Question 1

My brother is 35 and has had diabetes for 6 years he was just diagnosed with peripheral neuropathy and is really worried. His HbA1c is 6.5, and he's also losing muscle. Is there any reversible treatment for this or ways to slow it down? What's the life expectancy for someone with neuropathy, and will he need surgery? He's feeling really depressed about it.

Accepted Answer

Peripheral neuropathy from diabetes isn't completely reversible, but it can be managed to slow progression and alleviate symptoms. His HbA1c is 6.5, which is within the diabetic range, so it's crucial for him to work with his doctor to manage his blood sugar levels. Lifestyle changes, medications, and therapies can help manage pain, improve function, and improve quality of life. While surgery is not always necessary, it may be an option in some cases, especially if there's nerve compression or injury. Life expectancy can be affected, but it's influenced by many factors, including how well the neuropathy is managed and overall health

Question 2

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

Accepted Answer

Elevated SGOT (AST) and SGPT (ALT) Levels

_Interpretation_

1. _Mild elevation_: Your SGOT (53) and SGPT (67) levels are mildly elevated.
2. _Possible causes_: Elevated liver enzymes can be caused by various factors, including:
    - Fatty liver disease
    - Viral hepatitis (A, B, C, or E)
    - Medication side effects
    - Muscle damage or exercise
    - Other medical conditions (e.g., thyroid disorders, celiac disease)

_Next Steps_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to discuss your elevated liver enzymes.
2. _Additional tests_: Your doctor may order further tests, such as:
    - Liver function tests (LFTs) to monitor enzyme levels
    - Hepatitis A, B, and C screenings
    - Ultrasound or other imaging tests to evaluate liver health
    - Blood tests to rule out other medical conditions
3. _Lifestyle modifications_: Maintain a healthy lifestyle, including:
    - A balanced diet
    - Regular exercise
    - Adequate sleep
    - Stress management

_Reassurance_

1. _Hepatitis and cirrhosis are unlikely_: Given your age, lifestyle, and absence of symptoms, hepatitis and cirrhosis are less likely.
2. _Further evaluation is necessary_: A thorough medical evaluation will help determine the cause of your elevated liver enzymes.

Question 3

What kind of fruit (or vegetable) prevents or gets rid of diabetes?

Accepted Answer

No fruit or vegetable can totally get rid of Diabetes but having fruits/vegetables with low glycemic index may prevent or manage Diabetes.

What is your diabetes diet and lifestyle? Is it effective for you?

Do not compare diet or life styles with other patients. Each Diabetic patient is different and each one needs a targeted personalised treatment approach.

More Endocrinology Health Queries

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

What kind of fruit (or vegetable) prevents or gets rid of diabetes?

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