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Hello,I am Dr. Aren and I will help with your query.The body normally keeps the blood sugar levels between 4 mmol/L to 7.5 mmol/L.The fact that his levels have gone up to 16.2 mmol/L is alarming,especially since he also has ketones in the body.This signals that there is either a major problem with infection in the body(may be renal,skin or any other system)/drugs are in sufficient/diet is much more than calorie consumption by exercise/injury to the body.Levels may normally rise to 14mmol/L but will return to normal in due course,a level of 17mmol/L is alarming as also persistent readings of 15/16.He needs to see his PCP/Endocrinologist as soon as possible to prevent renal and other damage to the body.He will probably need an increase in his Insulin,or will need to start on insulin if he is not taking it.He needs to undergo a physical examination,investigations and change in therapy guided by the physical and lab reports.This needs to be done urgently.
You need a Glucometer to get accurate blood sugar readings.Getting a blood ketone reading will help(normal is below 0.6mmol/L) ,it seems as if he is heading for diabetic ketoacidosis especially if his sugar hits over 17.5 mmol/L and ketones head upwards.Short acting insulins would be best to control the rising levels and ketones,of course on the advice by his doctors.He needs to be examined and investigated as soon as possible as Diabetic Ketoacidosis is a very serious condition.
The level of 0.6mmol/L is the upper limit of normal for blood ketone,any level below that is normal.Blood sugar levels of over 17.5mmol/L do predispose one for ketonuria, hence elevated blood sugar needs to be checked by using injectable short insulins like Actrapid human insulin.His endocrinologist or Physician can examine and investigate him to find out why the high glucose levels are not settling.
Yes,diabetes is mostly hereditary and control is possible and essential.Use of injectable Insulin is perhaps the answer and would be most beneficial apart from other antidiabetes drugs,exercise and dieting.
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