Question 1

I've been having some issues with my urine test showing double positive for sugar, but when I had my blood sugar tested, it came back normal. My doctor suggested I see a diabetologist, and I'm trying to understand what might be happening here. Why would there be sugar in my urine but not in my blood? What steps should I take to figure this out?

Accepted Answer

refer pediatrician

Question 2

I'm a bit confused and a little worried about my blood sugar levels. My fasting blood sugar is 122, and my postprandial is 95. I always thought the postprandial level should be higher than the fasting one. Can you help me understand why this might be...

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 3

I'm a bit confused about my blood glucose levels. My fasting sugar came out higher than my reading two hours after eating. It was 155 fasting and 139 after a meal. At one point, my fasting level was 200, and a few days later, it dropped to 155. Why w...

Accepted Answer

It is not uncommon for blood glucose levels to be higher in the morning (fasting) compared to after a meal. This is due to the dawn phenomenon, where hormones released in the early morning hours cause blood sugar levels to rise. Additionally, if you had a high-carbohydrate meal the night before, it can also contribute to higher fasting blood sugar levels. To help manage your blood sugar levels, you can consider taking Metformin. It helps to improve insulin sensitivity and lower blood sugar levels. However, it is important to consult with your healthcare provider for proper evaluation and management.

Question 4

I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. ...

Accepted Answer

Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties:

Ryzodeg

1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart.
2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours.
3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals.

Human Mixtard

1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension.
2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours.
3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals.

Considering your mother's:

1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes.
2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment.

However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective.

Recommendations

1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly.
2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective.
3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.

Question 5

I've been feeling dizzy all the time and really weak for the past 15-20 days. I'm diabetic, and my PP is usually around 100, but my fasting varies between 200-250. Im on Piosys 30 mg once daily at breakfast around 8 a.m., Eurepa 0.5 four times a day,...

Accepted Answer

Your sugar levels are very high and may be your BP has increased.

Question 6

Hey, my blood sugar level is at 142, and I'm a bit concerned about it. Should I be worried? Could you give me some guidance on what steps I should take next?

Accepted Answer

A blood sugar level of 142 mgdL indicates prediabetes or impaired glucose tolerance; while it's not extremely high, it's essential to take proactive steps to manage your blood sugar levels and prevent progression to diabetes; consider consulting your doctor, who may recommend lifestyle changes, such as a balanced diet, regular exercise, weight management, and stress reduction, and may also suggest regular monitoring of your blood sugar levels and potentially prescribe medication or supplements to help regulate your blood sugar.

Consult Top Endocrinologists

Dr Venkata Naga Sai Tribhushan Rambhatla

Dr. Anand Ravi

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Dr. E Prabhakar Sastry

Related Questions

I'm a bit confused and a little worried about my blood sugar levels. My fasting blood sugar is 122, and my postprandial is 95. I always thought the postprandial level should be higher than the fasting one. Can you help me understand why this might be...

I'm a bit confused about my blood glucose levels. My fasting sugar came out higher than my reading two hours after eating. It was 155 fasting and 139 after a meal. At one point, my fasting level was 200, and a few days later, it dropped to 155. Why w...

I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. ...

I've been feeling dizzy all the time and really weak for the past 15-20 days. I'm diabetic, and my PP is usually around 100, but my fasting varies between 200-250. Im on Piosys 30 mg once daily at breakfast around 8 a.m., Eurepa 0.5 four times a day,...

Hey, my blood sugar level is at 142, and I'm a bit concerned about it. Should I be worried? Could you give me some guidance on what steps I should take next?

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