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Suggest Precautions To Be Taken Post TB Treatment
Question: Hi,
My Dad is 59 year old and right now suffering from high blood sugar level, he is taking a treatment for tuberculosis as well he is right now taking a high insulin dose of 40 morning and 20 in the night(Humalog 50:50) , i want to know what precautions we need to take after completion of tuberculosis treatment and how he can maintain a healthylife style
My Dad is 59 year old and right now suffering from high blood sugar level, he is taking a treatment for tuberculosis as well he is right now taking a high insulin dose of 40 morning and 20 in the night(Humalog 50:50) , i want to know what precautions we need to take after completion of tuberculosis treatment and how he can maintain a healthylife style
Brief Answer:
Suggestions
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
There are 2 parts to my response.
First, with tuberculosis, a high protein diet is usually suggested. However, this will raise his sugars. Besides, if his kidneys are already involved, I would suggest against it. A usual content of protein in diet would have to suffice on such cases.
Monitor liver function test periodically, as suggested by your treating doctor while TB therapy is on.
Second, once TB therapy is over, I would suggest that you test sugars and Hba1c regularly at least every 6 months , if not every 3 months.
You will need to take a strict diabetic diet.
Regular daily exercises and walks are going to be crucial.
Heart checkup and testing of renal functions should be done at least annually. So also for eye check up.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. please feel free to contact us for more information. Best of luck. Dr Mittal.
Suggestions
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
There are 2 parts to my response.
First, with tuberculosis, a high protein diet is usually suggested. However, this will raise his sugars. Besides, if his kidneys are already involved, I would suggest against it. A usual content of protein in diet would have to suffice on such cases.
Monitor liver function test periodically, as suggested by your treating doctor while TB therapy is on.
Second, once TB therapy is over, I would suggest that you test sugars and Hba1c regularly at least every 6 months , if not every 3 months.
You will need to take a strict diabetic diet.
Regular daily exercises and walks are going to be crucial.
Heart checkup and testing of renal functions should be done at least annually. So also for eye check up.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. please feel free to contact us for more information. Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Hello,
Thanks for reply, one more thing as treatment is going on insulin in take has suddenly up, previously it was barely 10 in the morning and 8 in the evening, after tb treatment and detection it has been gone up to 40 and 20, will it drop back to normal after treatment will be over or we need to be dependent on insulin.
Regards
Thanks for reply, one more thing as treatment is going on insulin in take has suddenly up, previously it was barely 10 in the morning and 8 in the evening, after tb treatment and detection it has been gone up to 40 and 20, will it drop back to normal after treatment will be over or we need to be dependent on insulin.
Regards
Brief Answer:
Information
Detailed Answer:
Hi,
First, he was already on insulin, so don't think on the lines of DEPENDENCE on insulin. It's all a matter of balance between sugar and insulin.
Now , there is a high probability that he's getting steroids as a part of the treatment. Also, you should know that the insulin required always increases during infections. So there's a good chance that insulin requirements would reduce again. However, this cannot be predicted. We will have to wait and see.
Best of luck. Dr Mittal
Information
Detailed Answer:
Hi,
First, he was already on insulin, so don't think on the lines of DEPENDENCE on insulin. It's all a matter of balance between sugar and insulin.
Now , there is a high probability that he's getting steroids as a part of the treatment. Also, you should know that the insulin required always increases during infections. So there's a good chance that insulin requirements would reduce again. However, this cannot be predicted. We will have to wait and see.
Best of luck. Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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