Conversation: The conversation between human and AI assistant.
[|Human|] Good evening, I know that I am stressed but in the past 48 hrs I have been feeling light headed sometimes having to catch myself, bp thats usually normal is running 145/96, and the highest blood sugar I have ever had 248 ( they usually run 90-127). Should I go to the emergency room
[|AI|]  Hello! Thank you for your question on Chat Doctor! I read your question carefully and understand your concern. Your high blood sugar is concerning for diabetes. Was this a fasting glucose test? Psychological stress can raise the blood glucose levels, as well as the blood pressure, but not in such high levels. I would recommend going to the emergency room and perform a careful physical examination, a routine blood test, HbA1c, kidney and liver function tests, blood electrolytes, thyroid hormone levels to find out a possible cause of these symptoms. Hope to have been of help! Best regards,