Conversation: The conversation between human and AI assistant.
[|Human|] My husbands blood sugar is 385. He usually keeps it in a normal range with diet and oral meds, Actomet- plus, Janumet, and Prandin. He was recently hospitalized with acute renal failure due to dehydration and chronic use of Cataflam. The doctor stopped the Actomet-plus, and Janumet. He is continuing the Prandin and added Januvia. Would this warrant a visit to the ER or could it wait until office hours in 8 hrs?
[|AI|]  Hello and welcome to Chat Doctor. As a specialist, i must assure you that your husbands sugar is very high.It's not safe to wait for 8 hours. Ideally, he should be getting insulin injections, to control the blood sugar. His age and other medications being taken, should be mentioned. He should be checking urine routine, ketones, and micro-albumin, blood , hemogram, creatinine,HbA1C,FBS, uric acid, sodium,potassium,PP2BS,CXR, and ECG. According to reports, specific treatment will be advised.  Wishing him a speedy recovery. Chat Doctor.  Manga.