Go to see a Dr. Your past history should be reviewed again let your Dr. know about your concerns so he/she can do a full lab panel with fasting blood sugar and A1C to show the 90 day average reading. They should also order a urinalysis to see what is going on with ketones. I am sure being hypoglycemic there are dietary restrictions and not sure doughnuts are included. I think that diet requires a little more protein and smaller meals more often with the right carbs right? I would consult with the Dr. about were your at with blood sugars and get on the right diet and exercise for you to lose the extra pounds. You must avoid being close to passing out.
Sorry no answer to your exact question because everyone has an individual body that responds differently and changes differently as diet and exercise as well as the organs and glands in the body can change in the way they function.
I would review your meds again with the Dr. and tell him/her that it has gotten to the point where you feel for the best morning results that you take you levothyroxine at 3:00 am now. I am sure their are other ways to get to a normal fasting blood sugar in the morning even with pre dawn phenomenon than having to interrupt your sleeping pattern (unless that is the time your up for the day). What do you think about reviewing your meds and habits with the Dr. again? Possible?
Where do you live that it takes this long to get in to see a Dr. for urgent matters? That is horrible.
Maybe consider Urgent Care for the Diagnosis if it is covered by Insurance and they can tell you if it is a serious problem to worry about. If it is not, then at least you will know you can wait for a cancellation at the Dr's office or keep the scheduled appointment. You need an examination pronto in my opinion.
Call the Dr.'s office back and be firm that you consider this an emergency with all of these skin problems. Who prescribed the Antibiotics and Cortison Cream and Antibiotic Cream and powder? Not a good Idea to try all of these items without the orders from the Dr. You may have seen someone about this once if you are trying all of this Medication and Creams. If you are on Meds for other conditions read about the side effects and see if any cause rash etc...
If you have seen your Dr. in the past he/she should have monitored blood sugars to see if you are a candidate for Diabetes.
Diabetes management is very complex and everyone is on individual plans that the Dr. discusses with you.
Their is no way that any of us are able to tell you that the ugly bruise and rashes will go away if you change a diet. See a Dr. quicker and discuss all of your concerns and let us know how it goes!!
If tests are all normal they should simply just say that rather than nothing about them. I also ask for a copy of my labs for my records. Some Dr.s simply review them and if they are normal they will not spend time reviewing them unfortunately. If jmcfan finds out that the last A1c was above 5.8 and the Dr.did not mention the potential for Diabetes is there then I would consider changing my Internist. In general if all Labs were normal all along I would ask for the Specialist. If the communication with the Dr. has never been good than I would find a new Internist and a Specialist in Endocrinology for the Diabetes.
Ask the Dr. what your last A1C was on the lab work and what your fasting blood sugar was. Then tell the Dr. you have not been feeling well and the symptoms you described here and show him what your blood sugars were when you tested and what you had to eat. If the Dr. does not handle Diabetes then you ask for a referral to an Endocrinologist that does specialize in Diabetes. That Dr. will help you get on track with an exercise routine and a lower carb or correct carb diet. You may be able to do this on diet and exercise alone but let the Dr.determine how to start. He/she may put you on meds until they can get your sugars back to normal or depending on your weight and habits you may be on meds regularly.
I hope I helped. The sugars you mention are very high and for to long of a duration. They should never be over 180 an hour or 2 after a meal and the blood sugars should rather rapidly be decreasing back down to 100 throughout the day. Ideally, 85 all day is real nice.
What kind of Insulin did the nurse put him on? And is it short term just to try it out and adjust the doses as needed?
Best to log his blood sugars in the AM and every meal and bed time along with the food he ate and exercise that he did and times that he did it. When done,see if you can either fax or scan those readings to the Dr. daily so they can immediately adjust the dose if needed. The ups and downs have to be figured out by the amounts of carbs and exercise per day. The biggest problem would be going to low over night.
Melons are higher in sugar. A small amount of melon is fine. 2 of the best fruits are Strawberries and Blueberries a little past moderation in amounts.
Exercise is also extremely important as part of Diabetes Management. Ask dad to set up a program with the Dr. as what his current health will allow for maximum exercise he can do. Once he starts and watches the weight go off (since he is on portion control now for diet), the results will be amazing and he will feel a lot better.
I think it would also be a great idea to set him up with a Dietitian for the amounts of Whole grains, Protein, carbs and dairy he can have per day.
The last positive thing I can say is for him not to be afraid to change his eating habits and getting some exercise since it is something we should all be doing in the first place to stay healthy