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Suggest Treatment For Tingling Sensation In The Arms

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Posted on Tue, 27 Sep 2016
Question: I am having tingling in both arms and hands. slight headache. took 2 aspirin. have type 2 diabetes.
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Answered by Dr. Shehzad Topiwala (24 minutes later)
Brief Answer:
Rule out stroke

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Stroke needs to be ruled out. You should go to the Emergency room or call your family doctors office immediately.

Once an emergency is ruled out, further evaluation can be initiated to determine the cause of your problems.
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
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Tingling Sensation In The Arms

Brief Answer: Rule out stroke Detailed Answer: Sorry to learn about your bothersome symptoms. Stroke needs to be ruled out. You should go to the Emergency room or call your family doctors office immediately. Once an emergency is ruled out, further evaluation can be initiated to determine the cause of your problems. 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.