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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes Type 2, COPD. Sore Joints, Excessive Thirst, Chest Pain. Had Triple Bypass. Insulin Dependant. What Can I Do?

I am obese 306 lbs however I have lost 60 lbs I have had a triple by-pass I have COPD, I am insulin dependant type 2 diabetic here lately I have had weaken of my muscles, it is extremely hard to stand I feel stiff when I walk and all my joints are extremely sore a 6- 8 on a scale of ten I urinate 8 to 10 times a day and I cannot satisfy my thirst I also feel quite often a pressure throughout my chest not pain just soreness
Tue, 23 Jul 2013
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Diabetologist,  's  Response
DEAR SIR/MADAM

WELCOME TO HEALTH CARE MAGIC

WEIGHT REDUCTION IS THE CORNER STONE FOR THE TREATMENT OF DIABETES IN OBESE PATIENTS.
IF YOU TAKE INSULIN IT WILL STILL CAUSE WEIGHT GAIN, SO TRY TO SWITCH TO LESS WEIGHT GAINING INSULIN SUCH AS ANALOG INSULIN.
YOUR JOINT SORENESS MIGHT BE DUE TO OSTEOARTHRITIS, IT IS VERY COMMON IN OBESE PATIENTS, SO CONSULT AN ORTHOPEDICIAN AND TAKE AN OPINION
REVIEW THE MEDICINES THAT YOU ARE TAKING FOR COPD BECAUSE SOME OF THE MEDICINES WILL INTERACT WITH EACH OTHER,
CHECK YOUR BLOOD UREA, SERUM CREATININE AND LIPID PROFILE, THESE SHOULD BE IN NORMAL LIMITS.
SINCE YOUR HAD A TRIPLE BY PASS I NEED TO KNOW THE CURRENT MEDICINES THAT YOU ARE TAKING NOW

THANKS
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  User's Response
Hi
Thank fro choosing HCM, you have multiple problems first thing would be control the blood sugar, go for HbA1c test which will be helpful for knowing any damage to vital organs,, if you are hypertensive then keep your BP well control, discus every thing with your Doctor, Have a good day.
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Diabetes Type 2, COPD. Sore Joints, Excessive Thirst, Chest Pain. Had Triple Bypass. Insulin Dependant. What Can I Do?

DEAR SIR/MADAM WELCOME TO HEALTH CARE MAGIC WEIGHT REDUCTION IS THE CORNER STONE FOR THE TREATMENT OF DIABETES IN OBESE PATIENTS. IF YOU TAKE INSULIN IT WILL STILL CAUSE WEIGHT GAIN, SO TRY TO SWITCH TO LESS WEIGHT GAINING INSULIN SUCH AS ANALOG INSULIN. YOUR JOINT SORENESS MIGHT BE DUE TO OSTEOARTHRITIS, IT IS VERY COMMON IN OBESE PATIENTS, SO CONSULT AN ORTHOPEDICIAN AND TAKE AN OPINION REVIEW THE MEDICINES THAT YOU ARE TAKING FOR COPD BECAUSE SOME OF THE MEDICINES WILL INTERACT WITH EACH OTHER, CHECK YOUR BLOOD UREA, SERUM CREATININE AND LIPID PROFILE, THESE SHOULD BE IN NORMAL LIMITS. SINCE YOUR HAD A TRIPLE BY PASS I NEED TO KNOW THE CURRENT MEDICINES THAT YOU ARE TAKING NOW THANKS