I currently Experience Diabetes since Feb 2002 | Diabetic Neuropathy after Back Surgery| Burning of Feet | Tingling in Feet

 

| Peripheral Neuropathy  |  Cervical Spine Issues date 1980  |  Demyelinating Disorders  |

 

Diagnosed with Arrythmia 14 Oct 2019  |  EchoCardiography 15 Nov 2019 - CAD Test - Past ECG (EKG) 14 Oct 2019 

Update Pacemaker Implanted 17 Dec 2019 at the University of Utah - 2nd Pacemaker Implanted 30 Nov 2021 at Saint Alphonsus, Idaho

 

U-of-U Preventive Care Overdue as of 20 Nov 2019

 

Prostate (12 Biopsies 3 Feb 2014 & 1st T.U.R.P. Surgery 15 Dec 2016 Salt Lake, UT) | Elevated PSA Count  | 

 

Colonoscopy 12 Dec 2016  |  2nd T.U.R.P. Surgery 5 Jan 2023 Nampa, ID

 

All Pills I Took  19 Oct 2019  |  Sciatica has its nerve  |  Autonomic Nervous System  | 

My Neuropathic Pain  |  My AARP Medicare  | My Doctors  |  Health Links

 

My Medical Staff  (7 Doctors) while I lived in Utah...since I moving to Oregon Jul 2021, I acquired several new doctors, then my move home to California Sep 2024, I now have a new set of Veteran Doctors

 

** My Clinical Summary ** as an illustration of this web author D.R. "Doc" Young

22 Dec 2016  Diagnoses Include
.
ICD-10 Code I10 - Essential (primary) hypertension (abnormally high blood pressure)
ICD-10 Code E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
ICD-10 Code  E78.2 - Mixed hyperlipidemia (an abnormally high concentration of fats or lipids in the blood)
ICD-10 Code R97.20 - Elevated PSA
ICD-10 Code R80.9 - Microalbuminuria (moderate increase level of urine albumin, a healthy kidney does not let albumin pass into the urine. A damaged kidney lets some albumin pass into the urine)

 

ICD-10 Code is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO).  It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. Work on ICD-10 began in 1983.

.

the following updated 20 Sep 2017

Diagnosis

Description

Diabetes Mellitus-NIDDM

Diabetes mellitus type 2 (formerly non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes) is a metabolic disorder that is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency.



Chest Pain Precordial

the precordium is the portion of the body over the heart and lower chest.  Precordial chest pain can be an indication of a variety of illnesses, including costochondritis and viral pericarditis



Coronary Atherosclerosis of Native Coronary Artery

Coronary atherosclerosis is a condition in which the arteries of the heart become clogged with fatty plaque build-up that restricts the amount of blood flow through the arteries while simultaneously causing hardening of the arterial walls.

Native Coronary Artery is an organ for which a transplant or bypass has been implanted



Reflux Espohagitis

Inflammation of the lower esophagus from regurgitation of acid gastric contents, characterized by substernal pain and usually due to malfunction of the lower esophageal sphincter. Also called peptic esophagitis.



Osteoarthrosis,

Unspecified Whether

Generalized or Localized

Osteoarthritis is the most common joint disorder. Loss of cartilage and overgrowth of bone within the affected joint can lead to pain and joint deformity.



PTCA - Left Anterior Descending

Coronary Artery with Intracoronary Stenting

Percutaneous Coronary Angioplasty -  intracoronary stents into the Left Anterior



Degeneration of Limbar or Lumbosacral Intervertebral Disc

Degeneration of a lumbar disc describes a gradual loss of the cushioning properties of the semi-rigid structure (intervertebral disc) that separates and cushions the bony column (vertebrae) in the lumbar spine.



CAD

Coronary Artery Disease



Arrhythmia-pvc's (symptomatic)

Arrhythmias can be life-threatening if they

cause a severe decrease in the pumping

function of the heart.
 

PVCs = Premature Ventricular Contraction are among the most common arrhythmias and occur in people with and without heart disease - This is the skipped heartbeat we all occasionally experience. In some people, it can be related to stress, too much caffeine or nicotine, or too much exercise.

