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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Type 1 Diabetes, Fever, UTI, Low BP, Shivering, Plenty Pus Cells, Hb 9.4, Sodium Creatinine 1.2

My Father is 78 years old .He is an type 1 diabetic person.First, he was admitted on April 1st week for fever.They found that he has UTI and so he was admitted in the hospital for 3 days .Again on May 1st week .We took urine culture test he was again admited on account of Low BP and shivering .He was in the ICU for one day and they found that the same UTI had come again.They started giving him Imimate Injection(0.5gm).He is with this for the past 12 days and the doctor has advised to take this for another 2 days. His microbiolgical analysis says his culture is sterile, Sodium creatinine is 1.2 ,haemogram is 0000, hemoglobin is 9.4 and pus cells are plenty. He has advised us to consult with a Urologist.So,kindly help us with this.
Tue, 15 May 2012
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Oncologist, Surgical,  's  Response
Diabetics are prone to infections and this is very common in those individuals in whom the blood sugar is not controlled. It is also very difficult to eliminate such infections in diabetics and it requires prolonged therapy with IV antibiotics (which he is getting).
Another problem which might predispose him to UTI's (at his age) is prostate enlargement (BPH), which can lead to obstruction and stasis of urine - which then predisposes to infection. It is important to get this investigated by an urologist.
You should also consult your endocrinologist and make sure that his blood sugar levels are under controls.
Hope he gets well soon!
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Type 1 Diabetes, Fever, UTI, Low BP, Shivering, Plenty Pus Cells, Hb 9.4, Sodium Creatinine 1.2

Diabetics are prone to infections and this is very common in those individuals in whom the blood sugar is not controlled. It is also very difficult to eliminate such infections in diabetics and it requires prolonged therapy with IV antibiotics (which he is getting). Another problem which might predispose him to UTI s (at his age) is prostate enlargement (BPH), which can lead to obstruction and stasis of urine - which then predisposes to infection. It is important to get this investigated by an urologist. You should also consult your endocrinologist and make sure that his blood sugar levels are under controls. Hope he gets well soon!