I feel little pain in chest, then pain moves back since, then to shoulder and then in arm (left). Physician says it is due to irritating bowel and side affects of diabetic drugs. Kindly advise in the matter pl. My self is presently on insulin 35 units each in morning and evening and istamet 50/1000gm in lunch, ecosprin 75/20gm in evening and thyronorm 50 mcg before breakfast. My bfs, pp is fluctuating from 140 to 200 bfs and 160 to 330 pp or random by glucometer method (accucheck meter). diabetic from april 2012, weight 78 kgs, height 5'-5" non smoker. No other medical history. Parents also diabetic type 2 kindly enlighten.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

Ask Free Question

Hello, thanks for the query. I have seen the details given including the description about chest pain. Following are my observations: 1) your glucose control is too bad. Fbg should be closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.5%. (age is not mentioned, so difficult to comment on hba1c% (not mentioned. 2) no details or any information about dietary pattern, extent of daily exercise, both these are very important in blood glucose control. 3) weight is too high. Your ideal weight should be 63 kgs (if you are < 60 years & if above that then it should be still lower). Current bmi (body mass index) is 28.65 kgs/sq meter (normal < 23 kgs/sq meter). That needs to be taken care.) 4) not mentioned tsh level so no idea if hypothyroidism is controlled or not. 5) as regards the pain it is better to consult a cardiologist and necessary to get either ecg or even echo cardiogram. Thanks.  

1 person found this helpful

Dear sir, first of all we need to take an ecg strict diabetic control is needed to obtain that with such fluctuations we need hba1c levels, weight reduction should be done. Tft should be done. Based on this reports we should make changes in your drugs. Get well soon.  

0 person found this helpful