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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes And Dizziness

Sir, Gud Morning. My mother has been suffering from Diabetics since 20 years or more. Her complications include:
while walking she feels giddiness to the extent that she feels as if she is floating in the air, she feels without energy and vitality. Her sugar level remains at 140.However, since two days, her sugar level has escalated to 250 and found Haemoglobin 6 and her limbs getting swolen.Now what to do, please suggest me.
Mon, 14 Sep 2015
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Diabetologist 's  Response
Hi,

Thanks for your question.

After going through your question, there is a need for evaluation in your mother's case.

There may be following cases for her symptoms-
1) Hyperglycemia:
High blood sugar level may lead to hyperosmolar state that may interfere with normal brain function.

2) Hypoglycemia:
Transient Low blood sugar level may cause these types of symptioms.

3) Neuropathy:
Autonomic and peripheral neuropathy due to diabetes or any other cause may lead to these types of symptoms.

4) Postural Hypotension:
Sudden drop in blood pressure with change in posture may cause these symptoms.

5) Cerebrovascular disease:
Decreased blood supply to brain due to
- Atherosclerotic blockage in blood vessels of brain.
- Slow blood flow to brain in response to poor heart function or sudden drop in blood pressure.
- Embolisation of blood clot in blood supply of brain.

She need urgent medical attention for detailed neurological evaluation.
Depending upon it following investigations may help in appropriate diagnosis and treatment:

- Frequent blood glucose monitoring.
- Complete Blood count.
- Renal Function Test.
- Liver Function Test.
- Urine examination.
- Lipid Profile.
- ultraTSH.
- Vitamin B12 & D.
- ECG & 2DEcho.
- Brain imaging like MRI of brain with angiography.

Hope this helps your mother.
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Suggest Treatment For Diabetes And Dizziness

Hi, Thanks for your question. After going through your question, there is a need for evaluation in your mother s case. There may be following cases for her symptoms- 1) Hyperglycemia: High blood sugar level may lead to hyperosmolar state that may interfere with normal brain function. 2) Hypoglycemia: Transient Low blood sugar level may cause these types of symptioms. 3) Neuropathy: Autonomic and peripheral neuropathy due to diabetes or any other cause may lead to these types of symptoms. 4) Postural Hypotension: Sudden drop in blood pressure with change in posture may cause these symptoms. 5) Cerebrovascular disease: Decreased blood supply to brain due to - Atherosclerotic blockage in blood vessels of brain. - Slow blood flow to brain in response to poor heart function or sudden drop in blood pressure. - Embolisation of blood clot in blood supply of brain. She need urgent medical attention for detailed neurological evaluation. Depending upon it following investigations may help in appropriate diagnosis and treatment: - Frequent blood glucose monitoring. - Complete Blood count. - Renal Function Test. - Liver Function Test. - Urine examination. - Lipid Profile. - ultraTSH. - Vitamin B12 & D. - ECG & 2DEcho. - Brain imaging like MRI of brain with angiography. Hope this helps your mother.