أسئلة واجابات طبية أمراض الغدد الصماء

Hi. Ya our pancreas secretes both insulin and glucagon. In people with (longstanding) type 1 diabetes in particular the pancreas cells will fail to secrete glucagon and this can put the patient at increased risk of low blood sugar.Unfortunately we can not mimic our natural pancreas. our natural pancreas secretes the exact amount of insulin following a meal and therefore low blood glucose does not happen in normal people. However if u r having diabetes and taking exogenous insulin, we may underestimate or overestimate the dose and therefore sugar swings can happen. Hope u find it useful.

Hi. The test results shows that u have uncontrolled diabetes. Ur HbA1c is 11.54%. This can be the explanation of ur sleep disturbances and stomach upset. I need to know ur BMI (weight and height) and the type of medications u r taking for diabetes other than diamicron MR. Ideally u should start taking at least a single shot of insulin (if u r not taking already). Have u ever tried taking (glucophage) in the past?. Please note that u need to do a blood test called (C-PEPTIDE) as having fasting insulin of 4 in the presence of high blood sugar indicates insulin deficiency and this can be detected by the C-PEPTIDE blood test. HOMA IR test that u did is misleading and even if it is normal it doesn't mean that u don't have insulin resistance. Insulin resistance in your case can be diagnosed based on clinical parameters such as your body weight and in case u need high dose of insulin to control ur blood sugar rather than based on the fasting insulin test. Hope u find it useful.

لم استطع قراءة التقرير كونه بالفرنسية . عموما اذا كان هناك عقدة درقية قياسها اكبر من 1 سم فيجب خزعها وفحص الخزعة

ضرورة الذهاب لطبيب نفسي متخصص في أمراض النوم..الغدة الدرقية زى الفل باذن الله

Hi. He can do 24 hour ambulatory blood pressure monitor while he is off treatment for at least 1 week. If the mean blood pressure is fine and there is no other indications to prescribe olmetic then it can be stopped but u need to keep monitor blood pressure every now and then manually at home even if it is stopped. Hope u find it useful.

ممتاز ثابر على حميتك ومراقبة سكر الصباح كل اسبوعين مرة والسكر التراكمي كل ستة أشهر

Hi. Yes ''Honey moon phase'' is a known phenomenon that can develop in patients with type 1 diabetes who are taking insulin. Usually it lasts approximately 4 months in most of the patients but unfortunately relapse afterwards. Make sure that u keep monitor ur blood sugar even if it is normal those days. Please note that ''honey moon phase'' does not necessarily mean to stop insulin totally. Some patients they still need insulin but in small doses. Hope u find it useful.