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What causes swollen lower legs and shortness of breath in a patient with diabetes?

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Posted on Thu, 29 Nov 2018
Question: 57 y/o man with type 2 diabetes, history of alcohol abuse, smoking and drug abuse, currently experiencing very swollen lower legs, shortness of breath at work, and having to prop up in bed to be able to breath.

I'm very thin, and have a hard time gaining weight
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Answered by Dr. Mirjeta Guni (59 minutes later)
Brief Answer:
Some further examinations needed;

Detailed Answer:
Hello and thank you for asking!

I have gone carefully through your concern.

The symptoms you described are suggestive for cardiac or renal disease.

You need to do some blood tests and a cardiac ultrasound, except of a detailed clinical examination;
The blood tests needed;
-Full blood count
-D dimer
-Hba1c
-AST, ALT, GGT
-Total proteins and albumin in blood as well as in the urine.
-TSH
-BUN and creatinine
-Electrolites
-Amilase and lipase.


Kind regards,
Dr. Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2347 Questions

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What causes swollen lower legs and shortness of breath in a patient with diabetes?

Brief Answer: Some further examinations needed; Detailed Answer: Hello and thank you for asking! I have gone carefully through your concern. The symptoms you described are suggestive for cardiac or renal disease. You need to do some blood tests and a cardiac ultrasound, except of a detailed clinical examination; The blood tests needed; -Full blood count -D dimer -Hba1c -AST, ALT, GGT -Total proteins and albumin in blood as well as in the urine. -TSH -BUN and creatinine -Electrolites -Amilase and lipase. Kind regards, Dr. Mirjeta Guni, Endocrinologist