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Anxiolytics Benzodiazepines Benzodiazepines have been associated with decreased libido, anorgasmia, erectile dysfunction and inability to achieve ejaculation. Most published reports concern alprazolam. Alprazolam A series of case reports have described decreased libido in both men and women, anorgasmia in women and inhibition of ejaculation in men following short-term treatment with alprazolam. These side effects were reversed shortly after discontinuing treatment. In one study, 32 patients on alprazolam for anxiety disorders completed a questionnaire comparing their sexual function after several weeks of treatment with their pre-drug function. Fifty per cent reported decreased libido and a similar percentage described their ability to achieve orgasm as much worse than before starting the drug. Four of nine men recorded erectile difficulties, including one man...
HAEMOGLOBIN I have had diabetes for ten years and now take insulin. I have been attending the clinic regularly every three months and do regular blood glucose tests at home with my own meter. At my last clinic visit, the doctor I saw said that he did not need to see me again for a whole year because my HbA1c was consistently normal - why did he do this? It sounds as though your doctor has great confidence in your ability to control your diabetes. As long as you can keep it this way, he clearly feels that seeing you once a year is sufficient. He can then spend more time with other people who are not as successful as...
Hypoglycemia I have heard that there is an opposite to insulin called glucagon. Is this something like glucose and can it be used to bring someone round from a hypo? Glucagon is a hormone which, like insulin, is produced by the pancreas. It causes glucose to be released into the bloodstream from stores of starch in the liver. Glucagon can also be injected to bring someone round from a hypo if they are unconscious or too restless to swallow glucose. Glucagon cannot be stored in solution like insulin. It comes in a kit containing a vial with glucagon powder plus a syringe and sterile fluid for dissolving the powder. The process of dissolving the glucagon and drawing it into the...
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Hypoglycemia I have recently lost my warning signs for Hypoglycemia. Is it likely that they will return? Very tight diabetic control is known to reduce Hypoglycemia awareness. A study carried out with the help of people who had lost their warning symptoms showed that when the participants kept their blood sugar above 4 mmol/L continuously for three months, avoiding hypos altogether, they experienced partial or complete restoration of warning symptoms. Do you think that your diabetes could be too tightly controlled? If so, it may be worth discussing this with your diabetes team and reducing your dose of insulin. My father has had diabetes for 20 years. Recently he had what his doctor calls epileptic fits. Would you tell me how...
Hypoglycemia Since my wife has been started on insulin she has had funny turns. What is the cause of this? Your wife’s funny turns are likely to be due to a low blood glucose level. The medical term is hypoglycemia that most people call ‘hypo’ for short. When the blood glucose falls below a certain level (usually 3 mmol/litre), the brain is affected. Highly dependent on glucose, the brain stops working properly and begins to produce symptoms such as weakness of the legs, double or blurred vision, confusion, headache and, in severe cases, loss of consciousness and convulsions. Hypoglycemia will also trigger the production of adrenaline, a hormone responsible for causing sweating, rapid heartbeat and feelings of panic and anxiety....
Continuation of the article about diabetes and diet. DIET AND INSULIN My husband has been putting on weight since being diagnosed as having diabetes three months ago. What are the reasons for this? Most people lose weight before their diabetes is diagnosed and treated. In uncontrolled diabetes, body fat is broken down and many calories are lost as glucose in the urine. As soon as the diabetes is brought under control, the body fat stops being broken down, the calories are no longer lost and the weight loss stops. Many people, like your husband, begin to put weight back on again. If he starts to put on too much weight, your husband should discuss this with his diabetes specialist nurse...