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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Uncontrolled Diabetes

Hello Doctor, Hope you are keeping well, I am based in Dar es Salaam , Tanzania. I have a brother of age 24 years, who is suffering from Diabetes, for the past 16 years and he is under mixtard Insulin, He is injecting himself 2 times a day, morning 24 units and evening 18 units, he has been injecting as mentioned above for the past 16 years. He has gone into comma 3 times, and has recovered successfully. Recently 3 months back he has been suffering from neuropathy infection and his kidneys have started producing protein, we have consultated 4-5 doctors here in Dar es Salaam, but it has not worked out. He has pain in his left leg and the leg is getting thinner and thinner, he is unable to walk as well. He has been controlling his sugar as well but doesnt seem to work out as well. We are now planning to visit India, for his further treatment, we got your contact through the website, Can you assist us in this and give us ur estimated cost. Looking forward for your kind assistance regarding this matter. Incase you need any further information please do not hesitate to contace me on this number +0000. Thanking you in advance.
Mon, 22 Dec 2014
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Diabetologist,  's  Response
Dear friend, greetings from HCM.. I understand your concern .. The whole problem is that .. The sugar levels are poorly controlled .. Hence due to high glucose levels he is all end organ impact at the early age itself .. You also told that he was admitted because of coma .. That too three times .. That is really not good sign of diabetic management... You need to evaluate him thoroughly first.. Get his fasting glucose, HbA1c, lipid profile , 24 hour urinary proteins and thyroid profile .,.that gives an idea what could be the problem .. And what should be done .. Kindly take care of his diet and exercise.. Ask him to take more of green leafy vegetables, oats, milets, and whole grains .. Divide the meals into 3/4 small parts when ever he is hungry ... He can take little of fish .. Avoid carbohydrates.. He need to have some physical activities.. Even at home no problem .. Take care and do contact us with the report ....
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Suggest Treatment For Uncontrolled Diabetes

Dear friend, greetings from HCM.. I understand your concern .. The whole problem is that .. The sugar levels are poorly controlled .. Hence due to high glucose levels he is all end organ impact at the early age itself .. You also told that he was admitted because of coma .. That too three times .. That is really not good sign of diabetic management... You need to evaluate him thoroughly first.. Get his fasting glucose, HbA1c, lipid profile , 24 hour urinary proteins and thyroid profile .,.that gives an idea what could be the problem .. And what should be done .. Kindly take care of his diet and exercise.. Ask him to take more of green leafy vegetables, oats, milets, and whole grains .. Divide the meals into 3/4 small parts when ever he is hungry ... He can take little of fish .. Avoid carbohydrates.. He need to have some physical activities.. Even at home no problem .. Take care and do contact us with the report ....