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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Sugar

My husband has a blood sugar reading of 430. He takes Janumet but ran out 8 days ago and Dr won't refill until Tues when he sees my husband because pharmacy wants to give wrong dose from what Dr prescribed. His sugar was this high on Thurs, the lowest reading has been 280 since then. He says his vision is blurry, he's very tired and irritable and thirsty. I want him to go to ER, he says he should be ok until Tues. What do I do? He is drinking water and avoiding carbs to try to lower it.
Wed, 17 Dec 2014
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General & Family Physician,  's  Response
HI
Welcome to H C M
I am Dr B M GUPTA answering your question
According to American Diabetes Academy normal blood sugar is less than 126 mg/dl(8 hours fasting) or less than 200 mg/dl any time.
I advice to go to E R because there is already damage of vital organ(Eye)
We shell not take any risk by staieing at home.
If I were your doctor I would first examine Fundus examination of eye,, blood for HbA!C and start insulin and advice for
-High Protein (hope your kidneys are normal) low fat ,low carbohydrate diet,
Leafy vegetables,fresh fruits(no juices) ,daily exercise.control weight
- Urinalysis
-Blood tests to rule out damage of all Vital organs
Best of luck


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Suggest Treatment For High Blood Sugar

HI Welcome to H C M I am Dr B M GUPTA answering your question According to American Diabetes Academy normal blood sugar is less than 126 mg/dl(8 hours fasting) or less than 200 mg/dl any time. I advice to go to E R because there is already damage of vital organ(Eye) We shell not take any risk by staieing at home. If I were your doctor I would first examine Fundus examination of eye,, blood for HbA!C and start insulin and advice for -High Protein (hope your kidneys are normal) low fat ,low carbohydrate diet, Leafy vegetables,fresh fruits(no juices) ,daily exercise.control weight - Urinalysis -Blood tests to rule out damage of all Vital organs Best of luck