Conversation: The conversation between human and AI assistant.
[|Human|] Husband is sixty years old and a bad sugar diabetic he has had two bad stroke and mini strokes a few times Mostly in his face eye sight very poor but now we are facing breathing problem he has no energy just sleeps all the time it seems like he goes in to another world he see people moves his hands this is really bad he has been going to the cancer place he has had three blood transfusions his body is not produce blood like he should they are giving him bags of iron every three to four months he is also getting diabetic blisters on his fingers and they will not heal his hands and feet are turning ghost white what could be going on
[|AI|]  Hello, Thanks for the query. I have gone through the details given.  You have mentioned he has "bad sugar diabetic", there is actually no blood glucose level or HbA1c% mentioned. From the description it appears his blood glucose level must be awful and that is leading to various problems. Does he have high blood pressure too? Uncontrolled diabetes causes multiple organ damage mainly due to microvascular and macro vascular diseases. So first and foremost is to achieve a strict blood glucose control with fasting glucose closer to 100 mg, PP around 160 to 180 mg & HbA1c5 <7. Since there is no mention his current treatment, it is difficult to make any further comment. Strict blood glucose control is the primary need. Thanks.