High Blood Sugar with Diabetes and Kidney Stones

Patient

Q: I have had diabetes type 2 for 15 years and also have kidney stones and diverticulosis. I have done three 24 hr urinalysis test with all three showing high calcium and uric acid levels. I started taking water pills but this affected by A1C from 7.3 to 8 in just two months. I am having trouble controlling my blood sugar levels lately, they have been all over the place. I never had sugar levels in the 300 range, but now wake up in the morning with sugars between 250 and 300. Normally during the day the ranges used to be no more than 150 even after meals, but now they are in the high 180 to 225 levels. I'm taking 2500 of Metformin per day and 10-20 Glypizide. I am eating a high fiber diet and limit my intake of non whole wheat products. But even if I eat a small item with sugar or a half a cup of white rice my blood sugar shoots up to over 200. Any suggestions on how to handle my high sugar levels?

Doctor

A:   Sometimes it gets very difficult in controlling the sugar levels in Diabetes. You have mentioned that you have been taking diuretics, metformin and glypizide and thay have still not reduced your sugar levels. It may be that in your case these drugs are not as effective as they used to be or there may be an underlying stress (like an infection) that may be causing your sugar levels to be high.
You may need to see your family physician to determine an underlying stress factor and maybe even put you on insulin if the sugar levels are not controlled.

Related Q&A

Q: My 68 year old father has been diagnosed with an unknown virus. Prior to this diagnosis, he was generally healthy, wi...

Q: Ive been so tired for months now! Out of the blie this morning I tested my fasting blood sugar level and it was 164. ...

Q: When my sugar is low I experience exaggerated movements. Why

Q: When my sugar is low I get exaggerated movements. This has happened 3 times now Why?

Q: Think have diabetes..dont have medical insurance nor a primary physician. Found a lab that will test for diabetes sho...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews