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Has high BP and diagnosed with diabetes. Given insulin but sugar level are fluctuating. Suggest? - Online Doctor Chats

Date : 29-Jun-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Good afternoon
User:Hi How are you?
User:I have a question. please help me in this regard
User: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.
Doctor:Insulin drips are started and the body takes sometime to adjust
Doctor:and understand
Doctor:Insulin is the right way to control
User:my dad is still in the hospital since monday.. and its still fluctuating..
User:he is in XXXXXXX hospital.. secunderabad
User:so how long this will take to control.. and do we have to shift to any other hospital.. what you suggest
Doctor:It is really tough to tell how long would it take
Doctor:Generally it would take a week to 10 days to stablize
Doctor:the glucose after the insulin infusion is started
Doctor:Every person is different and the treatment has to be tailor made
Doctor:with the response
Doctor:The blood glucose depends on a lot of factors
Doctor:now and the factors previous to the hospital admission
Doctor:Since the monitoring is only for last three days
User: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
Doctor:we need to understand all of those factors
Doctor:That is correct
Doctor:pl do not shift him
Doctor:It is not the right approach
User:we are actually worried.. so thinking of that
User:so once he discharged from hospital. .if go home and levels cross beyond 400 then what should we be doing..
User:again need to admit in the hospital or still continue with insulin
Doctor:continue with insulin
Doctor:The discharge summary given by the hospital contains all these
Doctor:You need not worry
User:and he has advised to buy one glucometer.. whcih one should i buy to test
User:okay and another question
User: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
Doctor:This is peculiar in diabetics
Doctor:They have silent heart attacks without pain and other symptoms
Doctor:Their nerves are so damaged to perceive the slightest pain
Doctor:I suggest for Angiography as well
Doctor:especially when there are ECG changes
User:okay.. so can we go for angiography as he is admitted in hospital with diabetes.. will insurance cover that?
Doctor:yes should be covered, however this is not a perfect question to me.
User:okay.. so should we go for angiography now or once sugar is controlled?
Doctor:That does not differ
Doctor:However let your doctor decide
Doctor:Do you have any more quereis
User:for now.. thank you.. will contact baja allianj if they will cover for this
User:thank you
Doctor:yeah sure
Doctor:Thank you for visiting me here
Doctor:Bye for now
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