Q. My mom's blood sugar level is high in her recent blood test. Please suggest treatment options.
Hello doctor,
As of today, my mother's fasting blood sugar levels had come up 123.2 mg/dl, and HbA1c is 6.5%. Average blood glucose is 140 mg/dl. In the blood test taken before three months, her fasting blood sugar was at 118 mg/dl, whereas HbA1c was 6.1%. She did not take any medicines but was under diet restriction. Before that, her blood sugar levels were not significantly high as of the above two.
She is 49 years old and taking Telpres CT 40/6.25 for high BP for the past few years.
Hello,
Welcome to icliniq.com.
I had a look at the report (attachment removed to protect patient identity). Her blood sugar levels are on the higher side (fasting, average levels). And her HbA1c (glycated hemoglobin) is exactly at 6.5 %, which is the cut-off point for diagnosing diabetes. I could also see the increasing trend of HbA1c for the past three months. I wanted a few answers to suggest appropriately.
Did she have any symptoms? How is her appetite (increased or decreased)? How is her waterworks (urine) habits, is it increased or decreased? Does she wake up at night to urinate? If yes, how many times? Is there a change in her weight? If yes, how much and over how many days?
Thank you doctor,
She has resting pain (when she goes to bed) in her shoulder, and her urine habit is slightly decreased. She wakes up very rarely at night. No much change in the weight.
Hello,
Welcome back to icliniq.com.
It looks like she has diabetes. Though not typical symptoms, her average blood glucose levels and HbA1c levels define it. We need to evaluate further with comprehensive blood and urine check-up. Let us do them six weeks from now. In the meantime, let her start tablet Glycomet 500 mg (Metformin) one in the morning, 15 minutes before breakfast. Once we have full blood and urine reports, let us review the medications. Let her continue her BP medicine (hoping her BP is in control). Also, she has to exercise or walk briskly for at least 20 minutes daily. Reduce the daily consumption of sugar to half of what she is taking now.
She has a frozen shoulder, common in people with high blood sugar levels (assuming she has no other ailments or trauma to the shoulder). It requires supervised shoulder exercises. Please visit a physiotherapist who will guide you further.
Investigations to be done:
Blood: CBC (complete blood count), fasting blood sugar, postprandial blood sugar, HbA1c, blood urea, serum creatinine, serum electrolytes, fasting lipid profile.
Urine: urine routine, albumin/microalbumin.
DM T2 with HTN (Diabetes mellitus type 2 with hypertension).
Treatment plan:Tablet Glycomet 500 mg before breakfast for six weeks.
Regarding follow up:Follow up with investigations report at six weeks.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Please help me lower my blood sugar levels.
Recently, my blood sugar level showed up high, so my family doctor advised me to consult a diabetologist to control blood sugar level . Read full
Hypertension: Overcome the HighsDiabetes and other metabolic syndromes ... Check for blood glucose levels to know your level of diabetes risk ... Read full
Can I use Metformin for diabetes prevention and weight loss?.. you do not take the tablet if you are not clinically diagnosed as diabetic as it could lead to serious problems. I would strongly advise you to not to take it anymore. To prevent diabetes, one has to change the lifestyle like diet, and have to do exerc Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a General Medicine Physician Now* guaranteed answer within 4 hours.