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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Glucose Level Of 201 Indicate?

Hi Dr. Rynee , Male, age 56 and I m a chronic smoker. I went to Dignity Health St. Bernardine Medical Center in ER Department yesterday morning (2/23//2018 for active Abscess of abdominal wall with extreme pain and bleeding from rectum. Blood Pressure 145/99; / Glucose POC 201 mg/dl. ED Provider Harris, Kurt A PA-C orderd Clindamycin 300mg oral capsule by mouth 3 times a day. No pain medication, as he waved off Glucose POC 201 mg/dl as normal range (which is untrue). Please advise if something else could have been done or prescribes . Thank you
Fri, 16 Mar 2018
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Dietitian & Nutritionist,  's  Response
Hello,

You are correct. A fasting blood glucose over 125 is indicative of diabetes upon a confirmatory second testing which should have been scheduled and an HbA1C done while in ER (Emergency Room). A 2 hour postprandial above 200 mg is indicative of a blood sugar problem.

A blood pressure of 145/99 is stage 2 hypertension according to the American Heart Association (AHA) 2018. A re-check and advice on sodium limitation could have been discussed and notes sent to your primary for follow-up on any potential future treatment of above.

It is not up to the ER to fix non-critical values, but they should have identified all abnormal findings, discussed them in your discharge summary with recommendations to follow-up with your primary on those issues of concern, which according to you, they did not find these issues of concern.

I believe I have validated your issues and given you direction to pursue these indicators with your treating physician to follow-up on as they should be addressed.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Kathy Shattler
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What Does This Glucose Level Of 201 Indicate?

Hello, You are correct. A fasting blood glucose over 125 is indicative of diabetes upon a confirmatory second testing which should have been scheduled and an HbA1C done while in ER (Emergency Room). A 2 hour postprandial above 200 mg is indicative of a blood sugar problem. A blood pressure of 145/99 is stage 2 hypertension according to the American Heart Association (AHA) 2018. A re-check and advice on sodium limitation could have been discussed and notes sent to your primary for follow-up on any potential future treatment of above. It is not up to the ER to fix non-critical values, but they should have identified all abnormal findings, discussed them in your discharge summary with recommendations to follow-up with your primary on those issues of concern, which according to you, they did not find these issues of concern. I believe I have validated your issues and given you direction to pursue these indicators with your treating physician to follow-up on as they should be addressed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kathy Shattler