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Suggest Treatment For Persistent Dizziness And Nausea

Posted on Tue, 20 Dec 2016

Question: my daughter 17 was sent to er today with dizziness naseau so bad she almost blacked out several times. this was about 4 hrs after giving blood and an hr after a meal. blood glucose was 254 . urine was 500 and her A1c was 6.8. they sent her home after iv hydration and said to make appt with her dr within 5 days.. she is still feeling naseated and complaning of a headache so i checked her blood sugar witha portable device and it is 249. she is not diabetic is there anything i can do right now to help lower her blood sugar and is that level ok to wait to see a physician tomorrow or when they can get me in? My mom is a nurse and is freaking out wanting me to take her to another er right now.

Answered by Dr. Mirjeta Guni (28 minutes later)

Brief Answer:
Do not wait.

Detailed Answer:
Welcome and thank you for asking on HCM!
I can understand your concern.
As the blood sugar is high and she has complains such as nausea and dizziness you should send her to ER. She needs to check for ketones.
If they are high it is an emergency and she should start insulin.
Hope the information will help.
Wish her good health!
Regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. REMY KOSHY

Follow up: Dr. Mirjeta Guni (25 minutes later)

Here is the labwork from the. E r earlier today it says keytones were nevative

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
No emergency for the moment.

Detailed Answer:
Hi again,
Ftom the exams you reported there is no emergency.

The blood sugar is high and you should keep monitoring it before and after meals while try to see an endocrinologist in person to start the treatment as soon as possible.

If the blood sugar has a tendency to get higher do not wait. You can check ketones in urine at home with urine stick. Once they are positive despite the blood sugar level you should send her to ER.

Best wishes for her!
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. REMY KOSHY

Follow up: Dr. Mirjeta Guni (6 minutes later)

Thank u so much ! This has been very helpful.

Answered by Dr. Mirjeta Guni (3 minutes later)

Brief Answer:
Thanks to you for asking!

Detailed Answer:
I am always at your disposal for any other questions whenever you need!

Wishing all the best,
Dr.Mirjeta

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

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar