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What Causes Elevated Blood Sugar Levels Despite Taking Antibiotics?
Question: Dear Doctor
Last few weeks my sugar is staying very high 220 fasting. I am on glypride 2mg and janumate 50/500 and also am hyper tension.
Random sugar goes until much more.
I'm 94 kg for 173 height and have high bmi
Type 2 diabetes
Take walk 30 minutes and drink lot of fluids and avoid starch and sugar
Since two nights am not able to sleep and feel some heavy metabolism in my body with high secretion of spitting
Please advise as my doctor keep on changing medication structure since last months from glucophage and diamicron to now above.
Get muscle pain.
Is this side effects, what can be done as medications are not working it seems
Last few weeks my sugar is staying very high 220 fasting. I am on glypride 2mg and janumate 50/500 and also am hyper tension.
Random sugar goes until much more.
I'm 94 kg for 173 height and have high bmi
Type 2 diabetes
Take walk 30 minutes and drink lot of fluids and avoid starch and sugar
Since two nights am not able to sleep and feel some heavy metabolism in my body with high secretion of spitting
Please advise as my doctor keep on changing medication structure since last months from glucophage and diamicron to now above.
Get muscle pain.
Is this side effects, what can be done as medications are not working it seems
Brief Answer:
what are your glycosylated hemoglobin levels?
Detailed Answer:
Hello,
the levels of glycosylated hemoglobin reveal the adequacy of blood sugar control. The target levels are below 7%. If you've got higher values (220mg fasting blood sugar means that you probably do have a higher value, but that's not always the case) then changing the regimen is warranted.
The first thing that every diabetic patient should do is to increase the level of physical activity daily. Loosing weight is another important intervention. In some patients a carefully planned diet with sufficient levels of physical activity have reduced the necessity of drugs for the control their blood sugar.
If the glycosylated hemoglobin is too high (definitely higher than 8%) and you already watch your diet and physical activity then insulin would be the only real option. Otherwise pills could suffice.
If you do have a recent glycosylated hemoglobin measurement please upload it...
Regarding the symptoms, I don't believe they are related to the drugs. Janumet for example may indeed cause muscle pain but it's a rare side effect.
Kind Regards!
what are your glycosylated hemoglobin levels?
Detailed Answer:
Hello,
the levels of glycosylated hemoglobin reveal the adequacy of blood sugar control. The target levels are below 7%. If you've got higher values (220mg fasting blood sugar means that you probably do have a higher value, but that's not always the case) then changing the regimen is warranted.
The first thing that every diabetic patient should do is to increase the level of physical activity daily. Loosing weight is another important intervention. In some patients a carefully planned diet with sufficient levels of physical activity have reduced the necessity of drugs for the control their blood sugar.
If the glycosylated hemoglobin is too high (definitely higher than 8%) and you already watch your diet and physical activity then insulin would be the only real option. Otherwise pills could suffice.
If you do have a recent glycosylated hemoglobin measurement please upload it...
Regarding the symptoms, I don't believe they are related to the drugs. Janumet for example may indeed cause muscle pain but it's a rare side effect.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor
I am already planning to change my Doctor from GP to a specialist endocrinologist and also meet Dietician to get to understand right food intake. Also my GH is 9 but will look into going for insulin only after improving physical activity, right food and low stress program.
Is it true that you cannot take insulin for a day or two but lifetime or its only if needed to bring down high reading and can discontinue if not needed. Does type 2 diabetic can have smaller does of insulin
Regards
I am already planning to change my Doctor from GP to a specialist endocrinologist and also meet Dietician to get to understand right food intake. Also my GH is 9 but will look into going for insulin only after improving physical activity, right food and low stress program.
Is it true that you cannot take insulin for a day or two but lifetime or its only if needed to bring down high reading and can discontinue if not needed. Does type 2 diabetic can have smaller does of insulin
Regards
Brief Answer:
type 2 might need many units per day too
Detailed Answer:
You're welcome!
A GH at 9% is too high. If your eating habits were very bad and you believe you can loose some weight then you can hope it will get below the target levels (7%). Do not be afraid of insulin. It's not as bad as it sounds!
Regarding the insulin requirements, they depend on various factors. Type 2 diabetics usually have high insulin resistance and may need many units of insulin per day. Obesity worsens insulin resistance (and loosing weight improves it...) so an unfavorable body mass index usually means that more insulin units would be required for the same result. For most type 2 diabetic patients who start insulin early the requirements are lower than in most type 1 patients but there is no rule for that. It depends on too many factors to be generalized.
Kind Regards!
type 2 might need many units per day too
Detailed Answer:
You're welcome!
A GH at 9% is too high. If your eating habits were very bad and you believe you can loose some weight then you can hope it will get below the target levels (7%). Do not be afraid of insulin. It's not as bad as it sounds!
Regarding the insulin requirements, they depend on various factors. Type 2 diabetics usually have high insulin resistance and may need many units of insulin per day. Obesity worsens insulin resistance (and loosing weight improves it...) so an unfavorable body mass index usually means that more insulin units would be required for the same result. For most type 2 diabetic patients who start insulin early the requirements are lower than in most type 1 patients but there is no rule for that. It depends on too many factors to be generalized.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor
I have taken following drastic steps as can ruin career but not health.
My present job requires frequent travel of 35 times a year where food habits are haywire and sleep deprived and is main cause of obesity.
I am taking two months off from stress and travel and yesterday joined gym with 45 minutes a day plan and met dietitian too.
Tomorrow will meet endocrinologist to discuss need for insulin as body is insulin resistance it seems.
Weight loss and physical excursion is must, just with two days and reading has come down after food to 175 from 220 fasting.
Thanks once again
Regards
I have taken following drastic steps as can ruin career but not health.
My present job requires frequent travel of 35 times a year where food habits are haywire and sleep deprived and is main cause of obesity.
I am taking two months off from stress and travel and yesterday joined gym with 45 minutes a day plan and met dietitian too.
Tomorrow will meet endocrinologist to discuss need for insulin as body is insulin resistance it seems.
Weight loss and physical excursion is must, just with two days and reading has come down after food to 175 from 220 fasting.
Thanks once again
Regards
Brief Answer:
You're welcome!
Detailed Answer:
You're welcome!
Insulin resistance is a common problem in type 2 diabetes. Metformin deals with it partially. Exercise helps a lot. Since you've taken your decisions, you're already in a good track.
Best wishes!
You're welcome!
Detailed Answer:
You're welcome!
Insulin resistance is a common problem in type 2 diabetes. Metformin deals with it partially. Exercise helps a lot. Since you've taken your decisions, you're already in a good track.
Best wishes!
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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