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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Early Signs And Symptoms Of Diabetes?

I have been reading about diabetes symptoms and i have some of them like I pee a lot, and i had some really bad scratches from skating and they took a long time to heal and left me with pretty bad scars, but other than that I feel fine i haven t lost weight and I have a really fast metabolism, and do anything I want without feeling sick at all but I wanted some opinions on this. thanks                                                                  
Mon, 20 Oct 2014
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Internal Medicine Specialist 's  Response
Hello,

the classical triad of diabetes symptoms is thirst, polyuria (excessive urine production) and weight loss. They are caused by hyperglycemia which means increased blood glucose levels. Glucose is excreted into the urine and causes increased fluid loss.
These symptoms are not that specific for diabetes though. It is possible that somebody has these symptoms but no impaired glucose control. In order to determine whether diabetes is present or not, the best you can do is an oral glucose tolerance test and a glucosylated hemoglobin. The first test is the most important. This consists of two measurements of blood glucose. The first measurement requires fasting for 8 hours. After the blood is drawn, you'll be given 75 grams of glucose which should be consumed fast. 2 hours later another measurement of blood glucose will determine whether your body can cope with glucose loads.
Please note that you should prepare for the test by eating enough carbohydrates for 3 consecutive days before the test which means eating pasta, rice, potatoes, fruits, etc and perhaps small quantities of sweats. The lab should be able to give you more specific guidance on that, if you'll need it.
When you've done the test, please ask me again providing the results.
I hope I've shed some light into your situation.
If you need further explanations, please ask and I'll be glad to provide them.

Kind Regards!
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What Are The Early Signs And Symptoms Of Diabetes?

Hello, the classical triad of diabetes symptoms is thirst, polyuria (excessive urine production) and weight loss. They are caused by hyperglycemia which means increased blood glucose levels. Glucose is excreted into the urine and causes increased fluid loss. These symptoms are not that specific for diabetes though. It is possible that somebody has these symptoms but no impaired glucose control. In order to determine whether diabetes is present or not, the best you can do is an oral glucose tolerance test and a glucosylated hemoglobin. The first test is the most important. This consists of two measurements of blood glucose. The first measurement requires fasting for 8 hours. After the blood is drawn, you ll be given 75 grams of glucose which should be consumed fast. 2 hours later another measurement of blood glucose will determine whether your body can cope with glucose loads. Please note that you should prepare for the test by eating enough carbohydrates for 3 consecutive days before the test which means eating pasta, rice, potatoes, fruits, etc and perhaps small quantities of sweats. The lab should be able to give you more specific guidance on that, if you ll need it. When you ve done the test, please ask me again providing the results. I hope I ve shed some light into your situation. If you need further explanations, please ask and I ll be glad to provide them. Kind Regards!