Monday, August 6, 2012

Common causes for unexplained high sugars


Common causes

Asymptomatic hypoglycemia , especially at 2 to 3 AM , is probable the most common cause. Other  common causes for unexplained changes in blood sugars is  a mild infection or medications such as steroids.
 *Asymptomatic urinary tract infection is  a common cause in women. This can be rule out with a    
   urinalysis.   
* Steroid injections or pills , often used for musculoskeletal  problems and allergies , will cause an
   increase in blood sugars.
* Sometime a low potassium level ,secondary to diuretics in blood pressure medications, can also cause
   an increase in glucose levels.
* Stress , sometimes life situations will rule the day

Persistent glucose elevations

Persistent elevation of the fasting blood sugars  , in the absence of correctable causes  , suggest more significant insulin deficiency and the and the need for additional medication.

Lantus insulin is very good for correcting fasting blood sugars in some patients. Unfortunately , the choice of  insulin is often the last considered instead of a reasonable second choice

 I have attached  links to some of my July posts discussing some of the newer medications. Read the article reviewed in "New strategies for treating diabetes " regarding the use of lantus insulin first.






Have fun , Be smart and discuss  all of your treatment options with your doctor
David Calder,MD

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Your comments and questions are appreciated. David Calder,MD