Question: Unfortunately, I could not find the answer on the Internet. Why does diabetes can not (or not rekomnduyut) massage. In particular, I thought – "Buy Foot massagers, may help to avoid stagnation in the legs." So in the instructions to the bath is written, that can not be used in diabetes. In the tub ispozuetsya whirlpool, infrared lamp, heated water to 41 degrees. And. . . Clarify, please, can I use the apparatus Vitafon (not only for the legs, but for the whole organism), it's also a massage. Thank you.
Answer: 1. You should be aware that whirlpool bath (and most other forms of massage) – just a pleasant procedure, reduces fatigue, but it has some ozdoravlivayuschim or protective action. 2. In the instructions – some reassurance, because of diabetes are dangerous hot tub (if there is a risk of burns), damaging long-term water treatments (with the risk of chafing between the toes), with some complications can be harmful to a massage. 3. It is known that if an amount equal to the value Vitafon, to spend on the test strips for measuring glucose and other necessary things – you get much more benefit. Very often the use of any auxiliary methods of treatment or rehabilitation distracts from the main objective (control of sugar level, the maintenance of glycated hemoglobin in the norm), while not bringing any benefit to health.
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Question: My dear doctor. Maybe my question does not apply to your practice, but I beg help allay my fears. I'm 48 years old, sick IDDM 13 years. For almost a year very sore right arm. The pain starts at the shoulder and gave the elbow and then in the fingers. In July, apart from anything I recognized tuberculosis of the right lower lobe bronchus. We take anti-TB drugs, in the bronchi do fill kanamycin with tubazitom. My question of pain in the hand can not be associated with tuberculosis, bone or joints in the hand, may be an infection got there? "What are obvious signs of the disease. At the hospital, no surgery, and without it no picture shall designate an attending physician said that the hand is not in his competence. Neurologist watched, made the appointment and Medokalm Keterol puncture. But I think what if it is tuberculosis and nothing I will chop and so there is no living space from the injections. In his hand this tyanuchaya pain analgesics and massage does not help. The hand does not rise high and stopped gadfly ago. The pain is present almost constantly. At night I sleep on my stomach Bending the arm at the elbow and pressed it to his body.
Answer: Such pain (along the arm) are characteristic of the nerve roots (with osteochondrosis and other diseases of the spine) – so the neurologist recommended that drugs that reduce radicular pain. For the complications of diabetes such pain is not typical for tuberculosis – most likely, too. To eliminate tuberculosis of bones really done their X-ray, but do not about any pain in the extremities in patients with tuberculosis do X-rays! There are other signs are identified in the survey, which suggest, likely bone tuberculosis or not. In any case – manifestations associated with bone tuberculosis, will fall under the influence of anti-TB drugs. In an extreme case, if in doubt – write Phthisiology (on our forum or anywhere else) detail the history of tuberculosis, ask whether there are grounds for X-ray study (If the background of injections, the pain will not work before:)
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Question: Daughters of 14 years. Diabetes type-1 ill two years. Diabetes poorly compensated. Colette humalog and Humulin. Over time the disease has been a steady increase in hemoglobin: a hundred and thirty (130) units at the beginning of disease up to one hundred and sixty-seven (167) in recent years. Neither the treating endocrinologist or a district pediatrician I can not explain: why is this happening and it is not dangerous.
Answer: Apparently, this is not a consequence of diabetes. Unless it can be assumed that the dehydration (coupled with a high sugar), the proportion of the liquid part of blood is reduced, and the relative content of blood cells (which contain hemoglobin) increases. Increasing hemoglobin may have different causes, some of them require treatment, some – not to deal – worth a visit gemagologa. Diabetes, of course, have to learn to manage (see other questions in the section Treatment on how to do it). In adolescence, diabetes management goes to your daughter, and now everything will depend on it. But of you want to primarily the supply of test strips for measuring glucose in sufficient quantity.
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Question: In our daughter's 9 years 1.5 months ago, found the SD type 1. In addition, the analysis showed thyroid TSH-170, T4 – 3. 7. We went to school and still trying to diabetes themselves. In addition to insulin girl drinking 1 tablet per day 50 mcg eltroksina. Suddenly she began to fall heavily hair. Each picking – more and more. What do you think the problem? Thanks in advance.