 

But sometimes, PVCs can be caused by heart disease or electrolyte imbalance.   Symptomatic = having the characteristics of a particular disease but arising from another cause



Arrhythmia-pacs

PACs = Premature supraventricular contraction or premature atrial contraction



Palpitations

an abnormality of heartbeat that ranges from often unnoticed skipped beats or accelerated heart-rate to very noticeable changes accompanied by dizziness or difficulty breathing.  Heart palpitations can be symptoms of illnesses such as coronary heart disease, asthma, emphysema.



   
Sinus rhythm with 1st degree A-V block - 13 Jul 2016 ECG (an electrocardiogram (EKG or ECG)

First-degree atrioventricular block (AV block), or PR prolongation, is a disease of the electrical conduction system of the heart in which the PR interval is lengthened beyond 0.20 seconds

First-degree heart block rarely causes symptoms or problems. Well-trained athletes may have first-degree heart block. Medications can also cause this condition.
   

 

 

Lumbago

a painful condition of the lower back, as one resulting from muscle strain or a slipped disk



Benign Essential Hypertension

High blood pressure (hypertension) occurs when smaller blood vessels (arterioles) become narrowed, causing blood to exert excessive pressure against the blood vessel walls and making the heart work harder. Although blood pressure varies during the day and frequently increases as a normal response to stress and physical activity, an individual with hypertension has high blood pressure even at rest.  

 

Several genetic and environmental or lifestyle factors increase the risk of benign hypertension, including obesity, high dietary salt (sodium) intake, tobacco use, high-fat diet, excessive use of alcohol, stressful lifestyle, and lack of exercise.

 

Benign hypertension also maybe inherited; specific genetic risk factors include abnormalities in angiotensin-renin genes and inherited abnormalities of the sympathetic nervous system controlling heart rate, blood pressure, and blood vessel diameter.   Diabetes and kidney disease also increase the risk of hypertension - Essential hypertension that runs a relatively long and symptomless course. 



Mixed Hyperlipidemia

Hyperlipidemia (also called multiple lipoprotein-type hyperlipidemia) is a genetic disorder in which a combination of high cholesterol and high triglycerides is inherited and passed down from family members.

 

This is one of the most common contributors to early heart attacks. The condition may be worsened by other disorders, like hypothyroidism, diabetes and alcoholism.



Umbilical Hernia

Umbilical hernia repair is surgery to repair an umbilical hernia.  An umbilical hernia is a sac (pouch) formed from the inner lining of your belly (abdominal cavity) that pushes through a hole in the abdominal wall at the belly button.


X-Ray Cervical Spine 3 views 11 Sep 2017 - aka Joints of Luschka FINDINGS: Severe multilevel cervical disc degeneration with multiple levels of degenerative listhesis. Severe facet and uncovertebral osteoarthropathy throughout the cervical spine, left greater than right.  No prevertebral soft tissue thickening.  No vertebral body height loss. Decreased bone mineral density. 

Uncovertebral: joint osteophytes, or bone spurs, are small bone growths that develop in the cervical spine (neck) due to the natural weakening of the spine over time.

Osteoarthropathy: disease of the joints and bones

Degenerative Listhesis: Spondylolisthesis derives from two parts: spondylo which means spine, and listhesis which means slippage. So, a spondylolisthesis is a forward slip of one vertebra (ie, one of the 33 bones of the spinal column) relative to another

 

What Causes Diabetes?

 

Causes of Type 1 Diabetes

 

In type 1 diabetes, the body no longer makes insulin because the body's own immune system has attacked and destroyed the cells where insulin is made.  The cause of this isn't entirely clear but it may include genetic risk factors and environmental factors.  One theory is that type 1 diabetes may occur after having a specific virus.

People with type 1 diabetes must take insulin every day to live.  There is no known way to prevent or cure type 1 diabetes, but it can be controlled by keeping blood glucose (sugar) levels within a normal range.

Causes of Type 2 Diabetes

 

Type 2 diabetes is the most common form of diabetes.  In type 2 diabetes, the body either doesn't make enough insulin or can't use its own insulin as well as it should.  The risk of having type 2 diabetes increases as a person gets older.

The cause of type 2 diabetes is largely unknown, but genetics and lifestyle clearly play roles.  Type 2 diabetes has been linked to obesity, genetic risk factors, and inactivity.  Some racial and ethnic groups are at higher risk for type 2 diabetes.  These include American Indians, African Americans, Hispanics/Latinos, Asian Americans and Pacific Islanders.

 

There is no known way to cure type 2 diabetes, but it can be controlled by keeping the level of glucose (sugar) in the blood within a normal range.

