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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Follow After Renal Failure?

My husbands blood sugar is 385. He usually keeps it in a normal range with diet and oral meds, Actomet- plus, Janumet, and Prandin. He was recently hospitalized with acute renal failure due to dehydration and chronic use of Cataflam. The doctor stopped the Actomet-plus, and Janumet. He is continuing the Prandin and added Januvia. Would this warrant a visit to the ER or could it wait until office hours in 8 hrs?
Mon, 5 Oct 2015
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Urologist,  's  Response
Hello and welcome to HCM.
As a specialist,i must assure you that your husband's sugar is very high.
It's not safe to wait for 8 hours. Ideally, he should be getting insulin injections, to control the blood sugar.
His age and other medications being taken,should be mentioned.
He should be checking urine routine, ketones, and micro-albumin,blood ,hemogram,creatinine,HbA1C,FBS,uric acid,sodium,potassium,PP2BS,CXR,and ECG. According to reports,specific treatment will be advised. Wishing him a speedy recovery.
Dr.Matthew J. Mangat.
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What Treatment To Follow After Renal Failure?

Hello and welcome to HCM. As a specialist,i must assure you that your husband s sugar is very high. It s not safe to wait for 8 hours. Ideally, he should be getting insulin injections, to control the blood sugar. His age and other medications being taken,should be mentioned. He should be checking urine routine, ketones, and micro-albumin,blood ,hemogram,creatinine,HbA1C,FBS,uric acid,sodium,potassium,PP2BS,CXR,and ECG. According to reports,specific treatment will be advised. Wishing him a speedy recovery. Dr.Matthew J. Mangat.