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Thyroid (Expert Forum)
EMG ordered for leg pain for type 2 diabetic patient
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
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EMG ordered for leg pain for type 2 diabetic patient
by whtrabt, Sep 23, 2005 12:00AM
I have been diagnosed type 2 diabetic for about 20 years, insulin dependent for last 5. Recently I changed primary physicians when I moved to FL and discovered that my blood sugar levels have not been as well controlled by my former doctor as they should have been. Now they are well controlled with combination of Novolin N and glucophage I also take accupril for hypertension daily. I have severe pain in my legs, numbness in my toes and feet and aching in my knees and hips. The pain is present when I rest as well as when I exercise. I had an arterial Doppler study and an MRA before being referred to vascular surgeon who advised me that he did not feel surgery was a good option at this time. My primary physician has now referred me to the Mayo Clinic and, after my first visit when they examined the results of my Doppler and MRA they want to do an EMG. What kinds of neurological disorders can cause the symptoms I am experiencing and is it wise to look at neurological causes for my symptoms? Since I am a novice at all of this, I would appreciate any advice I can receive as to what kinds of other questions I should ask the doctors. It is a long trip to the Clinic and I want to make the best use of the time I am spending there and come back with the best answers I can get. Thanks!
Doctor's Answer
by Mark Lupo, M.D., Sep 24, 2005 12:00AM
, Sep 24, 2005 12:00AM
Member Comments (4)
by tnt406, Sep 23, 2005 12:00AM
To: I KNOW I'M NOT SUPPOSE TO DO THIS BUT I NEED YOUR
DR.MARK I GOT MY BLOOD TEST RESULTS BACK TODAY.I JUST NEED TO KNOW IF,THEY ARE SHOWING ANY THING THIS TIME.HERE THEY ARE AS FOLLOWS:T4 REF RANGE 4.50-12.00 RESULT 5.99 TU3 REF RANGE 30.00-40.00 RESULT 40.48[H] TSH REF RANGE 0.460-4.060 RESULT 0.703.LAST TSH LEVEL WAS 1.063.CAN YOU PLEASE GIVE ME AN ANSWER,I PROMISE NOT TO BOTHER YOU NO MORE.THANKS TNT406.
by tnt406, Sep 23, 2005 12:00AM
To: HELP DR.MARK
SORRY DIDN'T KNOW I RAN OUT OF ROOM.TNT406.
by Mark Lupo, M.D., Sep 24, 2005 12:00AM
, Sep 24, 2005 12:00AMTo: tnt406
Your labs sound fairly normal. The T4 is in the lower end of normal and along with the T3U (not a lab I use that often) being a little high suggests a trend towards hypothyroid -- but the TSH is perfect. I know you have had lots of tests recently -- if you are on synthroid (or levothyroxine or levoxyl) -- it may be worthwhile waiting 4 weeks and rechecking TSH, free T4 and free T3 to see if there is a trend developing the means you need a higher dose.
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