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Dr. Brims
Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 9616
Experience:  U.S. Licensed Physician, general surgery and internal medicine experience
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I am 66 years old, diabetic taking Metformin 1000 mg 2x/day,

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I am 66 years old, diabetic taking Metformin 1000 mg 2x/day, Glyburide 5 mg 1x/day and Lisinopril 10 mg 1x/day. Also, 1x/day, I take calcium 1000 mg, potassium gluconate 595 mg, ranitidine 150 mg and One-A-Day multivitamin supplement. I get painful cramps at night. Usually my left leg, if I get a cramp in front of the leg and stretch it - with a curling toe - I get the beginnings of a cramp in the calf. Placing my left leg under the chair while sitting can start a hamstring cramp. What's going on?
Dr Brims :

Hello, welcome to the site! My name is***** and I will try to assist you with your medical question, and any medical information you seek

Dr Brims :

I am sorry to hear about this

Dr Brims :

When did this start?

Customer:

some years ago...

Dr Brims :

Have you had any tests/

Dr Brims :

test?

Customer:

Not specific to cramps...

Dr Brims :

When was the last time you had a blood test?

Customer:

one month ago

Customer:

all was normal

Dr Brims :

What tests did you have?

Customer:

cholesterol below 60

Customer:

comparison of blood flow arms to legs

Dr Brims :

Did you have your serum electrolytes examined?

Customer:

don't know exactly... but I know that the electrolytes were normal

Dr Brims :

And the blood flow?

Customer:

I was not told there was a problem, so I assume it was OK

Dr Brims :

Okay, then this may be from nerve irritation, causing muscular spasms or contractions

Dr Brims :

Abnormal serum Magnesium, Calcium or potassium may cause this, so you should have them checked

Dr Brims :

They are not routinely checked with blood tests, so you did not likely have them done

Customer:

OK... but how do I irritate the nerves? I wake up, automatically stretch and feel the beginnings of a cramp.

Dr Brims :

It could also be neuropathy that is caused by diabetes

Dr Brims :

it may improve with the use of a drug called neurontin

Customer:

OK. I'm having another blood test in 3 months. I will ask my Dr. to ask for abnormal Mag, Calcium or potassium. Also will discuss neurontin

Dr Brims :

That is the best course of action

Customer:

By abnormal serum magnessium, calcium and potassium, you mean that it may be lacking? As I mentioned, I take calcium and potassium supplements every day.

Dr Brims :

It may be lacking or in excess

Customer:

Oh... excess can cause the problem of cramps?

Dr Brims :

yes, it can

Customer:

OK. I will endure until I get my next blood test/visit with my dr.

Dr Brims :

Okay, I hope it is resolved soon

Customer:

thank you.

Dr Brims :

You're quite welcome

Dr Brims :

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