Question:
blood sugar levels 300 and higher

I was just told that i have diabetes but was given no information about it instead was sent home and told to come back later in the week. The next day my blood sugar was reading 312. the day before it was over 400, why are my eyes affected when the numbers go into the 400 like that? my dr doesn't like to ansere questions or seems irratated when i complain and want to know things. what is the highest the numbers can go before i should get to the clinic? Also what can i do to bring the blood sugar level back down? this one is very important for me to know. Thank you all who answer.    — candy L. (posted on February 9, 2008)


February 8, 2008
You should have been treated better. I would return to that medical facility and complain, asking to see a different doctor. You should have been given some information on diabetes, and your doctor should be more than willing to answer questions. DAVE
   — Dave Chambers

February 8, 2008
I don't know if you are referring to your surgeon or family doctor, but if you are referring to your surgeon, you need to get to your family doctor. You also need to see an endocrinologist--RIGHT AWAY!!! My husband's blood sugars were in the 400s. Diabetes affects all the major organs of the body, including, but not limited to, the eyes, kidneys, liver, etc. It sounds like you need insulin like my husband does. His sugars now range in the mornings from 125 to 155 and in the evenings from 175 to 210. He still needs better control, but at least it is better than the 400s. My family doctor told us he has seen people's blood sugars go as high as 1000 and they are still walking around, but he also said anything over 400 is dangerous. You also need to have blood tests done to check your liver and kidneys too. I definitely recommend you get to an endocrinologist ASAP. My husband dealt with our family doctor for years to try to help control his diabetes and he got frustrated and stopped taking care of himself. We have had only visit to the endocrinologist so far and within 3 days of the medication she prescribed, his sugars cut in half. Make sure you call first thing Monday morning to get in to the endocrinologist. Also, any time a doctor won't answer your questions--it's time to move on to a new doctor. That is what doctors are supposed to do--answer ALL of your questions and take time with you. This is your health and your life--don't mess around with a doctor who won't help you or seems "annoyed" by your questions. There are plenty of doctors out there who WANT to help you and are willing to spend the time with you. Good luck and please feel free to e-mail me or keep us posted here.
   — ALafferty

February 8, 2008
GET A NEW DR. !! YOU ARE PAYING HIM FOR YOUR CARE!
   — Reelbaby

February 8, 2008
i am a nurse and work on a diabetic/renal unit at a hospital. first of all..... diabetes is very serious and can cause very serious problems, so your doctor should not have just told you to come back later in the week. did they put you on any medication? you need to meet with a diabetic educator and soon. check your sugars often and if it gets greater than 450 go to the clinic or emergency room. the highest sugar i have personally seen was 1200 and that man was drunk off liquor- needless to say we were giving him insulin all day long to get it back down. as far as what you can do to get the sugar down, basically nothing at the time will bring it down other than insulin. you need to focus on keeping it down and trying not to let it get high. are you eating right? if you haven't had any education on diabetes and diet then you probably don't know what will effect your blood sugars. 1) of course stay away from concentrated sweets like, candy, chocolate, cakes, pies, regular soft drinks, etc. and the next step 2) is to limit carbs- breads, rice, pasta, potatoes, cereals, etc. 3) exercise is good to keep your sugars at lower levels too. you don't have to do much, but something every day will help. please don't let this go too long untreated, because you need to see a doctor and be either put on oral medications or an insulin regimen. the problem with diabetes is alot of times it is doing damage that you don't even know about. it effects your eyes, heart, veins and arteries, blood pressure, cholesterol, circulation, kidneys, and if left untreated can be fatal. please follow up on your diabetes and don't let the doctors push you away from your treatment and education. good luck and i hope this helps...Holly P.S. you can also go to the American Diabetic Association's website and see what they have to offer as far as education and advice is concerned.
   — RNlvnCARSON

February 9, 2008
I THINK IT'S TIME TO FIND ANOTHER DR. THERE'S NO WAY I WOULD HAVE LEFT THERE NOT KNOWING WHAT I WANT TO KNOW FROM A DR. DIABETES IS SERIOUS AND I'D COMPLAIN TO THE COMPANY THAT HE WORKS FOR AND START LOOKING FOR ANOTHER DR IF I WERE YOU. YOU SPEND HARD EARNED MONEY GOING TO THE DR AND YOU DESERVE ANSWERS, ESPECIALLY WHEN IT COMES TO YOUR HEALTH. GOOD LUCK, I'LL BE PRAYING FOR YOU. GOD BLESS, DEBI
   — DEBI R.

