What causes elevated blood sugar levels?
Patient: I am a diabetic patient having 60 years of age, from 4th of June my sugar level remains stagnant at 300-350, dr. Recommended me to have diabetic diet, on following this diet their is no control on the level of sugar. At last another dr. Recommended me to have insulin, still there is no markable result are seen, further he added to increase the dose of insulin. At present on having all medication and diabetic diet the level of sugar remains between 250- 320. As per reports HbA1c 8.5 Glycosylated haemoglobin 12.8 Blood urea 52.4 Serum creatinine 2.3 Lipid profile Cholesterol- 126.4 Hdl- 28.7 Triglyceride 309.4 Vldl- 61.88 LDL- 35.82 Cho:hdl- 4.40 Urine Albumin - ++++ At present I am having Tenepride M 500 Atorlip-F Mecorney plus Telvas -AM Unistar- 75 Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Your A1C level and your blood sugars are high and this means that your Diabetes is not under control.In these circumstance it is very important to adjust the insulin therapy(regimen and dosis) and in my opinion you may need an intensive basal-bolus regimen.)So,my advice is to consult physically your treating endocrinologist for the right treatement and the follow up.At the other side,i suggest to consult a nefrologist because i see that you have a renal disease ( Diabetic Nephropathy and probably an acute renal disease) and it is very important to have the right therapy,accordingly to your test results(Serum creatinine,blood urea,urine albumine)The atorlip therapy and a low fat diet will help you to normalise your lipidic profile but i suggest to discuss even this problem with your treating endocrinologist.Hope this is helpful.Let me know if i can assist you further.