Is Blood Sugar Value Of 407 A Cause For Concern?

Posted on Tue, 10 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 10 May 2016 Answered on

Wed, 22 Jun 2016 Last reviewed on

Question : my blood sugar is 407. Its about 2 hours after I've eaten. I am stiff and dehydrated. can I go to sleep?

Answered by Dr. Shehzad Topiwala (2 hours later)

Brief Answer:
No

Detailed Answer:
When I see someone like you in my practice, I advise them to immediately go to the ER.
There are certain worrisome complications of diabetes called Diabetic Keto Acidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS).

It is important to rule these out by thorough physical examination and laboratory testing.

After these conditions are ruled out, I would typically order the following blood tests:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio
25 hydroxy Vitamin D

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (14 hours later)

I am between insurance providers. Can i buy ketone strips to see if i need to go to er?

Answered by Dr. Shehzad Topiwala (4 hours later)

Brief Answer:
Follow up

Detailed Answer:
That is one way to know if ketosis or ketoacidosis is imminent. But in general, you need prompt medical attention to lower the glucoses into a safe range.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar