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Difficulty in eating, weakness in a type 2 diabetic - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   Hi Doctor
My Dad has been diagnosed with diabetes ( Type II ) 5 years back.He has been losing a lot of weight since then. We were told its mainly due insulin. Since last 15 days he had problem with eating and then became so weak that he was not able to walk. We hospitalized him where they hydrated him and also performed test like endoscopy and Cytology and he received treatment accordingly. One of the doctor also suggested to test for memory impairment ( as one of doctors doubted Alzeimer ) but my dad responded well in MRI and EEG test and hence been discharged. Today evening he was not able to eat properly again (esp semi hard diet ) and was not responding to our questions...He had problem speaking because of weakness but that worries us cause he used to talk sometimes in hospital to us...Any suggestions please
Doctor :   Hi
Doctor :   Dr XXX here
User :   Hi Doctor
Doctor :   Let me read your query
User :   sure
Doctor :   Ok
User :   anything to worry about doc as all test were clear
Doctor :   The conditions your dad has corresponds more to Hypoglycemia/ weakness/ and alzheimers
Doctor :   Though the tests were clear
Doctor :   Is he taking proper feeds
Doctor :   Atleast liquid diet
Doctor :   What his dose of Insulin daily
User :   he is taking diet but today evening he couldnt eat much and was taking it out In night he had milk and few biscuits
User :   .8
User :   once
Doctor :   ok
Doctor :   Night dose?
User :   doc has said not to worry about diabetic diets and take watever he feels like
User :   no during the day
Doctor :   Only one dose a day. is his sugar levels under control
User :   and he will stop insulin after sometime and bring him on tablets
Doctor :   Ok
User :   no its not but since he was not eating he suggested this as he got very weak
Doctor :   Then he is always under control hospitilization made him change to insulin
User :   i didnt get you sir
User :   control hospitalization
Doctor :   generally when diabetic patients are hospitilized we shift them to insulin
User :   okay
User :   what about being non resposive
Doctor :   Does he follows his day to day chores
User :   no he needs to be helped
User :   even for urine he is so weak now he has to do it in bed
Doctor :   Does he identifies close relatives?
User :   yeah he does
Doctor :   Ok
Doctor :   Then most probably due to weakness
Doctor :   His age?
User :   70
Doctor :   Ok
Doctor :   Generally as age progresses there is some amount of Dementia and weakness
User :   is non responsiveness something to worry about as i was reading on net something about diabetic neuropathy
User :   ok
Doctor :   The brain will slowly start reracting slower than before
User :   ok
Doctor :   Diabetic neuro[pathy is the damage caused to peripheral nerves
Doctor :   Not concerned to unresponsiveness
User :   okay but it leads to vomiting and weakness
User :   so i thought something similar
Doctor :   Then he is probably having diabetic ketoacidisi
User :   to wat my dad is experiencing
Doctor :   8Ketoacidisis
Doctor :   Which requires immidiete medical care
User :   okay
Doctor :   He is unresponsive/ vomitting/ then plz take him to adoctor
User :   so what u suggest
Doctor :   Were his blood levels checked
User :   yes
User :   today in the eve
User :   it was 230
User :   in hospital it was regularly checked
Doctor :   ite very high
Doctor :   Is his urine having a pungent odour
User :   no
Doctor :   Ok
User :   wat do u suggest sir
User :   should we wait and watch for few days
Doctor :   Plz take him to nearest hospital and dont give him feeds till he is fully concsious as he may aspirate
Doctor :   Get him checked for urine acetone
User :   i think thats done
Doctor :   And the sugar value said is present value right?
User :   yeah
Doctor :   Ok
User :   today eve
Doctor :   then was insulin given now
User :   our doc said not to worry about high sugar just feed hime
Doctor :   Thats acceptable but when is turns unresponsive and weak plz do inform your doctor
User :   we did he said talk to neurologist and she said wait for sometime
Doctor :   He needs medical attention at present considering his age
User :   okay
Doctor :   Neurologist will also suggest an routine followed by MRI
User :   thats done already yesterday
User :   tests are fine
User :   even EEG was done
Doctor :   then
Doctor :   Probably you will not need neurologist opinion
User :   they said test are good he was responding well in the test
Doctor :   You to have his sugar controlled
User :   okay
User :   should we increase insulin a bit
User :   .4 in the night maybe
Doctor :   You probably should but consult your doctor and then do it
User :   okay i will
User :   do u fear neuropathy symptoms
Doctor :   Its alwasy associated with diabetres
User :   okay
User :   i got it
User :   will talk to my doctor again tomm
Doctor :   diabetic neuropathy, diabetic nephropathy
Doctor :   Long standing diabetes will affect even eye sight
User :   okay
Doctor :   That wil be advisible
User :   thanks for your valuable time
User :   any more suggestions
Doctor :   Is there anything else i cAn ahelp you with?
User :   anything we can do at home apart from talking to doc
Doctor :   Yes
Doctor :   Plz also get him checked for EEG
User :   thats done sir yesterday
User :   should we do again
Doctor :   I suggest repaet study from differnt neurologist
User :   okay sure
Doctor :   The test is very tricky results do change from time to time
User :   any good one u know near XXX west
Doctor :   give me moment
User :   ok
Doctor :   Dr XXXXXXXX XXX
Doctor :   XXX
Doctor :   +(91)-(00)-0000, 0000, 0000
User :   okay thanks
Doctor :   Probably he should help you
Doctor :   wishing your father a speedy recovery
User :   yeah will consult him
Doctor :   Thanks for consulting me
User :   thanks a lot dr XXX
Doctor :   It my pleasure helping you
Doctor :   Bye for now
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