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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What do these following blood and urine reports indicate?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Posted on Thu, 1 Sep 2016 in Diabetes
Question: My 65 old mom has severe blood sugar recently.She is diabetic for last 10 years.
And medcine that she is taking is
gluformin (1-0-1).

The values are given below

Blood Sugar After 2hours having food:
29 july 2016 : 360
1 aug 2016 : 450
3 aug 2016 : 325
4 aug 2016 : 220
10 aug 2016: 269
11 aug 2016: 353
12 aug 2016: 378

Fast:
28 july 2016: 345
5 aug 2016 : 250
6 aug 2016: 234

I need to know which insulin can be given/medicines. Moreover I know how to give insulin and check sugar level with glucometer.

Also she has urine infection as per lab report taken yesterday. I have attached the lab report.
main points in lab report:
(Urine examination)
Numerous pus cells found
Bacteria present
Epithelial cell 0-1
Rbcs 0-1
Urine sugar yellow
urine albumin yrace
urine micro albumin 72.89
haemoglobin 13.4

Blood examination
Blood sugar 353 mg/ dL
Serum creatine 0.5 mg/dL
Serum total chlestrol 126 mg/ dL

Please advice medicines for this urine infection and insulin treatment for diabetic.
doctor
Answered by Dr. Shehzad Topiwala 58 minutes later
Brief Answer:
Diabetes

Detailed Answer:
Sorry to learn about your bothersome symptoms.

i have reviewed the attached results.

She needs to be hospitalized immediately. Kindly take her to nearest Emergency room.

Moreover, it is no the objective of this online forum to provide prescription guidance.

She will need insulin for sure and it is a complex process that will be managed by an Endocrinologist (a diabetes expert doctor).
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Urine or Serum Ketones
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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