Hi, welocome to HCM. You are taking finasteride and applying minoxidial for hair fall. Finasteride is a competitive inhibitor of the enzyme 5 a-reductase which converts testosterone into more active dihydrotestosterone responsible for androgen action in many tissues including prostate gland and hair follicles. It is well tolerated by most patients;side effects are decreased libido, impotence and decreased volume of ejaculate (each in 3-4% patients), skin rashes, swelling of lips but increase in sugar level with ESR is not reported. Minoxidil It is a powerful vasodilator but the side effects are limited to local irritation, itching and burning sensation are frequent. Dermatological reaction and systemic side effects (headache, dizziness, palpitation) occur in 1-3% cases. Both of these drugs are not implicated to cause rise in blood sugar or raised ESR. It appaears to be due high blood sugar alone. Neutrophils are up to 70% of differential leucocyte count so are under normal limit. You can continue your hair medication (finasteride and applying minoxidil )Kindly consult a physician at the earliest to diagnose the condition on best of his side as the fasting glucose is quite high. Hope this helps, With best wishes for your health Dr Sanjay K Kanodia