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Hi, My Mother Is Having Avg Diabetic 500 . Extremley

Posted on Thu, 1 Oct 2020

Question: Hi, My mother is having avg diabetic 500 . extremley high.
she is taking human mixtard 30 penfill 3 times 16 to 20 points.
need consulation on the the same

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Need more information.

Detailed Answer:
Hi Sir
Thank you for asking ask a doctor service.
I have gone through your query. I need more information to understand about her problem.
How much is her age?
For how many years she is having diabetes?
Is there any other issues like hypertension or cardiac issues?
What other drugs other than insulin she is taking.?
Need the results of fasting blood sugar, Post prandial blood sugar and HBA1C levels. Creatine and urea should be checked also.
Please update the above informations. I am happy to help.
Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Nishad BN (1 hour later)

Age : 62
Diabetes Since 25 years
Other issues: Blood Pressure, Body Paining
Other Drug: Enapril 2.5mg, Rosulip-F, Thyronorm 50, Pregablin x
Today's Fasting: 454, Post: 560, HBA1C (tested in feb) 12
Contact No: 0000

Answered by Dr. Nishad BN (4 hours later)

Brief Answer:
Need to increase insulin.

Detailed Answer:
Welcome again.

Thank you for your follow-up.
Her diabetes is very much uncontrolled. This much high blood sugar can be a sign of infection also. Urine acetone should be tested to rule out keto acidosis. Better to shift her to ER (casualty). Intravenous Fluids and electrolytes also will be required in such case.
Urine routine and blood routine should be done to rule out infection. In case of positive signs of infection antibiotics should be started. Insulin should be increased also. But at this much high blood sugar Plain insulin (short acting) is advised. This can be better managed in hospital setting. Once sugar goes controlled then can shift to insulin pen (long/intermediate acting).
Let me know if anything not clear.
I am happy to help.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Nishad BN (2 hours later)

Hi,

Thank your for quick reply. Do you know any diabetic specialist in Ghodbundar Road, Thane?

So i can start consultant with them.

Regards,

Answered by Dr. Nishad BN (51 minutes later)

Brief Answer:
Better to go ER in this case.

Detailed Answer:
Welcome again.

Thank you for your follow-up query.
Better to go to ER (casualty) in this case. Diabetologists are there at your area. Specialists like Dr XXXXXXX Deshpande (097027 94222), Dr Jaydeep shindes (099200 99532) you can consult from your area.
Thanks.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T