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High blood sugar followed with ataxia, disorientation and visual field problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Hi Sir... My dad was hospitalised last month due to a sudden increase of diabetic levels and the doctors diagnosed him with "acute onset of ataxia,dysarthria, disorientation and visual filed defects". He has been discharged now and is at home...but not a position to walk by himself..swallowing food has also become a little difficult for this curable completely or will remain like this forever ??               
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed
User :   helo sir..I've posted my query above
User :   k
Doctor :   what were his sugra levels when he was admitted?
Doctor :   what were his sugar levels when he got discharged?
Doctor :   when was he discharged?
User :   it was 460 post fast
User :   & 306 before fast
User :   but now it is at 161
User :   he was discharged on april 15th
Doctor :   161 is on the fasting sample or sample after food?
Doctor :   what medications is he currently on?
User :   it was after food
Doctor :   ok. it is still elevated
User :   he was given some 12 tablets to be used
User :   shall I type all those mediciones here ?
Doctor :   the ataxia, dysarthria, disorientation wil slowly come back to normal
Doctor :   the visual field defect needs further investigation to see wat as happened to his retina
Doctor :   yes you can type the medications and dosages that he is taking
User :   ohhh k
User :   1 sec'
User :   PANTOCID 40mg before breakfast
User :   ECOSPRIN 150MG AT 2PM
Doctor :   the ataxia, dysarthria, disorientation will need to be treated along with physiotherapy
Doctor :   ok
User :   CLOPILET 75MG @ 8AM
User :   LIPICON 40MG @ 9PM
Doctor :   ok
User :   RIBOFLvin @ 8am and 8pm
User :   polybion 10ml @ 8am 2pm and 8pm
User :   dynapres 0,4mg @ 9pm
User :   potklor 10ml with water @ 8am with glass of water
Doctor :   ok
User :   Insulin - actopid 6units before brkfast & before lunch, mistard 12units 12 units before dinner
User :   these were the medicines prescribed for him Sir
Doctor :   ok
Doctor :   let the medications continue as prescribed
User :   ok
Doctor :   and continue to follow the diabetic diet
User :   but agian last week when he was taking food
User :   he coughed a little & then was suffocated
Doctor :   for the problems that he is still facing, you can take a second opinion from our pane diabetologist
User :   could not take his breath properly
Doctor :   give him semi solid foods at present and also make sure he takes small amounts at equal intervals of time
User :   so we took him to the hospital again & the doctors suspected attack of TB
Doctor :   such that he can eat well and not get choked
User :   ohh ok
User :   now we are giving him milk with D-protein, ragi malt & vegetable soup
User :   can we give him rice now ?
Doctor :   you can visit this link to speak to our panel diabetologist
Doctor :   WWW.WWWW.WW [push]
User :   k Sir, thankQ
Doctor :   you can give small amounts of rice say 1 small cup once a day, but it should be red rice and not polished rice.
User :   ohhh
Doctor :   you can opt for a diabetic diet chart also for him and be in contact with our dietitian
Doctor :   to make sure he is taking good nutrition
User :   hmm sure Sir
Doctor :   WWW.WWWW.WW User :   but this wont be permanent na ? it will cured completely ?
Doctor :   this is the link to get personalized diet chart for your father
Doctor :   it will take time for th enerve damage to get reversed
User :   ok thanQ
Doctor :   it will slowly get cured
Doctor :   the visual chnages if very severe and due to detachment of retina
User :   ohhh
Doctor :   will take surgery to get treated and restore his vision
Doctor :   so get an ophthalmology consultation done
User :   ohh ok...
Doctor :   in which the doctor would see inside of his eye
Doctor :   to make out what is happened
User :   ohh ok sir
Doctor :   and suggest you what should be done next
Doctor :   where are you located?
User :   what the doctors told was, due to some blood clots in his brain cells, his vision has been affected
User :   I'm from ...., but currently working at ,,,,,
User :   my dad is getting treated at my place itself
Doctor :   the ataxia and disorientation will take continuous and repeated stimulus to help him get back to normal, you can take help of physiotherapists who will guide and monitor his progress
User :   ohhh
Doctor :   ok
Doctor :   you cannot get him to...?
User :   if there is a need I will get him here
Doctor :   in ... you can get him to CARE hospital or to Manipal
User :   is it needed doctor ?
Doctor :   he can be under the best doctors there
Doctor :   if you cannot get him here
User :   ya he's under the supervision of right now
Doctor :   ok. that is fine then, discuss with his treating doctor about the ophthalmology consult
Doctor :   and also physiotherapy to help him recover faster
User :   ya sure Sir
Doctor :   and meanwhile you can speak with our panel diabetologist and take guidance on further treatment and care
User :   so u suggest we get a physiotherapist to our home ?
Doctor :   which you can request his treating doctor to get done
User :   ohh fine Sir
Doctor :   yes, first he should be treated in th ephysiotherapy unit itself, and then once he is a bit beter, get physiotherapist to come home
Doctor :   and assist him atleast 3-5 das a week
Doctor :   *days
User :   ok Sir will do that
Doctor :   have you followed what I have said?
User :   ya I have
User :   ThanQ
Doctor :   is there anything else you would like to ask me?
User :   in case I need to consult you personally
User :   can I ?
Doctor :   you can come over live chat and request for me
Doctor :   I am Dr. XXXXXXXX here
User :   like I feel if u go through my dad's reports, u'll have a better idea on his health ?
User :   ok Dr...will do that in case its needed
Doctor :   you can send across his reports to YYYY@YYYY
User :   ok
Doctor :   which will be sent to our panel diabetologist also who can have a look and suggest you better
Doctor :   what can be done next
User :   fine doctor thankQ u so much for ur suggestions and advice
Doctor :   ok. Please fill the feedback form say done when done.
User :   will get back 2 u again
Doctor :   sure you can get back with your health queries anytime 24/7
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   k thanQ bye
Doctor :   Thanks for consulting me.
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