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Suggest Treatment For Intermittent Pain In The Calf While Having Diabetes
Question: I have been having pain in my right calf...... off and on .....since early spring. The more I walk or stand the worse it feels. I had a knee joint inflammation in the same knee when a teenager and I suddenly recalled that the leg pain ...at that time ....was also in the leg calf (not the knee) and very similar to now. This all happened 60 years ago and has not recurred until now. Our family doctor at the time prescribed butizolidine(sp) which promptly solved the problem. My question is: if this indeed is a joint inflammation would/could it cause my blood sugars to rise? I am a type 2 diabetic and have been struggling way more than normal to control my sugars during this same time period. Incidentally the problem is in the same (right) knee as it was years ago....and I am now 75+ years old. Thank you.
Brief Answer:
Diabetes
Detailed Answer:
Sorry to learn about your bothersome symptoms.
If there is significant joint inflammation, particularly from an infection then it is likely to raise blood glucoses. Controlling diabetes during such a time may be challenging.
When I see someone like you 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 your thyroid) 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)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Diabetes
Detailed Answer:
Sorry to learn about your bothersome symptoms.
If there is significant joint inflammation, particularly from an infection then it is likely to raise blood glucoses. Controlling diabetes during such a time may be challenging.
When I see someone like you 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 your thyroid) 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)
Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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