 

Low blood sugar levels are called Hypoglycemia

 

Elevated blood sugars are called Hyperglycemia

Diabetes and Normal Blood Sugar Levels  mg/dl = Milligrams per Deciliter

 

At present, the diagnosis of diabetes or pre-diabetes is based in an arbitrary cut-off point for a normal blood sugar level. A normal sugar level is currently considered to be less than 100 mg/dL when fasting and less than 140 mg/dL two hours after eating. But in most healthy people, sugar levels are even lower.

During the day, blood glucose levels tend to be at their lowest just before meals.  For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL.  In some, 60 is normal;  in others, 90.  Again, anything less than 100 mg/dL while fasting is considered normal by today's standards.

 

What's a low sugar level?

 

It varies widely, too.  Many people's sugar levels won't ever fall below 60 mg/dL, even with prolonged fasting.  When you diet or fast, the liver keeps sugar levels normal by turning fat and muscle into sugar.  A few people's sugar levels may fall somewhat lower.  Without taking diabetes medicine, though, or having uncommon medical problems, it's difficult to drop sugar levels to an unsafe point

 

Diabetic Neuropathy is the nerve damage in diabetics.  (audio 1 & audio 2 explanation)  See My Neuropathic Pain

 

People with diabetes can, over time, develop nerve damage throughout the body. Some people with nerve damage have no symptoms. Others may have symptoms such as pain, tingling, or numbness-loss of feeling-in the hands, arms, feet, and legs. Nerve problems can occur in every organ system, including the digestive tract, heart, and sex organs.

 

About 60 to 70 percent of people with diabetes have some form of neuropathy. People with diabetes can develop nerve problems at any time, but risk rises with age and longer duration of diabetes. The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathies also appear to be more common in people who have problems controlling their blood glucose, also called blood sugar, as well as those with high levels of blood fat and blood pressure and those who are overweight.

 

Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Diabetic peripheral neuropathy involves the presence of symptoms or signs of peripheral nerve dysfunction in people with diabetes after other possible causes have been excluded.

 

I am affected by Polyneuropathy (poly- + neuro- + -pathy) is damage or disease affecting peripheral nerves (peripheral neuropathy) in roughly the same areas on both sides of the body, featuring weakness, numbness, and burning pain.

 

 

 Burning of Feet (audio explanation) - The only way to know if it's diabetes or anything else is to see a doctor and have some blood work done.

 

You could be low on iron, or any number of ailments.

 

Burning sensation in the extremities (e.g. feet, hands, other parts) could be diabetic neuropathy, which gets worse if left untreated. MUCH worse.

 

Don't worry, even if you had diabetes, all hope is not lost. Most times, it's diet & exercise, and perhaps some meds.

 

If you do have neuropathy, start keeping blood sugars as normal as possible, and take Alpha lipoic acid supplements.

 

Tingling of Feet - (audio 1 & audio 2 explanation) Swelling and numbness/tingling in the bottoms of my feet - Usually tangling [numbing] of any of the body parts is because of low blood circulation.  Notice that whenever they are tingling or feel like pinching, you must be sitting/standing in a position that is putting pressure on that part...which essentially is blocking your blood circulation.  As long as you are not feeling numb in areas where you are not pressurizing yourself, you are good to go and no need to worry about.

 

Numbness in hands/palms or feet is very common.  If you start feeling numb in your stomach, visit your doctor

 

The most effective and common way to prevent or reduce it is to keep on changing your position every few minutes all you have to do is move the body part where you are pressurizing yourself for a few seconds and go back tot he same position again.. [i.e., just move your feet if you are standing or sitting, or hands if you are lying down]

 

Vitamin deficiencies. Vitamins E, B1, B6, B12, and niacin are essential for healthy nerve function.  A B12 deficiency, for example, can lead to pernicious anemia, an important cause of peripheral neuropathy. But too much B6 also can cause tingling in the hands and feet.

Enlarged Prostate Symptoms and Causes - Elevated PSA Count (Prostate-Specific Antigen)

 

In men, urine flows from the bladder through the urethra. BPH is a benign (non-cancerous) enlargement of the prostate that blocks the flow of urine through the urethra. The prostate cells gradually multiply, creating an enlargement that puts pressure on the urethra -- the "chute" through which urine and semen exit the body.

