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How can my moms sugar level be brought down as she is HIV+ and is suffering from UTI ?

My mother who is 53-years old is HIV+. She has recently been contracting Urinary Tract Infections regularly. No amount of Allopathic medicines is helping. Her sugar levels are also above 300 most of the time, inspite of switching over to Insulin. The symptoms of UTI are Very high fever (104 F) and shivering (chills). Would appreciate a speedy response.
Asked On : Mon, 29 Aug 2011
Answers:  4 Views:  151
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General & Family Physician 's  Response
welcome to HealthcareMagic
Both HIV and diabetes can hamper the treatment of infections so at least the blood sugar should be controlled so that the infection can be treated.Once the blood sugar comes under control the medicines will act in treating the infection.Better discuss with the treating Physician so that the treatment can be done properly.
Answered: Mon, 29 Aug 2011
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Pediatrician Dr. Aseem's  Response
Welcome to HCM
Read your prob,your mom has been suffering from AIDS n diabetes so she is more prone to be infected by any organism on any part of body. as immunity become low in both condition. diabetes is cause of UTI. she should take injectable antibiotic for 14 to 21 days after advising your doc. take insulin n drugs for AIDS regularly. she should control her blood sugur leval. get blood test like CBC, complete urine analysis, discuss it with your doc n start proper treatment.
Answered: Mon, 29 Aug 2011
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General & Family Physician Dr. Pragnesh Vachharajani's  Response
hi,thanks for query.The cause of recurrent infection seems to be uncontrolled diabetes.At times even when on insulin continuous monitoring of sugar and changing the dose regularly is required.Kindly get in touch with diabetologist for smoother control and expert opinion.At times you may discuss with your doctor about urine culture report which can guide about the treatment.
wishing her good health.
Answered: Mon, 29 Aug 2011
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  User's Response
Dear All,

It has finally been found that the reason for the UTI not being cured was because she was being treated with drugs that the bacteria was resistant to. A simple Urine Culture and Sensitivity test, cost just Rs. 200/- led us to determine that the intensity of the infection was about 1 lac organisms in 1ml of blood. Also, it revealed that the bacteria was resistant to almost all the common antibiotics: Ampicillin, Ciprofloxacin and about5 others. There were only 4 antibiotics that the bacteria was responding to:
Amikacin, Nitrofurantoin, Piperacillin/Tazobactum, Imipenem.

The medication: Ertapenem 1g through IV (infusion for 30 mins) has been showing positive results over the past 2 days.

I never realised that a simple UTI could take a person's life. It has affected the Blood sugar and BP levels, memory, consciousness, mobility of my mother.
Answered: Fri, 2 Sep 2011
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