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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue,excessive Thirst And Frequent Urination?

I was advised to start monitoring my blood glucose..I have been experiancing..extreme fatique to the point I can not physically move...constant thrist...frequent urination, including 3-4 times a night and at least once an hour. Headaches almost daily, irritabiltiy, anxiety, weight loss..about 15 lbs this mth. The past two days my levels have read the following..bedtime 97...fasting for 10 hrs...157...after lunch 127...then after dinner 170. I had a half of a sandwich that was it for dinner. Bruises take forever to heal 3-4 weeks and also frequent UTI and bladder infeections. is this something to be concerned about both of my grandparents suffered and was diagnosed in there mid 30 s--i am now 36. They were insulin dependant--2 shots a day.. What is your opinion? he is the discourse with the other dr n the site.. stephanie4911: I was advised to start monitoring my blood glucose..I have beenexperiancing..extreme fatique to the point I can not physically move...constantthrist...frequent urination, including 3-4 times a night and at least once anhour. Headaches almost daily, irritabiltiy, anxiety, weight loss..about 15 lbsthis mth. The past two days my levels have read the following..bedtime97...fasting for 10 hrs...157...after lunch 127...then after dinner 170. I had ahalf of a sandwich that was it for dinner. Bruises take forever to heal 3-4weeks and also frequent UTI and bladder infeections. is this something to beconcerned about both of my grandparents suffered and was diagnosed in there mid30 s--i am now 36. They were insulin dependant--2 shots a day.. What is youropinion? Doctor: Hi Doctor: I am Dr. Mazumdar stephanie4911: hi there Doctor: Let me read the query stephanie4911: great thx Doctor: Please give me a couple of minutes stephanie4911: sure Doctor: The symptoms you experience fit into Diabetes Mellitus Doctor: Though the home monitoring does not relate to it Doctor: Hence the next step would be to get OGTT stephanie4911: but are the blood glucose levels normal? Doctor: Yes the blood glucose levels are apparently normal Doctor: on self monitored strips Doctor: Sorry OGTT is Oral glucose tolerance test stephanie4911: OGTT?? Doctors REFUSE saying i am suppose to wait until 45 bc it would not onset until 40 s Doctor: Which doctor did you see? stephanie4911: I went to a family Practionior--wanted to go to specialist but he said thaht was unnecessary.. Doctor: What is your occupation and weight? stephanie4911: i just KNOW when you can NOT physically get out of med from fatique--that should tell me something is wrong... sleeping from 6pm friday until 8 pm sunday..not good. stephanie4911: Legal Assistant for a high profile firm...i am about 115-120 lbs..5 5 Doctor: Do you have active life style? Doctor: with good exercise and sport? stephanie4911: oh yeah single mom and i work about 16-19 hours a day. Doctor: I should not comment about the opinion of your Doctor who is physically seeing you, but if you ask my opinion you should thoroughly investigated stephanie4911: not too much sport--4 knee surgeries--total removal of lateral meniscus..annd 2 lateral releases on the other knee. Doctor: OK Doctor: If you still want to take a specialist opinion from a Endocrinologist, you can write to him here stephanie4911: also, may not play into this but 2 months ago i passes out after eating..no reason- i wasnt sick..but just groggy afterward.. Doctor: Ok Doctor: Did you check the blood sugar then Doctor: Check the blood pressure and sugar when you have such feeling stephanie4911: no--didnt think about it even being an issue then Doctor: Note all of them in a diary stephanie4911: well thanks so much.. oh i am keeping a journal of every reading.. Doctor: Good Doctor: That helps you in your future consults
Wed, 24 Dec 2014
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Diabetologist 's  Response
thanks user for your query
well your question is very straight forward. Let me answer it in a sentence that despite having normal fasting and post prandial sugar, you have to go for oral glucose tolerance test. Do let me know your height and weight. Also do regular exercise for 30 minutes, 5 times a week, but kindly get yourself evaluated for your cardiac profile (ECG,ECHO).You must take due care in your diet also. Short frequent low carbohydrate diets should be followed.
God Bless
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What Causes Fatigue,excessive Thirst And Frequent Urination?

thanks user for your query well your question is very straight forward. Let me answer it in a sentence that despite having normal fasting and post prandial sugar, you have to go for oral glucose tolerance test. Do let me know your height and weight. Also do regular exercise for 30 minutes, 5 times a week, but kindly get yourself evaluated for your cardiac profile (ECG,ECHO).You must take due care in your diet also. Short frequent low carbohydrate diets should be followed. God Bless