Uncontrolled Diabetes

Uncontrolled diabetes is when the blood sugar levels are very high, despite treatment. People with uncontrolled diabetes are at risk of developing infections (urinary tract infections, skin infections, and respiratory tract infections), heart diseases, stroke, and kidney problems. Diabetic ketoacidosis is a severe complication seen in uncontrolled diabetes.

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I developed redness with a painful swelling at the vaccinated site. How to treat it?

Query: Hi doctor, I am a 53 year old lady with controlled DM for four years and mild hypertensive for two years, I have received Influenza vaccine and Meningococcal vaccine on the same day in both upper arm sides before one week. Today, I developed painful swelling with redness in my left upper arm at the ...  Read Full »


Dr. Veerpal Singh Uppal

Answer: Hi, Welcome to icliniq.com. A painful swelling after vaccine at the injection site in a diabetic patient is common. In diabetic patients, if glucose control is inadequate, then any injection of injury causes prolonged healing due to the high sugar level in blood. You just have to check and keep yo...  Read Full »

Can consuming food rich in carbohydrates and fat increase sugar levels despite taking Insulin?

Query: Hi doctor, I have high sugar levels above 490 PPBS and 240 FBS. I have tiredness, fatigue, and sleepiness not feel well, always feel drowsy, depressed, and have so much confusion and stress not feel well often mood swings and dizziness. Diabetes was diagnosed three years ago. Both my parents are di...  Read Full »


Dr. Manisha

Answer: Hi, Welcome to icliniq.com. You are well aware of the consequences of continuing to eat unhealthy foods and lack of exercise. Yes, the blood sugar readings are dangerously high and need to be urgently taken care of. The lipid profile also shows borderline high readings (attachments removed to ...  Read Full »

Why is Lantus Insulin administered at night?

Query: Hi doctor, My brother-in-law was injured and underwent surgery. After that, his diabetes is uncontrollable, and his level is 370 mg/dL. Even though Insulin is given three times at about 22, 22, and 16 units, and Lantus 16 units at night, the result is the same.  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Good day. Thank you for your query. I suggest the following: If his fasting sugar is over 150 mg/dL, I suggest increasing his Lantus (Insulin Glargine) every day for two units until fasting blood sugar comes down to less than 150 mg/dL. If it goes less than 90...  Read Full »

What is the best treatment for diabetic patients?

Query: Hi doctor, I am a 26-year-old male, and I am taking tablet Metformin 500 mg twice daily for my blood sugar, but still, it is 230 mg/dL in the morning (fasting) and 300 mg/dL in postprandial. Please help me with what I should do and guide me on how I can control my sugar. I am panicked about this, ...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. What is the HbA1c (glycated hemoglobin) value which shows your average sugar over the last two to three months? Diabetes has many complications, so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eye...  Read Full »

What causes yeast infection in the anus?

Query: Hi doctor, For the past three days, I am having excessive thirst and frequent urination. The feeling to urinate is always urgent. Sometimes the urine quantity is normal, and sometimes it is in drops. Also, my left hand - ring finger and middle finger appears slightly swollen in the middle. Kindly l...  Read Full »


Dr. Poonguzhali Liston

Answer: Hello, Welcome to icliniq.com. All the symptoms you are describing are related to a urinary infection. Kindly let me know the following details so that I can help you with your problem. Do you have any white discharge from the vagina? Is there any itching sensation around your urethra and va...  Read Full »

Please suggest medicines and a diet plan for diabetes.

Query: Hi doctor,My mother is 48-year-old. She occasionally feels dizzy, and there is eyesight blurring and numbness in her jaw. Sometimes she finds ants in her urine. She has hypertension, and she is taking medication, tablet Amlodipine Besylate 10 mg. She has diabetes and is taking Metformin for two yea...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Her fasting blood sugar over 400 is very high. 1) What is the HbA1c (glycated hemoglobin) value which will show your average sugar over the past two to three months? 2) How much is she using Metformin? I suggest her the following advice: 1) She can increase it to 2...  Read Full »

What steps can be taken to improve erections?

Query: Hi doctor,I am a 53-year-old male. I am diabetic and having erectile dysfunction for the past four months. I lose my erection soon. I have tried taking Eract X on two occasions. But there is no result. Do I need to take it continuously? What are the steps to be taken to improve my erections?   Read Full »


Dr. Penchala Prasad Kandikattu

Answer: Hi,Welcome to icliniq.com.Please mention whether you have difficulty in getting an erection or maintaining an erection for a long time. Diabetic patients with uncontrolled diabetes suffer from erectile dysfunction. Have good diabetic control. Eat green leafy vegetables and fruits. Avoid smoking and ...  Read Full »

Does my mother need Insulin to lower sugar levels?

Query: Hi doctor,My mother is 63 years old. She has a fasting blood sugar of 190 mg/dL and a postprandial of 330 mg/dL. Is it normal or she has to go for insulin? She is taking Metformin 850 mg now. Before few days, she had dizziness. Due to COVID-19, I was unable to take her to the hospital. Can she take ...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. I have gone through the history. Her glucose level is high and it indicates that her present treatment is totally inadequate. She has an increased weight with a BMI (body mass index) of 43.96 and she has an excess weight of 46 kilograms. This is the main culprit against...  Read Full »

Please give your opinion regarding my diabetes treatment.

Query: Hi doctor, I am 45 years old. I have been suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is h...  Read Full »


Dr. Krutika Ingle Karandikar

Answer: Hi, Welcome to icliniq.com. To actually advise a change in your medications, I would require you to follow up with me with your blood sugar levels again. I hope your doctor has informed you about the side effects of Pioglitazone. I am not comfortable with using it, so I would like to suggest a diffe...  Read Full »

I have high fever and body ache. Please interpret my blood and urine test.

Query: Hi doctor, I have fever and severe body ache, headache and back pain. The body ache is present since five days and I have a fever from yesterday. My fever reached 103.8 degrees Fahrenheit and then got controlled by Paracetamol. Now, the minimum temperature goes around 101. I am a diabetic patient. I...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Presence of high grade fever in a diabetic patient never should be taken lightly and there should be in person physician consultation without delay. As I can see there is a poor diabetic control and evidence of urinary tract...  Read Full »

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