Blood sugar was 422 morning it has come down to 336

[23:06] Visitor: my blood sugar was 422 this morning and it has come down to 336 should I be worried
[23:10] Dr.Ruden Cakoni : Hello!
[23:11] Visitor1 : hello
[23:11] Dr.Ruden Cakoni : Which is your insulin scheme?
[23:11] Visitor : Janumet XR and Glipizide
[23:12] Dr.Ruden Cakoni : So… With what I am looking at blood sugar is not going well
[23:13] Dr.Ruden Cakoni : Normally your should have a blood sugar level higher after meal than before the meal
[23:13] Dr.Ruden Cakoni : A fasting glucose 422 is very high
[23:13] Visitor : it usually runs 180 to 240 but today it was very high
[23:14] Dr.Ruden Cakoni : What about your HbA1c?
[23:14] Visitor: not sure what that is
[23:15] Dr.Ruden Cakoni : Is the media of the blood sugar level of the last 3 months
[23:16] Visitor: yes from 180 to 240
[23:17] Dr.Ruden Cakoni : I recommend you to monitor the blood sugar level. To try to burn some calories, maybe walking a little bit, and try to reduce the sugar consumption
[23:18] Dr.Ruden Cakoni : Until you book a visit to your endocrinologist
[23:19] Visitor: ok I try not to eat sugar. do you think it is high enough to go see someone  tonight.
[23:20] Dr.Ruden Cakoni : You are talking about going to the ER?
[23:20] Visitor: am pm clinic
[23:21] Dr.Ruden Cakoni : What’s your blood sugar in this moment?
[23:23] Visitor: it has come down it is 256
[23:24] Dr.Ruden Cakoni : It is ok for the moment
[23:24] Visitor: sorry it has been high today and it scared me cause I felt very tired. Thank you
[23:25] Dr.Ruden Cakoni : But it is obvious you need to change the antidiabetic therapy
[23:25] Dr.Ruden Cakoni : You need to meet your endocrinologist
[23:25] Visitor: i will talk with my doctor
[23:26] Dr.Ruden Cakoni : Ok. Great!