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I dont know whats the problem
I have issue like weakness pain in calves under soles sometimes feel sleepy after food always worry about my health freuequwnt urination sometimes with burning eating but not satisfied i done my tests hb1ac 4.9 rbs after 3 hours eating 77 and 18th june fasting insulin is 4.17 is iam insulin resutance or its someting elsefacing problems like weak erections no morning erections whats this dont know i am unmarried yet i also done my thyroid vitamin b12 417 lipid profile all okkk testosterone 4.17 ng
Answers (14)
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Pain in calf can be due to many reason like vitamin deficiencies like vitamin b12 vitamin d3 magnesium deficiency vitamin b complex deficiency etc that can cause the pain in muscles especially in nights like cramping pain kindly consult if you are experienceing this issues for a very long time to rule out other things
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Just take Neuribion forte tablet morning and evening and vitamin D3 tablet once weekly for 3months.Then consult.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Get urine microscopic examination done, drink more water . Take syp citralka 5ml 3 times daily for 5 to 7 days. Get ultrasound kub done
Syp calcimax p 5m.l morning and evening.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Your blood sugar and HbA1c (4.9%) are normal, so the results you shared do not suggest diabetes at present, and a fasting insulin value alone cannot confirm insulin resistance. Your thyroid, B12 and lipid reports being normal is reassuring. However, because you have frequent urination with occasional burning and concerns about erections, I would recommend a General Physician/ Urologist consultation. You can start with urine routine and culture, kidney function tests, and repeat fasting blood sugar/HbA1c if required; for the erection problem,Your calf/sole weakness or pain should also be examined rather than assuming it is due to diabetes. Try to stay hydrated, avoid excessive caffeine, maintain regular exercise and sleep, and avoid repeatedly checking your body or test results, as health-related worry itself can worsen symptoms. Do not start testosterone or any other
medication without a doctor's evaluation.
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Is there any psychological problems
Any family matter
Or studies pressure
Or job pressure
Did u done CBC what is the hemoglobin count
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You need evaluation.
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Consult superspecialist like endocrinologist
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Mr. Manash Jyoti Nath
General Physician
1 yrs exp
Darrang
Based on the history and reported results, diabetes/insulin resistance is not the likely explanation. HbA1c 4.9% and glucose 77 mg/dL are normal. If the testosterone is 4.17 ng/mL (≈417 ng/dL), that is also generally within the normal range.
1. Urinary frequency + burning
This needs separate evaluation rather than attributing it to diabetes.
Urinalysis + urine microscopy
Urine culture if pyuria/symptoms persist
If sexually active/new partner or STI risk: urine NAAT for gonorrhea/chlamydia
Check hydration, caffeine/energy drinks and alcohol intake.
Do not start nitrofurantoin/antibiotics empirically without urine assessment unless there is a clear clinical diagnosis of UTI.
2. Weak erections / absent morning erections
Normal total testosterone does not completely exclude other causes.
If persistent:
Repeat morning total testosterone (7–10 AM) on a separate day if needed.
Consider SHBG + calculated free testosterone
Prolactin
TSH if not recently documented
Review medications, sleep quality, stress/anxiety, pornography/masturbation pattern, smoking/alcohol and cardiovascular risk.
At 25, psychogenic/performance anxiety is common, particularly when investigations are otherwise normal.
If organic ED is established and there are no contraindications, a PDE-5 inhibitor such as tadalafil 5–10 mg or sildenafil 25–50 mg can be considered under medical supervision. Never combine PDE-5 inhibitors with nitrates.
3. Calf/sole pain and weakness
Check:
Serum electrolytes: Na, K, Ca, Mg
Vitamin D
CBC
CK if there is significant muscle pain/weakness
Consider B12 only if clinically indicated (417 is adequate if the unit is pg/mL).
Adequate fluids, regular exercise/stretching and correction of any electrolyte/vitamin deficiency are usually sufficient if examination is normal.
4. Post-meal sleepiness
Occasional sleepiness after meals is common and doesn't indicate insulin resistance by itself. Avoid very large/high-carbohydrate meals, maintain regular sleep and exercise.
Importantly, fasting insulin 4.17 alone cannot diagnose insulin resistance. If you want to assess it, obtain a fasting glucose + fasting insulin from the same sample and calculate HOMA-IR, although routine HOMA-IR testing isn't generally necessary in someone with HbA1c 4.9%.
Suggested initial work-up:
Urine routine/microscopy + culture, CBC, electrolytes/Ca/Mg, creatinine, fasting glucose, lipid profile, morning testosterone ± SHBG/free testosterone, prolactin, TSH, and vitamin D.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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