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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Diabetes, Weight Loss, Hypertension, Fear, And Anxiety. Also Having Cramps In My Leg And Back. Cause And Cure?

i am ketan ,46yrs 82kg triglycerides 279 taking atorva since 1yr now also got diabetes fasting189, pp 234 i have been suggested glycomet500sr , so pls help especially for weight loss and to reduce anger and fear which is spoiling my life also getting lots of cramps on leg and back.my email address is YYYY@YYYY
Mon, 29 Apr 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
When diabetes has been diagnosed, less than 20% beta cells remains in pancreas and progressive destruction of beta cells is still continuing.
Rise in blood sugar is due to progressive loss of beta cells.
You should consult with internal medicine specialist/ endocrinologist and should go for thorough check up.
You should follow dietary restriction along with daily exercise of 30 minutes, 5 days in a week.
You have to take sulfonylureas along with metformin for control of sugar.
There could also be possibility of diabetic neuropathy and you should also take epalrestat, methylcobalamin, and pregabalin/ gabapentin.
For anger, you should consult with psychiatrist and should take paroxetine.
Take care,
Dr. Mayank Bhargava
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Having Diabetes, Weight Loss, Hypertension, Fear, And Anxiety. Also Having Cramps In My Leg And Back. Cause And Cure?

Hi, Thanks for posting your query. Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications. Blood sugar both fasting and postprandial must be in controlled range. Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas. When diabetes has been diagnosed, less than 20% beta cells remains in pancreas and progressive destruction of beta cells is still continuing. Rise in blood sugar is due to progressive loss of beta cells. You should consult with internal medicine specialist/ endocrinologist and should go for thorough check up. You should follow dietary restriction along with daily exercise of 30 minutes, 5 days in a week. You have to take sulfonylureas along with metformin for control of sugar. There could also be possibility of diabetic neuropathy and you should also take epalrestat, methylcobalamin, and pregabalin/ gabapentin. For anger, you should consult with psychiatrist and should take paroxetine. Take care, Dr. Mayank Bhargava