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Diabetes with high FASTING GLUCOSE. Should I start medication?

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HI! I have just discovered that I have diabetes the hard way! I had frequent urination, irritation eyes e.t.c. My numbers are high! But for 2 weeks I have been eating healthy and my frequent urination has stopped and eyes are better. My fasting glucose ranges between 198 -250 (when discovered much higher). I realise these numbers are much to high! My question is, should I try to continue to eat healthy and exersise for maybe 1-2 months and try to monitor my situation and see if numbers drop further? Or should I maybe start medication now?
I am not obese. I am a 36 year old slim guy?

kind regards


Category: Nephrologist

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Category: Pediatric Nephrologist
Dr. Sree Bhushan Raju is online now

Expert:  Dr. Sree Bhushan Raju replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
You have mentioned yourself as type 1 diabetic.
It matters at this juncture whether you are type 1 or type 2, If you were to be type 1 you better not to go for kidney transplantation immediately as you require to go for simultaneous pancreas and kidney transplantation ( not from a living person but from brain dead , i.e. cadaver ).

Diabetes would develop as sorts of complications and one such thing called retinopathy is already there with you and you need to get evaluated for other complications of diabetes. You also need to go coronary angiogram while on Haemodialysis as you are likely to develop such complications some time while on hemodialysis. So, better get evaluated first before the symptoms appear and get treated aggressively. You also should get treated for lipid abnormalities, vitamin D and very good BP control. For chronic cough, you need to get evaluated for tuberculosis in chest etc and consult your nephrologist for the same with chest X ray film. It will settle soon and you don't need to worry about it.

You need a psychologist opinion on your fear for water etc. Other wise also you better meet some one and talk to some one who can give you good suggestions personally and give you personal counselling. YOu need to have lot of support form your family members and friends. Don't get discouraged due to several health issues as there will be a definite way that comes on the way while you keep doing the best. Take care of yourself and keep your good positive spirit up as you are 'always ' being a diabetic since childhood.

Feel free to discuss further,
Regards.


Patient replied :

sir thanks for your answer but i send my some reports so i wanna to know which kind of test are needed before kidney and pancreas transplant and according to your reply i have to buy insulin pump first then transplant am i right sir.i am wondering pancreas can be transplant is it possible? if it possible please tell me is it successful it work good or not and also wanna to know how much money is needed for kidney & pancreas transplant actually i m a student and i need to tell my dad about expenses of operation.you rise a hope for that i can live a normal life by these kind of transplant sir please send me all detail on my EMAIL:- sandeepmehra@ymail.com


Expert:  Dr. Sree Bhushan Raju replied 3 Days.

Hi,
I am extremely sorry for the delay. I sincerely apologise.
You have asked me too big questions that can be answered directly with compassion rather than by a mail, especially when you are still a student. Hope you understood what I meant.
You can go for insulin provided it's in your reach economically but insulin injections are Ali equally good except fir the time and comfort. Pancreas transplant is a cadaver based done in one or two only in this country. You need to register locally in cadaver ( brain dead people donating organs) registry and be ready as and when they call in emergency for transplant . You have to inform your parents not just the money aspects but also the technical aspects . It costs in several lakhs and depends on the hospital which us going to perform the surgery
Regards.


Patient replied :

sir last night i saw a video on youtube which is from JDRF.org so in that video they told a diabetic patient should calculate the carbohydrates of their food to maintain suger level so then i try to search any website or any video but i can't find anything regarding to carb counting sir if you know how calculate carbs or any site or video link please tell me.sir i also wanna to meet you to consult some other things regarding kidney transplant.sir i have one more problem your city is totaly strang to me so i wanna to know how can i meet you but i wanna to meet you in delhi or jaipur if your tour in these citys and if we can't meet by any reasion then my last remaining option is a phone call so give me your phone number if you confortable with it and that's my mobile number 8302665637 sandeep mehra


Expert:  Dr. Sree Bhushan Raju replied 2 Days.

Hello,
There is nothing like calculating carbs and you need to individualise the diet and drugs . You can contact me on Sunday at 09030292929 at around 5 pm
I look forward to hearing from you


Patient replied :

sir thanks for your phone number and sir if my GLYCATED Hb%(HbA1c) test is 8 or 9 so please tell me their is any problem before kidney operation actully my diabetes dooctor tell me that you should balance suger first if you not balance you will not taken on surgery is it right or not and my friend tell me if your blood suger is not good then your healing power can't heal your any surgery cute whentever so please sir tell me is it right


Expert:  Dr. Sree Bhushan Raju replied 1 Day.

Yes. You should keep your GHb below 7 preferably do that an ideal internal environment is maintained. Diabetics in general will have less healing capacity. Don't worry and check your diabetic doctor regarding your sugar control.
Regards.


Dr. Sree Bhushan Raju
Category: Pediatric Nephrologist
Experience: 
FISN : Fellowship of Indian Society of Nephrology(ISN), 2012
FIACM : Fellowship of Indian Association of Clinical Medicin(IACM), 2012
FICP: Indian College of Physicians Association of Physicians of India, 2012
Fellowship: DM, DNB, All India Institute of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, Nizam's Institute of Medical Sciences, 1998
Medical School: MBBS, Gandhi Medical College, 1994
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