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Suggest Ways To Manage High Blood Glucose Levels

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Posted on Sat, 6 May 2017
Question: i have been on 4 days of streoid doses (Finished) for low red platelets. Sugar is normally 110 to 149 . Shot up to 434 this am. I went for short walk and started feeling as drunk. I thought I had low BS so I had a donut. Now it registers over 600 (meter is maxed) I took 10mg Glipizide and 1000MG Metformin 15 minutes ago. Question (1) HWhat is cost for answer (2) I wish to avoid Hospital etc. Should recent dose bring down glucose
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Answered by Dr. Mirjeta Guni (1 hour later)
Brief Answer:
Insulin should be started at the earliest

Detailed Answer:
Hello,
I can understand your situation.

The increase in blood sugar by corticosteroids is very high and usually, we start insulin therapy to get it to normal levels.

Oral antidiabetics may lower it but is too high to get back to normal levels with them.

So, I would suggest to go te ER and start insulin therapy at the earliest.

If it is impossible, please take the maximum dose Glipizide (40 mg/day) and 2000mg of Metformin (if the renal and liver function is normal).

Of course, it is too high to be treated at home.

Hope the information will help and please seek immediate medical attention.
Kind regards,
Dr.Mirjeta
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Suggest Ways To Manage High Blood Glucose Levels

Brief Answer: Insulin should be started at the earliest Detailed Answer: Hello, I can understand your situation. The increase in blood sugar by corticosteroids is very high and usually, we start insulin therapy to get it to normal levels. Oral antidiabetics may lower it but is too high to get back to normal levels with them. So, I would suggest to go te ER and start insulin therapy at the earliest. If it is impossible, please take the maximum dose Glipizide (40 mg/day) and 2000mg of Metformin (if the renal and liver function is normal). Of course, it is too high to be treated at home. Hope the information will help and please seek immediate medical attention. Kind regards, Dr.Mirjeta