My father is a Diabetic patient, we recently found it through reports. He is suffering from pleural effusion as well as per Safadarjung Hospital report. Doctor is been giving him insulin frequently, sugar gets normal, then he had a big bowl of Arhar Dal. Then post we check after 2-3 hrs it was 449 mg. The Sugar level is not being balanced it is only lowers when get insulin otherwise it becomes higher gradually. Is it necessary to be treated while admitted or we can do something at home. Please help to get it lowered, please share your opinion Thank you Ankur.

Dr. Anurag SethInternal Medicine Specialist4yrs exp

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Post prandial (after meal) glycemic excursions can be curbed through proper appropriation of insulin combinations (regular and intermediate / long acting) and use of another class of drugs called alpha glucosidase inhibitors. In your case, either the insulin type and dosage has not been assigned correctly or the patient is not complying to the prescribed medications. I'd further like to enlighten you, with poor blood sugar control pleural effusion will only worsen & not resolve, so blood sugar levels need to b controlled urgently. I can treat the case better if I get to know the details of investigation report s, medicines the patient has been taking, type and dosage of insulin. You can approach in person or online consultation, details are available on Lybrate. Good luck-act wisely.  

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