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Question:

From Riverside California, USA:

My father is 80 years old with type 2 diabetes. He has controlled his condition for 10 years mostly with diet. He has lost most of the sight in his left eye and the vision in his right eye has become extremely blurred. He has had laser treatment is undergoing fluorescein angiography next week to determine the condition of the right eye. Yesterday morning his blood sugar was at 33. He drank some orange juice and it went to 128. At 3 p.m it was at 258 and at 9 p.m. it was 198. This morning it was at 129. Is he out of control? When it drops low (33) is wise just to eat or drink something to raise the level, or should he be taken to urgent care. Please help. Our HMO office can give no quick answers. It will be two weeks before he can get an appointment with his primary care provider.

Answer:

What a sad state of affairs, when someone has to consider going to an Emergency Room for advice on something like this!

If your dad can't get an appointment sooner with his doctor, he should call and insist on getting advice by phone.

Blood sugar levels of 33 can be very dangerous, especially in the elderly, and whatever caused the drop needs urgent evaluation. But preferably not by an ER doc, but by an internal medicine physician or an endocrinologist, or a nurse specialist in diabetes who is a Certified Diabetes Educator.

WWQ

Original posting 28 Nov 1998
Posted to Daily Care

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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