Hello,Welcome to icliniq.com.Thanks for sharing this so clearly.Blood sugars persistently higher than 400 mg/dL despite maximum therapy, with HbA1C more than 13%, symptoms, and progressive complications, is a life-threatening medical emergency. You should seek urgent medical care (such as an emergency room visit or hospital admission) rather than waiting for outpatient adjustments.Immediate priorities that you need to follow are:Hospital admission: In cases like yours, we typically admit patients for IV (intravenous) insulin infusion (much more controlled than injections at home), careful rehydration (since you are urinating constantly and at risk for dehydration and electrolyte loss), and monitoring and stabilizing until sugars are brought into a safe range.
Hello, Welcome to icliniq.com. I read your query and can understand your concern. Managing a young patient with type 1 diabetes is challenging. First, let us discuss the reasons for uncontrolled blood sugar levels. Missing or delaying insulin injections is a major cause of fluctuations.
Hello, Welcome to icliniq.com. I understand your concern. The feeling of pain in the right foot could be due to several factors related to his condition. It is important to understand the potential causes so he can seek the right kind of care. It can be caused by the following cases: Plantar fasciitis, a very common cause of heel and foot arch pain, especially the sharp pain felt with the first steps in the morning.
Hello,Welcome to icliniq.com.I understand your concern.You have highlighted all the right points that matter in your case. You are dealing with type 1 diabetes, celiac disease, underweight BMI (body mass index), variable blood sugars, and early microalbuminuria risk.Understanding your current situation: Blood sugars: Wide swings (65 to 280 mg/dL), reflecting a mismatch between insulin, meals, and activity.
Hi, Welcome to icliniq.com Thank you for sharing your problems. You are facing a very challenging but manageable situation: type 1 diabetes, celiac disease, and being underweight, along with nutritional deficiencies. It will be better if we understand step by step. I want to discuss food choices along with insulin dose adjustments. This is a better way to deal with your problems.
Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your sugar is uncontrolled, but we will definitely work on it, and it should be controlled. You have HbA1C 10.2 percent with a fasting blood sugar level of more than 200.
Hello,Welcome to icliniq.com.I understand your concern.I have read your concern, and you are doing well, like you said. You have been on Metformin for three months, your fasting glucose is 140 mg/dL, and you are following a diet and walking daily.Based on your description, you might probably have insulin resistance.
Hello, Welcome to icliniq.com. I read your query and understood your concern. Your concerns are valid. You really need very intensive care to control your diabetes and hypertension. What I suggest is to start Insulin immediately.
Hello, Welcome to icliniq.com. I understand your concern. You are dealing with a challenging combination of type 1 diabetes and stage 3 chronic kidney disease (CKD), and your concerns about the future are completely valid. As kidney function declines, insulin is cleared more slowly because the kidneys normally break down a significant portion of circulating insulin. This means your current doses may last longer and act more strongly, especially overnight, increasing the risk of hypoglycemia.
Hello,Welcome to icliniq.com.I have read your query and can understand your concern.Your 2.4 mmol/L of ketones and 378 mg/dL of glucose are unsafe to manage at home without medical guidance. DKA (diabetic ketoacidosis) can develop quickly, especially when insulin delivery is disrupted.
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