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Urine infection, urine test shows elevated sugar level. What can be done? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Good afternoon
User:got a query for my wife
User:she is around 41 yrs
Doctor:welcome to XXXXXXX ,. please proceed with your query
User:recently she had some urine infection,
User:hence we got a urine test done....where it also showed the sugar level as ++
User:we were then advised by our family doc to do a sugar test
User:blood sugar test
Doctor:were any blood tests done , blood sugar fasting ?
User:the readings were Pre fasting - 242.4
User:and PP was 274.6
User:i understand that this is really high
User:the family doc prescribed tablet - Glynose ( Glipizide) 5 mg
Doctor:YES, it is very high, and could be a indicator of diabetes
User:1 tab in afternoon and half at night
Doctor:was any other test, like HBA1C done ?
User:we propose to re do a test after a week
User:to make sure
User:wanted your suggestion
User:firstly is the medicine prescribed ok?
Doctor:HBA1C is a test, to check the level of glycemic control , in the body . it gives a level of blood sugar over the past 3 months
Doctor:yes, your doctor has started her proper medications to reduce the blood sugar, and treat diabetes
User:also she does feel very weak
User:and heaviness in the head
Doctor:has this started recently ?
User:sometimes she is not sure , but feels 'uneasiness in the head
Doctor:ofter taking the medications ?
User:the high sugar was detected only recently
Doctor:after ** ?
User:and she has just started taking the medicines
Doctor:no, i mean the symptoms ?
User:the symtpons were there quite some time ago
Doctor:does she have them since long ? any other issues like increased urination at night , feeling thirsty, ?
User:urge to urinate was only recently ... but now ok
User:she did complaint of feeling thirstly
User:and at time uneasy breathing
User:like breathlessness
Doctor:those symptoms are due to diabetes related
User:what other tests would you recommend
Doctor:with time and proper treatment her symptoms will come down
User:we plan to do some comprehensive tests in the near furture
Doctor:if not done already, a urinalysis , and urine protein estimation, examination of the eyes, kidney and liver functions can be done along with the HBA1C TEST
Doctor:urine microalbumin levels , also can be done
Doctor:these urine tests, help to detect early changes and extent of involvement of the kidneys
User:thank you Dr XXXXX
User:any particular diet - though i guess sweet things should be avoided
Doctor:yes, she will have to follow a low carb diet and a low fat diet
Doctor:regular exercises will also be needed
Doctor:exercises will help to improve insulin secretion , and reduce glucosse levels
User:she has begun to walk for around 10 mins
Doctor:ask her to increase it to 30 mins daily
Doctor:10 mins is not enough
Doctor:reduce eating too much of rice and starchy foods like potatos
User:any more suggestions?
Doctor:she can consult a dietician, who can give her a good diet plan for her diabetes
Doctor:i shall ask the customer care to contact you for that
User:yeah thanks
Doctor:can i have ur no and email id
User:0000 / YYYY@YYYY
Doctor:i have intimated the Customer care
Doctor:they will contact u soon
User:ok thanks
Doctor:in addition, she should continue to take the medications prescribed for a long time
Doctor:regular blood checks, at least 2-3 times a month initially to check for proper control is adviced
Doctor:she can also invest in a good glucometer, to check the blood sugar at home
Doctor:also make sure that her BP is within normal
User:can you suggest some good brand names?
Doctor:Omron blood pressure monitor and One touch ultra sugar instrument
Doctor:you can check them online at WWW.WWWW.WW which give good discounts
User:that should be helpful - tks
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