Neuroendocrinology

Health Q&A
Hb1ac and fructosamine

I had done blood test . Fructosamine value was normal , fasting -93 and hb1ac was 6, iron deficiency is there -45, folate deficiency - extreme . Hb -11. I am 40 year old . I dont want to take medicine . Is this the sign of prediabetes

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?

FBS,RBS and A1C

Hai iam tested my sugars today FBS : 97( 70 to 110) Hba1c:5.3(4 to 6) RBS :105 ( 80 to 140) at evening. Regards.

Change of medicine needed

My brother has diabetic since 9 years his  hba1c now is 6.5 he is taking glycomet sr 500 once in the morning and olmy 20 for bp no need to change medication one doc prescribed sitacip m 50/500 do we need change medication or not and  one more question if one day if he took  sitacip m 50/500 by mistake the next day changed to glycomet will have any side effects or sugar fluctuation will be there thankyou

Left temple pulling and dizzy in hungry

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