Has high BP and diagnosed with diabetes. Given insulin but sugar level are fluctuating. Suggest? - Online Doctor Chats
Hi How are you?
I have a question. please help me in this regard
My dad has high blood pressure for the past 2 years, and for the first time he has been diagnosed with diabetes with fasting blood sugar level 450 and after meal it was 630. so doctor advised us to immediately admit in to the hospital. So this monday we have admitted him in the hospital and they started the treatment with infusion insulin, but the sugar levels are still fluctuating between 100 to 450. Please guide us how this will be cured and how much time this will take to normalize.
Insulin drips are started and the body takes sometime to adjust
Insulin is the right way to control
my dad is still in the hospital since monday.. and its still fluctuating..
he is in XXXXXXX hospital.. secunderabad
so how long this will take to control.. and do we have to shift to any other hospital.. what you suggest
It is really tough to tell how long would it take
Generally it would take a week to 10 days to stablize
Every person is different and the treatment has to be tailor made
with the response
The blood glucose depends on a lot of factors
now and the factors previous to the hospital admission
Since the monitoring is only for last three days
now they have stopped infusion and started insulin bid.. and they said they will observe for two days and then they will discharge on saturday with prescription that how much we need to take insulin bid
we need to understand all of those factors
That is correct
pl do not shift him
It is not the right approach
we are actually worried.. so thinking of that
so once he discharged from hospital. .if go home and levels cross beyond 400 then what should we be doing..
again need to admit in the hospital or still continue with insulin
continue with insulin
The discharge summary given by the hospital contains all these
You need not worry
and he has advised to buy one glucometer.. whcih one should i buy to test
okay and another question
we did ecg and 2d.. there the data showed that in last 3 months he had heart attack..but dad saying he did not feel it he is not having any chest pain or any breating discomfort.. doctors saying we need to go for angiography.... but dad is saying he is not having any pain or discomfort.. what you suggest should we go for angiography or can be avoided
This is peculiar in diabetics
They have silent heart attacks without pain and other symptoms
Their nerves are so damaged to perceive the slightest pain
I suggest for Angiography as well
especially when there are ECG changes
okay.. so can we go for angiography as he is admitted in hospital with diabetes.. will insurance cover that?
yes should be covered, however this is not a perfect question to me.
okay.. so should we go for angiography now or once sugar is controlled?
That does not differ
However let your doctor decide
Do you have any more quereis
for now.. thank you.. will contact baja allianj if they will cover for this
Thank you for visiting me here
Bye for now
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