Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Treatment for TYPE2 DIABETES, INTERSTITIAL CYSTITIS, FIBROMYALGIA.

Resolved Question:

I have been diagnosed with three things over the past year: Type 2 diabetes, interstitial cystitis, and fibromyalgia. I know that two are autoimmune diseases and that researcher are now working to determine whether or not Type 2 diabetes can be added to the autoimmune disease category.

I am 60 years old patientold, previously healthy, but slightly overweight at 146 pounds. My cholesterol and triglycerides are high, and we are now investigating some out of value thyroid tests. I have begun regular exercise.

My specific question is this: I take multiple medications and am told I need to eat a specific diet for each of my issues. Some of my physicians tell me to take supplements of various kinds, and other's say not to. How can I know what to eat and what to take? Is there one type of physician, pharmacist, herbal specialist, nutritionist, or anyone who can help me look at the entire picture and know the right things to do and not to do manage my multiple disease state?

Category: Internal Medicine Specialist

Ask Your Own Question

Category: Diabetologist
 21 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Interstitial cystitis is indeed of unknown etiology, and some patients with IC also present simultaneously with fibromyalgia, showing the auto-immune component. Type 2 DM can be attributed to some genetic factors, but it is not really autoimmune and develops more as a result of peripheral resistance to insulin. Can be due to obesity, lack of exercise, sedentary lifestyle, e.t.c
Regular exercise is definitely one positive thing that you have done.
I want you to give me a complete list of medications you're on currently and also what are the various diets that you have been suggested? Dietary changes while being very effective in Type 2 DM, the evidence of it having an impact on IC/fibromyalgia is doubtful and is lacking. So for the time being you should stick to a diet that reduces your blood glucose in general and invariably will also reduce cholesterol and triglycerides in due time. The problems you have come under multiple specialities, that is true, but i will try my best to give you a second opinion on what drugs to be used, so that it is easier for you to follow the guidelines.
Hope this was helpful,
Regards.


Patient replied :

Thank you for your answer, and request for more information.
I have hypertension that is corrected to almost normal with Losartan Potassium 50 mg, 1 per day.
For the diabetes I take 1,000 mg Metformin ER per day.
For interstitial cystitis I take CystoProtek, a dietary supplement meant to help keep the bladder lining healthy. One capsule twice per day unless I have a flare and then I take two capsulres twice a day. So far it is working and I have not had a bad IC flare for some months. If you are not familiar with it it contains Hyaluronate Sodium, Chondroitin, Glucosamine, Quercetin, Rutin, and Olive Kernel Oil. It is manufactured by Meda Consumer Healthcare, Inc. under license from Algonot, LLC, Marietta, GA 30062. 1-800-328-0503.
I currently have an eye-infection and my opthamologist has prescribed amoxicillin TR-KCLV 500-125 (I don't understand this, but I take one per day.
For the fibromyalgia pain I take one Aleve per day and since one of my fibro symptoms is an inability to sleep, 20 mg anatriptyline and 5 mb zolidem. The anatriptyline also seems to help some with the body pain.
I have just been prescribed Dexilant 60 mgs per day. This is for a sick stomach and heartburned caused by some of the other drugs.
I do not drink or smoke. My father developed adult onset diabetes when he was just about my age.


Hello,
Thank you for additional information.
Based on that, this is my line of action for you :
1) Good blood glucose control and HBA1C in normal range is the most important priority. So follow the diet accordingly with exercise.
2)Aerobic exercise will be helpful in your case, along with moderate 30-45 minute walking everyday.
3) Continue all the medicines, except for Amoxicilllin. Once you are done with the course of amoxy, you can stop it. If doctor asks you to continue, ask him to tell the diagnosis.
4) All the drugs Losar, metformin, aleve, Anatryptiline, Zobidem are safe and effective. So you can continue.
5) Continue with Cystro Protec since it has been so effective.
6) Can you provide your cholesterol values/ Triglyceride values. You may need medication for that. If you haven't checked recently you can get lipid profile donw.
7) You can also take Omega 3 fish oil capsules. It can be considered after your cholesterol values.
8) Fiber rich diet, green leafy vegetables, fruits are better than any isolated supplements. So make sure your diet has adequate quantities.
The best doctor for you will be a family physician who can keep a track of all the medicines you're taking and monitor your progress.
Hope this was helpful,
Regards.


Dr. Jaydeep Tripathy
Category: Diabetologist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Senior Residency in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news