High blood sugar

Persistent high blood sugar — random glucose >200, fasting >126, or A1c ≥6.5% — defines diabetes. Symptoms include thirst, frequent urination, blurry vision, slow-healing wounds, and fatigue. Clindle confirms the diagnosis, screens for complications (kidney, eyes, nerves), and starts first-line treatment same-day — metformin, GLP-1 agonists (semaglutide, tirzepatide), SGLT2 inhibitors — plus lifestyle coaching. We order labs every 3–6 months and coordinate with endocrinology for insulin-dependent or complex cases. Symptoms of DKA (vomiting, fruity breath, confusion) are an ER visit.