Is it caused by a gynecological disease? How to handle it wisely?

Patient's question:

I am 31 years old and have not had a menstrual period for the past few months. After a thorough examination by the hospital, it was determined that I have a juvenile uterus. Since discovering diabetes in May, I have been undergoing treatment. Recently, I have been taking Metformin and Glibenclamide, and my blood sugar level has been 7.8. However, for the past three months, I have been experiencing low-grade fever around the 20th of each month, accompanied by leg muscle pain. Today, I have started feeling feverish again.
What kind of help do I need: Hello, what could be causing this? Is it a gynecological disease or related to diabetes?

Doctor's answer:

31 years old,,diabetic,currently taking metformin and glyburide orally to control blood sugar,with blood sugar levels maintained around 7.8. Recently, fever has recurred around the 20th of each month, which may be caused by secondary infections due to high blood sugar.
Advice: It is recommended that you visit the hospital promptly for blood tests, blood sugar tests, and other relevant examinations to determine whether the fever is caused by secondary infections due to high blood sugar. If it is an inflammatory condition, timely anti-inflammatory treatment should be administered. In addition to treating gynecological conditions, it is advised that patients pay attention to their diet in daily life and maintain a positive mood to enhance their physical condition and accelerate recovery.

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