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Suggest Treatment For Chest Pain In A Diabetic
Hello. My name is Angela. My boyfriend is 25 years old. He has recently been diagnosed with type 1 diabetes, about 5 months ago. Lately, he has been having slight chest pain, no energy at all, and dizzy spells very often. His current doctor said it is because his body is still adjusting to the insulin....but does it really take the body this long to adjust to insulin? I don t think he should be having chest pain and dizzy spells. He says he feels weird . His current doctor is booked until July. We are thinking of going to emergency room, but I would like an answer from here first. His doctor also said he is in the honeymoon stage of diabetes. I believe he has not been monitored by his doctor closely enough.
Mon, 5 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Following are my observations and suggestions:
1) Chest pain is unlikely to be there due to the body getting adjusted to insulin because the effect of insulin is to reduce excess blood glucose and normalize the levels.
2) Chest pain could be because of overall weakness and fatigue which does happen in uncontrolled diabetes.
3) Honeymoon phase is a condition that occurs in T1 DM when insulin injections are given, the remaining pancreatic beta cells (which are insulin producing) get rest as there is no load on them. This improves their function and they start producing more amount of insulin. Thus the requirement of exogenous insulin reduces. Plus patient shows a better blood glucose control. This phase may last for a few weeks to months or longer. But invariably for few weeks.
4) If the patient is feeling tired and exhausted, that means his blood glucose is not well controlled. If glucose levels are well controlled then general health of the patient rapidly improves.
It is necessary to monitor insulin dosage, dietary intake, and blood glucose levels more closely and meticulously then only all the symptoms will be well controlled.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Prabhakar Laxman Jathar
I have reviewed your query and here is my advice.
Following are my observations and suggestions:
1) Chest pain is unlikely to be there due to the body getting adjusted to insulin because the effect of insulin is to reduce excess blood glucose and normalize the levels.
2) Chest pain could be because of overall weakness and fatigue which does happen in uncontrolled diabetes.
3) Honeymoon phase is a condition that occurs in T1 DM when insulin injections are given, the remaining pancreatic beta cells (which are insulin producing) get rest as there is no load on them. This improves their function and they start producing more amount of insulin. Thus the requirement of exogenous insulin reduces. Plus patient shows a better blood glucose control. This phase may last for a few weeks to months or longer. But invariably for few weeks.
4) If the patient is feeling tired and exhausted, that means his blood glucose is not well controlled. If glucose levels are well controlled then general health of the patient rapidly improves.
It is necessary to monitor insulin dosage, dietary intake, and blood glucose levels more closely and meticulously then only all the symptoms will be well controlled.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Prabhakar Laxman Jathar
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