Talk to Internal Medicine on Hypoglycemia
Asking For Self, Female 32, morekhunda
AVR surgery done 3 months before.... taking warfarin loprin spiromid... now suffering from hypoglycemia
Prof. Dr. Amir Khan - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Mardan
Normally hypoglycaemia is very rare please check it again and send me the result then I will advise
Patient
Post Owner
I am staff nurse and this is the sugar chart record of 1 week....
HBA1c was 5.7 then 5.2
Dr. Shazmi Khan - Internal Medicine Specialist
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore
It is a side effect of warfarin. Were you on any oral hypoglycemic agent before AVR?
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore | Book Appointment
Any tests for anemia? Or iron panel done?
1 month ago
Patient
Post Owner
I am 32 and mother of two boys..
last cesarean section was 5years ago after that menstrual cycle was regular
1 month ago
Dr. Shazmi Khan - Internal Medicine Specialist
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore
What are Cortisol and TSH results? Stress can cause amenorrhea, however there might be a possible cause in pituitary.
Dr. Shazmi Khan - Internal Medicine Specialist
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore
So hydrocortisone was started when investigation for low BP was completed? This is the cause of both hypoglycemia and amenorrhea. In 1931 experiments on dogs had cured their diabetes by suppressing through cortisol .
Patient
Post Owner
mam I was on steroids delta 4mg tds for almost 2 months and taper off..
4 months before
1 month ago
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore | Book Appointment
It takes 6 months for pituitary to recover and sometimes longer.
1 month ago
Dr. Shazmi Khan - Internal Medicine Specialist
MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore
Would you share your history that ended up in aortic valve replacement?
Dr. Azeem - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Chakwal
Can you post your 2D echo and reason for avr ???
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