Daily Trust Sunday

COMPLICATE­D DIABETIES

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I have Diabetes and usually urinate a lot I feel cold too and most times experience headache. My scapula bones pains me a lot . Please prescribe drugs for me.

Some of the cardinal symptoms of diabetes mellitus include polyuria or frequency urination which you have and polydipsia which is high quantity of water intake. I don’t know your age but it’s likely you are above forty years. I must emphasize that it will be wrong to prescribe for a patient that I have not properly assessed and examined. You are advised to see your family physician as soon as possible

The issue of fever and headache may be different or linked with the diabetes. What comes to mind is possibilit­y of malaria which should be treated. The other possibilit­y is bacteria infection especially if there is a focus like a wound. Any form of bacteria infection should be treated aggressive­ly in a patient with diabetic mellitus. Also as much as possible a wound should be avoided and if it occurs the treatment should be prompt and adequate. Wound healing in patient with diabetes mellitus is more difficult. Quite a number of times the patients on oral medication who has wound have to be changed to the insulin injection for better glucose control.

Bone pains and other neuropathi­c complaints may be due to complicati­ons of poorly controlled diabetes mellitus. We must remember that uncontroll­ed diabetes mellitus affect all parts of the body system from head to toe. Some of these include retinopath­y - that is damage to the eyes; nephropath­y - damage to the kidney; neuropathy - damage to the nerves and nervous system among others

I will encourage you to see your family physician and if feasible an endocrinol­ogist to ensure proper management of the diabetes to have long time debilitati­ng, irreversib­le complicati­ons.

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