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What Does My Blood Sugar Level Of 335 Mg/dl Indicate?

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Posted on Mon, 8 Feb 2016
Question: Hello, I need some help. My husband is a type 2 diabetic his blood sugar checked 2 hours ago was 346 after several large glasses of water & meds its still 335.
He just started metformin today hgba1c was 9.5
doctor
Answered by Dr. Binu Parameswaran Pillai (22 minutes later)
Brief Answer:
Metformin will take time.

Detailed Answer:
Good day.
Noted your concern. Metformin takes at least 3 weeks to reach its full action. In the interim he need to switch to a healthy diet as advised by a dietician and also start exercise regimen. please do not worry about one reading of 365 mg if he is otherwise stable. but if he is vomiting, sick or having breathing difficulties, please take him to a hospital. Recheck glucose after couple of hours and if repeat glucose is still high, we may have to start other medicines apart from Metformin. Is he appearing sick /Vomiting /dehydrated or is there any breathing difficulty?

Insulin is the safest and fastest medicine in this setting followed by pills like Diamicron. These medicines can be stopped or dose can be reduced once Metformin takes full effect ( takes 3 weeks). Howevet , with an HBA1C of 9.5%, I am doubtful if Metformin alone would be sufficient for him.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (4 minutes later)
No difficulty breathing or vomiting just very thirsty and urination is frequent. Very dry mouth also
doctor
Answered by Dr. Binu Parameswaran Pillai (5 minutes later)
Brief Answer:
KETONES

Detailed Answer:
Thank you for the reply. Dry mouth is a symptom of fluid loss and dehydration. May I suggest that , it would be safest to visit a hospital so that they can check his urine and Blood for presence of ketones. if that is positive, he will need insulin. Presence of ketones indicates that there is insulin deficiency in body. If ketones are negative, they may start him on other pills like Diamicron along with Metformin.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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What Does My Blood Sugar Level Of 335 Mg/dl Indicate?

Brief Answer: Metformin will take time. Detailed Answer: Good day. Noted your concern. Metformin takes at least 3 weeks to reach its full action. In the interim he need to switch to a healthy diet as advised by a dietician and also start exercise regimen. please do not worry about one reading of 365 mg if he is otherwise stable. but if he is vomiting, sick or having breathing difficulties, please take him to a hospital. Recheck glucose after couple of hours and if repeat glucose is still high, we may have to start other medicines apart from Metformin. Is he appearing sick /Vomiting /dehydrated or is there any breathing difficulty? Insulin is the safest and fastest medicine in this setting followed by pills like Diamicron. These medicines can be stopped or dose can be reduced once Metformin takes full effect ( takes 3 weeks). Howevet , with an HBA1C of 9.5%, I am doubtful if Metformin alone would be sufficient for him. Regards Binu