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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Weakness In Muscles Of A Diabetic Patient?

I am a 63 year old female and write now I am having weakness of mulscles to the point I can not stand up I have diabetes and I have lowes and been in comas and in the emergency room but I stay high all the time but other wise my blood work is remarkable.i have lost 30 pounds in the last 5 months and had a cervical transfusion due to a car accident on December 8th. 2014 the doctor. Have given me a crodosom shot since the surgery. Something is going on.
posted on Wed, 6 May 2015
Twitter Mon, 5 Dec 2022 Answered on
Twitter Mon, 19 Dec 2022 Last reviewed on
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Anesthesiologist,  's  Response
Hello,

Weakness of muscles to the point you can't stand up is called proximal myopathy. The following are few causes of proximal myopathy:
1) Diabetes
2) Inflammatory: polymyositis / dermatomyositis. NB: can overlap with other connective tissue disease eg. mixed connective tissue disease. Other connective tissue disease eg. SLE, vasculitis, RA, systemic sclerosis.
3) Cancer (paraneoplastic: carcinomatous neuromyopathy)
4) Drugs (statins, steroids)
5) Infections (bacterial infections, CMV, EBV, hepatitis)
6) Endocrine (thyroid, Addison's, osteomalacia, Cushing's, acromegaly, diabetic amyotrophy)
7) Toxins (alcohol)
8)Metabolic (renal / liver failure, electrolyte disturbance)
9) Miscellaneous (inclusion body myositis, rhabdomyolysis, sarcoidosis, mitochondrial myopathy, muscular dystrophy)

You need to be examined in detail in person and few investigations like liver function tests, thyroid function tests, blood tests including counts, rheumatology tests etc. Please do consult a physician for a specific diagnosis and appropriate treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Extreme Weakness In Muscles Of A Diabetic Patient?

Hello, Weakness of muscles to the point you can t stand up is called proximal myopathy. The following are few causes of proximal myopathy: 1) Diabetes 2) Inflammatory: polymyositis / dermatomyositis. NB: can overlap with other connective tissue disease eg. mixed connective tissue disease. Other connective tissue disease eg. SLE, vasculitis, RA, systemic sclerosis. 3) Cancer (paraneoplastic: carcinomatous neuromyopathy) 4) Drugs (statins, steroids) 5) Infections (bacterial infections, CMV, EBV, hepatitis) 6) Endocrine (thyroid, Addison s, osteomalacia, Cushing s, acromegaly, diabetic amyotrophy) 7) Toxins (alcohol) 8)Metabolic (renal / liver failure, electrolyte disturbance) 9) Miscellaneous (inclusion body myositis, rhabdomyolysis, sarcoidosis, mitochondrial myopathy, muscular dystrophy) You need to be examined in detail in person and few investigations like liver function tests, thyroid function tests, blood tests including counts, rheumatology tests etc. Please do consult a physician for a specific diagnosis and appropriate treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist