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Suggest Treatment For Hypertension And Hyperglycemia
Posted on
Wed, 4 Jan 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 4 Jan 2017
Answered on
Wed, 25 Jan 2017
Last reviewed on
Question : type 2 diabetic wife, age 55, has had a blood sugar spike up to around 210 and has been nauseous and vomiting consistently for last 8 hours. Complains of pain across shoulders. Tingle in fingers. Blood pressure is high at 209/129. She has an appointment with her regular doctor at noon today. it is 3:30 am now. Question is, safe to wait to see regular doctor or go to emergency room?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that the high blood pressure and the spike in blood sugar are a physiological reaction to the pain.
Coming to this point, I would recommend bringing her to the ER as soon as possible for a physical exam and some tests to exclude possible serious causes underlying her pain (like a dissection of the thoracic aorta, esophageal spasms, coronary artery disease, pulmonary embolism, etc.):
-a chest X ray study
-a resting ECG and a cardiac ultrasound , coupled with cardiac enzymes
- some blood lab test (complete blood count, liver and kidney function tests, blood electrolytes, cardiac enzymes, D-Dimer levels).
Further tests (angio CT scan of the chest, coronarography) may be needed based on the above test results.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that the high blood pressure and the spike in blood sugar are a physiological reaction to the pain.
Coming to this point, I would recommend bringing her to the ER as soon as possible for a physical exam and some tests to exclude possible serious causes underlying her pain (like a dissection of the thoracic aorta, esophageal spasms, coronary artery disease, pulmonary embolism, etc.):
-a chest X ray study
-a resting ECG and a cardiac ultrasound , coupled with cardiac enzymes
- some blood lab test (complete blood count, liver and kidney function tests, blood electrolytes, cardiac enzymes, D-Dimer levels).
Further tests (angio CT scan of the chest, coronarography) may be needed based on the above test results.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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