February 9, 2008
Candy, If it were me - I'd go to the ER and describe your symptoms, tell them that you've been advised that you are diabetic but not how to deal with it. They will set you up with appropriate care immediately. In the meantime - yeah, what they said! (The other responders to your post.) Get a new PCP! Find a reputable endochrinologist! Learn about diabetes online - there are so many resources available nowadays. And push forward with WLS. If you haven't checked it out yet, see what you can find about the DS - it has the best results with resolution of diabetes in post-ops. In fact, my surgeon offers the surgery to non-MO patients with severe diabetes to eliminate metabolic syndrome (diabetes, htn, high cholesterol, triglycerides, etc). It's pretty amazing. Just from my own experience - yep, been there, done that. My fasting blood sugars WITH five meds were in the high 200s and low 300s. My diabetes was quite severe, I also had congestive heart failure so my docs wouldn't put me on insulin - I was already having little heart attacks and they felt that the move to insulin would do my heart in. So I had my WLS and within days my blood sugars were normal - and have been for over 5 and a half years. I enjoy an amazing quality of life and the incredible benefits that have come with the resolution of so many severe co-morbidities. I hope the same for you, friend! Blessings, dina
   — Dina McBride

February 9, 2008
I went through something similar when I first found out I had diabetes, only my Dr was ok. First off, until you get the right help, lay off of the carbs! They will kill you, honest. As your blood sugar goes down, your eyes will feel better. Watch ALL carbs, even the good ones. Fruit juice and soda pop is a no-no. Lean meat and low starch vegies until you can get a proper diet. Also, no one told me carbs in dairy products also count. Try to keep your carbs at about 190 grams and it will help. From now on you will always have to count your carb grams, so learn your labels. AND FIND A DIFFERENT DR!
   — Bec Wal

February 9, 2008
THESE ARE ALL GREAT POSTS TO YOUR QUESTION, SO I WILL TRY TO NOT REPEAT ANYTHING :) ONE THING THAT I WANT TO SAY IS THAT, I KNOW YOU ARE CONCERNED ABOUT YOUR DR. GETTING ANGRY AND NOT APROVING OF THE SURGERY (FROM YOUR EARLIER POST), BUT RIGHT NOW THIS IS MORE SERIOUS, IF YOUR BS LEVELS GET TOO HIGH YOU COULD GO INTO A DIABETIC COMA!! IF YOUR INSURANCE HAS APPROVED YOU FOR SURGERY, GO TO ANOTHER PHYSICIAN!! THERE ARE MANY OUT THERE AND OTHER PCP'S WILL APPROVE YOUR SURGERY AS WELL... ALSO LISTEN TO ALL THESE GREAT POSTS THEY HAVE GIVEN YOU SOME GOOD INFORMATION. IF YOUR BS GETS TOO HIGH THIS WEEKEND, GO TO THE ER!! I REALLY DONT LIKE THE ACTIONS OF THIS PCP THAT YOU HAVE RIGHT NOW, I WOULD TELL HIM OFF......
   — Melissa F.

February 9, 2008
Hello Candy, I'd get another doctor if they feel that answering questions are beneath him/her and as suggested by others-- get to a physician QUICKLY that is going to treat you with respect and treat your condition. Diabetes can cause blindness and one could go into what is call diabetic coma. I hope you have recv'd medical attention because the higher your numbers go up the more danger you are in.
   — the7thdean