Answer: Hair loss may be associated with a deficit of thyroid hormone (TSH level is defined on the background of treatment and ubditsya that he had returned to normal). In addition, type 1 diabetes and hypothyroidism due to damage to the thyroid gland – diseases associated with the production of antibodies against its own tissues. In such patients may develop other autoimmune diseases. One form of hair loss – autoimmune (but in this case, the hair falls not on the whole head, and a few rounded areas; correspondence to the likely presence of this form is difficult to assess. In addition, hair loss may be a reaction to high levels of sugar (which is probably maksimelnym was in the days of detection of diabetes). In this case, hair loss – temporary process.
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Question: Doctor! "My mother 68 years. She has a 5-years ago found 2 diabetes first degree, was appointed Gliklazid (Gliclazide) 80 mg or equivalent Diamikron (Diamicron) 80 mg in the morning and evening poltable + dieting. Everything was normal, except that last year my mother a little thin. From Friday October 26 there were small pain on the right in the stomach. This pain is stopped, then appeared again on Saturday and Sunday. Sunday October 28 evening at 21. 00 was a severe attack of pain with vomiting and fever, her mother was taken to hospital in ambulance. The analysis: sugar, 12.2, temperature 37.7, white blood cells increased (figure not sure). From Monday to Friday doing a scanner, gastroscopy, put a dropper, temperature remained 37,5 – 38,5, said that the digestive tract is inflamed, but no diagnosis was given. While she was in the hospital began teasing temporarily insulin. Today the doctors gave a diagnosis: cholecystitis with pancreatitis, diet, eat quietly and slowly. While drugs are not prescribed. Given the mother's 'old' diabetes and 'new' diagnosis of cholecystitis with pancreatitis, would like to know more like what is now dieting, what medications and vitamins to take, what to avoid when eating. Thank in advance, Yours Tatyana.
Answer: Now, in the acute stage of cholecystitis, pancreatitis, diet will be entirely determined by the attending surgeon, an amendment to diabetes small: do not use products that dramatically increase the blood sugar (sweets, sugar, honey, dried fruit, undiluted fruit juice, semolina, mashed potatoes). Later diet over cholecystitis, pancreatitis would be to limit fatty foods – with type 2 diabetes with excess weight is also one of the main recommendations of the diet (along with the restriction saharopovyshayuschih products). Look in the FAQ section "diet" – you will understand many things.
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Question: Oleg! I'm 26 years old. Growth 175, weight 70. I have no one in the family of diabetics was not. But I have long noticed that after the singing of sweet is not very good feel, there is weakness and drowsiness. Three weeks ago I went to hospital with an inflammation of the appendages, where I found a high sugar 8,3. I was very scared and stopped eating sweets at all. A week ago, passed the blood from the veins of fasting, sugar – 6,7. Toli from my diet (do not eat sweets), Tolia of antibiotics (cured inflammation of appendages) start to ache at the top of the stomach. Constant pain, aching. Ultrasound showed the presence of chronic pancreatitis and holitsestita. Doctor is not appointed any treatment, said at pains to drink But, silos and Mezim, fat is not. Now I feel bad, constant weakness, often want to eat (this is glycemia?), Upper abdominal pain, often go to the toilet for a small but not by much. Very afraid and do not want to hurt. Tell. If preddiabet, how to prevent the development of diabetes? If he still develops it will be a 1 st or 2 nd type? Glucometers so expensive. What else do I need besides diet? I'm after the hospital was worsening of herpes, can I now drink Izoprinazin? Can sugar to rise only temporarily, without diabetes? Thank you
Answer: For correspondence response information is not very much, but you should know the following: 1. Diagnosis of diabetes is not conducted in acute associated diseases (see the FAQ on the diagnosis) – disease such indeed may temporarily raise blood sugar. 2. If indeed there is a chronic pancreatitis (except data ultrasonography for diagnosis is needed and his other symptoms – discuss with your doctor) – that with prolonged duration of it may lead to the development of specific forms of diabetes (it's not 1 or type 2) – it is usually not very difficult protekaet3. What should I do to reduce the risk of developing diabetes – see the FAQ on the subject (I think, in the section "Diagnostics") + refinement of diagnosis – is whether or not pancreatitis – and its treatment. 4. Not all of your symptoms are typical for increasing the level of sugar: a lot of need to explain diseases of the gastrointestinal tract, etc.) 5. Hypoglycemia (low blood sugar) can not happen if you do not get hypoglycemic drugs, therefore, fear that the hunger associated with it – not worth it. 6. Treatment of herpes you do not contraindicated, whether it is you now – Talk with your doctor.
