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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35483
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Blood sugar levels are usually high in morning 130-140 but

Customer Question

Blood sugar levels are usually high in morning 130-140 but low 90-110 during day. Only that high upon waking up. And I have itchy calves all the time.
JA: How long have you been dealing with this? Does anything in particular seem to make the itch better or worse?
Customer: Lotion makes it better ? But it's been going on for years and my one calf muscle is getting slightly bigger
JA: Anything else in your medical history you think the doctor should know?
Customer: Prior high blood pressure but it's good now. Not on any medications.
Submitted: 4 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 4 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 4 months ago.

What is your age and gender?

Was your glycosylated hemoglobin (HbA1c) done and is normal?

What are your present medications?

Customer: replied 4 months ago.
They never did a test to test my blood sugar but my doctor said whatever he seen was normal after fasting.
No prescriptions currently
Customer: replied 4 months ago.
I'm waiting for my insurance to switch to the insurance my doctor takes in order to see him. But for now I need to know if this is something that would indicate it a diabetic and if I should see someone right away
Customer: replied 4 months ago.
I can't afford to call you I'm sorry
Expert:  Dr. Arun Phophalia replied 4 months ago.

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Customer: replied 4 months ago.
No problem :-)
Expert:  Dr. Arun Phophalia replied 4 months ago.

Thanks for the additional information. I am writing the answer for you and will get back to you in a few minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Customer: replied 4 months ago.
Thank you very much I appreciate your help
Expert:  Dr. Arun Phophalia replied 4 months ago.

Let me at the outset tell you that your blood sugars are normal and there is no concern in this front. The itchy calves and a one calf more prominent than other need to be investigated as following;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

10) Complete blood count

11) Comprehensive metabolic panel.

Your symptoms are suggestive of mild neuropathy.

The other possibility to look for would be dryness of the skin and allergy.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 4 months ago.

You may apply baby Johnson oil or any moisturizer on the calves, meanwhile you are investigated.

You may do following also which may help in boosting body immunity;

1) Zinc

2) Probiotics

3) Omega-3

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