Hello Doctors, respect and thanks in advance for commenting on my query, I am sure I will get an ?expert? advise eventually. Well, my mother is 58 years old weighing 62 kgs. She is a diabetic (no insulin injection) and her sugar reports are as follows:- Plasma Glucose (F) ? 124 and Plasma Glucose (P.P) ? 201 mg/dl. She is also a heart patient, she gets tired (haapti hain aur paseena aataa hain) after walking for 1-2 kilometres and we are visiting a cardiologist every 3 months from last 12 years. Her current HEART medicines are Valent 40, Tide 5 Mg, Tide 10 mg, xplode tab, Asomex 2.5 mg, tonact 10 mg, Glycomet 250 mg and rivotril 0.5 mg. As per recent 2D echo test, her heart?s efficiency is 35%. Our regular cardiologist says, she has to take these medicines for lifelong with no option. My mom is scared of Angiography and says she don?t want to take chances with her life with this test due to her fear. Our reason to worry these days is different, she is getting tingling, tickling or prickling sensation experienced in her hands at regular intervals from last 10-12 days, I believe medical term is ?Paresthesia?. I am tensed and I really want to take preventive measures for my mom due to this unusual and regular sensation. Simultaneously I also want to get her treated ?permanently? from this heart disease. Can all experts please comment, firstly on ?Paresthesia? and then on permanent freedom from this heart medicines / disease? Which type of tests I should do first (full body check up) or which type of doctor shall I see on priority, if required?
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Mr. lybrate-user, Thanks for the query. I have read the details and understand your concern. She is on mainly on two anthypertensive drugs and a diuretic to reduce her blood pressure. (Valent, Tide and Asomex). Those have to be continued as as she may be having high BP. There is no cardiac specific drug. Xplode tab is kind of a general tonic and some aphrodesiac activity because of ginseng. Which more of a claim. Its other benefits are again not really substantiated. How is her blood glucose controlled? In a person with well controlled diabetes fasting should be <100 mg, PP 150 to 160 mg and HbA1c%<6.8. If she is in this range then it is good. As regards getting angieography done. If the cardiologist has advised it, then she should under go that procedure. It is a very simple procedure. There is no danger in it. It will give a clear idea of her coronary vessels (blood vessels supplying the heart). There is no other method by which those blood vessels fuction can be visualised. By refusing to under go that procedure she is putting herself to a greater danger, than the procedure itself. So my advise is she should under go it. Secondly all the drugs she is taking (except Xplode) need to be continued for life time or as long as doctor tells her. If her blood glucose is not well controlled that has a negative effect on the heart. So that treatment also has to be looked at. Thanks.
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