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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms And Treatment For Diabetes?

Hello Doc

I normally find. Sugars. Ants clustering within my toilet bowl after some time I urinated; please what could be the sign of it?? I eat well balanced diet regularly; more of semolina with my native soup which comprises of chicken, ginger, garlic, chilli pepper and some other spices. I eat less of white bread, white rice and more of fruits. I drink more of red wine and cranberry juice, and water. I exercise by jogging and walking on. Saturdays mostly 4 an hour. I used to to smoke often but stopped recently but do take a stick or 2 randomly like 1 in a week or in 2 weeks. I used to overweight as well but been able to loosed 9-10kg with the help of green tea plus exercise and dieting. I used to regularly take a cup of black tea daily without sugar or milk but stopped as I discovered that its been over stressing my bladder and causing me constant urinarination and pains above my penis area directly below my navel. So with all these I don't know what could be the reason of seeing ants around my toilet bowl; tho this occurs when I fail to flush it and come back to reuse it.
Patiently waiting for your advise.
Thank You Doctor

Warm Regards,

Felix
Mon, 23 Mar 2015
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Diabetologist 's  Response
Hi Felix,
Going through ur history certain points which indicates possibility of Diabetes Mellitus are
1. Ants in ur toilet bowl which indirectly indicates possibility of sugar in ur urine, though sugar in urine not a sign of diabetes always. Absolutely normal person may have sugar sugar in urine called glycosuria.
2 . overweight though u r able to lose 9to10 kg weight, I want to know ur present height and weight so that we can calculate BMI (body mass index) from which we can determine degree of over weight. Those have BMI more than 25 are prone for diabetes.
3. Constant urination and pain over penis, though it may be present in urinary tract infections.

Though u have not mentioned Diabetes history in family, Family history of diabetes increases possibility of Diabetes.

What shall you do?
1. Check ur Blood glucose levels fasting and postprandial, though Glucose tolerance test is preferred for confirmation of Diabetes.
2. Other Blood test like HbA1C which indicates blood sugar levels over period of 120 days also be used for diagnosis of diabetes.
3. Urine Examination to rule out infection.

Changes in ur daily lifestyle like
1. Though u have decreased smoking but it is advisable to stop it completely independent of ur Diabetes status,
2. Regular exercise at least 150min a week.
3. Regularise meal pattern.
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What Are The Symptoms And Treatment For Diabetes?

Hi Felix, Going through ur history certain points which indicates possibility of Diabetes Mellitus are 1. Ants in ur toilet bowl which indirectly indicates possibility of sugar in ur urine, though sugar in urine not a sign of diabetes always. Absolutely normal person may have sugar sugar in urine called glycosuria. 2 . overweight though u r able to lose 9to10 kg weight, I want to know ur present height and weight so that we can calculate BMI (body mass index) from which we can determine degree of over weight. Those have BMI more than 25 are prone for diabetes. 3. Constant urination and pain over penis, though it may be present in urinary tract infections. Though u have not mentioned Diabetes history in family, Family history of diabetes increases possibility of Diabetes. What shall you do? 1. Check ur Blood glucose levels fasting and postprandial, though Glucose tolerance test is preferred for confirmation of Diabetes. 2. Other Blood test like HbA1C which indicates blood sugar levels over period of 120 days also be used for diagnosis of diabetes. 3. Urine Examination to rule out infection. Changes in ur daily lifestyle like 1. Though u have decreased smoking but it is advisable to stop it completely independent of ur Diabetes status, 2. Regular exercise at least 150min a week. 3. Regularise meal pattern.