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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic patient. Having nervousness, hunger, chest pain and nerve pain. What could be done?

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Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3291 Questions

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Posted on Sat, 16 Nov 2013 in Diabetes
Question: DEAR SIR,

I AM DAIBETIC/BP PATIENT , TAKING MEDICINE REGULARLY DOING WALKING
HALF AN HOUR DAILY BUT DIETING I AM NOT FOLLOWING STRICTLY
FROM LAST 15/20 DAYS ONCE IN 2 DAYS EVENING TIME I FEEL NERVOUS XXXXXXX
HUNGRY CHEST PAIN FEAR ETC SOME TIME NERVES PAIN ALSO
IMMDLY I WILL TAKE BISCUIT GLUCOSE SOME WHAT RELEIVE
DOCOTR ADVISED ME TO KEEP GLUCO MONITOR WHY BUT I CANT UNDERSTAND
IN SUCH CASES WHAT IS IMMDT SOLUTION TO STOP CHEST PAIN WEAKNESS, HUNGER NERVE CLINCHING ETC ETC
PLEASE ADVICE
THANKS
XXXX
RANBAXY ,MUMBAI OFFICE
0000
doctor
Answered by Dr. Prasad 53 minutes later
Brief Answer:
It is worthwhile to record blood glucose...

Detailed Answer:
Hi,

Monitoring blood glucose during the course of day is important to understand how your blood sugar behaves after every medication and whether or not a dose adjustment is required. It becomes more important to adjust medication if there are gross blood sugar fluctuation - too high and low sugar during the course of day. Please follow your doctor's instructions and report back to your doctor.

Now to your query, nervousness, anxiety, hunger and other symptoms that you notice in the evening seems like hypoglycemia (low sugar) to me. As you realized taking sugar / glucose in any form will correct the problem. You can take simple sugar such as glucon D or sugar or chocolates for more instant correction (as they are absorbed faster) than biscuits.

Though this is a simple solution, you should be looking at preventing the episode. And I guess that's possible only with medicine adjustment. Therefore I suggest you to record blood sugar before you get the next episode and go back to your treating doctor.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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