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UTI AND INFECTION diabetic person
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Kidney & Urinary Health
Question #22654
181 days ago
393

UTI AND INFECTION diabetic person

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
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Doctors' responses

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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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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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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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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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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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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