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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hands Feeling Tight And Painful. Diabetic With High Glucose. History Of Bypass. Which Doctor To Consult?

my husband, 54, had a cardiac arrest last May (2010) and bypass surgery in August. He is also a Type 2 diabetic and recently his glucose has been high. Cardiac-wise things now look good. The past few weeks he has complained about this hands feeling tight (I don t notice edema on his hands or feet) and they have been painful. As of a yesterday several of his knuckles have started to look purple and I m concerned. Do I go see the primary physician, endocrinologist or cardiologist?
Tue, 7 Aug 2012
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General & Family Physician 's  Response
Hello and thanks for writing in at HCM
Firstly I want to know that for how much years you are suffering for Diabetes. The pain may be due to diabetic neuropathy which usually starts at your age but lot depends on the period of being diabetic. More you have a high blood sugar level which adds up to a risk factor.
As per your concern about purple knuckles these may be related to diabetes but need to be rule out for smoking related disease like aneurysm. But it is only possible if you are smoker.
In my opinion its better to consult you endocrinologist for you uncontrolled blood sugar level.
Best Wishes
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Hands Feeling Tight And Painful. Diabetic With High Glucose. History Of Bypass. Which Doctor To Consult?

Hello and thanks for writing in at HCM Firstly I want to know that for how much years you are suffering for Diabetes. The pain may be due to diabetic neuropathy which usually starts at your age but lot depends on the period of being diabetic. More you have a high blood sugar level which adds up to a risk factor. As per your concern about purple knuckles these may be related to diabetes but need to be rule out for smoking related disease like aneurysm. But it is only possible if you are smoker. In my opinion its better to consult you endocrinologist for you uncontrolled blood sugar level. Best Wishes