Hi XXXXXXX

Thanks for writing in.
I read your mail with diligence.
I am a medical specialist with an additional degree in cardiology. Seventy percent of cardiology patients I see and treat have Diabetes Mellitus type II.

You have had an episode of blackout what is most likely due to elevated blood sugar that much you have rightly inferred. All other diseases you have become of lesser importance than controlling your Diabetes. You have not details of medicine but you did take insulin so I assume that your diabetes management involves insulin with or without oral drugs. Your blood sugar going up to 411 means uncontrolled diabetes and yes, as you have asked it is a real problem.

Normally, with help of combination of Long Acting Insulin and plain Insulin taken before breakfast and before Dinner most of the diabetics do well. An underlying overt or covert infection, stress or some sugary food "binge" sometime necessitated by social circumstances can push the Sugar to 411. It can be XXXXXXX as in a person like you can tilt the balance to a XXXXXXX situation of "HYPER OSMOLER COMA". Which is essential relative dehydration because of excess of sugar in blood and temporarily affect the brain to cause problems of loss of consciousness.

Brighter side is despite high sugar, it could be controlled with insulin. What now. If you can kindly write to me in follow up query details of your sugar profile, HbA1C, treatment being taken. Please also mention other diseases and investigations like lipid profile and renal function tests you might have. This is because, with your help I can prepare a suggestion of management protocol for you for your doctor's knowledge and assent so that you do not suffer any emergency situation in future.

Looking forward to hear from you.

With Best Wishes


Dr Anil Grover,
Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW

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