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09/06/09 04:20 PM

"Newly diagnosed with type 2 diabetes. PP #'s are around 270. Is this normal? Should i be worried? Take Metformin 2 times day, Metoclopram 4 a day."
Asked By: dspollot  
Category: Newly Diagnosed

Background Info Hide
Male, 51 years old, 309 lbs. Non-smoker. Peripheral neuropathy in both feet to up past ankles - end stage, diabetic gastroperisis - both due to undiagnosed diabetes. Symptomatic for ten years, but until recently could not find a doctor who would test me.

Expert Answers (1)

10/05/09 09:11 AM

I apologize for the delay in answering your question. I feel bad when I hear people talk about symptoms that could have been prevented with an earlier diagnosis. Now - You just do your best to get good control as soon as possible - this can stop or slow the progression. Your blood sugar goal 2 hours after eating is 140 or less so 270 is TOO HIGH! If you are only on Metformin for your diabetes, you will need additional medication or insulin. Due to your existing complications, I would not waste a lot of time trying to get good control with mutiple oral medications but discuss starting insulin with your physician. Weight loss is certainly a priority in your treatment plan - I recommend you see a Dietician, preferably one who is a Certified Diabetes Educator to help you with a workable meal plan for blood sugar control & weight loss. Daily activity is another important aspect of your care - just start slow & keep progressing. Think about range of motion or walking around the room during TV commercials. Every little bit helps! Daily foot care is very important with your neuropathy. If you have difficulty doing this yourself - be sure someone checks your feet daily. Ask your doctor about a podiatry appointment and evaluation for diabetes shoes - this is about prevention! Control is a process - keep at it and don't give up! You are in charge of your diabetes.
Answered By: Beth McKinzie
Accreditations: RN, BSN, CDE
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