As the urethra narrows, the bladder has to contract more forcefully to push urine through the body.

 

Over time, the bladder muscle may gradually become stronger, thicker, and overly sensitive; it begins to contract even when it contains small amounts of urine, causing a need to urinate frequently. Eventually, the bladder muscle cannot overcome the effect of the narrowed urethra so urine remains in the bladder and it is not completely emptied.

Symptoms of enlarged prostate can include:

  • A weak or slow urinary stream

  • A feeling of incomplete bladder emptying

  • Difficulty starting urination

  • Frequent urination

  • Urgency to urinate

  • Getting up frequently at night to urinate

  • A urinary stream that starts and stops

  • Straining to urinate

  • Continued dribbling of urine

  • Returning to urinate again minutes after finishing

When the bladder does not empty completely, you become at risk for developing urinary tract infections. Other serious problems can also develop over time, including bladder stones, blood in the urine, incontinence, and acute urinary retention (an inability to urinate). A sudden and complete inability to urinate is a medical emergency; you should see your doctor immediately. In rare cases, bladder and/or kidney damage can develop from BPH.

 

Benign prostatic hyperplasia (BPH) is an enlarged prostate gland . The prostate gland surrounds the urethra, the tube that carries urine from the bladder out of the body. As the prostate gets bigger, it may squeeze or partly block the urethra. This often causes problems with urinating.  12-30 Dec 2015 TURP Surgery & Gall Bladder removed

BPH (Enlarged Prostate) Causes, Symptoms, Treatments, and More

 

TURP Surgery - Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra).

 

 

as of 21 Dec 2019

Day and Night

22 Dec 2019

Discontinued > Lantus Solostar INJ as of Jan 2019  | Lisinopril 20MG as of 2019  |  Nifedipine 30MG replaced by Losartan 25MG

  In place of Lantus is Tresiba

Fenofibrate increased to 150mg - Sep 2019 |  added is Spironolactone 50mg - 2019  |  added Eliquis (apixaban) 5MG - 14 Oct 2019

 

Below the Old Daily Dose Night & Day

Metformin: or known as Glucophage: Used with diet and exercise to control blood sugar in patients with type 2 diabetes. May be used alone or with other medicines.

May treat: Type 2 diabetes mellitus

 

May prevent: ??

Metoprolol: treats high blood pressure and angina (chest pain), and lowers the risk of repeated heart attacks. It is also used to treat heart failure. This medicine is a beta-blocker.

May treat: High blood pressure, Heart attack, Angina, Atrial fibrillation, Supraventricular tachycardia, Ventricular tachycardia, Atrial flutter, Ventricular fibrillation

 

May prevent: ?? 

Fenofibrate: generic for Tricor...treats high cholesterol and triglycerides, together with a proper diet.

May treat: High blood cholesterol level, High triglycerides, Hyperlipoproteinemias

 

May prevent: Coronary artery disease

Spironolactone: is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low.

Spironolactone is used to treat heart failure, high blood pressure (hypertension), or hypokalemia (low potassium levels in the blood).

Spironolactone also treats fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or a kidney disorder called nephrotic syndrome.

Spironolactone is also used to diagnose or treat a condition in which you have too much aldosterone in your body. Aldosterone is a hormone produced by your adrenal glands to help regulate the salt and water balance in your body.

Eliquis (apixaban): blocks the activity of certain clotting substances in the blood.

Eliquis is used to lower the risk of stroke or a blood clot in people with a heart rhythm disorder called atrial fibrillation.

Eliquis is also used to lower the risk of forming a blood clot in the legs and lungs of people who have just had hip or knee replacement surgery.

Eliquis is used to treat blood clots in the veins of your legs (deep vein thrombosis) or lungs (pulmonary embolism), and lower the risk of them occurring again.

discontinued for my use 2019

 

Lisinopril: treats high blood pressure and heart failure.  A lower blood pressure will reduce the risk of stroke and heart attack. Also used in the first few days after a heart attack to help reduce the risk of death.  This medicine is an angiotensin-converting enzyme (ACE) inhibitor.

