Suggest permanent remedy for diabetes mellitus and hypertension
Patient: sir i am dr amar physician at mandya.my cousin 19yrs has DM AND HTN poorly controled with medications.would you like to rule out any secondary causes in him and get a permanent remedy.ALREDY SHOWN TO MANIPAL HOSP ENDOCRINOLOGIST 2 YRS BACK.HE DID 24 HR URINE CORTISOL FOUND MARGINAL ELEVATION HE SENT BACK MY COUSIN TELLING NOTHING.WERE CAN I BRING HIM TO SHOW YOU Doctor: Dear sir.. Greetings from HCM ... As you rightly pointed out YES it could be a secondary hypertension with diabetes ... Cortisol could be responsible for both .. Pls get properly evaluated with serum cortisol levels at morning time .. In adduction ultrasound abdoman even CT for pituitary ...  for ruling out Cushing s disease or Cushing syndrome ... If the cause is treated he will be alright .. Do contact us with reports .. Thank you