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Suggest Remedy For Severe Head Pain And Muscle Twitching In A Person With Diabetes
Question: I am a 42 male with type 2 diabetes. I just was able to get back to having benefits. My blood sugar is very high right now. I dont know what the number is. I am getting pain in my head and muscle twitching all over
my body including my mid and lower back, sides, shoulders ans ocassionally in my right eye lid. What could this be and ks it blood sugar related? I also have pain in the upper middle part of my back jn between the should blades. It favors to the right side
my body including my mid and lower back, sides, shoulders ans ocassionally in my right eye lid. What could this be and ks it blood sugar related? I also have pain in the upper middle part of my back jn between the should blades. It favors to the right side
Brief Answer:
You need further evaluation.
Detailed Answer:
Hi, Welcome to HCM.
Thanks for your question.
After going through your question, I can understand your concern.
Your symptoms may or may not be related to high blood sugar levels.
- Due to hyperglycemia (high blood sugar level) there is osmotic diuresis (loss of water and electrolytes from body) which may lead to dehydration and loss of salt (electrolytes like sodium, potassium, calcium, Magnessium) which may lead to these types of symptoms (Particularly in case of hypomagnessemia - low Magnessium ).
- Also kidney and neurological disorders need to be considered and ruled out.
In such a scenario, I may suggest -
= Immediate Medical attention.
= Detailed bed side neurological examination.
= Investigations like -
- Complete Blood Count.
- Renal function test - urea, creatinine, electrolytes, calcium, Magnessium, phosphorus, uric acid.
- Liver function test.
- Random Blood Glucose level.
- HbA1c.
- Urine examination including urine ketones.
- Arterial blood gas analysis.
- Vitamin B12, D3 level.
- T3, T4, TSH.
- Lipid Profile.
Depending upon detailed clinical examination and above test results need for further evaluation including Brain imaging like MRI Brain, Electro Meelography (EMG) may be considered.
Hope this helps you.
I will be happy to answer your future queries.
Regards,
Dr Abhay Mali.
Diabetologist.
You need further evaluation.
Detailed Answer:
Hi, Welcome to HCM.
Thanks for your question.
After going through your question, I can understand your concern.
Your symptoms may or may not be related to high blood sugar levels.
- Due to hyperglycemia (high blood sugar level) there is osmotic diuresis (loss of water and electrolytes from body) which may lead to dehydration and loss of salt (electrolytes like sodium, potassium, calcium, Magnessium) which may lead to these types of symptoms (Particularly in case of hypomagnessemia - low Magnessium ).
- Also kidney and neurological disorders need to be considered and ruled out.
In such a scenario, I may suggest -
= Immediate Medical attention.
= Detailed bed side neurological examination.
= Investigations like -
- Complete Blood Count.
- Renal function test - urea, creatinine, electrolytes, calcium, Magnessium, phosphorus, uric acid.
- Liver function test.
- Random Blood Glucose level.
- HbA1c.
- Urine examination including urine ketones.
- Arterial blood gas analysis.
- Vitamin B12, D3 level.
- T3, T4, TSH.
- Lipid Profile.
Depending upon detailed clinical examination and above test results need for further evaluation including Brain imaging like MRI Brain, Electro Meelography (EMG) may be considered.
Hope this helps you.
I will be happy to answer your future queries.
Regards,
Dr Abhay Mali.
Diabetologist.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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