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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Tiredness In A Diabetic Patient?

I am 67 yrs old men diabetic pation, lost left leg, now have artificial leg but could not walk because of heqavy weight about 110 kgs and breathing problem, Cant breath and becomes very very tired. Also
Kidney is not woking well , have swelling on right leg. The main problem is I become very very tired. Pls advise. I am in Portugal.
Mon, 25 Aug 2014
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Internal Medicine Specialist 's  Response
Hello,

I understand your problem as I have several patients under my care like you. The tiredness you experience is due to several factors 1. Anemia from the kidney impairment 2. Fluid overload which are related to your kidney and may be weakness of the heart 3. Breathlessness and possibly decreased oxygen content of the blood.
You should reduce the amount of fluids and the calories so that your swelling comes down and you lose weight. You are advised to see a GP or internist and get your blood sugar control, kidney function, anemia, electrolytes assessed and an echocardiogram taken to assess the heart function.
With proper care the quality of life can be improved with less tiredness, breathlessness and better mobility.
Best wishes,
Dr. Noble Zachariah
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How To Cure Tiredness In A Diabetic Patient?

Hello, I understand your problem as I have several patients under my care like you. The tiredness you experience is due to several factors 1. Anemia from the kidney impairment 2. Fluid overload which are related to your kidney and may be weakness of the heart 3. Breathlessness and possibly decreased oxygen content of the blood. You should reduce the amount of fluids and the calories so that your swelling comes down and you lose weight. You are advised to see a GP or internist and get your blood sugar control, kidney function, anemia, electrolytes assessed and an echocardiogram taken to assess the heart function. With proper care the quality of life can be improved with less tiredness, breathlessness and better mobility. Best wishes, Dr. Noble Zachariah