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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Diabetes. Had Low BP. Given Sugar Water. Sugar Increased. Reason?

hello, my grandmother has a history of suffering from diabetes , but her sugar levels usually do not go over 10 but today about 2hours ago she wasnt feeling well , we thought that she might be suffering from low pressure she asked if she could have sugar water,we gave her about 125ml of that(just about1 teaspoon of sugar) now we checked everything her pressure is a little better 130/70 but her sugar has increased to 17.7.What do we immediately do?
Mon, 27 Aug 2012
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Diabetologist 's  Response
Dear Faisal,

Just a spoonfull of sugar is unlikely to take her sugars this high. But if she have had the hypoglycemia since more than a few minutes, then the anti-insulin hormones get into action and raise the sugars beyond 12. This might be the case had she had a low which you people tried treating. Do check her sugars next time if you see her in similar weakness episode before you treat her with carbohydrates. If the sugar is not below 4.4 or 5, then she's not having low sugar and doesn't need to take sugar.
In this case, you make her undergo a certain tests which people with diabetes need to undergo to understand deviations in their health perceptions like feeling unusually tired etc. Those tests are serum creatinine, sodium, potassium, lipid profile, HbA1c, urine microalbumin and liver function tests. As of immediate action, you should have enlisted her medications here to let me reply most appropriately.

Take care.
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History Of Diabetes. Had Low BP. Given Sugar Water. Sugar Increased. Reason?

Dear Faisal, Just a spoonfull of sugar is unlikely to take her sugars this high. But if she have had the hypoglycemia since more than a few minutes, then the anti-insulin hormones get into action and raise the sugars beyond 12. This might be the case had she had a low which you people tried treating. Do check her sugars next time if you see her in similar weakness episode before you treat her with carbohydrates. If the sugar is not below 4.4 or 5, then she s not having low sugar and doesn t need to take sugar. In this case, you make her undergo a certain tests which people with diabetes need to undergo to understand deviations in their health perceptions like feeling unusually tired etc. Those tests are serum creatinine, sodium, potassium, lipid profile, HbA1c, urine microalbumin and liver function tests. As of immediate action, you should have enlisted her medications here to let me reply most appropriately. Take care.