Endocrinology

I  having Type 1 diabetes and Hypothyroidism. For years, I was on premixed insulins (Novomix 50 and Mixtard 30) without these symptoms. Three months ago, my regimen changed to Actrapid before meals and Xglar at night. Since then, I have new symptoms, mainly at night: breathlessness, fast heartbeat, internal restlessness/panic, throat discomfort, and disturbed sleep. ECG and basic tests are normal. A doctor prescribed Fluoxetine, Etizolam, Propranolol, and Livas, but I have not started them yet. My labs show: HbA1c 8.5%, fasting glucose 253 mg/dL, TSH 10.1 (high), low iron, and low HDL. These symptoms began only after the insulin change. I want to know if this could be due to insulin timing/dose and glucose swings, thyroid imbalance, or iron deficiency rather than anxiety. Should I correct these first before starting the psychiatric medicines? Is adjusting insulin or returning to my previous regimen reasonable?

Hi Doctor, My husband is diabetic from past 8 years, he moved out of the country for job,  1 and half year back. He started losing weight from then around 7 kgs. He is on metmorfin 500 mg tablet from past 1 year after doctor prescribed here. He recently got all his blood work done, everything is normal but hba1c is 11.2. so doctor added insulin. I am worried about his weight loss. Initially first 6 months he lost around 4 kgs due to change in his food habits like morning breakfast was only bread and lunch was limited.

I am 40 year old . Have done some blood test . Fasting sugar -93 , pp after 2 hr -130 , fructosamine -215, iron -45 , folate deficiency is there , haemoglobin -11.1 . Hb1Ac -6 , is this prediabetes??

I am diabetic since 6 years. It is been couple of months my sugar is 137/160 with hb1ac 7.5 . I was prescribed - [Empaglyde 10/100/1000 - glyciphage SR (19m) - Imeglyn 500 But after having that i was very unwell. I couldn't get up from bed and was weak. I stopped the medicine i was okay. I am confused if this is the right prescription for me. Need guidance!

Here attaching my sugar report as I have continuously pulling pain in left hand so done with sugar test as I am a diabetic patient awaiting for your reference

I have Diabeties since 8 yrs i m taking medicine of glucomet 500 sr once in the morning and olmy 20 bp tablet my hba1c done around 1 month ago is 6.6  yesterday I have done ppbs it's 200 in glucometer bcoz day before yesterday I have taken alloo parathas big quantity should I change medication wen I was newly diagnosed in 2015 my hba1c was 10 that doc was different doc he prescribed janumet 50/500 two times day n night and vobit 0.3 two times day n night then after 6 months my hba1c came to 6 but my weight was reduced from 60 kg to 43 kg so i went to another doctor he prescribed glycomet 500 sr once and current weight is 51 and height is 160 cm so should I change medication and sitagliptin is not suiting me it is decreasing my weight so which medicines to be taken pls suggest

Dear sir I am diabetic and bp patient recently I checked following test attached file. Ferritin 6.20 urine aluminium ration 13 lipid profile ok and hba1c 6.4. currently 8 am taking volix m 0.3 three times, zalra m 2 times , depamac m 10 one time and Ecosprin av 75 night. I visited the doctor who asked for these test and given diamicron xt 30/500 at night and empaone sm contains metformin 1000 stigliptin 100 and empagliflozin 10 in morning. So I request to kindly guide should I take previous medicine or the current which doctor suggested. Thanks and looking for you quick response

I am type 2 diabetic. Taking insulin 75 unit. Have gas and constipation problem. I am aged 61. Having diabetic for morenthan 25 years.

My TSH levels decreased from 2.5 to 0.17 With 100 mcg dosage as am not feeling gud Does the dose need to be adjusted I mean reduced Pls suggest

I am feeling tightness of left temple, eye, and neck muscle, dizzy when hungry (before I eat).  Now a days feeling mild headache, heavy eyes after eating rice, idli etc. and feeling dull upto 2 hours. I mean before eating and after eating I feel cloudy and unable to concentrate on anything. My blood sugar in the fasting 5.1mM, after eating 7.5mM, and after 3 hours 4.1mM. Is it only a sugar level issue or any other test need to be done? Please suggest. I visited many doctors but it was not clear. For muscle tightness and cloudy, headaches - please suggest