Patient's question:
Before diagnosis, the main symptoms were dry mouth, bitter taste in the mouth, excessive thirst, frequent urination, blurred vision, fatigue, poor mental state, dizziness, accompanied by vomiting, palpitations, and poor appetite with no desire to eat. The onset of symptoms began on the 22nd day of the twelfth lunar month in 2009, starting with sneezing and fatigue similar to a cold. After that, the patient took over-the-counter cold medicine from a pharmacy. After taking the cold medicine for two days, symptoms of dry mouth and bitter taste in the mouth appeared. Subsequently, symptoms of excessive thirst, frequent urination, and poor appetite with no desire to eat developed. The cold medicine was then stopped, but the symptoms persisted until the 2nd day of the first lunar month in 2010. During the period from the 22nd day of the twelfth lunar month to the 2nd day of the first lunar month, the patient's poor appetite resulted in minimal consumption of rice.Doctor's answer:
Hello. Your description is very detailed. First, regarding the blood sugar issue, you mentioned that you are taking metformin combined with premixed insulin, but the dosage is not specified. Additionally, details such as the highest blood sugar value, how long you have had diabetes, your recent blood sugar control levels, medication history, and other chronic conditions are not described in detail.Second, the symptoms you described are prone to occur at night, indicating low blood sugar. This suggests that the insulin or medication dosage is not standardized.
Lastly, please provide a detailed description of the test results.
Recommendation:
A preliminary suggestion is to actively control blood sugar and regularly check fasting blood sugar, post-meal blood sugar, and HbA1c. A comprehensive approach to medication, along with dietary adjustments, can help regulate blood sugar. It is recommended to provide a detailed description.