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Suggest Treatment For Night Sweats And Chills With Insomnia
Question: I think I might be diabetic or pre-diabetic. I often get shakiness and some degree of insomnia. The shakiness subsides after getting something to eat,as I get hunger pangs before eating.I also have night sweats and chills.Hunger pangs most prevelant in the mornig upon arising. I have been DX'd with major depresive affective disorder,recurrent episodes svere. Thanksfor your help.
Brief Answer:
Diabetes
Detailed Answer:
Sorry to note how you feel.
In order to see if you have an elevated blood glucose in the diabetic or pre diabetic range, you will need a blood test.
There are other possible reasons for your symptoms such as thyroid problems.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day
Diabetes
Detailed Answer:
Sorry to note how you feel.
In order to see if you have an elevated blood glucose in the diabetic or pre diabetic range, you will need a blood test.
There are other possible reasons for your symptoms such as thyroid problems.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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