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NEW TO DIABETIC - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2481 Questions
User :   Hi
Doctor :   Hi
Doctor :  
How can i help you?
User :   my mother is having Diabitis and it is identified from 3 months
Doctor :  
ok
User :   and we visited Manipal hospital one month back
Doctor :  
ok
User :   that time it was before tiffen it was 290
User :   and after 2 hours of food it was 350
Doctor :  
ok
Doctor :  
ok
User :   than doctor has given tablets METASOZE I PR and GLYBOVIN 1.25 and CROMOPLEX PlUS caps
Doctor :  
ok
User :   in that 2 are for diabitic and one is for nerve strength
Doctor :  
ok
User :   and for diabitic related they asked to take 1-01
Doctor :  
ok
User :   and nerve strength for 0-1-0
Doctor :  
ok
User :   now we tested by using accu check digital meter for sugar it is showing
Doctor :  
ok
User :   morning befor tiffin it is 89 and after tiffen 2 hours 70
User :   i believe sugar level become low
User :   hat to do
User :   what to do?
Doctor :   ok

Doctor :  
i will help you
User :   k
Doctor :   sugar levels in blood are ranging from 80mg/dl to 120mg/dl
User :   k
Doctor :  
it is measured in the vein blood
User :   yeah we took one drop blood
Doctor :   i will explain you
User :   sure
Doctor :   you pricked the finger tip when you checked the blood right
User :   right
Doctor :   that is called capillary blood

Doctor :  
in the hospital the nurse will put a needle into the vein and draw the blood for analysis
User :   yes u r correct
Doctor :  
accu check is not a substitute for the hospital test
Doctor :  
it is used as a screening device
User :   k
Doctor :  
and not as a test for treatment
User :   k
Doctor :  
and the technique also
Doctor :  
you might have squeezed the finger tip to get the blood right
User :   yeah absolutely
User :   i have squeezed
Doctor :   no you should not squeeze the finger tip for blood

User :   oh
Doctor :  
it will give false results
Doctor :  
i will now tell you how to use the accu check
User :   yeah sure
Doctor :  
it is a device called glucometer
Doctor :   it measures the sugar in blood
Doctor :  
it is mainly used for screening
User :   k
Doctor :  
you have to clean the finger til
Doctor :   finger tip i mean
Doctor :  
with an alcoholic solution or spirit
User :   ok
Doctor :  
than with a new lancet or small needle
Doctor :  
prick the tip of fingure
Doctor :  
dont squeeze the tip
User :   they have given one pen like divice it will punch the tip of finger
Doctor :  
allow the blood to flow
User :   ok
Doctor :   yes you need to change the needle in it

Doctor :  
dont reuse the same needle
User :   k
Doctor :   collect the second drop of blood on to the strip
Doctor :   a number will be displayed
User :   ok
Doctor :  
that is the blood glucose level
User :   oh
Doctor :   that value is not taken as 100% corect value
Doctor :  
it is just an approx indicator of the blood sugar
User :   ok
Doctor :   than what is the use of this accu check?
Doctor :  
i will tel you that
User :   k
Doctor :   when the blood sugar levels are very high like say it is more than 140mg on two different occations than you may have to go to doc to get the vein blood sugar assesed
User :   ok
Doctor :   usually the glucometer show lesser values than what is the actual blood sugar
User :   k
Doctor :  
i mean if the check shows 80 as the blood glucose level. it will be usually some were around 95 mg if you check with the vein drawn blood analysis
Doctor :   when did you purchase this instrument
User :   one month back
Doctor :  
so you are new to this
Doctor :  
its ok
User :   yeah
Doctor :  
but i appreciate your efforts
User :   thank u
Doctor :  
soon you will learn how to effectively use that machine
User :   what about if it shows 69 aftre
Doctor :   it is not the number we look

User :   wheather we need to reduce the tablets that doctor has suggested
User :   that is he has given daily 2 tablets in morning and night 2 types
Doctor :   ok
Doctor :  
i will tell you
User :   wheather we need to stop night time tablet
User :   ok
Doctor :  
only number will not be sufficient for any medical action
Doctor :  
provided the techenique is right and the number is also low say 69
Doctor :  
no action will be advised
User :   yeah after 2 hours of tiffen what level it has to?
Doctor :   the action will be advised only if there is clinical symptoms
User :   k
User :   clinical symptoms means
Doctor :   the symptoms of low blood sugar
Doctor :  
like sweating, hand shaking, feeling tired,
Doctor :  
giddiness
Doctor :  
if any of this symptoms do appear and that time you check the blood sugar if it is low
User :   k
Doctor :  
than imideate managemant would be to make her eat chocolate of drink sugar solution
Doctor :  
than consult the doctor for change in the dosage
User :   low means up to what level
Doctor :   anything below 65 with PRESENCE OF THE ABOVE MENTIONED SYMPTOMS
User :   k
Doctor :  
NEVER ADJUST THE DOSE BY YOURSELF
User :   k
Doctor :  
AND NEVER STOP OR SKIP THE DOSE
User :   k
Doctor :  
ONE MORE THING DONT CHANGE THE BRAND COMPANY OF THE DRUG YOU USE
Doctor :  
UNLESS DOCTOR PRESCRIBES
User :   k
User :   thank you for your valuable suggestions
Doctor :   is there anything else i can help you with

Doctor :   please fill the feed back form
User :   sure
User :   thank you
User :   bye
Doctor :   thanks for consulting health care magic. please refer your friends for our service
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