I have a friend who knows a man with diabetes. He doesn't take his meds, and his last glucose reading was over 300. Something like 325. He also has high blood pressure and high cholesterol. His daughter made him a doc apt but it isn't until Oct 14th. I know he should go to an ER, that's not going to happen. I know next to nothing about diabetes. My father had it and he took insulin injections. This was pre 1976.
What are the names of some common meds to lower blood sugar? I'm trying to save this man's life. He's 62, and never had any illnesses until recently so he's not used to taking care of himself. He lives alone. I'm worried about him going into a diabetic coma and dying before anyone realizes it. I don't live near these people.
I just want to know the names of common meds used. If I get more info, I'll post it.
This man just really needs to see a Dr. He needs a good work up and a hemoglobin A1C level drawn so they know where his sugar averages. This is a newer blood test. In the old days they used to do fasting glucose and random glucose but a hemoglobin A1C will tell a doc about where their blood glucose averages and it is a lot more accurate to show how well controlled they are. A person might have good reading morning and evening but spike in the afternoon or night but his random and fasting my not reflect that. A1C will show if there are spikes. If he produces no insulin at all then pills wont help him. He will have to do insulin. Honestly, 325 is very high but this man's body is probably used to it so if he were dropped down to a normal level, he would probably get symptomatic (hypoglycemic) Since his body is so used to high sugar levels (unless this is a new thing) 2 more weeks probably wont matter. My dad is like this. He runs 250-300 most of the time.
If he drops into normal range, he sweats and gets sick (nausea/vomiting) shaky and all the hypoglycemic symptoms. 325, while high, isnt panic high. If he were 500-600 it would be more panic inducing. He does need to get himself together and take better care of himself by eating right, drinking water, exercising lightly at first and taking his meds regularly. Probably the most common oral antidiabetic is metformin, then there is glipizide and all the various insulins novolog, novulin, Lantus, NPH and regular. Oral antidiabetes meds will only work if the cells still produce insulin. He will probably be okay waiting until the 14ht. It is only a couple of weeks away and I would imagine this man has been like this for quite some time. If he went to the ER, they would get his sugar down then tell him to f/u with a primary care doc or endocriologist and see a registered dietician for classes. I doubt that they would even admit him. They might give him some meds. Does he already have meds for diabetes?
Hey Thor283. First I need to know is this man type 1 or type 2 diabetic? The meds are different depending on his type. Another thing a blood sugar of 300-325 to a diabetic isn't life threatening in itself but what should've been done after a blood glucose over 250 was check for ketones? The ketones are the danger and if more then small or trace ketones are present then hr has to go to the hospital ASAP bcuz ketones attack the major organs. You check ketones by peeing on ketostix & the color indicates if presence. If no ketones present then he's fine with the elevated blood sugar for awhile as long as it doesn't go above 450. My 14 yr old son has had type 1 diabetes then my hubby & his mom have type 2 so I live & breath diabetes anymore it feels like. Let us know the gentlemans diabetes type
Hello Thor You are a kind and caring individual whose valiant efforts in trying to help this man is to be admired. It is difficult to help someone who is not prepared to meet you half way and help themselves. However could this gentleman be depressed or feeling low due to his recent diagnosis, even in denial that he has diabetes? Could this be the reason why he is non-compliant with his medication? I am sure that you would agree that a lot of good informative advice has been given in response to your question. After this current situation is resolved. Snoopy tan suggestion is worth considering. Take care
Absolutely he should go to the er. Every time a blood sugar is over 200 it causes tissue damage. It needs to come down now. This person is playing russian roulette with his body, probably causing neuropathy at the least and damage to his heart, kidneys and liver at worst.
He does need the ER. People can't talk around this topic. Let him know he will probably die alone. Ask him if that is what he wants. If he doesn't care, then ask him for where his will is and if he has decided who is getting what. Though this may sound harsh, it is really the way to wake him up. He was explained the dangers and refuses to believe. He is alone. He is depressed. Life is over for him. Someone needs to show him the love and hope he gives others. Even if he was the meanest guy in town or the most loving, he needs the truth. He needs a purpose and attention.
