Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query It is always good to have sugars controlled as far as possible. You say the sugars are not well controlled. No per se for sugars, hospitalization is not required. However, diabetes is not about just sugars. It is about many other complications as well. Some of these include threatening conditions like diabetic kidney disease which include high sugars and ketones in urine. I would also suggest testing HbA1c, Lipid profile, kidney function tests. So continue medicines that are going on, and monitor sugars well till you meet your diabetician I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. Please feel free to ask another query. Would be glad to help you. (If the answer has helped you, please indicate this)