May treat: High blood pressure, Heart failure

May prevent: Diabetic nephropathy, Left ventricular hypertrophy, Left Ventricular Systolic Dysfunction

Simvastatin: treats high cholesterol and triglyceride levels in the blood. Lowers risk of heart attack, stroke, and certain blood vessel problems in people with certain risk factors. This medicine is an HMG-CoA reductase inhibitor, also called a statin
 

May treat: High blood cholesterol level, High triglycerides, Hyperlipoproteinemias

 

May prevent: Coronary artery disease

replaced for my use with Tresiba

Lantus: treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of insulin usually works longer than regular insulin.

May treat: Type 2 diabetes mellitus, Type 1 diabetes mellitus, High blood sugar level

May Prevent: ??

decreased for my use from 1x 32MG to Low Dose 81MG - 2019

Aspirin: treats pain, fever, arthritis, and inflammation. It may also be used to reduce the risk of heart attack.

May treat: Pain, Inflammation, Stroke, Fever, Gout, Rheumatoid arthritis, Osteoarthritis, Rheumatic fever

replaced for my use by Losartan 100 25MG

Nifedipine is in a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels.

Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain).

 

No longer taking - Tamsulosin: treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). This medicine is an alpha-blocker.

May treat: Benign prostatic hyperplasia, Hyperplasia of prostate

May prevent: ??

 

My Doctors - I Currently see Dr. Ilbys Colombowala Cardiologist and  Dr. Kurt Kracaw Primary Care Physician

 

Since September 30, 2021 - the Following were my Doctors

Health Links

 

Dr. Ronak Iqbal - Internal Medicine - West Valley, UT - video

 

 

Granger Medical

Dr. Michael Adjei-Poku - Heart - West Jordan, UT - video

 

 

Dr. Justin Parkinson - Urology - West Jordan, UT - video

 

 

Adrienne Sirstins Terry PA-C - Endocrinologist - WVC

 

Dr. Curtis S. Smith DDS, DMD - Pioneer Valley Dental Inc  West Valley, UT


 

Dr. Michael F. Pingree - Ophthalmology - West Valley, UT - video

 

 

 

 

My Neuropathic Pain is caused by

Nerve or spinal cord compression from herniated discs or from arthritis in the spine
Spine surgery
Diabetes


Symptoms of Neuropathic Pain

Shooting and burning pain
Tingling and numbness

Diagnosing Neuropathic Pain

To diagnose neuropathic pain, a doctor will conduct an interview and physical exam. He or she may ask questions about how you would describe your pain, when the pain occurs, or whether anything specific triggers the pain. The doctor will also ask about your risk factors for neuropathic pain and may also request both blood and nerve tests.

Neuropathic Pain Treatment

Anticonvulsant and antidepressant drugs are often the first line of treatment. Some neuropathic pain studies suggest the use of non-steroidal anti-inflammatory drugs (NSAIDs), such as Aleve or Motrin, may ease pain. Some people may require a stronger painkiller. Be sure to discuss the pros and cons of the medicine you take with your doctor.

If another condition, such as diabetes, is involved, better management of that disorder may alleviate the pain. Effective management of the condition can also help prevent further nerve damage.

In cases that are difficult to treat, a pain specialist may use an invasive or implantable device to effectively manage the pain. Electrical stimulation of the nerves involved in neuropathic pain may significantly control the pain symptoms

12 LEAD ECG (EKG) - Details  15 Nov 2019
Component Your Value Standard Range Flag
Ventricular Rate Your Value 57BPM Standard RangeBPM  
Atrial Rate Your Value 99BPM Standard RangeBPM  
QRS Duration Your Value 88ms Standard Rangems  
Q-T Interval Your Value 418ms Standard Rangems  
QTC Calculation (Bezet) Your Value 406ms Standard Rangems  
Calculated R Axis Your Value 16degrees Standard Rangedegrees  
Calculated T Axis Your Value 54degrees Standard Rangedegrees  
Diagnosis Your ValueSinus rhythm with 2nd degree A-V block (Mobitz I)
Nonspecific ST abnormality
Abnormal ECG
When compared with ECG of 14-OCT-2019 09:19,
Sinus rhythm has replaced Atrial fibrillation
Criteria for Septal infarct are no longer Present
Confirmed by Doctorl (70) on 11/18/2019 12:11:45 AM Ordered by Chris
 

 

CAD Test - Coronary Artery Disease Test - 14 Oct 2019

 

12 LEAD ECG (EKG) - Past Results 13 Jul 2016 - 14 Oct 2019 and 15 Nov 2019

 

END OF PAGE   END OF PAGE  END OF PAGE