February 9, 2008
HELLO jUST WANTED TO SAY, i WAS A INSULIN DEPENDANT DIABETIC FOR 15 YEARS, THANKS TO GASTIC BYPASS I NO LONGER DEPEND ON INSULIN, BUT YOU BRING UP SOME VERY IMPORTANT POINTS, I TRY AND PREACH TO PEOPLE I FIND OUT THAT HAVE DIABETES THEY NEED 3 THINGS, NUMBER 1 AND MOST IMPORTANT A DR THAT YOU CAN COMMUNICATE WITH AND UNDERSTAND, WITHOUT THAT YOU WILL STRUGGLE TO UNDERSTAND EVERYTHING ABOUT YOUR CONDITION, #2 YOU SHOULD TAKE A DIABETES EDUCATION CLASS TO FIND OUT MORE ABOUT DIABETES PERIOD, AND LAST BUT A VERY GOOD THING TO DO IS SEE A DIETICIAN, A GOOD DIETICIAN WILL NOT ONLY HELP YOUR GLUCOSE READING BUT WILL RELAX YOU AND MAKE YOU NOT AS FEARFUL ABOUT WHAT YOU CAN AND CANT EAT, BUT FROM WHAT I READ THE LAST 2 DAYS YOUR DR DOES NOT KNOW MUCH ABOUT DIABETES AND DOESNT CARE ABOUT TREATING IT, BACK BEFORE I WAS ON INSULIN i HAD A SIMILAR DR, AND I WAS TO SCARED TO EAT ANYTHING AND MADE MYSLF WORST BECAUSE I WAS SO CONFUSED, I MET ANOTHER DR, AND HE HELPED ME UNDERSTAND AND HE ALWAYS, ASKED ME IF I HAD QUESTIONS OR CONCERNS, I CONTROLED IT FOR 12 YEARS AFTER MEETING HIM, HE ALSO WAS INFAVOR OF ME HAVING GASTIC BYPASS BECAUSE HE KNEW WITHOUT IT I WOULD NEVER GET RID OF INSULIN. IF YOU HAVE ANY QUESTIONS I MAY CAN HELP WIT EMAIL ME ON HERE OR [email protected] IM ALWAYS WILLING TO HELP DIABETICS THE MOST I CAN, BECAUSE IT IS DIFFICULT TO UNDERSTAND AND COME TO TERMS WITH SOME TIMES....
   — dapoohster38

February 9, 2008
You need to see an endocrinologist ASAP ! Change doctors, this one doesmn't seem very responsible! Take control and take care of yourself!!! Keep in touch, let us know!
   — JackieK

February 9, 2008
Oh My Goodness! If you cant ask your Dr's questions,you need to get a new one ASAP. High blood sugar is nothing to mess around with. Im a RN and I see people like this all the time and my advice is to get another Dr. The best way to make change is by education and learning and your Dr. should be providing you with this! Best of luck TracySue
   — [Deactivated Member]

February 9, 2008
you need a different dr. my wife is diabetic and hers goes up like that also. She is on insulin and pills. You sould have been treated right then and I don't care if he of she does not like questions or not that is what they are there for. You need a different dr this is not just anything it can cause coma and kidney failure among other things. I am not tring to scare you but find another dr. My wife had one like that and he like to have killed her. She found on that would listen and answer questions and she is doing better. Watch what you eat nothing starchy or packed with sugar or carbs because that turns to sugar in the body. when it goes over 200 lay down because your blood thickens due to all the sugar trapped in it drink plenty of water when it is high because of the excessing urination. That is your kidneys tring to filter the blood of all the sugar and you can dehydrate easily. See a nutritionist also they can help you know how to eat. Your eyes are affected because the sugar also builds in the eye fluid. It should straighten up when your sugar levels out if it has not been too long go also to a eye dr every year. Good luck. GET A DR THAT WILL LISTEN AND REFUSE TO LEAVE UNTIL YOU GET ANSWERS. THAT IS YOUR RIGHT YOU ARE PAYING THEM FOR CARE AND DEMAND IT.
   — JohnK334

February 9, 2008
Many people don't realize that they have the right to fire their physician. I would fire this physician immediately and either find another one who is in the same clinic, or a totally different clinic. I would also complain to the higher ups of the clinic. Some people are in rural settings (I am) and have limited access to good physicians. Many people are saying get to an endocrinologist. Also, if you are in a rural setting that may not be possible at the drop of a hat. And I know many people who are managed very well with their family physician and getting education through a diabetes center. Also remember, just because someone graduated medical school doesn't make them a good doctor. There is a top half and a bottom half of the class. This doctor sounds like a bottom half kind of doc. Take care.
   — ajinmn

February 9, 2008
This is unacceptable behavior by you physician! Make an appt to see and endocrinologist .Since you are online begin learning about Diabetes there.A blood sugar of 300 is a great concern!By all means DO complain !See a MD asap!
   — Lori M.

