to giv it
Doctor :   The pain in legs are due to diabetic neurpathy
User :   what is prompt medication
User :   what's diabetic neurpathy
Doctor :   The condition where the nerves are affected due to long term uncontrolled diabetes
User :   so is there any cure
Doctor :   Yes regular diabetic drugs and proper foood control
Doctor :   And will require regular follow up once in 2 months
Doctor :   with sugar values
User :   so he has too take injections all through his life as we noted that his levels are not very much controlled,even after inj his sugar levels are 135 to 150
Doctor :   He may require better doses
User :   what proper food,he eats no fast foodjust home cooked food,fruits like apple,pears,mausmi,salad and vegetables
Doctor :   Diabetic diet with calorie count
User :   what's that
Doctor :   You should have an calculated calorie intake according to his weight
Doctor :   It should be calculated with his BMI
User :   like my is 70kg,i am 5'4
Doctor :   You need him to be examined and then get the calorie count by diabetologist
User :   doc i am 23 my penis didn't develop after birth and its just 3 inches on erections,my facial hair is not like of other adults,my body has good amount of hait except chest,my testerone level was 258,esr 43,fsh 2.62,lh 5.43
User :   prl 19.6,e2-41.37,dhea-187.5
User :   doc also reported gynecomastia and distal hypspadias ,i got operated gor gynecomastia on 16th june 2010 but it reappeared and now i have fat with sagging skin
Doctor :   OK
User :   i did not got operated for hypospadias as ppl said it will make it worse my orgain will stop working
User :   why it happnd and what's possible now
Doctor :   Thats mainly an developmental anamoly
User :   pls explain
Doctor :   Which has genetic causes and are unexplained
User :   so
Doctor :   Those are mainly due to gene malfuntions like mutations
Doctor :   They need to treated with hormonal supplements
Doctor :   Did you consult any Sexologist for the same
Doctor :   Were you prescribed any harmonal supplemnts
User :   what are its adverse effects in my future life,i ejaculate very fast and do not have semen for second time and by morning i get erection
User :   no i didn't take any supplemets till now
User :   i got these tests now not at atime of surgery
Doctor :   Ejaculation is normal for second time to not occur
Doctor :   You will require complete examination
User :   so what could be my future,shall i go into a normal relationship,i shy becoz of my shortcomings,i do not have much friends as i feel shy and i fear to keep a girl friend
User :   who will do my examination
Doctor :   Sexologist
User :   can you explain me about result of reports,what's going in my body
Doctor :   No
User :   so what do you think i am ready for relationship
Doctor :   There are specialists for sexual problems
Doctor :   Unless i can you are examined how can i suggest
User :   so these ppl give hormonal supplements or what
Doctor :   Yes
User :   like blue pill or musli power extra or something else
Doctor :   No
Doctor :   you will prescribed testosterone supplemnts
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