Doctor insights on:
Diascan And Diabetes
Gfr 57. Potassium 5.4. Creatinine 1.1. Medications ruled out. No known kidney disease. Hypertension controlled with mess. Can dehydration cause this?
Depends: It's hard to know with only a one-time reading. Your kidney function can fluctuate depending on your hydration status, how well controlled your blood pressure is (esp if it's too low for adequate renal perfusion) and if you're taking any medications that can affect gfr, ie nsaids, antibiotics like bactrim (sulfamethoxazole and trimethoprim). You may have kidney disease if you have other creat that are similar. Talk to your pcp. ...Read moreSee 2 more doctor answers
Potentially yes: Peripheral nerve problems could be due to secondary metabolic imbalances due to the renal issues, but also could be complication of medications you are using, and of course could be due to a co-morbidity associated with an additional disorder. There may well be one unitary disorder causing both kidney and nerve dysfnctn. ...Read more
Choline deficiency- how is it diagnosed?
ALT^, IBS & unknown RUQ pain. Imaging MRCP clear, as are all usual causes inc DILI AIH wilsons etc
By history for now: I found only two real scientific papers on humans with choline deficiency and in both case it's studies of folks with relatively little choline in the diet. If someone offers to test you for it by labwork, I'd be suspicious of their being an 'independent medical thinker'. There's some correlation with severity of NASH but I suspect this has to do with other lifestyle variables. ...Read more
I have both systemic lupus/sjogrens overlap & used to have idiopathic central diabetes inspidus. Could the diseases somehow be related?
"Used to"?: Hi. I'm unclear...did your central DI spontaneously resolve? We don't expect to see that, and it makes me question the original diagnosis of DI in the first place. There appears to be an autoimmune cause of at least a subset of idiopathic central DI, and this is more likely in the setting of other autoimmune diseases (SLE, Sjögren's), but it doesn't spontaneously go away. Ergo, I can't say. ...Read more
Is there an autoimmune disorder that would cause HTN, polydipsia, bone pain, low K+, renal stones, lethargy, palpitations, etc?
Not autoimmunity: Have you got Conn's? A renal tubulopathy? A genetic potassium wasting / Fanconi syndrome? Don't focus on autoimmunity just because of the huge amount of "pop" writing about it -- an immune interstitial nephritis is low on my list for you. Low potassium is a huge red flag. Has your vitamin D been checked -- it's a very common cause of bone pain though not the rest. Best wishes. ...Read more
Could idiopathic diabetes insipidus & secondary adrenal insuffiency be related?I was dx'd w/ di that reversed itself. Now having acth stim test.
Possibly: Both central diabetes insipidus and secondary adrenal insufficiency are associated with dysfunction of the neuroendocrine system in the brain. The diagnosis and treatment can be complex, so follow closely with your doctor. You'll need evaluation by an endocrinologist, and possibly a nephrologist ...Read moreSee 1 more doctor answer
Immune function: Diabetes, especially uncontrolled diabetes, causes neutrophils to not behave as well as they should, so infections are both more likely and more frequent. Tuberculosis is one of these, and tends to be more severe in a poorly controlled diabetic. ...Read moreSee 1 more doctor answer
Can gastro problems cause disturbance to blood sugar. Insulin resistant & increased challenge to reg/stabilize BG levels- related?
Gi problems: In my experience gastrointestinal disorders per se rarely cause significant swings in blood sugar except in dumping syndrome where foods are abnormally and too swiftly emptied out of the stomach into the small intestine causing sweats and metabolic alterations. Gastroparesis where the stomach empties too slowly causes gastric upset rather than major swings in blood sugar. Other MD's may disagree. ...Read more
Nafld- recent lfts elevated -coming down w/lb loss, allergy chronic sinus infections, diabtes t2, chol. Bp..Can these cause im. Gran+ basos+, eosin+?
What question please: Are you asking if the white cell differential on your CBC (complete blood count) can be explained by your co-morbidities? The answer is yes, but you have not indicated the percentage of each, nor if the total WBC count is elevated. More information would be helpful in formulating a complete answer. Sounds like your nafld is in part due to diabetes and high cholesterol, but kudos on weight loss! ...Read moreSee 1 more doctor answer
Process: It progressively worsens the kidneys. Starts out by ruining different filters, first more urine, then start peeing proteins called albumins. This stage is called 'microalbuminuria'. As diabetic nephropathy progresses, increasing numbers of glomeruli are destroyed. All this happens throughout the years. ...Read more
History of nephritis cholesterol, diabetes BP hasmatothyrodites recently detected as 10.1tsh and microalbumin is present past 15days celecoxib nsid?
Complicated history: This can only be answered by your family physician who has all your records and "as captain of the ship" will help guide you through referrals to an internist, an endocrinologist and possibly a nephrologist. You definitely have a serious medical problem that needs expert care. ...Read more
Could diabetes type 1.5 be the underlying cause of TIA like symptons, hypertension, hi glucose, low mpv, and low kidney function+protein in urine?
Yes : Type 1.5 diabetes involves autoimmune Insulin deficiency in addition to the Insulin resistance seen in type 2 diabetes. Cardiovascular problems, retinopathy, kidney failure, etc. Are sequelae to this disease. Tia risk is markedly increased by these factors. ...Read moreSee 1 more doctor answer
What could have caused cataract for 57+ F having controlled BP (with medicine) & sugar levels (diet only) ?
Aging or diabetes: Every year there are a dozen or more patients in my practice with cataracts in their 50's that need surgery. Even though cataracts are more common in older age groups, some people get them at a younger age for unknown reasons. Diabetics in general get cataracts at an earlier age than the general population. It is thought that with wide swings in blood sugar that the lens becomes damaged. ...Read moreSee 1 more doctor answer
Yes: Cholesterol is one of the major risk factors for arteriosclerosis, which is building of plaques in the vessels, which could lead to heart disease or the dislodging of the plaque could cause Mycocardial infarction by blocking an artery that supplies the heart, or lead to embolism to the heart. Other risk factors include diabetics, HTN, age and smoking. ...Read moreSee 2 more doctor answers
Male, 47 yrs.TRIG=140, HDL=50.839, LDL=152 & CHOL=231. Is this a risk factor for a stroke or heart attack? By the way I'm taking Lipanthyl & No URIC.
Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?
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