Why do I have high blood sugar and how to reduce high sugar levels?

Hi,

Welcome to icliniq.com.

There are multiple suggestions that I can make as a doctor.

1. I would test your blood sugars four times daily, before every meal and at bedtime. The issue with high blood sugar is not short-term but long-term effects, such as eye, kidney, and nerve disease. I am assuming that you already have the diagnosis of diabetes. If you can record your blood sugars in this manner for at least three days in a row and then present this record to a doctor, then they should be able to help you adjust any medications to help stabilize your blood sugars and minimize the chances of any long-term side effects.
2. Your notes mention that your sugar goes down when you take your medication. Does it go down too low (below 60)? I suggest you always carry something sweet, such as glucose pills or lemon drops (anything with sugar) if it does. Be aware that excessive exercise and alcohol can lower your blood sugar.
3. Are you having a problem with the side effects of the medication? A medication such as the one you wrote down should be taken daily, not as needed. If you have any bad side effects from your diabetic medication, please discuss this with a doctor. There are plenty of other medications available.
4. If you can be referred to a nutritionist by your primary care doctor, they can help you develop a personalized dietary plan with food that you like and is also good for your blood sugars.
5. Finally, if you have diabetes, you need to have an evaluation by an eye doctor, never walk in bare feet, have your nails trimmed by a podiatrist, and have your kidney function checked with a urine microglobulin. I would suggest checking a hemoglobin A1C (blood test to measure blood sugar level) if you have not done this already. The urine microglobulin is a very sensitive test that detects small amounts of protein in your urine. If a doctor finds that the protein level in your urine is going up, they will usually start you on a medication that prevents kidney damage. A check by an eye doctor (ophthalmologist) will make sure that you do not have diabetes that is affecting the back of your eyes before you start noticing a problem. This is important because if they detect any abnormalities, they can fix them on the spot with laser surgery and prevent a catastrophic event such as a bleed in your eye, which can completely take away your vision. The hemoglobin A1C measures your blood sugar over the last three months, the lower, the better.

Thank you.