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I have diabetes (IDDM) and had an elevated BUN when blood ...

Sent to Health Experts March 02, 2007 8:31 a.m.

I have diabetes (IDDM) and had an elevated BUN when blood work and done last month. Last night I had leg cramps that kept me up most of the night. I took quinine which my PCP had given me. Also, I haven't been able to reach my PCP in the last month. What chould I do?

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Female , Age: 60

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quinine caps

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Answer
March 02, 2007 8:53 a.m. (21 minutes and 55 seconds later)

REPLIED

Hi,
The symptoms you are describing indicate that you are having nocturnal leg cramps. These can occur in patients of diabetes. Your PCP gave you the right medicine i.e. quinine. But if that is not helping then maybe you need to be put on muscle relaxants (such as methocarbamol or cyclobenzaprine), or other medicines like Verapamil,Gabapentin. But for this you need to get a prescription from your PCP. But in the meantime at home you can try a few measures-
* Stretching and regular exercise
* Drinking more fluids before and after exercise
* Applying heat to the muscles that have been cramping before bed
* Wearing better footwear, such as shoes or inserts with arch support
Also taking vitamin E and Calcium supplements also help in reducing nocturnal leg cramps.

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Answer
March 02, 2007 8:58 a.m. (4 minutes and 58 seconds later)

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Gaurav Gupta -- Doctor (MD) -- 98% Positive Feedback on 4602 Health Accepts
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Reply to Gaurav Gupta
Sent March 02, 2007 9:21 a.m. (22 minutes and 53 seconds later)

Could this be kidney disease?

Customer (name blocked for privacy)

Answer
March 02, 2007 10:16 a.m. (55 minutes and 31 seconds later)

ACCEPTED

An elevated BUN definitely indicates a diabetic nephropathy i.e. the kidney functions are definitely compromised. You need to consult your PCP or an Endocrinologist for further investigations and treatment.
The nocturnal leg cramps were not due to deranged kidney function. They are due to diabetes.

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Dr. Gupta

Gaurav Gupta -- Doctor (MD) -- 98% Positive Feedback on 4602 Health Accepts
Physician, online medical researcher, & will try to listen and understand you

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