What Causes Fluctuations In The Blood Sugar Levels?

Posted on Mon, 24 Oct 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 24 Oct 2016 Answered on

Tue, 15 Nov 2016 Last reviewed on

Question : I am experiencing unstable blood sugar levels this evening low of 93 so I ate candy and drank oj and also ate sandwich....4 hrs later sugar shot up to 345 then 10 mins later 365. what should i do short of taking a long walk and maybe some exercise...i took 1000mg of metformin at approx. 7 and 5mg of glipizide then i took another 5 of glipizide at about 10 and also 5mg of diazapan to calm myself down.

Answered by Dr. Prof. Kunal Saha (39 minutes later)

Brief Answer:
A few tests need to be done.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. A step by step approach needs to be taken. With the steps that you have taken, your existing surge of blood sugar should get corrected. But a detailed evaluation is needed. I will insist you to get the following blood tests done:
* Blood for HbA1c, fasting blood sugar, post prandial blood sugar (on the same day, 2 hours after food)
* Blood for urea, creatinine
* Urine for microalbumin

Based on the above reports the treatment regimen can be modified suitably. However, you also need to see an endocrinologist (preferably with the reports) and remain under his follow up. I would not recommend self modification of doses as you are doing. An improper intervention will do more harm than good.

I would await your response.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar