Brief Answer:
Long story! / Consult her
Nephrologist
Detailed Answer:
Hi friend,
Welcome to Health Care Magic
Blood pressure is controlled fairly well for the present – even without medication. It needs to be monitored only. Treatment has to be initiated, when the values go up [upper figure (Systolic) more than 140 / Lower figure (Diastolic) more than 90… / and aim to keep it around 130/80
The ECHO does not show any serious problem – some minor changes are the result of pressure / It does not demand direct attention or interference…
Heart attack or stroke is always a possibility in Diabetics / and it could even be silent. It can be postponed, at times prevented by aggressive management of risk factors –
cholesterol, pressure, sugar…
Aspirin in small doses (75 to 150 mg) help.
Stains to treat cholesterol help – even when the levels are normal / they have effects beyond cholesterol – like antioxidant and plaque stabilization / and are routinely given by many practitioners. Her LDL is quite high - 70 should be the aim in diabetics (otherwise 100 is permissible)
Isolated
pain in the leg is less likely from stroke. Headache and loss of sleep could well be from anxiety, but one cannot be sure. Presentation of a stroke can vary greatly, depending on the nature and location of the insult – paralysis of one side or face and limb is the most common. There are several other atypical presentations like slurring, vertigo, in-coordination, blindness, confusion, altered behavior, persistent headache and so on. Any change from the usual status may need to be seen by a
Neurologist. Generally MRI and MRA (MRI
Angiography of head and neck blood vessels) are indicated for evaluation
Her TSH is still high / the dose of thyroid replacement hs to be increased.
Kidney or Allergy is probably responsible for the swelling…
In summary,
Her heart is sound…
Her urea is high; but creatinine is normal - this is a picture of
dehydration (water deficit). Her electrolytes (Sodium, potassium, chloride, bicarbonate & magnesium) need to be checked - as soon as possible. She should be reviewed by her Nephrologist (Kidney specialist) –they are the specialists best suited to treat her pressure too.
Good luck
Take care
Wishing all well
God bless