My mother is 52 years old and having diabetes,. Recent times on 10th her bp went and sugar went high sugar -256 mg/dl and bp-170/100 mmhg with fever. 12th we have tested rbs then her sugar was 160 mg/dl and her bp also normal. But due to high sugar she got severe lower leg aches. So 12th my family doctor decided and gave her cefepime injection 1gm. Bur still she is getting light fever and leg aches. Today we checked ger cbp, her wbc-4000, eosinophil count -6. So doctor asked to start tab: taxim o 200 mg twice a day. So please tel me can I give her taxim twice a day.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. I have seen the details given. It is difficult give any opinion on why the leg pain suddenly developed. Fever does lead to lower limb pain. In diabetes sudden development of leg pan is not seen usually. It is a bit unclear why the doctor decided to give injectable antibiotic. Since she is already on that it is better to take the prescribed drug for another 5 days as suggested by e doctor. In any bacterial infection wbc count goes much above the normal level which is 4000 to 11000 /cc so her 4000 cells/cc was normal only. As regards the diabetes please let me know the exact fasting, pp glucose levels & hba1c%, current medications for that, dietary pattern and extent of daily physical activity, plus lipid profile. Ideally in a well controlled diabetes patient fbg should be < 100 g or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.5%. If you hae any questions please do come back. Thanks.  

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