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About his tests to be done
He is diabetic and recently had glucoma surgery the thing is he losses his weight and his voice texture also dicresed and almost his bp is low ,,, camwhat tests to be done
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Since the patient is diabetic,he has to control his glucose level by Strictly following balanced diet and regular exercise is a must.
If obese then has to loose weight,bp also should be monitored regularly for any fluctuations,advised to test his T3,T4 and TSH level,avoid stress, regular meditation advised and take plenty of fluids and fibre rich food, avoid junk foods.
Next Steps
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Get his CBC, fasting glucose level, hba1c, liver function tests, renal function tests, lipid profile, thyroid function tests, vitamin d and b 12, urine analysis, chest x-ray, ECG.Change in his voice is an indication for a ENT specialist consultation
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routine blood test CBP,RFT,LFT,CUE,FBS,PPBS
chest xray,usg abdomen
better to consult
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2/2 people found this helpful
58-year-old male with:
• Diabetes
• Recent glaucoma surgery
• Weight loss
• Weak/changed voice
• Low BP
This combination suggests a systemic issue, not just diabetes alone.
Most important possibilities:
Next Steps
Essential Tests:
✔ CBC
✔ HbA1c
✔ Thyroid profile (TSH, Free T4)
✔ Serum electrolytes
✔ Kidney function test
✔ Liver function test
✔ Vitamin B12
✔ Serum cortisol (morning)
✔ ECG
If weight loss is significant:
✔ Chest X-ray
✔ Ultrasound abdomen
Also measure:
✔ BP sitting and standing
✔ Daily weight record
If:
• Persistent hoarseness >3 weeks
→ ENT evaluation (larynx exam) required.
Health Tips
✔ Monitor appetite and weight weekly
✔ Ensure adequate protein intake
✔ Hydration important if BP low
✔ Do not ignore progressive weakness
✔ Review diabetes medicines if BP low
Unexplained weight loss + voice change + low BP in a diabetic patient needs systematic workup — it cannot be assumed to be minor.
I strongly recommend booking an online consultation so we can review the full history, quantify weight loss, and prioritize the right investigations rather than doing scattered tests and missing something important.
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Weight loss, low BP and voice change should be properly checked and not ignored. Basic blood tests like sugar levels, thyroid test, hemoglobin and electrolytes may be needed.
Please consult me directly so I can evaluate him properly and guide the right diagnosis and treatment.
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Dear Patient,
Unintentional weight loss change in voice and low blood pressure in a diabetic patient should be evaluated properly as these symptoms may be related to nutritional deficiency hormonal imbalance thyroid disorder chronic infection or other medical conditions. Recent surgery and recovery period can also contribute to weakness and weight loss.
Important tests to consider
Blood sugar fasting and HbA1cComplete blood count
Thyroid profile
Kidney and liver function testsVitamin B12 and vitamin D levels
Serum electrolytes
ESR or CRP for inflammation
Chest X ray if weight loss is significant
ENT evaluation if voice change persists
What you should do
Ensure adequate nutrition with high protein diet
Maintain hydration and monitor blood pressure regularly
Review diabetes medicines if BP is low
Consult me if
Persistent weight loss severe weakness dizziness fainting
Breathlessness swallowing difficulty or worsening voice change
Proper evaluation will help identify the cause and most conditions are treatable once diagnosed.
For further guidance and personalized treatment you may consult me online anytime.
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Unintentional weight loss, change in voice, and persistently low blood pressure together need proper medical evaluation, especially in a diabetic patient.
These symptoms can be related to metabolic, hormonal, nutritional, or systemic causes, and should not be assessed in isolation.
Recent surgery and medications can also contribute and need review.
Next Steps
If there is progressive weight loss, worsening voice change, shortness of breath, dizziness, or weakness, this should not be delayed.
Initial evaluation usually starts with basic blood tests and targeted examination based on findings.
Health Tips
Exact cause cannot be identified without clinical examination and reports.
I would strongly advise an in-person consultation rather than relying only on online opinions for this presentation. Online opinions will be able to guide, a physical consultation will be able to diagnose.
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