February 10, 2008
You should never let anyone you are paying treat you like that. I have and endo appt tomorrow and I know my doctor would never send me home if my fasting sugar was over 200 with insulin or some sort of directions. This is a very scary disease you need a new doctor in Endocrinology or Intenal medicine that has time to talk to you about your future and this disease.
   — 070510

February 10, 2008
I quickly skimmed your profile and, unless I missed something, it sounds like you have not had any weight loss surgery. I too was diagnosed with diabetes July 5, 2007. My BMI was similar to yours. My A1C was 7.6 (way too high) -- BTW, this is the best blood test to get because it shows the average of your blood sugar range over 3 months, not just the moment in time shown by glucose tests. I was sick of the years of struggling with my weight, but the diabetic diagnoses is what really freaked me out. It seemed like every lab test revealed some potential complication --the beginning of kidney problems, heart disease, etc. My (new) primary care doctor, who is an endocrinologist, suggested gastric bypass -- and I was in total agreement. (I chose bypass vs lapband because the weight loss and improved blood sugar results come much more quickly than lapband). Because of my diabetic complications (and high blood pressure, acid reflux, high cholesterol, etc etc), my (tough) insurance co. approved the surgery. I had surgery 10/22/07. It has totally changed my life since. By blood sugars returned to normal within 3 days after surgery -- and have stayed that way WITHOUT meds since. My 3 month labs showed normal functioning in all categories, no kidney problems and my A1C is 5.5 !!! As of yesterday, I am down 100 lbs since July 5 -- and 70 lbs since surgery!! I feel like a new person, am active, etc. and don't hesitate to do things (even simple things I avoided before, like walking through any store, go to any event, etc and not be suffering back pain, pounding heart, breathlessness, and sweating.) My surgeon offers very good education and support groups -- which are necessary because this surgery is not a "get out of jail free" card. After the initial healing period and re-introduction of "real" food weeks later, work absolutely is necessary (planning healthy eating and regular, intense exercise). My best wishes to you in finding a better doctor and taking care of yourself. Better health can be a reality. Gastric bypass has worked for me and I think can for anyone truly motivated.
   — Cathy 1.

February 10, 2008
You need to go to the doctor or emergency room NOW! That is very very high and dangerous. Don't call GO!
   — jonicorona

February 10, 2008
It is time for you to find a new doctor Sweetie...this is your life that you are talking about and that Doctor is working for you!! You have to get aggressive. Joy
   — MadameJoy

February 10, 2008
In having wls I still am diabetic, but my blood sugar is controled with diet. It does spike sometimes to over 200 plus. Last week it was 319 and I was told to come fasting when I come to see my dr. When during your visit had you eaten something before coming to the office? I always do not eat before or drink anything except a very small amount of fluid to take my bp meds before I get to the drs office. If it is high then she tells me to keep a track of my blood sugars for 1 week and if they are still high over 200 to come back in and see what she can do to get it lower. I also have to keep check on and record what I eat so not to spike my blood sugars. Now there are times when I will exercise and or clean up kind of all day and with a steady pace and my blood sugars will drop very low, unreadable and cause me to almost pass out until get something to eat and bring it back up. You need to consult with the dr and see why he/she told you nothing and or why he/she did not act concerned it being so high. Others posted good answers and I say consult dr and or seek other professional. Your eyes are affected due to high blood sugars causing blurred vision. Being morbid or super morbid obese affects the eyes. It did mine as well as having Rheumatoid arthritis. Cut out carbs sugar sodas exercise more and drink plenty of water to flush out any impurities in your body.
   — mspisces

February 10, 2008
Hopefully you go to the ER and have an appt with another family dr or endocronologist to get the help you need. You shouldn't have to deal with high blood sugars. I'm a type 1 diabetic, was admitted at age 27 yrs old with a blood sugar of 375. I know the feelings of high blood sugar, keep off the carbs and the best of luck to you!!!
   — SJWendy

February 10, 2008
Candy, I would be making a complaint to the AMA on that doctor. For one thing, you are the person that should be in charge of your health. You have a right to know anything and everything. It is up to you to get the best care and obviously this doctor is not giving it to you. I agree, go to an endconologist. You know what is wrong and you need some care and education about it. One of the best ways to take care of Diabetis is education. Most doctors will send you to classes. I had one doctor treat me that way and she wasn't my doctor very long. Judy
   — jk_harris

February 10, 2008
As a nurse if what you say is true, I would express these concerns to your Dr. If he does not listen, get another Dr. You should also see an endocrinologist (diabetes specialist) and get to classes right a way. If there are no classes in the next week or 2 ask to see a nutritionist.
   — Donna O.

February 11, 2008
I was in your situation. diabetes, very bad. 160 units of insulin shots ea day. but after rny surgery 4/06, i have not taken another shot since that day. no pills either.my blood sugar today was 92. the "cure" for diabetes is weight loss, exercise, and continuing to eat right. more protein, less carbs. get the surgery !!
   — shalmar




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