consult to my mother, having diabetes

[shiinos]

Hi, doctor  I have diagnosed my mother which 60 years old and diabetic, she was complaining sickness with flowing symptoms,

Heaviness in the heard
less sleep
thirsty and dry tongue and throat.


my mother was taking "Metformin  500mg 1x2".

after diagnoses the doctor said "your mothers diabetes is uncontrolled and high, and he just said she needs to increase the intake of Metformin 500mg to 1x3"

here are the lab test result please consult.

Sex: Female    Age:60

WBC  9.47      10^3/µl  
LYM 3.6
MID 0.41
GRA 5.39
LY% 38.8
MI% 4.3
GR%56.9
---------------
RBC 5.45 10^6/µl
HGB 14.4g/dl
HCT 47.6 %
MVC 87ft
MCH 26.3 pg
MCHC 30.2g/dl
RDWc 16.7%
-----------------
PLT 303 10^3/µl
PCT 0.32%
MPV 10.6ft
PDWc 40.4 %
-----------------
Lyse 0.70ml

=================
FBS 236mg/dl
Creatinine 0.8mg/dl
E.S.R 39mm/hr

-----------------------------------

I need your consultation.

Thank you dear doctors I would appreciate your response.

[Super_sally888]

Hello,

you need to get a second opinion.  it would appear that metformin is no longer an adequate treatment for her.

The most appropriate treatment will be insulin.

You need to get a second opinion from a doctor and find one who will treat her properly.

Consider her FBS was 236.  Normal FBS should be about 70 - 95 range.

With uncontrolled diabetes she is at risk of diabetic ketoacidosis, which can be fatal.  Please also control how much carbs she eats.  But bottom line is that she needs a dr who will give her the correct medication (insulin at this point).

[diabetes86]

I am NOT a Doctor  I am a diabetic who is in control of my BG.

Your mothers FBS is very high  with BG that high she will develop complications from diabetes.  Carbohydrates raise blood sugar (BG)  ALL carbs raise BG.  whole wheat, rice, most fruit, pasta, potato... the list goes on if its got carbohydrates it will raise her BG.  Metphorman can help, the max dose for met is 2250 mg/day so your mother has room to increase the met.