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What Causes Numbness In Legs, Difficulty Walking And Vibrations In Muscles?
Question: HCME3302
To Dr. Shehzad Topiwala - endocrinologist
I've described some of my symptoms [ → " I take tegretol 400 mg , 1 pill per day , because of a not very severe form of epilepsy , besides I've got an ear jingle due to an acoustic hurt , but I'm not really convinced of that because formerly I had got some ear annoyance that didn't matter because I was living in an happy time , I've got bad transaminases values ( XXXXXXX 4th , 2016 → GOT-AST : H 36 _ should < 34 ; GPT-ALT : H 65 _ should < 44 ; GGT : H 125 _ should < 55 whereas Nov 11th , 2000 → AST : 24 _ 5 ≤ should ≤ 50 ; ALT : 38 _ 5 ≤ should ≤ 60 ; GGT : 70 _ 8 ≤ should ≤ 70 ) and a bad cholesterol value ( generally >300 when not treated , when treated I tend to diabetes ) , but I know that cholesterol is produced by liver , so I suspect tegretol to hurt my liver causing high cholesterol , therewithal I fear that a diet against cholesterol may cause me further neurological troubles turning into cognitive troubles because I know that cholesterol is used to produce D vitamin ( do I risk Alzheimer or other ? ) , unfortunately my physician is very oriented to writing recipes and sometimes he doesn't understand my doubts , moreover I've got some difficulties in walking that I hadn't before , several I can't feel my legs while walking , then I feel squashed when a part of my body is pressed , nearly like when I have pins and needles wherefore the circulation is obstructed , but before , just in the same happy period mentioned above , the phenomenon was limited to my thumbs whereas now it's extended to my limbs and it can suffice that I sit or lie for a long enough time to activate it , lastly it happens that I can feel ( sometimes also see ) some muscle of my limbs vibrating , now it's much less frequent than previously , but I don't know whether I have recovered or I have totally lost something , what do you think and what should I do on your opinion ? " ] to one of your physicians and he thinks I may have diabetes , but , although they may correspond to diabetes , it sounds me strange because when I measure my glycemia its value is OK , is it possible that I have diabetes anyway and which examination should I do to discover it ?
To Dr. Shehzad Topiwala - endocrinologist
I've described some of my symptoms [ → " I take tegretol 400 mg , 1 pill per day , because of a not very severe form of epilepsy , besides I've got an ear jingle due to an acoustic hurt , but I'm not really convinced of that because formerly I had got some ear annoyance that didn't matter because I was living in an happy time , I've got bad transaminases values ( XXXXXXX 4th , 2016 → GOT-AST : H 36 _ should < 34 ; GPT-ALT : H 65 _ should < 44 ; GGT : H 125 _ should < 55 whereas Nov 11th , 2000 → AST : 24 _ 5 ≤ should ≤ 50 ; ALT : 38 _ 5 ≤ should ≤ 60 ; GGT : 70 _ 8 ≤ should ≤ 70 ) and a bad cholesterol value ( generally >300 when not treated , when treated I tend to diabetes ) , but I know that cholesterol is produced by liver , so I suspect tegretol to hurt my liver causing high cholesterol , therewithal I fear that a diet against cholesterol may cause me further neurological troubles turning into cognitive troubles because I know that cholesterol is used to produce D vitamin ( do I risk Alzheimer or other ? ) , unfortunately my physician is very oriented to writing recipes and sometimes he doesn't understand my doubts , moreover I've got some difficulties in walking that I hadn't before , several I can't feel my legs while walking , then I feel squashed when a part of my body is pressed , nearly like when I have pins and needles wherefore the circulation is obstructed , but before , just in the same happy period mentioned above , the phenomenon was limited to my thumbs whereas now it's extended to my limbs and it can suffice that I sit or lie for a long enough time to activate it , lastly it happens that I can feel ( sometimes also see ) some muscle of my limbs vibrating , now it's much less frequent than previously , but I don't know whether I have recovered or I have totally lost something , what do you think and what should I do on your opinion ? " ] to one of your physicians and he thinks I may have diabetes , but , although they may correspond to diabetes , it sounds me strange because when I measure my glycemia its value is OK , is it possible that I have diabetes anyway and which examination should I do to discover it ?
Brief Answer:
Diabetes
Detailed Answer:
A convenient way to know if you have diabetes or not is to undergo a blood test for HbA1c. It is also known as Glycosylated hemoglobin. Fasting is not necessary for this test so you can get it done at any time of the day.
If the result is 6.5% or more, it is very likely you have diabetes.
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
25 hydroxy Vitamin D
Hepatitis profile ( HBsAg, anti HCV)
None of these tests require any fasting and can be done at any time of the day
Diabetes
Detailed Answer:
A convenient way to know if you have diabetes or not is to undergo a blood test for HbA1c. It is also known as Glycosylated hemoglobin. Fasting is not necessary for this test so you can get it done at any time of the day.
If the result is 6.5% or more, it is very likely you have diabetes.
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
25 hydroxy Vitamin D
Hepatitis profile ( HBsAg, anti HCV)
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
HCME3302
To Dr. Topiwala
Mar 18th , 2016 , 10h49' â HbA1c = 6.1â , is it possible to take any conclusion ?
To Dr. Topiwala
Mar 18th , 2016 , 10h49' â HbA1c = 6.1â , is it possible to take any conclusion ?
Brief Answer:
Follow up
Detailed Answer:
6.1% A1c is compatible with a diagnosis of Pre diabetes.
This implies a higher than average risk of developing type 2 diabetes in the future
Follow up
Detailed Answer:
6.1% A1c is compatible with a diagnosis of Pre diabetes.
This implies a higher than average risk of developing type 2 diabetes in the future
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
HCME3302
To Dr. Shehzad Topiwala - endocrinologist
I've heard about a medicine called legalon , I've looked for some information in the Web and I have discovered that legalon purifies liver , reduces cholesterol , improves the situation in case of type 2 diabetes
and it doesn't involve any risk , so where is the trick ? Should I take it ?
To Dr. Shehzad Topiwala - endocrinologist
I've heard about a medicine called legalon , I've looked for some information in the Web and I have discovered that legalon purifies liver , reduces cholesterol , improves the situation in case of type 2 diabetes
and it doesn't involve any risk , so where is the trick ? Should I take it ?
Brief Answer:
Second follow up
Detailed Answer:
To my knowledge, there is no published evidence in credible medical literature nor in best-practice standard of care guidelines that legalon is able to accomplish the above things.
Second follow up
Detailed Answer:
To my knowledge, there is no published evidence in credible medical literature nor in best-practice standard of care guidelines that legalon is able to accomplish the above things.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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