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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Blood Sugar Level?

49 yr old male/154 pounds/ insulin dependent diabetic...(3 doses of novalog daily 12units/24 units and 12/units ...then 50 units of levimer at bedtime...at the noon meal today - patient s reading was 82 - he should have deducted 2 units from the 24 base - but didn t - after eating - sugar dropped to 44....obviously - patient felt horrible - ate extra food to bring sugar back up - in approx 2 1/2 hrs - the sugar was up to 254 - this was prior to supper.......went ahead and took the supper dose ....finally @ 10:00pm - took the 50 unit levimer dose...now at 2:00am - patient woke to ringing in the ears and headache....took BP......BP 132/66 with a 92pulse...I gave 2 regular aspirins...is the difference in the systolic and diastolic pressure due to the fact that his readings have been so exteme today.....he has been an insulin dependent diabetic for approx 2 1/2 yrs....before that - was using pills for control...he is a type 1 diabetic....also takes BP medicine...
Wed, 16 Jul 2014
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Diabetologist 's  Response
Sugar fluctuations can sometimes give rise to such headaches. Also in cases of recovering from hypoglycemia i generally prefer to adjust night dose according to predinner blood sugar values. Generally after a patient experiences hypoglycemia the next 2days values may fluctuate.. I feel the B.P is OK, nothing much to worry about. Only thing is that you could have done a blood sugar also with the b.p check at 2AM
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What Causes High Blood Sugar Level?

Sugar fluctuations can sometimes give rise to such headaches. Also in cases of recovering from hypoglycemia i generally prefer to adjust night dose according to predinner blood sugar values. Generally after a patient experiences hypoglycemia the next 2days values may fluctuate.. I feel the B.P is OK, nothing much to worry about. Only thing is that you could have done a blood sugar also with the b.p check at 2AM