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Asking for Self, Male, 30 years old, Lahore
Aslamualekum, I have been having fatigue, lightheaded sometimes headache since mid of Ramadan. Initially I thought it as a part of fasting. Now after after few days of eid I am eating properly but still having same symptoms then by chance I tested my sugar levels which was below 70 in the evening.then i took honey immediately and dinner after 15 mins i rechecked and value was 88 and after 2 hour 118.
On very next day morning fasting sugar was 64 and after 2 hour of beakfast it was 98. Then at night before sleep 131
Today fasting sugar was 69 and after 1.45hrs of having lunch it was 69. I again took honey half spoon and tea it went to 91 after 30 mins.
I am very confused and disturbed because of all this.
Do I need to take tests or what should I do?
you can take online consultation.
You should see a doctor preferably a medical specialist or an endocrinologist as per your ease. Thanks
hypoglycemic episodes
r u taking any drugs
any type of drug
homeo
hakim
any previous use if steroids
suddenly stopped.
better to get consultation
needs proper check up and investigation
Assalam o aaliakum
better to undertake some labs like serum HbA1c, fasting insulin as well as check with your family doctor.
ur sugars are excellent do one HbA1c rest fine
kindly consult doctor ,need proper history exammination to see cause.
Thank you
for these hypoglycaemia episodes go for HBA1C and get a opinion of a physician.
thank you
Yes you need to consult endocrinologist for your recurring hypoglycemic episodes. Till then keep a check and record your fasting and random sugar level on a paper to show your endocrinologist alteaslt 4 days documents readings
Sir do u take any medicine, any herbal medicine . Or suffering from any disease . It is better to have consolation.
you are suffering from recurrent hypoglycemia.
there are multiple causes which are responsible for this reason.
which include medications,infections, hormonal disorders, liver diseases, Kidney disease and some tumors.
kindly seek medical attention and your doctor will prescribe some lab tests to rule out the cause.
Regards.
u hav to visit nearby doctor for further assement n workup mean while keep good n healthy diet n fresh fruits n meal on proper time
Do test hb1c
walikum asalam....
please tell me what is your daily routine? what is your job??? which medication you are taking ? any other disease for which you are on treatment
Hello, how are you? Can you kindly confirm your age, weight, height? Secondly any rcent history of either weight again or weight loss in the last one year? Family history of diabetes? It appears you require work up for insulin resistance. However, your responses to questions above can help advise better Insha Allah.
MBBS , Fellowship Strategic Leadership Public Health, Advanced Diploma Global Health | Islamabad | Book Appointment
4 Positive Reviews
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2 years ago
Patient
Post Owner
Thank you for asking
ICan you kindly confirm your age, weight, height?
Age: 30
Weight:70
Height 5.8
Secondly any rcent history of either weight again or weight loss in the last one year?
It remains around 68kg
Family history of diabetes?
Once my father sugar went down due to not having a good diet. As he improved his diet he never had it again.
2 years ago
MBBS , Fellowship Strategic Leadership Public Health, Advanced Diploma Global Health | Islamabad | Book Appointment
4 Positive Reviews
It appears you need to be investigated for insulin resistance where our body cells be it in muscles or liver do not respond well to insulin. Hence your cells can't use glucose from your blood for energy. To make it up, the body especially pancreas make more insulin. If not treated, this over time can lead to pre diabetes. Please first get your Oral Glucose Tolerance Test (OGTT) done. Reach out for consultation when once done.
2 years ago
Patient
Post Owner
Okay. I will do OGTT. Can severe anxiety or stress lowers sugar level?
2 years ago
MBBS , Fellowship Strategic Leadership Public Health, Advanced Diploma Global Health | Islamabad | Book Appointment
4 Positive Reviews
it does, but not to an extent that you have mentioned. Another suggestion would be to dedicatedly follow either one doctor or medical regime. Otherwise, you will be confused by day end and it won't serve the purpose at all.
2 years ago
Hello Dear!
I would advise to see a Physician that is Medical specialist or an Endocrinologist as soon as possible,because it is what we can reach your's diagnosis as soon as possible.
Are you diabetic?
Anyone in your's family to be diabetic?
Are get sweats alongwith it?
Any tremors?
Are yours symptoms get improve with the sweet y things ,you are using?
Do you get any tremor and anxiety alongwith it?
Have you observed any changes in your's weight?
Are you doing dieting for weight loss?
Have you checked your's blood pressure?
what about yours urinary frequency?
what about your's thirst status?
What About any abdominal pain?
Are you using any kind of medications?
what's yours profession status?
Can in touch after answering my my questions.
You can also contact me via online consultation via Marham.
Thank you
Patient
Post Owner
Are you diabetic?
No,
Anyone in your's family to be diabetic?
My grandmother was
Are get sweats alongwith it?
No.
Any tremors?
Sometimes, around ears, arms legs. Because of anxiety probably
Are yours symptoms get improve with the sweet y things ,you are using?
Very little.
Do you get any tremor and anxiety alongwith it?
I had GAD one year ago
Have you observed any changes in your's weight?
It remains around 68kg -+ 2
Are you doing dieting for weight loss?
I was doing. Avoiding heavy meals.
Have you checked your's blood pressure?
Usually normal 120-110 / 70-80
what about yours urinary frequency?
If I drink more it comes out more (sometimes i get spells of dehydration)
what about your's thirst status?
