
Diabetic. Having Nausea And Dizzines. Had Prostrate Cancer. Suffer Chills And Sweats After Hormonal Therapy. Had Brain Tumor. Suggestions?

Thank you for any advice XXXXXXX YYYY@YYYY
I appreciate so much the clear clinical picture you have presented with respect to your husband's medical history.
It would be more interesting actually knowing how the nausea or dizziness started this morning. Was it abrupt or gradual? Was did accompanied by some other thing you might have by any chance forgotten? What was he doing when this happened? How did he spend the last week? Did he stop or miss to take any of his medications? I am particularly interested in his medication for diabetes especially: Did he take them regularly? what did he eat since this morning? Could I have an idea of his last HbA1c measure and has he been expressing such symptoms before.How is his blood pressure?
From what you describe, considering the fact that he is has been well till this morning at 10:30 am, it might be comforting to believe that the condition should not be that serious. However, considering he is a delicate patient, it might be better to know exactly what has gone wrong added to the fact that he was fine. A clinical evaluation might be very useful.
His past history makes carrying out of routine clinical measures (Blood pressure and the pulse, and examining the heart for regularity compelling for these could explain properly these symptoms). Hypoglycomia, although rare with Metformine when taken appropriately is another possibility, thus a blood glucose level measurement might necessary. These results should be enough to orient further questions as those stated above and orient other tests if need be.
I would advice, especially if symptoms are persisting, that you take him to the emergency room for a general clinical and laboratory screen to be more comfortable. In case he is ok by now, you would need to watch and ensure he follows his routine medical recommendations. Anything serious, you must hesitate to take him to the emergency room. I encourage you to continue to be by him, help him, encourage, make him smile and care more and more for him, for his major medication, especially at this particular point in time and in this clinical state is more importantly PSYCHOLOGICAL.
Thanks once again as I wish you and him the best of health. I would be most honored making further contributions towards a better health for him if need be. So feel very free.
Best regards,
Luchuo, MD.


Thanks for the update with respect to your husband's state of health. I ma happy with the blood pressure values. The fact he has been sick lately deserves a careful reevaluation, and its great you are meeting a physician tomorrow.
With respect to the medications for diabetes, The metformine as I understand especially has not been taken properly. This might deserve a careful discussion with the physician during the visit. It might be important to consider the fact that diabetes mellitus as hypertension, are chronic conditions and the drugs are not altered or changed or stopped, without prior notification of your physician. It could be stopped only in case of a severe adverse event. Stopping the drugs for a few days without prior notification of your doctor was not very advisable.
HbA1c is a measure of the glycated hemoglobin in blood, it is actually the measure today used to actually MONITOR therapeutic success in patients managed for diabetes. It summarizes the behavior of blood glucose over a three month period. It is less liable to physiological changes like the normal serum glucose that is usually measured. I suggest your physician should incorporate this test into the routine examinations for your husband. The International Diabetes Federation and the American Diabetes Association today, recommend it in the diagnosis of diabetes.
Wish you the best as you XXXXXXX your physician tomorrow. Do not hesitate to share your worries and would be honored contributing to his well being.
Best regards and fast recovery,
Luchuo, MD.


I really hope to get a feedback from you when you XXXXXXX your doctor. I strongly advice you propose my recommendations and advice.
Hoping to hear from you then.
Best regards,
Luchuo, MD.

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