Brief Answer:
Advisable to consult your Physician
Detailed Answer:
Hi
Dear XXXX
Post prandial blood sugar level of 140 mg% is acceptable . In a Diabetic individual with
high fever it's important to thoroughly evaluate the patient for the following reasons
1. Any infection in an
diabetes patient if not appropriately managed can lead to derangement of sugar control and sometimes lead to keto
acidosis. So very much important to look for cause for fever and specifically rule out infection as the cause of fever even in the absence of symptoms suggestive of infection in the given system.
If your father is on
Insulin it's important to monitor blood sugar level at least twice a day using glucometer. Also if his oral intake is not adequate it's advisable to consult your treating Physician at the earliest top avoid fluctuations in sugar level.
He would require the following investigation
1. Complete Blood count: presence of Leucocytocis ( increased
wbc count) may be an indicator for presence of infection
2. Urine routine and microscopy examination and also Urine for
Ketone bodies
3.
HBA1C OR Glycosylated hemoglobin
These will be the basic investigation required for further management.
Even though his sugar level of 140 mg% is acceptable it's still advisable to see your Physician in view of the associated symptoms of XXXXXXX grade fever and decrease oral intake.
Do get back to me anytime you need and further assistance or clarification, will be glad to assist you. .
You can directly write to me.
Wishing your father a speedy recovery.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Surgeon
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