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Can my diabetic mother get the COVID vaccine?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At June 21, 2021
Reviewed AtJanuary 22, 2024

Patient's Query

Hi doctor,

My mother is diabetic for four years and has fasting blood sugar of 278 mg/dL and post-prandial blood sugar of 444 mg/dL. We are planning to give her COVID vaccination, and I need a consultation with a diabetologist in this regard.

Answered by Dr. Zulfiqar Ahmed

Hi,

Welcome to icliniq.com.

Good day. Thank you for your query. Her sugars are uncontrolled, and she needs to follow strict lifestyle modifications. But, She can take the COVID vaccine. I would like to know her HbA1c (glycated hemoglobin), which shows the three-month sugar average level. Also, what is she taking for her diabetes? Is it the first time that she had high sugars? Please let me know the details. Diabetes has many complications, so it is not to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eyes for retinopathy and kidneys for urine albumin creatinine ratio. Check your feet. Lifestyle modifications are the best diabetes treatment. Take Low-carbohydrate diet and no added sugar. No sugary juices. No bread, rice foods, and potatoes if you cannot stop, at least take as little as possible. Take more vegetables, salads, and fibers. Take fruits only as a sweet dish. For example, do not take mango grapes and bananas. Apple not more than one piece. Strawberries and other berries are fine, along with peach apricot and small amounts of plums. Intermittent fasting will also help you to control your diabetes. You can fast for 16 hours, like taking your dinner at 7 PM and not eating anything after that, till you take breakfast at 11 AM. During fasting, drink water and green tea without sugar. You can extend fasting to 24 hours then 36 hours as your body adopts. You can do fasting two times a week, or as you feel comfortable, it will control your sugar. Drink more water. Sleep well. Do exercise. At least walk for 30 to 40 minutes daily. The more you will practice these things; the better will be your control. Check your sugar frequently. Your fasting target should be 90 to 130 mg/dl. Two hours after eating, it should be 150 to 160 mg/dl. HbA1c should be less than 7%. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Zulfiqar Ahmed
Dr. Zulfiqar Ahmed

Diabetology

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