What to do if my mother has a urine sugar level of +3 while on Onder DM and glucagon tablets?

Question #29670

16 days ago

What to do if my mother has a urine sugar level of +3 while on Onder DM and glucagon tablets? - #29670

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My mother has urine sugar level +3(1.0 g/dL) she is currently on medication she takes ondero dm and glucagon tablets

How long has your mother had this urine sugar level?:

- 1-4 weeks

Has she experienced any other symptoms?:

- Fatigue

Is she following a specific diet or nutrition plan?:

- No specific diet

Has her medication dosage changed recently?:

- No, same dosage

How often does she monitor her blood sugar levels?:

- A few times a week

Does she have any other medical conditions?:

- Yes, other chronic conditions

How is her overall energy level?:

- Low

300 INR (~3.53 USD)

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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.

15 days ago

Hello dear
See as per clinical history
Sugar level is very high that can impact
Kidneys
Liver
Brain
Other impacts includes
Hyperglycemia
Infection
Discomfort
Nausea
Ketoacidosis
I am suggesting some tests for confirmation
Please share the result with concerned physician only for better clarity and for safety please donot take any medication without consulting the concerned physician
Ott
Hbaic
Hb
Rft
Lft
Kidney USG
Serum rbs repeat
CBC
Esr
Urine analysis
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

15 days ago

Hi, A urine sugar of +3 (≈1 g/dL) means your mother’s blood sugar is likely running high, even though she is already on medication.
What does urine sugar +3 mean?- Sugar appears in urine when blood glucose crosses ~180 mg/dL. +3 = significantly elevated levels. This suggests suboptimal diabetes control.
Current medications-  Ondero DM Helps improve insulin action and reduce glucose production. Glucagon is usually used only in emergencies (low sugar episodes). Regular use can increase blood sugar. Please recheck this name, sometimes there may be confusion with other diabetes medicines.
Why sugar is still high?- Common reasons are Inadequate dose of medication, Poor diet control, Lack of exercise, Progression of diabetes & Wrong/ineffective medication combination. Here is my advise-
1. Confirm with blood sugar tests- Get dine Fasting blood sugar, Post-meal blood sugar & HbA1c. Urine sugar alone is not enough for decisions.
2. Review medications with your treating doctor. Dose adjustment may be needed. Additional drugs or insulin may be required.
3. Start strict diet control- Reduce sugar, sweets, refined carbs. Increase fiber, vegetables. Controlled portion size.
4. Encourage daily activity- At least 30 minutes walking (if medically fit).
Act urgently if you iu develop- Very high sugars (>300 mg/dL), Excessive urination/thirst, Weight loss or Drowsiness.
Urine sugar is an old screening tool.
Modern management depends on Blood sugar levels & HbA1c. +3 urine sugar = diabetes not well controlled. Needs blood test confirmation + treatment adjustment. Recheck medication (especially “glucagon”). Lifestyle changes are essential.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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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.

15 days ago

Hi, I’m Dr. Nikhil Chauhan
Your mother has urine sugar +3 (1.0 g/dL) despite taking diabetes medicines – this means her blood sugar is too high (probably >180 mg/dL). Fatigue & low energy confirm uncontrolled diabetes.
First, a quick correction on medicines:
· “Onder DM” → likely a combination of Gliclazide + Metformin (common in India)
· “Glucagon tablets” – there is NO such thing. Glucagon is an injection for low sugar emergencies.
· You probably mean Glucophage (Metformin) or Glimepiride (another tablet). Please check the strip.
What to do immediately:
1. Check blood sugar (not just urine) – fasting & post-meal, today itself
2. Consult her doctor – her current dose is NOT enough. Needs adjustment or addition of another drug/insulin
3. Start a proper diet – no specific diet is a problem. Reduce rice, roti, sugar, juice, potato
4. Rule out infection (UTI is common with high urine sugar – can cause fatigue)
5. Do not stop or add any medicine without doctor’s advice
When to go to hospital immediately:
· If she becomes drowsy, confused, vomiting, or breathing fast – could be diabetic emergency (DKA/HHS)
👉 Urine sugar +3 for weeks = poorly controlled diabetes. She needs medical review urgently.
— Dr. Nikhil Chauhan

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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.