It sometimes increases
What About any abdominal pain?
No
Are you using any kind of medications?
No sir
what's yours profession status?
Student
Thank you for asking. Awaiting for your kind response
2 years ago
MBBS, FCPS (Medicine) | Timergara | Book Appointment
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Dear!
What about your's sleep status?
Are you having any exams right now?
Any fever alongwith it?
Any joint pains?
DO FBS ,HBA1C,LFTs ,Urine R/E ,RFTs, US abdomen and pelvis
Then inform me or near by physician.
Thank you
2 years ago
MBBS, FCPS (Medicine) | Timergara | Book Appointment
1 Positive Reviews
FBC
2 years ago
Patient
Post Owner
Thank you for replying.
No pain.
Sleeping 8 hours with once midnight wakeup either to drink water or urinate.
No joint pain.
Exams are on 4-5 june.
Just getting little cramps before pooping on right of belly button.
I will do the test as you prescribed.
Are these cramps normal? I don't have them all the time.
2 years ago
i need to ask u some questions.are u taking any kind of medicines right now?any herbal medicine? do u have any recent weight gains?plz do have ur RFTs n LFT.nf book an appointment with me.i will guide u further
age
past medical history
family history of DM
age
wight
hight
These are hypoglycemic episodes. are u taking any drugs or skipping ur usual meals?
aoa. ye phli baar hoa he ya phle bhi aisa hota rha he.aap dieting to nhi kr rhe. ya koi medicine ya drink/ tea/qhwa le rhe hon that might be lowering ur blood glucose/ causing symptoms. improve ur diet. hope ur symptoms resolve. if not have a cosultation.
Patient
Post Owner
Walekumusalam. Ye mid kf Ramadan sy ho ra he. Me qehwa frequently use krta hu. Honey + sonf + thora sa podina. Before sleep. Ye reason ho skti he?
2 years ago
MBBS, FCPS (Medicine) | Lahore | Book Appointment
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better stop it. waise it does not seems to be a reason. eat a full meal lunch and dinner then check blood suger levels exactly 2 hrs post parandial. if not resolved do the tests as advised by the above doctors.
2 years ago
Patient
Post Owner
Okay Dr. After dinner it goes to 131-138 i checked yesterday and day before yesterday. Lunch k bad low he rehti he. Is it possible k body still ramadan ki routine ko follow kr re ho to release insulin?
2 years ago
Please check insulin, cortisol, electrolytes, and c-peptide levels in blood.
pl stop any medication you are taking for diabetes
get ur blood sugar levels checked after every 4-6 hours
get ur RFTs done
please give complete profile like age, sex, weight. you should also go for HbA1C, thyroid function tests and lipid profile.
wasalam..
Are u using any medicine for any disease?
Do u have history of diabetes in your family?
I recommend u following tests from some lab:
1-FBS(Fasting blood sugar)
2-OGTT
For these tests You need to go to any lab after 6 hrs of fasting(not eating ..can drink plain water) (Fasting not more than 6 hrs is better +/- 1hr)
you can ask if you don't understand any terminology...
it's normal don't worry it's depend on your body weight .,.. take some juices and eat properly vitamins like cac 1000 daily... if you have same problem then take RFT and Urine R/E.. thanks
how often you have these symptoms
r u taking any medicine any over the counter medication or something like that
test advised
1. usg abdomen
2. c peptide levels
3. rft
4.thyroid function test
Are you diabetic ?
Patient
Post Owner
No sir, i am concious regarding sugar and bp thing. I take care of my diet, do walk regularly for 30-40 mins which i am not doing since i found this issue. Might be my diet is less than i am burning in daily routine? Very confused
2 years ago
Get your HbA1c and take a physician opinion
Are you diabetic or family history of diabetes? Secondly see a doctor n get your tests done including Hb1c.
You should get your investigations done
HBA1c
TFTs
RFTs
Take healthy diet. Add fresh juices and adopt healthy life style
Just get Blood test for HBA1C
go for your HbA1C
did you have sweating ,confusion and blurred vision as well at times or its only fatigue?
u should immediately consult endocrinologist... u need some base line investigations .. management and diagnosis of HYPOGLYCEMIA requires 72 hours fasting and rbs monitoring.. along with hbaic and c peptide levels .. and u will be needing rbs monitoring from the lab ...
do u have diabetes or family history of diabetes?
what is ur BMI?
better to test for GTT
HbA1c
TFTs
insulin levels
and proper examination by a physician
meanwhile regularly check ur bsl and take snacks frequently
better to counter check ur results with another device.
You check your blood sugar levels fasting for three days and then if it is less then 90 Mg per dl the check for fasting plasma insulin levels
Consult a medical specialist
You should consult an Endocrinologist as soon as possible!
Probably a case of insulinoma, 72 hrs supervised Fasting is therefore necessary to come up to a diagnosis.
Such patients must see a specialist immediately rather than posting symptoms.
History and clinical examination is mandatory in every medical condition.
Reguards
Check ur weight and height and calculate ur body mass index by urself using formula (weight inkg ÷height in squere meters)
Sometimes in obese individuals it's the initial phase of diabetes mellitus in which insulin levels are higher than normal causing glucose in blood to fluctuate in a strange ways.
Again further history required in ur case.
Video consultation required
advice HgA1c serum insulin level
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