i dont really know any thing about this she takes two meds metformin 500 mg 4 a day and glipizide 10 mg 2 a day.her suger is never lower then 220 and to nite it is 394, little high then most times. she feels bad all the time want to sleep,i thank she needs a new dr. iam very worred about her what is to high? she eats little meals, she does have a big supper. can someone tell me somthing iam lost they found out about this a few years ago. her father had it to, she is not small, ive been getting her to work out with me. i looked on the web but could not find what type she has. what do you all thank? at what # do i need to get her help? to nite it is 394.
2006-11-05 12:57:42 · 5 answers · asked by kathy j 1 in Health ➔ Diseases & Conditions ➔ Other - Diseases
I'm a RN who has taught Nursing for over 20 years and who has taught Diabetes Management at a large local hospital. First of all I congratulate you for your willingness to help your stepmom with her hyperglycemia problem. She has type 2 diabetes or previously known as adult onset diabetes. Type 2 diabetics have insulin resistance. Although their pancreas does produce some insulin their body is not able to properly utilize the insulin to allow glucose to get into their cells for fuel and energy. As a result they become very tired and lethargic, are thirsty and hungry often, and have to get rid of urine frequently. Other symptoms may include blurred vision, dizziness, inability to concentrate, headaches, yeast infections, leg pain, etc. Diabetes Type 2 is treated by diet, exercise, and medication. Thank you for listing the medications your stepmom is on: Metformin 500 mg qid and Glipizide 10 mg bid. Her blood sugars are too high and the medication is no longer working efficiently for her. As a result she is experiencing hyperglycemia or too high blood sugars. In my professional opinion she now needs to be seen by a Diabetologist who can evaluate her thoroughly and probably would alter her medication and diet. A Diabetologist is an Endocrinologist who specializes in Diabetes. You can find one by phoning your local hospital and requesting the names and phone numbers of Diabetologists that they have on their medical staff. I'm pleased to hear that you have been trying to get her to work out with you. That is a great start! I cannot emphasize enough the importance of a Diabetologist treating your stepmom as quickly as possible so that her poor sugar control can be turned around. The long term effects of uncontrolled Diabetes can result in neuropathy, blindness, foot amputation, severe cardiac disease and kidney disease. What is done for her now or not done for her could have lasting effects long term. To look up related sites on the web look up type 2 diabetes management. I wish your stepmom God's blessings and healing touch. Good luck to you.
2006-11-05 13:44:45 · answer #1 · answered by marnie 3 · 1⤊ 0⤋
Many questions there. First of all, a blood sugar of 394 is very high, but if that is her usual number, then, I would be concerned, but not be in a panic
It sounds to me as if she needs to see an Endocrinologist. That is a doctor that specializes in treating patients with diabetes and other endocrine related diseases.
I, personally was in a similar situation. I am insulin resistant and with the addition of LANTUS (a long acting insulin) in addition to the oral medications, got much better control. There is also a new medication on the market called BYETTA that is specially made for Type 2 diabetics that take Metforman (and other similar class medications). The BYETTA works to 'retrain' your pancreas to produce insulin and your liver to produce sugar at the appropriate times. It also sends signals to your brain to say "Hey, I'm not hungry, quit eating.". Since I have been on it (since March), I have had much better control of my blood sugars and have managed at long last to loose some weight.
With the addition of the LANTUS, my Hemaglobin A1C has improved dramatically. Your Hemaglobin A1C is blood test that tells what your over all bloodsugar control has been. Most doctors aim for 7% or less.
It is not an overnight fix, and is by no means without side affects, but if she does get put on the Byetta, and sticks it out, she will have great results too. The most common side effect with Byetta is nausea and vomiting. This does not last long, and if the medication is taken as directed (injected before breakfast and dinner), the side affects don't last long.
2006-11-05 13:43:38 · answer #2 · answered by Lucky girl 4 · 1⤊ 0⤋
She needs better control.
She should eat a big breakfast and a smaller supper. She should exercise and lose weight.
394 is not going to kill her overnight. She should see a doctor and get checked over to see if she has any illness that is making her sugars difficult to control
but if not, then she needs a better regime of medicine.
Her type is "type 2" diabetes - a form of insulin resistance where the insulin is being produced but the cells have difficulty getting the message
2006-11-05 13:08:25 · answer #3 · answered by Orinoco 7 · 0⤊ 0⤋
Take her to the Emergency room ASAP. Sounds like she has type 2 Diabetes. 394 is very high. She needs to see a doctor tonight. If she does have diabetes and her blood count goes up to high it can put her into a diabetic coma. If you can't take her yourself then call her an ambulance and get her to the ER. If she is already on insulin for diabetes then she may need to give herself a shot. But she would be better off going to see a doctor so they can check her out good.
2006-11-05 13:23:46 · answer #4 · answered by Countrygirl 5 · 0⤊ 1⤋
394 is high call your local hospital er and talk to a nurse or a doctor. a good randge is 180 to 220.
2006-11-05 13:00:27 · answer #5 · answered by Tazz Man 2 · 0⤊ 1⤋