Hi doctor, My husband has diabetes for the last 10 years. He is currently on Amaryl M1. He is living a sedentary lifestyle. For the past few months, the sugar level is always high despite the medication. The fasting blood sugar value was around 169, a week back. His other tests like triglycerides, vitamin D, vitamin B12, etc., were also affected now. His major symptoms are tiredness, unable to do heavy work, frequent half-side headache (back side) mostly when the food time is upset, high BP (140/90), loss of memory, bones seem to be shrunk a bit, short temper, and irritability. Herewith I am attaching his latest blood reports. Kindly check and guide us the treatment plan so that we can treat the root cause. His mother and brother also have diabetes.
Hi. I went through your post and investigations (attachment removed to protect patient identity). I would suggest a stepwise approach. Regards. For further queries consult an internal medicine physician online -->