Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an increase in sugar level, itching all over the body will be there. But this time, it is not there. Sugar level was normal when checked last week also. Kindly advice.
More details about the presenting complaint:
Continuous vomiting, excessive thirst due to dryness but unable to drink and eat anything from morning onwards due to continuous vomiting. Morning there was an urge to urinate frequently but now it is not there. No itching. Current medications: Insulin treatment. Lab tests performed: Sugar level was normal last week when checked.
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I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus.
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Thank you doctor,
The blood glucose level is 320 after food.
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I would recommend taking her to a closet hospital. I think she is having hyperosmolar state and will need fluid through IV line may be 2 to 3 drips and extra Insulin, then what she is getting on a daily basis. 320 on a finger stick is very high.
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