Suggest Treatment For High Blood Sugar Levels

Posted on Sat, 13 Dec 2014

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

Sat, 13 Dec 2014 Answered on

Thu, 8 Jan 2015 Last reviewed on

Question : Few week back i have detected with high blood sugar RBS Of 363 & Hba1c of 11, after that doctor asked me to follow medicine of amaryl 3mg @ breakfast & 1000mg fetmorfin@ dinner.

Today i got my blood test done and results are as follows:
Chlolestrol - 163 mg/dl, Triglycerides - 129 mg/dl, hdl 42 , ldl 95.20, creatine : 0.88 , microalbumin @ less than 5 mg/ dl in urine, creatinine @ 55.67 mg/ dl in urine , ratio of microalbumin & creatinine @ less than 30 mg/g creatinne.

fasting blood sugar : 96 & PP - 127 , Hba1c - 6.10

thyroid TSH : 2.678, T3 2.66pg/ dl

kidney & liver & lipid profile are normal

problems are High uric acid - 8.2 , thyroid FT4 - 0.87 & cardia c- reactive protein@serum :4.60

please go through the above and tell me why those are high and what to do to get rid of those and is it critical?
thankx

Answered by Dr. Ajish TP (-4 hours later)

Brief Answer:
These are markers of metabolic disorder

Detailed Answer:
Hi,

Welcome back to HCM. I have gone through the question and understand your concerns.

You have done well to bring down very high sugars to normal. Continue the great job.

Diabetes is part of a metabolic disorder in which many markers like LDL cholesterol, uric acid and inflammatory markers like C reactive protein are elevated. This could be a result of previous high sugars.

For elevated uric acid dietary modifications like decreased consumption of meat, proteins, spinach etc may help. If it is not working, medications will help to bring it down.

I think you should try dietary modification and control of blood sugars for few months and repeat these parameters. If they are coming down there is no need to worry.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Ajish TP (15 minutes later)

for last few weeks i notice forthing in urine , as advised by you earlier i conduct blood test & find microalbumin in random urine is less than 5 mg/dl , creatinine 56.67 mg/dl and ratio of microalbumin & creatinine less than 30 mg/g creatinine.

and again find kidney and liver profile normal , so why its hapeening any more test i need to conduct.
thnkx doctor.

Answered by Dr. Ajish TP (2 hours later)

Brief Answer:
Please check the urine routine

Detailed Answer:
Hi XXXXXXX

Welcome back.

The common cause of frothing of urine - which needs treatment - is albumin in urine. But your investigations are normal.

Other causes of frothing of urine are semen, blood, pus, bacteria, glucose, casts, crystals, bile, urates, phosphates, fat globules, ketones, white cells or nitrates in urine

Kindly do a urine microscopy (Urine routine examination) to look for other causes. If it is normal, no need to worry.

Regards

Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Prasad