Patient's question:
Underweight and weak, blurred visionDoctor's answer:
Hello, your current weight loss and fatigue are caused by high blood sugar. Blurred vision is a complication of diabetes with retinopathy. Currently, you are using insulin while also adding metformin, which is the main factor or cause of your weight loss. The mechanism of action of biguanide hypoglycemic drugs is to inhibit the absorption of nutrients in the intestine to lower blood sugar.Recommendations:
In terms of treatment, if you do not have abdominal obesity, using insulin can quickly stabilize your blood sugar levels without the need for additional metformin. To thoroughly evaluate your condition, it is recommended to undergo tests such as pancreatic function, receptor binding rate, hemoglobin A1c, liver and kidney function, routine eye examination, blood lipid profile, ultrasound, urinary microalbumin four times, electrocardiogram, and electromyogram. These tests can not only determine the severity of your diabetes but also clarify the extent of complications.
Your current medication regimen is not appropriate, and it is essential to adjust it promptly. In the urinalysis, BIL (bilirubin) is not diagnostically significant. However, your BLD+2 indicates potential blood in the urine, which may suggest a urinary tract infection.