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Type 1 diabetic, weight gain, chest pains. Abnormal ECG. Treatment ?

Male, 46 ears old on first admittance. Drinker in his younger years, especially in his twenties. Smoker Type 1 diabetes weight gain over last couple of years. increasing amounts of chest pain even at rest. G.P. referred to hospital with abnormal E.C.G. Bloods were taken and showed that cardiac damage had occurred, also slight abnormality in renal tests (diabetes related) monitoring diabetes routinely. with regards to Cardiac function (treatment to be found such as Digoxin ).
Asked On : Fri, 16 Nov 2012
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Diabetologist 's  Response
Aug 2012

This kind of cardiac complication of diabetes is never to be treated on your own. Please make sure this patient is taken to a Cardiologist for further evaluation such as ECHO and Treadmill test and if Cardiologist advises angioplasty to be done. Never ever think of medicine like Digoxin to be given to the patient on your own as Digoxin can be highly poisonous. The patient has to control blood glucose, control blood pressure, weight gain and the urine microalbumin secretion to avoid further chances of damaging the heart tissues. so please make sure the patient is shown to a good Diabetologist/ Endocrinologist, a Cardiologist and an Ophthalmologist also to rule out retinal damage the way kidney is affected.
I hope you got an idea. All the very best.
Answered: Fri, 16 Nov 2012
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