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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Night Sweats, Chills And High Pulse Rate When Diagnosed With Diabetes?

My friend just was in the hospital for a staph infection , did surgery. After he came home he was diagnosed with Diabetes. They did not do a fasting blood sugar. He has night sweats/chills. He can't sleep more than an hour at a time. His pulse rate is high. They put him on Glucophage, that makes his very sleepy. I think something else is going on.
Fri, 2 Jun 2017
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Diabetologist 's  Response
Hello, Thanks for the query.
For diagnosing diabetes either fasting or PP blood glucose alone can be sufficient. Now a days mostly diagnosis is done on HbA1c%. If HbA1c% is>6.5%, diabetes is confirmed. Metformin is the firstchoise drug in T2 DM. Plus that drug does not cause drowsiness. Since this patient had already a svere Staph infection, it is possible that the same has not been cured completely. That is the reason for getting chills and fever. So please ensure that his infection is cured completely with appropriate antibiotics and also blood glucose level is also controlled properly. Ideally well controlled diabetic patient should have FBG <100 mg, PP 150 to 160 mg & HbA1c% <6.8. So only metformin may not sufficient. Thanks.
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What Causes Night Sweats, Chills And High Pulse Rate When Diagnosed With Diabetes?

Hello, Thanks for the query. For diagnosing diabetes either fasting or PP blood glucose alone can be sufficient. Now a days mostly diagnosis is done on HbA1c%. If HbA1c% is 6.5%, diabetes is confirmed. Metformin is the firstchoise drug in T2 DM. Plus that drug does not cause drowsiness. Since this patient had already a svere Staph infection, it is possible that the same has not been cured completely. That is the reason for getting chills and fever. So please ensure that his infection is cured completely with appropriate antibiotics and also blood glucose level is also controlled properly. Ideally well controlled diabetic patient should have FBG 100 mg, PP 150 to 160 mg & HbA1c% 6.8. So only metformin may not sufficient. Thanks.