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Quickly Insulinoma Treatment
Fairly quickly: This is a very fast growing disease which in most cases has already caused some damage before it is discovered. It is important to quickly stage the disease and then begin treatment. Your oncologist will know how much time can pass before you start treatment. Everyone is different in this respect and sometimes life's issues (graduations, weddings) can be worked around..And sometimes not. ...Read moreSee 1 more doctor answer
An insulinoma is a tumor of the pancreas that secretes insulin. The beta cells in the pancrease (pancrelipase) secrete Insulin in response to high glucose levels in the blood. Since an insulinoma is a collection of abnormal cells, an insulinoma will produce Insulin regardless of the blood glucose levels and can cause profound hypoglycemia ...Read more
It depends: Breast cancer is not an emergency unless you have ibc (inflammatory breast ca). For early stage 0-1 breast cancers, 4-6 weeks is standard before surgery, which is usually the first treatment. For stage 2 or 3 breast cancer, starting treatment in 2-3 weeks is standard. For ibc, i start chemo in 24-hours when possible! ...Read more
Surgery: Hopefully it can be diagnosed before it has spread, most are diagnosed by a good history and physical exam that may show difficult to control HTN , ct scan which shows an adrenal mass, and blood and/ or urine studies to confirm the diagnoses. These adrenal tumors can be removed by either the laparoscopic or open surgery approach. ...Read more
To how much extent panic diorder is curable can you become symptom free after treatment if treated earlier?
Yes, panic disorder: is treatable and people get better. If a mental health professional is available, that is the person to see. Books and tapes can help, e.g., Claire Weekes "Hope and help for your nerves." Peace and good health. ...Read more
Cause?: Determine if blood sugar is really low and when does it occur. If true hypoglycemia, your doctor will need to determine the cause. We often see lowish blood sugars in thin kids who don't have healthy diets. Treatment would be geared toward healthier eating in this case. Less common are certain metabolic disorders which mostly present in babies and children, but a few also manifest in adulthood. ...Read more
If a person needs insulin after acute pancreatitis, can the pancreas heal so the person doesn't need insulin any more?
Is onglyza (saxagliptin) safe for long term treatment? Possible pancreatitis and thyroid cancer? How to avoid pancreatitis, lactic acidosis, & ketoacidosis?
Any way for a person with reactive hypoglycemia to raise their blood sugar quickly without an insulin response?
Soon: Survival after stroke depends on many factors, mostly on the size of stroke and complications (pneumonia, bleeding etc). Acute therapy for stroke (clot busting medication) should be given within first 4.5 hours of stroke onset. It can potentially help to halt the stroke and improve outcome. ...Read more
How is low glucose (31.9 fasting*12hours* blood test) treated? Is it a life long condition? Can it be cured ? Best treatments to discuss with doctor?
Differential Dx: Treat Low Glucose with Glucose! The duration depends on the cause; there are many! A glucose of 32 in a 23 year old is definitely not normal! First needs a thorough history and physical exam with a physician in a face to face visit. More here... http://emedicine.medscape.com/article/122122-differential ...Read more
Newly diagnosed type 1 diabetic. Lantus (insulin glargine) nighttime insulin only. Sugar pre dinner 184. Post 311. Do I need to go to ER?
Symptoms of ipoglycemia.Ogtt curve's "flat".Glycemia doesn't grow after 1-3 hours of glucose-juice.High basal insulin.Enough to suspect MODY diabetes?
Diabetes Diagnosis?: Need HbA1c. and family Hx. Such as do you have a twin or sib with MODY? ...Read more
Can you stay on antithyroid medication indefinitely rather than definitive treatment for Graves' disease ?
Meds for Grave's: 52F from UK asks if one can take antithyroid meds indefinitely rather than definitive treatment for Graves' Disease. ANS: Yes and sometimes one can even stop after a period of time but need to weigh side effects of meds vs radiation and your other circumstances that are best assessed by your thyroid Dr. ...Read more
No "best" treatment: There is no "best". What you need is diet, exercise, weight loss, education, monitoring, good medical advice, complication prevention, control of BP and lipids, compliance -- and whatever medication your doctor recommends. Your rx needs can change over time. Insulin is just one of many effective therapies. ...Read more
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