[29F] With severe lightheadedness and high blood sugar

What might be happening

Based on the information you’ve provided, there are several serious conditions that could be contributing to your symptoms:

1. Diabetic Ketoacidosis (DKA): Given your high blood sugar level (586 mg/dL), nausea, frequent urination, and severe lightheadedness, you might be experiencing DKA. This is a serious complication of diabetes that occurs when your body starts breaking down fats too quickly, leading to a buildup of acids in the bloodstream. Typical treatments include intravenous fluids, insulin therapy, and electrolyte replacement.

2. Hyperglycemic Hyperosmolar State (HHS): This is another severe complication of diabetes characterized by extremely high blood sugar levels, severe dehydration, and altered consciousness. It requires immediate medical attention and is treated with fluids, electrolytes, and insulin.

3. Urinary Tract Infection (UTI): The strong yeasty smell in your urine and frequent urination could indicate a UTI, which can be more common in people with diabetes. UTIs are typically treated with antibiotics.

4. Electrolyte Imbalance: Severe lightheadedness and cramping could also be due to an imbalance in your electrolytes, which can occur with high blood sugar levels and dehydration. This would require blood tests and appropriate electrolyte replacement.

5. Pancreatic Issues: Given your history of bowel inflammation and pancreas issues, there could be an underlying pancreatic condition contributing to your symptoms. This would need further investigation through imaging and blood tests.

What you can do

1. Seek Immediate Medical Attention: Given the severity of your symptoms and the potential for serious complications like DKA or HHS, you should seek immediate medical attention. Go to the nearest emergency room or call 911 if you feel too unwell to get there yourself.

2. Monitor Blood Sugar Levels: Continue to monitor your blood sugar levels closely. If you have a ketone meter, check for ketones in your blood or urine.

3. Stay Hydrated: Drink plenty of water to help manage your blood sugar levels and prevent dehydration. However, avoid sugary drinks.

4. Medication Review: Bring a list of all your medications to the hospital so that healthcare providers can review them and make any necessary adjustments.

5. Follow-Up Care: After receiving emergency care, follow up with your primary care physician or endocrinologist to manage your diabetes and any other underlying conditions.

Please remember, I am not a doctor. It is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you are alone, feel light-headed, develop a headache, or feel that your symptoms are worsening, please call 911 immediately.