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UTI AND INFECTION diabetic person
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Kidney & Urinary Health
Question #22654
45 days ago
128

UTI AND INFECTION diabetic person - #22654

Beth

What to di when i am a diabetic and i have infection in blood and has uti infection and has fever and hard to stand up because of jiggly knees. I am taking now an sambong releaf, cefixime as antibiotic, bigesic, and my maintenance is mebaal and sitagliptin, insulin ,pronervr and carvedilol

Age: 54
Pain toes
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello ,

Beth, this is serious ⚠️ A diabetic with UTI + fever + weakness/jiggly knees can mean the infection is spreading to the blood (sepsis).

What you should do NOW Go to the ER / hospital immediately You likely need IV antibiotics, IV fluids, blood & urine tests Do NOT rely on Sambong alone (it’s not enough for this)

Why this is urgent: Diabetes lowers immunity Fever + UTI + weakness = high risk of sepsis Difficulty standing can mean low BP, dehydration, or worsening infection

Important notes on your meds: Continue insulin & diabetes meds unless a doctor says otherwise Cefixime may not be strong enough without culture tests Fever despite antibiotics = needs reassessment

Please don’t wait this out at home. This needs hospital care today.

I trust this helps Thank you!

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Because you are diabetic and have fever, UTI, weakness, and suspected blood infection, this is not safe to manage at home.

Please go to the hospital today. Early treatment can be life-saving.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
44 days ago
5

This is potentially serious: a diabetic with fever, UTI, possible bloodstream infection, weakness/jiggly knees needs urgent in-person medical care now—please go to the emergency department or hospital today, as dehydration, sepsis, electrolyte imbalance, or low blood pressure can be life-threatening. Do not rely on home remedies (e.g., sambong) alone; antibiotics may need IV therapy, cultures, kidney function tests, electrolytes, and close glucose monitoring/insulin adjustment—also report carvedilol use as it can mask low blood sugar symptoms. Specialist consultation: immediate internal medicine/infectious disease evaluation (and urology if needed); go urgently if standing is difficult, fever persists, urine output drops, confusion occurs, or sugars are uncontrolled.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

Hello Beth Thanks for sharing your situation. Having diabetes with a blood infection (possibly sepsis), UTI, fever, and weakness in your legs is serious and needs close attention.

What You Should Do Right Now 1. Seek Medical Attention Immediately:
- Diabetes makes infections more dangerous and harder to control.
- Fever, weakness, and difficulty standing can be signs that the infection is spreading or your blood sugar is not well controlled.
- You may need IV antibiotics, fluids, and close monitoring in a hospital. 2. Monitor Your Blood Sugar Closely:
- Infections can cause your blood sugar to rise or fall unpredictably.
- Check your blood sugar often and follow your doctor’s advice about insulin and other diabetes medicines. 3. Hydrate Well:
- Drink plenty of water unless your doctor has told you to limit fluids. 4. Continue Your Prescribed Medicines:
- Take your antibiotics (cefixime) and other medicines as prescribed.
- Sambong releaf is a herbal medicine for the urinary tract, but it cannot replace antibiotics. 5. Watch for Warning Signs:
- If you develop confusion, chest pain, difficulty breathing, very low urine output, or your fever gets higher, go to the hospital immediately.

Why This Is Important - Diabetics are at higher risk for severe infections and complications.
- Blood infection (sepsis) can be life-threatening if not treated quickly.
- UTI can spread to the kidneys or bloodstream, especially if you feel very weak.

Next Steps - Go to the nearest hospital or emergency room as soon as possible.
- Bring all your medicines and recent test results with you.

Thank you and get well soon

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
45 days ago
5

Hi Beth. This is urgent.

Critical Reasons:

· Diabetic + Blood Infection (Sepsis) + UTI + Fever: This is a medical emergency. The combination dramatically increases the risk of severe complications. · “Jiggly Knees” & Hard to Stand: These are red flags for severe infection, low blood pressure, or blood sugar imbalance. · Medication Alert: · Sambong Relieaf may affect your blood sugar. · Bigesic (paracetamol/acetaminophen) can mask a fever. · Your diabetes medications (insulin, sitagliptin) likely need adjustment during this severe illness.

Immediate Action Plan:

1. DO NOT WAIT. Seek emergency care immediately. 2. Tell ER doctors your full list of medications and that you are diabetic. 3. Do not stop or change any medication without a doctor’s direct advice.

At the Hospital: They will provide stronger IV antibiotics, control your fever, and closely monitor your blood sugar, blood pressure, and kidney function.


Dr. Nikhil Chauhan, Urologist

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello sir See you are already on medication. In addition please take following tests to avoid complications Serum RBS Hba1c Culture Lft Rft In addition Be hydrated Avoid high proteinacous or fatty diet Get nutrient supplements in bulk Talk to concerned physician if any other medications like nitrofurantoin can be added to prevent uti Regards

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In this situation, it sounds like there is a possible serious infection that needs immediate attention, especially since you are experiencing fever, weakness, and have diabetes. The presence of fever, alongside a urinary tract infection (UTI) and a potential systemic blood infection (which might involve bacteremia or sepsis), requires urgent review by a healthcare professional. Diabetics are at higher risk for complications from infections, and it is important to engage with a health provider sooner rather than later. The antibiotics you’re taking like cefixime should have some coverage toward urinary pathogens but may not be sufficient or the most appropriate for your specific case or severity of infection in blood. Sambong releaf is more of a herbal remedy and wouldn’t suffice for treating systemic infections. Fever along with muscle weakness (like difficulty standing up due to jiggly knees) might indicate a progression of the infection affecting your body’s overall state. Given your diabetic status and other medications, it’s crucial to ensure your blood sugars are stable because infections can notoriously cause glucose levels to become erratic can complicate control. Additionally, carvedilol and other medications need to be taken into account, particularly how they interact with your cardiovascular system’s response to infection. Until you can see a physician, stay well-hydrated, monitor your blood glucose levels more frequently, and if these symptoms are getting worse or you’re feeling extremely unwell, seek immediate medical care at the emergency department. Adjusting antibiotic therapy, potential hospital admission for IV antibiotics, fluids, or other interventions might be necessary. Self-treatment should not delay professional medical assessment, as the risk of complications, particularly in diabetes, can escalate more rapidly.

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