60yrs old Have now fever,cough,dizziness with sugar level of 270 with numbness in feet

Reading File
Finding Sources
Searching PubMed

diabetes AND infection

Searching the Web

CDC diabetes sick days emergency warning signs high blood sugar fever

Please seek urgent in-person medical care today, preferably an emergency department or urgent care now. Do not drive yourself if you are dizzy.
At age 60, the combination of fever, cough, dizziness, and blood glucose 270 mg/dL may indicate an infection such as pneumonia that is worsening blood-sugar control. It also needs assessment for dehydration and serious diabetic complications such as diabetic ketoacidosis or hyperosmolar hyperglycemic state.
Call emergency services immediately if there is confusion, fainting, severe weakness, trouble breathing, chest pain, bluish lips, inability to keep fluids down, rapid/deep breathing, severe drowsiness, or glucose continuing to rise.
Until assessed:
  • Have someone stay with you and arrange transport.
  • Sip water or oral rehydration fluid if you can swallow and are not vomiting.
  • Recheck blood glucose. If you have ketone strips, check ketones now. CDC advises ketone testing during illness when glucose is 240 mg/dL or higher; high ketones require urgent care because DKA is an emergency, per CDC blood-sugar guidance.
  • Continue prescribed diabetes medicines unless a clinician has told you to stop them. Do not take extra insulin or new medication doses without your usual sick-day plan or clinician advice.
  • Check your feet for wounds, redness, swelling, warmth, or black/discolored areas, especially with numbness.
Illness and fever can raise glucose, and high blood sugar can make infection harder to fight, as described by the CDC. The numbness may be diabetic neuropathy, but it should also be examined, especially if there is any foot injury or infection.

He Has already taken a finger in feet bcz of sugar

Reading File
Finding Sources
Searching PubMed

diabetic foot infection

Searching the Web

CDC diabetic foot infection emergency fever amputation diabetic foot signs

If he previously had a toe or part of the foot amputated because of diabetes, this makes the current situation more urgent.
Fever + cough + dizziness + glucose 270 mg/dL in a 60-year-old with previous diabetes-related amputation could mean a serious infection, dehydration, or dangerously uncontrolled diabetes. The infection may be in the chest, the remaining foot, or elsewhere.
Take him to an emergency department now. Do not wait until tomorrow and do not let him drive.
Call emergency services immediately if he has:
  • Difficulty breathing, chest pain, confusion, fainting, or extreme sleepiness
  • Vomiting or inability to drink fluids
  • Fast/deep breathing
  • A remaining foot wound, pus, redness, swelling, warmth, bad smell, black skin, or new discoloration
  • Very little urine
Bring his medication list, insulin/tablets, glucose readings, and information about the previous amputation. High blood sugar can worsen infection and impaired sensation can hide serious foot wounds. The CDC notes that diabetes-related nerve and blood-vessel damage can make infections harder to notice and heal.

O had given the sugar tablets provided by the doctors now

Reading File
Finding Sources
Searching PubMed

diabetes sick day management

Searching the Web

CDC diabetes sick days do not change medication dose call doctor fever high blood sugar 240

Giving the prescribed tablet at its usual dose is appropriate if that is what the doctor instructed. But do not give an extra dose, double the dose, or add another diabetes medicine to bring 270 down without speaking to a doctor.
The tablet will not rule out a serious infection. Because he has fever, cough, dizziness, glucose 270, numb feet, and a prior diabetes-related toe/foot amputation, he still needs urgent medical assessment today, ideally emergency care now.
While going:
  • Give small sips of water if he is awake and not vomiting.
  • Recheck glucose every 4 hours if possible.
  • If available, check urine/blood ketones. With illness and glucose around or above 250, the CDC advises checking ketones. High ketones require emergency treatment.
  • Take all medication packets, glucose readings, and details of the prior amputation.
Call emergency services now for confusion, worsening dizziness/fainting, breathing difficulty, chest pain, vomiting, inability to drink, severe weakness, rapid/deep breathing, or any wound/redness/swelling/discharge on the foot.
This is a shared conversation. Sign in to Orris to start your own chat.