Various diseases
Question: I insulin-dependent diabetes, length of 7 years. 2 years ago, an itchy skin (95% – itching perineum and anus, 5% – depression of arms and legs), appear and disappear allergic rashes (vesicles) on the palms and fingers. Recently there have been 2 small red spots (eczema) in the crook of his legs and hands. Itching worries evening, escaping with ointments. Was repeated with this problem in HPC, the infectious diseases and endocrinology. Expelled: Skin diseases, hepatitis, intestinal worms, Gilbert's syndrome. Clinical blood tests are normal (alkaline phosphate, creatine), with the exception of bilirubin (usually 25-35, sometimes 15-20), jaundice, no. Blood sugar since diabetes try to keep the norm, but there are jumps to 12-15 cx, glycated hemoglobin is normal. Some doctors attributed my itch with diabetes, others reject. Give advice to some experts ask, what tests to pass
Answer: 1. At a high level of blood sugar (decompensated diabetes), itchy skin is a fairly common symptom, and it is usually associated with candida skin (excessive multiplication on it the same micro-organism that causes thrush). 2. The presence of a reddening of the skin, blisters, wet, making it unlikely classic itching associated with diabetes – in this situation, a dermatologist may well put one or another diagnosis (eg eczema, dermatitis, etc.) 3. In principle, probably a combination of some skin diseases (for example, are typically not strong itching) and diabetes (reinforces this itch). 4. To eliminate the itching associated with diabetes who need to spend some time on the stable normal sugar (with a normal glikogemoglobinom), you can just in case a treatment for thrush (enough single dose type flukostata). 5. It is possible that if the itch does not take place after that – a dermatologist will give you a recommendation to use hormonal allergy ointment for reddened areas of skin, and it is possible that regular use will solve all their problems.
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Question: My mother has many years of suffering from diabetes (she 60, down from 25 years of suffering from diabetes). Recently, it has twice within 10 days there were broken bones. First, change the shoulder, and a week later fractured patella. She has found osteoporosis in the background of diabetes type 2. Complications – neuropathy, retinopathy (laser coagulation was done). Prescribe treatment drugs Ca and D 3 (every day, one pill) and P (1 tablet per week). Now she heard about the drug "Bivalos". So the question, taking this medication should continue taking previously assigned or the acceptance of "Bivalos" enough? What other methods of treatment of osteoporosis are there? What you would advise a cure for osteoporosis
Answer: In diabetes, there are no groups – see answers to other questions. . . Osteoporosis – a group of diseases of different origin, they are united in lower bone density and increased risk of fractures. Type 2 diabetes does not increase the risk of osteoporosis (in contrast to the SD type 1 at a young age). But an elderly person may be another origin osteoporosis, and it is – a serious problem that needs to be treated. There are several classes of drugs to treat osteoporosis (which is often used in combination), they should be appointed full-time physician (at least, because the choice of the drug affects a number of data that you do not drive), they applied for a long time, for several years (t . K. bone density recovers slowly). Not very clear what is meant by the drug P (I think the packaging says something else), but really, there are medications, taken 1 time per week. Bivalos – one of the drugs, a relatively new class, but he has not yet entered strongly into practice, until convincing evidence that he is superior to other drugs, or at least no worse than others – no. Therefore, self-treatment change is not necessary.
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Question: Recently, a survey was a gynecologist-endocrinologist. Concerned about two problems: obesity and irregular menstrual cycle. Hormones are normal, ultrasound is normal, normal sugar, sugar load, too normal. the only problem – is: raised triglycerides, elevated cholesterol, blood is very thick. Now weight 112 kg. at 170 cm was hormonal pregnancy in 2003 (dexamethasone). The doctor prescribed glyukofazh 1000 mg, only to make me thin. 2 times a day. Should I take it, if the diagnosis of CD is not shipped. Or, still take himself in hand, and lose weight without chemistry
Answer: 1. Glyukofazh (= metformin siofor) applies not only in diabetes but also in other diseases, the development of which acts as a violation of the sensitivity of tissues to their own insulin. 2. Glyukofazh does not reduce the weight – it only removes certain disorders of metabolism on the background ozhireniya3. In gynecology glyukofazh used in several states, primarily – in order to achieve pregnancy with violations in the ovaries on the background of obesity. Do it now – discuss with their physician on the basis of the above information.
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