Brief Answer:
Needs admission

Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The fact remains that her sugars are persistently high.
The fact also remains that sugars do rise like this after infection.
I would like to know other medicines she is on especially steroids which many doctors often use in infections and which is known to raise sugars.

In any case such high sugars need testing for urine ketone and Arterial blood gas also.
Also, it's better to admit her for sugar control.
She will need intravenous insulin infusion. Along with other measures like iv fluids.

As for now, reduce sugar charting to hourly and give insulin accordingly. This is because sometimes their body accumulates insulin in skin and then suddenly sugars drop when insulin comes into circulation.
Frankly , even that needs hospitalisation. So I think you should meet your physician / diabetic specialist for admission and iv insulin.

I hope that the information contained in this message will be able to help you find the best solution for your problem.
Feel free to contact me for further clarification as needed.
Best of luck. Dr Mittal.

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