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Suggest Treatment For Chest Pain, Fever And Pleural Effusion In Left Lower Lung
Question: Hi,
My dad is a diabetic patient, recently 2months back he was having pain in his chest, mild fever for some time that too negligible, then he took chest x-ray, it was showing pleural effusion in left lower lung, then they drain some pleural effusion for some tests and suspected tb but ada is 37, and they did ct scan its also showing tb, sputum result is -ve, and started akt4 with rcin and benadon, but his suger levels are not under control now, that is always he is suffering from low suger and high suger levels.
so please give me suggestion
My dad is a diabetic patient, recently 2months back he was having pain in his chest, mild fever for some time that too negligible, then he took chest x-ray, it was showing pleural effusion in left lower lung, then they drain some pleural effusion for some tests and suspected tb but ada is 37, and they did ct scan its also showing tb, sputum result is -ve, and started akt4 with rcin and benadon, but his suger levels are not under control now, that is always he is suffering from low suger and high suger levels.
so please give me suggestion
Brief Answer:
Diabetes and pulmonary tuberculosis.
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Your dad is having pulmonary tuberculosis with pleural effusion (Lt) and diabetes. Diabetes often makes a person prone to infection with Mycobacterium tuberculosis.
It is quite possible that your dad is also under a short course of cortico-steroid for pleural effusion along with AKT-4.
Steroid can offset diabetic control.In such case sugar needs to be controlled with Insulin injection.A combination of regular and intermediate acting insulin twice a day ( e.g Inj Mixtard 30:70) before meals is often sufficient to control blood sugar. Sometimes ,in addition basal insulin like insulin glargine (e.g Inj Lantus) is often added to achieve glycemic control.
Dose titration is needed to avoid low sugar level.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Diabetes and pulmonary tuberculosis.
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Your dad is having pulmonary tuberculosis with pleural effusion (Lt) and diabetes. Diabetes often makes a person prone to infection with Mycobacterium tuberculosis.
It is quite possible that your dad is also under a short course of cortico-steroid for pleural effusion along with AKT-4.
Steroid can offset diabetic control.In such case sugar needs to be controlled with Insulin injection.A combination of regular and intermediate acting insulin twice a day ( e.g Inj Mixtard 30:70) before meals is often sufficient to control blood sugar. Sometimes ,in addition basal insulin like insulin glargine (e.g Inj Lantus) is often added to achieve glycemic control.
Dose titration is needed to avoid low sugar level.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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