A member asked:

If a pt with chf, kidney failure & sepsis who is nil by mouth has a random glucose that is 5.8 mmol/l & the next day is 3.1 mmol/l, does this matter?

A doctor has provided 1 answer
Dr. John Leander Po answered

Specializes in Infectious Disease

Sepsis- it matters: Criteria for blood glucose levels to "matter", isn't based on just numbers. However, the pt is described having CHF, kidney failure, & sepsis- the pt is unlikely to be clinically improving since 3.1 (about 56 mg/dl) is below the range of normal. Infections will typically cause dysglycemia (hard to control blood sugar levels). When levels return to normal range, it signals clinical improveme

Answered 11/23/2016

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