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Diabetic patient
Yesterday I just check my sugar levels or it's showing high what should I do please suggest me
Fasting-264
PP-374
Answers (8)
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Do not panic.
Consult because you need further evaluation for your high sugars.
Next Steps
HbA1C
Renal function test
Fasting Lipid Profile
Urine Routine Microscopy
Ophthal Evaluation for Retinopathy
Health Tips
Consult a Diabetologist, start medications and buy a glucometer for self monitoring your blood glucose.
Regular checkups, timely medications, dietary management and strength training will give good control so do not panic.
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Your sugar levels are significantly elevated — fasting 264 mg/dL and post-meal 374 mg/dL are well above the diabetic range. Please don't panic, but this needs medical evaluation promptly rather than waiting or trying home remedies.
You should get an HbA1c and repeat laboratory glucose test to assess how long your sugars have been elevated and to confirm the diagnosis if required.
Since your levels are quite high, a doctor should also assess your kidney function, electrolytes, urine, blood pressure and other diabetes-related risk factors and decide whether you need tablets, insulin, or another treatment based on your clinical condition.
If you have excessive thirst/urination, vomiting, abdominal pain, marked weakness, drowsiness/confusion, rapid/deep breathing or dehydration, please go to an emergency department immediately, as very high glucose can occasionally be associated with serious metabolic complications.
Next Steps
See a physician/diabetologist within 24–48 hours. Get: HbA1c, fasting/venous plasma glucose, CBC, RFT/eGFR, electrolytes, urine routine, urine ketones (especially if symptomatic), lipid profile and liver function tests. Further testing can be decided after examination.
Health Tips
Until reviewed, avoid sugary drinks, sweets and large amounts of refined carbohydrates. Stay adequately hydrated unless you have been advised to restrict fluids. Do not start insulin or diabetes tablets on your own, because the appropriate treatment depends on your symptoms, HbA1c, renal function and whether there is evidence of ketosis.
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Your sugar readings are quite high — Fasting 264 mg/dL and PP 374 mg/dL. Please don’t panic, but don’t ignore these readings either.
For now:
1. Arrange a medical consultation at the earliest so that we can assess the cause and decide whether medication needs to be started/adjusted.
2. Please get HbA1c, fasting/PP glucose and renal function (serum creatinine/eGFR).
3. Please also get a urine examination, preferably including Urine Routine & Microscopy + Urine Albumin/Creatinine Ratio (UACR). This helps us look for protein/albumin leakage and assess early kidney involvement related to diabetes.
4. Do not stop or change any diabetes medication on your own.
5. Until reviewed, avoid sugary drinks, sweets, desserts, juices and refined carbohydrates such as large portions of rice, maida products and bakery foods.
6. Stay adequately hydrated with water, unless you have been specifically advised to restrict fluids.
7. Keep a simple glucose log — fasting and 2 hours after your main meal — rather than checking randomly many times a day.
Please arrange the consultation soon. These readings are significantly elevated and need proper assessment rather than trying to manage them with diet alone.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. A Raja Prasanna Kumar
Pulmonologist
47 yrs exp
Hyderabad
Pl consult endocrinologist/ Diabetologist immediately.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help u
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.