15 days ago

Hello
A urine sugar level of +3 while taking Ondero DM and Glucagon usually means her blood sugar is still running higher than the target range for the past few weeks. The fatigue and low energy you noticed are common signs of uncontrolled Type 2 Diabetes, dehydration, or sometimes infection or anemia. Urine sugar alone is not very precise, so the next step is to focus on blood sugar numbers.
What to do now is practical and straightforward. She should check fasting blood sugar and 2-hour after-meal sugar for a few days in a row, and arrange an HbA1c test to see her average control over the last 3 months. If readings are consistently high, her doctor may need to increase the dose, add another tablet, or consider insulin—this is very common over time in diabetes and simply reflects changing body needs, not a failure.
At home, start simple measures immediately: ensure regular meal timing, reduce excess rice, sweets, and fruit juices, increase vegetables and protein, maintain good hydration, and encourage light daily walking if she is physically able. These steps alone can significantly improve sugar levels and energy.
Seek medical review soon (within a few days) if sugars stay high, and seek urgent care if she develops symptoms like very frequent urination, excessive thirst, vomiting, confusion, drowsiness, or severe weakness, as these can indicate dangerously high sugar levels.
Take care

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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.

15 days ago

Your mother’s urine sugar level of +3 (around 1.0 g/dL) indicates that her blood sugar is currently significantly elevated and not well controlled, even though she is taking medications like Ondero DM (which usually contains teneligliptin + metformin) and likely a glucose-lowering drug (not glucagon, as glucagon is not used for regular diabetes treatment). The presence of sugar in urine along with symptoms like fatigue suggests that her diabetes may need better control through medication adjustment, diet, and monitoring. At this stage, she should have her fasting and post-meal blood glucose and HbA1c tested to assess overall control, and her doctor may need to increase doses or add another medication (or insulin if required). Along with this, it is very important to start a proper diabetic diet (low sugar, controlled carbohydrates, high fiber), regular light exercise if possible, and more frequent blood sugar monitoring.

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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.

15 days ago

Hello
Thanks for sharing your mother’s urine sugar result. A urine sugar level of +3 (1.0 g/dL) means there is a significant amount of glucose in her urine, which usually suggests her blood sugar is quite high. This can happen if diabetes is not well controlled, even when taking medication.
Here’s what this means and what you should do:
What it means:
- Her diabetes may not be fully controlled right now.
- High urine sugar can lead to dehydration and increase risk of infections.
- It’s important to check her blood sugar levels (fasting and post-meal) to see how high they are.
Next steps:
1. Check blood sugar: If you have a glucometer, check her fasting and post-meal blood sugar today.
2. Monitor symptoms: Watch for signs like excessive thirst, frequent urination, tiredness, confusion, or vomiting.
3. Contact her doctor: Share this urine sugar result and her blood sugar readings with her doctor as soon as possible. Her medication may need adjustment.
4. Stay hydrated: Make sure she drinks enough water unless her doctor has advised otherwise.
Important: If she feels very unwell, confused, breathless, or has vomiting, take her to the hospital immediately.
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

14 days ago

A urine sugar level of +3 suggests elevated glucose levels in your mother’s urine, indicating that her blood sugar may not be under optimal control. Given that she’s on medication like Ondero DM and glucagon tablets, it’s essential to assess her current diabetes management strategy. Ondero DM helps control blood sugar by enhancing insulin action, while glucagon can be used primarily during hypoglycemic episodes, so it’s unusual for regular daily management. Firstly, ensure she is taking her medications exactly as prescribed, as incorrect doses can affect glucose levels. Checking her blood sugar levels regularly with a home glucometer will provide more immediate insights into blood glucose trends. It’s important to consult with her healthcare provider to evaluate her current treatment plan; they might consider adjusting her medication, especially if her blood glucose levels are consistently high. The presence of sugar in the urine not only signals high blood sugar levels but can also suggest potential dehydration, a risk with hyperglycemia, so ensuring adequate hydration is vital. Diet plays a crucial role too; maintaining a balanced diet with controlled carbohydrate intake can help manage blood sugar levels. Regular exercise, adapted to her physical capabilities, can also improve her glucose control. If her blood sugar levels are consistently elevated or she experiences symptoms like increased thirst, frequent urination, or extreme fatigue, seek medical advice promptly. There might be a need to adjust her overall diabetes management plan, which could involve changing medications or introducing insulin therapy if necessary. Her healthcare provider should guide this process based on a thorough reassessment of her condition.

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