Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, i am shakthi from vysarpadi, this is for my mother who is 56-y-old, recently found to have blood sugar of 361, as result giddiness, tiredness, headache, vomiting sensation, etc.. Also ekg shows right bundle branch block suggesting abnormal EKG. Doctor suggested to see a diabetic specialist to control the blood sugar. Please advice how to face this problem whether to see a diabetes specialist or cardialogy dodoctor or so.. Now she is in home at rest . pls kindly help us in care of my mother, thank you
[|AI|]  Thank you user for your query. Well so far as your LBBB is concerned you need to see a cardiologist as he has to rule out the causes of left bundle branch. The cause can be aortic stenosis, dilated cardiomyopathy, acute myocardial infarction, any coronary heart disease etc. As far as your diabetes is concerned well it's not clear that blood sugar is fasting or random. Kindly mention this clearly. As a matter of fact blood sugar is highly raised. She should immediately start insulin homolog 10 units before breakfast along with 1000 mg metformin. If you don't want to start insulin then you can start linagleptin 5 mg once a day and 1000 mg metformin at dinner. Kindly take due precautions on diet. Low carboy Chat Doctor. For more query you can contact me anytime. God Bless