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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low Energy Levels In A Diabetic Person

DIABETIC FOR 24 YEARS. A1C ABOUT 7.5. DRINK A SUBSTANTIAL AMOUNT OF COFFEE DAILY TO COUNTER PERPETUALLY LOW ENERGY LEVELS.

BEGAN FEELING WHAT I WOULD DESCRIBE AS BUBBLES IN HEART. CAN YOU TELL ME WHAT THESE MAY INDICATE.

HEART DISEASE IS NOT IN FAMILY HISTORY, BUTGRANDMOTHER HAD HIGH BP LATE IN LIFE. JUVENILE ONSET DIABETES IN FAMILY HISTORY AFFECTING THREE PEOPLE. TYPE TWO GRANDMOTHER.

WHATARE YOUR THOUGHTS. NOT INSURED
Tue, 16 Dec 2014
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Geriatrics Specialist,  's  Response
Based on your query, my opinion is as follows.
1. Possible gastritis with esophageal reflux. You need to take proton pump inhibitors like pantoprazole along with domperidone. If taken regularly bubbles/gas formation will be reduced.
2. Also avoid ingestion of air during meals. Take probiotics to improve gut bacteria.
3. Get a complete hemogram done along with thyroid hormone profile. Anemia and hypothyroidism needs to be ruled out.
4. Control blood sugar within normal range. Avoid episodes of hypoglycemia. Based on tests further opinion can be given.
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Suggest Treatment For Low Energy Levels In A Diabetic Person

Based on your query, my opinion is as follows. 1. Possible gastritis with esophageal reflux. You need to take proton pump inhibitors like pantoprazole along with domperidone. If taken regularly bubbles/gas formation will be reduced. 2. Also avoid ingestion of air during meals. Take probiotics to improve gut bacteria. 3. Get a complete hemogram done along with thyroid hormone profile. Anemia and hypothyroidism needs to be ruled out. 4. Control blood sugar within normal range. Avoid episodes of hypoglycemia. Based on tests further opinion can be given.