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  5. I'm a bit worried because I've been diabetic for 35 years and have managed it pretty well until now, but recently, I've started experiencing this sinking feeling and episodes of fainting and dizziness. I got an ECG done and it shows some blockage. Could this be related to my diabetes, and what should I do next?

I'm a bit worried because I've been diabetic for 35 years and have managed it pretty well until now, but recently, I've started experiencing this sinking feeling and episodes of fainting and dizziness. I got an ECG done and it shows some blockage. Could this be related to my diabetes, and what should I do next?

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I'm a bit worried because I've been diabetic for 35 years and have managed it pretty well until now, but recently, I've started experiencing this sinking feeling and episodes of fainting and dizziness. I got an ECG done and it shows some blockage. Could this be related to my diabetes, and what should I do next?

Given your 35-year history of well-managed diabetes, the recent symptoms of sinking feeling, fainting, and dizziness, along with ECG indications of blockage, suggest a potential cardiovascular issue, such as coronary artery disease or cardiac autonomic neuropathy, so consult a cardiologist to discuss further testing, like angiography or stress tests, and develop a plan to address the blockage and manage cardiovascular risk factors.

Last updated on 22 Jan 2025

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I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. ...

Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties: Ryzodeg 1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart. 2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours. 3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals. Human Mixtard 1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension. 2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours. 3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals. Considering your mother's: 1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes. 2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment. However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective. Recommendations 1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly. 2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective. 3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.

Last updated on 22 Jan 2025

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