Dear doctor my brother age 57 m has been diagnosed as diabetic test results 367 fasting and 660 p.p. He has been operated for cardiac problem (2 stunt, having weight of 77 kg. His urine ketone test report is positive. You are requested to kindly write prescription and precautions if any. We will be highly obliged and thankful to you.

Dr. Jagruti ParikhEndocrinologist28yrs exp

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Usually when patients are having very high sugars and diabetic acidosis first priority is control of sugar Usually no operations or major procedure are during diabetic ketoacidosis unless it is life saving. It is usually safer and better to operate or do any procedure once the patient is stable and blood sugars are below 140 mg %.As your brother's case is highly complicated it is advisable to take proper endocrinologists advise to diagnose the type of diabetes, reason for ketoacidosis and suitable insulin dosages. If you wish you can consult me privately.  

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