Sir One female Pt.Sugar is 520 Plz fast traetment ..How to reduce
Diabetes mellitus Start with Tablet Metformin 500 mg three times a day Tablet Sitagliptin 100 mg once daily Glargine insulin 10 units once daily at same time of day every day Titrate dose of Glargine insulin upwards till normoglycemia is achieved
Severe uncontrolled DM Needs admission to rule out diabetic ketoacidosis NS drip, IV neutral insulin, till BS is around 250 mg and then can be switched over to SC insulin. Electrolytes check Look for sepsis, target organ damage.
Pl Post the complete history... HBA1C ?. Consult Diabetalogist...
Start Injection Insulin Actaprid
DM Glargine Dose c Metformin and Glipizide
Cases that would interest you
- Login to View the image
patient had infected wound in left great toe since 3 days.yncontrolled t2dm k/c/o dm since 13 years.your suggestions.
Dr. Venkatesh Pujar4 Likes28 Answers - Login to View the image
Patient age is 14 yrs and sugar level is too high ...i think this is dka .i want ur best opinions and best treatment
Dr. Mohd Shakir6 Likes22 Answers - Login to View the image
Age 28 male DTM with Pancreatitis, stomach burning sensation Lab tests shows : Hyperglycemia RBS 350. high level of amylase and high lipase levels HBA1C 10 Kindly do assist further Dx & Rx treatment for amylase & lipase
Dr. Suresh Sankabar0 Like12 Answers - Login to View the image
62 year old female presented with vomiting since 3 days. Lab values given below What is the lab diagnosis? What additional parameters(with relevance) are required to further analyse the lab data?
Sharan Mirchandani2 Likes11 Answers - Login to View the image
*Chief complaint* A 26 year old male complains of polyuria, polydipsia, blur vision, and dry mouth for 10 days. He also has abdominal pain *History* The patient is obese and complains of 10 kg weight gain over 2 years. *Vitals* BP 168/115 mmHg, RR normal *Investigations* Glucose of 795 mg/dL [69-99 mg/dL], Potassium of 2.5 Mmol/L [3.6-5.2 Mmol/L], Hemoglobin A1c of 14.2%, Triglycerides of 486 mg/dL [<150 mg/dL] Metabolic alkalosis *Diagnosis* What are your comments?
Dr. Arun Bali2 Likes11 Answers
1 Like