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Suggest Treatment For Diabetes And Chronic Fatigue
Question: Family member, male 26 yrs old has Diabetes Type 1. However he has suffered for years with chronic fatigue which is getting worse. He misses work every week and sleeps all the time but is still tired. Could this be something other than Diabetes
Brief Answer:
Fatigue
Detailed Answer:
Sorry to learn about his bothersome symptoms.
Thyroid problems and cortisol/adrenal gland problems need to be ruled out.
An underactive or overactive thyroid gland can cause these symptoms.Likewise, adrenal insufficiency can lead to similar symptoms.
When I see someone like him in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks the thyroid)
Free T4 (this too checks the thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Early morning 8 am Serum Cortisol
Anti Tissue Transglutaminase antibodies
Fatigue
Detailed Answer:
Sorry to learn about his bothersome symptoms.
Thyroid problems and cortisol/adrenal gland problems need to be ruled out.
An underactive or overactive thyroid gland can cause these symptoms.Likewise, adrenal insufficiency can lead to similar symptoms.
When I see someone like him in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks the thyroid)
Free T4 (this too checks the thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Early morning 8 am Serum Cortisol
Anti Tissue Transglutaminase antibodies
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. He has Dr. appt. on Monday with his GP. Will discuss with him.
Brief Answer:
Best wishes
Detailed Answer:
for good health
Best wishes
Detailed Answer:
for good health
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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