Diabetic Ulcers Foot Care

Health Q&A
Full body report

I'm 31F, got diagnosed with type2 diabetes in last sep. I did my full body check up and have slightly high blood urea, bun, bilirubin total and bilirubin direct. Please suggest if it's a cause of concern. Attaching my report. Latest hba1c is 5.6 and fbs is 100 Haemoglobin 10.9

Felling dizzy

Taking justoza m 10/1000  after food  once  a day.  since 4years. Since two days feeling dizzy, tired, head reeling , whats to do

Palpitations after insulin change

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?

Post distal pancreactectomy

Hi sir,I underwent distal pancreatectomy ,spleen removal.i was given given insulin shots3 times a day and bedtime also.total 4 times..how many days still i need to take insulin shots? As I was having net tumor,part of pancreas was removed.i am taking pain killers also.now after taking insulin doses glucose levels are normal .. how many days still i need to take insulin shots ? If insulin is stopped,how can i maintain normal sugar range please answer

Fat Loss is a Myth for me Now🥺

Hello Doctor, I am a 25-year-old male with a height of 163 cm and current weight of 95 kg. Around September 2025, I weighed 92 kg, but despite consistent gym training (primarily strength training), my weight has increased slightly. My estimated body fat is around 32–34%. I have developed good strength (I can squat ~160 kg), and I believe I have gained muscle, but it is not visible due to higher body fat. My main challenge is controlling hunger and maintaining a calorie deficit, even though I train regularly and consume around 100 grams of protein daily. I wanted to ask whether a medication like Semaglutide would be appropriate in my case to help control appetite and support fat loss. Could you please guide me on: 1. Whether I am a suitable candidate for this medication 2. Potential risks or side effects considering my profile 3. Whether lifestyle changes alone would be preferable before starting medication 4. Any tests or evaluations required before considering this option Thank

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Doctors
Dr. Joshua J. Joseph - Internal Medicine
Dr. Joshua J. Joseph Internal Medicine (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Fellowship in Clinical Research Fellowship, Fellowship in Diabetes Research) 20 years experience Nationwide Children's Hospital
10 recommendations Canal Winchester, COLUMBUS
Dr. John D Blackman - Internal Medicine
Dr. John D Blackman Internal Medicine (Fellowship, Residency, Medical School, Residency - ID, Fellowship 2) 42 years experience OhioHealth Endocrinology Physicians
Columbus 43213, COLUMBUS
Dr. Elena A Christofides - Internal Medicine
Dr. Elena A Christofides Internal Medicine (Medical School, B.S., Residency - ID, Fellowship 2) 31 years experience MediZen Institute - Columbus Short North
Short North, COLUMBUS
Dr. Rundsarah Majed Tahboub - Internal Medicine
Dr. Rundsarah Majed Tahboub Internal Medicine (Residency, Medical School, Medical degree, DO, Fellowship in Endocrinology, Diabetes, and Metabolism, Residency in Internal Medicine, Medical Residency in Family Medicine, Fellowship in Endocrinology and Metabolism, Family Practice Residency) 28 years experience Millhon Clinic
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Dr. Angela R Caffaratti - Family Physician
Dr. Angela R Caffaratti Family Physician (Residency, Medical School, Residency - ID) 28 years experience Ohio State Richard M. Ross Heart Hospital
Weinland Park, COLUMBUS