A home nurse, unless private out of pocket, can and should be assigned to him. The doctor has to order it for insurance to pay. This is very possible. Also remember that high blood sugars cause poor judgement. While it causes neuropathy it also causes confusion and damage to the brain. The whole body is affected. My husbands cousin who had type 1 not type 2 as he seems to have, would disconnect her pump to binge eat. The first time she was in the ICU in a coma as she was found by a friend and hadn't shown up at work. The next time was less lucky. She chose a Friday night and was found four days later. Too late. He needs to know these things. No toning it down. That hasn't worked obviously. Let him know he is loved and needed. Have a buddy or neighbor stop by. And get him to that doctor even if someone has to fly out to him and spend a week. What is a life worth? Ask him.
Stay in touch. Though there are medications that work well for most people, I have to use a syringe. It easier these days. A pen that is dialed for the amount and a simple machine to take a tiny drop of blood is easy to use. A day nurse to help him out can be setup. Thank you for caring for him. The daughter will be interested to know as well. His siblings, if any should know as well. Not a family secret once it gets to life and death. Make sure he knows he will be busted. One step at a time. Wishing better health and understanding for him. Take care. Karen
Thor. In order for him to take a medication, he has to see a doctor. This is something prescribed and calculated by a physician. There is nothing else for him to do. It will be an injection of insulin, a pill, or nothing.
I am a bit concerned that he provides help to others but does not help himself. Makes me wonder how good he is at his job. Anyone who can ignore themselves and know the results, sounds to ill-informed to care for others well being. He may be good, but I do wonder. Maybe he will respond when he has to face his first surgery caused by high sugars. Maybe. Just like anyone with denial, there are those who enable and those who want to help. No one changes unless they want to do so. It is far better for the family to get some counseling without him and face the future he will live. Developing their coping skills will help them get through this. And that is very common with any family who has a member who has a terminal disease. Plenty of support available. They and you should seek it. Karen
A glucose reading over 300? You are very right to be worried about. Imagine after a meal, what his glucose numbers would run up to? Their were a lot of comments and I will say I did not read through them all. But you stated this man is 62. So I am assuming he is type 2 diabetic. I would say he needs to go into the ER where they can get his glucose back down to a normal range in a safe manner. Insulin pens are so easy to do now days. Not like it used to be where you have to measure and worry about bottles. The needle is so fine, he won't even feel it. At the ER they could put him on the insulin drip and slowly lowering and monitoring . He needs to concentrated on the high blood pressure as well. Nobody want to be in a Hospital, but you are so right to have these concerns. At his age I don't think oral medications for diabetes is his best bet. My glucose runs high in my sleep. What if his did the same and he no one there? It is dangerous and not to be brushed away.
I am proud of you for taking the concern for another human being and caring about their health. When I went on insulin during my 2 pregnancy I went to a diabetic and nutrition class. It was a free class and I dreaded it. But it did teach me a lot of information and also taught me how to give myself shots. I was so scared of needles. I do have high blood pressure now. I have had it for 10 years. I didn't know why. I was 32. The doctor sent me for an echo gram that was standard for every patient with high blood pressure. I thought at the time, what a waste of time and money. The results shocked me. I had lost 50% of my pump out valve from my heart. I never would have thought that was why I had high blood pressure! If you could talk him into an ER visit and staying a day or 2, you could call and look for some classes to help him learn to check his glucose and they could give him a chart so he knows the correct dose. They can prescribe him blood pressure medication before releasing him. Also ask the Hospital for the insulin pen they used on him after the drip. They will give it to you, because they throw it away after each patient anyway. I hope this helped in some way, and again I am so proud of your caring heart. Good luck!
Thor... relax and take care of yourself. Your posts are appearing to be more strained as each hour goes on. God bless you and seriously sounds like u r flogging a dead horse. Look after you as you will end up anxiety ridden. Good luck!
It seems like this person you are concerned about has many many issues of denial,perhaps and fear of the unknown implications of diabetes, try to find a support group in your local hospital or introduce him to someone else who is diabetic and can shed some light on questions he may have,it is very hard to manage and a lot is involved in the maintenance of a diabetics life
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